Status:

UNKNOWN

Sildenafil Versus Low Molecular Weight Heparin in Fetal Growth Restriction Treatment

Lead Sponsor:

Ain Shams University

Conditions:

Fetal Growth Abnormality

Fetal Growth Restriction

Eligibility:

FEMALE

20-35 years

Phase:

PHASE3

Brief Summary

comparing the effect of using sildenafil citrate and LMWH in treatment of cases of IUGR due to placental insufficiency

Detailed Description

One hundred pregnant women with documented intrauterine growth restriction due to placental insufficiency at 28-35 weeks of gestation will be distributed into two groups: * Group S: 50 women will rec...

Eligibility Criteria

Inclusion

  • Maternal age between 20-35 years.
  • Being at a gestational age 28-35wks.
  • Singleton pregnancy.
  • Fetal growth restriction diagnosed by ultrasound with estimated fetal weight below the 10th percentile, and/or fetal abdominal circumference at or below the tenth percentile.

Exclusion

  • Maternal age less than 20 years or more than 35 years.
  • Undetermined gestational age.
  • Multiple gestation.
  • Chronic diseases with pregnancy e.g. Chronic hypertension, diabetes type 1 or 2.
  • Etiologies of FGR other than placental insufficiency as fetal malformations, aneuploidy or infections.
  • Suspected fetal compromise requiring emergency delivery.
  • Any contraindication to the use of sildenafil e.g. known significant maternal cardiac disease, left ventricular outflow tract obstruction, concomitant treatment with nitrates or previous allergy to sildenafil.
  • Any contraindication to the use of LMWH e.g. known bleeding disorder, active antenatal bleeding or at increased risk of major hemorrhage (e.g. placenta praevia), thrombocytopenia, severe renal or hepatic disease.
  • Drug or alcohol abuse.
  • Patient refusing to participate in the study or unable to consent.

Key Trial Info

Start Date :

June 1 2017

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2018

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT03230162

Start Date

June 1 2017

End Date

May 1 2018

Last Update

July 26 2017

Active Locations (1)

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1

AinShams university maternity hospital

Cairo, Egypt, 02