Status:

UNKNOWN

Use of Sildenafil Citrate in Management of Mild Pre-eclampsia

Lead Sponsor:

Assiut University

Conditions:

Pre-Eclampsia; Mild

Eligibility:

FEMALE

18-35 years

Phase:

PHASE2

PHASE3

Brief Summary

* Mild pre-eclampsia represents 75% of cases with pre-eclampsia, possible progression to severe pre-eclampsia makes mild pre-eclampsia a serious problem that requires attention. * Previous studies hav...

Detailed Description

\- Pre-eclampsia affects approximately 2-8% of all pregnancies worldwide. In Egypt, the prevalence of pre-eclampsia is 10.7% in a community based study. While, in hospital based studies it ranged from...

Eligibility Criteria

Inclusion

  • Uncomplicated mild pre-eclampsia; No clinical or investigatory findings suggestive severe pre-eclamptic toxemia.
  • Gestational age of 28 - 36 weeks by good dates according to ACOG's - committee on obstetric practice - Method for Estimating Due Date (2014) who will receive the study's drug for at least one week before termination.
  • Singleton viable pregnancy.
  • Age: 18-35 years.

Exclusion

  • Severe pre-eclamptic toxemia (according to the NICE guidelines (2010): Hypertension in pregnancy: diagnosis and management)
  • Intrauterine growth retardation.
  • Use of medication that could interact with sildenafil citrate such as nitrates erythromycin, ketoconazole, itraconazole, antiretroviral agents and others.
  • Presence of maternal co-morbidity disease as: DM, chronic hypertension, congestive heart failure, chronic kidney disease and SLE.
  • Placenta previa.
  • The patient is using aspirin.
  • The presence of a contraindication to the use of sildenafil citrate:
  • Hypersensitivity to sildenafil citrate or any of the tablet ingredients.
  • Patients with severe cardiovascular disease such as established cardiac failure and unstable angina pectoris.
  • Previous episode of non-arteritic anterior ischaemic optic neuropathy.
  • Severe hepatic impairment.
  • Hypotension (blood pressure \<90/50 mmHg).
  • Hypertension (blood pressure \>170/110 mmHg).
  • Recent history of stroke or myocardial infarction.
  • Known hereditary degenerative retinal disorders such as retinitis pigmentosa.

Key Trial Info

Start Date :

September 15 2016

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 15 2018

Estimated Enrollment :

80 Patients enrolled

Trial Details

Trial ID

NCT03262961

Start Date

September 15 2016

End Date

January 15 2018

Last Update

August 28 2017

Active Locations (1)

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1

Assiut Univeristy Hospitals

Asyut, Egypt, 71111