Status:

RECRUITING

Chronic Hypertension and Acetyl Salicylic Acid in Pregnancy

Lead Sponsor:

Centre Hospitalier Intercommunal Creteil

Conditions:

Chronic Hypertension Complicating Pregnancy

Pre-Eclampsia

Eligibility:

FEMALE

18+ years

Phase:

PHASE3

Brief Summary

A randomized clinical trial to assess the efficiency of acetylsalicylic acid (aspirin) 150 mg/day started before 20 weeks of gestation in the prevention on maternal and fœtal complications in pregnant...

Detailed Description

Chronic hypertension affects 1 to 5% of women of childbearing age. According to the literature, about 45% of pregnant women with chronic hypertension will develop complications such as superimposed pr...

Eligibility Criteria

Inclusion

  • Pregnant patient between 10 and 19 weeks of gestation + 6 days
  • Chronic hypertension, whether treated or not, know before pregnancy or diagnosed before randomization
  • Singleton pregnancy
  • Signed the written informed consent
  • Affiliation to social security

Exclusion

  • ---Medical history requiring anticoagulation (antiphospholipid syndrome, deep vein thromboembolic disease, pulmonary embolism, atherothrombosis, patient with mechanical heart valves),
  • Patient receiving aspirin for another indication outside pregnancy,
  • Patient with significant proteinuria (\> 300mg/24 hours or a proteinuria/creatininuria ratio ≥ 30mg/mmol),
  • Active bleeding,
  • History of severe PE with delivery \< 34 weeks of gestation,
  • Hypersensitivity to salicylates such as aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs),
  • Platelet count lower than 100,000 cells/microliter (dosage less than 6 months old),
  • Hemostasis disorders, including hemophilia (with thrombocytopenia)
  • Any constitutional or acquired hemorrhagic disease, (including digestive hemorrhages, history of hemorrhagic stroke and thrombocytopenia
  • Human immunodeficiency virus, or hepatitis B virus, or hepatitis C virus positive serum,
  • Patient included in another interventional study which could interfere with the results of the study,
  • Age \<18 years old,
  • Women under the protection of justice,
  • Patients with psychiatric follow-up, poor understanding of French or cognitive problems,
  • Duodenal ulcer,
  • Severe renal impairment,
  • Severe hepatic insufficiency,
  • Severe cardiac impairment,
  • Gout,
  • Patients with known glucose-6-phosphate dehydrogenase deficiency,

Key Trial Info

Start Date :

February 15 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 1 2030

Estimated Enrollment :

500 Patients enrolled

Trial Details

Trial ID

NCT04356326

Start Date

February 15 2021

End Date

February 1 2030

Last Update

September 2 2025

Active Locations (20)

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Page 1 of 5 (20 locations)

1

CHU Bordeaux

Bordeaux, France

2

CHU Caen

Caen, France, 14000

3

CHU Antoine Béclère, AP-HP

Clamart, France

4

Hôpital Louis Mourier, AP-HP

Colombes, France