Actively Recruiting

Age: 18Years +
FEMALE
NCT06249178

EV Based Platform for Monitoring Therapeutics Response During Pregnancy (ARISE)

Led by Ohio State University · Updated on 2025-12-29

1000

Participants Needed

1

Research Sites

217 weeks

Total Duration

On this page

Sponsors

O

Ohio State University

Lead Sponsor

U

University of Texas

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this prospective observational cohort study of pregnant people at-risk of preeclampsia receiving aspirin as part of clinical care or a planned randomized controlled trial of 81mg vs. 162mg of aspirin is to generate proteomic data to show a distinct maternal and fetal Extracellular Vesicle (EV) proteome profile with aspirin treatment, and develop and validate a multi-marker panel for the monitoring of placental function in people at-risk of Preeclampsia and in response to aspirin treatment. The primary research question is: 1\. Does the maternal and fetal Positive for Placental Alkaline Phosphatase (PLAP+) Extracellular Vesicle (EV) proteome profile in the 2nd and 3rd trimester of pregnancy differ between people who receive aspirin and develop (or not) preeclampsia? Participants will be asked to give blood samples up to four times during and at the end of their pregnancy.

CONDITIONS

Official Title

EV Based Platform for Monitoring Therapeutics Response During Pregnancy (ARISE)

Who Can Participate

Age: 18Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Pregnant individuals aged 18 years or older
  • Enrolled by 16 weeks and 6 days of gestation based on best obstetric estimate
  • Singleton live intrauterine pregnancy
  • Have at least one high-risk factor for hypertensive disorders of pregnancy, such as prior preeclampsia, chronic hypertension, chronic kidney disease, or autoimmune disease
  • Or have two or more moderate-risk factors for hypertensive disorders of pregnancy, including nulliparity, obesity (BMI 60 kg/m2), age 35 years or older, Black race, low income, previous adverse pregnancy outcomes, pregnancy after in vitro conception, or family history of preeclampsia
  • Or are participating in another clinical trial comparing 81mg versus 162mg aspirin for prevention of hypertensive disorders of pregnancy
Not Eligible

You will not qualify if you...

  • Younger than 18 years
  • Involuntarily confined or detained
  • Considered to have diminished decision-making capacity
  • Multifetal pregnancy
  • Diagnosis of pregestational or gestational diabetes before 20 weeks gestation
  • Known or suspected fetal chromosomal abnormalities, major congenital anomalies, fetal demise, or planned pregnancy termination
  • Allergy or hypersensitivity to aspirin or medical conditions contraindicating aspirin use (e.g., peptic ulcer disease, nasal polyps, NSAID-induced asthma, gastrointestinal bleeding, G6PD deficiency, severe liver dysfunction, bleeding disorders)
  • Plans to deliver at a different center or participation in another intervention study that could affect the primary outcome without prior approval

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

The Ohio State University Wexner Medical Center OB/GYN Maternal and Fetal Medicine

Columbus, Ohio, United States, 43210

Actively Recruiting

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Research Team

M

Maged Costantine, MD, MBA

CONTACT

K

Kara Rood, MD

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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