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The effect of gastric reflux medication on biomarkers in toxemia of pregnancy

Potential effect of proton-pump inhibitor on angiogenic markers in preeclampsia: a pilot study

Status
Not yet recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2018-000283-28-NL
Enrollment
44
Registered
2018-05-03
Start date
2018-09-05
Completion date
Unknown
Last updated
2021-01-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Angiogenic markers in preeclampsia

Interventions

Trade Name: Omeprazol Product Name: Omeprazol Pharmaceutical Form: Capsule

Sponsors

None listed

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Women with (= 18 years) with a singleton pregnancy diagnosed with PE with a gestational age of =20 weeks and =65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: Multiple pregnancies Not willing to give written informed consent Other reasons than PE requiring hospitalization The use of PPI at time of randomization Contraindications or hypersensitivity to PPI use The use of medication affected by PPI Fetal death at time of inclusion Signs of fetal distress at time of inclusion Expected delivery =2 days

Design outcomes

Primary

MeasureTime frame
Main Objective: To evaluate whether PPI administration (omeprazole) to women with confirmed PE significantly lowers circulating sFlt-1 levels;Secondary Objective: 1. Effects of PPI administration on circulating PlGF (elevation), sEndoglin (decrease), ET-1 (decrease) and CT-proET-1 (decrease) levels. 2. Effects of PPI administration on cord blood sFlt-1, PlGF, sEndoglin, ET-1 and CT-proET-1 levels;Primary end point(s): The difference in sFlt-1 levels in women who have received PPI, in comparison to women who have not received PPI, at different time points.;Timepoint(s) of evaluation of this end point: After delivery evaluation of the primary outcome will take place

Secondary

MeasureTime frame
Secondary end point(s): 1. The change in serum levels of PlGF, sEndoglin, ET-1 and CT-proET-1 levels between PPI and non-PPI group at different time points (before and after administration) 2. The change in cord blood levels of sFlt-1, PlGF, sEndoglin, ET-1 and CT-proET-1 at time of delivery between PPI and non-PPI group. 3. Blood pressure regulation and the need for blood pressure medication between PPI group and non-PPI group. 4. Days until delivery between PPI group and non-PPI group.;Timepoint(s) of evaluation of this end point: After delivery evaluation of the secondary outcome will take place.

Countries

Netherlands

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026