preeclampsia
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Pregnant women >=18 years • Gestational week 24+0 days - 36+6 days • Signed written informed consent • Suspicion of clinical diagnosis of PE based on one or more of the following criteria: - New onset of elevated blood pressure (BP) - Aggravation of preexisting hypertension - New onset of protein in urine - Aggravation of preexisting proteinuria - One or more other reason(s) for clinical suspicion of PE: • PE-related symptoms: epigastric pain, excessive edema, severe swelling (face, hands, feet), headache, visual disturbances, sudden weight gain (>1 kg/week) • PE-related findings: low platelets, elevated liver transaminases, IUGR (Intra-uterine growth restriction) or abnormal uterine perfusion detected by Doppler sonography with mean PI > 95th percentile in second trimester and/or bilateral notch Note: percentage of women with suspected PE due to abnormal uterine perfusion at each site shall not exceed 25%.
Exclusion criteria
Exclusion criteria: • Proteinuria >=2+ (dipstick) (or in case available >=0.3 g protein/24 hours or >=30 mg/dL protein in spot urine or spot urine protein/creatinine ratio >=30 mg protein/mmol creatinine) AND elevated BP (>=140 mmHg systolic and/or >=90 mmHg diastolic, reproducible on two occasions) • Proteinuria >=2+ (dipstick) (or in case available >=0.3 g protein/24 hours or >=30 mg/dL protein in spot urine or spot urine protein/creatinine ratio >=30 mg protein/mmol creatinine) AND current anti hypertensive treatment • Confirmed diagnosis of HELLP syndrome • Concomitant participation in another clinical study (with exception of existing Biobanks as site pecifically agreed upon with RD) • Investigational medicinal product received in the past 3 months (90 days) • Employee at the investigational site, or relative or spouse of the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Value of the sFlt-1/PlGF ratio at Visit 1 to predict PE / eclampsia / HELLP (according to diagnostic criteria) within one and four weeks from Visit 1. | — |
Countries
Netherlands