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The PEARLS Trial

Preventing pre-eclampsia: Evaluating AspiRin Low-dose regimens following risk Screening A multi-country, multi-centre, two-arm, parallel, double-blind, randomised trial of low-dose aspirin for women at increased risk pre-eclampsia in Ghana, Kenya and South Africa, to prevent pre-eclampsia and improve maternal and newborn outcomes.

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
PACTR
Registry ID
PACTR202403785563823
Enrollment
20576
Registered
2024-03-12
Start date
2024-12-15
Completion date
Unknown
Last updated
2026-09-14

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

Conditions

Pregnancy and Childbirth

Interventions

Daily oral aspirin 150mg
Daily oral aspirin 75mg

Sponsors

Concept Foundation
Lead Sponsor

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: • Pregnant women at <20 weeks’ gestation, identified as being at high risk of pre-eclampsia, according to the restricted-variable FMF algorithm combining maternal history and MAP • Women with any live pregnancy (singleton or multiple). • Women intend to give birth in a participating study facility/care network

Exclusion criteria

Exclusion criteria: • Women identified by FMF screening algorithm as low risk • Women with a known contraindication to antiplatelet therapy, such as hypersensitivity reaction to any NSAID, or patients with asthma who have a history of aspirin-induced acute bronchospasm • Multiple pregnancy • Women with known bleeding disorders (such as von Willebrand’s disease or peptic ulceration) • Long-term use of nonsteroidal anti-inflammatory medication • Women who have taken aspirin regularly in the 28 days prior to screening • A known major fetal anomaly that requires pregnancy termination • Currently participating in another drug trial • Unable or unwilling to provide informed consent.

Design outcomes

Primary

MeasureTime frame
Occurrence of birth at <37 weeks with pre-eclampsia (efficacy) and a composite measure of PPH-related treatment (safety) in women at high risk of pre-eclampsia according to a screening algorithm.

Secondary

MeasureTime frame
Clinical, process-of-care and cost-effectiveness outcomes

Countries

Ghana, Kenya, South Africa

Contacts

Public ContactJoshua Vogel

Professor

Joshua.vogel@burnet.edu.au+61481770067

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026