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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT00409253
Other study ID # 3738
Secondary ID
Status Recruiting
Phase Phase 3
First received December 7, 2006
Last updated February 24, 2009
Start date June 2007
Est. completion date August 2010

Study information

Verified date February 2009
Source University Hospital, Strasbourg, France
Contact Pierre Auguste DIEMUNSCH, MD
Phone 33.3.88.12.70.78
Email Pierre.Diemunsch@chru-strasbourg.fr
Is FDA regulated No
Health authority France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis)
Study type Interventional

Clinical Trial Summary

The aim of this study is to confirm that URAPIDIL is as efficient and as safe as NICARDIPINE to correct severe hypertension in pre-eclamptic patients.

- efficacy endpoint : mean arterial blood pressure corrected to 105-125 mmHg after 120 min of study drug administration.

- safety endpoints : clinical, biological and ultrasound observation for any side effect.All infants will be observed in the neonatology unit (during 48h).


Recruitment information / eligibility

Status Recruiting
Enrollment 72
Est. completion date August 2010
Est. primary completion date June 2010
Accepts healthy volunteers No
Gender Female
Age group 18 Years to 51 Years
Eligibility Inclusion criteria:

- patients 'written informed consent dated and signed by investigator and patient

- affiliation to a social security system

- single pregnancy

- arterial hypertension (PAS =140 and/or PAD=90) in the context of severe pre-eclampsia

Exclusion criteria:

- patient under 18 year old or unable to give informed consent

- protocol rejected by patient-impossibility to use non invasive blood pressure monitoring

- antihypertensive treatments within 24h before inclusion

- allergy to or contraindication for one of the study drugs-pre

- eclampsia that does not require an antihypertensive treatment

- acute eclampsia-requirement for other drugs with potential dangerous interactions with study drugs

- participation to a therapeutic protocol within 6 months prior to the start of study

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Drug:
URAPIDIL (EUPRESSYL*)
Urapidil (Eupressyl*) :IV (PSE) 1 microg/kg/min° until reduction PAM 15 %. Reduction ¼ of the posology to obtain PAM between 105 and 125 mmHg with adjustment 0.25 microg/kg/min/15 min. Maximal dose = 30mg/h.
NICARDIPINE
Nicardipine : IV 6.25 mg bolus until PAD >105 mm/Hg. Perfusion (PSE) 4 mg/h to obtain PAM between 105 and 125 mm/Hg with adjustment 2mg/h/5 min without overshoot 20 mg/h Maximal treatment duration : 7 days

Locations

Country Name City State
France Hôpital Saint-Jacques, CHU de Besançon BESANçON
France Maternité A. PINARD Nancy
France Sihcus-Cmco Schiltigheim
France Service d'Anesthésie et de Réanimation Médicale, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg Strasbourg

Sponsors (1)

Lead Sponsor Collaborator
University Hospital, Strasbourg, France

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary Systolic, diastolic, mean blood pressure and pulse rate :-every 5 min during the titration phase-every 15 min up to the second hour treatment-every hour up to the 6th hour and every 3 hour during the rest of the treatment period. Systolic, diastolic, mean blood pressure and pulse rate :-every 5 min during the titration phase-every 15 min up to the second hour treatment-every hour up to the 6th hour and every 3 hour during the rest of the treatment period Yes
Secondary -maternal and foetal ultrasonography, biology and clinical assessment-type of delivery-post-partum bleeding-neo-natal evaluation by neonatologist during the first 48 hours of life During the first 48hour of life Yes