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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05534932
Other study ID # IRB 22-1412
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date October 27, 2022
Est. completion date December 31, 2025

Study information

Verified date June 2024
Source University of Chicago
Contact Sajid Shahul, MD phd
Phone 773-398-2956
Email sshahul1@dacc.uchicago.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is a single-center, open-label pilot study looking at how Guideline-directed management and therapy (GDMP) in post-partum women with preeclampsia can improve Global Longitudinal Strain (GLS).


Description:

This study is looking at when given GDMP in post-partum women with preeclampsia, compared to the current standard of care, can this therapy improve Global Longitudinal Strain (GLS) at 9 months. Subjects who agree to participate and who have already completed the PARENT study (NCT04479072) at 6-months will be randomized in this study to either the GDMP (Treatment) arm or the standard of care (Observational) arm. Subjects that agree to participate in the extension part of the study, will add on an additional 3 months. The primary objective of this study is to mechanistically determine the effect of GDMT administered at six months postpartum on GLS at nine months postpartum in African- American patients at high risk due to elevated blood pressures (>120/80 mmHg). The trial biostatistician will create the randomization schedules using computer-generated random numbers and will have access to treatment group allocation. Below are further details on each arm. Treatment Arm: Subjects randomized into the treatment arm will be enrolled into the remote patient monitoring program (RPM). Subjects who enroll in the sub-study will utilize the RPM by the University of Chicago Heart Failure Program. This program enables providers to track the number of critical vitals in real time. Patients are equipped and trained to monitor blood pressure, heart rate, weight, temperature, and medication adherence, through a Bluetooth-enabled tablet that integrates and transmits data to the clinic providers and advanced practitioners. This system is currently in use by the heart failure program at the University of Chicago, including hospital-to-home transition care after hospitalization for decompensated heart failure and long-term outpatient management of chronic heart failure, hypertension, atrial fibrillation, and ischemic heart disease. The heart failure team will provide the tablet, blood pressure cuff, weight scale and training at the subjects baseline visit. Observational Arm: Subjects randomized to this arm will receive the standard of care based upon the American Heart Association (AHA) and American Congress of Obstetricians and Gynecologists (ACOG) guidelines, which include counseling of increased cardiovascular risk, lifestyle modifications, including a healthy diet, exercise, smoking cessation, and risk factor intervention as determined by the primary care physician. They will not be receiving the RPM program equipment. Follow-up clinic visit approximately 3 months after they have been randomized will be scheduled in both arms. At this visit the study team will; Perform a Transthoracic echocardiogram (TTE) Obtain Vital signs Physical Exam Adverse Event check Concomitant Medication check Blood draw for laboratory test In addition, the study team will conduct monthly telephone interviews of all randomized trial participant's for concomitant medications, adverse events/side effects, and study drug compliance.


Recruitment information / eligibility

Status Recruiting
Enrollment 70
Est. completion date December 31, 2025
Est. primary completion date October 1, 2025
Accepts healthy volunteers No
Gender Female
Age group 18 Years to 45 Years
Eligibility Inclusion Criteria: 1. Adults between 18 and 45 years of age 2. African American 3. >120/80 BP at the time of their 6-month visit in the PARENT study 4. Diagnosed with preeclampsia 5. Initially presented to University of Chicago Medical Center (UCMC) for a Singleton Gestation Delivery 6. Completed the 6 month visit in the PARENT study Exclusion Criteria: 1. Those who cannot provide consent 2. patients with preexisting cardiomyopathy, ischemic or valvular heart disease, pulmonary disease, diabetes mellitus, chronic kidney disease, multiple gestations, 3. Unable to operate the RPM tablet device

Study Design


Related Conditions & MeSH terms


Intervention

Device:
Remote Patient Monitoring
Subjects in this group will receive RPM therapy through the University of Chicago Heart Failure program. This therapy consist of a bluetooth tablet, blood pressure cuff and a health scale for subjects to bring home and take thier measurements on a daily bases up to their 3 month clinic visit. This data will then be transmitted to EPIC where the study team will retrieve the data.

Locations

Country Name City State
United States University of Chicago Hospital Chicago Illinois

Sponsors (1)

Lead Sponsor Collaborator
University of Chicago

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary GLS percentages Compare GLS levels as a percentage (%) at 3 months between patients who received RPM program those in the observational group. 3 Months
Secondary Difference in Activin A levels Comparing the difference in Activin A levels in subjects at 3 months between patients who received RPM program those in the observational group. 3 Months
Secondary Left Atrial Volume Index Comparing the difference between left atrial volume index, from the subjects baseline to 3 month Transthoracic Echocardiogram (TTE) 3 Months
Secondary Deceleration Time Comparing the difference between deceleration time from subjects from their baseline to 3 month TTE 3 Months
Secondary Mean Arterial Pressure Difference in mean arterial pressure in subjects, from their baseline to 3 month TTE 3 Months
Secondary Ejection Fraction Comparing the difference in the ejection fraction percentages, from the subjects baseline to 3 month TEE. 3 Months
Secondary Mitral Annular Motion Comparing the difference between mitral annular motion, in millimeters (mm), from subjects baseline to 3 month TTE. 3 months
See also
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Recruiting NCT05937841 - Sensitivity of Angiotensin II Type II Receptors in Women Following Preeclampsia Early Phase 1
Recruiting NCT03978767 - Preeclampsia And Nonsteroidal Drugs for Analgesia: a Randomized Non Inferiority Trial Phase 2
Recruiting NCT05924971 - Aspirin for Postpartum Patients With Preeclampsia Phase 2
Recruiting NCT03667326 - Postpartum Low-Dose Aspirin and Preeclampsia Phase 2
Not yet recruiting NCT06353256 - A Community Health Worker Intervention to Address Adverse Pregnancy Outcomes N/A
Recruiting NCT04479072 - Aspirin and Preeclampsia Phase 4
Completed NCT03451266 - Effects of Vitamin C Administration on Extravascular Lung Water in Patients With Severe Features of Preeclampsia Phase 1