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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00175526
Registration number
NCT00175526
Ethics application status
Date submitted
12/09/2005
Date registered
15/09/2005
Date last updated
1/06/2016
Titles & IDs
Public title
Predicting Complications in Women With Toxaemia
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Scientific title
PIERS (Pre-eclampsia Integrated Estimate of RiSk) Model: Predicting Adverse Maternal Outcomes in Pre-eclampsia
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Secondary ID [1]
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H03-70137
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Toxemia
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Condition category
Condition code
Injuries and Accidents
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Poisoning
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Blood
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Other blood disorders
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Infection
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Other infectious diseases
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Infection
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Studies of infection and infectious agents
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Inflammatory and Immune System
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0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
BEHAVIORAL - preeclampsia
BEHAVIORAL: preeclampsia
This research project, 'a severity score for pre-eclampsia,' will develop such a clinical tool that is specific to the condition. To develop and validate the tool w
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Intervention code [1]
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BEHAVIORAL
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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To identify the maternal and fetal variables predictive of a combined adverse maternal outcome occurring within one week of hospital admission for pre-eclampsia
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Assessment method [1]
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Timepoint [1]
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Unknown at this time
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Secondary outcome [1]
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To identify whether these also predict the combined adverse maternal outcome at any time following admission ii to identify whether these variables can predict a combined adverse perinatal outcome both (a) within one week and (b) at any time foll
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Assessment method [1]
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Timepoint [1]
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Unknown at this time
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Eligibility
Key inclusion criteria
These criteria reflect the evidence that pre-eclampsia is more than hypertension and proteinuria, particularly at onset:
* Hypertension. sBP >140mmHg and/or dBP >90mmHg, twice, >4h apart after 20 weeks' gestation. sBP will be included to reflect international guidelines.
* Proteinuria. 24h urinary protein >0.3g/d3, or in the absence of a 24h urine collection: >2+ dipstick proteinuria after 20wk or a random protein:creatinine ratio >30mg protein/mmol creatinine106-108.
* HELLP syndrome that is non-hypertensive and non-proteinuric, using Sibai's criteria109,
* One eclamptic seizure without preceding hypertension or proteinuria ('BEST' definition of eclampsia38).
* Women admitted with suspected 'superimposed pre-eclampsia' will also be included (e.g., those with a history of pre-existing hypertension with new proteinuria (>2+) or accelerated hypertension3;23;24).
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Minimum age
16
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Occurrence of the maternal outcome (e.g., recurrent eclampsia) prior to collection of the predictors.
* Admission to hospital in spontaneous labour (as clinicians will not attempt to stop these labours).
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/09/2005
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/12/2010
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Sample size
Target
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Accrual to date
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Final
650
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
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Canada
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State/province [1]
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British Columbia
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Country [2]
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Canada
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State/province [2]
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Ontario
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Country [3]
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Canada
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State/province [3]
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Quebec
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Country [4]
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New Zealand
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State/province [4]
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Christchurch
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Country [5]
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United Kingdom
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State/province [5]
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Leeds
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of British Columbia
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
At present, the management of pre-eclampsia is guided by expert opinions that are not well-based on firm evidence. What is required is a clinical tool that can accurately determine a women's risk for adverse outcomes, and thereby reduce the risk for women while safely prolonging pregnancies remote from term (to improve fetal outcomes). This research project, 'a severity score for pre-eclampsia,' will develop such a clinical tool that is specific to the condition. This severity score will be used clinically (to guide management) and in research (in both clinical trials and basic science research), and will provide an evidence base on which to build future practice, improving outcomes for pregnant women and their babies. In addition, this project is part of a three part strategy to better understand the mechanisms of disease in pre-eclampsia and to investigate a potential disease-modifying therapy, namely, recombinant human activated protein C.
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Trial website
https://clinicaltrials.gov/study/NCT00175526
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Peter von Dadelszen, MD
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Address
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University of British Columbia
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00175526
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