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Serum Magnesium Level Administration in Severe Pre-eclampsia Obese Pregnancy

Primary Purpose

Severe Pre-eclampsia, Magnesium Level

Status
Completed
Phase
Not Applicable
Locations
Thailand
Study Type
Interventional
Intervention
Magnesium sulfate administration
Sponsored by
Rajavithi Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Severe Pre-eclampsia

Eligibility Criteria

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Inclusion Criteria:

  • Pregnancy women who have MBI ≥ 31kg/m2
  • Pregnancy women who were diagnosed severe pre-eclampsia at gestational age 24 weeks more.
  • Pregnancy women who were diagnosed eclampsia at gestational age 24 weeks more.

Exclusion Criteria:

  • Pregnancy women who were chronic kidney disease or have serum creatinine more than 1.1 mg/dl
  • Pregnancy women who have contraindication to use magnesium sulfate

Sites / Locations

  • Rajavithi Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

controlled group

Experimental group

Arm Description

controlled group : administration of magnesium sulfate is 4 grams for loading dose in 15 minutes, followed by 2 grams for maintenance dose per hour

group : administration of magnesium sulfate is 4 grams for loading dose in 15 minutes, followed by 2.5 grams for maintenance dose per hour

Outcomes

Primary Outcome Measures

therapeutic level
Serum magnesium level

Secondary Outcome Measures

Outcome of pregnancy
maternal and fetal outcome

Full Information

First Posted
May 14, 2018
Last Updated
October 8, 2020
Sponsor
Rajavithi Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT03661775
Brief Title
Serum Magnesium Level Administration in Severe Pre-eclampsia Obese Pregnancy
Official Title
Serum Magnesium Level Between Administered Rate of 2 g/hr Versus 2.5 g/hr in Severe Pre-eclampsia Obese Pregnancy, Multicentered Randomized Study
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Completed
Study Start Date
September 30, 2018 (Actual)
Primary Completion Date
December 30, 2018 (Actual)
Study Completion Date
May 31, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Rajavithi Hospital

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Comparison of the magnesium level in difference continuous rate in women who were diagnosed severe pre-eclampsia obese
Detailed Description
Magnesium sulfate is, generally, applied in order to alleviate or to avoid seizures. It can be administered according to many medical approaches. Nevertheless, at Rajavithi Hospital, the recommended administration of magnesium sulfate is 4 grams for loading dose in 15 minutes, followed by 2 grams for maintenance dose per hour (Zudpan regimen). The therapeutic index of magnesium is in the range of 4.8-8.4 mg/dL. After that, the level of magnesium sulfate will be evaluated every 4 or 6 hours. At Rajavithi Hospital, there are a lot of patients having pre-eclampsia symptom and many patients, who were received magnesium sulfate in the treatment, having the level of magnesium sulfate lower than the therapuetic level and needed to increase the maintenance dose to 2.5 grams/hour. Therefore, this work aims to studying the amount of magnesium sulfate administered to pregnant woman with pre-eclampsia symptom who possess high body mass index (BMI), especially for BMI greater than or equal to 30 kg/m2.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Severe Pre-eclampsia, Magnesium Level

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Factorial Assignment
Model Description
Factorial 2-by-2 open labeled randomised controlled trial
Masking
None (Open Label)
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
controlled group
Arm Type
Experimental
Arm Description
controlled group : administration of magnesium sulfate is 4 grams for loading dose in 15 minutes, followed by 2 grams for maintenance dose per hour
Arm Title
Experimental group
Arm Type
Experimental
Arm Description
group : administration of magnesium sulfate is 4 grams for loading dose in 15 minutes, followed by 2.5 grams for maintenance dose per hour
Intervention Type
Drug
Intervention Name(s)
Magnesium sulfate administration
Intervention Description
controlled group : administration of magnesium sulfate is 4 grams for loading dose in 15 minutes, followed by 2 grams for maintenance dose per hour Experimental group : administration of magnesium sulfate is 4 grams for loading dose in 15 minutes, followed by 2.5 grams for maintenance dose per hour
Primary Outcome Measure Information:
Title
therapeutic level
Description
Serum magnesium level
Time Frame
4 hours after infusion magnesium sulfate
Secondary Outcome Measure Information:
Title
Outcome of pregnancy
Description
maternal and fetal outcome
Time Frame
24 hours after delivery

10. Eligibility

Sex
Female
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Pregnancy women who have MBI ≥ 31kg/m2 Pregnancy women who were diagnosed severe pre-eclampsia at gestational age 24 weeks more. Pregnancy women who were diagnosed eclampsia at gestational age 24 weeks more. Exclusion Criteria: Pregnancy women who were chronic kidney disease or have serum creatinine more than 1.1 mg/dl Pregnancy women who have contraindication to use magnesium sulfate
Facility Information:
Facility Name
Rajavithi Hospital
City
Bangkok
ZIP/Postal Code
10400
Country
Thailand

12. IPD Sharing Statement

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Serum Magnesium Level Administration in Severe Pre-eclampsia Obese Pregnancy

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