Probiotic Supplementation During Pregnancy in Preeclampsia High-risk Groups
Primary Purpose
PE (Pre-eclampsia) High-risk Population With Gut Microbiota Dysbiosis During Their Pregnancy
Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
aspirin 100mg and probiotics 1 bag
Sponsored by
About this trial
This is an interventional prevention trial for PE (Pre-eclampsia) High-risk Population With Gut Microbiota Dysbiosis During Their Pregnancy
Eligibility Criteria
Inclusion Criteria:
- PE high-risk population aged 18-50 years with gut microbiota dysbiosis
- No severe cardiopulmonary diseases
- No severe hepatic and renal insufficiency
- No severe active infection
- Pregnant women did not take antibiotics or antifungal drugs 30 days before fecal sample collection; No probiotic preparation was taken 2 weeks before sample collection; Never take drugs that may interfere with glucose and lipid metabolism
- No diseases affecting intestinal microecology
- No history of smoking and drinking
- The researchers evaluated those pregnant women expected to deliver more than 20 weeks
- Voluntarily participate in this clinical study and sign the informed consent form
Exclusion Criteria:
- With severe cardiopulmonary, hepatic and renal insufficiency
- With uncontrolled active infections 2 weeks before enrollment
- Subjects took antibiotics or antifungal drugs 30 days before sample collection; Take probiotics 2 weeks before sample collection; Have taken drugs that may interfere with glucose and lipid metabolism
- with diseases affecting intestinal microecology
- Smoking and drinking history
- With acute gastrointestinal ulcer
- Hemorrhagic constitution
- Other discomfort assessed by the investigato
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
group A
group B
Arm Description
aspirin 100mg and probiotics 1 bag
aspirin 100mg and placebo1 bag
Outcomes
Primary Outcome Measures
The incidence of preeclampsia
After 20 weeks of pregnancy, systolic blood pressure ≥ 140mmHg and / or diastolic blood pressure ≥ 90mmHg, accompanied by any of the following items: urinary protein ≥ 0.3g/24h, or urinary protein / creatinine ratio ≥ 0.3,or random urinary protein ≥ (+) (examination method for unconditional protein quantification); Non-albuminuria can be accompanied by any kind of organ or system involvement: heart, lung, liver, kidney and other important organs, or abnormal changes in blood system, digestive system, nervous system, placenta-fetus, etc.
Secondary Outcome Measures
The incidence of fetal growth restriction
due to the influence of pathological factors such as mother, fetus and placenta, fetal growth does not reach its due genetic potential, which is characterized by fetal body weight or abdominal circumference estimated by ultrasound lower than the 10th percentile of the corresponding gestational age
Full Information
NCT ID
NCT05554185
First Posted
September 21, 2022
Last Updated
September 21, 2022
Sponsor
Nanfang Hospital, Southern Medical University
1. Study Identification
Unique Protocol Identification Number
NCT05554185
Brief Title
Probiotic Supplementation During Pregnancy in Preeclampsia High-risk Groups
Official Title
Effects of Probiotic Supplementation During Pregnancy on Maternal and Infant Outcomes in Preeclampsia High-risk Groups Based on Abnormal Intestinal Flora: a Randomized Controlled Clinical Trial
Study Type
Interventional
2. Study Status
Record Verification Date
September 2022
Overall Recruitment Status
Not yet recruiting
Study Start Date
September 21, 2022 (Anticipated)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
December 31, 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nanfang Hospital, Southern Medical University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
In this randomized controlled study, preventive intervention of aspirin combined with probiotics or aspirin combined with placebo would given to PE (pre-eclampsia) high-risk population with gut microbiota dysbiosis during their pregnancy, and finally assess the efficacy and safety of aspirin combined with probiotics to prevent PE.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
PE (Pre-eclampsia) High-risk Population With Gut Microbiota Dysbiosis During Their Pregnancy
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
338 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
group A
Arm Type
Experimental
Arm Description
aspirin 100mg and probiotics 1 bag
Arm Title
group B
Arm Type
Placebo Comparator
Arm Description
aspirin 100mg and placebo1 bag
Intervention Type
Dietary Supplement
Intervention Name(s)
aspirin 100mg and probiotics 1 bag
Intervention Description
taking aspirin 100mg and probiotics 1 bag per day from 14-16 weeks of pregnancy until 35 + 6 weeks of pregnancy or emergency delivery.
Primary Outcome Measure Information:
Title
The incidence of preeclampsia
Description
After 20 weeks of pregnancy, systolic blood pressure ≥ 140mmHg and / or diastolic blood pressure ≥ 90mmHg, accompanied by any of the following items: urinary protein ≥ 0.3g/24h, or urinary protein / creatinine ratio ≥ 0.3,or random urinary protein ≥ (+) (examination method for unconditional protein quantification); Non-albuminuria can be accompanied by any kind of organ or system involvement: heart, lung, liver, kidney and other important organs, or abnormal changes in blood system, digestive system, nervous system, placenta-fetus, etc.
Time Frame
From being recruited to 6 weeks after delivery
Secondary Outcome Measure Information:
Title
The incidence of fetal growth restriction
Description
due to the influence of pathological factors such as mother, fetus and placenta, fetal growth does not reach its due genetic potential, which is characterized by fetal body weight or abdominal circumference estimated by ultrasound lower than the 10th percentile of the corresponding gestational age
Time Frame
From being recruited to 6 weeks after delivery
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
PE high-risk population aged 18-50 years with gut microbiota dysbiosis
No severe cardiopulmonary diseases
No severe hepatic and renal insufficiency
No severe active infection
Pregnant women did not take antibiotics or antifungal drugs 30 days before fecal sample collection; No probiotic preparation was taken 2 weeks before sample collection; Never take drugs that may interfere with glucose and lipid metabolism
No diseases affecting intestinal microecology
No history of smoking and drinking
The researchers evaluated those pregnant women expected to deliver more than 20 weeks
Voluntarily participate in this clinical study and sign the informed consent form
Exclusion Criteria:
With severe cardiopulmonary, hepatic and renal insufficiency
With uncontrolled active infections 2 weeks before enrollment
Subjects took antibiotics or antifungal drugs 30 days before sample collection; Take probiotics 2 weeks before sample collection; Have taken drugs that may interfere with glucose and lipid metabolism
with diseases affecting intestinal microecology
Smoking and drinking history
With acute gastrointestinal ulcer
Hemorrhagic constitution
Other discomfort assessed by the investigato
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Yichi Zhang
Phone
18774562132
Email
1525683944@qq.com
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
31900289
Citation
Chen X, Li P, Liu M, Zheng H, He Y, Chen MX, Tang W, Yue X, Huang Y, Zhuang L, Wang Z, Zhong M, Ke G, Hu H, Feng Y, Chen Y, Yu Y, Zhou H, Huang L. Gut dysbiosis induces the development of pre-eclampsia through bacterial translocation. Gut. 2020 Mar;69(3):513-522. doi: 10.1136/gutjnl-2019-319101. Epub 2020 Jan 3.
Results Reference
result
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Probiotic Supplementation During Pregnancy in Preeclampsia High-risk Groups
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