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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
Nanfang Hospital, Southern Medical University
About
Eligibility
Locations
Arms
Outcomes
Full info

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

18 Years - 50 Years (Adult)FemaleDoes not accept healthy volunteers

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

    First Posted
    September 21, 2022
    Last Updated
    September 21, 2022
    Sponsor
    Nanfang Hospital, Southern Medical University
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    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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