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Trial registered on ANZCTR
Registration number
ACTRN12611000444987
Ethics application status
Approved
Date submitted
14/04/2011
Date registered
2/05/2011
Date last updated
2/05/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
the effect of antioxidant vitamins on blood coagulation during pregnancy in women at risk of preeclampsia
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Scientific title
The possible effect of gestational antioxidant on coagulopathy associated preeclampsia in women at risk of preeclampsia
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Secondary ID [1]
260052
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nil
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Universal Trial Number (UTN)
The Universal Trial Number (UTN) is U1111-1120-4057
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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:
preeclampsia coagulopathy
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Condition category
Condition code
Reproductive Health and Childbirth
265857
265857
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0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This study was a prospective randomized controlled blinded trial. Participating women were randomly assigned to receive either antioxidants cocktail (group I) containing 1000 mg vitamin C, 400 IU vitamin E, 100 micro g Selenium and 1500 IU vitamin A; or identical placebos (group II) in form of oral capsules. This supplementation was given daily from enrolment to delivery and was continued even after pre-eclampsia or hypertension was diagnosed. Participating women were seen once a month for clinical evaluation according to the standardized antenatal care protocol. The definition of pre-eclampsia was in accordance with the American College of Obstetricians. In the last visit in the first and second trimester, and immediately before delivery blood samples were drawn for laboratory investigations.
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Intervention code [1]
264428
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Prevention
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Comparator / control treatment
placebo oral microcellulose capsules
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Control group
Placebo
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Outcomes
Primary outcome [1]
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preeclampsia : any case diagnosed as preeclampsia by hypertension, lower limb oedema,proteinuria
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Assessment method [1]
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Timepoint [1]
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2nd and 3rd trimesters of pregnancy till the delivery
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Secondary outcome [1]
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coagulopathy indicated by d-dimer
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Assessment method [1]
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Timepoint [1]
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every trimester( 3 month )
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Eligibility
Key inclusion criteria
Only pregnant women with high risk for pre-eclampsia were considered. The inclusion criteria were gestational age between 6-10 weeks with one or more of the following risk factors: pre-eclampsia in the pregnancy preceding the current one, eclampsia in any previous pregnancy, essential hypertension requiring medication, diagnosis of HELLP syndrome (hemolysis, elevated liver enzymes, and low platelet count), and chronic renal disease pre-pregnancy or during pregnancy
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Minimum age
24
Years
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Maximum age
35
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
. Exclusion criteria included maternal liver disease, diabetes mellitus and possible materno-fetal fetus Rh incompatibility.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using computerised sequence generation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
no
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Phase
Phase 1 / Phase 2
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
30/06/2006
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Actual
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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
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Sample size
Target
251
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3391
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Egypt
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State/province [1]
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sohag
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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sohag university hospital , Egypt
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Address [1]
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sohag university hospital , clinical pathology , obestetric department and biochemistry department, sohag, Naser city , university street, Egypt
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Country [1]
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Egypt
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Primary sponsor type
Individual
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Name
magdy ameen elkady
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Address
obestetric and gynecology department , sohag university hospital, naser city, university street, sohag, Egypt
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Country
Egypt
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Secondary sponsor category [1]
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Individual
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Name [1]
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hasnaa ahmed abo_elwafa
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Address [1]
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clinical pathology department , sohag university hospital, naser city, university street, sohag,Egypt
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Country [1]
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Egypt
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Other collaborator category [1]
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Individual
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Name [1]
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nagwa sief ahmed
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Address [1]
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biochemistry department ,sohag university faculty of medicine, university street, naser city, sohag, Egypt
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Country [1]
251970
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Egypt
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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sohag university ethical committee
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Ethics committee address [1]
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obestetric department, faculty of medicine, sohag university hospital, ethical committe, sohag university, naser city, university street, sohag, Egypt
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Ethics committee country [1]
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Egypt
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Date submitted for ethics approval [1]
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20/06/2006
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Approval date [1]
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23/06/2006
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Ethics approval number [1]
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22/15
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Summary
Brief summary
Abstract Background: Oxidative stress is blamed in the pathogenesis of pre-eclampsia. However, it is less clear what effect gestational antioxidants would have on pre-eclampsia associated coagulopathy, aim of the study: to investigate the effect of antioxidants supplementation on coagulopathy during pre-eclampsia, patients and Methods: The study was performed as a randomized, controlled, blinded trial; 251 high risk pregnant women were randomized to receive either antioxidants (1000mg vitamin C, 400IU vitamin E, 100 micro g Selenium and 1500IU vitamin A) or placebo. Primary maternal outcome was pre-eclampsia or one of its complications. . In each trimester, detailed blood chemistry lipogram, and coagulation profile were done. Antioxidants blood levels (vitamins A, C, and E) were measured immediately before delivery. Results: Incidence of pre-eclampsia did not differ between the two groups. However, a significant reduction in disease severity was noticed. Antioxidants reduced the levels of D-dimer, von Willibrand factor, and fibrinogen significantly. Platelets activity showed a significant reduction in the supplemented group. Antioxidants were significantly higher in blood of the supplemented group. Conclusion: Supplementing high risk women with antioxidants during pregnancy may help to counteract the oxidative stress and control coagulopathy. However, it does not prevent the disease. Keywords: coagulopathy, antioxidants, pre-eclampsia, vitamins
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Trial website
no
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Trial related presentations / publications
nil
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Public notes
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Contacts
Principal investigator
Name
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Address
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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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Hasnaa Ahmed Abo-Elwafa
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Address
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clinical pathology department, sohag university hospital, faculty of medicine, sohag university, naser city, university street, sohag, Egypt
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Country
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Egypt
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Phone
15745
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+2 093 4604494 mobile +20 0162090475
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Fax
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no
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Email
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[email protected]
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Contact person for scientific queries
Name
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magdy ameen elkady
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Address
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obestetric and gynecology department. sohag university hospital, faculty of medicine, sohag university, naser city, university street, sohag. Egypt
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Country
6673
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Egypt
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Phone
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+20934604449
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Fax
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no
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Email
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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