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RecruitingNCT02989025PROGRESSUpdated May 1, 2026

Progesterone to Enhance the Efficacy and Success of Expectantly Managed Preterm Severe/Superimposed Preeclampsia

A Phase 2 interventional study of 17 OHPC in Pregnancy and Preeclampsia (PE), sponsored by University of Mississippi Medical Center. Recruiting at 1 site in United States. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-05-01.

Sponsored by University of Mississippi Medical Center · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started May 2017; still recruiting 9 years 5 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Non-randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

The purpose of this study is to learn if giving 17-hydroxyprogesterone caproate (17 OHPC) to mothers with preeclampsia diagnosed before 34 weeks gestation improves mother and baby outcomes.

Read the detailed description

The OBGYN house and attending staff on duty caring for the patient will determine appropriateness for study inclusion. The treating physician will then immediately contact the MFM fellow on call and Research Division personnel to facilitate the initiation of study procedures, including the consent process and baseline blood tests. Once enrolled with informed consent, the participant will receive 17 OHPC, 250mg IM to be given at admission and every 7 days thereafter. Blood sampling of approximately 1-2 teaspoons each will be collected at baseline immediately prior to administration of 17 OHPC, then 24 hours (+-2hrs). After the first 24 hours, blood samples will be collected every 72 hrs until delivery and again 24hrs (+- 2hrs) after delivery. Placentas will be collected at delivery and the investigators will also collect information of the mother and newborn while in the hospital and until discharge including de-identified routine ultrasound.

02

Conditions studied

  • Pregnancy
  • Preeclampsia (PE)

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03

In context

Pre-Eclampsia

916 studies on the registry are indexed under Pre-Eclampsia; 243 are open to participants now.

This study's planned enrollment of 60 is below the median of 110 across 480 interventional studies indexed under Pre-Eclampsia.

Browse Pre-Eclampsia studies →

Lead sponsor

University of Mississippi Medical Center is the lead sponsor of 129 studies on the registry; 20 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 4 (57%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • UMMC antepartum patients with preterm PE between 23 0/7ths and 34 0/7ths weeks gestation when initially evaluated
  • Willing and able to understand study procedures and to provide

Exclusion criteria

Exclusion Criteria:

  • >33 weeks gestational age or \<23 weeks gestation
  • Maternal compromise requiring emergent delivery (ongoing placental abruption, DIC, pulmonary edema).
  • Fetal compromise requiring emergent delivery (fetal bradycardia, recurrent late fetal heart rate decelerations, minimal to absent fetal heart rate variability).
  • Parameters according to current practice guidelines that exclude a patient from expectant management include the following:
  • Preterm premature rupture of membranes (PPROM) > 34 weeks gestation;
  • count \< 100,000/microliter (thrombocytopenia) with evidence of HELLP syndrome;
  • Persistently abnormal hepatic enzyme concentrations (twice or more upper normal values);
  • Severe fetal growth restriction (ultrasound-estimated fetal weight less than fifth percentile);
  • Severe Oligohydramnios (AFI \< 5cm)
  • Reversal of end diastolic flow(REDF) in umbilical artery Doppler testing;
  • Recurrent (> 2 readings > 30 minutes apart) severe hypertension despite antihypertensive therapy;
  • Eclampsia;
  • Pulmonary edema;
  • Abruption placentae;
  • Nonreassuring fetal status during daily testing (biophysical profile \<4/10 and/or recurrent variable or late decelerations);
  • IUFD
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Experimental

    To determine if the addition of 17 OHPC to the management of Severe PE diagnosed prior to 34 weeks gestation improves maternal and perinatal outcomes.

    Drug: 17 OHPC

  • No intervention
    Control

    To determine how close the molecular markers are with 17 OHPC added to the management protocol.

Interventions

  • The study participant will be given 17 OHPC, 250mg IM at admission and every 7 days thereafter.

    Also known as: Study Drug

06

What researchers measure

Primary outcomes

  1. Improvement of maternal and perinatal outcomes

    Assessment of maternal BP trends

    Time frame: Baseline

Secondary outcomes

  1. Change is being assessed in Maternal Outcomes

    Assessment of maternal BP trends

    Time frame: 24 hours

Other outcomes

  1. Change is being assessed in Maternal Outcomes

    Assessment of maternal BP trends

    Time frame: 48 hours

  2. Change is being assessed in Maternal Outcomes

    Assessment of maternal BP trends

    Time frame: Until delivery

  3. Assessment of Placental Abruption

    Assessment of Placental Abruption

    Time frame: Baseline until delivery

  4. Assessment of Pulmonary edema

    Assessment of Pulmonary edema

    Time frame: Change from Baseline until delivery

  5. Assessment of Acute Kidney Injury

    Assessment of Acute Kidney Injury

    Time frame: Change from Baseline until delivery

  6. Assessment of DIC

    Assessment of DIC

    Time frame: Change from Baseline until delivery

  7. Assessment of neurological events

    Assessment of neurological events

    Time frame: Change from Baseline until delivery

  8. Assessment of laboratory results

    Assessment of laboratory results

    Time frame: Change from Baseline until delivery

  9. Assessment of Biomarkers

    Assessment of Biomarkers

    Time frame: Change from Baseline until delivery

  10. Assessment of Infant Weight

    Assessment of Infant Weight

    Time frame: Delivery

  11. Assessment of APGAR score

    Assessment of APGAR score

    Time frame: Delivery

  12. Assessment of NICU stays

    Assessment of NICU stays

    Time frame: Delivery

  13. Assessment of Interventricular hemorrhage

    Assessment of Interventricular hemorrhage

    Time frame: Delivery

  14. Assessment of Respiratory Distress Syndrome

    Assessment of Respiratory Distress Syndrome

    Time frame: Delivery

  15. Assessment of Necrotizing enterocolitis (NEC)

    Assessment of Necrotizing enterocolitis (NEC)

    Time frame: Delivery

07

Study locations

1 of 1 sites recruiting
  • Winfred L. Wiser Hospital
    Jackson, Mississippi 39216, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02989025
Responsible party
Babbette Lamarca (Chair and Professor, Pharmacology and Toxicology, University of Mississippi Medical Center) — Principal investigator
First posted
Dec 12, 2016
Start date
May 22, 2017
Primary completion
Jan 31, 2027 (estimated)
Completion
Jan 31, 2027 (estimated)
Last update
May 1, 2026

Study contacts

Babbette LaMarca, PhD
Contact
bblamarca@umc.edu
(601)815-1430
Lorena M Amaral, Ph.D.
Contact
lmamaral@umc.edu
Babbette LaMarca, PhD
principal investigator · University of Missisippi Medical Center
Sheila S Belk
study director · UMMC Pharmacology and Toxicology

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: 17 alpha-Hydroxyprogesterone Caproate

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