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CompletedNCT03567551Updated Jan 21, 2022

Novel Biomarkers of Preeclampsia, Aquaporin, Fatty Acid, and S110B

An observational study in Preeclampsia, sponsored by University of Alabama at Birmingham. Completed at 1 site in United States. Open to female participants aged 20 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-01-21.

Sponsored by University of Alabama at Birmingham · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
126
Ages
20 Years to 65 Years
Sex
Female
01

Study summary

This is a research study designed to help identify preeclampsia in pregnant women earlier, and possibly lead to better treatment for women preeclampsia.

Read the detailed description

There is a paucity of biomarkers to predict preeclampsia and for predicting the severity of preeclampsia. This study was designed to identify novel biomarkers for both the prediction of preeclampsia in previously normal pregnancies and for the prediction of the severity of preeclampsia in preeclamptic women. The investigators plan to perform targeted testing for markers that the investigators predict based on their findings or based on available published evidence and the investigators also plan testing for novel markers using various approaches such as proteomics, lipidomics and genomics. The targeted markers will include Aquaporin 4 (AQP4), soluble aquaporin fragments, chemokines, and halogenated fatty acids in the plasma and/or spinal fluid. Aquaporin fragments and AQP4 have been hypothesized to correlate with severe headaches which are complications of severe preeclampsia. The investigators found in their murine studies that there is a correlation between the presence of halogenated fatty acids in the plasma and elevated blood pressure in a murine model of preeclampsia. The approaches will complement the targeted analyses to identify novel markers that have not been predicted yet.

02

Conditions studied

  • Preeclampsia

Keywords

  • Preeclampsia
  • Pregnancy
  • Complications
  • Eclampsia
  • Aquaporin
  • Aquaporin 4
03

In context

Pre-Eclampsia

904 studies on the registry are indexed under Pre-Eclampsia; 240 are open to participants now.

This study's enrollment of 126 is below the median of 160 across 389 observational studies indexed under Pre-Eclampsia.

Browse Pre-Eclampsia studies →

Lead sponsor

University of Alabama at Birmingham is the lead sponsor of 1,416 studies on the registry; 278 are open to participants now.

Of its 160 completed or terminated interventional studies of FDA-regulated products, 128 (80%) have results posted.

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

04

Who can participate

Ages eligible
20 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Women older than 20 years of age, who meet all inclusion criteria and none of the exclusion criteria, and who are willing and able to sign informed consent documentation, as well as receive a combined spinal/epidural, or a spinal anesthesia regimen.

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

  • Greater than or equal to 20 years of age
  • Greater than 24 weeks of gestation
  • Obstetrics/Anesthesia Team had decided that Combined Spinal/Epidural (CSE) or Spinal Anesthesia will be performed

Exclusion criteria

Exclusion Criteria:

  • Pre-pregnancy comorbidities:
  • hypertension, diabetes, or pulmonary hypertension
  • use of steroids, beta blockers, Ca channel antagonist, anticoagulants
  • cardiac or vascular conditions
  • severe headaches or visual disturbances
  • Inability to receive CSE or Spinal Anesthesia
  • Chorioamnionitis, fever, bronchitis, pneumonia
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
126 participants (actual)
Patient registry
No

Groups and cohorts

  • Women w/ Preeclampsia w/o Visual Disturbances or Headache

    Preeclampsia Without either Visual Disturbances or Headaches Blood Pressure: \>Systolic 160 or Diastolic 110

    Other: Women w/ Preeclampsia w/o Visual Disturbances or Headache

  • Women w/ Preeclampsia w/ Visual Disturbances or Headaches

    Preeclampsia With either Visual Disturbances or Headaches Blood Pressure: \>Systolic 160 or Diastolic 110

    Other: Women w/ Preeclampsia w/ Visual Disturbances or Headaches

  • Women w/o Preeclampsia

    Normal Pregnancy Blood Pressure: \<140/90

    Other: Women w/o Preeclampsia

Interventions

  • OtherWomen w/ Preeclampsia w/o Visual Disturbances or Headache

    Up to three maternal blood samples collected from each participant, cerebrospinal fluid collected from each participant during spinal or combined spinal/epidural anesthesia, one umbilical cord blood sample obtained from each participant, four placenta samples obtained from each placenta from each participant

  • OtherWomen w/ Preeclampsia w/ Visual Disturbances or Headaches

    Up to three maternal blood samples collected from each participant, cerebrospinal fluid collected from each participant during spinal or combined spinal/epidural anesthesia, one umbilical cord blood sample obtained from each participant, four placenta samples obtained from each placenta from each participant

  • OtherWomen w/o Preeclampsia

    Up to three maternal blood samples collected from each participant, cerebrospinal fluid collected from each participant during spinal or combined spinal/epidural anesthesia, one umbilical cord blood sample obtained from each participant, four placenta samples obtained from each placenta from each participant

06

What researchers measure

Primary outcomes

  1. Aquaporin 4 protein fragments in maternal blood plasma

    The investigators plan to perform targeted testing for markers that the investigators predict based on their findings or based on available published evidence

    Time frame: Between hospital admission and prior to epidural or combined spinal/epidural anesthesia

  2. S100B protein fragments in maternal blood plasma

    The investigators plan to perform targeted testing for markers that The investigators predict based on their findings or based on available published evidence

    Time frame: Between hospital admission and prior to epidural or combined spinal/epidural anesthesia

  3. Aquaporin 4 protein fragments in cerebrospinal fluid

    The investigators plan to perform targeted testing for markers that the investigators predict based on their findings or based on available published evidence

    Time frame: At the time of spinal or combined spinal/epidural anesthesia

  4. S100B protein fragments in cerebrospinal fluid

    The investigators plan to perform targeted testing for markers that the investigators predict based on their findings or based on available published evidence

    Time frame: At the time of spinal or combined spinal/epidural anesthesia

  5. Aquaporin 4 protein fragments in cord blood and placental samples

    The investigators plan to perform targeted testing for markers that the investigators predict based on their findings or based on available published evidence

    Time frame: Between delivery and 2 hours after delivery

  6. S100B protein fragments in cord blood and placental samples

    The investigators plan to perform targeted testing for markers that the investigators predict based on their findings or based on available published evidence

    Time frame: Between delivery and 2 hours after delivery

Secondary outcomes

  1. Fatty acids in maternal blood

    The investigators plan to perform targeted testing for markers that the investigators predict based on their findings or based on available published evidence

    Time frame: Between hospital admission and prior to epidural or combined spinal/epidural anesthesia

  2. Fatty acids in cord blood and placental samples

    The investigators plan to perform targeted testing for markers that The investigators predict based on their findings or based on available published evidence

    Time frame: Between immediately post-delivery and 2 hours after delivery

  3. Fatty Acids in cerebrospinal fluid

    The investigators plan to perform targeted testing for markers that The investigators predict based on their findings or based on available published evidence

    Time frame: during epidural or combined spinal/epidural anesthesia

07

Study locations

1 site
  • University of Alabama at Birmingham
    Birmingham, Alabama 35294, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2017 to primary completion in Jan 2020, 31 months.

Of 187 non-industry observational studies under Pre-Eclampsia, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 56. This study's 31 months is above that.

Counting every sponsor, half of 195 studies reached it within 30 months; a quarter within 11 and three quarters within 56.

How these figures are worked out, and which studies are left out of them.

Registered
May 21, 2018
First posted
Jun 26, 2018
StartActual
May 15, 2017
Primary completionActual
Jan 13, 2020
CompletionActual
Sep 15, 2021
Last update
Jan 21, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 21, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03567551
Responsible party
Tekuila Carter (Principal Investigator, University of Alabama at Birmingham) — Principal investigator
First posted
Jun 26, 2018
Start date
May 15, 2017
Primary completion
Jan 13, 2020
Completion
Sep 15, 2021
Last update
Jan 21, 2022

Study contacts

Tekuila Carter, MD
principal investigator · University of Alabama at Birmingham

Oversight

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

Not currently enrolling

This study is completed, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

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