ClinicalTrials.gg
RecruitingNCT04356326CHASAPUpdated Jun 12, 2026

Chronic Hypertension and Acetyl Salicylic Acid in Pregnancy

A Phase 3 interventional study of Aspirin 150 mg and Placebo in Chronic Hypertension Complicating Pregnancy, Pre-Eclampsia and Intrauterine Growth Restriction, sponsored by Centre Hospitalier Intercommunal Creteil. Recruiting at 20 sites in France. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-12.

Sponsored by Centre Hospitalier Intercommunal Creteil · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2021; still recruiting 5 years 8 months later.

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Phase
Phase 3
Study type
Interventional
Enrollment
500
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 52 studies testing aspirin in Pre-Eclampsia — 18 open to participants now, 22 under way, 5 of them phase 3. Aspirin · Pre-Eclampsia.

Planned enrollment
14th of 52
500 · median 235
Started
2021
with 5 others
Phase 3
12 of 52
5 open now
Primary completion
2029-02
later than 18 of 21 live
Registered
21st of 52
by date
Lead sponsor
1 of 52
Centre Hospitalier Intercommunal Creteil

Among the 52 studies testing aspirin in Pre-Eclampsia, this one is the 14th largest by planned enrollment, is one of 6 that started in 2021, is one of 12 in phase 3, reaches primary completion later than 18 of the 21 other live ones, and was the 21st registered.

Pre-Eclampsia

917 studies on the registry are indexed under Pre-Eclampsia; 244 are open to participants now.

Browse Pre-Eclampsia studies →

Open to participants now

18 of the 52 studies testing aspirin in Pre-Eclampsia are open now, in 11 countries. Recruiting first, the newest first:

12 more — sign in →

By country, each count listing its studies:

All 18 open studies →

About aspirin

Aspirin: first FDA approval 1950 (PERCODAN), first EMA approval 2010. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 162 Pre-Eclampsia studies recruiting now, 81 (50%) set no upper age limit and 80 (49%) stop at 75 or younger; 18 take children under 18; 60 take healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 52 studies testing aspirin in Pre-Eclampsia, or all of them as a file.
02

Study summary

A randomized clinical trial to assess the efficiency of acetylsalicylic acid (aspirin) 150 mg/day started before 20 weeks of gestation in the prevention on maternal and fœtal complications in pregnant women with chronic hypertension.

Read the detailed description

Chronic hypertension affects 1 to 5% of women of childbearing age. According to the literature, about 45% of pregnant women with chronic hypertension will develop complications such as superimposed preeclampsia (PE), placental abruption, Intra Uterine Growth Restriction (IUGR), perinatal death, maternal death, or preterm delivery. To date, there is no curative treatment of vascular complications of chronic hypertension during pregnancy. The only effective treatment, once the complications are established, is usually stopping the pregnancy and delivering the placenta. The preventive treatment of these complications is therefore an important axis in the improvement of maternal and perinatal health.

Due to the very high risk of superimposed PE in chronic hypertensive patients and despite the lack of objective evidence of the effectiveness of low-dose aspirin in the prevention of superimposed PE in this population, the NICE (National Institute for Health and Care Excellence), associated with the Royal College of Gynecology-Obstetrics, recommends since 2010-2011 the use of low-dose aspirin in the prevention of this complication in chronic hypertensive pregnant women; then it was followed by the "U.S. Preventive Services Task Force (USPTF)" in 2014. Recently, the American College of Obstetrics and Gynecology (ACOG) adopted the suggestions of the USPTF and issued the same recommendations in 2018. The French college of obstetric (CNGOF: National College of French Gynecologists and Obstetricians), however, does not recommend the use of low-dose aspirin in pregnant chronic hypertensive women because of insufficient data.

Indeed, although the efficacy of low-dose aspirin is assumed in patients with previous PE, few studies have evaluated its efficacy in patients with chronic hypertension. Moreover, most of the controlled prospective studies using very low doses of aspirin (less than 100 mg) and starting after 20 weeks of gestation do not seem conclusive. For these reasons, the investigators propose to conduct a prospective randomized double-blind placebo-controlled trial to analyze the effectiveness of aspirin dosed at 150 mg and introduced before 20 weeks of gestation in women with chronic hypertension.

The primary endpoint is a maternal and perinatal composite morbidity and mortality including superimposed PE, intrauterine growth restriction, preterm delivery \< 37 weeks of gestation, placental abruption, perinatal death, or maternal death.

The definition of superimposed PE in our study is the appearance of significant proteinuria in a chronic hypertensive pregnant woman.

In a secondary analyze, the statistician will use the new definition of superimposed PE that does not require the mandatory presence of proteinuria but the association of chronic hypertension and the appearance of neurological signs (eclampsia, persistent headache, visual disturbances, severe nausea or vomiting), pulmonary edema, persistent epigastric pain, thrombocytopenia \<100000 platelets/µL, liver enzymes at 2 times normal, renal insufficiency ( serum creatinine ≥ 97 μmol/L or 1.1 mg/dL,) or a doubling of serum creatinine in the absence of chronic renal disease or significant proteinuria after 20 weeks of gestation or postpartum.

Significant proteinuria is defined as greater than 300 mg/24 hours or when the ratio proteinuria/ creatininuria is ≥ 30 mg/mmol (ratio to 0.3 if all are in mg/dL), in a non-proteinuric women with no urinary tract infection.

03

Conditions studied

  • Chronic Hypertension Complicating Pregnancy
  • Pre-Eclampsia
  • Intrauterine Growth Restriction
  • Aspirin
  • Perinatal Death
  • Placental Abruption
04

Who can participate

Ages eligible
18 Years and older
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

  • Pregnant patient between 10 and 19 weeks of gestation + 6 days
  • Chronic hypertension, whether treated or not, know before pregnancy or diagnosed before randomization
  • Singleton pregnancy
  • Signed the written
  • Affiliation to social security

Exclusion criteria

Exclusion Criteria:

  • ---Medical history requiring anticoagulation (antiphospholipid syndrome, deep vein thromboembolic disease, pulmonary embolism, atherothrombosis, patient with mechanical heart valves),
  • Patient receiving aspirin for another indication outside pregnancy,
  • Patient with significant proteinuria (> 300mg/24 hours or a proteinuria/creatininuria ratio ≥ 30mg/mmol),
  • Active bleeding,
  • History of severe PE with delivery \< 34 weeks of gestation,
  • to salicylates such as aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs),
  • count lower than 100,000 cells/microliter (dosage less than 6 months old),
  • Hemostasis disorders, including hemophilia (with thrombocytopenia)
  • Any constitutional or acquired hemorrhagic disease, (including digestive hemorrhages, history of hemorrhagic stroke and thrombocytopenia
  • , or virus, or virus positive serum,
  • Patient included in another interventional study which could interfere with the results of the study,
  • Age \<18 years old,
  • Women under the protection of justice,
  • Patients with psychiatric follow-up, poor understanding of French or cognitive problems,
  • Duodenal ulcer,
  • Severe renal impairment,
  • Severe hepatic insufficiency,
  • Severe cardiac impairment,
  • Gout,
  • Patients with known glucose-6-phosphate dehydrogenase deficiency,
Terms in these criteria, in plain language(6)

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
500 participants (estimated)

Study arms

  • Experimental
    Aspirin 150 mg

    Aspirin 150 mg / day (acetylsalicylic acid) once daily in the evening

    Drug: Aspirin 150 mg

  • Placebo comparator
    Placebo

    Placebo taken in the evening

    Drug: Placebo

Interventions

  • Treatment assigned by randomization will be prescribed immediately and continued throughout pregnancy up to 35 weeks + 6 days for both groups. The active or placebo will be dispensed by the centre's pharmacy. Treatment will be taken in the evening. A daily log is given to patients and must be completed every day.

    Also known as: Active arm

  • DrugPlacebo

    Treatment assigned by randomization will be prescribed immediately and continued throughout pregnancy up to 35 weeks + 6 days for both groups. The active or placebo will be dispensed by the centre's pharmacy. Treatment will be taken in the evening. A daily log is given to patients and must be completed every day.

    Also known as: comparator arm

06

What researchers measure

Primary outcomes

  1. Composite morbidity-mortality criterion including preeclampsia, intra-uterine growth retardation <10th percentile, placental abruption, Preterm birth < 37 weeks of gestation, Perinatal death, Maternal death

    A composite morbidity-mortality criterion that includes the occurrence during pregnancy or postpartum of at least one of the following events: preeclampsia, IUGR \<10th percentile, placental abruption, Preterm birth \< 37 weeks of gestation, Perinatal death (death from 22 weeks of gestation until 28 days after birth), Maternal death

    Time frame: 9 months

Secondary outcomes

  1. IUGR (< 10th percentile of birth weight)

    Rate of IUGR (\< 10th percentile of birth weight)

    Time frame: 9 months

  2. Placental abruption

    Rate of placental abruption

    Time frame: 9 months

  3. Preterm birth < 37 weeks of gestation

    Rate of severe preterm delivery (\< 37 weeks of gestation)

    Time frame: 9 months

  4. Maternal death

    Rate of severe maternal death

    Time frame: 9 months

  5. Severe pre-eclampsia

    Rate of severe pre-eclampsia. Concerning the rate of superimposed PE, it will be analyze according the two definition specified in the rational

    Time frame: 9 months

  6. Intrauterine growth restriction (IUGR)

    Rate of severe IUGR (\< 5th percentile of birth weight)

    Time frame: 9 months

  7. Preterm delivery

    Rate of severe preterm delivery (\< 34 weeks of gestation)

    Time frame: 8 months

  8. Fetal loss

    Rate of fetal loss (fetal loss between 10 and 21 weeks of gestation)

    Time frame: 5 months

  9. Fetal death

    Rate of fetal death (fetal death from 22 weeks of gestation until delivery)

    Time frame: 5 months

  10. Neonatal death

    Rate of neonatal death (death from birth until 28 days)

    Time frame: 9 months

  11. Neonatal morbidity

    Neonatal morbidity (stay in a neonatal intensive care unit, assisted ventilation \> 24 hours, hyaline membrane disease, intraventricular hemorrhages stage III or IV)

    Time frame: 9 months

  12. Toxicity of aspirin

    Potential toxicity of the treatment: major maternal bleeding event (active externalized, intracranial, intra-ocular, retroperitoneal, articular), or minor,

    Time frame: 8 months

  13. Adherence

    Adherence of treatment (diary) and its relationship with the efficacy of the preventive effect on primary outcome,

    Time frame: 8 months

  14. Biological response to the treatment

    Response to the treatment by a urine thromboxane assay

    Time frame: 4 months

  15. Angiogenic profile

    Circulating and urinary angiogenic profile associated with maternal and fetal clinical data: sFLT1 ( Soluble fms-like tyrosine kinase-1)(serum and urine), PlGF ( Placental Growth Factor)(serum and urine)

    Time frame: 9 months

  16. Child development

    Child psychomotor development and health problems at 2 years of age

    Time frame: 2 years

  17. Child development

    Child psychomotor development and health problems at 4 years of age

    Time frame: 4 years

  18. Subgroups analysis

    Rate of the composite morbidity-mortality criterion in 2 subgroups: treatment started before or after 15 SA

    Time frame: 9 months

07

Study locations

14 of 20 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Feb 2021 (actual). Primary completion is estimated for Feb 2029, 96 months after the start.

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

Registered
Apr 19, 2020
First posted
Apr 22, 2020
StartActual
Feb 15, 2021
Primary completionEst.
Feb 28, 2029
CompletionEst.
Feb 2030
Last update
Jun 12, 2026
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 Jun 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04356326
Responsible party
Sponsor
First posted
Apr 22, 2020
Start date
Feb 15, 2021
Primary completion
Feb 28, 2029 (estimated)
Completion
Feb 2030 (estimated)
Last update
Jun 12, 2026

Study contacts

Edouard LE CARPENTIER
Contact
Edouard.Lecarpentier@chicreteil.fr
01 45 17 50 00 ext. +33
Camille JUNG
Contact
camille.jung@chicreteil.fr
01 45 17 50 00 ext. +33

Oversight

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

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Studies of the drug tested here: Aspirin

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