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TerminatedNCT05955040Updated Nov 21, 2024

Treatment of Elevated Blood Pressures in Early Pregnancy

A Phase 2 interventional study of Nifedipine and Labetalol in Elevated Blood Pressure and Pregnancy Induced Hypertension, sponsored by Marshall University. Terminated at 1 site in United States. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-21.

Sponsored by Marshall University · Phase 2, Interventional, and Treatment

Why this study was terminated
The study has closed due to difficulty in enrollment.

From the registry’s dates

  • Primary completion was May 2024, 2 years 5 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
2
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

This is a randomized controlled trial comparing the outcomes of treatment and non-treatment of elevated blood pressures in early pregnancy.

Read the detailed description

Patients will be randomized to treatment of elevated blood pressures (120 or greater systolic OR 80 or greater diastolic) versus non-treatment. After randomization to treatment, patient's will be treated with either nifedipine or labetalol (both medications that are standard of care for treatment of elevated blood pressure during pregnancy).

The purpose of this study is two-fold: 1) Determine if treatment of elevated blood pressures (120 or greater systolic OR 80 or greater diastolic) versus non-treatment improves maternal and fetal outcomes and 2) determine if ICG directed treatment is optimal as ICG will not be used to determine treatment medication (this will be done by secondary analysis after conclusion of the study).

02

Conditions studied

  • Elevated Blood Pressure
  • Pregnancy Induced Hypertension
03

In context

Hypertension, Pregnancy-Induced

240 studies on the registry are indexed under Hypertension, Pregnancy-Induced; 66 are open to participants now.

This study's enrollment of 2 is below the median of 144 across 163 interventional studies indexed under Hypertension, Pregnancy-Induced.

Browse Hypertension, Pregnancy-Induced studies →

Lead sponsor

Marshall University is the lead sponsor of 20 studies on the registry; 4 are open to participants now.

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
Yes

Inclusion criteria

  • Patients presenting for obstetric care at Marshall University (Huntington office and Teays Valley office) between 12 and 16 weeks gestation with a systolic blood pressure of 120 or greater OR a diastolic blood pressure of 80 or greater. Eligibility for this study will be have blood pressures between 120-139 systolic and 80-89 diastolic. Randomization to control, labetalol, or nifedipine will be performed after patient consent.

Exclusion criteria

Exclusion Criteria:

  • Patients already be on medication for hypertension.
  • Patients with the diagnosis of chronic hypertension
  • Patients with a BP of 140 or greater systolic OR 90 or greater diastolic (this meets criteria for chronic hypertension in pregnancy).
  • Patients actively using any illicit substance or have history of substance use disorder.
  • Patients who are actively consuming alcohol during pregnancy.
  • Patients with Type I or Type II Diabetes Mellitus.
  • Patients with end stage renal disease.
  • Patients less then 12 weeks gestation or greater than 16 weeks
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2 participants (actual)

Study arms

  • Active comparator
    Treatment Group

    Treatment of elevated blood pressures (120 or greater systolic OR 80 or greater diastolic)

    Drug: Nifedipine · Drug: Labetalol

  • No intervention
    Non-treatment Group

    Non-treatment of blood pressures between 120-139 systolic and 80-89 diastolic

Interventions

  • DrugNifedipine

    Standard of care for treatment of elevated blood pressure during pregnancy

  • DrugLabetalol

    Standard of care for treatment of elevated blood pressure during pregnancy

06

What researchers measure

Primary outcomes

  1. Treatment of elevated blood pressures

    Patient age

    Time frame: through study completion, an average of 1 year

  2. Treatment of elevated blood pressures

    BMI

    Time frame: through study completion, an average of 1 year

  3. Treatment of elevated blood pressures

    delivery weeks

    Time frame: through study completion, an average of 1 year

  4. Treatment of elevated blood pressures

    systemic vascular resistance

    Time frame: through study completion, an average of 1 year

  5. Treatment of elevated blood pressures

    heart rate

    Time frame: through study completion, an average of 1 year

  6. Treatment of elevated blood pressures

    blood pressure

    Time frame: through study completion, an average of 1 year

  7. Treatment of elevated blood pressures

    gravidity

    Time frame: through study completion, an average of 1 year

  8. Treatment of elevated blood pressures

    parity

    Time frame: through study completion, an average of 1 year

  9. Treatment of elevated blood pressures

    abortions

    Time frame: through study completion, an average of 1 year

  10. Treatment of elevated blood pressures

    gestational hypertension

    Time frame: through study completion, an average of 1 year

  11. Treatment of elevated blood pressures

    inhouse days

    Time frame: through study completion, an average of 1 year

  12. Treatment of elevated blood pressures

    preeclampsia

    Time frame: through study completion, an average of 1 year

  13. Treatment of elevated blood pressures

    birth weight percentile

    Time frame: through study completion, an average of 1 year

  14. Treatment of elevated blood pressures

    Apgar 1 min

    Time frame: through study completion, an average of 1 year

  15. Treatment of elevated blood pressures

    Apgar 5 min

    Time frame: through study completion, an average of 1 year

  16. Treatment of elevated blood pressures

    NICU days

    Time frame: through study completion, an average of 1 year

Secondary outcomes

  1. ICG directed treatment

    Compare cardiac output

    Time frame: through study completion, an average of 1 year

  2. ICG directed treatment

    mean arterial pressure

    Time frame: through study completion, an average of 1 year

  3. ICG directed treatment

    systemic vascular resistance among groups treated with nifedipine, labetalol, and the control group

    Time frame: through study completion, an average of 1 year

07

Study locations

1 site
  • Marshall Obstetrics and Gynecology
    Huntington, West Virginia 25701, United States
08

References and documents

Individual participant data

Plan to share: Undecided — Undecided

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 Nov 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05955040
Lead sponsor
Marshall University
Responsible party
Jesse Cottrell (Assistant Professor of Maternal Fetal Medicine, Marshall University) — Principal investigator
First posted
Jul 20, 2023
Start date
Jul 11, 2023
Primary completion
May 6, 2024
Completion
May 6, 2024
Last update
Nov 21, 2024

Oversight

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

Not currently enrolling

This study is terminated, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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