ClinicalTrials.gg
Not yet recruitingNCT06580405Updated Aug 28, 2026

A Feasibility Study to Evaluate the Safety of the KNP-1000 Apheresis System in Severe Preeclampsia

An interventional study of KNP-1000 Apheresis System in Pre-Eclampsia, Severe, sponsored by Kaneka Medical America LLC. Not yet recruiting. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-08-28.

Sponsored by Kaneka Medical America LLC (part of Kaneka Corporation) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

The study will primarily evaluate safety of the KNP-1000 apheresis system for pregnant women and their fetuses diagnosed with preeclampsia with severe features between 23- and 32-weeks' gestation (very preterm).

02

Conditions studied

  • Pre-Eclampsia, Severe

Browse trials for

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 13 is below the median of 110 across 480 interventional studies indexed under Pre-Eclampsia.

Browse Pre-Eclampsia studies →

Lead sponsor

Kaneka Medical America LLC is the lead sponsor of 6 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
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

A participant is deemed suitable for inclusion in the investigation if she meets the following criteria:

  1. Pregnant woman ≥ 23 0/7 and \< 32 0/7 weeks gestation, aged 18 to 45 years, hospitalized for preeclampsia at time of enrollment.
  2. Severe hypertension ever defined by resting systolic BP ≥ 160 mm Hg and/or diastolic BP ≥ 110 mm Hg on two occasions measured at least 4 hours apart.
  3. Proteinuria, defined as ≥ 300 mg protein in a 24-hour urine collection or ≥ 0.3 protein/creatinine ratio.
  4. Provision of signed and dated form.

Exclusion criteria

Exclusion Criteria:

A participant will be excluded from the investigation if any of the following maternal or fetal criteria are met.

Maternal Exclusion Criteria:

  1. Documented history of chronic hypertension, defined as systolic BP ≥ 140mmHg and/or systolic BP ≥ 90 mmHg before pregnancy or prior to 20 weeks of gestation.
  2. Documented history of proteinuria prior to pregnancy or prior to 20 weeks of gestation.
  3. Taking any form of angiotensin cascade blocker or angiotensin-converting enzyme (ACE) inhibitor at time of enrollment.
  4. Documented history of cardiac impairments including uncontrolled arrhythmia, unstable angina, decompensated congestive heart failure, or valvular disease.
  5. Actively receiving therapeutic anticoagulation therapy or within the therapeutic window after ceasing anticoagulation therapy at the time of enrollment.
  6. Any condition which, in the opinion of the Investigator, would necessitate immediate delivery within 24 hours.
  7. Signs or history of cerebral nervous system dysfunction, including seizures, cerebral edema (previously confirmed by computed tomography scan or magnetic resonance imaging per medical records).
  8. Confirmed or suspected diagnosis of pulmonary edema at time of enrollment.
  9. Diagnosis of HELLP syndrome.
  10. Thrombocytopenia ( count \< 100,000/mm3) at time of enrollment.
  11. Anemia defined as \< 8 g/dL at time of enrollment.
  12. Absent or reverse flow on umbilical Doppler ultrasound exam at the time of screening, or documented history of negative or reverse flow during the current gestation period.
  13. Diagnosis of placenta previa during the current gestation period.
  14. Preterm labor at or before time of screening.
  15. Documented medical history of active virus, virus (HCV), syphilis, tuberculosis infection, or (HIV) positive status.
  16. Any condition that the Investigator deems a risk to the study participant or fetus in completing the investigation.
  17. to dextran sulfate cellulose or heparin.
  18. Multiple gestation.
  19. Documented history of familial hypercholesterolemia.
  20. Suspicion or diagnosis of placental abruption during the current gestation.
  21. Patients who have received the drug treatment not recommended by the American College of Obstetricians and Gynecologists (ACOG) practice bulletin Gestational Hypertension and Preeclampsia (the clinical management guidelines) within 6 months prior to enrollment.
  22. Patients who have participated in another clinical trial within 6 months prior to enrollment.

Fetal Exclusion Criteria:

  1. Documented record of chromosomal anomalies.
  2. Identifiable structural fetal abnormalities present at time of screening or a record of such abnormalities prior to enrollment.
  3. Oligohydramnios, defined as Amniotic fluid index (AFI) less than 5 cm when measured using the four-quadrant method at time of enrollment.
  4. Fetal growth restriction (FGR) defined as estimated fetal weight (EFW) below the 5th percentile for gestational age.
Terms in these criteria, in plain language(7)

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
13 participants (estimated)

Study arms

  • Experimental
    KNP-1000 Apheresis System

    Participants are to be treated with the system up to 2 times per week, continuing through delivery or 34 weeks of pregnancy, whichever comes first.

    Device: KNP-1000 Apheresis System

Interventions

  • DeviceKNP-1000 Apheresis System

    sFlt-1 is removed from the participants' plasma through treatment.

06

What researchers measure

Primary outcomes

  1. Antepartum maternal and fetal device-related serious adverse events

    Rate of antepartum maternal and fetal device-related serious adverse events

    Time frame: Until date of delivery

  2. Postpartum maternal and neonatal device-related serious adverse events

    Rate of postpartum maternal and neonatal device-related serious adverse events

    Time frame: Following delivery until end of follow-up (2 years)

  3. Maternal, fetal, and neonatal mortality

    Rate of maternal, fetal, and neonatal mortality

    Time frame: Until end of follow-up (2 years)

  4. Obstetric complication

    Incidence rate of obstetric complication

    Time frame: Until discharge or 6 weeks after delivery, whichever occurs first

  5. Fetal complications

    Incidence rate of fetal complications

    Time frame: Until date of delivery

  6. Neonatal morbidities associated with premature delivery

    Incidence rate of neonatal morbidities associated with premature delivery

    Time frame: Following delivery until discharge or 6 weeks after delivery, whichever occurs first

  7. Neonatal intensive care unit (NICU) admissions

    Rate of NICU admissions and length of stay

    Time frame: From date of NICU admission until the date of NICU discharge, assessed up to 24 months

Secondary outcomes

  1. Prolongation of pregnancy

    Number of days from enrollment to delivery

    Time frame: Until date of delivery

  2. Maternal systolic blood pressure

    Change in maternal systolic blood pressure over the duration of the investigation

    Time frame: Until discharge or 6 weeks after delivery, whichever occurs first

  3. Maternal diastolic blood pressure

    Change in maternal diastolic blood pressure over the duration of the investigation

    Time frame: Until discharge or 6 weeks after delivery, whichever occurs first

  4. Maternal proteinuria

    Change in maternal proteinuria before and after each procedure

    Time frame: Until discharge or 6 weeks after delivery, whichever occurs first, an average of 4 months

  5. Gestational age of the neonate at delivery

    Gestational age of the neonate at delivery

    Time frame: At date of delivery

  6. Weight of neonate at delivery

    Weight of neonate at delivery

    Time frame: At date of delivery

  7. Amniotic fluid volume

    Change in amniotic fluid volume before and after each procedure

    Time frame: Until the date of delivery, an average of 3 months

  8. Fetal umbilical artery flow

    Change in fetal umbilical artery flow before and after each procedure

    Time frame: Until the date of delivery, an average of 3 months

  9. Uterine artery flow

    Change in uterine artery flow before and after each procedure

    Time frame: Until the date of delivery, an average of 3 months

  10. Maternal low-density lipoprotein cholesterol (LDL-C) levels

    Change in LDL-C levels in maternal serum before and after each procedure

    Time frame: Until discharge or 6 weeks after delivery, whichever occurs first, an average of 4 months

  11. Fetal growth restriction

    Incidence rate of fetal growth restriction

    Time frame: Until date of delivery

  12. APGAR scores

    Neonatal APGAR scores

    Time frame: At date of delivery

  13. Umbilical artery and vein blood gases

    Umbilical artery and vein blood gases

    Time frame: At date of delivery

  14. Bayley Scales

    Bayley Scales of Infant and Toddler Development, Fourth Edition assessment at 6, 12, and 24 months after delivery. Standard score (Composite score) range from 40 to 160, with higher scores indicating higher performance.

    Time frame: At 6, 12, and 24 months after delivery

  15. Body weight of infant

    Body weight (grams) of infant at birth and during extended follow-up

    Time frame: Following delivery until end of follow-up (2 years)

  16. Body length and head circumference of infant

    Body length and head circumference (centimeters) of infant at birth and during extended follow-up

    Time frame: Following delivery until end of follow-up (2 years)

Other outcomes

  1. Soluble fms-like tyrosine kinase-1 (sFlt-1)/ placental growth factor (PlGF) ratio in maternal serum

    sFlt-1/PlGF ratio in maternal serum

    Time frame: Until discharge or 6 weeks after delivery, whichever occurs first

  2. Percentage reduction of sFlt-1 levels in maternal serum

    Percentage reduction of sFlt-1 levels in maternal serum after each apheresis treatment

    Time frame: Until the date of delivery, an average of 3 months

  3. Change in sFLT-1 levels

    Change in sFLT-1 levels between the inlet and outlet of the apheresis system

    Time frame: During each apheresis procedure

  4. Change in PlGF levels

    Change in PlGF levels between the inlet and outlet of the apheresis system

    Time frame: During each apheresis procedure

07

Study locations

No study locations are listed for this record.

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

Start is estimated for Oct 2026; primary completion for Aug 2027, 10 months later.

Of 176 interventional studies with no phase under Pre-Eclampsia, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 43. This study's planned 10 months is below that.

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

Registered
Aug 23, 2024
First posted
Aug 30, 2024
StartEst.
Oct 1, 2026
Primary completionEst.
Aug 31, 2027
CompletionEst.
Nov 30, 2029
Last update
Aug 28, 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 Aug 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06580405
Responsible party
Sponsor
First posted
Aug 30, 2024
Start date
Oct 1, 2026 (estimated)
Primary completion
Aug 31, 2027 (estimated)
Completion
Nov 30, 2029 (estimated)
Last update
Aug 28, 2026

Study contacts

Takashi Shimai
Contact
Takashi.Shimai@kaneka.com
5105988423

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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