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RecruitingNCT07669935ASPIREUpdated Nov 10, 2026

Advancing Stillbirth Prevention Through Innovative Risk Evaluation (ASPIRE) Clinical Study

An observational study in GDM, Preterm Preeclampsia and Preeclampsia, sponsored by Medicines360. Recruiting at 5 sites in United States. Open to female participants aged 18 Years to 99 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Medicines360 · Observational

From the registry’s dates

  • Started Sep 2026; still recruiting 2 months later.
Updated Nov 10, 2026Now RecruitingFirst site in United States+2 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
5,500
Ages
18 Years to 99 Years
Sex
Female
01

Study summary

ASPIRE will be a multi-site, prospective, two-part longitudinal, noninterventional observational cohort study of nulliparous singleton pregnant women to evaluate biomarkers from blood and ocular imaging for prediction of pregnancy complications [i.e., preeclampsia (PE), fetal growth restriction (FGR), and gestational diabetes (GDM)] and risk of adverse outcomes.

02

Conditions studied

  • GDM
  • Preterm Preeclampsia
  • Preeclampsia
  • Fetal Growth Restriction (FGR)
  • Pregnancy Complications
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 5,500 is above the median of 165 across 397 observational studies indexed under Pre-Eclampsia.

Browse Pre-Eclampsia studies →

Lead sponsor

Medicines360 is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Nulliparous women of child-bearing age >=18 years with singleton pregnancies exhibiting diverse demographics with racial and ethnic backgrounds representative of the general US and UK populations.

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

  • Age ≥18 years
  • Nulliparous (no previous births ≥20wk GA)
  • Single viable fetus at the dating ultrasound scan with an ultrasound estimated gestational age of 10 0/7-17 6/7 weeks of gestation
  • Ability to consent and comply with study procedures and follow-up

Exclusion criteria

Exclusion Criteria:

  • Multiple gestation
  • Inability to provide blood
  • Known fetal chromosomal abnormalities or structural Anomaly (a structural or functional defect with the following three characteristics: 1) of prenatal origin; 2) present at the time of live birth or fetal demise, or in utero; 3) affecting (or has the propensity to affect) the health, survival, or physical or cognitive functioning of the individual
  • Known or anticipated inability to complete study follow-up through delivery at the study site (e.g., planned relocation, transfer of obstetric care to a non-participating institution, or other circumstances making delivery outcome data unavailable)
  • Current or recent (within two months) participation in an interventional clinical study.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
5,500 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Blood Based Biomarkers, Derivation Cohort

    To support the identification of cut-offs for risk stratification for conditions such as preeclampsia, fetal growth restriction and gestational diabetes at different timepoints in gestation, in blood-based biomarker products currently in development.

    Other: None (this is an observational study with no intervention)

  • Blood Based Biomarkers, Validation Cohort

    To perform clinical validation of blood-based biomarkers using cut-offs at different timepoints in gestation, as defined above for identification of pregnancies at increased risk.

    Other: None (this is an observational study with no intervention)

  • Retinal Imaging, Development of Algorithm

    To develop a retinal imaging algorithm for risk prediction for preeclampsia.

    Other: None (this is an observational study with no intervention)

  • Retinal Imaging, Validation of Algorithm

    To validate the accuracy and test parameters of retinal imaging for risk prediction and management of pregnancies at risk for preeclampsia.

    Other: None (this is an observational study with no intervention)

Interventions

  • OtherNone (this is an observational study with no intervention)

    This is an observational study evaluating biomarkers from blood and ocular imaging for prediction of pregnancy complications and associated risks \[i.e., preeclampsia (PE), fetal growth restriction (FGR), and gestational diabetes (GDM)\].

06

What researchers measure

Primary outcomes

  1. Identification of cut-offs for risk stratification for conditions such as preeclampsia, fetal growth restriction and gestational diabetes at different timepoints in gestation.

    Validation of the performance of predefined blood-based biomarkers (and/or algorithms) for prediction of PE, FGR, and GDM. Performance will be evaluated against standardized clinical phenotypes.

    Time frame: From enrollment to approximately 4 weeks postpartum

  2. To perform clinical validation of blood-based biomarkers using cut-offs at different timepoints in gestation.

    Validation of the performance of predefined blood-based biomarkers (and/or algorithms) for prediction of PE, FGR, and GDM. Performance will be evaluated against standardized clinical phenotypes.

    Time frame: From enrollment to approximately 4 weeks postpartum

  3. To develop a retinal imaging algorithm for risk prediction for preeclampsia.

    Validation of the accuracy of retinal imaging and associated algorithms for risk stratification of pre-eclampsia; specifically, performance will be evaluated in predicting preterm PE, early-onset PE, term PE, and PE with severe features.

    Time frame: From enrollment to approximately 4 weeks postpartum

  4. To validate the accuracy and test parameters of retinal imaging for risk prediction and management of pregnancies at risk for preeclampsia.

    Validation of the accuracy of retinal imaging and associated algorithms for risk stratification of pre-eclampsia; specifically, performance will be evaluated in predicting preterm PE, early-onset PE, term PE, and PE with severe features.

    Time frame: From enrollment to approximately 4 weeks postpartum

Secondary outcomes

  1. To build a database including retinal imaging and pregnancy outcome data with linked biospecimen biobank.

    Time frame: From enrollment to approximately 4 weeks postpartum

07

Study locations

4 of 5 sites recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Sep 30, 2026
Sites
5 sites added — first site in United States
Show 5 added (5 United States)
  • Woman's Hospital · Baton Rouge, United States
  • St. Lawrence Health · Potsdam, United States
  • Yale New Haven Health System · Bridgeport, United States
  • Yale New Haven Health System · New Haven, United States
  • UTHealth Houston · Houston, United States
across 2 updates, Sep 30, 2026 – Nov 10, 2026
Start date
Jul 30, 2026→Sep 8, 2026 (actual)
Sep 30, 2026
Show all 2 updates
  1. Nov 10, 2026
    3 sites added
    Show 3 added (3 United States)
    • Yale New Haven Health System · Bridgeport, United States
    • Yale New Haven Health System · New Haven, United States
    • UTHealth Houston · Houston, United States
    + 1 other change: verification date
  2. Sep 30, 2026
    Not yet recruiting→Recruiting
    2 sites added — first site in United States
    Show 2 added (2 United States)
    • Woman's Hospital · Baton Rouge, United States
    • St. Lawrence Health · Potsdam, United States
    Start date Jul 30, 2026→Sep 8, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07669935
Lead sponsor
Medicines360
Responsible party
Sponsor
First posted
Jun 25, 2026
Start date
Sep 8, 2026
Primary completion
Jul 1, 2028 (estimated)
Completion
Dec 1, 2028 (estimated)
Last update
Nov 10, 2026

Study contacts

Carrie Fralick, MS
Contact
Carie.Fralick@womans.org
225-512-5546

Oversight

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

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