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Not yet recruitingNCT07841197Updated Sep 25, 2026

Cohort Study on the Levels of Placental Growth Factor and Nucleosomes in Early Pregnancy and Adverse Pregnancy Outcomes

An observational study in Preeclampsia, Premature Birth and Fetal Growth Restriction, sponsored by Second Affiliated Hospital of Wenzhou Medical University. Not yet recruiting. Open to female participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Second Affiliated Hospital of Wenzhou Medical University · Observational

Updated Sep 25, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
900
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

Objective: This study aims to investigate the association between maternal serum placental growth factor (PLGF) and nucleosome levels in early pregnancy and adverse pregnancy outcomes, and to evaluate their predictive value for the occurrence of preeclampsia, fetal growth restriction, preterm birth, and other pregnancy complications.

Method: This observational prospective cohort study enrolls pregnant women who undergo non-invasive prenatal testing (NIPT) at 12-14 weeks of gestation and deliver at the Second Affiliated Hospital of Wenzhou Medical University between June 2026 and July 2027. Maternal peripheral blood samples are collected for NIPT analysis, and plasma nucleosome concentrations and PLGF levels are measured. Participants are categorized into four groups based on the 95th percentile (P95) of nucleosome and PLGF levels established from a healthy pregnant population at the same center during the same period: (1) both normal, (2) elevated nucleosome only, (3) elevated PLGF only, and (4) both elevated. Maternal demographic characteristics, laboratory indicators, and pregnancy outcomes are collected and compared across groups. The incidence of adverse pregnancy outcomes, including preeclampsia, fetal growth restriction, preterm birth, recurrent miscarriage, and neonatal complications, is recorded. The relationship between nucleosome and PLGF levels and adverse pregnancy outcomes is analyzed to explore their potential as early predictive biomarkers for placental dysfunction-related complications.

02

Conditions studied

  • Preeclampsia
  • Premature Birth
  • Fetal Growth Restriction
  • Recurrent Miscarriage

Keywords

  • Placental Growth Factor
  • Nucleosomes
  • Adverse Pregnancy Outcomes
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 900 is above the median of 165 across 397 observational studies indexed under Pre-Eclampsia.

Browse Pre-Eclampsia studies →

Lead sponsor

Second Affiliated Hospital of Wenzhou Medical University is the lead sponsor of 137 studies on the registry; 46 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

pregnant women

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

  1. Pregnant women with singleton pregnancy;
  2. Undergo non-invasive prenatal testing (NIPT) at 12-14 weeks of gestation at the Second Affiliated Hospital of Wenzhou Medical University;
  3. Plan to deliver at the same hospital;
  4. Have complete clinical data and provide written .

Exclusion criteria

Exclusion Criteria:

  1. Age ≥40 years or \<18 years, ≥30 or \<18.5, multiple pregnancy, or history of adverse pregnancy outcomes;
  2. Diagnosed diseases, chronic hypertension, diabetes mellitus, or chronic kidney disease;
  3. Infection or fever during pregnancy;
  4. History of smoking or alcohol abuse, recent surgery or trauma, or use of or ;
  5. Other conditions that may cause abnormal nucleosome or placental growth factor (PLGF) levels.
Terms in these criteria, in plain language(5)

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.

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BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

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Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
900 participants (estimated)
Target follow-up
1 Year
Patient registry
Yes

Groups and cohorts

  • Normal nucleosome and PLGF group

    Normal nucleosome and PLGF group

    Other: Measurement of plasma nucleosome and placental growth factor (PLGF) levels

  • Nucleosome-elevated only group

    Nucleosome-elevated only group

    Other: Measurement of plasma nucleosome and placental growth factor (PLGF) levels

  • PLGF-elevated only group

    PLGF-elevated only group

    Other: Measurement of plasma nucleosome and placental growth factor (PLGF) levels

  • Nucleosome and PLGF elevated group

    Nucleosome and PLGF elevated group

    Other: Measurement of plasma nucleosome and placental growth factor (PLGF) levels

Interventions

  • OtherMeasurement of plasma nucleosome and placental growth factor (PLGF) levels

    Maternal peripheral blood samples are collected at 12-14 weeks of gestation during routine non-invasive prenatal testing (NIPT). Plasma nucleosome concentrations and PLGF levels are measured to evaluate their association with adverse pregnancy outcomes.

06

What researchers measure

Primary outcomes

  1. Composite adverse pregnancy outcomes

    Incidence of preeclampsia, fetal growth restriction (FGR), preterm birth, stillbirth, or spontaneous abortion. The occurrence of any one of these events is defined as the composite adverse pregnancy outcome.

    Time frame: From enrollment (12-14 weeks of gestation) to delivery (up to 40 weeks of gestation).

Secondary outcomes

  1. Preeclampsia

    Incidence of preeclampsia, defined as new-onset hypertension (blood pressure \>= 140/90 mmHg) after 20 weeks of gestation accompanied by proteinuria or maternal organ dysfunction.

    Time frame: From 20 weeks of gestation to delivery (up to 40 weeks of gestation).

  2. Fetal Growth Restriction (FGR)

    Incidence of fetal growth restriction, defined as an estimated fetal weight or abdominal circumference below the 10th percentile for gestational age, confirmed by postnatal birth weight.

    Time frame: From 20 weeks of gestation to delivery.

  3. Preterm Birth

    Incidence of preterm birth, defined as delivery before 37 completed weeks of gestation.

    Time frame: From 20 weeks of gestation to delivery.

  4. Spontaneous Abortion (Miscarriage)

    Incidence of spontaneous abortion, defined as natural pregnancy loss before 20 weeks of gestation. (Note: Induced abortion is excluded).

    Time frame: From enrollment (12-14 weeks of gestation) to 20 weeks of gestation.

  5. Low Birth Weight

    Incidence of low birth weight, defined as neonatal birth weight less than 2500 grams.

    Time frame: At delivery.

07

Study locations

No study locations are listed for this record.

08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    First appeared on the registry

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 ↗

09

Registry details

Key details

Study ID
NCT07841197
Responsible party
Ying Hua (Director of department, Second Affiliated Hospital of Wenzhou Medical University) — Principal investigator
First posted
Sep 25, 2026
Start date
Sep 20, 2026 (estimated)
Primary completion
Jul 31, 2027 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Sep 25, 2026

Oversight

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

Not currently enrolling

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

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