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CompletedNCT07912866Updated Nov 3, 2026

Efficacy Of Supplemental L-Arginine in Preventing Preeclampsia in Pregnant Women

An interventional study of L-Arginine and placebo in Pre-eclampsia, sponsored by Quaid-e-Azam Medical College. Completed at 1 site in Pakistan. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Quaid-e-Azam Medical College · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 1 year 3 months after the study started (first participant enrolled Jul 2025, registered Oct 2026).
Updated Nov 3, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
108
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

This study was designed to assess whether daily L-arginine supplementation could prevent preeclampsia in pregnant women at increased risk. Preeclampsia, a pregnancy complication involving high blood pressure and possible organ damage, was the condition of interest. The study hypothesis was that L-arginine supplementation would be more effective than placebo in preventing preeclampsia before delivery.

The study was designed as a randomized controlled trial at the Department of Gynaecology and Obstetrics, Bahawal Victoria Hospital, Bahawalpur, Pakistan. Eligible participants were women aged 18-40 years with a single-baby pregnancy at 20 weeks and an increased risk of preeclampsia based on their personal or family medical history. The protocol specified assignment by chance to either daily oral L-arginine supplementation or placebo until delivery.

Follow-up visits were scheduled every three weeks during pregnancy and two weeks after childbirth. Assessments included blood pressure, urine testing for protein, and monitoring for side effects. The main outcome was the proportion of women who remained free of preeclampsia until delivery. Other planned assessments included pregnancy complications, delivery outcomes, birth weight, newborn health, and admission to intensive care.

02

Conditions studied

  • Pre-eclampsia

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Keywords

  • Arginine
  • Preeclampsia prevention
  • Pregnancy, High-Risk
  • Dietary Supplements
  • Oral supplementation
03

In context

Pre-Eclampsia

905 studies on the registry are indexed under Pre-Eclampsia; 238 are open to participants now.

This study's enrollment of 108 is close to the median of 110 across 478 interventional studies indexed under Pre-Eclampsia.

Browse Pre-Eclampsia studies →

Lead sponsor

Quaid-e-Azam Medical College is the lead sponsor of 11 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 40 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

  • Women with age 18-40 years,
  • Singleton pregnancy of 20 weeks on ultrasound
  • High-risk pregnancy.

Exclusion criteria

Exclusion Criteria:

  • The identification of high blood pressure prior to the twentieth week of pregnancy.
  • Individuals with history of diabetes mellitus (non-gestational).
  • Individuals suffering from renal disease (assessed on history and medical record).
  • Women with heart disease diagnosed on history and echocardiography.
  • Patients with known major fetal anomalies (as defined by ultrasound studies.
  • Patients on specific treatment protocols, including anti-oxidant therapy like selenium-rich diets or selenium supplements.
  • Antiphospholipid Syndrome (APS) and Systemic Lupus Erythematosus (SLE) (assessed on history and medical record).
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
108 participants (actual)

Study arms

  • Experimental
    Group A-L-Arginine

    Received oral L-arginine supplementation once daily after a meal, dissolved in one cup of water, from enrollment at 20 weeks of pregnancy until delivery.

    Dietary Supplement: L-Arginine

  • Placebo comparator
    Group B-Placebo

    Received oral placebo once daily from enrollment at 20 weeks of pregnancy until delivery.

    Drug: placebo

Interventions

  • Dietary supplementL-Arginine

    L-arginine supplementation administered orally once daily after a meal until delivery.

  • Drugplacebo

    Oral placebo administered once daily until delivery.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Who Remained Free of Preeclampsia Until Delivery

    Efficacy was measured as the percentage of participants in each study group who did not develop preeclampsia before delivery. According to the synopsis, preeclampsia was defined as new-onset systolic blood pressure \>140 mmHg and diastolic blood pressure \>90 mmHg, together with urinary protein excretion \>300 mg over 24 hours, after 20 weeks of gestation in previously normotensive women.

    Time frame: From enrollment at 20 weeks of gestation until delivery,

07

Study locations

1 site
  • Quaid-e-Azam Medical College Bahawalpur
    Chak Eighty-seven -Twelve Left, Punjab Province 63100, Pakistan
08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 3, 2026
Show all 1 update
  1. Nov 3, 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
NCT07912866
Lead sponsor
Quaid-e-Azam Medical College
Responsible party
Marium Khan Siraj (Principal Investigator, Quaid-e-Azam Medical College) — Principal investigator
First posted
Nov 3, 2026
Start date
Jul 1, 2025
Primary completion
Dec 30, 2025
Completion
Dec 30, 2025
Last update
Nov 3, 2026

Study contacts

Marium Khan
principal investigator · Quaid-e-Azam Medical College

Oversight

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

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This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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