RecruitingNot ApplicableNCT07193680

NOPE37: Angiogenic Factors for Managing Term Preeclampsia

Angiogenic Markers for Confirming Term Preeclampsia (noPE-37 Trial): An Open-Label, Randomized Controlled Trial


Sponsor

Hospital Universitari Vall d'Hebron Research Institute

Enrollment

750 participants

Start Date

Dec 4, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This study tests the hypothesis that, in women with preeclampsia without severe features, delivery management based on sFlt-1/PlGF would reduce the rate of induction of labor without worsening the rate of progression to preeclampsia with severe features and other maternal complications.


Eligibility

Sex: FEMALEMin Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This trial is studying whether measuring specific proteins in the blood (called angiogenic factors, including sFlt-1 and PlGF) can help doctors decide the safest time to deliver the baby in pregnant women with mild preeclampsia near term. **You may be eligible if...** - You are 18 years or older with a singleton pregnancy (one baby) - You have been diagnosed with preeclampsia without severe features (mild high blood pressure with protein in the urine) - Your gestational age is between 36 weeks 0 days and 38 weeks 6 days - Blood flow to the baby's umbilical cord is normal (antegrade diastolic flow) - Your pregnancy dating was confirmed by first-trimester ultrasound or IVF records **You may NOT be eligible if...** - Your baby has died (fetal death) - You have severe preeclampsia, eclampsia, or any condition requiring immediate delivery - Blood flow to the baby is absent or reversed in the umbilical artery - The baby's heart rate monitoring, movement, or fluid levels are concerning - You have a multiple pregnancy (twins or more) Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

OTHERIntervention arm: expectant management if sFlt-1/PlGF<38

If the angiogenic factors are normal (sFlt-1/PlGF \<38), expectant management will be followed until 39 weeks, instead of delivery at ≥37 weeks of gestation as in standard care for preeclampsia without severe features.

OTHERStandard care: elective delivery at 37 weeks of gestation

In the control arm, standard care for preeclampsia without severe features will be followed: elective delivery at ≥37 weeks of gestation.


Locations(23)

Hospital Universitari Dexeus

Barcelona, BARCELONA, Spain

Hospital Universitario de A Coruña

A Coruña, Spain

Hospital General Universitari Dr. Balmis

Alicante, Spain

Vall d'Hebron Hospital Campus

Barcelona, Spain

Hospital Universitario de Cabueñes

Cabueñes, Spain

Hospital Universitario Puerta del Mar

Cadiz, Spain

Hospital General Universitario de Elche

Elche, Spain

Hospital Universitario de Getafe

Getafe, Spain

Hospital Universitari de Girona Doctor Josep Trueta

Girona, Spain

Hospital Universitario San Cecilio

Granada, Spain

Hospital Universitario de Jerez

Jerez de la Frontera, Spain

Hospital Materno Infantil de Gran Canaria

Las Palmas de Gran Canaria, Spain

Hospital Universitari Arnau de Vilanova

Lleida, Spain

Hospital universitario 12 de Octubre

Madrid, Spain

Hospital Clínico Universitario Virgen de la Arrixaca

Murcia, Spain

Hospital Universitari Son Espases

Palma de Mallorca, Spain

Hospital Universitario Virgen de Valme

Seville, Spain

Hospital Universitario Virgen Macarena

Seville, Spain

Hospital Universitari de Tarragona Joan XXIII

Tarragona, Spain

Consorci Sanitari de Terrassa

Terrassa, Spain

Hospital Universitari MútuaTerrassa

Terrassa, Spain

Hospital Universitario de Torrejón

Torrejón, Spain

Hospital Universitario Lozano Blesa

Zaragoza, Spain

View Full Details on ClinicalTrials.gov

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NCT07193680


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