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Australasian Collaborative Trial of Vitamin C and Vitamin E supplementation for the prevention of pre-eclampsia
ISRCTN ISRCTN00416244
ClinicalTrials.gov identifier
Public title Australasian Collaborative Trial of Vitamin C and Vitamin E supplementation for the prevention of pre-eclampsia
Scientific title
Acronym ACTS
Serial number at source N/A
Study hypothesis Primary hypotheses:
The primary hypotheses of the study are that vitamin C and E supplementation from 14 weeks gestation in nulliparous women:
1. Reduces the incidence of small for gestational age infants
2. Reduces the incidence of clinical pre-eclampsia
3. Reduces the risk of death or serious adverse outcome for the infant

Secondary hypothesis:
The secondary hypothesis is that vitamin C and E supplementation from 14 weeks gestation in nulliparous women reduces the risks of adverse outcomes for the woman up to six weeks postpartum.

Please note that the target number of participants was added as of 10/09/2007.
Lay summary
Ethics approval Not provided at time of registration.
Study design Randomised controlled trial
Countries of recruitment Australia
Disease/condition/study domain Pre-eclampsia
Intrauterine growth restriction
Participants - inclusion criteria All nulliparous women presenting to the antenatal clinic at the collaborating centre with a singleton pregnancy, between 14-22 weeks gestation, a normal blood pressure, and expected to give birth at the collaborating centre. Informed, written consent is necessary and there must be no contraindication to vitamin C or E therapy.
Participants - exclusion criteria Women with any of the following: multiple pregnancy, life threatening fetal anomaly on ultrasound, known thrombophilia, chronic renal failure, hemochromatosis, women on heparin, warfarin or antihypertensive therapy.
Anticipated start date 01/12/2001
Anticipated end date 31/01/2005
Status of trial Completed
Patient information material
Target number of participants 1877
Interventions Vitamin C (1000 mg) and Vitamin E (400 IU) daily compared with placebo
Primary outcome measure(s) 1. Incidence of small for gestational age infants
2. Clinical pre-eclampsia
3. Death or serious adverse pregnancy outcome for the infant
Secondary outcome measure(s) Severe adverse outcomes for the woman up to six weeks postpartum.
Sources of funding National Health and Medical Research Council 207744
Trial website
Publications 1. 2006 results in http://www.ncbi.nlm.nih.gov/pubmed/16641396
2. 2008 results in http://www.ncbi.nlm.nih.gov/pubmed/18664297
3. 2010 results in http://www.ncbi.nlm.nih.gov/pubmed/20849609
Contact name Prof  Caroline  Crowther
  Address University of Adelaide
Women's & Children's Hospital
72 King William Road
  City/town North Adelaide
  Zip/Postcode 5006
  Country Australia
  Tel +61 (0)8 8161 7647
  Fax +61 (0)8 8161 7652
  Email caroline.crowther@adelaide.edu.au
Sponsor The University of Adelaide (Australia)
  Address -
  City/town Adelaide
  Zip/Postcode SA 5006
  Country Australia
  Tel +61 (0)8 8161 7647
  Fax +61 (0)8 8161 7652
  Email caroline.crowther@adelaide.edu.au
Date applied 18/03/2005
Last edited 27/01/2011
Date ISRCTN assigned 17/06/2005
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