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Impact of dalteparin in pregnancy
ISRCTN ISRCTN78732833
ClinicalTrials.gov identifier
Public title Impact of dalteparin in pregnancy
Scientific title Dalteparin in prevention of recurrence of severe obstetrical complications in women without thrombophilia
Acronym N/A
Serial number at source CER Sainte-Justine 1006
Study hypothesis A prophylactic dose of dalteparin may prevent the recurrence of placental mediated complications in women without thrombophilia.
Ethics approval Ethics approval received from the Comité d’éthique de recherche (CER) du CHU Sainte-Justine on the 16th March 2000 (ref: 1006).
Study design Randomised open trial
Countries of recruitment Canada
Disease/condition/study domain Severe obstetrical complications
Participants - inclusion criteria 1. Normal thrombotic screen
2. Female patients aged more than 17 years
3. Pregnancy less than 17 weeks
4. Signature of the consent form
5. One of the following in previous pregnancy:
5.1. Severe preeclampsia with delivery less than 34 weeks
5.2. Severe intrauterine growth restriction (IUGR)
5.3. Abruptio placentae with delivery less than 34 weeks or foetal death
5.4. One idiopathic foetal death after 20 weeks
5.5. Two or more of idiopathic foetal death between 12 - 19 weeks
Participants - exclusion criteria 1. Multiple pregnancy
2. Alcohol or illicit drug use
3. Severe medical condition other than chronic hypertension
4. Foetal malformation or chromosomal anomaly
5. Uterine malformation or infection
6. Abdominal trauma
7. Any known cause of foetal death
Anticipated start date 16/03/2000
Anticipated end date 20/06/2007
Status of trial Completed
Patient information material
Target number of participants 276
Interventions Randomisation (1:1) to dalteparin (5000 IU daily) versus no treatment from randomisation until 36 - 37 weeks of pregnancy. Total duration of follow-up for all treatment arms will be from randomisation until departure from the hospital after delivery.
Primary outcome measure(s) Composite outcome of one of:
1. Severe preeclampsia
2. Severe IUGR
3. Major abruptio placentae

Primary outcomes will be measured at delivery.
Secondary outcome measure(s) 1. Non-severe preeclampsia, measured at delivery
2. Non-severe IUGR, measured at delivery
3. Gestational age at delivery, measured at delivery
4. Pregnancy complications, measured at delivery
5. Hospitalisation length, measured at delivery and departure from the hospital after delivery
6. Admission to intensive care unit, measured at departure from the hospital after delivery
Sources of funding 1. Canadian Foundation for Women's Health (Canada)
2. Pharmacia and Upjohn Inc. (USA)
Trial website
Publications
Contact name Dr  Evelyne  Rey
  Address 3175 Côte sainte-Catherine
  City/town Montreal (QC)
  Zip/Postcode H3T 1C5
  Country Canada
  Tel +1 514 345 4706
  Fax +1 514 345 4648
  Email evelyne_rey@ssss.gouv.qc.ca
Sponsor Canadian Foundation for Women's Health (Canada)
  Address 780 Echo Drive
  City/town Ottawa (ON)
  Zip/Postcode K1S 5R7
  Country Canada
  Tel +1 800 561 2416
  Email helpdesk@sogc.com
  Sponsor website: http://www.cfwh.org
Date applied 18/04/2008
Last edited 29/04/2008
Date ISRCTN assigned 29/04/2008
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