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International Trial of Antioxidant for the Prevention of Preeclampsia
ISRCTN ISRCTN85024310
ClinicalTrials.gov identifier
Public title International Trial of Antioxidant for the Prevention of Preeclampsia
Scientific title Antioxidants for the prevention of preeclampsia: a randomised controlled trial
Acronym INTAPP
Serial number at source MCT-62005
Study hypothesis To determine whether daily supplementation of vitamin C and vitamin E reduce the incidence of gestational hypertension (with or without proteinuria) and its adverse conditions.
Lay summary
Ethics approval Centre De Recherche De L'Hopital Sainte-Justine, Comité d'éthique de la recherche gave approval on the 1st December 2003.
Study design Randomised controlled trial
Countries of recruitment Argentina, Belgium, Canada, China, Mexico
Disease/condition/study domain Gestational hypertension with or without proteinuria (preeclampsia)
Participants - inclusion criteria 1. The woman is pregnant between 12^0/7 and 18^6/7 completed weeks
2. At least 18 years of age
3. Speaks a language known by the medical staff
4. Plans to deliver in a participating hospital
Participants - exclusion criteria 1. Daily Vitamin C intake equal or more than 200 mg
2. Daily Vitamin E intake equal or more than 50 IU
3. Uses warfarin (coumadin)
4. Known major foetal abnormalities, including chromosomal anomalies in the current pregnancy
5. Has one of the following conditions:
5.1. Untreated hypo/hyperthyroidism
5.2. Renal disease with altered renal function (creatinine more than two times the upper limit of the normal range value)
5.3. Any collagen vascular disease (including lupus erythromatosus, scleroderma)
5.4. Active or chronic hepatitis
5.5. Epilepsy
5.6. Cancer
5.7. Threatened abortion (the woman had two or more miscarriages)
5.8. Illicit drug use or alcohol abuse (more than or equal to two drinks a day during current pregnancy)
Anticipated start date 15/01/2004
Anticipated end date 30/06/2008
Status of trial Completed
Patient information material
Target number of participants 10000 low risk; 2500 high risk
Interventions Group One (Experimental): Daily supplementation with 1 g Vitamin C, 400 IU Vitamin E
Group Two (Control): Matching placebo

The duration of the follow-up varies for each participant. The woman is randomised between 12^0/7 to 18^6/7 weeks of pregnancy and she takes the medication daily until the date of delivery.

Trial details received: 12 Sept 2005
Primary outcome measure(s) Gestational hypertension, with or without proteinuria and adverse conditions. The data is recorded from the medical chart after post-partum hospital discharge. The period covered is: pregnancy, from randomisation to post-partum hospital discharge.
Secondary outcome measure(s) Outcome indicators are assessed from randomisation until post-partum hospital discharge. The following sources are used: prenatal record from treating MD, data recorded in CRF by study nurse at the three follow-up visits, postpartum and newborn hospital chart of mother and baby.
The period covered is: pregnancy, from randomisation to postpartum hospital discharge.
1. Preeclampsia
2. Maternal death
3. Severe preeclampsia
4. Preterm delivery less than 32 and less than 37 weeks’ gestation (gestational age corrected by early ultrasound scan)
5. Intrauterine growth restriction (less than third centile)
6. Perinatal mortality
7. Spontaneous abortion
8. Premature rupture of membranes
9. Antenatal inpatient days
10. Neonatal mortality indicators
Sources of funding Canadian Institutes of Health Research (CIHR) (Canada) - http://www.cihr-irsc.gc.ca (ref: MCT-62005)
Trial website http://www.gereq.net/intapp
Publications 2005 interim results in http://www.ncbi.nlm.nih.gov/pubmed/15924519
Contact name Dr  William D.  Fraser
  Address Hôpital Sainte-Justine
Département d'Obstétrique-Gynécologie
3175, Chemin de la Côte-Ste-Catherine
4e Étage, Bloc 9
Local 4986-B
  City/town Montréal
  Zip/Postcode H3T 1C5
  Country Canada
  Tel +1 514 345 4931 ext. 4155
  Fax +1 514 345 2195
  Email william.fraser@umontreal.ca
Sponsor Hospital Sainte-Justine (Montréal) (Canada)
  Address 3175 Chemin Côte Ste-Catherine
  City/town Montréal
  Zip/Postcode H3T 1C5
  Country Canada
  Sponsor website: http://www.chu-sainte-justine.org/Accueil/default.aspx
Date applied 26/09/2005
Last edited 17/11/2009
Date ISRCTN assigned 26/09/2005
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