About this trial
This is a single-center, double-blind, randomized, placebo-controlled clinical trial. Peripartum and postpartum Activin A are significantly elevated in women with preeclampsia. Our hypothesis is that elevated Activin A levels reflect a remediable signal and that reducing postpartum Activin A levels with aspirin therapy will improve (GLS) in preeclamptic patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pregnant Adults between 18 and 45 years of age
Diagnosed with preeclampsia
Presenting for delivery with a singleton gestation.
Disqualifiers
We will exclude patients in labor
Patients with preexisting cardiomyopathy, chronic hypertension, ischemic or valvular heart disease, pulmonary disease, diabetes mellitus, chronic kidney disease, multiple gestation
Plan to deliver outside of the participating site
Co-enrolled in other trials that might affect the patients taking the study medication, as determined by the PI.
Trial design
Factorial
Treatments tested in this trial
Aspirin 81 mg
DrugSubjects in the interventional arm will receive a daily dose of aspirin 81 mg, starting at their baseline visit and to be taken up to their 6-month follow-up visit.
Placebo
DrugSubjects in this group will receive a daily dose of a placebo pill, starting at their baseline visit and to be taken up to their 6-month follow-up visit.
Treatment groups
Trial outcomes
Primary outcomes
Difference in Activin A levels
The primary outcome will compare Activin A levels at 6 months between patients randomized to aspirin therapy versus placebo and the observational group.
GLS percentages
The primary outcome will compare GLS levels as a percentage (%) at 6 months between patients randomized to aspirin therapy versus placebo and the observational group.
Secondary outcomes
Mean Arterial Pressure
Difference in mean arterial pressure in subjects, from their baseline to 6 month TTE
Ejection Fraction %
Comparing the difference in the ejection fraction percentages, from the subjects baseline to 6 month TEE.
Deceleration Time
Comparing the difference between deceleration time from subjects from their baseline to 6 month TTE.
Mitral Annular Motion
Comparing the difference between mitral annular motion, in millimeters (mm), from subjects baseline to 6 month TTE.
Sponsors and contacts
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