Progesterone Preeclampsia

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexFemale
Age18+
SponsorMedical University of South Carolina

About this trial

This randomized controlled trial evaluates whether nightly vaginal micronized progesterone (400 mg) initiated before 12 weeks' gestation reduces the incidence of preeclampsia in low-risk pregnant individuals. Participants will be randomly assigned (1:1) to receive either vaginal progesterone through 16 weeks' gestation or routine prenatal care without progesterone. Maternal and neonatal outcomes-including development of preeclampsia, obstetric complications, gestational diabetes, preterm birth, and neonatal morbidity-will be collected via chart review. The study aims to determine whether early progesterone supplementation decreases the risk of preeclampsia.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Pregnant individuals receiving prenatal care at participating clinics

<12 weeks gestation with a viable intrauterine pregnancy

Age ≥18 years

English-speaking

Disqualifiers

Unable or unwilling to self-administer vaginal progesterone

Inability or unwillingness to provide informed consent

Trial design

Design model

Parallel

Treatments tested in this trial

  • Progesterone supplementation

    Drug

    Patients in the progesterone arm will be randomized to receive progesterone supplementation while the control arm will not receive any additional intervention.

Treatment groups

642 Participants
are divided into 2 treatment groups
Group A: ControlNo intervention 0 interventions
Group B: ProgesteroneExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Development of preeclampsia

Defined as new onset systolic blood pressure ≥ 140 or diastolic blood pressure ≥ 90 on two occasions at least 4 hours apart, after 20 weeks gestation, with proteinuria or evidence of maternal acute kidney impairment, liver dysfunction, neurologic features, hemolysis, or thrombocytopenia

Time frame
Antenatally and up to 6 weeks postpartum

Secondary outcomes

Other outcomes

Sponsors and contacts

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