Vitamin D Supplementation Among Pregnant Women in Uganda for the Prevention of Hypertensive Disorders in Pregnancy, and Other Adverse Maternal and Foetal Outcomes

Trial statusNot yet recruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexFemale
Age18+
SponsorSt Mary's Hospital, Lacor

About this trial

The goal of this randomised controlled trial is to investigate if vitamin D supplementation among pregnant women in Uganda prevents adverse maternal and foetal outcomes, with special emphasis on preeclampsia.

The main question it aims to answer is if Vitamin D supplementation, administered as oral vitamin D₃ at a dose of 2,000 IU once daily, from the time of recruitment to the time of delivery, reduces the incidence of preeclampsia, eclampsia and HELLP syndrome in pregnant women attending ANC at St. Mary's Hospital, Lacor, such incidence being monitored up to six (6) weeks after delivery.

Researchers will compare the effect of oral 2.000 IU vitamin D daily (intervention group) vs. oral placebo daily (control group) on the prevalence of adverse maternal and foetal outcomes.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

with a viable intrauterine pregnancy,

at gestational age at recruitment between 13 weeks 0 days and 27 weeks 6 days, and

who consented to participate in the study.

Disqualifiers

women already on Vitamin D treatment prescribed by a physician.

Trial design

Design model

Parallel

Treatments tested in this trial

  • oral 2.000 IU vitamin D3 (cholecalciferol) daily, in addition to routine ANC supplementations

    Drug

    The intervention group will comprise pregnant women attending ANC at St. Mary's Hospital, Lacor included in the study, who will be randomized to receive daily oral 2,000 IU Vitamin D3, from the recruitment to the delivery. Eligible participants will be women of age ≥ 18 years, who consented to participate in the study, with a viable intrauterine pregnancy, and at gestational age at recruitment between 13 weeks 0 days and 27 weeks 6 days.

  • Placebo

    Other intervention

    The placebo will be identical to the intervention, with the exception of Vitamin D3, and will have no known pharmacological or physiological activity

Treatment groups

1,980 Participants
are divided into 2 treatment groups
Group A: Intervention groupActive comparator 1 intervention
Group B: Control groupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

The primary outcome will be the occurrence of maternal preeclampsia, eclampsia and HELLP syndrome.

For each participant, the first occurrence of preeclampsia, eclampsia, or HELLP syndrome during pregnancy will be considered for the primary analysis. The criteria for preeclampsia, eclampsia, or HELLP syndrome are reported in the Operational Definitions of the Study Protocol

Time frame
From enrolment to 6 weeks postpartum

Secondary outcomes

1

The occurrence of maternal Gestational Hypertension (GH)

The criteria for GH are defined in the Operational Definitions of the Study Protocol

Time frame
From enrolment to 6 weeks postpartum
2

Fatal outcome of delivery (live birth or stillbirth), with APGAR score at 1 and 5 minutes

APGAR score is a widely known and standardized tool to asses the clinical conditions of a new-born immediately after birth, and will be measured at 1 minute and 5 minutes after birth.

Time frame
At delivery, at 1 minute and 10 minutes after birth
3

Preterm birth, i.e., Gestational Age at delivery < 37 weeks

Weeks; the determination of the Gestational Age id defined in the Study Protocol

Time frame
At delivery
4

Mode of delivery

By vaginal delivery or by Caesarean Section

Time frame
At delivery

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

St Mary's Hospital, Lacor

Lead sponsor

University of Naples

Collaborator

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