Prospective Study of BMD and Ca-P Metabolism in RSA Patients: LMWH Use Versus Control

Last updated: May 18, 2023
Sponsor: Aimin Zhao
Overall Status: Active - Recruiting

Phase

N/A

Condition

Recurrent Pregnancy Loss

Treatment

Low molecular weight heparin

Clinical Study ID

NCT05878574
IIT-2023-0010
  • Ages 18-45
  • Female
  • Accepts Healthy Volunteers

Study Summary

The goal of this prospective observational study is to learn about the effect of low molecular weight heparin (LMWH) application on bone mineral density (BMD) and on calcium-phosphorus metabolism in patients with recurrent spontaneous abortion (RSA), and to compare the degree of bone loss and changes in blood calcium and phosphorus in RSA patients and in control groups with normal pregnancy. By monitoring ultrasound BMD and serum indicators related to maternal bone formation and Ca-P metabolism, the association mechanism between long-term use of LMWH, maternal Ca-P regulation and bone loss will be constructed, so as to contribute to clinical treatment and lifestyle guidance during pregnancy in RSA patients.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age between 18 to 45 years.
  • Female who needs to prepare for pregnancy or have a confirmed pregnancy
  • normal karyotype of chromosomes.
  • normal uterine anatomy under pelvic ultrasound examination.
  • Cooperation in completing blood sample collection, testing and ultrasound examination.
  • no serious medical or surgical comorbidities.
  • Sign the informed consent form.

Exclusion

Exclusion Criteria:

  • Presence of diseases affecting calcium metabolism, including primaryhyperparathyroidism, Cushing's disease, chronic liver, kidney and gastrointestinal (e.g., celiac disease) disorders and rheumatoid arthritis.
  • Known HIV positive and / or screening visit, HBsAg or HCV antibody positive.
  • The malignant tumors occurred in the past 5 years (except for the skin squamous basalcell carcinoma which has been resected and considered cured). Subjects who developedmalignancies five years ago should provide evidence of remission or cure. Subjectswith a history of cervical cancer who had undergone conization or cure in the past 3years were eligible.
  • Patients with a history of chronic infection such as Mycoplasma, chlamydia,Cryptococcus and invasive fungal infection should be discussed with the mainresearchers.
  • History of active tuberculosis (TB) or evidence of previous TB infection. Subjectswith a history of potential TB infection should also be excluded, unless there is adocumented evidence that they have completed appropriate anti TB treatment inaccordance with CDC guidelines or local regulations before screening. In addition,subjects were strictly forbidden to have any clinical symptoms / signs of active TB.
  • Presence of pregnancy contraindications.

Study Design

Total Participants: 344
Treatment Group(s): 1
Primary Treatment: Low molecular weight heparin
Phase:
Study Start date:
November 01, 2022
Estimated Completion Date:
March 31, 2024

Study Description

Women who meet the inclusion criteria at the outpatient clinic of Renji Hospital are recruited in this study from November 2022 to December 2023. Basic information of all subjects is recorded, including number of miscarriages, duration of breastfeeding, comorbidities, and intake of nutritional supplements. Subjects' medication use during the study is recorded as well. Subjects will undergo ultrasound BMD at six time points: before and after medication during pregnancy preparation, at 10, 24, 32 weeks of pregnancy, and at 42 days postpartum. Peripheral blood will also be collected at the time points above to measure serum osteocalcin, blood calcium, blood phosphorus, 25(OH) D, thyroid hormone, and parathyroid hormone levels. Subjects will be followed up to 42 days postpartum to observe pregnancy outcomes and health conditions of the newborn.

Connect with a study center

  • Renji Hospital, Shanghai Jiaotong University School of Medicine

    Shanghai, Shanghai 200127
    China

    Active - Recruiting

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