Losartan for Improved Vascular Endothelial Function After Preeclampsia
NCT04632589 · Status: COMPLETED · Phase: EARLY_PHASE1 · Type: INTERVENTIONAL · Enrollment: 11
Last updated 2025-07-10
Summary
Women who develop preeclampsia during pregnancy are more likely to develop and die of cardiovascular disease later in life, even if they are otherwise healthy. The reason why this occurs is unclear but may be related to blood vessel damage and increased inflammation that occurs during the preeclamptic pregnancy and persists postpartum. The purpose of this investigation is to determine the mechanisms contributing to this lasting blood vessel damage and to test whether taking a medication that blocks angiotensin II receptors (losartan) decrease these negative effects in women who have had preeclampsia. Identification of these mechanisms and treatment strategies may lead to better clinical management,of cardiovascular disease risk in these women.
In this study we use the blood vessels in the skin as a representative vascular bed. Using a minimally invasive technique (intradermal microdialysis for the local delivery of pharmaceutical agents) we examine the blood vessels in a nickle-sized area of the skin in women who have had preeclampsia. We make these measurements after the subjects take a placebo and after they take losartan (an angiotensin II receptor blocker) to test whether this treatment improves vascular function in these women. As a compliment to these measurements, we also draw blood from the subjects and isolate the inflammatory cells to test how sensitive their inflammatory responses are following the placebo and the losartan treatment.
Conditions
- Preeclampsia Postpartum
Interventions
- DRUG
-
Losartan Potassium
subjects ingest 50mg losartan potassium tablet daily for 6 weeks
- DRUG
-
subjects ingest placebo tablet daily for 6 weeks
Sponsors & Collaborators
-
Anna Stanhewicz, PhD
lead OTHER
Principal Investigators
-
Anna Stanhewicz, PhD · University of Iowa
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- TRIPLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 50 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-11-22
- Primary Completion
- 2024-06-30
- Completion
- 2025-03-13
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Angiotensin II and Chronic Inflammation in Persistent Microvascular Dysfunction Following Preeclampsia
NCT03482440 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Chronic Remote Ischemic Preconditioning as a Complement to Conventional Prenatal Care for Preeclampsia
NCT05564988 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Lisinopril for Renal Protection in Postpartum Preeclamptic Women
NCT05016440 ·Status: WITHDRAWN ·Phase: NA
-
Persistent Postpartum Cardiovascular Dysfunction in Patients With Preeclampsia
NCT04063397 ·Status: COMPLETED
-
Safety and Efficacy of RLX030 in Pregnant Women With Pre- Eclampsia
NCT01566630 ·Status: TERMINATED ·Phase: PHASE2
-
Pravastatin to Prevent Preeclampsia
NCT03944512 ·Status: TERMINATED ·Phase: PHASE3
-
Indonesia Pravastatin to Prevent Preeclampsia Study
NCT03648970 ·Status: UNKNOWN ·Phase: PHASE2
-
Predictors of Aspirin Failure in Preeclampsia Prevention
NCT05709483 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Post-preeclampsia Renal Project: Study of Nephroprotection in Women Having Suffered Preeclampsia
NCT01095939 ·Status: COMPLETED ·Phase: PHASE3
-
Evaluation of Cardiovascular Risk After Preeclampsia in General Practitioners and Patients
NCT06059937 ·Status: COMPLETED
-
Evaluation of the Safety of Relaxin in Preeclampsia
NCT00333307 ·Status: SUSPENDED ·Phase: PHASE1
-
KW-3357 Study in Patients With Early Onset Severe Preeclampsia
NCT04182373 ·Status: COMPLETED ·Phase: PHASE3
-
Efficacy and Safety of L Arginine to Prevent Preeclampsia
NCT02363348 ·Status: COMPLETED ·Phase: PHASE3
-
Early Vascular Adjustments to Prevent Preeclampsia
NCT04216706 ·Status: COMPLETED
-
Prevention of Maternal and Perinatal Complications by Enoxaparin in Women With Previous Severe Preeclampsia
NCT00986765 ·Status: COMPLETED ·Phase: PHASE3
-
Goal-Directed Therapy in Pregnant Women at High Risk of Developing Preeclampsia
NCT01351428 ·Status: COMPLETED ·Phase: NA
-
Study of Nicotinamide in Early Onset Preeclampsia
NCT03419364 ·Status: COMPLETED ·Phase: PHASE2
-
Rosuvastatin in Order to Induce Preeclampsia Resolution in Severe PET up to 48 Hours Following Delivery
NCT02314286 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Pravastatin for Prevention of Preeclampsia
NCT01717586 ·Status: COMPLETED ·Phase: PHASE1
-
Plasma Brain Natriuretic Peptide Levels in Pregnancy
NCT00324402 ·Status: COMPLETED
-
Reducing the Risk of Chronic Hypertension and Improving Vascular Function Following Preeclampsia
NCT06220721 ·Status: RECRUITING ·Phase: NA
-
Postnatal Enalapril to Improve Cardiovascular fUnction Following Preterm Pre-eclampsia
NCT03466333 ·Status: COMPLETED ·Phase: PHASE2
-
Role of L-citrulline in Prevention of Pregnancy Associated Hypertension
NCT04979793 ·Status: SUSPENDED ·Phase: PHASE1
-
Intravenous Labetalol vs Phentolamine for the Management of Severe Preeclampsia.
NCT06385600 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Oral Progesterone and Low Dose Aspirin in the Prevention of Preeclampsia
NCT00719537 ·Status: TERMINATED ·Phase: NA