Aspirin Dose Escalation for the Prevention of Recurrent Preterm Delivery Trial
NCT06980025 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 1800
Last updated 2026-04-09
Summary
This is a phase-III multi-center double-blind randomized clinical trial of 1,800 individuals with a history of prior preterm birth at less than 35 weeks gestation who are randomized to either 162 mg aspirin or 81 mg aspirin daily. The study drug will be initiated between 10 and 15 weeks gestation and continued through 36 weeks, 6 days gestation. The primary endpoint is recurrent preterm delivery or fetal death prior to 35 weeks, 0 days gestation.
Conditions
- Preterm Delivery
- Obstetrical Complications
Interventions
- DRUG
-
162mg Aspirin
Two 81mg aspirin tablets in an over-encapsulated capsule filled with microcrystalline cellulose. Study intervention will be packaged into bottles (35 capsules per bottle).
- DRUG
-
81mg Aspirin
One 81mg aspirin tablet in an over-encapsulated capsule filled with microcrystalline cellulose. Study intervention will be packaged into bottles (35 capsules per bottle).
Sponsors & Collaborators
- collaborator OTHER
-
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
collaborator NIH -
The George Washington University Biostatistics Center
lead OTHER
Principal Investigators
-
Rebecca G Clifton, PhD · The George Washington University Biostatistics Center
-
Matthew K Hoffman, MD, MPH · ChristianaCare Center for Women & Children's Health Research
-
Uma M Reddy, MD, MPH · Columbia University
-
Cande Ananth, PhD, MPH · Robert Wood Johnson Medical School - Rutgers Health
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 14 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2025-07-01
- Primary Completion
- 2028-12-31
- Completion
- 2029-02-28
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Aspirin for Prevention of Preeclampsia
NCT03726177 ·Status: UNKNOWN ·Phase: NA
-
Effectiveness of Two Aspirin Doses for Prevention of Hypertensive Disorders of Pregnancy: ASPIRIN TRIAL
NCT06468202 ·Status: RECRUITING ·Phase: PHASE4
-
Aspirin (ASA) Therapy and Preeclampsia Prevention
NCT04158830 ·Status: WITHDRAWN ·Phase: PHASE4
-
Low Dose Aspirin for the Prevention of Preeclampsia
NCT01890005 ·Status: UNKNOWN ·Phase: PHASE3
-
Low-dose Aspirin for Prevention of Adverse Pregnancy Outcomes in Twin Pregnancies
NCT04051567 ·Status: UNKNOWN ·Phase: PHASE4
-
Early Prevention of Preeclampsia Study
NCT01547390 ·Status: TERMINATED ·Phase: NA
-
Antenatal Platelet Response On Aspirin and Correlation With HDP (Hypertensive Disorders of Pregnancy)
NCT04295850 ·Status: COMPLETED
-
Effect of Low Dose Aspirin on Birthweight in Twins: The GAP Trial.
NCT02280031 ·Status: COMPLETED ·Phase: PHASE2
-
Aspirin for Prevention of Preeclampsia in Healthy, Nulliparous Obese and Overweight Pregnant Women
NCT03725891 ·Status: UNKNOWN ·Phase: NA
-
Aspirin Role for Preventing Clinical Risks Related to High Risk Pregnancy
NCT07087067 ·Status: COMPLETED ·Phase: NA
-
Trial of Early Screening Test for Pre-eclampsia and Growth Restriction
NCT03674606 ·Status: COMPLETED ·Phase: PHASE4
-
Effectiveness of Higher Aspirin Dosing for Prevention of Preeclampsia in High Risk Obese Gravida
NCT03961360 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Aspirin 150 mg vs 100 mg for Prevention of Preeclampsia in High-Risk Obese Pregnant Women
NCT06952712 ·Status: NOT_YET_RECRUITING ·Phase: PHASE3
-
162 mg of Aspirin for Prevention of Preeclampsia
NCT05221164 ·Status: UNKNOWN ·Phase: PHASE4
-
APPLE: Aspirin to Prevent Pregnancy Loss and Preeclampsia
NCT06408181 ·Status: RECRUITING ·Phase: PHASE3
-
Aspirin to Prevent Preeclampsia in Women With Elevated Blood Pressure and Stage 1 Hypertension (ASPPIRE)
NCT04402385 ·Status: TERMINATED ·Phase: PHASE2
-
The Effect of Two Aspirin Dosing Strategies for Obese Women at High Risk for Preeclampsia
NCT03735433 ·Status: TERMINATED ·Phase: PHASE4
-
Postpartum Low-Dose Aspirin and Preeclampsia
NCT03667326 ·Status: RECRUITING ·Phase: PHASE2
-
Efficacy and Safety of Aspirin and Lansoprazole for Prevention of Preterm Birth in High-Risk Pregnant Women: A Biomarker-Enriched Trial
NCT07337655 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2/PHASE3
-
Aspirin and Preeclampsia
NCT04479072 ·Status: RECRUITING ·Phase: PHASE4
-
Aspirin for the Prevention of Preeclampsia and Pregnancy Outcomes After Assisted Reproductive Technology
NCT05625724 ·Status: RECRUITING ·Phase: PHASE3
-
Aspirin for Postpartum Patients With Preeclampsia
NCT05924971 ·Status: RECRUITING ·Phase: PHASE2
-
The Efficacy of Aspirin Combined With Hydroxychloroquine Treatment in High Risk Pregnancies for Preeclampsia
NCT05287321 ·Status: RECRUITING ·Phase: PHASE3
-
Comparison of Doses of Acetylsalicylic Acid in Women With Previous History of Preeclampsia
NCT01352234 ·Status: COMPLETED ·Phase: PHASE4
-
Daily Aspirin Treatment After Preeclampsia
NCT06168461 ·Status: RECRUITING ·Phase: EARLY_PHASE1