Bone Management in Pregnancy Outcomes in Epilepsy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorThe Fourth Affiliated Hospital of Zhejiang University School of Medicine

About this trial

This study is aimed to evaluate the efficacy of bone health management in improving pregnancy outcomes among WWE, and establish evidence-based vitamin D supplementation strategies for childbearing-age WWE.

Eligibility criteria

Qualifiers

Diagnosis of focal or generalized epilepsy as defined by the International League Against Epilepsy.

Women of childbearing age, aged ≥18 years, planning pregnancy or in early pregnancy (≤16 weeks gestation, confirmed by last menstrual period or ultrasound) - single pregnancy.

Willing and able to provide written informed consent.

Disqualifiers

Pre-existing conditions affecting bone metabolism: primary hyperparathyroidism, Paget's disease, multiple myeloma, chronic kidney disease (eGFR <60 mL/min), cirrhosis (Child-Pugh B/C), or untreated hyper/hypothyroidism.

History of metabolic complications: hypercalcemia (serum Ca²⁺ >10.5 mg/dL), nephrolithiasis, or granulomatous diseases.

Recent/current use of bone-modifying drugs: bisphosphonates, glucocorticoids (≥5 mg/day prednisone equivalent for >1 month), or loop diuretics within the past year.

Ultrasound shows fetal malformation.

Trial design

Treatments tested in this trial

  • Supplementation with calcium + vitamin D daily.

Treatment groups

80 Participants
are divided into 2 treatment groups