Chronic Hypertension and Pregnancy 2 (CHAP2) Pilot Project

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexFemale
Age14-89
SponsorUniversity of Alabama at Birmingham

About this trial

The CHAP2 study is designed to provide preliminary data for a larger multicenter study to assess whether treatment of stage 1 hypertension (HTN) in pregnancy improves maternal and or neonatal outcomes. The primary objective of this pilot study is to determine if anti-HTN treatment to BP\<130/80mmHg in pregnant patients with stage 1 HTN is associated with a difference in birthweight percentile at delivery. Patients with stage 1 hypertension in pregnancy will be randomized to BP goals of \<130/80mmHg or usual care to treatment only if BPs ≥140/90mmHg. For this pilot, the investigator will randomize a total of 74 eligible participants, 37 to active treatment to BP\<130/80mmHg and 37 to usual care.

Eligibility criteria

Qualifiers

Viable singleton gestation

No fetal anomalies

Blood pressures 130-139/80-89mmHg on two occasions at least 4 hours apart prior to 20 weeks gestation

Planning to deliver at UAB Hospital

Disqualifiers

Declines Randomization

Known diagnosis of chronic hypertension ( BP ≥ 140/90mmHg) or current antihypertensive medication use

Fetal demise diagnosed prior to enrollment

Known major structural of chromosomal abnormalities prior to enrollment

Trial design

Treatments tested in this trial

  • Labetalol or Nifedipine

Treatment groups

74 Participants
are divided into 2 treatment groups