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Placental Biology in Health and Disease

Sponsor: University of Oxford

NCT ID: NCT07470320

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Health checks and monitoring — no treatment given
Type of study
Observational (no treatment given)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
There are no interventions for this study (other)
How long the study runs
Study runs about 53 months (dates as stated)
About the drug or intervention
There are no interventions for this study — other: There are no interventions for this study
Patient visit burden
Not specified by the sponsor
Type of study
Observing health over time
Ages
18 Years and over
Who
Female
Number of participants
360
Started
2025-12-16
Last checked
2025-12

Plain English Summary

What is this study?

  • • Testing a new treatment for pre-eclampsia
  • • Clinical study - 360 participants
  • • Pre-eclampsia (PET) is a condition characterised by high blood pressure and damage to other organs, and is a leading cause of maternal and fetal complications such as fetal growth restriction (FGR)

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with pre-eclampsia
  • • Female only

Where?

  • • Oxford - Oxford University Hospitals NHS Foundation Trust

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

Pre-eclampsia (PET) is a condition characterised by high blood pressure and damage to other organs, and is a leading cause of maternal and fetal complications such as fetal growth restriction (FGR). Gestational diabetes mellitus (GDM) involves abnormal blood sugar levels during pregnancy and can have both short and long-term impacts on the health of the mother and child. Both conditions are linked to placental dysfunction but the precise mechanisms behind these links remain unclear. A major focus of this study is on extracellular vesicles (EVs) which are tiny, bubble-like particles released by the placenta into the mother's and baby's bloodstreams. These EVs act as messengers, carrying proteins, lipids and genetic material that can influence how cells function, even in parts of the body far from the placenta. Notably, the number and content of these EVs change in conditions like PET and GDM, suggesting they may play a role in the development of these complications. This single-site, observational, laboratory study aims to investigate how these EVs contribute to maternal health and disease. To enable analysis across different physiological and pathological conditions pregnant participants with healthy pregnancies, pregnancies predisposed to PET and pregnancies complicated by GDM, FGR and PET will be recruited alongside healthy non-pregnant controls. Recruitment will be from the Oxford University Hospitals NHS Foundation Trust and the Nuffield Department of Women's and Reproductive Health, University of Oxford (who fund the research). Demographic and clinical data will be collected as well as blood, urine, breath, voice, placenta, umbilical cord, umbilical cord blood, amniotic fluid and/or uterine vein blood samples. Through examining EV content and function, it is hoped a better understanding of their role in pregnancy complications will be gained, including their potential as non-invasive biomarkers for early detection and targeted treatments, improving outcomes for mothers and babies worldwide.

More detail

The study is a non-interventional, observational study focused on sample collection and laboratory-based analyses to investigate the role of placental EVs and soluble factors in maternal and fetal health. The study will focus on understanding the molecular mechanisms underlying pre-eclampsia, gestational diabetes mellitus and fetal growth restriction, with the ultimate aim of identifying biomarkers and therapeutic targets. To achieve this, the study will recruit participants with healthy, pathological and predisposed pregnancies alongside non-pregnant healthy controls.

Pre-eclampsiaGestational Diabetes Mellitus (GDM)Fetal Growth Restriction (FGR)Pregnancy Induced Hypertension (PIH)PlacentaPregnancy

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: Female only

What the study is looking for

  • ✓Female, aged 18 years or above
  • ✓Willing and able to give agreement to take part for participation in the study
  • ✓Able to read and understand written and spoken English to comprehend study materials and give agreement to take part
  • ✓Non-pregnant women in good general health OR pregnant women who fall into one of the following:
  • ✓Healthy pregnancy

Who cannot take part

  • ✗Non-pregnant participants with active health conditions that could confound study outcomes
  • ✗Pregnant participants with conditions unrelated to PET, GDM or FGR that could influence EV profiles e.g. active...
See the full criteria
Inclusion Criteria: * Female, aged 18 years or above * Willing and able to give informed consent for participation in the study * Able to read and understand written and spoken English to comprehend study materials and give informed consent * Non-pregnant women in good general health OR pregnant women who fall into one of the following: * Healthy pregnancy * Pre-eclampsia (PET) - defined by clinical diagnostic criteria, including hypertension and proteinuria * Gestational diabetes mellitus (GDM) - diagnosed by standard glucose tolerance tests during pregnancy * Fetal growth restriction (FGR) - diagnosed based on fetal weight or Doppler abnormalities * Predisposed to PET - high-risk factors for PET such as maternal type 1 or type 2 diabetes, autoimmune diseases or multiple pregnancies Exclusion Criteria: * Non-pregnant participants with active health conditions that could confound study outcomes * Pregnant participants with conditions unrelated to PET, GDM or FGR that could influence EV profiles e.g. active infections or malignancies

Where Is This Study? (1 UK site)

Oxford University Hospitals NHS Foundation Trust

Oxford, United Kingdom

Recruiting
Site contact (verified)

How to Get in Touch

Professor Manu Vatish

Sponsor contact

CONTACT

+441865 221009 manu.vatish@wrh.ox.ac.uk
Data sourced from ClinicalTrials.gov · Last verified: 2025-12