Major trial tests if early aspirin stop is safe for Moms-to-Be
NCT ID NCT07665853
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looks at whether pregnant women at high risk for preeclampsia can safely stop taking daily aspirin at 24-28 weeks instead of continuing until 36 weeks. Over 15,000 women across Europe and Africa will be randomly assigned to stop or continue aspirin. The goal is to see if stopping early is just as effective at preventing preterm preeclampsia while reducing side effects like bleeding.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- aspirin (acetylsalicylic acid)
- What this could lead to
- If successful, this could show that stopping aspirin earlier is just as effective for preventing preeclampsia, reducing unnecessary medication and side effects for many pregnant women.
- What could go wrong
- This is a large phase 3 trial, but it's testing a non-inferiority hypothesis—meaning it aims to prove stopping early is not worse than continuing. There's a risk that stopping earlier might slightly increase preeclampsia cases in certain populations, especially women of African origin.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 15,160 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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May 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 years or older at time of enrollment. * Singleton pregnancy. * Ability to read and understand the informed consent form. * Having undergone first-trimester preeclampsia screening between 11+0 and 13+6 weeks of gestation using a validated multiparametric algorithm (FMF algorithm at a risk cutoff of 1:100, or Gaussian algorithm at a cutoff of 1:170) and being classified as high risk for preterm preeclampsia. * Currently taking aspirin 150 mg/day initiated after first-trimester high-risk classification, in accordance with standard clinical practice. * Voluntary signing of the informed consent form and willingness to comply with the study requirements, including acceptance of the assigned aspirin treatment duration, additional blood tests, and additional ultrasound assessments. Exclusion Criteria: * Early pregnancy loss, intrauterine fetal death, or fetus with major structural malformations diagnosed at the time of enrollment. * Fetus affected by a known genetic or chromosomal disease. * Contraindication, allergy, or intolerance to aspirin (acetylsalicylic acid). * Any medical condition that makes aspirin discontinuation unsafe or impossible (e.g., antiphospholipid syndrome, mechanical heart valve, or other conditions requiring indefinite antiplatelet or anticoagulant therapy).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
38 sites in 7 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Brikama District Hospital
Brikama, The Gambia
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Bundung Maternal and Child Health Hospital
Banjul, The Gambia
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Centre Hospitalier Régional de Saint-Louis
Saint-Louis, Senegal
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Clínica Universidad de Navarra
Pamplona, Spain
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Complejo Hospitalario Universitario de A Coruña
A Coruña, Spain
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Consorci Sanitari de Terrassa
Terrassa, Spain
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Dr Shterev Hospital
Sofia, Bulgaria
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Fundación Jiménez Díaz
Madrid, Spain
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Holy Family Hospital
Techiman, Ghana
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Hopital Phillipe Senghor
Dakar, Senegal
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Hospital Arnau de Vilanova de Lleida
Lleida, Spain
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Hospital Clínico Universitario Virgen de la Arrixaca
Murcia, Spain
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Hospital Dr.Josep Trueta
Girona, Girona, 17007, Spain
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Hospital General de Alicante
Alicante, Spain
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Hospital Joan XXIII
Tarragona, Tarragona, 43007, Spain
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Hospital Materno Infantil de Gran Canaria
Las Palmas de Gran Canaria, Spain
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Hospital San Cecilio
Granada, Andalusia, Spain
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Hospital Universitari Dexeus
Barcelona, BARCELONA, 08024, Spain
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Hospital Universitari Mútua Terrassa
Terrassa, Spain
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Hospital Universitari Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitari Vall d'Hebrón
Barcelona, Spain
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Hospital Universitario Nuestra Señora de Candelaria
Santa Cruz de Tenerife, Spain
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Hospital Universitario Puerta del Mar
Cadiz, Spain
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Hospital Universitario Rey Juan Carlos
Móstoles, Spain
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Hospital Universitario Severo Ochoa
Leganés, Spain
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Hospital Universitario Virgen de las Nieve
Granada, Spain
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Hospital Universitario de Burgos
Burgos, Spain
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Hospital Universitario de Canarias
San Cristóbal de La Laguna, Spain
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Hospital Universitario de Jerez
Jerez de la Frontera, Spain
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Hospital Universitario de Torrejón
Torrejón de Ardoz, Spain
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Hospital de Cruces
Barakaldo, Vizcaya, 48903, Spain
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Hospital de León
León, Spain
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Hospital de la Santa Creu i Sant Pau
Barcelona, Spain
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King's College Hospital
London, United Kingdom
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Medical University of Vienna
Vienna, Austria
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Medway Maritime Hospital
London, United Kingdom
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Saint Patrick Hospital
Ofinso, Ghana
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St Josef Hospital
Vienna, Austria
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a fetal heart ultrasound index predict trouble in High-Risk pregnancies?
- A bracelet and a blood pressure cuff: a simple plan to protect new mothers at risk
- Can a Light-Based scan spot preeclampsia before it strikes?
- Can a malaria drug help prevent preeclampsia?
- Which drug best steadies blood pressure during C-Section in preeclampsia?
- Two common drugs face off to shield mothers from a dangerous drop in blood pressure