Could a daily aspirin save mothers and babies from hypertension risks?
NCT ID NCT04356326
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether taking 150 mg of aspirin daily, starting before 20 weeks of pregnancy, can prevent serious problems like preeclampsia, poor fetal growth, placental abruption, preterm birth, and death in pregnant women with chronic high blood pressure. About 500 women will be randomly assigned to receive either aspirin or a placebo. The goal is to find a safe, simple way to improve outcomes for both mother and baby.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Aspirin 150 mg daily
- What this could lead to
- If it works, this could offer a simple, low-cost way to prevent life-threatening complications like preeclampsia and preterm birth in pregnant women with chronic hypertension.
- What could go wrong
- This is a large Phase 3 trial, but aspirin may not reduce risks enough to change practice, and there is a small chance of side effects like bleeding.
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 500 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2021
- Expected to finish
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Feb 2030
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: * Pregnant patient between 10 and 19 weeks of gestation + 6 days * Chronic hypertension, whether treated or not, know before pregnancy or diagnosed before randomization * Singleton pregnancy * Signed the written informed consent * Affiliation to social security Exclusion Criteria: * ---Medical history requiring anticoagulation (antiphospholipid syndrome, deep vein thromboembolic disease, pulmonary embolism, atherothrombosis, patient with mechanical heart valves), * Patient receiving aspirin for another indication outside pregnancy, * Patient with significant proteinuria (\> 300mg/24 hours or a proteinuria/creatininuria ratio ≥ 30mg/mmol), * Active bleeding, * History of severe PE with delivery \< 34 weeks of gestation, * Hypersensitivity to salicylates such as aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), * Platelet count lower than 100,000 cells/microliter (dosage less than 6 months old), * Hemostasis disorders, including hemophilia (with thrombocytopenia) * Any constitutional or acquired hemorrhagic disease, (including digestive hemorrhages, history of hemorrhagic stroke and thrombocytopenia * Human immunodeficiency virus, or hepatitis B virus, or hepatitis C virus positive serum, * Patient included in another interventional study which could interfere with the results of the study, * Age \<18 years old, * Women under the protection of justice, * Patients with psychiatric follow-up, poor understanding of French or cognitive problems, * Duodenal ulcer, * Severe renal impairment, * Severe hepatic insufficiency, * Severe cardiac impairment, * Gout, * Patients with known glucose-6-phosphate dehydrogenase deficiency,
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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
16 sites. 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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CH Poissy
RECRUITINGPoissy, France
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CHRU Lille
NOT_YET_RECRUITINGLille, France
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CHRU Nancy
WITHDRAWNNancy, France
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CHU Antoine Béclère, AP-HP
RECRUITINGClamart, France
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CHU Bicêtre, AP-HP
RECRUITINGLe Kremlin-Bicêtre, France
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CHU Bordeaux
RECRUITINGBordeaux, France
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CHU Caen
WITHDRAWNCaen, 14000, France
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CHU Cochin- Port Royal, AP-HP
RECRUITINGParis, France
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CHU Dijon
RECRUITINGDijon, France
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CHU Lyon
RECRUITINGLyon, France
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CHU Nantes
RECRUITINGNantes, France
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CHU Robert Débré, AP-HP
RECRUITINGParis, France
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CHU St Etienne
RECRUITINGSaint-Etienne, France
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CHU Tenon
RECRUITINGParis, France
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CHU Toulouse
NOT_YET_RECRUITINGToulouse, France
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CHU Tours
WITHDRAWNTours, France
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Centre Hospitalier Intercommunal de Créteil
RECRUITINGCréteil, 94000, France
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Hôpital Louis Mourier, AP-HP
RECRUITINGColombes, France
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Hôpital St Joseph
WITHDRAWNMarseille, France
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Hôpital Trousseau, AP-HP
RECRUITINGParis, France
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Other studies related to the condition(s) this trial covers.
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