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Trial · NCT04725812

Complement Regulation to Undo Systemic Harm in Preeclampsia

NCT04725812, Phase 2, Terminated, Cedars-Sinai Medical Center; results first posted 2023-11-29

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Complement Regulation to Undo Systemic Harm in Preeclampsia. Trials, record NCT04725812. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04725812

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Complement Regulation to Undo Systemic Harm in Preeclampsia
NCT number
NCT04725812
Status
Terminated
Phases
Phase 2
Enrollment
2 participants, actual
Lead sponsor
Cedars-Sinai Medical Center
Conditions
Preeclampsia, Severe Preeclampsia, Eculizumab, HELLP, HELLP Syndrome, HELLP Syndrome Second Trimester, Pregnancy Related, AHUS, PNH, Complement Regulatory Factor Defect, Complement Abnormality, HELLP Syndrome Third Trimester
Interventions
Eculizumab
First posted
2021-01-27
Last updated
2023-11-29
Results first posted
2023-11-29
Limitations and caveats
The PI, Dr. Richard Burwick left the institution where this research was being conducted in April 2022 and study activity halted at that time. Two subjects were consented to participate in the study and one withdrew participation before study procedures were completed. Study Funding was terminated by Sponsor.~Dr. Karumanchi is a co-investigator in this study who has been named as the Responsible Party within the PRS system solely for the purpose of reporting the results.

Source ClinicalTrials.gov

Registered outcomes17

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryLatency (in Days) From Enrollment to Delivery24 months
The difference in mean number of days (latency) from enrollment in the study (or hospital admission for controls) to delivery between participant receiving eculizumab compared to historical controls. * For treatment-arm participants latency is determined from enrollment to delivery. * For historical controls latency is determined from hospital admission (or initial diagnosis for controls hospitalized for other indication) for preeclampsia until delivery. * Subjects and historical controls all defined as women with preeclampsia between 23-30 weeks gestation.
SecondaryComposite Adverse Maternal Outcomes24 months
The difference in the composite number of adverse maternal outcomes between subjects receiving eculizumab compared to historical controls •Adverse maternal outcomes directly attributed to preeclampsia defined as the following: syndrome of hemolysis, elevated liver enzyme, and low platelet count (HELLP), eclampsia, placental abruption, stroke, venous thrombosis or pulmonary embolism, pulmonary edema, posterior reversible encephalopathy syndrome, postpartum hemorrhage (\>1000 cc), blood transfusion, admission to the intensive care unit, acute kidney injury, acute tubular necrosis, dialysis, or death
SecondaryComposite Adverse Neonatal Outcomes24 months
The difference in the composite number of adverse neonatal outcomes between subjects receiving eculizumab compared to historical controls. •Adverse neonatal outcomes directly attributable to preeclampsia or indirectly attributable due to preterm delivery due to preeclampsia defined as the following: Respiratory distress syndrome, bronchopulmonary dysplasia, intraventricular hemorrhage, retinopathy of prematurity, necrotizing enterocolitis, seizure, hypoxic-ischemic encephalopathy, metabolic acidosis, infection, sepsis, previously unrecognized major malformation detected at birth, patent ductus arteriosus requiring indomethacin, or death.
SecondaryChanges in Blood and Urine Concentrations of Terminal Complement Protein C5a Before and After Each Treatment.24 months
The Difference in the concentration of C5a in blood and urine, before treatment ( ex. visit day 1) compared to after treatment in each participant receiving eculizumab. •Concentrations of C5a in blood and urine will be determined by enzyme linked immunosorbent assays (ELISA).
SecondaryChanges in Blood and Urine Concentrations of Terminal Complement Protein C5b-9 Before and After Each Treatment.24 monthsThe difference in blood and urine concentrations of C5b-9, before treatment ( ex. visit day 1) compared to after treatment in each participant receiving eculizumab.
SecondaryChanges in Blood and Urine Concentrations of Complement Protein CD59 Before and After Each Treatment.24 monthsThe difference in blood and urine concentrations of CD59, before treatment ( ex. visit day 1) compared to after treatment in each participant receiving eculizumab.
SecondaryAspartate and Alanine Transaminase Concentration Before and After Each Treatment.24 monthsDifferences in the concentration of aspartate and alanine transaminase (U/L) will be compared before treatment (ex. visit day 1) and after treatment in each participant receiving eculizumab.
SecondaryHemoglobin Concentration Before and After Each Treatment.24 monthsDifferences in the concentrations of measures of hemoglobin will be compared before treatment (ex. visit day 1) and after treatment in each participant receiving eculizumab.
SecondaryPlatelet Count Before and After Each Treatment.24 monthsDifferences in the platelet count will be compared before treatment (ex. visit day 1) and after treatment in each participant receiving eculizumab.
SecondaryLactate Dehydrogenase Concentration Before and After Each Treatment.24 monthsDifferences in the concentration of serum lactate dehydrogenase will be compared before treatment (ex. visit day 1) and after treatment in each participant receiving eculizumab.

Outcomes17

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYLatency (in Days) From Enrollment to Delivery24 months
1 enrolled subject withdrew participation before delivery. A second subject withdrew consent after delivery.~Data supporting the primary and secondary outcomes were not collected from the two enrolled subjects. Historical controls were not identified for this terminated study, thus this Outcome Measure cannot be reported.
SECONDARYComposite Adverse Maternal Outcomes24 months
1 enrolled subject withdrew participation before delivery. A second subject withdrew consent after delivery.~Data supporting the primary and secondary outcomes were not collected from the two enrolled subjects. Historical controls were not identified for this terminated study, thus this Outcome Measure cannot be reported.
SECONDARYComposite Adverse Neonatal Outcomes24 months
1 enrolled subject withdrew participation before delivery. A second subject withdrew consent after delivery. 1 subject's neonate died due to extreme prematurity, which was unrelated to receiving the study drug.~Data supporting the primary and secondary outcomes were not collected from the two enrolled subjects. Historical controls were not identified for this terminated study, thus this Outcome Measure cannot be reported.
SECONDARYChanges in Blood and Urine Concentrations of Terminal Complement Protein C5a Before and After Each Treatment.24 months
Assays for research lab samples were not done as the study was prematurely halted. Data supporting the primary and secondary outcomes were not collected from the two enrolled subjects, thus the data could not be reported.
SECONDARYChanges in Blood and Urine Concentrations of Terminal Complement Protein C5b-9 Before and After Each Treatment.24 months
Assays for research lab samples were not done as the study was prematurely halted. Data supporting the primary and secondary outcomes were not collected from the two enrolled subjects, thus the data could not be reported.
SECONDARYChanges in Blood and Urine Concentrations of Complement Protein CD59 Before and After Each Treatment.24 months
Assays for research lab samples were not done as the study was prematurely halted. Data supporting the primary and secondary outcomes were not collected from the two enrolled subjects, thus the data could not be reported.
SECONDARYAspartate and Alanine Transaminase Concentration Before and After Each Treatment.24 months
Assays for research lab samples were not done as the study was prematurely halted. Data supporting the primary and secondary outcomes were not collected from the two enrolled subjects, thus the data could not be reported.
SECONDARYHemoglobin Concentration Before and After Each Treatment.24 months
Assays for research lab samples were not done as the study was prematurely halted. Data supporting the primary and secondary outcomes were not collected from the two enrolled subjects, thus the data could not be reported.
SECONDARYPlatelet Count Before and After Each Treatment.24 months
Assays for research lab samples were not done as the study was prematurely halted. Data supporting the primary and secondary outcomes were not collected from the two enrolled subjects, thus the data could not be reported.
SECONDARYLactate Dehydrogenase Concentration Before and After Each Treatment.24 months
Assays for research lab samples were not done as the study was prematurely halted. Data supporting the primary and secondary outcomes were not collected from the two enrolled subjects, thus the data could not be reported.

Results by group0

Each measurement the trial posted, group by group, in the words and numbers it posted.

None in this release.

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDEculizumab2
Overall StudyCOMPLETEDEculizumab1
Overall StudyNOT COMPLETEDEculizumab1

Adverse events1

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousNeonatal deathGeneral disordersEculizumab121

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityEculizumab12
Total, other adverse eventsEculizumab02
Total, serious adverse eventsEculizumab12

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04725812

GET https://conductscience.org/api/trials/v1/NCT04725812/registered