Clinical trial Recruiting at 3 sites Phase 1 Interventional Ages 18 to 45 Women only

CBP-4888 for hospitalized people with preterm preeclampsia

Official title: An Open-Label, Dose Finding Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single Ascending Subcutaneous Doses of CBP-4888 in Hospitalized Participants With Preterm Preeclampsia Receiving Standard of Care, Expectant Management

Run by Comanche Biopharma · NCT07282171 · Data updated 2026-11-12

This study tests whether a single injection of CBP-4888 is safe and how it behaves in the body for hospitalized pregnant people with preterm preeclampsia, and follows their babies for up to 24 months.

More Preeclampsia trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 45 Years
SexWomen only
Enrollment60 (estimated)
SponsorComanche Biopharma
Industry-sponsored
Locations3 sites (Parkville, Victoria and 2 other locations)
StatusRecruiting
StartedFebruary 26, 2025
Main results expectedMarch 31, 2027
Study endsMarch 31, 2029
Registry record updatedMay 18, 2026
Trial IDNCT07282171 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Hospitalized pregnant people aged 18–45 with a singleton pregnancy diagnosed with preterm preeclampsia at 26+0/7 to 35+6/7 weeks who are clinically appropriate for at least 72 hours of inpatient expectant management are candidates.

Probably not a fit

People requiring immediate delivery, those with placenta previa/abruption/accreta or unexplained bleeding, major fetal anomalies, severe fetal growth restriction, multifetal pregnancies, or outside the specified gestational window are unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is an open-label, single-ascending-dose Phase 1 study enrolling up to 60 hospitalized participants with preterm preeclampsia between 26+0/7 and 35+6/7 weeks gestation. Each participant will receive one subcutaneous dose of CBP-4888 alongside standard expectant management, with cohorts of four participants per dose level across six planned dose levels. The study will collect safety, tolerability, pharmacokinetic, and pharmacodynamic data through delivery and for six weeks postpartum for the mother. Infants will be evaluated at birth and followed with standard pediatric assessments and phone follow-up through 24 months of age.

Why it matters

Potential benefit: If successful, CBP-4888 could offer a targeted treatment option that helps manage preterm preeclampsia and potentially prolong pregnancy to improve outcomes for newborns.

How similar studies have gone: This is an early-phase, first-in-pregnancy dose-finding effort for CBP-4888; while other experimental approaches targeting sFlt1 pathways have been explored in early research, clinical evidence for this specific agent is limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Hospitalized with a hypertensive disorder of pregnancy (preeclampsia) defined by elevated blood pressure after 20 weeks gestation with proteinuria or, in the absence of proteinuria, with evidence of organ dysfunction (e.g., thrombocytopenia, renal insufficiency, or impaired liver function), and expected to remain hospitalized through delivery
* The subject has given written consent to participate in the study.
* Pregnant participants aged 18 to 45 years of age
* Gestational age at Day 1 between 26 weeks 0/7 days and 35 weeks 6/7 days
* Deemed clinically stable and suitable for expectant management for at least 72 hours post CBP-4888 administration
* The woman carries a singleton pregnancy
* Anticipate that hospitalization will continue through delivery

Exclusion Criteria:

* Placenta previa, abruption, accreta, or persistent unexplained vaginal bleeding.
* Fetal growth restriction (\<3rd percentile, or \<10th percentile with abnormal Doppler) or known major chromosomal/genetic abnormalities.
* Maternal conditions requiring immediate delivery (e.g., severe hypertension, eclampsia, non-reassuring fetal status, pulmonary edema).
* Known active maternal infections considered to potentially affect placental function.
* Significant maternal medical conditions (e.g., HELLP syndrome, advanced kidney disease, severe cardiac disease, uncontrolled neurological disorder, lupus with nephritis/cerebritis).
* Use of another investigational drug within 30 days prior to study entry.
* Any other condition that, in the investigator's judgment, poses risk to mother or fetus.

Where it's running

  • The Royal Women's Hospital
    Parkville, Victoria, Australia
    Recruiting
  • Monash University
    Melbourne, Australia
    Recruiting
  • Royal Melbourne
    Melbourne, Australia
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.