Identifying Women at Risk for Placental Dysfunction
Official title: PEPPI Study: Identification of Women at Risk for Placental Dysfunction During the First and Third Trimesters of Pregnancy
Run by Oulu University Hospital · NCT06115122 · Data updated 2026-11-12
This study is trying to see if a new tool can help identify pregnant women at risk for placental problems by looking at their health information and blood tests.
Quick facts
| Study type | Observational |
|---|---|
| Sex | All |
| Enrollment | 3000 (estimated) |
| Sponsor | Oulu University Hospital Academic / other |
| Locations | 1 site (Oulu) |
| Status | Recruiting |
| Started | February 15, 2022 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2041 |
| Registry record updated | August 5, 2025 |
| Trial ID | NCT06115122 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are pregnant women in their first trimester who understand Finnish and are at least 18 years old.
✕Probably not a fit
Patients who are not pregnant, have multiple pregnancies, or do not meet the language or age requirements may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to evaluate the effectiveness of the Fetal Medicine Foundation's pre-eclampsia risk calculator by analyzing maternal characteristics, first trimester serum placental growth factor (PlGF), and mean arterial pressure (MAP) in a Finnish population. A total of 3000 pregnant women will be recruited during their first maternity care visit, with blood samples collected in the first and third trimesters. Participants will be categorized into risk, control, and polycystic ovary syndrome (PCOS) groups based on pre-eclampsia risk calculations. Additionally, ultrasound scans will be performed for certain groups at 30-32 weeks of gestation to monitor pregnancy outcomes.
Why it matters
Potential benefit: If successful, this study could lead to improved identification and management of women at risk for placental dysfunction, potentially reducing complications during pregnancy.
How similar studies have gone: Other studies have shown success in using risk calculators for pre-eclampsia, indicating that this approach has potential based on previous findings.
Who can join: the full rules
Show full inclusion / exclusion criteria
Mothers Inclusion Criteria for PEPPI-study * Pregnant (first trimester) * Understands Finnish * ≥18 years * Signed informed consent Exclusion Criteria * Multiple pregnancy * Miscarriage/termination of the index pregnancy * No first trimester blood sampling Inclusion Criteria for FERPPI-study * Participates in PEPPI-study (criteria above) * Blood samples at first and third trimester of pregnancy * Permits blood sampling from the umbilical cord when the baby is born Exclusion Criteria * No first or third trimester blood sampling * No umbilical cord blood sample after baby is born Fathers Inclusion Criteria * Biological father to the child born for the mother who participated in PEPPI study * ≥18 years * Signed informed consent Exclusion Criteria • Does not understand Finnish Children Inclusion Criteria for PEPPI-study * Born to mother who participated in PEPPI study * Signed informed consent from parent(s) Exclusion Criteria • No consent from parent(s) Inclusion Criteria for PEPPI-offspring study • Mother in risk-, control-, or PCOS group during PEPPI-study with ultrasound information at gestational weeks 30-32 or a mother who developed pre-eclampsia during the pregnancy regardless of their study group during PEPPI-study Exclusion Criteria • Mother/father declines participation Inclusion Criteria for FERPPI-study * Signed informed consent from parent(s) * Mother has blood samples taken at first and third trimester (iron status) * Child has blood samples taken at birth and at 3 months of age Exclusion Criteria * No consent from parent(s) * No blood samples from mother * No blood samples from child
Where it's running
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The Wellbeing Services County of North Ostrobothnia
Oulu, Finland Recruiting
Study contacts
- Principal investigator: Jaana Nevalainen, Assoc prof — The Wellbeing Services County of North Ostrobothnia
- Study coordinator: Jaana E Nevalainen, Assoc prof
- Email: jaana.nevalainen@oulu.fi
- Phone: +358405801857
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Pre-eclampsia risk in pregnancies after oocyte donation
We will follow pregnant women who used donated eggs and women who used their own eggs to see if pregnancies after oocyte donation lead to a higher risk of pre-eclampsia.
-
Use of metformin to prolong pregnancy in preterm preeclampsia in the Netherlands
In pregnant people with preterm preeclampsia, this study tests whether metformin can help them stay pregnant longer compared with placebo.
-
Using low-dose aspirin after preeclampsia to improve recovery
This study is testing if taking low-dose aspirin for six months after having preeclampsia can help new moms recover better by improving their blood pressure and blood vessel function.
-
Intravenous iron infusion after transcatheter aortic valve implantation for people with iron deficiency
This trial will test whether an intravenous iron infusion after TAVI helps people aged 65 and older with severe aortic stenosis and iron deficiency feel better and walk farther.
-
Cardiac and fetal health in pregnancy at high altitude
This observational study tests how living at high altitude affects heart function and fetal growth in pregnant women, compared with similar pregnancies at sea level.
-
Investigating cardiovascular risks in women after complicated pregnancies
This study looks at how having high blood pressure during pregnancy might affect women's heart health later on and whether certain blood tests can help predict their risk for heart problems.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.