Postpartum Furosemide for Better Blood Pressure After Severe Preeclampsia
Official title: Efficacy of Postpartum Furosemide in Patients With Severe Preeclampsia: A Randomized Controlled Trial
Run by Lady Reading Hospital, Pakistan · NCT07861685 · Data updated 2026-11-12
This trial tests whether adding a 5-day course of oral furosemide after delivery helps more women keep their blood pressure under control compared with placebo.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 45 Years |
| Sex | Women only |
| Enrollment | 434 (estimated) |
| Sponsor | Lady Reading Hospital, Pakistan Government |
| Locations | 1 site (Peshawar, Khyber Pakhtunkhwa) |
| Status | Recruiting |
| Started | October 1, 2026 |
| Main results expected | March 15, 2027 |
| Study ends | May 25, 2027 |
| Registry record updated | October 6, 2026 |
| Trial ID | NCT07861685 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are women aged 18-45 with severe preeclampsia after delivery who are eligible per the inclusion/exclusion criteria.
✕Probably not a fit
Patients with significant renal dysfunction, electrolyte abnormalities, or conditions increasing risk from diuretics may not benefit or could be harmed.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
In this randomized, double-blind study, women with severe preeclampsia after delivery receive either furosemide 20 mg daily for 5 days or a placebo, in addition to standard postpartum blood pressure treatment. The trial monitors blood pressure, symptoms, adverse events, and need for additional antihypertensives for 7 days postpartum. Primary success is achieving two BP readings below 140/90 mmHg at least 48 hours apart without severe hypertension or increased antihypertensive needs through day 7. The study is conducted at Lady Reading Hospital in Peshawar, enrolling 434 participants (217 per arm). Patients are closely tracked to assess safety and efficacy of this add-on therapy.
Why it matters
Potential benefit: If successful, this approach could improve postpartum blood pressure control and reduce complications associated with severe preeclampsia.
How similar studies have gone: Previous studies on postpartum diuretic use for BP control have shown mixed results; this trial addresses a high-need area with a rigorous design.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Women aged 18 to 45 years * Any parity * Gestational age \>28 weeks based on LMP * Severe preeclampsia as per the study operational definition Exclusion Criteria: History of underlying cardiac disease during pregnancy or postpartum * Pre-existing renal dysfunction or serum creatinine \>1.2 mg/dL on medical record * Significant hypokalemia (K \<3 mEq/L) before enrollment * Known rheumatologic disease or advanced diabetes * History of allergy to furosemide or prior use of diuretics before randomization * History of thyroid disorders or other medical illnesses that may interfere with blood pressure management
Where it's running
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Lady Reading Hospital
Peshawar, Khyber Pakhtunkhwa, Pakistan Recruiting
Study contacts
- Principal investigator: Dr Qandil Sattar — Lady Reading Hospital Peshawar
- Study coordinator: Dr Qandil Sattar, MBBS
- Email: qantil.sattar@lrh.edu.pk
- Phone: +923436144247
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Postpartum Preeclampsia Care Using Point-of-Care Ultrasound and Diuretics
The study tests whether using bedside ultrasound to guide diuretic therapy can improve outcomes for adults with preeclampsia after delivery.
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Aspirin with or without low‑molecular‑weight heparin to prevent preeclampsia in high‑risk pregnancy
This trial tests whether adding low‑molecular‑weight heparin (tinzaparin) to low‑dose aspirin reduces the chance of preeclampsia in pregnant people identified as high risk in the first trimester.
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.