Clinical trial Recruiting at 1 site Observational Ages 18 to 50 Women only

Preeclampsia Biomarker Test in African Women

Official title: PROgnostic Testing to Enhance Clinical Triage of Preeclampsia in Africa (PROTECT-Africa): Biomarker Validation for Timely Intervention in Hypertensive Disorders of Pregnancy

Run by Africa Clinical Research Network (ACRN) · NCT07810439 · Data updated 2026-11-12

This study tests whether measuring the sFlt-1/PlGF ratio using quick clinic tests helps predict which pregnant women in Africa will develop severe preeclampsia.

More Pre-Eclampsia trials

Quick facts

Study typeObservational
Ages18 Years to 50 Years
SexWomen only
Enrollment1106 (estimated)
SponsorAfrica Clinical Research Network (ACRN)
Research network
Locations1 site (Harare, Harare)
StatusRecruiting
StartedFebruary 5, 2026
Main results expectedFebruary 28, 2027
Study endsFebruary 28, 2027
Registry record updatedSeptember 9, 2026
Trial IDNCT07810439 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Pregnant women between 23+0 and 36+6 weeks gestation with suspected preeclampsia in an African clinical setting.

Probably not a fit

Those without rising risk of preeclampsia or non-predictive biomarker results may not see a direct benefit.

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 evaluates angiogenic biomarkers for predicting progression to severe preeclampsia in African pregnant women. It uses two parts: first to establish threshold levels on a Roche Elecsys platform with derivation and validation cohorts, then to compare rapid point-of-care tests against these thresholds in the same participants. The research seeks population-specific cutoffs due to differences in baseline profiles and comorbidities. Stored samples may be used for additional platforms as they become available. The study is led by the Africa Clinical Research Network with a site in Harare, Zimbabwe.

Why it matters

Potential benefit: If successful, clinicians could better triage high-risk pregnancies and allocate resources to those most likely to develop severe preeclampsia.

How similar studies have gone: Biomarker-based triage has shown promise in other regions, but this study tests performance specifically in African populations.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Gestational age between 23 weeks 0 days and 36 weeks 6 days, established by ultrasound performed at 22 weeks of gestation or earlier Singleton pregnancy Suspicion of a clinical diagnosis of preeclampsia based on one or more of the following: new onset of elevated blood pressure (systolic ≥130 mmHg or diastolic ≥80 mmHg); aggravation of pre-existing hypertension; new onset of protein in urine; aggravation of pre-existing proteinuria; or one or more other reasons for clinical suspicion of preeclampsia Other reasons for clinical suspicion include preeclampsia-related symptoms (epigastric pain, excessive oedema or severe swelling of the face, hands or feet, headache, visual disturbances, or sudden weight gain greater than 1 kg per week in the third trimester) or preeclampsia-related findings (low platelets, elevated liver transaminases, suspected intrauterine growth restriction, or abnormal uterine perfusion on Doppler sonography with mean pulsatility index above the 95th percentile in the second trimester and/or bilateral uterine artery notching, where available) Not currently enrolled in any other study or receiving an investigational medicinal product Able to provide informed consent

Exclusion Criteria:

* Multiple pregnancy (for example twins or triplets) Proteinuria 2+ or greater on dipstick AND elevated blood pressure (systolic ≥140 mmHg and/or diastolic ≥90 mmHg, reproducible on two occasions) Proteinuria 2+ or greater on dipstick and current antihypertensive treatment Confirmed diagnosis of HELLP syndrome No verified or documented ultrasound scan performed prior to 22 weeks of gestation to establish gestational age

Where it's running

  • Mutala Trust
    Harare, Harare, Zimbabwe
    Recruiting

Study contacts

Similar studies

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

  • 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.

    Recruiting Phase 3 Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA) · Amsterdam · NCT06452498

  • 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.

    Recruiting at 6 sites Copenhagen University Hospital, Hvidovre · Copenhagen and 5 other locations · NCT07263490

  • 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.

    Recruiting Phase 4 University of Pittsburgh · Pittsburgh, Pennsylvania · NCT06281665

  • Community health worker support to lower blood pressure after pregnancy with high blood pressure

    Postpartum patients with high blood pressure after pregnancy will try a program where a trained community health worker helps them monitor blood pressure and manage care for 6 months to see if it lowers blood pressure compared with usual care.

    Recruiting University of Alabama at Birmingham · Birmingham, Alabama · NCT07778966

  • Kidney and heart prevention program after preeclampsia

    This program will see if follow-up care plus a biobank can help identify and manage long-term kidney and heart risks for women who had preeclampsia, HELLP, eclampsia, or pregnancy-related kidney disease.

    Recruiting University Hospital Schleswig-Holstein · Kiel · NCT07151339

  • Registry for women with preeclampsia and related conditions

    This study is collecting health information from women with preeclampsia and related conditions to help researchers learn more about the causes and find better treatments for this serious pregnancy issue.

    Recruiting Preeclampsia Foundation · Melbourne, Florida · NCT06377878

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.