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.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 50 Years |
| Sex | Women only |
| Enrollment | 1106 (estimated) |
| Sponsor | Africa Clinical Research Network (ACRN) Research network |
| Locations | 1 site (Harare, Harare) |
| Status | Recruiting |
| Started | February 5, 2026 |
| Main results expected | February 28, 2027 |
| Study ends | February 28, 2027 |
| Registry record updated | September 9, 2026 |
| Trial ID | NCT07810439 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
- Study coordinator: Tariro Makadzange
- Email: tariro.makadzange@acrnhealth.com
- Phone: +18572008374
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Use of metformin to prolong pregnancy in preterm preeclampsia in the Netherlands
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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.
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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.
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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.
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.