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Preeclampsia (PE)Phase 2STATIN-PRENCT07098975

Statin Intervention for Severe Early-Onset Placental Insufficiency. (STATIN-PRE Trial)

A Phase 2 study testing Pravastatin 40 mg in people with Preeclampsia (PE) and Intrauterine Growth Restriction (IUGR), run by Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau at 2 sites in Spain.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

In pregnancies with placental insufficiency, the only available treatment is close monitoring to determine the point at which the risks of preterm birth for the baby are lower than the risks of continuing the pregnancy. Therefore, safely prolonging pregnancy is the current management goal for this condition. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Pravastatin 40 mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
154 participants
Where
2 sitesSpain
Study dates
14 Jan 2026to Jul 2028
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Singleton fetus.
  • Between 24+0 to 29+6 weeks of gestation at the inclusion.
  • Early-onset severe PE: women with a diagnosis of severe-preterm PE who are candidates for expectant management and have no clinical indication for immediate delivery, based on the clinical assessments of the attending doctors.
  • And/or
  • IUGR: Diagnosis of early onset IUGR according to the SMFM classification with umbilical artery Doppler with absent/reversed diastolic flow; or estimated fetal weight <10th percentile plus pulsatility index (PI) of umbilical artery Doppler >95th percentil.
  • Able to give informed consent.

Who cannot join

  • Established maternal or fetal compromise that necessitated immediate delivery
  • Abnormal karyotype, structural abnormalities, or congenital infections.
  • Treatment with pravastatin or other statins prior to inclusion.
  • Lactose intolerance

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Elisa Llurba Olivé, Doctor contact

+34 93 553 70 48/ 93 553 70 41

ellurba@santpau.cat

Spain2 sites, 2 recruiting
  • Hospital de la Santa Creu i de Sant Pau

    Barcelona, Barcelona, 08025

    Elisa Llurba Olivé, Doctor, +34 687743699, ellurba@santpau.cat

    Recruiting
  • Hospital Clínic de Barcelona

    Barcelona, Barcelona

    Not yet recruiting

Other trials in Spain

About this study

Official title: Statin Intervention for Severe Early-Onset Placental Insufficiency: A Randomized Controlled Trial Assessing Daily Administration as a Treatment Strategy (STATIN-PRE Trial)

In pregnancies with placental insufficiency, the only available treatment is close monitoring to determine the point at which the risks of preterm birth for the baby are lower than the risks of continuing the pregnancy. Therefore, safely prolonging pregnancy is the current management goal for this condition.

Statins, such as pravastatin, are approved and marketed drugs used to prevent cardiovascular disease. Recent studies suggest that statins may help treat pregnancy complications and prolong pregnancy, thereby avoiding extreme prematurity and improving long-term health outcomes for both mother and baby.

Read more

Previous clinical trials have shown the ability of statins to stabilize angiogenic factors, thus reducing obstetric complications associated with placental insufficiency. In 2015, a study reported that pravastatin was effective in stabilizing blood pressure and reducing proteinuria associated with preeclampsia. More recently, in 2020, it was demonstrated that in pregnant women with fetal growth restriction treated with pravastatin, the sFlt-1/PlGF ratio was lower than in untreated women, indicating a slower progression of placental insufficiency.

This study proposes administering a daily dose of 40 mg of pravastatin between 24 and 29.6 weeks of gestation to mothers diagnosed with preeclampsia and/or fetal growth restriction. One group of women will receive the medication, while another group will receive a visually identical but inactive pill (a placebo), allowing us to determine whether any observed improvement in pregnancy is attributable to the medication. Assignment to the treatment or placebo group will be random, and neither the mothers nor the healthcare professionals caring for them will know which group they are in.

The investigators also aim to examine whether this intervention during pregnancy protects the cardiovascular system. For this reason, the investigators will assess the mother six months after birth using an ultrasound of the heart and blood vessels, and the investigators will also perform a blood test on the mothers. Additionally, the investigators want to explore the needs and expectations of women who experience these complications during pregnancy and postpartum, so that their stories can guide us in finding answers and solutions that are as personalized as possible to the real needs of families. After the visit at six months postpartum, the investigators will follow up with annual phone calls over the next four years to check on the participants' health and their baby's. During each call, the investigators will review the participant's health status and talk about how the participant is feeling. All of this will help us ensure that the treatment does not cause any long-term issues and will improve future care for other mothers and babies.

A total of 154 pregnant women are expected to be included in order to meet the study's objectives.

Read the detailed description

Preeclampsia (PE) and intrauterine growth restriction (IUGR) arise as clinical manifestations of placental insufficiency. While significant strides have been made in the prevention of PE over the past decade, resulting in a noteworthy decline in its prevalence, both PE and IUGR persist as prominent contributors to peripartum morbidity, major causes of prematurity, and sources of neonatal complications and mortality. In severe instances of PE, the potential for serious complications extends throughout pregnancy and the postpartum period, and both entities have implications on long-term maternal and children cardiovascular risks in later life.

Despite the efforts to generate successful therapeutic strategies aimed to prolong pregnancy and attenuate prematurity-related morbidity, presently, the only effective cure is timely delivery, and pharmacological therapy aims to mitigate tertiary complications such as eclampsia or severe hypertension. PE and IUGR are considered orphan diseases by the European Medicines Agency. Therefore, there is an urgent need to investigate novel drugs aimed to improve maternal and neonatal outcomes and mitigate long term sequels. Between 24 and 28 weeks of pregnancy, every day of prolongation of the pregnancy is followed by a 1-2% reduction of neonatal mortality or severe morbidity.

HMG-CoA reductase inhibitors (HMG-CoA-RI), beyond their lipid-lowering effects, have been shown to improve endothelial function, placental perfusion, have anti-inflammatory and anti-oxidant effects, and up-regulation of angiogenesis with their "pleiotropic effects". These HMG-CoA-RI related beneficial properties suggest their potential protective potential during the acute phase of placental insufficiency and subsequent protection on cardiovascular maternal and fetal programming.

It is our WORKING HYPOTHESIS that 40 mgr of oral administration of pravastatin daily will prolong duration of pregnancy and will provide cardioprotection and additional benefits to both mother and neonates to that afforded by conventional management of PE and IUGR.

FIRST AIM: To assess that daily 40 mgr of oral administration of pravastatin in pregnant individuals with PE and/or IUGR between 24.0 and 29.6 weeks of gestation will prolong duration of pregnancy compared to conventional management.

SECOND AIM: Determine whether pravastatin improve cardiac function, placental perfusion, angiogenesis, total antioxidant status (TAS) and lipid profile during pregnancy and after pregnancy in mothers in the intervention group compared to controls.

THIRD AIM: To evaluate changes in genetic expression profile in human tissues after treatment with novel statins' therapy.

FOURTH AIM: To include women's needs and expectations about PE, IUGR and preterm birth and future health in order to improve the success of the translation into real changes in women and infant health.

Being tested
Pravastatin 40 mg, Placebo
Keywords
Preeclampsia, Intrauterine growth restriction, Placental Insufficiency, statins, Pravastatin
Medical subject headings
Pre-Eclampsia, Fetal Growth Retardation, Placental Insufficiency

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pravastatin 40 mgDrug

    This study proposes administering a daily dose of 40 mg of pravastatin between 24 and 29.6 weeks of gestation to mothers diagnosed with preeclampsia and/or fetal growth restriction.

  • PlaceboOther

    A visually identical but inactive pill (a placebo),

Study groups in NCT07098975
Study groupRoleWhat they receive
40mg of pravastatinExperimental40 mg of pravastatin (2 pills of 20 mg at bedtime) from inclusion to delivery (estimated median of 4 weeks, maximum of 10 weeks).
Receives: Drug: Pravastatin 40 mg
PlaceboPlacebo comparatorplacebo of the same presentation as the active drug from inclusion to delivery (estimated median of 4 weeks, maximum of 10 weeks).
Receives: Other: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Days of prolongation of pregnancy between inclusion and delivery.

    Measured: From date of randomization until the date of delivery, assesed up to 10 weeks

Secondary outcomes (14)
  1. Maternal pregnancy-related morbidity composite score

    Including any of the following:

    (i) HELLP syndrome .(ii)Central nervous system dysfunction (iii)Hepatic dysfunction (iv) renal dysfunction . (v)Respiratory dysfunction. (vi)Cardiovascular dysfunction. (vii) Placental abruption. (viii) a requirement for transfusion of blood products red cells, platelets, fresh frozen plasma and cryoprecipitate. Minimum score of 0, maximum score of 8. Higher scores mean worse outcome.

    Measured: At delivery

  2. Preterm birth before 34 weeks of gestation

    Measured: At delivery

  3. Birth weight

    Measured: At delivery

  4. Neonatal acidosis

    arterial pH <7.10+ base excess >12 mEq/L

    Measured: At delivery

  5. Perinatal mortality

    Measured: from 22 weeks of gestation to 28 days post-partum

  6. Days in the neonatal intensive care

    Measured: From date of delivery until the date of discharge of the neonatal intensive care or date of death from any cause, whichever came first, assessed up to 3 months

  7. Neonatal morbidity

    Measured: At delivery

  8. Maternal cardiac function

    In the echocardiographic ultrasound assessment at inclusion, at delivery and at 6 months after delivery

    Measured: at inclusion, at delivery and at 6 months after delivery

  9. Biomarkers in maternal blood

    soluble fms-like tyrosine kinase 1 (sFlt1) and placental growth factor (PlGF); NTProBNP, continuous (pg/mL)

    Measured: at the time of diagnosis and delivery

  10. Biomarkers in umbilical cord blood

    sFlt1, PlGF and NTProBNP

    Measured: At delivery

  11. Concentrations in plasma/serum

    of dense low density lipoprotein (dense LDL), apolipoprotein CIII (apoCIII), and TAS

    Measured: Since inlcusion until 6 months after delivery

  12. Increased cardiovascular risk by blood preassure measurement, echocardiographic assessment, global longitudinal strain, carotid-ntima-media thickness, Ophtalmic artery Doppler evaluation, IBERLIFERISK score.

    Defined by any of the following (binary(yes/no): (1)Presence of hypertension, defined as stage 1 hypertension (SBP of 130-139 or DBP of 80-89 mmHg) and/or (2)Proteinuria>300 mg/24 hours or renal insufficiency and/or (3)High-risk CVD according to IBERLIFERISK score (score >50%) and/or (4) IMT >p90 according to the Spanish population (5) Abnormal cardiac function in the echocardiographic ultrasound assessment. Abnormal values of the different parameters will be considered according to reference limits in pregnancy and post-partum published in 2023 by the British Society of Echocardiography and/or (6) Abnormal biochemical cardiac markers (NTproBNP, high-sensitivity troponin) and/or (7) Cardiovascular major events (ictus, coronary artery disease, cardiac insufficiency or myocardiopathy).

    Measured: 6 months after delivery

  13. Cardiovascular algorithms and cloud-based analysis and decision support system

    Initially, we will aggregate patient data from diverse sources like electronic health records, medical imaging, biochemical and lipid results forming a comprehensive patient profile. This data undergoes feature extraction and preprocessing to identify relevant parameters and ensure consistency.

    We will develop an algorithm, incorporating machine learning techniques. This algorithm will be of use to predict cardiovascular risks in women after a placental complication. The computational demands are met through the utilization of cloud infrastructure, providing secure storage and real-time processing capabilities. The results generated by this algorithm will be integrated into user-friendly interfaces, forming a decision support system for healthcare professionals. This assists them in making well-informed decisions regarding patient care, treatment plans, and interventions.

    Measured: Through study completion, an avarage of 4 years

  14. mRNAs in trophoblast

    Gene expression of: IL-6, IFN-γ, TNF-α, VEGFA, VEGFB, FGF2, and RQVEGF Receptor1

    Measured: At delivery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Aug 2025
  2. Study start14 Jan 2026
  3. Primary completionNov 2027 (estimated)
  4. Study completionJul 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
INCLUSION CRITERIA: * Singleton fetus. * Between 24+0 to 29+6 weeks of gestation at the inclusion. * Early-onset severe PE: women with a diagnosis of severe-preterm PE who are candidates for expectant management and have no clinical indication for immediate delivery, based on the clinical assessments of the attending doctors. And/or * IUGR: Diagnosis of early onset IUGR according to the SMFM classification with umbilical artery Doppler with absent/reversed diastolic flow; or estimated fetal weight \<10th percentile plus pulsatility index (PI) of umbilical artery Doppler \>95th percentil. * Able to give informed consent. EXCLUSION CRITERIA: * Established maternal or fetal compromise that necessitated immediate delivery * Abnormal karyotype, structural abnormalities, or congenital infections. * Treatment with pravastatin or other statins prior to inclusion
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
154 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07098975
Sponsor's protocol ID
IIBSP-PRE-2024-198
Acronym
STATIN-PRE
Status last verified
Oct 2026
First submitted
14 Jul 2025
Last updated
16 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Aligned with open science principles and Horizon Europe guidelines, our project prioritizes transparency and reproducibility. Data will be openly shared on the Open Science Framework (OSF), guided by FAIT principles for accessibility and reusability. Biobanked samples will be accessible to other researchers, fostering collaboration and further exploration.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Pravastatin 40 mg in people with Preeclampsia (PE) and Intrauterine Growth Restriction (IUGR), run by Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau at 2 sites in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 16 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Elisa Llurba Olivé, Doctor (+34 93 553 70 48/ 93 553 70 41, ellurba@santpau.cat), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Days of prolongation of pregnancy between inclusion and delivery. (time frame: From date of randomization until the date of delivery, assesed up to 10 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Oct 2026.

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