Rhesus conflict between mother and fetus is due to the different antigenic composition of erythrocytes. During the first pregnancy, sensitization of the mother to fetal erythrocytes rhesus D (RhD) antigens is formed. During the next pregnancy, fetal red blood cells are attacked by the mother's antibodies, and fetal/newborn hemolytic disease develops. The drug Rhesoglobin blocks the interaction of the fetal erythrocytes RhD antigen and the immune system of the mother and prevents the development of Rhesus sensitization.
The screening stage The pregnant woman (participant) has to sign an informed consent. After the signed informed consent procedure, the patient is assessed for meeting the inclusion and non-inclusion (exclusion) criteria. Patients who were included in the study are assessed according to additional criteria for inclusion in the "Pharmacokinetics" subgroup. The clinical stage According to the study protocol, patients receive two prophylactic doses of the study drug at a dose of 300 mcg - at 28 weeks of gestation and within 72 hours after delivery. Patients receive the second dose only in the case of the birth of an Rh-positive child. Before and after each injection of the drug, blood will be taken to control the level of anti-Rh0 (D) antibodies. In the "Pharmacokinetics" subgroup, additional blood samples will be taken to determine the following pharmacokinetic parameters: * Serum clearance * Volume of distribution * AUC (area under curve) * Т1/2 (α and β) (half-life time) * Cmax (maximum/peak serum concentration) * Tmax (time to reach the maximum serum concentration) * Kel (elimination rate constant) The final stage The patient should be monitored for 6 months ± 5 days, after the last injection of the drug, blood samples are taken after 3 and 6 months to assess sensitization to the Rh antigen.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
281
prevention of Rh-sensitization in pregnant women in the antenatal and postnatal period in routine clinical practice. The study drug is administered twice at a dose of 300 mcg - at 28 weeks of gestation and within 72 hours after delivery.
Municipal non-profit enterprise "Cherkasy Regional Hospital of Cherkasy Regional Council"
Cherkasy, Cherkasy Oblast, Ukraine
NOT_YET_RECRUITINGMunicipal non-profit enterprise "Maternity hospital" of the Chernihiv city council
Chernihiv, Ukraine
NOT_YET_RECRUITINGMunicipal non-profit enterprise "Chernivtsi Regional Perinatal Center"
Chernivtsi, Ukraine
RECRUITINGMunicipal enterprise "Dnipropetrovsk Regional Perinatal Center (DRPC) with a hospital" of the Dnipropetrovsk Regional Council
Dnipro, Ukraine
NOT_YET_RECRUITINGMunicipal non-profit enterprise "Ivano-Frankivsk Regional Perinatal Center Ivano-Frankivsk Regional Council"
Ivano-Frankivsk, Ukraine
RECRUITINGMunicipal non-profit enterprise "Khmelnytsky Regional Hospital" of the Khmelnytsky Regional Council
Khmelnytskyi, Ukraine
RECRUITINGMunicipal non-profit enterprise "Kirovohrad Regional Hospital of the Kirovohrad Regional Council"
Kropyvnytskyi, Ukraine
RECRUITINGState Institution "Institute of Pediatrics, Obstetrics and Gynecology named after academician O.M. Lukyanova National Academy of Medical Sciences of Ukraine "
Kyiv, Ukraine
RECRUITINGKyiv City Center for Reproductive and Perinatal Medicine
Kyiv, Ukraine
RECRUITINGMunicipal enterprise "Volyn Regional Territorial Medical Association for the Protection of Motherhood and Childhood" Volyn Regional Council
Lutsk, Ukraine
RECRUITING...and 6 more locations
The part of patients with no antibodies to Rh0 (D) antigen
The proportion of patients with no antibodies to Rh0 (D) antigen 6 months after the last administration of the drug
Time frame: 6 months after the last administration of the drug
Titer of anti-Rh0 (D) antibodies
Titer of anti-Rh0 (D) antibodies 3 months after delivery
Time frame: 3 months after delivery
Titer of anti-Rh0 (D) antibodies
Titer of anti-Rh0 (D) antibodies 6 months after delivery
Time frame: 6 months after delivery
The part of patients with no antibodies to Rh0 (D) antigen 3 months after delivery
Proportion of patients with no antibodies to Rh0 (D) antigen 3 months after the last administration of the drug
Time frame: 3 months after the last administration of the drug
Proportion of patients who developed adverse events and reactions (AE / AR)
Proportion of patients who developed adverse events and reactions (AE / AR) associated with the administration of the drug, stratified by severity
Time frame: 9 months from the first administration of the drug
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