Placental insufficiency
diseaseOn this page
Also known as insufficiency, placentaluteroplacental vascular insufficiency
Summary
Placental insufficiency (MONDO:0005919) is a disease and 19 clinical trials. Top therapeutic interventions include aspirin and pravastatin. A subtype of placenta disorder — broader associated-gene and molecular evidence is on the parent page (see Disease family below).
At a glance
- Prevalence: 1-5 / 10 000 (Worldwide) [Orphanet-validated]
- Phenotypes (HPO): 20
- Clinical trials: 19
Clinical features
Epidemiology
Prevalence records
1 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Point prevalence | 1-5 / 10 000 | 33 | Worldwide | Validated |
Signs & symptoms
Clinical features (HPO)
20 HPO clinical features (Orphanet curated; top 20 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0100767 | Abnormality of the placenta | Obligate (100%) |
| HP:0001511 | Intrauterine growth retardation | Very frequent (80-99%) |
| HP:0001518 | Small for gestational age | Very frequent (80-99%) |
| HP:0003508 | Proportionate short stature | Very frequent (80-99%) |
| HP:0006266 | Small placenta | Very frequent (80-99%) |
| HP:0011403 | Abnormal umbilical cord blood vessels | Very frequent (80-99%) |
| HP:0012418 | Hypoxemia | Very frequent (80-99%) |
| HP:0000717 | Autism | Frequent (30-79%) |
| HP:0000729 | Autistic behavior | Frequent (30-79%) |
| HP:0002725 | Systemic lupus erythematosus | Frequent (30-79%) |
| HP:0003613 | Antiphospholipid antibody positivity | Frequent (30-79%) |
| HP:0012759 | Neurodevelopmental abnormality | Frequent (30-79%) |
| HP:0000855 | Insulin resistance | Occasional (5-29%) |
| HP:0001627 | Abnormal heart morphology | Occasional (5-29%) |
| HP:0002088 | Abnormal lung morphology | Occasional (5-29%) |
| HP:0005268 | Spontaneous abortion | Occasional (5-29%) |
| HP:0008071 | Maternal hypertension | Occasional (5-29%) |
| HP:0100021 | Cerebral palsy | Occasional (5-29%) |
| HP:0100601 | Eclampsia | Occasional (5-29%) |
| HP:0100602 | Preeclampsia | Occasional (5-29%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | placental insufficiency |
| Mondo ID | MONDO:0005919 |
| EFO | EFO:0007443 |
| MeSH | D010927 |
| Orphanet | 439167 |
| DOID | DOID:3891 |
| SNOMED CT | 237292005 |
| UMLS | C0032051 |
| MedGen | 45942 |
| GARD | 0021823 |
| Is cancer (heuristic) | no |
Also known as: insufficiency, placental · uteroplacental vascular insufficiency
Disease family
This is a subtype of placenta disorder. Genetic, therapeutic, and trial evidence is largely curated at the broader-term level — see the parent page for the associated-gene cohort and molecular evidence.
Classification path: disease › human disease › disease by body system or component › reproductive system disorder › female reproductive system disorder › uterine disorder › placenta disorder › placental insufficiency
Related subtypes (7): placental abruption, fetal growth restriction, oligohydramnios, placenta accreta, placenta praevia, placenta neoplasm, disorder of extraembryonic membrane
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
No tiered GWAS variants or ClinVar records for this disease.
Genes & proteins
No associated-gene cohort resolved for this disease. Atlas builds the molecular and therapeutic sections — associated genes, protein families, druggability, pathways, interactions, and drug associations — by aggregating over a disease’s associated genes (resolved via GWAS / GenCC / ClinVar / CIViC), and none resolved here. This is expected for antibody-mediated, autoimmune, or otherwise non-gene-defined conditions; the curated evidence for this disease is its clinical features, GWAS susceptibility, and clinical trials (above).
Function
No pathway enrichment — requires an associated-gene cohort.
Therapeutics
Drugs indicated for this disease
No approved or late-stage (phase ≥3) drug is indicated for this disease; the following are in earlier-phase trials only.
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Aspirin.
Clinical trials & evidence
Clinical trials
Clinical trials: 19.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 14 |
| PHASE4 | 2 |
| PHASE2 | 2 |
| PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01352234 | PHASE4 | COMPLETED | Comparison of Doses of Acetylsalicylic Acid in Women With Previous History of Preeclampsia |
| NCT03528967 | PHASE4 | COMPLETED | Enoxaparin in the Prevention of Placental Insufficiency in Pregnant Women |
| NCT01388322 | PHASE3 | COMPLETED | Low Weight Heparin prOphylaxis for Placental-Mediated Complications of PrEgnancy |
| NCT07098975 | PHASE2 | RECRUITING | Statin Intervention for Severe Early-Onset Placental Insufficiency. (STATIN-PRE Trial) |
| NCT01616615 | PHASE2 | COMPLETED | Aspirin for the Enhancement of Trophoblastic Invasion in Women With Abnormal Uterine Artery Doppler at 11-14 Weeks of Gestation |
| NCT05423665 | Not specified | RECRUITING | Speckle Tracking Echocardiography as a Tool for Early Diagnosis of Impaired Fetal Growth Twin Pregnancies |
| NCT06339606 | Not specified | NOT_YET_RECRUITING | Pregnancy Repository |
| NCT06861309 | Not specified | RECRUITING | Placental Imaging Techniques |
| NCT07144839 | Not specified | RECRUITING | Placental Risk Assessment to CusTomize Individualized Pregnancy Care and Evaluation |
| NCT00465634 | Not specified | COMPLETED | Doppler and Biological Second Trimester Placental Insufficiency Screening |
| NCT00930397 | Not specified | COMPLETED | Observational Study in UTERO - Placental 3D Doppler Examination: Interest for Pre-eclampsia Screening During Pregnancy |
| NCT01092949 | Not specified | COMPLETED | Reference Ranges for Placental Perfusion Using Magnetic Resonance Imaging (MRI)PLACENTIMAGE |
| NCT01736826 | Not specified | COMPLETED | Free DNA and Nucleosome Concentrations in Pathological Pregnancies |
| NCT02971566 | Not specified | COMPLETED | Splanchnic Oxygenation Response to Enteral Feeds in Preterm Infants With Abnormal Antenatal Doppler. |
| NCT03100084 | Not specified | UNKNOWN | PREdelivery Placental Biomarkers- Pregnancy and Delivery Outcome |
| NCT03731546 | Not specified | COMPLETED | Effect of Delayed Cord Clamping in Preterm Neonates With Placental Insufficiency |
| NCT03731611 | Not specified | COMPLETED | Impact of Umbilical Cord Milking in Preterm Neonates With Placental Insufficiency |
| NCT05381272 | Not specified | UNKNOWN | Impact of Early and Severe Fetal Growth Restriction on Neurodevelopmental Outcomes in Preterm Infants |
| NCT06039319 | Not specified | COMPLETED | Acute Effects of Maternal Exercise and the Growth Restricted Pregnancy |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| ASPIRIN | 4 | 2 |
| PRAVASTATIN | 4 | 1 |
Related Atlas pages
- Drugs: Aspirin, Pravastatin