Trial Outcomes & Findings for A Randomized Trial Comparing the Impact of One Versus Two Courses of Antenatal Steroids (ACS) on Neonatal Outcome (NCT NCT00201643)

NCT ID: NCT00201643

Last Updated: 2015-01-07

Results Overview

This outcome measured the total number of neonates with Composite Neonatal morbidity who delivered at \< 34 weeks gestation. Composite Morbidity consisted of respiratory distress syndrome, bronchopulmonary dysplasia, severe intraventricular hemorrhage, periventricular leukomalacia, proven sepsis, necrotizing enterocolitis, or perinatal death

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

437 participants

Primary outcome timeframe

From birth to 28 days of life

Results posted on

2015-01-07

Participant Flow

Pregnant women were recruited at 18 private (15) and university (3) medical centers from May 2003 through February 2008.

no washout, run-in or transition events occurred between enrollment and group assignment.

Participant milestones

Participant milestones
Measure
"Rescue" Course of Betamethasone or Dexamethasone
Receive 2nd "Rescue" Course = Study drug (betamethasone or dexamethasone. If Dexamethasone, administered 6 mg IM q 12 hours x 4 doses total. If Betamethasone was used, 2 doses of 12 mg of betamethasone was given intramuscularly (IM) 24 hours apart.
Placebo (Normal Saline)
Placebo consisted of quantity sufficient of Normal Saline with preservatives, Benzylalcohol and Benzylbenzoate. The research subject received 2 doses of pharmacy prepared placebo (2ml normal saline)to conceal administration of dexamethasone or if to conceal betamethasone, 2 doses of Placebo (2ml normal saline) given IM 24 hours apart.
Overall Study
STARTED
223
214
Overall Study
COMPLETED
218
210
Overall Study
NOT COMPLETED
5
4

Reasons for withdrawal

Reasons for withdrawal
Measure
"Rescue" Course of Betamethasone or Dexamethasone
Receive 2nd "Rescue" Course = Study drug (betamethasone or dexamethasone. If Dexamethasone, administered 6 mg IM q 12 hours x 4 doses total. If Betamethasone was used, 2 doses of 12 mg of betamethasone was given intramuscularly (IM) 24 hours apart.
Placebo (Normal Saline)
Placebo consisted of quantity sufficient of Normal Saline with preservatives, Benzylalcohol and Benzylbenzoate. The research subject received 2 doses of pharmacy prepared placebo (2ml normal saline)to conceal administration of dexamethasone or if to conceal betamethasone, 2 doses of Placebo (2ml normal saline) given IM 24 hours apart.
Overall Study
Withdrawal by Subject
5
4

Baseline Characteristics

A Randomized Trial Comparing the Impact of One Versus Two Courses of Antenatal Steroids (ACS) on Neonatal Outcome

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
"Rescue" Course of Betamethasone or Dexamethasone
n=223 Participants
Receive 2nd "Rescue" Course = Study drug (betamethasone or dexamethasone. If Dexamethasone, administered 6 mg IM q 12 hours x 4 doses total. If Betamethasone was used, 2 doses of 12 mg of betamethasone was given intramuscularly (IM) 24 hours apart.
Placebo (Normal Saline)
n=214 Participants
Placebo consisted of quantity sufficient of Normal Saline with preservatives, Benzylalcohol and Benzylbenzoate. The research subject received 2 doses of pharmacy prepared placebo (2ml normal saline)to conceal administration of dexamethasone or if to conceal betamethasone, 2 doses of Placebo (2ml normal saline) given IM 24 hours apart.
Total
n=437 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
223 Participants
n=5 Participants
214 Participants
n=7 Participants
437 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
29 years
STANDARD_DEVIATION 6 • n=5 Participants
29 years
STANDARD_DEVIATION 6 • n=7 Participants
29 years
STANDARD_DEVIATION 6 • n=5 Participants
Sex: Female, Male
Female
223 Participants
n=5 Participants
214 Participants
n=7 Participants
437 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
223 participants
n=5 Participants
214 participants
n=7 Participants
437 participants
n=5 Participants

PRIMARY outcome

Timeframe: From birth to 28 days of life

Population: This was an intent to treat protocol. In patients delivering before 34 weeks we estimated that the sample size of at least 217 subjects in each arm would be needed to have 80% power to detect a 40% reduction in neonatal morbidity (to 16.8%).

This outcome measured the total number of neonates with Composite Neonatal morbidity who delivered at \< 34 weeks gestation. Composite Morbidity consisted of respiratory distress syndrome, bronchopulmonary dysplasia, severe intraventricular hemorrhage, periventricular leukomalacia, proven sepsis, necrotizing enterocolitis, or perinatal death

Outcome measures

Outcome measures
Measure
"Rescue" Course of Betamethasone or Dexamethasone
n=163 Participants
Receive 2nd "Rescue" Course = Study drug (betamethasone or dexamethasone. If Dexamethasone, administered 6 mg IM q 12 hours x 4 doses total. If Betamethasone was used, 2 doses of 12 mg of betamethasone was given intramuscularly (IM) 24 hours apart.
Placebo (Normal Saline)
n=165 Participants
Placebo consisted of quantity sufficient of Normal Saline with preservatives, Benzylalcohol and Benzylbenzoate. The research subject received 2 doses of pharmacy prepared placebo (2ml normal saline)to conceal administration of dexamethasone or if to conceal betamethasone, 2 doses of Placebo (2ml normal saline) given IM 24 hours apart.
Composite Neonatal Morbidity < 34 Weeks Gestation at Time of Birth.
71 participants
105 participants

SECONDARY outcome

Timeframe: gestational age at delivery in weeks of gestation

Population: Modified intent to treat

Reported the average/mean Neonatal gestational age (GA) (reported in weeks of pregnancy) at the time of birth for both groups (ACS vs. Placebo).

Outcome measures

Outcome measures
Measure
"Rescue" Course of Betamethasone or Dexamethasone
n=223 Participants
Receive 2nd "Rescue" Course = Study drug (betamethasone or dexamethasone. If Dexamethasone, administered 6 mg IM q 12 hours x 4 doses total. If Betamethasone was used, 2 doses of 12 mg of betamethasone was given intramuscularly (IM) 24 hours apart.
Placebo (Normal Saline)
n=214 Participants
Placebo consisted of quantity sufficient of Normal Saline with preservatives, Benzylalcohol and Benzylbenzoate. The research subject received 2 doses of pharmacy prepared placebo (2ml normal saline)to conceal administration of dexamethasone or if to conceal betamethasone, 2 doses of Placebo (2ml normal saline) given IM 24 hours apart.
Gestational Age at (@) Delivery
33.1 Weeks
Standard Deviation 3.1
33.0 Weeks
Standard Deviation 3.1

SECONDARY outcome

Timeframe: At time of Birth

Population: Intent to treat protocol

Measured mean Birth weights of Neonates in each arm as reported in grams on the birth record.

Outcome measures

Outcome measures
Measure
"Rescue" Course of Betamethasone or Dexamethasone
n=223 Participants
Receive 2nd "Rescue" Course = Study drug (betamethasone or dexamethasone. If Dexamethasone, administered 6 mg IM q 12 hours x 4 doses total. If Betamethasone was used, 2 doses of 12 mg of betamethasone was given intramuscularly (IM) 24 hours apart.
Placebo (Normal Saline)
n=214 Participants
Placebo consisted of quantity sufficient of Normal Saline with preservatives, Benzylalcohol and Benzylbenzoate. The research subject received 2 doses of pharmacy prepared placebo (2ml normal saline)to conceal administration of dexamethasone or if to conceal betamethasone, 2 doses of Placebo (2ml normal saline) given IM 24 hours apart.
Neonatal Birth Weight Reported in Grams
1905 grams
Standard Deviation 738
1920 grams
Standard Deviation 667

SECONDARY outcome

Timeframe: Measured at birth.

Population: Intent to Treat

Noted as the total number of Neonates delivering at \< 34 weeks gestation for which their weights fell within the 10th percentile at time of birth.

Outcome measures

Outcome measures
Measure
"Rescue" Course of Betamethasone or Dexamethasone
n=162 Participants
Receive 2nd "Rescue" Course = Study drug (betamethasone or dexamethasone. If Dexamethasone, administered 6 mg IM q 12 hours x 4 doses total. If Betamethasone was used, 2 doses of 12 mg of betamethasone was given intramuscularly (IM) 24 hours apart.
Placebo (Normal Saline)
n=161 Participants
Placebo consisted of quantity sufficient of Normal Saline with preservatives, Benzylalcohol and Benzylbenzoate. The research subject received 2 doses of pharmacy prepared placebo (2ml normal saline)to conceal administration of dexamethasone or if to conceal betamethasone, 2 doses of Placebo (2ml normal saline) given IM 24 hours apart.
Interuterine Growth Restriction (IUGR) or Small for Gestational Age(SGA)in Babies Delivering at < 34 Weeks Gestation.
25 paticipants
20 paticipants

SECONDARY outcome

Timeframe: Birth

Population: Intent to treat

Reported as the average of all neonatal head circumferences (HC) taken at time of birth in each group.

Outcome measures

Outcome measures
Measure
"Rescue" Course of Betamethasone or Dexamethasone
n=223 Participants
Receive 2nd "Rescue" Course = Study drug (betamethasone or dexamethasone. If Dexamethasone, administered 6 mg IM q 12 hours x 4 doses total. If Betamethasone was used, 2 doses of 12 mg of betamethasone was given intramuscularly (IM) 24 hours apart.
Placebo (Normal Saline)
n=214 Participants
Placebo consisted of quantity sufficient of Normal Saline with preservatives, Benzylalcohol and Benzylbenzoate. The research subject received 2 doses of pharmacy prepared placebo (2ml normal saline)to conceal administration of dexamethasone or if to conceal betamethasone, 2 doses of Placebo (2ml normal saline) given IM 24 hours apart.
Neonatal Head Circumference Taken at Time of Birth.
30.2 centemeters (cm)
Standard Deviation 3.0
30.0 centemeters (cm)
Standard Deviation 2.9

SECONDARY outcome

Timeframe: birth to 28 days of life

Population: Intent to treat (ITT)

The number of babies who required ventilatory support within the first 28 days of life. Equal to or great than 12 hours was considered one day.

Outcome measures

Outcome measures
Measure
"Rescue" Course of Betamethasone or Dexamethasone
n=267 Participants
Receive 2nd "Rescue" Course = Study drug (betamethasone or dexamethasone. If Dexamethasone, administered 6 mg IM q 12 hours x 4 doses total. If Betamethasone was used, 2 doses of 12 mg of betamethasone was given intramuscularly (IM) 24 hours apart.
Placebo (Normal Saline)
n=273 Participants
Placebo consisted of quantity sufficient of Normal Saline with preservatives, Benzylalcohol and Benzylbenzoate. The research subject received 2 doses of pharmacy prepared placebo (2ml normal saline)to conceal administration of dexamethasone or if to conceal betamethasone, 2 doses of Placebo (2ml normal saline) given IM 24 hours apart.
Number of Babies Who Required Ventilatory Support Within the First 28 Days of Life.
70 participants
95 participants

SECONDARY outcome

Timeframe: Birth to 28 days of life

Population: ITT

The Number of neonates who required surfactant therapy within the first 28 days after birth.

Outcome measures

Outcome measures
Measure
"Rescue" Course of Betamethasone or Dexamethasone
n=273 Participants
Receive 2nd "Rescue" Course = Study drug (betamethasone or dexamethasone. If Dexamethasone, administered 6 mg IM q 12 hours x 4 doses total. If Betamethasone was used, 2 doses of 12 mg of betamethasone was given intramuscularly (IM) 24 hours apart.
Placebo (Normal Saline)
n=280 Participants
Placebo consisted of quantity sufficient of Normal Saline with preservatives, Benzylalcohol and Benzylbenzoate. The research subject received 2 doses of pharmacy prepared placebo (2ml normal saline)to conceal administration of dexamethasone or if to conceal betamethasone, 2 doses of Placebo (2ml normal saline) given IM 24 hours apart.
Number of Neonates Who Required Surfactant Therapy After Birth.
70 participant
99 participant

SECONDARY outcome

Timeframe: birth to 28 days of life

Population: ITT

Total number of neonates with pneumothorax diagnosed postpartum.

Outcome measures

Outcome measures
Measure
"Rescue" Course of Betamethasone or Dexamethasone
n=275 Participants
Receive 2nd "Rescue" Course = Study drug (betamethasone or dexamethasone. If Dexamethasone, administered 6 mg IM q 12 hours x 4 doses total. If Betamethasone was used, 2 doses of 12 mg of betamethasone was given intramuscularly (IM) 24 hours apart.
Placebo (Normal Saline)
n=281 Participants
Placebo consisted of quantity sufficient of Normal Saline with preservatives, Benzylalcohol and Benzylbenzoate. The research subject received 2 doses of pharmacy prepared placebo (2ml normal saline)to conceal administration of dexamethasone or if to conceal betamethasone, 2 doses of Placebo (2ml normal saline) given IM 24 hours apart.
Number of Neonates With Pneumothorax
4 participants
4 participants

SECONDARY outcome

Timeframe: Up to 28 days after giving birth

Population: ITT

Total number of Mothers having Maternal infectious morbidity (e.g. endometritis \& maternal sepsis) noted from birth through 28 days after birth

Outcome measures

Outcome measures
Measure
"Rescue" Course of Betamethasone or Dexamethasone
n=223 Participants
Receive 2nd "Rescue" Course = Study drug (betamethasone or dexamethasone. If Dexamethasone, administered 6 mg IM q 12 hours x 4 doses total. If Betamethasone was used, 2 doses of 12 mg of betamethasone was given intramuscularly (IM) 24 hours apart.
Placebo (Normal Saline)
n=214 Participants
Placebo consisted of quantity sufficient of Normal Saline with preservatives, Benzylalcohol and Benzylbenzoate. The research subject received 2 doses of pharmacy prepared placebo (2ml normal saline)to conceal administration of dexamethasone or if to conceal betamethasone, 2 doses of Placebo (2ml normal saline) given IM 24 hours apart.
Maternal Infectious Morbidity.
8 participants
10 participants

Adverse Events

"Rescue" Course of Betamethasone or Dexamethasone

Serious events: 40 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo (Normal Saline)

Serious events: 41 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
"Rescue" Course of Betamethasone or Dexamethasone
n=512 participants at risk
Receive 2nd "Rescue" Course = Study drug (betamethasone or dexamethasone. If Dexamethasone, administered 6 mg IM q 12 hours x 4 doses total. If Betamethasone was used, 2 doses of 12 mg of betamethasone was given intramuscularly (IM) 24 hours apart.
Placebo (Normal Saline)
n=502 participants at risk
Placebo consisted of quantity sufficient of Normal Saline with preservatives, Benzylalcohol and Benzylbenzoate. The research subject received 2 doses of pharmacy prepared placebo (2ml normal saline)to conceal administration of dexamethasone or if to conceal betamethasone, 2 doses of Placebo (2ml normal saline) given IM 24 hours apart.
Congenital, familial and genetic disorders
Congenital Defect
2.8%
8/289 • Number of events 10 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
4.2%
12/288 • Number of events 13 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Blood and lymphatic system disorders
Anemia
0.39%
2/512 • Number of events 2 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.20%
1/502 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Blood and lymphatic system disorders
DIC
0.00%
0/512 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.20%
1/502 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Cardiac disorders
Aortic Stenosis
0.35%
1/289 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.35%
1/288 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Cardiac disorders
Cardiac Dysfunction
1.7%
5/289 • Number of events 5 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.69%
2/288 • Number of events 2 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Gastrointestinal disorders
NEC
0.69%
2/289 • Number of events 2 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
1.7%
5/288 • Number of events 5 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Gastrointestinal disorders
Small Bowel Rotation
0.00%
0/289 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.35%
1/288 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Hepatobiliary disorders
Hyperbilirubenemia
0.69%
2/289 • Number of events 2 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.35%
1/288 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Hepatobiliary disorders
Hepatosplenomegally
0.00%
0/289 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.35%
1/288 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Infections and infestations
Wound infections
1.8%
4/223 • Number of events 4 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
1.4%
3/214 • Number of events 3 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Infections and infestations
Sepsis
0.69%
2/289 • Number of events 2 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
1.0%
3/288 • Number of events 3 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Infections and infestations
Mastitis
0.00%
0/223 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.47%
1/214 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Injury, poisoning and procedural complications
Post delivery/C/S hemorrage
1.8%
4/223 • Number of events 4 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
1.9%
4/214 • Number of events 4 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Injury, poisoning and procedural complications
Spinal Headache
0.45%
1/223 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.00%
0/214 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Injury, poisoning and procedural complications
soft tissue rectal mass
0.00%
0/289 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.35%
1/288 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Injury, poisoning and procedural complications
Intraoperative Bladder Tear
0.00%
0/223 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.47%
1/214 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Nervous system disorders
PVL
0.35%
1/289 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.00%
0/288 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Pregnancy, puerperium and perinatal conditions
Intraventicular Hemorrage (Grade III, IV)
0.69%
2/289 • Number of events 2 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
1.0%
3/288 • Number of events 3 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Pregnancy, puerperium and perinatal conditions
Perinatal fetal demise
0.69%
2/289 • Number of events 2 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.35%
1/288 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Surgical and medical procedures
D & C for retained products
0.45%
1/223 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.47%
1/214 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Pregnancy, puerperium and perinatal conditions
Abruption
0.00%
0/223 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
1.4%
3/214 • Number of events 3 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Respiratory, thoracic and mediastinal disorders
Apnea/respiratory distress
0.35%
1/289 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
1.0%
3/288 • Number of events 3 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Respiratory, thoracic and mediastinal disorders
Pulmonary Disease
0.69%
2/289 • Number of events 2 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.00%
0/288 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Respiratory, thoracic and mediastinal disorders
Pulmonary Embolism
0.00%
0/223 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.47%
1/214 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Gastrointestinal disorders
Ruptured Appendix
0.00%
0/223 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.47%
1/214 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
Gastrointestinal disorders
Crohn's Disease
0.00%
0/512 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo
0.20%
1/502 • Number of events 1 • 4 years and (&) 9 months
Evaluation of AEs occurred from randomization until 28days post delivery/discharge. The difference in reporting number(#)of participants at risk reflects the group for which the event relates to.e.g.: neonatal event N 289=test arm \& 288=placebo * maternal event N 223=test arm \& 214=placebo * maternal \& neonatal 512= test arm \& 502=placebo

Other adverse events

Adverse event data not reported

Additional Information

Kimberly A. Maurel, MSN, CNS

Obstetrix Medical Group, Inc.

Phone: 714-593-9171

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60