Betamethasone Dosing Interval - 12 or 24 Hours?

NCT ID: NCT00453141

Last Updated: 2009-11-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-04-30

Study Completion Date

2009-10-31

Brief Summary

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The purpose of this study is to determine if there may be a benefit to the newborn if betamethasone is given 12 hours apart instead of 24 hours apart.

Detailed Description

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Betamethasone is a medicine given to women expected to deliver after 24 but before 34 weeks of pregnancy. It is very advantageous in preventing or decreasing the many problems these small babies may face if born early. Betamethasone makes breathing easier for them, also decreases the chance of them bleeding in the head and makes their chances of survival better. This medicine is used routinely in pregnancy but the best timing between doses in not well established. The 'standard' dosing schedule involves giving 2 injections of 12mg of the medicine 24 hours apart. However, many women deliver before reaching the 24-hour mark, despite the doctors best efforts to try and delay delivery, and therefore miss the opportunity for the 2nd dose.

Conditions

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Preterm Delivery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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dosing of Betamethasone

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Pregnant women expected to deliver preterm (either induced or spontaneously) for any obstetrical or medical indication.
* Gestational age between 23 and 34 weeks gestational age.
* Dating must either be by LMP which is consistent with ultrasound performed at any gestational age, or calculated by a sonogram less than or equal to 23 weeks.

Exclusion Criteria

* Patients at \<23 or \>34 weeks gestational age.
* Known drug allergy to betamethasone.
* Given steroid other than betamethasone for lung maturation.
* Any contraindication to steroid therapy.
Minimum Eligible Age

16 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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The Cooper Health System

OTHER

Sponsor Role lead

Principal Investigators

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Meena Khandelwal, MD

Role: PRINCIPAL_INVESTIGATOR

The Cooper Health System

Locations

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Cooper University Hospital

Camden, New Jersey, United States

Site Status

Atlanticare Regional Medical Center

Pomona, New Jersey, United States

Site Status

Countries

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United States

References

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Liggins GC, Howie RN. A controlled trial of antepartum glucocorticoid treatment for prevention of the respiratory distress syndrome in premature infants. Pediatrics. 1972 Oct;50(4):515-25. No abstract available.

Reference Type BACKGROUND
PMID: 4561295 (View on PubMed)

Other Identifiers

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06030

Identifier Type: -

Identifier Source: org_study_id

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