Reduction of Cesareans by Nitric Oxide (NO) Donors in Post Term Pregnancies

NCT ID: NCT00930618

Last Updated: 2016-12-21

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

PHASE3

Total Enrollment

1409 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Study Completion Date

2014-04-30

Brief Summary

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The purpose of this trial is to determine whether cervical ripening with isosorbide mononitrate reduce caesarean section in women with post term pregnancies.

Detailed Description

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The purpose of this trial is to determine whether cervical ripening with 40 mg of isosorbide mononitrate given intravaginally at 41+0, 41+2 and 41+4 weeks reduce cesarean section in nullipara with post term pregnancies. Treatments will be administered by midwifes in the maternity wards, women will be allowed to go back home in case of Bishop score\<6. Otherwise labor will be induced with oxytocin. If undelivered at 41+5, women with Bishop score\<6 will be induced with prostaglandins according to local protocols.

Conditions

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Prolonged Pregnancy Nulliparity

Keywords

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Prolonged pregnancy Nulliparity Cervical ripening Induced labor Cesarean section

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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IMN

Isosorbide mononitrate

Group Type EXPERIMENTAL

IMN

Intervention Type DRUG

Administration of 2 x 20 mg of isosorbide mononitrate at each administration with a maximum of three administrations

Placebo

Administration of placebo of IMN

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Administration of 2 X 20 mg of placebo of IMN at each administration with a maximum of three administration

Interventions

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IMN

Administration of 2 x 20 mg of isosorbide mononitrate at each administration with a maximum of three administrations

Intervention Type DRUG

Placebo

Administration of 2 X 20 mg of placebo of IMN at each administration with a maximum of three administration

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age \> or = 18 years old
* TAS \> or = 95 mmHg
* Singleton
* Nulliparity
* Term \> or = 41 weeks + 0 day
* Bishop score \< or = 5
* Vertex presentation
* Intact membranes
* No contra-indications of the study treatment
* No maternal or fetal diseases which could indicate immediate labor induction
* Written informed consent

Exclusion Criteria

* Multiple pregnancy
* Multiparity
* Term \< 41 weeks
* Bishop score \> 5
* Breech presentation
* Rupture of the membranes
* Previous cesarean
* Indication to immediate labor induction
* Contraindications to isosorbide mononitrate
* No co-administration of antihypertensive drugs
* No social security
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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François Goffinet, MD, PhD

Role: STUDY_DIRECTOR

Scientific Responsible

Locations

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Robert Debré Hospital

Paris, , France

Site Status

Countries

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France

References

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Schmitz T, Fuchs F, Closset E, Rozenberg P, Winer N, Perrotin F, Verspyck E, Azria E, Carbonne B, Lepercq J, Maillard F, Goffinet F; Groupe de Recherche en Obstetrique et Gynecologie (GROG). Outpatient cervical ripening by nitric oxide donors for prolonged pregnancy: a randomized controlled trial. Obstet Gynecol. 2014 Dec;124(6):1089-1097. doi: 10.1097/AOG.0000000000000544.

Reference Type DERIVED
PMID: 25415159 (View on PubMed)

Other Identifiers

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P071212

Identifier Type: -

Identifier Source: org_study_id