Oral Progestogen Supplementation in the Prevention of Recurrent Uterine Contraction in Preterm Labor

NCT ID: NCT02262481

Last Updated: 2016-01-28

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

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-08-31

Study Completion Date

2015-06-30

Brief Summary

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The purpose of this study is to evaluate the effect of oral progesterone supplementation in preterm labor on the prevention of recurrent uterine contraction and prolonging pregnancy period, and its side effect.

Detailed Description

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Conditions

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Preterm Labor

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Dydrogesterone

tocolytic + corticosteroids + Dydrogesterone 10 mg/tablet prepare in capsule, 1 cap oral every 12 hours, starting form enrollment until gestational age 37 weeks

Group Type ACTIVE_COMPARATOR

dydrogesterone

Intervention Type DRUG

Placebo

tocolytic + corticosteroids + Placebo prepare in capsule, 1 cap oral every 12 hours, starting form enrollment until gestational age 37 weeks

Group Type PLACEBO_COMPARATOR

placebo

Intervention Type DRUG

Interventions

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dydrogesterone

Intervention Type DRUG

placebo

Intervention Type DRUG

Other Intervention Names

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Duphaston

Eligibility Criteria

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Inclusion Criteria

* Singleton pregnancy
* Preterm labor
* GA24-34wk
* Intact membranes

Exclusion Criteria

* Maternal/fetal condition requiring immediate delivery ex. Chorioamnionitis, fetal distress
* Placenta previa
* medical and obstetric complications
* allergy to dydrogesterone
Minimum Eligible Age

15 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Chulalongkorn University

OTHER

Sponsor Role lead

Responsible Party

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Vorapong Phupong

Vorapong

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Vorapong Phupong, M.D.

Role: STUDY_DIRECTOR

Chulalongkorn University

Locations

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Faculty of Medicine, Chulalongkorn University

Bangkok, Bangkok, Thailand

Site Status

Countries

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Thailand

References

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Preterm birth. In: Cunningham FG, Leveno KJ, Bloom SL, Hault JC, Rouse DJ, Spong CY, editors. Williams Obstetrics. 23rd ed. McGraw-Hill; 2010. p. 804-831.

Reference Type BACKGROUND

American College of Obstetricians and Gynecologists; Committee on Practice Bulletins-Obstetrics. ACOG practice bulletin no. 127: Management of preterm labor. Obstet Gynecol. 2012 Jun;119(6):1308-17. doi: 10.1097/AOG.0b013e31825af2f0.

Reference Type BACKGROUND
PMID: 22617615 (View on PubMed)

Committee on Practice Bulletins-Obstetrics, The American College of Obstetricians and Gynecologists. Practice bulletin no. 130: prediction and prevention of preterm birth. Obstet Gynecol. 2012 Oct;120(4):964-73. doi: 10.1097/AOG.0b013e3182723b1b. No abstract available.

Reference Type BACKGROUND
PMID: 22996126 (View on PubMed)

Di Renzo GC, Giardina I, Clerici G, Mattei A, Alajmi AH, Gerli S. The role of progesterone in maternal and fetal medicine. Gynecol Endocrinol. 2012 Nov;28(11):925-32. doi: 10.3109/09513590.2012.730576.

Reference Type BACKGROUND
PMID: 23057618 (View on PubMed)

Norwitz ER, Caughey AB. Progesterone supplementation and the prevention of preterm birth. Rev Obstet Gynecol. 2011 Summer;4(2):60-72.

Reference Type BACKGROUND
PMID: 22102929 (View on PubMed)

Omar MH, Mashita MK, Lim PS, Jamil MA. Dydrogesterone in threatened abortion: pregnancy outcome. J Steroid Biochem Mol Biol. 2005 Dec;97(5):421-5. doi: 10.1016/j.jsbmb.2005.08.013. Epub 2005 Nov 15.

Reference Type BACKGROUND
PMID: 16293412 (View on PubMed)

Carp H. A systematic review of dydrogesterone for the treatment of threatened miscarriage. Gynecol Endocrinol. 2012 Dec;28(12):983-90. doi: 10.3109/09513590.2012.702875. Epub 2012 Jul 16.

Reference Type BACKGROUND
PMID: 22794306 (View on PubMed)

Queisser-Luft A. Dydrogesterone use during pregnancy: overview of birth defects reported since 1977. Early Hum Dev. 2009 Jun;85(6):375-7. doi: 10.1016/j.earlhumdev.2008.12.016. Epub 2009 Feb 3.

Reference Type BACKGROUND
PMID: 19193503 (View on PubMed)

Dodd JM, Crowther CA, Cincotta R, Flenady V, Robinson JS. Progesterone supplementation for preventing preterm birth: a systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2005 Jun;84(6):526-33. doi: 10.1111/j.0001-6349.2005.00835.x.

Reference Type RESULT
PMID: 15901258 (View on PubMed)

Borna S, Sahabi N. Progesterone for maintenance tocolytic therapy after threatened preterm labour: a randomised controlled trial. Aust N Z J Obstet Gynaecol. 2008 Feb;48(1):58-63. doi: 10.1111/j.1479-828X.2007.00803.x.

Reference Type RESULT
PMID: 18275573 (View on PubMed)

Sharami SH, Zahiri Z, Shakiba M, Milani F. Maintenance therapy by vaginal progesterone after threatened idiopathic preterm labor: a randomized placebo-controlled double-blind trial. Int J Fertil Steril 2010;4:45-50.

Reference Type RESULT

Arikan I, Barut A, Harma M, Harma IM. Effect of progesterone as a tocolytic and in maintenance therapy during preterm labor. Gynecol Obstet Invest. 2011;72(4):269-73. doi: 10.1159/000328719. Epub 2011 Nov 12.

Reference Type RESULT
PMID: 22086108 (View on PubMed)

Bomba-Opon DA, Kosinska-Kaczynska K, Kosinski P, Wegrzyn P, Kaczynski B, Wielgos M. Vaginal progesterone after tocolytic therapy in threatened preterm labor. J Matern Fetal Neonatal Med. 2012 Jul;25(7):1156-9. doi: 10.3109/14767058.2011.629014. Epub 2012 Apr 3.

Reference Type RESULT
PMID: 21967664 (View on PubMed)

Areia A, Fonseca E, Moura P. Progesterone use after successful treatment of threatened pre-term delivery. J Obstet Gynaecol. 2013 Oct;33(7):678-81. doi: 10.3109/01443615.2013.820266.

Reference Type RESULT
PMID: 24127952 (View on PubMed)

Other Identifiers

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RA57/104

Identifier Type: -

Identifier Source: org_study_id

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