Trial Outcomes & Findings for Are Uterine Natural Killer Cells Involved in the Initiation of Preterm Labor ? (NCT NCT02284867)

NCT ID: NCT02284867

Last Updated: 2016-02-04

Results Overview

Number of participants with CD16 orCD 56 uterine Natural Killer Cells positive staining of placental sample

Recruitment status

COMPLETED

Target enrollment

60 participants

Primary outcome timeframe

2 years

Results posted on

2016-02-04

Participant Flow

Our study was conducted at Ain Shams University Maternity Hospital during the period between August 2012 and December 2014. A total of 60 pregnant women were included in the study.

Adequate placental tissue sampled and proper primary storage technique then proper way of staining

Participant milestones

Participant milestones
Measure
Preterm Labor
Patients who has threatened preterm labor and will receive tocolysis and these patients will either not respond to tocolysis and delivered preterm or will respond to tocolysis and will deliver at term . immunohistochemistry study: After taking informed written consent,a placental sample will be taken either the patient delivered preterm or at term (term patients will be either control term group or patients with successful treatment of preterm labor). The placental sample taken should have part of the decidua and then the sample will be fixed in 10% neutral-buffered formalin for 24-48 h, routinely processed, embedded in paraffin wax, sectioned at 3 μm thickness, and mounted on 3-aminopropyl-triethoxysilane -coated slides. Serial sections will be immunostained for CD 16 and CD56 . immunohistochemistry study will be done at Ain Shams Maternity Hospital Histopathology department.
Term Labor
Patient delivered vaginally at term with no history of having tocolysis for preterm labor at the current pregnancy . immunohistochemistry study: After taking informed written consent,a placental sample will be taken either the patient delivered preterm or at term (term patients will be either control term group or patients with successful treatment of preterm labor). The placental sample taken should have part of the decidua and then the sample will be fixed in 10% neutral-buffered formalin for 24-48 h, routinely processed, embedded in paraffin wax, sectioned at 3 μm thickness, and mounted on 3-aminopropyl-triethoxysilane -coated slides. Serial sections will be immunostained for CD 16 and CD56 . immunohistochemistry study will be done at Ain Shams Maternity Hospital Histopathology department.
Overall Study
STARTED
30
30
Overall Study
COMPLETED
30
30
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Are Uterine Natural Killer Cells Involved in the Initiation of Preterm Labor ?

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Preterm Labor
n=30 Participants
Patients who has threatened preterm labor and will receive tocolysis and these patients will either not respond to tocolysis and delivered preterm or will respond to tocolysis and will deliver at term . immunohistochemistry study: After taking informed written consent,a placental sample will be taken either the patient delivered preterm or at term (term patients will be either control term group or patients with successful treatment of preterm labor). The placental sample taken should have part of the decidua and then the sample will be fixed in 10% neutral-buffered formalin for 24-48 h, routinely processed, embedded in paraffin wax, sectioned at 3 μm thickness, and mounted on 3-aminopropyl-triethoxysilane -coated slides. Serial sections will be immunostained for CD 16 and CD56 . immunohistochemistry study will be done at Ain Shams Maternity Hospital Histopathology department.
Term Labor
n=30 Participants
Patient delivered vaginally at term with no history of having tocolysis for preterm labor at the current pregnancy . immunohistochemistry study: After taking informed written consent,a placental sample will be taken either the patient delivered preterm or at term (term patients will be either control term group or patients with successful treatment of preterm labor). The placental sample taken should have part of the decidua and then the sample will be fixed in 10% neutral-buffered formalin for 24-48 h, routinely processed, embedded in paraffin wax, sectioned at 3 μm thickness, and mounted on 3-aminopropyl-triethoxysilane -coated slides. Serial sections will be immunostained for CD 16 and CD56 . immunohistochemistry study will be done at Ain Shams Maternity Hospital Histopathology department.
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
25.8 years
STANDARD_DEVIATION 4 • n=5 Participants
26.4 years
STANDARD_DEVIATION 3.9 • n=7 Participants
26.1 years
STANDARD_DEVIATION 4 • n=5 Participants
Sex: Female, Male
Female
30 Participants
n=5 Participants
30 Participants
n=7 Participants
60 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Parity
1 live birth
n=5 Participants
2 live birth
n=7 Participants
1 live birth
n=5 Participants
Body Mass Index
21.7 Kg/M^2
STANDARD_DEVIATION 2.3 • n=5 Participants
21.8 Kg/M^2
STANDARD_DEVIATION 2.3 • n=7 Participants
21.7 Kg/M^2
STANDARD_DEVIATION 2.4 • n=5 Participants

PRIMARY outcome

Timeframe: 2 years

Number of participants with CD16 orCD 56 uterine Natural Killer Cells positive staining of placental sample

Outcome measures

Outcome measures
Measure
Preterm Labor
n=30 Participants
Patients who has threatened preterm labor and will receive tocolysis and these patients will either not respond to tocolysis and delivered preterm or will respond to tocolysis and will deliver at term . immunohistochemistry study: After taking informed written consent,a placental sample will be taken either the patient delivered preterm or at term (term patients will be either control term group or patients with successful treatment of preterm labor). The placental sample taken should have part of the decidua and then the sample will be fixed in 10% neutral-buffered formalin for 24-48 h, routinely processed, embedded in paraffin wax, sectioned at 3 μm thickness, and mounted on 3-aminopropyl-triethoxysilane -coated slides. Serial sections will be immunostained for CD 16 and CD56 . immunohistochemistry study will be done at Ain Shams Maternity Hospital Histopathology department.
Term Labor
n=30 Participants
Patient delivered vaginally at term with no history of having tocolysis for preterm labor at the current pregnancy . immunohistochemistry study: After taking informed written consent,a placental sample will be taken either the patient delivered preterm or at term (term patients will be either control term group or patients with successful treatment of preterm labor). The placental sample taken should have part of the decidua and then the sample will be fixed in 10% neutral-buffered formalin for 24-48 h, routinely processed, embedded in paraffin wax, sectioned at 3 μm thickness, and mounted on 3-aminopropyl-triethoxysilane -coated slides. Serial sections will be immunostained for CD 16 and CD56 . immunohistochemistry study will be done at Ain Shams Maternity Hospital Histopathology department.
Uterine Natural Killer Cells In Preterm Labor
CD16+ uterine Natural Killer Cells
21 participants
1 participants
Uterine Natural Killer Cells In Preterm Labor
CD56 bright uterine Natural Killer cells
0 participants
0 participants

SECONDARY outcome

Timeframe: 2 years

CD16+ CD56dim uterine Natural Killer cells (uNK) in the villi was found in Preterm delivery Group.

Outcome measures

Outcome measures
Measure
Preterm Labor
n=30 Participants
Patients who has threatened preterm labor and will receive tocolysis and these patients will either not respond to tocolysis and delivered preterm or will respond to tocolysis and will deliver at term . immunohistochemistry study: After taking informed written consent,a placental sample will be taken either the patient delivered preterm or at term (term patients will be either control term group or patients with successful treatment of preterm labor). The placental sample taken should have part of the decidua and then the sample will be fixed in 10% neutral-buffered formalin for 24-48 h, routinely processed, embedded in paraffin wax, sectioned at 3 μm thickness, and mounted on 3-aminopropyl-triethoxysilane -coated slides. Serial sections will be immunostained for CD 16 and CD56 . immunohistochemistry study will be done at Ain Shams Maternity Hospital Histopathology department.
Term Labor
n=30 Participants
Patient delivered vaginally at term with no history of having tocolysis for preterm labor at the current pregnancy . immunohistochemistry study: After taking informed written consent,a placental sample will be taken either the patient delivered preterm or at term (term patients will be either control term group or patients with successful treatment of preterm labor). The placental sample taken should have part of the decidua and then the sample will be fixed in 10% neutral-buffered formalin for 24-48 h, routinely processed, embedded in paraffin wax, sectioned at 3 μm thickness, and mounted on 3-aminopropyl-triethoxysilane -coated slides. Serial sections will be immunostained for CD 16 and CD56 . immunohistochemistry study will be done at Ain Shams Maternity Hospital Histopathology department.
Comparison of CD16+ CD56 Dim Uterine Natural Killer Cells (uNK) Prevalence in Decidua vs. Villi in Placenta of Both Study Groups
Positive CD16+ CD56 dim villous only NK cells
1 participants
10 participants
Comparison of CD16+ CD56 Dim Uterine Natural Killer Cells (uNK) Prevalence in Decidua vs. Villi in Placenta of Both Study Groups
Positive CD16+ CD56dim villos and decidua NK cells
0 participants
11 participants

Adverse Events

Preterm Labor

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

Term Labor

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Ahmed Mohammed Abass , Ass.lecturer in faculty of medicine

Ain Shams university (AinShamsU)

Phone: 002-01066903903

Results disclosure agreements

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