The Effect of Zinc, β-carotene, and Vitamin D3 in Preterm Delivery Through Placental MyD88, TRIF, NFkB, and IL-1β

NCT ID: NCT03005496

Last Updated: 2017-11-21

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

PHASE4

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-31

Study Completion Date

2017-06-30

Brief Summary

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This study is a controlled trial which compares the effect of zinc, beta-carotene, and Vitamin D3 supplementation in pregnant women which has preterm birth. The measured outcome is zinc, vitamin A, and 25(OH)D level in serum and placenta, MyD88, TRIF, NFκB, and IL-1β levels in placenta.

Detailed Description

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The research will be held in Cipto Mangunkusumo General and Budi Kemuliaan Hospital.

Each participant of each group will be given the medication of preterm birth hospital protocol, which includes nifedipine 4x10 mg as tocolytic agent, dexamethasone 2x6 mg intravenous for 2 days which aims to support lung maturation, and antibiotic. Then, the blood sample is obtained for zinc, vitamin A and 25(OH)D levels examination. Subjects will be divided into 2 groups which are group whose given the oral zinc 50 mg/day, oral beta-carotene 25,000 IU and oral vitamin D3 50,000 IU/week supplementation, and group who is not given the intervention. Each participant will be observed until delivery. After delivery, level of zinc, vitamin A, and 25(OH)D in serum and placenta will be measured, as well as level of MyD88, TRIF, NFκB, and IL-1β in placenta.

Conditions

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PreTerm Birth

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Intervention

* Nifedipin 4x10 mg oral
* Dexamethasone 2x6 mg iv for 2 days
* Zinc 50 mg/day
* Beta-carotene 25,000 IU
* Vitamin D3 50,000 IU/weekly

Group Type PLACEBO_COMPARATOR

Zinc

Intervention Type DRUG

included in intervention arm

Nifedipine

Intervention Type DRUG

included in intervention and control arm

Beta Carotene

Intervention Type DRUG

included in intervention arm

Vitamin D3

Intervention Type DRUG

included in intervention arm

Dexamethasone

Intervention Type DRUG

included in intervention and control arm

Control

* Nifedipin 4x10 mg
* Dexamethasone 2x6 mg iv for 2 days

Group Type ACTIVE_COMPARATOR

Nifedipine

Intervention Type DRUG

included in intervention and control arm

Dexamethasone

Intervention Type DRUG

included in intervention and control arm

Interventions

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Zinc

included in intervention arm

Intervention Type DRUG

Nifedipine

included in intervention and control arm

Intervention Type DRUG

Beta Carotene

included in intervention arm

Intervention Type DRUG

Vitamin D3

included in intervention arm

Intervention Type DRUG

Dexamethasone

included in intervention and control arm

Intervention Type DRUG

Other Intervention Names

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Zinc Picolinate 50 mg Nifedipine 10 mg Beta carotene 25,000 IU Cholecalciferol 50,000 IU Dexamethasone 6 mg

Eligibility Criteria

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Inclusion Criteria

* Pregnant women who has preterm birth in 26-36 weeks gestational age

Exclusion Criteria

* Multiple pregnancy
* Drug allergy
* Intra Uterine Growth Retardation (IUGR) is detected
* Congenital malformation in fetus was found
* Preterm Premature Rupture of Membrane (PPROM)
* Maternal complication such as gestational hypertension, preeclampsia, gestational diabetes mellitus, heart disease, infection, and autoimmune disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Indonesia University

OTHER

Sponsor Role lead

Responsible Party

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Rima Irwinda

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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50/UN.2F1/ETIK/2016

Identifier Type: -

Identifier Source: org_study_id