Universal Transvaginal Cervical Length Screening Program for Prevention of Preterm Birth in Singletons Without Prior Preterm Birth

NCT ID: NCT03591042

Last Updated: 2021-04-06

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

1334 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-21

Study Completion Date

2022-03-01

Brief Summary

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This is a non-blinded randomized screening trial of asymptomatic singleton pregnancies without prior spontaneous preterm birth who are randomized to either transvaginal ultrasound cervical length screening program (i.e. intervention group) or no screening (i.e. control group). Women are consented and randomized at the time of their routine anatomy scan between 18 0/7 and 23 6/7 weeks. Women randomized in the transvaginal ultrasound cervical length screening will receive a single transvaginal ultrasound cervical length measurement after the anatomy scan. The cervical length will be measured by operators with certification of competence in the technique.

Detailed Description

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Conditions

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Preterm Birth

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Investigators

Study Groups

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cervical length screening

cervical length screening

Group Type EXPERIMENTAL

cervical length screening

Intervention Type DIAGNOSTIC_TEST

transvaginal ultrasound cervical length

no screening

no screening

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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cervical length screening

transvaginal ultrasound cervical length

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Singleton gestations
* No prior SPTB

Exclusion Criteria

* Multiple gestations
* History of SPTB in a prior pregnancy
* Rupture of membranes at the time of randomization
* Known major fetal structural (i.e. defined as those that are lethal or require prenatal or postnatal surgery) or chromosomal abnormality
* Fetal death at the time of randomization
* Cerclage in situ at the time of randomization
* Pessary in situ at the time of randomization
* Vaginal bleeding at the time of randomization
* Women who are unconscious, severly ill, mentally handicapped, or under the age of 18 years.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Federico II University

OTHER

Sponsor Role lead

Responsible Party

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Gabriele Saccone

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Gabriele Saccone

Naples, , Italy

Site Status RECRUITING

Seconda Università di Napoli Luigi Vanvitelli

Napoli, , Italy

Site Status RECRUITING

Countries

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Italy

Facility Contacts

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Gabriele Saccone

Role: primary

0817461111

Maddalena Morlando

Role: primary

0817461111

References

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Saccone G, Maruotti GM, Morlando M, Visentin S, De Angelis C, Sarno L, Cosmi E, Torcia F, Costanzi F, Gragnano E, Bartolini G, La Verde M, Borelli F, Savoia F, Schiattarella A, De Franciscis P, Locci M, Guida M; Italian Preterm Birth Prevention (IPP) Working Group. Randomized trial of screening for preterm birth in low-risk women - the preterm birth screening study. Am J Obstet Gynecol MFM. 2024 May;6(5S):101267. doi: 10.1016/j.ajogmf.2023.101267. Epub 2024 Feb 19.

Reference Type DERIVED
PMID: 38642994 (View on PubMed)

Other Identifiers

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31/18

Identifier Type: -

Identifier Source: org_study_id

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