Cervix Monitor for Detection Conditions Leading to Spontaneous Preterm Delivery

NCT ID: NCT04247555

Last Updated: 2021-07-21

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

UNKNOWN

Total Enrollment

270 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-01-03

Study Completion Date

2022-03-31

Brief Summary

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Preterm birth is a leading cause of neonatal mortality despite of numerous advances and intensive research in perinatal medicine. Almost one million children die every year due to the complications of preterm birth and rates are on the rise. Of the 14 million survivors per year, most face a lifetime of disability, including learning disabilities, visual and hearing impairments. The majority of preterm birth happen spontaneously (SPTD) which is often a multi factorial event, precocious cervical softening, shortening and dilatation are a common underlying factor. In the scope of this project the investigators propose to develop and clinically validate a new device, Cervix Monitor (CM), for detecting cervix conditions leading to SPTD and its risk assessment.

Detailed Description

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SPTD is closely related to a premature cervical ripening. The scientific basis for the proposed project is that the elasticity modulus of a cervix is a more sensitive parameter characterizing the stage of cervical ripening. The main component of the cervical tissue is collagen. Cervical ripening is the result of realignment of collagen, degradation of collagen cross-linking due to proteolytic enzymes. These processes affect the elasticity modulus of the cervical tissue. Therefore, assessment of cervix by a device (CM) measuring cervical elasticity (stiffness) and cervical length (effacement) appears to be an adequate approach for identifying pregnant women at high risk of SPTD. The CM is based on measuring applied pressure to the cervix by a tactile sensor array (stress data) and ultrasound measurement of cervix length (strain data). Tactile and ultrasound sensors are allocated on the tip of the measuring part of vaginal probe. The discovery of novel bio markers that could reliably identify women who will subsequently deliver preterm, may allow for timely medical intervention and targeted therapeutic treatments aimed at improving maternal and fetal outcomes.

Conditions

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Preterm Birth

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Gestational age from 24 to 28 weeks at time of Cervix Monitor measurement
* Singleton in the current pregnancy

Exclusion Criteria

* Fatal anomaly
* History of fetal reduction in the current pregnancy to the singleton gestation
* Preterm rapture of membranes
* Current or planned cervical cerclage
* Planned indicated preterm delivery
* Active known cancer of the colon, rectum wall, cervix, vaginal, uterus or bladder
* Ischemic heart disease and or arrhythmia
* Active skin infection or ulceration within the vaginal/vulva (Herpes infection)
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Rutgers, The State University of New Jersey

OTHER

Sponsor Role collaborator

St. Luke's Hospital and Health Network, Pennsylvania

OTHER

Sponsor Role collaborator

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

Advanced Tactile Imaging, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vladimir Egorov, PhD

Role: PRINCIPAL_INVESTIGATOR

Advanced Tactile Imaging, Inc.

Locations

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Rutgers The State University Of New Jersey

New Brunswick, New Jersey, United States

Site Status

St. Luke's University Health Network Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine (MFM)

Bethlehem, Pennsylvania, United States

Site Status

Countries

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United States

References

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Egorov V, Rosen T, van Raalte H, Kurtenoks V. Cervical Characterization with Tactile-Ultrasound Probe. Open J Obstet Gynecol. 2020 Jan;10(1):85-99. doi: 10.4236/ojog.2020.101008. Epub 2020 Jan 8.

Reference Type BACKGROUND
PMID: 32133244 (View on PubMed)

Lucente V, van Raalte H, Murphy M, Egorov V. Biomechanical paradigm and interpretation of female pelvic floor conditions before a treatment. Int J Womens Health. 2017 Aug 3;9:521-550. doi: 10.2147/IJWH.S136989. eCollection 2017.

Reference Type BACKGROUND
PMID: 28831274 (View on PubMed)

Other Identifiers

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R44HD090793

Identifier Type: NIH

Identifier Source: secondary_id

View Link

CM02

Identifier Type: -

Identifier Source: org_study_id

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