Oral Progesterone for Prevention of Miscarriage in Threatened Abortion

NCT ID: NCT04788108

Last Updated: 2023-08-30

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-01

Study Completion Date

2022-08-31

Brief Summary

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This study evaluates the effectiveness of oral dydrogesterone in preventing miscarriage in threatened abortion. Half of participants will receive oral dydrogesterone, while the other half will receive oral placebo.

Detailed Description

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Conditions

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Threatened Abortion

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

dydrogesterone 10 mg by mouth every 12 hours until 1 week after bleeding stops or until 6 weeks.

Group Type ACTIVE_COMPARATOR

Dydrogesterone

Intervention Type DRUG

Dydrogesterone tablet

Placebo

placebo by mouth every 12 hours until 1 week after bleeding stops or until 6 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo tablet

Interventions

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Dydrogesterone

Dydrogesterone tablet

Intervention Type DRUG

Placebo

Placebo tablet

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* singleton pregnancy with gestational age 6 - 20 weeks
* threatened abortion
* confirmed intrauterine pregnancy with a viable fetus by ultrasound

Exclusion Criteria

* history of recurrent miscarriage
* having endocervical polyp
* having infection such as pneumonia, pyelonephritis, septicemia
* having autoimmune diseases such as systemic lupus erythematosus, systemic sclerosis, rheumatoid arthritis
* having cancer
* having coagulation defect
* allergy to dydrogesterone
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 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

Head of Placental Related Diseases Research Unit, Principal Investigator, Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Vorapong Phupong, M.D.

Role: STUDY_DIRECTOR

Chulalongkorn University, Faculty of Medicine, Department of Obstetrics and Gynecology

Locations

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Faculty of Medicine, Chulalongkorn University

Bangkok, , Thailand

Site Status

Countries

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Thailand

References

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American College of Obstetricians and Gynecologists' Committee on Practice Bulletins-Gynecology. ACOG Practice Bulletin No. 200: Early Pregnancy Loss. Obstet Gynecol. 2018 Nov;132(5):e197-e207. doi: 10.1097/AOG.0000000000002899.

Reference Type BACKGROUND
PMID: 30157093 (View on PubMed)

Mirza FG, Patki A, Pexman-Fieth C. Dydrogesterone use in early pregnancy. Gynecol Endocrinol. 2016;32(2):97-106. doi: 10.3109/09513590.2015.1121982. Epub 2016 Jan 22.

Reference Type BACKGROUND
PMID: 26800266 (View on PubMed)

Schindler AE, Campagnoli C, Druckmann R, Huber J, Pasqualini JR, Schweppe KW, Thijssen JH. Classification and pharmacology of progestins. Maturitas. 2003 Dec 10;46 Suppl 1:S7-S16. doi: 10.1016/j.maturitas.2003.09.014.

Reference Type BACKGROUND
PMID: 14670641 (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 RESULT
PMID: 16293412 (View on PubMed)

Pandian RU. Dydrogesterone in threatened miscarriage: a Malaysian experience. Maturitas. 2009 Dec;65 Suppl 1:S47-50. doi: 10.1016/j.maturitas.2009.11.016. Epub 2009 Dec 14.

Reference Type RESULT
PMID: 20005647 (View on PubMed)

El-Zibdeh MY, Yousef LT. Dydrogesterone support in threatened miscarriage. Maturitas. 2009 Dec;65 Suppl 1:S43-6. doi: 10.1016/j.maturitas.2009.11.013. Epub 2009 Dec 14.

Reference Type RESULT
PMID: 20007011 (View on PubMed)

Other Identifiers

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177/2021

Identifier Type: -

Identifier Source: org_study_id

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