Comparative Study Between Vaginal Progesterone Alone or Combined With Aspirin in Prevention of Recurrent Preterm Birth

NCT ID: NCT05319834

Last Updated: 2024-01-16

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

256 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-01

Study Completion Date

2023-12-31

Brief Summary

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This is a double blinded randomized placebo controlled clinical trial to detect the efficacy and safety of vaginal progesterone alone or combined with aspirin in prevention of recurrent PTB.

Detailed Description

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The included women will be randomly allocated to prophylactically receive either vaginal progesterone at a dose of 200 mg (prontogest 200mg every 12 hr) combined with oral aspirin at a dose of 100mg once daily both at the same time (group1), or vaginal progesterone (prontogest 200mg every 12 hr) and oral placebo (manufactured in a standard way to have the same size and shape of asprin tablet) also at the same time (group 2).

Conditions

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Preterm Birth

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

To detect the efficacy and safety of vaginal progesterone alone or combined with aspirin in prevention of recurrent PTB.
Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
All participants and investigators

Study Groups

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Progesterone with asprin

The included women will be randomly allocated to prophylactically receive either vaginal progesterone at a dose of 200 mg (prontogest 200mg every 12 hr) combined with oral aspirin at a dose of 100mg once daily both at the same time (group1),

Group Type ACTIVE_COMPARATOR

Aspirin tablet

Intervention Type DRUG

group1: oral aspirin at a dose of 100mg once daily at the same time with progesterone

Progesterone and placebo

vaginal progesterone (prontogest 200mg every 12 hr) and oral placebo (manufactured in a standard way to have the same size and shape of asprin tablet) also at the same time (group 2).

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

group 2: oral placebo once daily at the same time with progesterone

Interventions

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Aspirin tablet

group1: oral aspirin at a dose of 100mg once daily at the same time with progesterone

Intervention Type DRUG

Placebo

group 2: oral placebo once daily at the same time with progesterone

Intervention Type DRUG

Other Intervention Names

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group 1 intervention group 2 intervention

Eligibility Criteria

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Inclusion Criteria

1. Women of any age
2. Any parity
3. Healthy singleton pregnancy
4. History suggestive of one or more previous PTB
5. Current pregnancy (16-20) weeks gestation.

Exclusion Criteria

1. Multifetal pregnancy.
2. History of ante partum PROM.
3. Cervical Incompetence or current cervical cerclage.
4. Known fetal anomaly.
5. Hypertension requiring medications.
6. History of Thrombo-embolic disorders.
7. Known allergy to progesterone or asprin.
8. Known liver disease.
9. Established preterm labor
10. Short cervix
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Menoufia University

OTHER

Sponsor Role lead

Responsible Party

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Mohamed Maher

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Menoufia University

Shibīn al Kawm, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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3/2020/OBG

Identifier Type: -

Identifier Source: org_study_id

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