Anticholinergics for Cervical Edema in Labor

NCT ID: NCT06702670

Last Updated: 2024-11-25

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

NOT_YET_RECRUITING

Clinical Phase

PHASE2/PHASE3

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-01

Study Completion Date

2025-12-14

Brief Summary

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The purpose of this study is to is to determine the clinical effectiveness of a single dose of intravenous (IV) medication for the prevention of labor arrest and cesarean delivery in primiparous women undergoing trial of labor.

Detailed Description

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Conditions

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Labor Dystocia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment with Diphenhydramine

Group Type EXPERIMENTAL

Treatment with Diphenhydramine

Intervention Type DRUG

Diphenhydramine 50mg IV will be administered within 1 hour of the cervical exam which diagnosed prolonged active phase of labor

Usual Care

Intervention Type COMBINATION_PRODUCT

Participants will receive cervical exams every 2 hours in active labor, placement of intrauterine pressure catheter, up titration of Pitocin if contractions are inadequate, maternal repositioning, and use of adjunct devices such as a peanut ball.

Usual Care

Group Type ACTIVE_COMPARATOR

Usual Care

Intervention Type COMBINATION_PRODUCT

Participants will receive cervical exams every 2 hours in active labor, placement of intrauterine pressure catheter, up titration of Pitocin if contractions are inadequate, maternal repositioning, and use of adjunct devices such as a peanut ball.

Interventions

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Treatment with Diphenhydramine

Diphenhydramine 50mg IV will be administered within 1 hour of the cervical exam which diagnosed prolonged active phase of labor

Intervention Type DRUG

Usual Care

Participants will receive cervical exams every 2 hours in active labor, placement of intrauterine pressure catheter, up titration of Pitocin if contractions are inadequate, maternal repositioning, and use of adjunct devices such as a peanut ball.

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

* Primiparous
* Viable single intrauterine pregnancy

-≥ 34 weeks of gestation
* Ruptured membranes
* Category I tracing at time of inclusion
* Active phase of labor (\>=6 cm of cervix dilation)

Exclusion Criteria

* Category II or III tracing
* Allergy to the study medication (IV Diphenhydramine)
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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The University of Texas Health Science Center, Houston

OTHER

Sponsor Role lead

Responsible Party

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Samantha Antonioli

Resident

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Samantha Antonioli, MD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas Health Science Center, Houston

Locations

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The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

Countries

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United States

Central Contacts

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Samantha Antonioli, MD

Role: CONTACT

(713) 566-5735

Aaron Roberts

Role: CONTACT

(713) 500-6412

Facility Contacts

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Samantha Antonioli, MD

Role: primary

713-566-5735

Aaron Roberts

Role: backup

(713) 500-6412

Other Identifiers

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HSC-MS-24-0841

Identifier Type: -

Identifier Source: org_study_id

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