Comparison Between Treatments of Oligohydramnios

NCT ID: NCT07135037

Last Updated: 2025-08-21

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-01

Study Completion Date

2025-12-31

Brief Summary

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Based on previous studies, Both sildenafil and L-arginine helped to improve idiopathic oligohydramnios.

In this study, Level of improvment of oligohydramnios will be compared. As well as, NICU admission to neonates of pregnancies complicated by idiopathic oligohydramnios. The end goal is to help physicians use the best drug for their patients.

Detailed Description

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Conditions

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Oligohydramnios

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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sildn arm

In this group, participants receive sildenafil 25 mg thrice a day. then amniotic fluid index is measured every week to measure its improvement. After delivery, APGAR will be measured. As well as, whether the fetus entered the NICU or not will be recorded.

Group Type ACTIVE_COMPARATOR

Sildenafil 25 MG

Intervention Type DRUG

Sildenafil is a vasodilator drug which improve blood supply to placenta.Therefore, it should improve idiopathic oligohydramnios.

L- argin arm

In this group, participants receive L- arginine 1000 mg thrice a day. then amniotic fluid index is measured every week to measure its improvement. After delivery, APGAR will be measured. As well as, whether the fetus entered the NICU or not will be recorded.

Group Type ACTIVE_COMPARATOR

L-Arginine, 1000 Mg Oral Tablet

Intervention Type DRUG

Aminoacid with vasodilator property which improve blood supply to placenta.Therefore, it should improve idiopathic oligohydramnios.

Interventions

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Sildenafil 25 MG

Sildenafil is a vasodilator drug which improve blood supply to placenta.Therefore, it should improve idiopathic oligohydramnios.

Intervention Type DRUG

L-Arginine, 1000 Mg Oral Tablet

Aminoacid with vasodilator property which improve blood supply to placenta.Therefore, it should improve idiopathic oligohydramnios.

Intervention Type DRUG

Other Intervention Names

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Viagra L- arginine

Eligibility Criteria

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Inclusion Criteria

* Pregnant women with gestational age between 26-37 weeks
* Pregnant women whose age is \< 35 years
* Woman with other indication for elective caesarean section.
* Women carrying a single fetus with no major anomalies.
* Initial amniotic fluid index \<8cm determined by reliable pelivabdominal ultrasound.

Exclusion Criteria

* Women complaining of other obstetric disorder such as, PPROM, preeclampsia, or diabetes.
* Women with chronic illness such as, chronic hypertension, autoimmune disease or kidney disease.
* Women who received other treatments for oligohydramnios in current pregnancy.
* Women who smoke.
* Fetuses with major congenital anomaly.
Minimum Eligible Age

18 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Kafrelsheikh University

OTHER

Sponsor Role lead

Responsible Party

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Ibtesam Teleb Mohamed Yousef Gadalla

principle investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dalia S Zolfakar, PHD

Role: STUDY_DIRECTOR

[email protected]

Locations

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Kafrelsheikh University Hospital

Kafr ash Shaykh, Kafrelsheikh, Egypt

Site Status ACTIVE_NOT_RECRUITING

Kafrelsheokh university hospital

Kafr ash Shaykh, Kafrelsheikh, Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Ibtesam T Gadalla, MBBch

Role: CONTACT

1025193157 ext. 0020

Mostafa F El-lakany, PHD

Role: CONTACT

10116083210 ext. 0020

Facility Contacts

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Ahmed A Ali, Professor

Role: primary

0020-1005688624

Other Identifiers

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KFSIRB200-329

Identifier Type: -

Identifier Source: org_study_id

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