Comparing Double Dose of Vaginal Progesterone to no Treatment for Prevention of Preterm Birth in Twins and Short Cervix
NCT02329535 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 15
Last updated 2017-08-21
Summary
Twin pregnancies are more likely to be delivered preterm than singleton pregnancies. Vaginal progesterone administration (200 mg Utrogestan) to asymptomatic women with a singleton pregnancy and sonographic short cervix reduced the risk of preterm birth (PTB) and neonatal morbidity and mortality, yet not proved efficient in twins' pregnancy. The investigators' hypothesis is that a higher dose of vaginal micronized progesterone will be more effective in preventing PTD. The objectives of the study is to compare the rate of preterm birth and perinatal morbidity and mortality in a twin pregnancy with short cervical length treated with vaginal 400 mg of micronized progesterone to no treatment. The study is Randomized, open label, of twin pregnancy between 16-26 weeks of gestation with cervical length under 25 mm. Women will be randomly assigned to either treatment or no treatment group. Progesterone treatment will be given until 36 weeks of gestation. Other management will be according to standard protocol.
Conditions
- Premature Birth
Interventions
- DRUG
-
Micronized progesterone
vaginal caps 400 mg daily up to 36 weeks of gestation
Sponsors & Collaborators
-
HaEmek Medical Center, Israel
lead OTHER
Principal Investigators
-
Raed Salim, MD · Head of delivery room, Department of OB-GYN, Emek medical center, Afula, Israel
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 45 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-01-31
- Primary Completion
- 2017-08-31
- Completion
- 2017-08-31
Countries
- Israel
Study Locations
More Related Trials
-
Vaginal Progesterone in Twin With Short Cervix
NCT02697331 ·Status: COMPLETED ·Phase: PHASE3
-
Vaginal Progesterone 400mg v.s 200mg for Prevention of Preterm Labor in Twin Pregnancies
NCT04748562 ·Status: COMPLETED ·Phase: PHASE4
-
Progesterone and Second Trimester Bleeding
NCT01269450 ·Status: TERMINATED ·Phase: NA
-
Preterm Delivery Prevention in Twins With Progesterone
NCT01927029 ·Status: UNKNOWN ·Phase: PHASE4
-
Progestagens for the Tertiary Prophylaxis of Preterm Delivery
NCT01178788 ·Status: COMPLETED ·Phase: PHASE3
-
Progesterone and Cervical Pessary in Twins
NCT03058536 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
A Trial of Pessary and Progesterone for Preterm Prevention in Twin Gestation With a Short Cervix
NCT02518594 ·Status: COMPLETED ·Phase: PHASE3
-
Vaginal Progesterone for the Prolongation of Pregnancy After Arrested Pre-term Labor
NCT02430233 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Cervical Cerclage With Vaginal Progesterone in Asymptomatic Twin Pregnancies With a Sonographic Short Cervix
NCT03781466 ·Status: UNKNOWN ·Phase: NA
-
Vaginal Progesterone for the Prevention of Preterm Birth in Twins
NCT03540225 ·Status: WITHDRAWN ·Phase: PHASE3
-
Vaginal Versus Intramuscular Progesterone for the Prevention of Recurrent Preterm Birth
NCT02913495 ·Status: COMPLETED ·Phase: PHASE4
-
Natural Progesterone and Preterm Birth in Twins
NCT00480402 ·Status: COMPLETED ·Phase: PHASE3
-
Comparing IM vs. Vaginal Progesterone for Pre-term Birth
NCT00579553 ·Status: COMPLETED ·Phase: NA
-
RCT of Progesterone to Prevent Preterm Birth in Nulliparous Women With a Short Cervix
NCT00439374 ·Status: TERMINATED ·Phase: PHASE3
-
Cervical Pessary vs Vaginal Progesterone in Preventing Preterm Birth Among Women Presenting With Short Cervix: An Open-label Randomized Controlled Trial
NCT02470676 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Progesterone for Prevention of Preterm Birth in Women With Short Cervix: Randomized Controlled Trial
NCT00422526 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison Between Vaginal Pessary and Progestogen in Twin Pregnancy With Short Cervical Length
NCT04342585 ·Status: COMPLETED ·Phase: PHASE3
-
Vaginal Progesterone for the Prevention of Preterm Birth in Women With Arrested Preterm Labor
NCT01840228 ·Status: TERMINATED ·Phase: NA
-
Pessary Versus Cerclage With or Without Progesterone in Twins
NCT03863613 ·Status: TERMINATED ·Phase: NA
-
Vaginal Progesterone to Reduce the Risk of Another Preterm Birth
NCT00086177 ·Status: COMPLETED ·Phase: PHASE3
-
17OHP for Reduction of Neonatal Morbidity Due to Preterm Birth (PTB) in Twin and Triplet Pregnancies
NCT00163020 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Oral Progesterone for Prevention of Preterm Birth
NCT01180296 ·Status: COMPLETED ·Phase: PHASE3
-
Vaginal Progesterone Versus Placebo in Multiple Pregnancy
NCT00343265 ·Status: COMPLETED ·Phase: NA
-
Prevention of Preterm Delivery in Twin Pregnancies by 17 Alpha-hydroxyprogesterone Caproate
NCT00141908 ·Status: COMPLETED ·Phase: PHASE2
-
PREGNANT Short Cervix Trial
NCT00615550 ·Status: COMPLETED ·Phase: PHASE3