Trial Outcomes & Findings for Auto-PAP Therapy For Improved Fetal Growth (NCT NCT03318003)

NCT ID: NCT03318003

Last Updated: 2022-11-18

Results Overview

A slowing of fetal growth will be defined as a slowing of fetal growth by \>=33% during the last trimester

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

43 participants

Primary outcome timeframe

3rd trimester

Results posted on

2022-11-18

Participant Flow

Participant milestones

Participant milestones
Measure
Auto-PAP Therapy
Auto-PAP: Women will be using the Auto-PAP device nightly from randomization to end of pregnancy
No Therapy
No treatment
Overall Study
STARTED
21
22
Overall Study
COMPLETED
20
20
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Auto-PAP Therapy
Auto-PAP: Women will be using the Auto-PAP device nightly from randomization to end of pregnancy
No Therapy
No treatment
Overall Study
Withdrawal by Subject
1
1
Overall Study
fetal loss
0
1

Baseline Characteristics

Auto-PAP Therapy For Improved Fetal Growth

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Auto-PAP Therapy
n=21 Participants
Auto-PAP: Women will be using the Auto-PAP device nightly from randomization to end of pregnancy
No Therapy
n=22 Participants
No treatment
Total
n=43 Participants
Total of all reporting groups
Age, Continuous
29.7 years
STANDARD_DEVIATION 4.4 • n=99 Participants
34.4 years
STANDARD_DEVIATION 4.2 • n=107 Participants
32.2 years
STANDARD_DEVIATION 4.9 • n=206 Participants
Sex: Female, Male
Female
21 Participants
n=99 Participants
22 Participants
n=107 Participants
43 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants
n=99 Participants
20 Participants
n=107 Participants
40 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=99 Participants
1 Participants
n=107 Participants
8 Participants
n=206 Participants
Race (NIH/OMB)
White
14 Participants
n=99 Participants
20 Participants
n=107 Participants
34 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
21 participants
n=99 Participants
22 participants
n=107 Participants
43 participants
n=206 Participants
gestational age at enrollment
17.1 weeks
STANDARD_DEVIATION 4.4 • n=99 Participants
17.2 weeks
STANDARD_DEVIATION 4.1 • n=107 Participants
17.1 weeks
STANDARD_DEVIATION 4.2 • n=206 Participants

PRIMARY outcome

Timeframe: 3rd trimester

Population: Because the latter part of the study was overlapping March 2020, some women did not get all of their research ultrasounds. Data below is shared for all women for whom at least one 3rd trimester ultrasound is available.

A slowing of fetal growth will be defined as a slowing of fetal growth by \>=33% during the last trimester

Outcome measures

Outcome measures
Measure
Auto-PAP Therapy
n=18 Participants
Auto-PAP: Women will be using the Auto-PAP device nightly from randomization to end of pregnancy
No Therapy
n=21 Participants
No treatment
Number of Participants With Slowing of Fetal Growth by 33% or More During the Last Trimester
8 Participants
8 Participants

SECONDARY outcome

Timeframe: At delivery the placenta will be collected and processed.

Population: Some placentas were not collected and sent to pathology as intended, perhaps in part because of fewer staff available during the COVID inflected months.

The placenta will be reviewed by a pathologist to determine the presence or absence of areas of hypoxia

Outcome measures

Outcome measures
Measure
Auto-PAP Therapy
n=13 Participants
Auto-PAP: Women will be using the Auto-PAP device nightly from randomization to end of pregnancy
No Therapy
n=15 Participants
No treatment
Presence or Absence of Placental Hypoxia
Hypoxia determinations
1 Participants
4 Participants
Presence or Absence of Placental Hypoxia
Non-hypoxia determinations
12 Participants
11 Participants

Adverse Events

Auto-PAP Therapy

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

No Therapy

Serious events: 2 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Auto-PAP Therapy
n=21 participants at risk
Auto-PAP: Women will be using the Auto-PAP device nightly from randomization to end of pregnancy
No Therapy
n=22 participants at risk
No treatment
Pregnancy, puerperium and perinatal conditions
Demise
0.00%
0/21 • through delivery up to a maximum of 33 weeks
9.1%
2/22 • Number of events 2 • through delivery up to a maximum of 33 weeks

Other adverse events

Adverse event data not reported

Additional Information

Louise O'Brien

University of Michigan

Phone: 734 647-9064

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place