Outpatient Antibiotics Following Previable Rupture of Membranes (pPPROM) Between 18 0/7 and 22 6/7 Weeks Gestational Age
NCT05345457 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 88
Last updated 2025-04-22
Summary
A randomized, controlled, non-placebo trial to primarily assess the effect of oral, outpatient antibiotics (i.e., azithromycin and amoxicillin) on latency (i.e., proportion of patients that deliver within 28 days from membrane rupture) following previable, prelabor rupture of membranes between 18 0/7 and 22 6/7 weeks gestational age.
Conditions
- Pregnancy Preterm
- Pregnancy Prom
- PROM, Preterm (Pregnancy)
- PROM (Pregnancy)
- Premat Rupture Membranes Preterm Unspec to Length of Time Between Rupture/Labor
- Premature Birth
Interventions
- DRUG
-
Azithromycin Pill
Azithromycin will be dosed as single 500 mg dose (2-250mg oral tablets) administered immediately following randomization, yet prior to discharge to home, followed with 1-250mg oral tablet daily for 4 additional days (for a total of 5 days).
- DRUG
-
Amoxicillin Pill
Amoxicillin will be dosed as a single-500mg oral tablet three times daily for 7 days with first dose also being given prior to discharge home.
Sponsors & Collaborators
-
MetroHealth Medical Center
collaborator OTHER -
The Cleveland Clinic
collaborator OTHER -
University Hospitals Cleveland Medical Center
lead OTHER
Principal Investigators
-
David Hackney, MD · University Hospitals Cleveland Medical Center
-
Justin Lappen, MD · The Cleveland Clinic
-
Brian Mercer, MD · MetroHealth Hospitals
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-01-13
- Primary Completion
- 2026-06-30
- Completion
- 2027-06-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
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