Ignite Creation Date:
2025-12-25 @ 3:04 AM
Ignite Modification Date:
2026-02-26 @ 12:00 PM
Study NCT ID:
NCT02430233
Status:
COMPLETED
Last Update Posted:
2023-02-28
First Post:
2015-04-20
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
Vaginal Progesterone for the Prolongation of Pregnancy After Arrested Pre-term Labor
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D007752', 'term': 'Obstetric Labor, Premature'}], 'ancestors': [{'id': 'D007744', 'term': 'Obstetric Labor Complications'}, {'id': 'D011248', 'term': 'Pregnancy Complications'}, {'id': 'D005261', 'term': 'Female Urogenital Diseases and Pregnancy Complications'}, {'id': 'D000091642', 'term': 'Urogenital Diseases'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'D011374', 'term': 'Progesterone'}, {'id': 'C000624167', 'term': 'Utrogestan'}], 'ancestors': [{'id': 'D011282', 'term': 'Pregnenediones'}, {'id': 'D011283', 'term': 'Pregnenes'}, {'id': 'D011278', 'term': 'Pregnanes'}, {'id': 'D013256', 'term': 'Steroids'}, {'id': 'D000072473', 'term': 'Fused-Ring Compounds'}, {'id': 'D011083', 'term': 'Polycyclic Compounds'}, {'id': 'D003339', 'term': 'Corpus Luteum Hormones'}, {'id': 'D042341', 'term': 'Gonadal Hormones'}, {'id': 'D006728', 'term': 'Hormones'}, {'id': 'D006730', 'term': 'Hormones, Hormone Substitutes, and Hormone Antagonists'}, {'id': 'D045167', 'term': 'Progesterone Congeners'}, {'id': 'D012739', 'term': 'Gonadal Steroid Hormones'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE4'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 129}}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2018-12-19', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2023-02', 'completionDateStruct': {'date': '2023-02-27', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2023-02-27', 'studyFirstSubmitDate': '2015-04-20', 'studyFirstSubmitQcDate': '2015-04-29', 'lastUpdatePostDateStruct': {'date': '2023-02-28', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2015-04-30', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2023-02-27', 'type': 'ACTUAL'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'The mean number of days from enrollment to delivery', 'timeFrame': 'Up to 18 weeks'}, {'measure': 'The rate of preterm spontaneous delivery', 'timeFrame': 'Up to 13 weeks', 'description': 'defined as spontaneous labor or preterm delivery following induction/cesarean section due to preterm premature rupture of membranes prior to 37 weeks of gestation'}], 'secondaryOutcomes': [{'measure': 'Number of days from recruitment to repeated preterm labor episode or preterm premature rupture of membranes, up to 37 weeks of gestation', 'timeFrame': 'Up to 13 weeks'}, {'measure': 'Pregnancy prolongation beyond one week', 'timeFrame': 'Up to 18 weeks'}, {'measure': 'Need for repeated acute tocolysis', 'timeFrame': 'Up to 13 weeks'}, {'measure': 'Number of hospitalizations and length of stay until 36.6 gestational weeks', 'timeFrame': 'Up to 13 weeks'}, {'measure': 'The rate of preterm spontaneous labor (defined as spontaneous labor or preterm premature rupture of membranes prior to 37 weeks of gestation)', 'timeFrame': 'Up to 13 weeks'}, {'measure': 'Admission to the NICU (neonatal intensive care unit)', 'timeFrame': 'From delivery and up to 28 days'}, {'measure': 'Length of NICU stay', 'timeFrame': 'From delivery and up to 3 months'}, {'measure': 'Length of neonate hospital stay', 'timeFrame': 'From delivery and up to 3 months'}, {'measure': 'Fetal/neonatal death', 'timeFrame': 'Around delivery'}, {'measure': 'Birth weight and the rate of small for gestational age neonates', 'timeFrame': 'Around delivery'}, {'measure': 'The rate of neonatal complications', 'timeFrame': 'From delivery and up to 3 months', 'description': 'including transient tachypnea, RDS (respiratory distress syndrome), bronchopulmonary dysplasia, ventilatory support, supplemental oxygen, IVH (intraventricular hemorrhage), NEC (necrotizing enterocolitis), PDA (patent ductus arteriosus), retinopathy, neonatal sepsis, and congenital abnormalities not previously identified (specifically genital abnormalities).'}, {'measure': 'The rate of chorioamnionitis and endometritis', 'timeFrame': 'around delivery and up to 1 week post-partum'}, {'measure': 'Adverse medication reactions', 'timeFrame': 'Up to 13 weeks'}, {'measure': 'Postpartum hemorrhage', 'timeFrame': 'From delivery and up to 1 week post-partum'}, {'measure': 'Revision of uterine and cervix and reasons for the procedure', 'timeFrame': 'During the 48 hours from delivery'}, {'measure': 'Urinary tract or vulvovaginal infection until 36.6 weeks', 'timeFrame': 'Up to 13 weeks'}]}, 'oversightModule': {'oversightHasDmc': False, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'conditions': ['Preterm Labor']}, 'referencesModule': {'references': [{'pmid': '38976270', 'type': 'DERIVED', 'citation': 'Nachum Z, Ganor Paz Y, Massalha M, Wated M, Harel N, Yefet E. Vaginal Progesterone for Pregnancy Prolongation After Arrested Preterm Labor: A Randomized Clinical Trial. JAMA Netw Open. 2024 Jul 1;7(7):e2419894. doi: 10.1001/jamanetworkopen.2024.19894.'}]}, 'descriptionModule': {'briefSummary': 'Patients diagnosed with arrested pre-term labor following tocolytics at 24-34 gestational weeks will be randomly allocated to receive either vaginal micronized progesterone 400 mg/day or no treatment.', 'detailedDescription': 'Since progesterone derivatives are useful in preventing preterm labor in cases of risk factors or previous preterm labor, we hypothesize that they will also show efficacy in pregnancy prolongation in women whose preterm labor was arrested following tocolytic treatment.\n\nPatients diagnosed with arrested pre-term labor following tocolytics at 24-34 gestational weeks will be randomly allocated to receive either vaginal micronized progesterone 400 mg/day or no treatment.\n\nThis study has the potential to find a treatment to prevent preterm labor and thus to reduce neonatal morbidity and mortality.'}, 'eligibilityModule': {'sex': 'FEMALE', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'healthyVolunteers': False, 'eligibilityCriteria': "Inclusion Criteria:\n\n1. 18 years of age\n2. Tocolytic treatment between 24+0 and 34+0 weeks\n3. Patient's consent to participate in this study\n4. 24 hours after tocolytic initiation and up to 3 days after finishing the tocolytic treatment\n5. Arrest of preterm labor\n\nExclusion Criteria\n\n1. Contraindication to ongoing pregnancy including:\n\n 1. Suspected amnionitis during testing for eligibility- evidence of active infection including temperature ≥ 38.0°C and uterine tenderness, foul-smelling vaginal discharge, maternal tachycardia of 120 beats per minute or greater, or sustained fetal tachycardia of 160 beats per minute or greater\n 2. Evidence of significant placental abruption (contractions and significant bleeding from placental origin)\n 3. Intrauterine fetal death diagnosed at the time of admission\n2. Major fetal malformation\n3. Known maternal allergy to progesterone\n4. Current use of progesterone at the time of admission\n5. Epilepsy\n6. Breast cancer\n7. PPROM (preterm premature rupture of membranes) during testing for eligibility\n8. Age below 18 years\n9. Known active liver disease (elevated liver enzymes at twice the upper normal limit according to medical history or blood test that were taking doring standard medical care)\n10. History of deep vein thrombosis\n11. Major active psychiatric disorders (major affective disorders and psychotic disorders)\n12. Uncontrolled chronic hypertension\n13. Heart failure\n14. Chronic renal failure\n15. Pre-gestational diabetes with known target organ damage\n16. History of spontaneous preterm delivery\n17. Previous tocolytic treatment during the current pregnancy"}, 'identificationModule': {'nctId': 'NCT02430233', 'briefTitle': 'Vaginal Progesterone for the Prolongation of Pregnancy After Arrested Pre-term Labor', 'organization': {'class': 'OTHER', 'fullName': 'HaEmek Medical Center, Israel'}, 'officialTitle': 'Vaginal Progesterone for the Prolongation of Pregnancy After Arrested Pre-term Labor - Randomized Double Blind Placebo Controlled Trial', 'orgStudyIdInfo': {'id': '0080-13'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'micronized progesterone 400 mg', 'description': 'participants receive vaginal micronized progesterone (Utrogestan- 200mg×2 PV(per vagina) per day)', 'interventionNames': ['Drug: micronized progesterone 400 mg (Utrogestan)']}, {'type': 'NO_INTERVENTION', 'label': 'No treatment', 'description': 'No treatment'}], 'interventions': [{'name': 'micronized progesterone 400 mg (Utrogestan)', 'type': 'DRUG', 'otherNames': ['Utrogestan- 200mg×2 PV(per vagina) per day'], 'description': 'participants receive vaginal micronized progesterone (Utrogestan- 200mg×2 PV(per vagina) per day)', 'armGroupLabels': ['micronized progesterone 400 mg']}]}, 'contactsLocationsModule': {'locations': [{'zip': '15208', 'city': 'Tiberias', 'state': 'North', 'country': 'Israel', 'facility': 'Poriya Medical Center', 'geoPoint': {'lat': 32.79221, 'lon': 35.53124}}, {'zip': '18100', 'city': 'Afula', 'state': 'Please Select', 'country': 'Israel', 'facility': 'Emek Medical center', 'geoPoint': {'lat': 32.60907, 'lon': 35.2892}}, {'city': 'Ashdod', 'country': 'Israel', 'facility': 'Assuta Ashdod medical center', 'geoPoint': {'lat': 31.79213, 'lon': 34.64966}}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'HaEmek Medical Center, Israel', 'class': 'OTHER'}, 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Principal Investigator', 'investigatorFullName': 'Zohar Nachum', 'investigatorAffiliation': 'HaEmek Medical Center, Israel'}}}}