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Vaginal Progesterone Versus Placebo in Multiple Pregnancy
This study is currently recruiting participants.
Verified by University of Calgary, February 2009
First Received: June 20, 2006   Last Updated: February 25, 2009   History of Changes
Sponsor: University of Calgary
Collaborators: Calgary Health Region
Columbia Laboratories
Information provided by: University of Calgary
ClinicalTrials.gov Identifier: NCT00343265
  Purpose

The purpose of this study is to see if daily use of vaginal progesterone will prevent preterm birth in women carrying 2 or more babies.


Condition Intervention
Preterm Birth
Drug: Vaginal progesterone gel and placebo gel

Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Pilot Randomized Trial of Vaginal Progesterone to Prevent Preterm Birth in Multiple Pregnancy

Resource links provided by NLM:


Further study details as provided by University of Calgary:

Primary Outcome Measures:
  • Gestational age [ Time Frame: Delivery ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Proportion of women delivering < 35 weeks [ Time Frame: Delivery ] [ Designated as safety issue: No ]
  • Proportion of women delivering < 37 weeks [ Time Frame: Delivery ] [ Designated as safety issue: No ]
  • Proportion of women having spontaneous preterm delivery [ Time Frame: Delivery ] [ Designated as safety issue: No ]
  • Proportion of women having tocolytic therapy [ Time Frame: During pregnancy ] [ Designated as safety issue: No ]
  • Treatment compliance [ Time Frame: Delivery ] [ Designated as safety issue: No ]
  • Length of stay for mother and infants [ Time Frame: Discharge ] [ Designated as safety issue: No ]
  • Infant morbidity and mortality [ Time Frame: Discharge ] [ Designated as safety issue: No ]
  • Birth weight [ Time Frame: Birth ] [ Designated as safety issue: No ]

Estimated Enrollment: 100
Study Start Date: June 2006
Estimated Study Completion Date: June 2010
Estimated Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Active Comparator
Progesterone gel
Drug: Vaginal progesterone gel and placebo gel
Vaginal gel once daily
2: Placebo Comparator
Vaginal gel with no medication
Drug: Vaginal progesterone gel and placebo gel
Vaginal gel once daily

Detailed Description:

Women who are pregnant with twins or any higher order multiple will be approached to take part. Women will be randomized to get either vaginal progesterone gel or a placebo gel daily from study entry until 35 6/7 weeks. Women can enter the study between 16 - 20 6/7 weeks. Two hundred women will be recruited to take part. Data will be collected on the women and their infants to see if the active medication prolongs pregnancy.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Confirmed multiple pregnancy
  • Ultrasound confirmed minimum of 2 live fetuses
  • Gestational age 16-20 6/7 weeks

Exclusion Criteria:

  • Placenta previa
  • Pre-existing hypertension
  • Major fetal anomaly
  • Monoamniotic, monozygotic multiples
  • Maternal seizure disorder
  • History of, or active, thromboembolic disease
  • Maternal live disease
  • Breast malignancy or pathology
  • Progesterone dependent neoplasia
  • Plans to move to another city during pregnancy
  • Sensitivity to progesterone
  • Participation in other clinical trials during the pregnancy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00343265

Contacts
Contact: Stephen Wood, MD 403 944-2017 stephen.wood@albertahealthservices.ca
Contact: Leslie Millar, RN 403 944-4440 leslie.millar@albertahealthservices.ca

Locations
Canada, Alberta
Calgary Health Region Recruiting
Calgary, Alberta, Canada, T2N 2T9
Principal Investigator: Stephen Wood, MD            
Sponsors and Collaborators
University of Calgary
Calgary Health Region
Columbia Laboratories
Investigators
Principal Investigator: Stephen Wood, MD University of Calgary
Study Director: Sue Ross, PhD University of Calgary
  More Information

Additional Information:
No publications provided

Responsible Party: University of Calgary ( Dr. Stephen Wood )
Study ID Numbers: 18589, 9427-U0206-47C, 104425
Study First Received: June 20, 2006
Last Updated: February 25, 2009
ClinicalTrials.gov Identifier: NCT00343265     History of Changes
Health Authority: Canada: Health Canada

Keywords provided by University of Calgary:
Preterm birth
Multiple pregnancy
Vaginal progesterone
Preterm birth in multiple pregnancy

Additional relevant MeSH terms:
Pregnancy Complications
Progesterone
Progestins
Obstetric Labor, Premature
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Obstetric Labor Complications
Hormones
Pharmacologic Actions
Premature Birth

ClinicalTrials.gov processed this record on November 30, 2009