Cervical Ripening Before Induction of Labour at Term: a Randomised Comparison of Prostin vs Propess

This study has been completed.

Sponsor:

Information provided by:

Institut National de la Santé Et de la Recherche Médicale, France

ClinicalTrials.gov Identifier:

NCT00545194

First received: October 16, 2007

Last updated: NA

Last verified: October 2007

History: No changes posted

Purpose

The aim of this study is to compare two different preparation

Condition	Intervention	Phase
Cervical Ripening Labor, Induced	Drug: Prostaglandin E2	Phase 3


Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment
Official Title:	Randomized Study on Removable PGE2 Vaginal Insert Versus PGE2 Intravaginal Gel for Cervical Priming and Labour Induction in Term Pregnancy

Resource links provided by NLM:

Drug Information available for: Dinoprostone

U.S. FDA Resources

Further study details as provided by Institut National de la Santé Et de la Recherche Médicale, France:

Primary Outcome Measures:

Percentage of vaginal deliveries within the 48 hours after cervical ripening [ Time Frame: 48 hours ]

Secondary Outcome Measures:

Proportion of total vaginal deliveries [ Time Frame: 48 hours ]
Vaginal deliveries at 12 hours, 24 hours and 36 hours [ Time Frame: 48 hours ]
Number of hyperkinesia with or without fetal heart rate monitoring abnormalities [ Time Frame: 48 hours ]
Number of hypertonia with or without fetal heart rate monitoring abnormalities [ Time Frame: 48 hours ]
Apgar score at 5 min less or equal 7 [ Time Frame: 48 hours ]
Apgar score at 10 min less or equal 7 [ Time Frame: 48 hours ]
Arterial pH less or equal 7.20 [ Time Frame: 48 hours ]
Arterial base excess more than 12 [ Time Frame: 48 hours ]
Number of maternal post-partum haemorrhage [ Time Frame: 48 hours ]
Time to reach 3cm cervical dilatation [ Time Frame: 48 hours ]


Enrollment:	446
Study Start Date:	January 2002
Study Completion Date:	October 2004

Arms	Assigned Interventions
Active Comparator: A sustained release preparation of prostaglandin E2	Drug: Prostaglandin E2
Active Comparator: B short-acting (instant-released) preparation of prostaglandin E2	Drug: Prostaglandin E2

Eligibility


Ages Eligible for Study:	18 Years to 45 Years
Genders Eligible for Study:	Female
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

singleton pregnancy
cephalic presentation
gestation of more than 37 Weeks confirmed by ultrasound
Bishop score less than 7
Informed consent

Exclusion Criteria:

previous cesarean section (scarred uterus)
polyhydramnios
multiple pregnancy
fetal malformation

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00545194

Locations


France
Olympe de Gouges Women Health Centre, Bretonneau University Hospital
Tours, France, 37044

Sponsors and Collaborators

Institut National de la Santé Et de la Recherche Médicale, France

Investigators


Principal Investigator:	Franck Perrotin, MD-PhD	Tours Universiity Hospital

More Information

Publications:

Lyrenäs S, Clason I, Ulmsten U. In vivo controlled release of PGE2 from a vaginal insert (0.8 mm, 10 mg) during induction of labour. BJOG. 2001 Feb;108(2):169-78.

Strobelt N, Meregalli V, Ratti M, Mariani S, Zani G, Morana S. Randomized study on removable PGE2 vaginal insert versus PGE2 cervical gel for cervical priming and labor induction in low-Bishop-score pregnancy. Acta Obstet Gynecol Scand. 2006;85(3):302-5.

El-Shawarby SA, Connell RJ. Induction of labour at term with vaginal prostaglandins preparations: a randomised controlled trial of Prostin vs Propess. J Obstet Gynaecol. 2006 Oct;26(7):627-30.


ClinicalTrials.gov Identifier:	NCT00545194 History of Changes
Other Study ID Numbers:	PROPESS Study
Study First Received:	October 16, 2007
Last Updated:	October 16, 2007
Health Authority:	France: Ministry of Health

Keywords provided by Institut National de la Santé Et de la Recherche Médicale, France:


Prostaglandin E2 Intravaginal gel Bishop score	Induction of labor randomized trial Vaginal insert

Additional relevant MeSH terms:


Dinoprostone Oxytocics Pharmacologic Actions	Physiological Effects of Drugs Reproductive Control Agents Therapeutic Uses

ClinicalTrials.gov processed this record on March 01, 2015

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