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Phase 2 Completed N=21 Randomized Quadruple-blind Treatment

Progesterone for the Management of Preterm, Premature Rupture of the Membranes: A Randomized Controlled Trial.

Source: ClinicalTrials.gov NCT01050647 ↗
Enrolled (actual)
21
Serious AEs
0.0%
Results posted
Apr 2018
Primary outcomePrimary: Number of Participants With Achievement of 34 Weeks Gestation — 0; 0 Participants

Summary

Preterm birth is the leading cause of neonatal death and a significant cause of life long disability and health problems. It has been shown that the drug 17-hydroxyprogesterone caproate can help reduce the risk of preterm delivery in women with certain risk factors for preterm birth. We hope to learn whether this same medication can be used to prolong pregnancy in a group of patients in whom this medication has not been previously studied. Specifically, we hope to learn whether progesterone supplementation will delay delivery in women with pre-term, premature rupture of membranes (PPROM).

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Achievement of 34 Weeks Gestation
0; 0
SECONDARY
Number of Participants With Neonatal Respiratory Distress Syndrome
7; 10 0.31
SECONDARY
Number of Participants With Neonatal Grade III - IV Intraventricular Hemorrhage
1; 2 >0.99
SECONDARY
Number of Participants With Neonatal Necrotizing Enterocolitis
2; 1 0.59
SECONDARY
Neonatal Length of NICU and Total Hospital Stay Assessed as Number of Days
39; 50 0.16
SECONDARY
Length of Latency Assessed as Number of Days
14.5; 8 0.14

Eligibility Criteria

Inclusion Criteria

  • 18yr of age
  • Singleton pregnancy
  • PPROM confirmed on clinical exam
  • GA between 24+0 and 33+5 wk
  • Ability to understand consent in either English or Spanish

Exclusion Criteria

  • Contraindication to ongoing pregnancy including:
  • Evidence of active infection
  • Evidence of significant placental abruption
  • IUFD diagnosed at the time of P-PROM diagnosis
  • Major fetal malformation
  • Maternal allergy to progesterone or placebo drug components
  • Current use of progesterone at the time of P-PROM
  • Multiple Gestations
  • Inability to understand consent in either English or Spanish
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01050647). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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