Vaginal Administration of ALA vs Progesterone for the Subchorionic Hematoma Treatment
Vaginal Administration of Alpha Lipoic Acid vs Progesterone for the Subchorionic Hematoma Treatment
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Ferrara, Italy
- Azienda USL Ferrara
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age: 24-37
- Gestational week: 7- 12
- Evidence of threatened miscarriage (pelvic pain with or without vaginal bleeding)
- Ultrasound evidence of subchorionic hematoma
Exclusion Criteria:
- Lack of fetus
- Absence of fetal heart tone
- Uterine anomaly or fetal anomaly
- Presence of multiple pregnancy
- Gestation pathology
- Therapies with anti-coagulants or anti-hypertensive drugs
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Lipoic acid
vaginal capsules of lipoic acid (10 mg, one capsule per day)
|
Vaginal capsules (medical device) containing 10 mg of lipoic acid (1 per day)
|
|
Active Comparator: Progesterone
Vaginal soft gel of progesterone (200 mg, two capsules per day)
|
Vaginal capsules (drug) containing 200 mg of progesterone (2 per day)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in subchorionic hematoma from baseline at 20 days and 40 days, assessed as %improvement/worsening by ultrasoud examination
Time Frame: T1 (20 days); T2 (40 days)
|
The evaluation of the hematoma significance is done comparing its size with that one of the gestational sac during the ultrasound examination.
Changes in hematoma resorption (% improvement/ worsening) during the treatment were obtained for each patient by calculating the Δ percentage between two subsequent time points.
|
T1 (20 days); T2 (40 days)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with abdominal pain as assessed by questionnaire
Time Frame: T1 (20 days)
|
T1 (20 days)
|
|
|
Number of participants with vaginal bleeding as assessed by questionnaire
Time Frame: T1 (20 days)
|
T1 (20 days)
|
|
|
Number of participants with abdominal pain as assessed by questionnaire
Time Frame: T2 (40 days)
|
Questionaire
|
T2 (40 days)
|
|
Number of participants with vaginal bleeding as assessed by questionnaire
Time Frame: T2 (40 days)
|
T2 (40 days)
|
|
|
Number of participants who miscarried as assessed by ultrosound examination
Time Frame: 20 weeks of gestation
|
20 weeks of gestation
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Yassaee F, Shekarriz-Foumani R, Afsari S, Fallahian M. The effect of progesterone suppositories on threatened abortion: a randomized clinical trial. J Reprod Infertil. 2014 Jul;15(3):147-51.
- Porcaro G, Brillo E, Giardina I, Di Iorio R. Alpha Lipoic Acid (ALA) effects on subchorionic hematoma: preliminary clinical results. Eur Rev Med Pharmacol Sci. 2015 Sep;19(18):3426-32.
- Costantino M, Guaraldi C, Costantino D. Resolution of subchorionic hematoma and symptoms of threatened miscarriage using vaginal alpha lipoic acid or progesterone: clinical evidences. Eur Rev Med Pharmacol Sci. 2016 Apr;20(8):1656-63.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Hemorrhage
- Pregnancy Complications
- Abortion, Spontaneous
- Hematoma
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Protective Agents
- Micronutrients
- Vitamins
- Antioxidants
- Vitamin B Complex
- Progestins
- Progesterone
- Thioctic Acid
Other Study ID Numbers
Other Study ID Numbers
- ALAvsPROG
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