Oral Progesterone for Prevention of Miscarriage in Threatened Abortion
Oral Progesterone for Prevention of Miscarriage in Threatened Abortion: a Randomized, Double-blinded, Placebo-controlled Trial
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 Contact
Study Contact
- Name: Vorapong Phupong, M.D.
- Phone Number: +6626492115
- Email: vorapong.p@chula.ac.th
Study Contact Backup
- Name: Arissara Kuptarak, M.D.
- Phone Number: +6626492115
- Email: arissaramd@hotmail.com
Study Locations
-
-
-
Bangkok, Thailand, 10330
- Faculty of Medicine, Chulalongkorn University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- singleton pregnancy with gestational age 6 - 20 weeks
- threatened abortion
- confirmed intrauterine pregnancy with a viable fetus by ultrasound
Exclusion Criteria:
- history of recurrent miscarriage
- having endocervical polyp
- having infection such as pneumonia, pyelonephritis, septicemia
- having autoimmune diseases such as systemic lupus erythematosus, systemic sclerosis, rheumatoid arthritis
- having cancer
- having coagulation defect
- allergy to dydrogesterone
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Dydrogesterone
dydrogesterone 10 mg by mouth every 12 hours until 1 week after bleeding stops or until 6 weeks.
|
Dydrogesterone tablet
|
|
Placebo Comparator: Placebo
placebo by mouth every 12 hours until 1 week after bleeding stops or until 6 weeks.
|
Placebo tablet
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
continue pregnancy more than 20 weeks gestation
Time Frame: at 20 weeks gestation
|
percentage of cases with continue pregnancy more than 20 weeks gestation
|
at 20 weeks gestation
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
preterm delivery less than 34 weeks
Time Frame: at 34 weeks gestation
|
percentage of delivery less than 34 weeks
|
at 34 weeks gestation
|
|
preterm delivery less than 37 weeks
Time Frame: at 37 weeks gestation
|
percentage of delivery less than 37 weeks
|
at 37 weeks gestation
|
|
placenta previa
Time Frame: 31 weeks
|
percentage of placenta previa
|
31 weeks
|
|
abruptio placenta
Time Frame: 31 weeks
|
percentage of abruptio placenta
|
31 weeks
|
|
Intrauterine growth restriction
Time Frame: 31 weeks
|
percentage of intrauterine growth restriction
|
31 weeks
|
|
neonatal complications
Time Frame: 31 weeks
|
percentage of newborn with respiratory distress syndrome, intraventricular hemorrhage, necrotizing enterocolitis, death
|
31 weeks
|
|
side effects
Time Frame: 6 weeks
|
percentage of side effects such as headache, nausea/vomiting
|
6 weeks
|
|
compliance
Time Frame: 6 weeks
|
percentage of complete drug use
|
6 weeks
|
|
maternal satisfaction
Time Frame: 6 weeks
|
percentage of good satisfaction
|
6 weeks
|
|
time until bleeding stops
Time Frame: 6 weeks
|
time from first bleeding until bleeding stops
|
6 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Vorapong Phupong, M.D., Chulalongkorn University, Faculty of Medicine, Department of Obstetrics and Gynecology
Publications and helpful links
General Publications
- American College of Obstetricians and Gynecologists' Committee on Practice Bulletins-Gynecology. ACOG Practice Bulletin No. 200: Early Pregnancy Loss. Obstet Gynecol. 2018 Nov;132(5):e197-e207. doi: 10.1097/AOG.0000000000002899.
- Omar MH, Mashita MK, Lim PS, Jamil MA. Dydrogesterone in threatened abortion: pregnancy outcome. J Steroid Biochem Mol Biol. 2005 Dec;97(5):421-5. doi: 10.1016/j.jsbmb.2005.08.013. Epub 2005 Nov 15.
- Pandian RU. Dydrogesterone in threatened miscarriage: a Malaysian experience. Maturitas. 2009 Dec;65 Suppl 1:S47-50. doi: 10.1016/j.maturitas.2009.11.016. Epub 2009 Dec 14.
- El-Zibdeh MY, Yousef LT. Dydrogesterone support in threatened miscarriage. Maturitas. 2009 Dec;65 Suppl 1:S43-6. doi: 10.1016/j.maturitas.2009.11.013. Epub 2009 Dec 14.
- Mirza FG, Patki A, Pexman-Fieth C. Dydrogesterone use in early pregnancy. Gynecol Endocrinol. 2016;32(2):97-106. doi: 10.3109/09513590.2015.1121982. Epub 2016 Jan 22.
- Schindler AE, Campagnoli C, Druckmann R, Huber J, Pasqualini JR, Schweppe KW, Thijssen JH. Classification and pharmacology of progestins. Maturitas. 2003 Dec 10;46 Suppl 1:S7-S16. doi: 10.1016/j.maturitas.2003.09.014.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 177/2021
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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