- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05278130
Serial Screening and Treatment of Bacterial Vaginosis Trial (SECRETIVA)
Serial Screening and Treatment of Bacterial Vaginosis in Pregnancy to Prevent Preterm Delivery: A Randomized Control Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Preterm delivery affects 10% of all pregnancies in the United States. This risk is further increased in pregnant women with a history of preterm delivery. There are multiple etiology contributing of preterm labor. Of these, the presence of inflammation and infection have been a well-established cause. Bacterial vaginosis (BV), a common vaginal infection in pregnancy, may often be asymptomatic. Studies demonstrate a strong association between BV and preterm labor. Therefore it is recommended that women at high risk for preterm delivery are treated for this infection irregardless of symptoms. In this study the investigators hypothesize that increased testing for bacterial vaginosis, with subsequent timely treatment, may decrease the risk of preterm delivery in patients who are at high risk. The investigators suspect that the increase in monitoring will help diagnose asymptomatic bacterial vaginosis infections allowing for prompt treatment and avoidance of preterm labor.
Subjects will be randomized in a two-arm study to undergo predetermined intervals of testing for bacterial vaginosis or control. No experimental drugs or devices will be used.
- The intervention-arm will have a pelvic exam performed with vaginal swab collection at their initial obstetric visit. The women undergoing the intervention will then subsequently undergo additional vaginal swab collections in 2 week intervals starting at 16 weeks gestational age until 34 weeks gestational age.
- The control arm will undergo the standard of care. There will be no placebo for the control group.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Nikia Gray-Hutto, RN, CCRP
- Phone Number: 44428 9095584000
- Email: nhutto@llu.edu
Study Contact Backup
- Name: Ashra Denise Tugung, BSc
- Phone Number: 15580 9095584000
- Email: atugung@llu.edu
Study Locations
-
-
California
-
Loma Linda, California, United States, 92354
- Recruiting
- Loma Linda University Children'S Hospital
-
Contact:
- Ashra Tugung, BSc
- Phone Number: 909-651-5580
- Email: atugung@llu.edu
-
Principal Investigator:
- Ruofan Yao, MD, MPH
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Female
- Age greater than or equal to 18 years old
- Pregnancy at less than 32 weeks gestational age at initial obstetric visit with Loma Linda Maternal Fetal Medicine (MFM) Clinic
- History of at least one prior preterm delivery >16 and <37 weeks not due to iatrogenic indications, or short cervical length <2.5cm
- Willing to receive prenatal standard of care and comply with treatment plan and other study procedures at Loma Linda
Exclusion Criteria:
- Patients not deemed to be high risk for preterm delivery
- Patient with cervical dilation ≥1cm on initial exam or with protruding membranes
- Current pregnancy is multigestation
- Medical indications for iatrogenic preterm delivery during this pregnancy (e.g. preeclampsia with severe features)
- Desires termination during this pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Intervention Arm
The intervention-arm will have a pelvic exam performed with vaginal swab collection at their initial obstetric visit (standard of care).
The women undergoing the intervention will then subsequently undergo additional vaginal swab collections in 2 week intervals starting at 16 weeks gestational age until 34 weeks gestational age.
Subjects will be informed of the results of the vaginal swab.
If positive for an infection, subjects will be provided with the appropriate treatment in pregnancy.
|
Every 2 weeks from 16 weeks gestational age to 34 weeks gestational age
|
No Intervention: Control Arm
The control arm will undergo the standard of care with vaginal swab collection at their initial obstetric visit.
The control arm will not undergo additional vaginal swab collections unless otherwise indicated under standard of care (further testing for bacterial vaginosis is completed in women who describe symptoms with the diagnosis or present for preterm contractions and/or pelvic cramping).
There will be no placebo for the control group.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Number of participants with premature delivery (before 37 weeks gestation)
Time Frame: At delivery
|
At delivery
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Length of hospital stay of mothers
Time Frame: Number of hours between time of admission to time of discharge, up to 4 weeks from time of admission
|
The length of hospital stay for mothers will be measured in hours from the time of admission to labor and delivery unit to the time of discharge from the post-partum unit.
|
Number of hours between time of admission to time of discharge, up to 4 weeks from time of admission
|
Length of hospital stay of neonates
Time Frame: Number of hours between time of admission (birth) to time of discharge, up to 1 year from time of admission (birth)
|
The length of hospital stay for neonates will be measured in hours from the time of admission (birth) to discharge from the postpartum unit or neonatal intensive care unit
|
Number of hours between time of admission (birth) to time of discharge, up to 1 year from time of admission (birth)
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Infections
- Bacterial Infections
- Bacterial Infections and Mycoses
- Pregnancy Complications
- Obstetric Labor Complications
- Obstetric Labor, Premature
- Vaginitis
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Genital Diseases
- Genital Diseases, Female
- Premature Birth
- Vaginal Diseases
- Vaginosis, Bacterial
Other Study ID Numbers
- 5220115
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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