Investigation into the effectiveness of progesterone prevention of preterm labour in women who became pregnant by in vitro fertilisation (IVF)/ intra-cytoplasmic sperm injection (ICSI)

ISRCTN ISRCTN06959967
DOI https://doi.org/10.1186/ISRCTN06959967
Secondary identifying numbers N/A
Submission date
25/06/2008
Registration date
25/07/2008
Last edited
30/07/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Mona Aboulghar
Scientific

The Egyptian IVF-ET Center
3, St. 161 Hadaek Al Maadi
Maadi
Cairo
11431
Egypt

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typePrevention
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEffect of progesterone administration on the duration of pregnancy after in vitro fertilisation (IVF)/ intra-cytoplasmic sperm injection (ICSI): a prospective randomised study
Study objectivesTreatment with progesterone is emerging as the standard of care for prevention of preterm delivery in women at high risk for preterm birth. Randomised controlled trials (RCTs) have generally shown efficacy in reducing the rate of recurrent preterm delivery in women with singleton pregnancies who were at high risk for preterm labour and delivery. Most of the successful trials have employed 17-alpha-hydroxyprogesterone caproate, and one trial has reported positive results using progesterone vaginal suppositories. Very few trials of progestogens have been reported for women at risk for preterm delivery because of multiple gestations.
Ethics approval(s)The Egyptian IVF-ET Center Ethics Committee. Date of approval: 17/06/2008 (ref: 4/2008)
Health condition(s) or problem(s) studiedPrevention of preterm labour after IVF/ICSI
InterventionIntervention group: Natural progesterone will be administered in the form of natural Prontogest® 400 mg daily through the vaginal route (pessaries). Progesterone administration will continue until delivery.
Control group: Standard care only

Serum progesterone will be measured at start of trial (20 weeks gestation) and at 32 weeks gestation in all participants.
Intervention typeOther
Primary outcome measureDelivery <37 weeks' gestation.
Secondary outcome measures1. Neonatal outcome
2. Incidence of prematurity
3. Admission to neonatal intensive care unit (ICU)
4. Complication of prematurity
Overall study start date01/07/2008
Completion date30/12/2009

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants302
Key inclusion criteriaHealthy women who became pregnant after IVF/ICSI (singleton or twin). Randomisation will be carried out, on average, during the 20th week of gestation.
Key exclusion criteria1. Rupture of membranes
2. Smokers
3. Major known foetal anomalies
4. Uterine anomalies
5. Cervical cerclage
6. Treatment during this pregnancy with progesterone after 12 weeks' gestation (use up to 10 weeks' gestation is permitted)
7. Contraindications to tocolysis, including foetal distress, chorioamnionitis, preeclampsia, hemodynamic instability
8. Patients treated with oral beta adrenergics for asthma
9. Age <18 years
Date of first enrolment01/07/2008
Date of final enrolment30/12/2009

Locations

Countries of recruitment

  • Egypt

Study participating centre

The Egyptian IVF-ET Center
Cairo
11431
Egypt

Sponsor information

Marcyrl (Egypt)
Industry

Habib Scientific Office
Buildings Sheraton Square No. 1227
Building No. 8C
Cairo
-
Egypt

Website http://www.marcyrl.com

Funders

Funder type

Hospital/treatment centre

This trial is funded mainly by the Egyptian IVF-ET Center (Egypt). The cost of medication is funded by Institut Biochimique SA (IBSA; Egypt).

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan