Randomised placebo controlled trial of outpatient cervical ripening with isosorbide mononitrate (IMN) prior to induction of labour - clinical trial with analyses of efficacy, cost effectiveness and acceptability

ISRCTN ISRCTN39772441
DOI https://doi.org/10.1186/ISRCTN39772441
Protocol serial number RN04OB007
Sponsor Greater Glasgow Health Board (North Glasgow University Hospitals Division) and The University of Glasgow (UK)
Funder Wellbeing (Charity) Ref. CT 2004
Submission date
13/06/2005
Registration date
25/07/2005
Last edited
16/03/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Jane Norman
Scientific

University of Glasgow Division of Developmental Medicine
3rd Floor, Queen Elizabeth Building
Glasgow Royal Infirmary
10 Alexandra Parade
Glasgow
G31 2ER
United Kingdom

Phone +44 (0)141 211 4708
Email j.e.norman@clinmed.gla.ac.uk

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleRandomised placebo controlled trial of outpatient cervical ripening with isosorbide mononitrate (IMN) prior to induction of labour - clinical trial with analyses of efficacy, cost effectiveness and acceptability
Study acronymIMOP
Study objectivesOutpatient isosorbide mononitrate will result in a shorter inpatient stay before delivery, decreased costs to the health service, and greater maternal satisfaction with induction of labour, compared with placebo treatment
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedCervical ripening prior to induction of labour
InterventionIsosorbide mononitrate 40 mg (or placebo) given vaginally 48 hours, 32 hours and 16 hours prior to scheduled admission for induction of labour.
Intervention typeDrug
PhaseNot Specified
Drug / device / biological / vaccine name(s)Isosorbide mononitrate (IMN)
Primary outcome measure(s)

i. Elapsed time interval from hospital admission to vaginal delivery (defined as the time from admission for inpatient induction or admission in labour to delivery)
ii. Costs to the health service of induction of labour
iii. Women’s experience of induction of labour

Key secondary outcome measure(s)

iv. Operative delivery rates
v. Incidence of unscheduled admission for reasons other than labour commencing
vi. Duration and frequency of neonatal admissions to special care
vii. Incidence of adverse maternal and fetal outcomes such as uterine hypercontractility, postpartum haemorrhage (maternal outcomes) and meconium stained liquor, five minute Apgar of less than seven (fetal outcomes)
viii. Length of labour
ix. Oxytocin augmentation rates
x. Epidural usage
xi. Proportion with unfavourable cervix at 24 hours after admission
xii. Requirement for additional inpatient cervical ripening agent

Completion date31/01/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target sample size at registration300
Key inclusion criteria1. Bishop score less than or equal to 6
2. Singleton pregnancy
3. Nulliparity
4. Gestation greater than or equal to 37 completed weeks
5. Willing to self administer vaginal tablets
Key exclusion criteriaFetal compromise of sufficient severity such that daily fetal monitoring is scheduled
Date of first enrolment01/02/2005
Date of final enrolment31/01/2007

Locations

Countries of recruitment

  • United Kingdom
  • Scotland

Study participating centre

University of Glasgow Division of Developmental Medicine
Glasgow
G31 2ER
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 25/07/2006 Yes No
Results article results 01/08/2009 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes
Study website Study website 11/11/2025 11/11/2025 No Yes

Editorial Notes

16/03/2020: Internal review.