Magnesium Sulfate Versus Nifedipine for the Acute Tocolysis of Preterm Labor: A Prospective, Randomized Trial
1 other identifier
interventional
192
1 country
1
Brief Summary
To compare intravenous magnesium sulfate to oral nifedipine for acute tocolysis of preterm labor
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 1999
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 1999
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2005
CompletedFirst Submitted
Initial submission to the registry
September 12, 2005
CompletedFirst Posted
Study publicly available on registry
September 16, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2007
CompletedResults Posted
Study results publicly available
October 2, 2018
CompletedNovember 19, 2018
October 1, 2018
6.3 years
September 12, 2005
February 13, 2018
October 2, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Number of Participants With Prevention of Preterm Delivery for 48 Hours With Attainment of Uterine Quiescence
Uterine quiescence defined by 12 hours of six or fewer contractions per hour and no further cervical change within 48 hours of tocolytic initiation.
48 hours after administration of study medication.
Secondary Outcomes (5)
Time to Uterine Quiescence
Until delivery, up to 42 weeks of gestation
Gestational Age at Delivery
Until delivery, up to 42 weeks of gestation
Neonatal Birth Weight
Until delivery, up to 42 weeks of gestation
Serious Maternal Adverse Effect
From study enrollment until discharge from delivery hospital, up to 30 days after delivery.
Composite Neonatal Morbidity
From delivery until discharge from the hospital, up to 30 days of age
Study Arms (2)
Magnesium Sulfate
ACTIVE COMPARATORPreterm labor treatment with Magnesium Sulfate.
Nifedipine
ACTIVE COMPARATORPreterm labor treatment with Nifedipine.
Interventions
Preterm labor treatment with Magnesium Sulfate 4 gram bolus followed by 2 gm per hour infusion. 2 Gm bolus as needed and/or rate increase up to 4gm per hour were allowed at the discretion of the treating physician.
Preterm labor treatment with Nifedipine 10 mg. sublingually every 20 minutes for three doses, followed by 20 mg. orally every 4 or 6 hours.
Eligibility Criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Stanford University School of Medicine
Stanford, California, 94305, United States
Related Publications (2)
Lyell DJ, Pullen K, Campbell L, Ching S, Druzin ML, Chitkara U, Burrs D, Caughey AB, El-Sayed YY. Magnesium sulfate compared with nifedipine for acute tocolysis of preterm labor: a randomized controlled trial. Obstet Gynecol. 2007 Jul;110(1):61-7. doi: 10.1097/01.AOG.0000269048.06634.35.
PMID: 17601897RESULTWilson A, Hodgetts-Morton VA, Marson EJ, Markland AD, Larkai E, Papadopoulou A, Coomarasamy A, Tobias A, Chou D, Oladapo OT, Price MJ, Morris K, Gallos ID. Tocolytics for delaying preterm birth: a network meta-analysis (0924). Cochrane Database Syst Rev. 2022 Aug 10;8(8):CD014978. doi: 10.1002/14651858.CD014978.pub2.
PMID: 35947046DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Anna Girsen
- Organization
- Stanford University
Study Officials
- PRINCIPAL INVESTIGATOR
Yasser Yehia El-Sayed
Stanford University
Publication Agreements
- PI is Sponsor Employee
- Yes
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principle Investigator
Study Record Dates
First Submitted
September 12, 2005
First Posted
September 16, 2005
Study Start
April 1, 1999
Primary Completion
July 1, 2005
Study Completion
July 1, 2007
Last Updated
November 19, 2018
Results First Posted
October 2, 2018
Record last verified: 2018-10
Data Sharing
- IPD Sharing
- Will not share