NCT00690040

Brief Summary

The purpose of this study is to compare between single balloon catheter and double balloon catheter for ripening the cervix among pregnant with unfavorable cervix.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
293

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2008

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 31, 2008

Completed
1 day until next milestone

Study Start

First participant enrolled

June 1, 2008

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 4, 2008

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2010

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2010

Completed
5.9 years until next milestone

Results Posted

Study results publicly available

October 24, 2016

Completed
Last Updated

October 24, 2016

Status Verified

May 1, 2013

Enrollment Period

2.5 years

First QC Date

May 31, 2008

Results QC Date

March 19, 2013

Last Update Submit

September 1, 2016

Conditions

Keywords

Induction of laborRipeningSingle balloon catheterDouble balloon catheter

Outcome Measures

Primary Outcomes (1)

  • Average Time in Hours From Insertion of the Catheter Until Delivery

    At the end of the study

Secondary Outcomes (1)

  • To Compare Mode of Delivery, Catheter's Side Effects and Woman's Satisfaction Between the Groups

    At the end of the study

Study Arms (2)

1

ACTIVE COMPARATOR

Ripening of the unfavorable cervix is done with Single balloon catheter (Foley catheter)

Device: Foley catheter

2

ACTIVE COMPARATOR

Ripening of the unfavorable cervix is done with double balloon catheter (Atad catheter)

Device: Atad catheter

Interventions

Single balloon catheter

1

Double balloon catheter

2

Eligibility Criteria

Age18 Years - 48 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Induction of labor is indicated
  • Gestational age between 24 - 42 weeks
  • Singleton pregnancy
  • Bishop score less than 7

You may not qualify if:

  • Any contraindication for vaginal delivery
  • Previous cesarean delivery
  • Low lying placenta
  • Rupture of membranes
  • Fetal malformations incompatible with life
  • intrauterine fetal death
  • Amnionitis
  • Genital viral infection (HIV, hepatitis C virus
  • , hepatitis B virus)
  • Allergy to latex

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Ob/Gyn, Ha'Emek Medical Center

Afula, Israel

Location

Related Publications (9)

  • Lyndrup J, Nickelsen C, Weber T, Molnitz E, Guldbaek E. Induction of labour by balloon catheter with extra-amniotic saline infusion (BCEAS): a randomised comparison with PGE2 vaginal pessaries. Eur J Obstet Gynecol Reprod Biol. 1994 Mar 15;53(3):189-97. doi: 10.1016/0028-2243(94)90118-x.

    PMID: 8200466BACKGROUND
  • Manabe Y, Manabe A, Takahashi A. F prostaglandin levels in amniotic fluid during balloon-induced cervical softening and labor at term. Prostaglandins. 1982 Feb;23(2):247-56. doi: 10.1016/0090-6980(82)90052-1.

    PMID: 7079521BACKGROUND
  • Sciscione AC, McCullough H, Manley JS, Shlossman PA, Pollock M, Colmorgen GH. A prospective, randomized comparison of Foley catheter insertion versus intracervical prostaglandin E2 gel for preinduction cervical ripening. Am J Obstet Gynecol. 1999 Jan;180(1 Pt 1):55-60. doi: 10.1016/s0002-9378(99)70149-3.

    PMID: 9914578BACKGROUND
  • James C, Peedicayil A, Seshadri L. Use of the Foley catheter as a cervical ripening agent prior to induction of labor. Int J Gynaecol Obstet. 1994 Dec;47(3):229-32. doi: 10.1016/0020-7292(94)90566-5.

    PMID: 7705527BACKGROUND
  • St Onge RD, Connors GT. Preinduction cervical ripening: a comparison of intracervical prostaglandin E2 gel versus the Foley catheter. Am J Obstet Gynecol. 1995 Feb;172(2 Pt 1):687-90. doi: 10.1016/0002-9378(95)90594-4.

    PMID: 7856707BACKGROUND
  • Dalui R, Suri V, Ray P, Gupta I. Comparison of extraamniotic Foley catheter and intracervical prostaglandin E gel for preinduction cervical ripening. Acta Obstet Gynecol Scand. 2005 Apr;84(4):362-7. doi: 10.1111/j.0001-6349.2005.00662.x.

    PMID: 15762966BACKGROUND
  • Atad J, Bornstein J, Calderon I, Petrikovsky BM, Sorokin Y, Abramovici H. Nonpharmaceutical ripening of the unfavorable cervix and induction of labor by a novel double balloon device. Obstet Gynecol. 1991 Jan;77(1):146-52.

    PMID: 1984215BACKGROUND
  • de Vaan MD, Ten Eikelder ML, Jozwiak M, Palmer KR, Davies-Tuck M, Bloemenkamp KW, Mol BWJ, Boulvain M. Mechanical methods for induction of labour. Cochrane Database Syst Rev. 2023 Mar 30;3(3):CD001233. doi: 10.1002/14651858.CD001233.pub4.

  • Salim R, Zafran N, Nachum Z, Garmi G, Kraiem N, Shalev E. Single-balloon compared with double-balloon catheters for induction of labor: a randomized controlled trial. Obstet Gynecol. 2011 Jul;118(1):79-86. doi: 10.1097/AOG.0b013e318220e4b7.

Limitations and Caveats

Blinding was not performed among patients and providers. However, other than the catheter type, management was standardized. Accordingly,such unblinding is not expected to affect the objectively measured outcomeS.

Results Point of Contact

Title
Dr. Raed Salim
Organization
Hemek Medical center

Study Officials

  • Raed Salim, MD

    Department of Ob/Gyn, Ha'Emek Medical Center, Afula, and Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

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
MD

Study Record Dates

First Submitted

May 31, 2008

First Posted

June 4, 2008

Study Start

June 1, 2008

Primary Completion

December 1, 2010

Study Completion

December 1, 2010

Last Updated

October 24, 2016

Results First Posted

October 24, 2016

Record last verified: 2013-05

Locations