NCT01242384

Brief Summary

Placement of a vaginal pessary reduces significantly the rate of spontaneous preterm birth in pregnant women with short cervical length after an episode of threatened preterm labour.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
500

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Jun 2008

Longer than P75 for phase_4

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

Study Start

First participant enrolled

June 1, 2008

Completed
2.3 years until next milestone

First Submitted

Initial submission to the registry

September 28, 2010

Completed
2 months until next milestone

First Posted

Study publicly available on registry

November 17, 2010

Completed
3.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2014

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2014

Completed
Last Updated

September 20, 2016

Status Verified

September 1, 2016

Enrollment Period

6.1 years

First QC Date

September 28, 2010

Last Update Submit

September 18, 2016

Conditions

Outcome Measures

Primary Outcomes (1)

  • Spontaneous delivery before 34 completed weeks

    Each 6 months

Secondary Outcomes (7)

  • Birth weight

    Each 6 months

  • Fetal-Neonatal Death

    Each 6 months

  • Neonatal morbidity

    Each 6 months

  • Maternal adverse effects

    Each 6 months

  • Preterm birth before 37 weeks or 28 weeks

    Each 6 months

  • +2 more secondary outcomes

Study Arms (2)

Expectant Management

NO INTERVENTION

Placement of cervical pessary since 23 weeks until 37 weeks

EXPERIMENTAL
Device: Device: Silicon ring (Arabin Pessary)

Interventions

Placement of a silicon pessary in the vagina, around the cervix.

Placement of cervical pessary since 23 weeks until 37 weeks

Eligibility Criteria

Age18 Years - 45 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Minimal age of 18 years
  • Episode of threatened preterm labour

You may not qualify if:

  • Major fetal abnormalities (requiring surgery or leading to infant death or severe handicap)
  • Spontaneous rupture of membranes at the time of randomization
  • Cervical cerclage in situ
  • Active vaginal bleeding
  • Placenta previa
  • Sample size: 336 singleton (168 per arm) and 128 twins (64 per arm).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hospital Vall d'Herbron

Barcelona, Barcelona, 08036, Spain

Location

Related Publications (2)

  • Abdel-Aleem H, Shaaban OM, Abdel-Aleem MA, Aboelfadle Mohamed A. Cervical pessary for preventing preterm birth in singleton pregnancies. Cochrane Database Syst Rev. 2022 Dec 1;12(12):CD014508. doi: 10.1002/14651858.CD014508.

  • Merced C, Goya M, Pratcorona L, Rodo C, Llurba E, Higueras T, Cabero L, Carreras E; PECEP-RETARD Trial Group. Cervical pessary for preventing preterm birth in twin pregnancies with maternal short cervix after an episode of threatened preterm labor: randomised controlled trial. Am J Obstet Gynecol. 2019 Jul;221(1):55.e1-55.e14. doi: 10.1016/j.ajog.2019.02.035. Epub 2019 Feb 28.

MeSH Terms

Conditions

Premature Birth

Condition Hierarchy (Ancestors)

Obstetric Labor, PrematureObstetric Labor ComplicationsPregnancy ComplicationsFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital Diseases

Study Officials

  • Elena Carreras

    Hospital Vall d'Hebron

    STUDY DIRECTOR
  • Maria Goya

    Hospital Vall d'Hebron

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD

Study Record Dates

First Submitted

September 28, 2010

First Posted

November 17, 2010

Study Start

June 1, 2008

Primary Completion

July 1, 2014

Study Completion

July 1, 2014

Last Updated

September 20, 2016

Record last verified: 2016-09

Locations