Gomco Versus Mogen: Which is Best? A Randomized Controlled Trial
GMRT
1 other identifier
interventional
274
1 country
1
Brief Summary
The purpose of this study is to compare two commonly used circumcision clamps (Gomco and Mogen) to see which results in less neonatal pain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Oct 2012
Typical duration 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
October 1, 2012
CompletedFirst Submitted
Initial submission to the registry
November 1, 2012
CompletedFirst Posted
Study publicly available on registry
November 14, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2014
CompletedResults Posted
Study results publicly available
May 16, 2019
CompletedJune 5, 2019
January 1, 2018
1.4 years
November 1, 2012
July 24, 2015
May 21, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Neonatal Salivary Cortisol Level
Neonatal pain will be assessed by change in salivary cortisol, measured in mcg/dL., level pre and post procedure
Approximately 2 hours before and 15 minutes after the procedure
Post-procedure Neonatal Pain Score Using the CRIES Neonatal Pain Measurement Tool
The CRIES score assigns points for crying characteristics, oxygen requirements, change in vital signs, facial expressions, and the infant's sleep state. The minimum and maximum scores of CRIES is 0 to 10, respectively with the lower score associated with lower pain and the higher score associated with high amount of pain.
CRIES assessment completed prior to the procedure and post procedure.
Study Arms (2)
Gomco Circumcision Clamp
ACTIVE COMPARATORGomco circumcision clamp used for neonatal circumcision.
Mogen Circumcision Clamp
ACTIVE COMPARATORMogen circumcision clamp used for neonatal circumcision.
Interventions
Neonatal male circumcision utilizing the Gomco Circumcision Clamp
Neonatal male circumcision utilizing the Mogen Circumcision Clamp
Eligibility Criteria
You may qualify if:
- term infants delivered by cesarean section or vaginal delivery at Good Samaritan Hospital during the time period of the study
- Infants with no blood drawn two hours prior to the circumcision
- Singletons
You may not qualify if:
- Infants with congenital anomalies and/or known chromosomal syndromes
- Preterm infants defined as less than 37 / 0 weeks gestation.
- Delivery secondary to non-reassuring fetal heart tracing, defined by the delivering physician
- Infants of diabetic mothers.
- Infants of preeclamptic mothers on magnesium sulfate within 48 hours of delivery.
- Infants delivered by vacuum-assisted or forceps-assisted vaginal delivery.
- Infants of mothers who took steroids for fetal lung maturity within 7 days of delivery. (This may apply to term infants if the mother had no prenatal care and her gestational age was not known on arrival).
- Infants with a 5 minutes apgar score of less than 7
- Infants born to mothers with a history of drug abuse during pregnancy, currently on methadone, or with Hepatitis C or HIV.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- TriHealth Inc.lead
Study Sites (1)
TriHealth Good Samaritan Hospital
Cincinnati, Ohio, 45220, United States
Related Publications (1)
Sinkey RG, Eschenbacher MA, Walsh PM, Doerger RG, Lambers DS, Sibai BM, Habli MA. The GoMo study: a randomized clinical trial assessing neonatal pain with Gomco vs Mogen clamp circumcision. Am J Obstet Gynecol. 2015 May;212(5):664.e1-8. doi: 10.1016/j.ajog.2015.03.029. Epub 2015 Mar 17.
PMID: 25794628DERIVED
Results Point of Contact
- Title
- Rachel G. Sinkey MD - PI
- Organization
- TriHealth
Study Officials
- PRINCIPAL INVESTIGATOR
Mounira Habli, MD
TriHealth Inc.
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 1, 2012
First Posted
November 14, 2012
Study Start
October 1, 2012
Primary Completion
March 1, 2014
Study Completion
September 1, 2014
Last Updated
June 5, 2019
Results First Posted
May 16, 2019
Record last verified: 2018-01
Data Sharing
- IPD Sharing
- Will share
The data will be shared by manuscript.