Vaginal Compared With Intramuscular Progesterone for Prevention of Preterm Birth in High Risk Pregnant Women
A Multicenter, Randomized, Open-label, Investigator Initiated Trial of Vaginal Compared With Intramuscular Progesterone for Prevention of Preterm Birth in High Risk Pregnant Women
1 other identifier
interventional
360
0 countries
N/A
Brief Summary
This study is for compare the efficacy of two different regimens(vaginal vs intramuscular) of progesterone therapy in prevention of preterm birth in high risk pregnant women.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Dec 2014
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
First Submitted
Initial submission to the registry
November 26, 2014
CompletedFirst Posted
Study publicly available on registry
December 1, 2014
CompletedStudy Start
First participant enrolled
December 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedDecember 1, 2014
November 1, 2014
1.9 years
November 26, 2014
November 26, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Preterm Birth Rate before 37 weeks of gestation
from study enrollment to maximum 37 weeks of gestation
Secondary Outcomes (4)
Preterm Birth Rate before 34 weeks of gestation
from study enrollment to maximum 34 weeks of gestation
Preterm Birth Rate before 28 weeks of gestation
from study enrollment to maximum 28 weeks of gestation
Result of birth(rate of death, weight, cause of hospitalization to NICU)
from study enrollment to maximum 37 weeks of gestation
Any complications occurred to newborn and mother
from study enrollment to maximum 37 weeks of gestation
Study Arms (2)
Vaginal progesterone
EXPERIMENTALVaginal progesterone(Utrogestan)200mg/day, during 14\~21 weeks.
Intramuscular progesterone
ACTIVE COMPARATORIntramuscular progesterone(Progesterone Depot Jenapharm Injection)250mg/week, during 14\~21 weeks.
Interventions
micronized progesterone 200mg/day till 36 weeks 6 days of gestation or premature rupture of membranes
hydroxyprogesterone caproate 250mg/ml/week till 36 weeks 6 days of gestation or premature rupture of membranes
Eligibility Criteria
You may qualify if:
- With a history of prior spontaneous preterm birth or short cervix length
- Spontaneous preterm birth: preterm birth \<37 weeks of gestation due to spontaneous preterm labor or preterm premature rupture of membranes (PPROM)
- Short Cervix length : cervix length \<25 mm as measured by transvaginal ultrasound at 16-24 weeks of gestation
You may not qualify if:
- Multiple gestations
- Major congenital anomalies
- Elective prophylactic cervical cerclage \<16 weeks of gestation during current pregnancy
- Previous intentional preterm birth due to maternal or fetal indications, such as preeclampsia and fetal growth restriction
- Diabetes, hypertension, other severe medical diseases
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Ewha Womans University Mokdong Hospitallead
- Samsung Medical Centercollaborator
- Han Wha Pharma Co., Ltd.collaborator
- Ministry of Health & Welfare, Koreacollaborator
Related Publications (1)
Choi SJ, Kwak DW, Kil K, Kim SC, Kwon JY, Kim YH, Na S, Bae JG, Cha HH, Shim JY, Oh KY, Lee KA, Kim SM, Cho IA, Lee SM, Cho GJ, Jo YS, Choi GY, Choi SK, Hur SE, Hwang HS, Kim YJ; from The Preterm Birth Research Committee of the Korean Society of Maternal Fetal Medicine. Vaginal compared with intramuscular progestogen for preventing preterm birth in high-risk pregnant women (VICTORIA study): a multicentre, open-label randomised trial and meta-analysis. BJOG. 2020 Dec;127(13):1646-1654. doi: 10.1111/1471-0528.16365. Epub 2020 Jul 14.
PMID: 32536019DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Young Ju Kim
Ewha Womans University Mokdong Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
November 26, 2014
First Posted
December 1, 2014
Study Start
December 1, 2014
Primary Completion
November 1, 2016
Study Completion
December 1, 2016
Last Updated
December 1, 2014
Record last verified: 2014-11