Progesterone to Enhance the Efficacy and Success of Expectantly Managed Preterm Severe/Superimposed Preeclampsia
PROGRESS
1 other identifier
interventional
60
1 country
1
Brief Summary
The purpose of this study is to learn if giving 17-hydroxyprogesterone caproate (17 OHPC) to mothers with preeclampsia diagnosed before 34 weeks gestation improves mother and baby outcomes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2 pregnancy
Started May 2017
Longer than P75 for phase_2 pregnancy
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
First Submitted
Initial submission to the registry
November 28, 2016
CompletedFirst Posted
Study publicly available on registry
December 12, 2016
CompletedStudy Start
First participant enrolled
May 22, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 31, 2027
May 1, 2026
April 1, 2026
9.7 years
November 28, 2016
April 27, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Improvement of maternal and perinatal outcomes
Assessment of maternal BP trends
Baseline
Secondary Outcomes (1)
Change is being assessed in Maternal Outcomes
24 hours
Other Outcomes (15)
Change is being assessed in Maternal Outcomes
48 hours
Change is being assessed in Maternal Outcomes
Until delivery
Assessment of Placental Abruption
Baseline until delivery
- +12 more other outcomes
Study Arms (2)
Experimental
EXPERIMENTALTo determine if the addition of 17 OHPC to the management of Severe PE diagnosed prior to 34 weeks gestation improves maternal and perinatal outcomes.
Control
NO INTERVENTIONTo determine how close the molecular markers are with 17 OHPC added to the management protocol.
Interventions
The study participant will be given 17 OHPC, 250mg IM at admission and every 7 days thereafter.
Eligibility Criteria
You may qualify if:
- UMMC antepartum patients with preterm PE between 23 0/7ths and 34 0/7ths weeks gestation when initially evaluated
- Willing and able to understand study procedures and to provide informed consent
You may not qualify if:
- \>33 weeks gestational age or \<23 weeks gestation
- Maternal compromise requiring emergent delivery (ongoing placental abruption, DIC, pulmonary edema).
- Fetal compromise requiring emergent delivery (fetal bradycardia, recurrent late fetal heart rate decelerations, minimal to absent fetal heart rate variability).
- Parameters according to current practice guidelines that exclude a patient from expectant management include the following:
- Preterm premature rupture of membranes (PPROM) \> 34 weeks gestation;
- Platelet count \< 100,000/microliter (thrombocytopenia) with evidence of HELLP syndrome;
- Persistently abnormal hepatic enzyme concentrations (twice or more upper normal values);
- Severe fetal growth restriction (ultrasound-estimated fetal weight less than fifth percentile);
- Severe Oligohydramnios (AFI \< 5cm)
- Reversal of end diastolic flow(REDF) in umbilical artery Doppler testing;
- Recurrent (\> 2 readings \> 30 minutes apart) severe hypertension despite antihypertensive therapy;
- Eclampsia;
- Pulmonary edema;
- Abruption placentae;
- Nonreassuring fetal status during daily testing (biophysical profile \<4/10 and/or recurrent variable or late decelerations);
- +1 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Winfred L. Wiser Hospital
Jackson, Mississippi, 39216, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Babbette LaMarca, PhD
University of Missisippi Medical Center
- STUDY DIRECTOR
Sheila S Belk
UMMC Pharmacology and Toxicology
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Chair and Professor, Pharmacology and Toxicology
Study Record Dates
First Submitted
November 28, 2016
First Posted
December 12, 2016
Study Start
May 22, 2017
Primary Completion (Estimated)
January 31, 2027
Study Completion (Estimated)
January 31, 2027
Last Updated
May 1, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share