UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001870
Receipt number R000002251
Scientific Title Validation of efficacy of cervical cerclage in patients with short cervical length
Date of disclosure of the study information 2009/04/20
Last modified on 2012/08/26 01:06:34

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Basic information

Public title

Validation of efficacy of cervical cerclage in patients with short cervical length

Acronym

Efficacy of cervical cerclage (RCT)

Scientific Title

Validation of efficacy of cervical cerclage in patients with short cervical length

Scientific Title:Acronym

Efficacy of cervical cerclage (RCT)

Region

Japan


Condition

Condition

Pregnant women with subclinical infection and cervical length 25 mm as diagnosed by transvaginal ultrasonography in a maternity health examination conducted during the second trimester of pregnancy (between week 16 day 0 and week 26 day 6 of gestation)

Classification by specialty

Obstetrics and Gynecology Pediatrics Operative medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To verify the efficacy and safety of cervical cerclage for the purpose of preventing preterm delivery in pregnant women with short cervical length and no subclinical infection in the second trimester of pregnancy

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Gestational week of delivery
Neonatal mortality rate
Neonatal morbidity

Key secondary outcomes

Percentage of patients using a tocolytic agent (ritodrine hydrochloride preparation, magnesium sulfate preparation)
Mean birth weight


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

No treatment

Stratification

YES

Dynamic allocation


Institution consideration


Blocking


Concealment

Central registration


Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Group receiving McDonald cervical cerclage

Interventions/Control_2

Group receiving Shirodkar cervical cerclage

Interventions/Control_3

Bed-rest therapy

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

(1) Pregnant women between week 16 day 0 and week 26 day 6 of gestation
(2) Cervical length less than 25.0 mm as diagnosed by transvaginal ultrasonography
(3) Pregnant women testing positive for subclinical infection*1 who do not have infection that could potentially determine the mode of delivery (such as HIV, HSV, or condyloma, etc.)
(4) Patients who have voluntarily provided written consent to participate in this trial, after having been thoroughly briefed, and informed of the nature of the trial (if the patient is under 20 years old, written consent must be obtained from the spouse (if the spouse is younger than 20 years old) or parent of the minor)
(5) Patients with stable functionality of major organs, confirmed by meeting the following laboratory test standards:
1)White blood cell count ≥3,000/mm3, ≤20,000/mm3
2) Red blood cell count ≥50,000/mm3
3) Hemoglobin ≥8.0g/dL
4)AST (GOT) <2.5 times upper limit of standard level of each test center
5) ALT (GPT) <2.5 times upper limit of standard level of each test center
6) BUN &#8804;25 mg/dL
7) Serum creatinine &#8804;2 mg/dL

Key exclusion criteria

(1) Multiple pregnancy involving more than 3 fetuses
(2) Placenta previa
(3) Premature separation of normally implanted placenta
(4) Serious fetal abnormality
(5) Patients in whom fetal well-being cannot be confirmed
(6) Patients who previously underwent cervical cerclage during current pregnancy
(7) Patients with signs of threatened premature delivery*2
(8) Patients with complications of psychiatric disease or psychiatric symptoms whose participation in the trial is judged to be infeasible
(9) Other patients judged to be ineligible by attending physician

Target sample size

300


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Takashi Okai

Organization

Dept Obstetrics and Gynecology, Showa University

Division name

Obstetrics and Gynecology

Zip code


Address

1-5-8 Hatanodai, Shinagawa, Tokyo,142-8555, JAPAN

TEL

03-3784-8000

Email



Public contact

Name of contact person

1st name
Middle name
Last name Norio SHINOZUKA

Organization

Showa University

Division name

Obstetrics anc Gynecology

Zip code


Address

1-5-8 Hatanodai, Shinagawa, Tokyo,142-8555, JAPAN

TEL

03-3784-8000

Homepage URL

http://square.umin.ac.jp/topp

Email

shinoz-tky@umin.ac.jp


Sponsor or person

Institute

Japan Organization of Prevention of Preterm Delivery

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare: Multidisciplinary Research Project on Children and Family

Organization

Division

Category of Funding Organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2009 Year 04 Month 20 Day


Related information

URL releasing protocol

http://square.umin.ac.jp/topp

Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2005 Year 04 Month 20 Day

Date of IRB


Anticipated trial start date

2005 Year 09 Month 01 Day

Last follow-up date

2012 Year 08 Month 02 Day

Date of closure to data entry

2012 Year 08 Month 02 Day

Date trial data considered complete

2012 Year 08 Month 25 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2009 Year 04 Month 10 Day

Last modified on

2012 Year 08 Month 26 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002251


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name