UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007208
Receipt number R000008486
Scientific Title Trials of fetoscopic laser surgery for twin twin transfusion during 26 to 27 weeks of gestation
Date of disclosure of the study information 2012/02/10
Last modified on 2017/04/20 09:12:48

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Basic information

Public title

Trials of fetoscopic laser surgery for twin twin transfusion during 26 to 27 weeks of gestation

Acronym

Fetoscopic laser surgery for TTTS at 26 and 27 weeks

Scientific Title

Trials of fetoscopic laser surgery for twin twin transfusion during 26 to 27 weeks of gestation

Scientific Title:Acronym

Fetoscopic laser surgery for TTTS at 26 and 27 weeks

Region

Japan


Condition

Condition

Twin twin transfusion syndrome

Classification by specialty

Obstetrics and Gynecology Pediatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety of fetoscopic laser surgery for twin twin transfusion during 26 to 27 weeks of gestation.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase I


Assessment

Primary outcomes

Completion of laser surgery and surgery for pregnant women

Key secondary outcomes

Improvement of TTTS at 14 days after surgery, Complications of laser surgery until 14 days laser surgery


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment Maneuver

Interventions/Control_1

Fetsocopic laser surgery is performed according to the procedure for twin to twin transfusion syndrome.
The anastomoses between the twins are coagulated by laser under fetoscopy through the maternal abdomen. The lactolinger is infused into the amniotic cavity if necessary. The amniotic fluid is aspirated at the end of the surgery.

Interventions/Control_2


Interventions/Control_3


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

16 years-old <=

Age-upper limit

45 years-old >

Gender

Female

Key inclusion criteria

1) Between 26 and 27 weeks of gestation
2) Monochorionic diamniotic twin pregnancy
3) Ultrasound findings before surgery meet the criteria as described following
i. TTTS (MVP > 10 cm in one twin, and MVP < 2 cm in another twin)
ii. No presence of fetal anomaies
4) No sign of pregnancy induced hypertension
5) No genital bleeding
6) No premature rupture of membrane
7) Greater than or equal to 20 mm of cervical length

Key exclusion criteria

1) Pregnant woman needs treatment for infectious disease.
2) Presence of HIV antibody, HCV antibody, or HBe antigen in pregnant women
3) Pregnant woman needs treatment for psychological problems
4) American Society of Anesthesiology (ASA) Physical Status Classification: Class 3, 4, 5, or 6

Target sample size

10


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Haruhiko Sago MD PhD

Organization

National Center for Child Health and Development

Division name

Department of Maternal-Fetal and Neonatal Medicine

Zip code


Address

2-10-1 Okura, Setagaya-ku, Tokyo 157-8535, Japan

TEL

03-3416-0181

Email

sagou-h@ncchd.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Masahiko Nakata MD PhD

Organization

Kawasaki Medical School

Division name

Department of Obstetrics and Gynecology2

Zip code


Address

2-1-80 Nakasange, Okayama-city

TEL

086-225-2111

Homepage URL


Email

nakata@med.kawasaki-m.ac.jp


Sponsor or person

Institute

Japan Fetal Therapy Group (Fetus Japan)

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


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

国立成育医療研究センター(東京都)、聖隷浜松病院(静岡県)、国立病院機構長良医療センター(岐阜県)、大阪府立母子保健総合医療センター(大阪府)、徳山中央病院(山口県)


Other administrative information

Date of disclosure of the study information

2012 Year 02 Month 10 Day


Related information

URL releasing protocol


Publication of results

Published


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

2012 Year 01 Month 14 Day

Date of IRB


Anticipated trial start date

2012 Year 02 Month 01 Day

Last follow-up date

2013 Year 12 Month 31 Day

Date of closure to data entry

2013 Year 12 Month 31 Day

Date trial data considered complete

2014 Year 03 Month 01 Day

Date analysis concluded

2014 Year 03 Month 01 Day


Other

Other related information



Management information

Registered date

2012 Year 02 Month 02 Day

Last modified on

2017 Year 04 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008486


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name