UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000043613
Receipt number R000049800
Scientific Title A randomized controlled trial of cephalic version for breech presentation in the third trimester by lateral postural management without knee-chest position
Date of disclosure of the study information 2021/03/15
Last modified on 2022/06/19 20:49:02

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Basic information

Public title

A randomized controlled trial of cephalic version for breech presentation in the third trimester by lateral postural management without knee-chest position

Acronym

BRLT study

Scientific Title

A randomized controlled trial of cephalic version for breech presentation in the third trimester by lateral postural management without knee-chest position

Scientific Title:Acronym

BRLT study

Region

Japan


Condition

Condition

Breech presentation

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study investigated the significance of postural management of the lateral position for breech presentation.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

the percentage of fetuses in cephalic presentation at term

Key secondary outcomes

the percentage of cephalic presentation two weeks later, four weeks later, six weeks later, and at delivery, the rate of cesarean delivery, the rate of cesarean delivery for breech presentation, recurrent breech presentation after cephalic version, and adverse effects.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

No need to know


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

Women of the interventional group are going to be instructed to lie on their right side several times a day when the fetal back was left side, or to lie on their left side when the fetal back was right side. After cephalic version, they are going to be instructed the other side. Other genupectoral management is not recommended.

Interventions/Control_2

Women of the control group are going to receive expectant management care complying with Guidelines for obstetrical practice in Japan 2020.

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

Women who are diagnosed with breech presentation by ultrasonography between 28 weeks 0 days and 30 weeks 0 days of gestation at a single institution were eligible for inclusion.

Key exclusion criteria

The exclusion criteria were scheduled cesarean delivery (included placenta previa, history of cesarean delivery, and history of myomectomy), multiple pregnancy, transverse position, scheduled delivery at another hospital, other genupectoral management, and complications such as heart disease.

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Hiroki
Middle name
Last name Shinmura

Organization

Nippon Medical School Musashikosugi Hospital

Division name

Department of Obstetrics and Gynecology

Zip code

211-8533

Address

1-396 Kosugicho, Nakahara-ku, Kawasaki-shi, Kanagawa, Japan

TEL

044-733-5181

Email

h-shimmura@nms.ac.jp


Public contact

Name of contact person

1st name Hiroki
Middle name
Last name Shinmura

Organization

Nippon Medical School Musashikosugi Hospital

Division name

Department of Obstetrics and Gynecology

Zip code

211-8533

Address

1-396 Kosugicho, Nakahara-ku, Kawasaki-shi, Kanagawa, Japan

TEL

044-733-5181

Homepage URL


Email

h-shimmura@nms.ac.jp


Sponsor or person

Institute

Nippon Medical School Department of Obstetrics and Gynecology

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

None

Name of secondary funder(s)

None


IRB Contact (For public release)

Organization

The ethics committee of Nippon Medical School Musashikosugi Hospital

Address

1-396 Kosugicho, Nakahara-ku, Kawasaki-shi, Kanagawa, Japan

Tel

044-733-5181

Email

y-shibanuma@nms.ac.jp


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

日本医科大学武蔵小杉病院/Nippon Medical School Musashikosugi Hospital


Other administrative information

Date of disclosure of the study information

2021 Year 03 Month 15 Day


Related information

URL releasing protocol

https://www.nms.ac.jp/kosugi-h.html

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

Enrolling by invitation

Date of protocol fixation

2021 Year 02 Month 28 Day

Date of IRB

2021 Year 03 Month 09 Day

Anticipated trial start date

2021 Year 04 Month 01 Day

Last follow-up date

2024 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 03 Month 15 Day

Last modified on

2022 Year 06 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049800


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name