UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000053959
Receipt number R000061587
Scientific Title Selective Reduction Trial
Date of disclosure of the study information 2024/04/05
Last modified on 2024/03/29 12:49:30

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Basic information

Public title

Early Safety Trial of Reduction Surgery in Multiple Pregnancies

Acronym

SGT

Scientific Title

Selective Reduction Trial

Scientific Title:Acronym

SGT

Region

Japan


Condition

Condition

Multiple prengancy

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To establish the safety of reduction surgery techniques in Japan for reducing risks to both maternal and fetal health and improving perinatal outcomes in cases of multiple pregnancies. This involves examining complications, outcomes, as well as patient backgrounds including psychological aspects.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Successful rate of selective reduction surgery on the day after the operation

Key secondary outcomes

1. Number of surviving fetuses one week after the surgery.
2. Psychological evaluation of subjects one week after the surgery.
3. Number of adverse events occurring within one week post-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

Central registration


Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Reduction surgery is performed by puncturing the uterus with a needle guided by transabdominal ultrasound between the 11th and 13th weeks of pregnancy and injecting potassium chloride into the fetal heart cavity.

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

18 years-old <=

Age-upper limit

50 years-old >

Gender

Female

Key inclusion criteria

1. Pregnant women who have visited our department before 14 weeks of gestation.
2. Individuals who, along with their partners, are capable of providing written consent for participation in the clinical study.
3. Participants aged 18 or older but younger than 50, with partners aged 18 or older.
4. Individuals with complications expected to significantly harm maternal health if the pregnancy continues, such as high-order multiple pregnancies or twin pregnancies.
5. Individuals without genital bleeding.
6. Individuals without ruptured membranes.
7. Individuals with a cervical length of 20 mm or more.

Key exclusion criteria

1. Individuals who test positive for HIV antibodies, HCV antibodies, or HBs antigen.
2. Individuals with psychiatric illness or symptoms that make participation in and continuation of the trial difficult.
3. Individuals with poor overall health status, classified under the American Society of Anesthesiologists Preoperative Physical Status Classification as ASA-PS Class 3, 4, 5, or 6.

Target sample size

10


Research contact person

Name of lead principal investigator

1st name Masayuki
Middle name
Last name Endo

Organization

Osaka University Hospital

Division name

Department of Obstetrics and Gynecology

Zip code

565-0871

Address

Yamadaoka 2-15, Suita, Osaka

TEL

0668793355

Email

mendoh@sahs.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Kazuya
Middle name
Last name Mimura

Organization

Osaka University Hospital

Division name

Department of Obstetrics and Gynecology

Zip code

565-0871

Address

Yamadaoka 2-15, Suita, Osaka

TEL

0668793355

Homepage URL


Email

mimura@gyne.med.osaka-u.ac.jp


Sponsor or person

Institute

The University of Osaka

Institute

Department

Personal name



Funding Source

Organization

The University of Osaka

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical Review Board Osaka University Hospital

Address

Yamadaoka 2-2, Suita, Osaka

Tel

06-6210-8296

Email

rinri@hp-crc.med.osaka-u.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



Other administrative information

Date of disclosure of the study information

2024 Year 04 Month 05 Day


Related information

URL releasing protocol


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

Preinitiation

Date of protocol fixation

2024 Year 03 Month 23 Day

Date of IRB


Anticipated trial start date

2024 Year 04 Month 05 Day

Last follow-up date

2026 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

2024 Year 03 Month 25 Day

Last modified on

2024 Year 03 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000061587


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name