At a glance
ClinicalIndex Comparison Record- ✓Twin pregnancy with dichorionic placentation OR triplet pregnancy with trichorionic placentation
- ✓Gestational age 16 weeks 0 days to 23 weeks 6 days at randomization and injection initiation
- ✓Maternal age 18 years or older
- ✓Intact membranes
- ✕Symptomatic uterine contractions in current pregnancy
- ✕Contraindications to pregnancy prolongation including lethal fetal anomalies, amnionitis, preeclampsia, severe oligohydramnios, severe growth delay, or imminent fetal death
- ✕Monochorionic placentation, major malformations, or certain medication exposures associated with major neonatal morbidity unrelated to preterm delivery
- ✕Prior progesterone or progesterone-derivative use after 15 weeks gestation in current pregnancy
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
17-Alpha-Hydroxyprogesterone Caproate for Reduction of Neonatal Morbidity Due to Preterm Birth in Twin and Triplet Pregnancies - A Concurrent Randomized Double-blinded Clinical Trial
In Brief
A Phase 3 clinical trial evaluating 17-alpha-hydroxyprogesterone caproate injectable and Placebo for Preterm Birth. Completed, enrolled 321 participants across 18 sites.
Detailed Summary
Hypothesis: Among women with twin or triplet pregnancies, weekly injections of 17-alpha-hydroxyprogesterone caproate (17OHP), started before 24 weeks of gestation, will reduce neonatal morbidity by reducing the rate of preterm delivery. This study involves two concurrent double-blinded randomized clinical trials of 17OHP versus placebo. Each trial will test the efficacy and safety of 17OHP in women with a specific risk factor for preterm birth. The two risk factors to be studied are: 1. Twin pregnancy 2. Triplet pregnancy
Study Details
Timeline
Interventions
250mg of 17-alpha-hydroxyprogesterone caproate (+ preservatives) injectable weekly starting as early as 19wks gestation until 34.0wks gestation of delivery which ever comes first.
Weekly doses of placebo (NS + preservatives) via injection as early as 19weeks until 34.0weeks gestation or delivery which ever comes first.