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Tocolytics Trial: Intravenous (IV) Magnesium Versus Oral Nifedpine in Fetal Fibronectin (FFN) Postive Population
This study is not yet open for participant recruitment.
Study NCT00641784   Information provided by MemorialCare
First Received: March 19, 2008   Last Updated: March 21, 2008   History of Changes
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March 19, 2008
March 21, 2008
March 2008
In women with singleton gestations, to contemporarily assess the efficacy of oral nifedipine versus intravenous magnesium sulfate in the acute management of preterm labor in terms of defined early and late neonatal measures [ Time Frame: At delivery ] [ Designated as safety issue: Yes ]
Same as current
Complete list of historical versions of study NCT00641784 on ClinicalTrials.gov Archive Site
  • To assess the efficacy of nifedipine versus intravenous magnesium in prolonging pregnancy in patients presenting with strict criteria of preterm labor. [ Time Frame: At Delivery ] [ Designated as safety issue: No ]
  • To assess tolerance and side effects of nifedipine versus intravenous magnesium sulfate. [ Time Frame: At delivery ] [ Designated as safety issue: No ]
  • To compare the total cost of using nifedipine versus intravenous magnesium sulfate in an acute hospital setting for tocolysis [ Time Frame: At discharge ] [ Designated as safety issue: No ]
Same as current
 
Tocolytics Trial: Intravenous (IV) Magnesium Versus Oral Nifedpine in Fetal Fibronectin (FFN) Postive Population
A Randomized Trial of Oral Nifedipine Versus Intravenous Magnesium Sulfate in the Acute Management of Preterm Labor in Women With Singleton Gestations, Intact Fetal Membranes, and Positive Vaginal Fetal Fibronectin

In women with singleton gestations, to contemporarily assess the efficacy of oral nifedipine versus intravenous magnesium sulfate in the acute management of preterm labor in terms of defined early and late neonatal measures

 
Phase III
Interventional
Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Obstetric Labor, Premature
  • Drug: Magnesium
  • Drug: Nifedlipine
  • Experimental: Oral Nifedine
  • Active Comparator: Intravenous Magnesium
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Not yet recruiting
200
 
March 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Patients between 240/7-320/7 weeks gestation with findings consistent with preterm labor defined by at least one of the following criteria in accordance with regular uterine contractions (>4 uterine contractions in 20 minutes):

    1. Cervix > 2 cm in dilation or 80% effaced
    2. Positive fetal fibronectin (if performed).
    3. Demonstrated cervical change between two exams within 90 minutes.

Exclusion Criteria:

  • Negative fetal fibronectin
  • > 5cm dilatation
  • multiple gestations
  • known fetal anomalies or chromosomal abnormalities
  • ruptured membranes
  • significant vaginal bleeding
  • suspected chorioamnionitis
  • preeclampsia or uncontrolled hypertension
  • non-reassuring fetal heart tracing
  • placenta previa and/or accreta
  • placenta abruption
  • intrauterine growth restriction
  • maternal renal disease
  • underlying maternal cardiac condition
  • symptomatic hyperthyroidism
  • significant maternal disease
  • contraindication to nifedipine or magnesium
  • cerclage presence
  • tocolytic use within the last 12 hours
  • hypotension (defined as average blood pressure of <70/40's unresponsive to 1000 cc fluid bolus
Female
18 Years to 55 Years
No
Contact: Christine Preslicka, RN 56-933-2755 cpreslicka@memorialcare.org
United States
 
 
NCT00641784
Kenneth Chan, Obstetrix (Magella)
 
MemorialCare
 
Principal Investigator: Kenneth Chan, MD Obstetrix/Memorial Care
Principal Investigator: Vineet K Shrivastava, MD University of California, Irvine
MemorialCare
March 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.