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| Study Type: | Interventional |
|---|---|
| Study Design: | Allocation: Randomized; Endpoint Classification: Efficacy Study; Intervention Model: Parallel Assignment; Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor); Primary Purpose: Treatment |
| Conditions: |
Cervical Ripening Labor, Induced |
| Interventions: |
Drug: Misoprostol vaginal insert 100 mcg Drug: Misoprostol vaginal insert 50 mcg Drug: Dinoprostone vaginal insert (Cervidil) |
Participant Flow
| Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations |
|---|
| First subject entered 26 April 2006; last subject completed 07 August 2007; 49 hospitals entered subjects requiring cervical ripening prior to induction of labor. |
| Significant events and approaches for the overall study following participant enrollment, but prior to group assignment |
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| No text entered. |
| Description | |
|---|---|
| Misoprostol Vaginal Insert (MVI) 100 | Misoprostol vaginal insert 100 mcg over a period of up to 24 h |
| Misoprostol Vaginal Insert (MVI) 50 | Misoprostol vaginal insert 50 mcg over a period of up to 24 h |
| Cervidil 10 mg Vaginal Insert | Cervidil 10 mg vaginal insert over a period of up to 24h |
| Misoprostol Vaginal Insert (MVI) 100 | Misoprostol Vaginal Insert (MVI) 50 | Cervidil 10 mg Vaginal Insert | |
|---|---|---|---|
| STARTED | 428 | 444 | 436 |
| COMPLETED | 426 | 440 | 431 |
| NOT COMPLETED | 2 | 4 | 5 |
| Withdrawal by Subject | 1 | 0 | 1 |
| Protocol Violation | 0 | 1 | 1 |
| Lost to Follow-up | 0 | 1 | 0 |
| Baby not born within 7 days of treatment | 1 | 2 | 2 |
| Subject incarcerated, data not allowed | 0 | 0 | 1 |
Baseline Characteristics
| Description | |
|---|---|
| Misoprostol Vaginal Insert (MVI) 100 | Misoprostol vaginal insert 100 mcg over a period of up to 24 h |
| Misoprostol Vaginal Insert (MVI) 50 | Misoprostol vaginal insert 50 mcg over a period of up to 24 h |
| Cervidil 10 mg Vaginal Insert | Cervidil 10 mg vaginal insert over a period of up to 24h |
| Misoprostol Vaginal Insert (MVI) 100 | Misoprostol Vaginal Insert (MVI) 50 | Cervidil 10 mg Vaginal Insert | Total | |
|---|---|---|---|---|
|
Number of Participants
[units: participants] |
428 | 444 | 436 | 1308 |
|
Age
[units: participants] |
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| <=18 years | 0 | 0 | 0 | 0 |
| Between 18 and 65 years | 428 | 444 | 436 | 1308 |
| >=65 years | 0 | 0 | 0 | 0 |
|
Age
[units: years] Mean ± Standard Deviation |
26.2 ± 5.9 | 26.9 ± 6.2 | 26.0 ± 5.7 | 26.4 ± 5.9 |
|
Gender
[units: participants] |
||||
| Female | 428 | 444 | 436 | 1308 |
| Male | 0 | 0 | 0 | 0 |
|
Region of Enrollment
[units: participants] |
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| United States | 413 | 427 | 419 | 1259 |
| Canada | 15 | 17 | 17 | 49 |
|
Parity
[1] [units: participants] |
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| Nulliparous | 267 | 275 | 270 | 812 |
| Parous | 161 | 169 | 166 | 496 |
|
modified Bishop score (mBS)
[2] [units: Units on a scale of 0 (low) to 12 (most)] Mean ± Standard Deviation |
2.69 ± 1.1 | 2.74 ± 1.1 | 2.73 ± 1.1 | 2.72 ± 1.1 |
| [1] | Nulliparaous = no previous vaginal delivery prior to 24 wks gestation Parous = at least one previous vaginal delivery after 24 weeks |
|---|---|
| [2] | The mBS measures cervical softness. There are five elements assessed during a vaginal examination. Maximum mBS is 12: 0 to 3 for Dilation, 0 to 3 for Station, 0 to 2 for Consistency, 0 to 1 for Position, and 0 to 3 for Length of Cervix. A score of zero is a long, closed, thick firm cervix; a score of 12 indicates thin, completely soft, 100% effaced cervix. |
Outcome Measures
| 1. Primary: | Minutes From Drug Insertion to Vaginal Delivery [ Time Frame: 2880 minutes ] |
| 2. Primary: | Percentage of Participants With a Cesarean Section Delivery [ Time Frame: 2880 minutes ] |
| 3. Secondary: | Percentage of Participants With Maternal/Fetal, Maternal (Post-Partum), and Neonatal Adverse Events [ Time Frame: 96 hours ] |
| 4. Secondary: | Percentage of Participants With Pre-Delivery Oxytocin Use [ Time Frame: 2880 minutes ] |
| 5. Secondary: | Percentage of Participants With Cervical Ripening Success Based On Modified Bishop Score (mBS) 12 Hours After Administration of Vaginal Insert [ Time Frame: 12 hours ] |
| 6. Secondary: | Minutes to Onset of Active Labor [ Time Frame: 2880 minutes ] |
| 7. Secondary: | Minutes to Rupture of Membranes (ROM) [ Time Frame: 2880 minutes ] |
| 8. Secondary: | Duration of Stay in Minutes in Labor and Delivery Suite [ Time Frame: 5760 minuts ] |
| 9. Secondary: | Days in Hospital for Mother and Neonate [ Time Frame: 10 days ] |
More Information
| Principal Investigators are NOT employed by the organization sponsoring the study. |
| There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed. |
| Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data |
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| No text entered. |
| Responsible Party: | Barbara Powers, Vice President, Clinical Development, Cytokine PharmaSciences |
| ClinicalTrials.gov Identifier: | NCT00308711 History of Changes |
| Other Study ID Numbers: | Miso-Obs-004 |
| Study First Received: | March 27, 2006 |
| Results First Received: | July 29, 2009 |
| Last Updated: | March 29, 2010 |
| Health Authority: | United States: Food and Drug Administration |