Unique ID issued by UMIN | UMIN000001870 |
---|---|
Receipt number | R000002251 |
Scientific Title | Validation of efficacy of cervical cerclage in patients with short cervical length |
Date of disclosure of the study information | 2009/04/20 |
Last modified on | 2012/08/26 01:06:34 |
Validation of efficacy of cervical cerclage in patients with short cervical length
Efficacy of cervical cerclage (RCT)
Validation of efficacy of cervical cerclage in patients with short cervical length
Efficacy of cervical cerclage (RCT)
Japan |
Pregnant women with subclinical infection and cervical length 25 mm as diagnosed by transvaginal ultrasonography in a maternity health examination conducted during the second trimester of pregnancy (between week 16 day 0 and week 26 day 6 of gestation)
Obstetrics and Gynecology | Pediatrics | Operative medicine |
Others
NO
To verify the efficacy and safety of cervical cerclage for the purpose of preventing preterm delivery in pregnant women with short cervical length and no subclinical infection in the second trimester of pregnancy
Efficacy
Confirmatory
Not applicable
Gestational week of delivery
Neonatal mortality rate
Neonatal morbidity
Percentage of patients using a tocolytic agent (ritodrine hydrochloride preparation, magnesium sulfate preparation)
Mean birth weight
Interventional
Parallel
Randomized
Individual
Double blind -all involved are blinded
No treatment
YES
Central registration
3
Treatment
Maneuver |
Group receiving McDonald cervical cerclage
Group receiving Shirodkar cervical cerclage
Bed-rest therapy
Not applicable |
Not applicable |
Female
(1) Pregnant women between week 16 day 0 and week 26 day 6 of gestation
(2) Cervical length less than 25.0 mm as diagnosed by transvaginal ultrasonography
(3) Pregnant women testing positive for subclinical infection*1 who do not have infection that could potentially determine the mode of delivery (such as HIV, HSV, or condyloma, etc.)
(4) Patients who have voluntarily provided written consent to participate in this trial, after having been thoroughly briefed, and informed of the nature of the trial (if the patient is under 20 years old, written consent must be obtained from the spouse (if the spouse is younger than 20 years old) or parent of the minor)
(5) Patients with stable functionality of major organs, confirmed by meeting the following laboratory test standards:
1)White blood cell count ≥3,000/mm3, ≤20,000/mm3
2) Red blood cell count ≥50,000/mm3
3) Hemoglobin ≥8.0g/dL
4)AST (GOT) <2.5 times upper limit of standard level of each test center
5) ALT (GPT) <2.5 times upper limit of standard level of each test center
6) BUN ≤25 mg/dL
7) Serum creatinine ≤2 mg/dL
(1) Multiple pregnancy involving more than 3 fetuses
(2) Placenta previa
(3) Premature separation of normally implanted placenta
(4) Serious fetal abnormality
(5) Patients in whom fetal well-being cannot be confirmed
(6) Patients who previously underwent cervical cerclage during current pregnancy
(7) Patients with signs of threatened premature delivery*2
(8) Patients with complications of psychiatric disease or psychiatric symptoms whose participation in the trial is judged to be infeasible
(9) Other patients judged to be ineligible by attending physician
300
1st name | |
Middle name | |
Last name | Takashi Okai |
Dept Obstetrics and Gynecology, Showa University
Obstetrics and Gynecology
1-5-8 Hatanodai, Shinagawa, Tokyo,142-8555, JAPAN
03-3784-8000
1st name | |
Middle name | |
Last name | Norio SHINOZUKA |
Showa University
Obstetrics anc Gynecology
1-5-8 Hatanodai, Shinagawa, Tokyo,142-8555, JAPAN
03-3784-8000
http://square.umin.ac.jp/topp
shinoz-tky@umin.ac.jp
Japan Organization of Prevention of Preterm Delivery
Ministry of Health, Labour and Welfare: Multidisciplinary Research Project on Children and Family
NO
2009 | Year | 04 | Month | 20 | Day |
http://square.umin.ac.jp/topp
Unpublished
Completed
2005 | Year | 04 | Month | 20 | Day |
2005 | Year | 09 | Month | 01 | Day |
2012 | Year | 08 | Month | 02 | Day |
2012 | Year | 08 | Month | 02 | Day |
2012 | Year | 08 | Month | 25 | Day |
2009 | Year | 04 | Month | 10 | Day |
2012 | Year | 08 | Month | 26 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002251