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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT02853656
Other study ID # B868
Secondary ID 194502
Status Terminated
Phase
First received
Last updated
Start date August 2016
Est. completion date December 31, 2023

Study information

Verified date January 2024
Source Mid and South Essex NHS Foundation Trust
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Preterm birth (babies being born before 34 weeks pregnancy) occurs in approximately 11% of pregnanciesÍž preterm birth can lead to complications for the baby. When mothers are identified as being at risk of going into preterm birth (giving birth within the next 14 days) there are several treatments available that may help reduce the likelihood of complications for the baby. These treatments usually need to be started within 24 hours so it is very important that diagnosing preterm labour in not only fast but accurate. There are several methods commonly used within hospitals for diagnosing mothers who may be at risk of going into preterm labour. The two most common ones are foetal fibronectin (fFN) and phosphorylated insulin-like growth factor binding protein 1 (phIGFBP-1). The purpose of this study is to compare the two tests to see which is more accurate at predicting preterm birth.


Description:

Preterm birth (babies being born before 34 weeks pregnancy) occurs in approximately 11% of pregnanciesÍž preterm birth can lead to complications for the baby. When mothers are identified as being at risk of going into preterm birth (giving birth within the next 14 days) there are several treatments available that may help reduce the likelihood of complications for the baby. These treatments usually need to be started within 24 hours so it is very important that diagnosing preterm labour in not only fast but accurate. There are several methods commonly used within hospitals for diagnosing mothers who may be at risk of going into preterm labour. The two most common ones are foetal fibronectin (fFN) and phosphorylated insulin-like growth factor binding protein 1 (phIGFBP-1). The purpose of this study is to compare the two tests to see which is more accurate at predicting preterm birth. This is a prospective comparative study of fFN (control) and PhIGFBP-1 test (comparator) for women with singleton pregnancies between 22-34 weeks gestation presenting with self-reported signs, symptoms or complaints suggestive of preterm labour. Both tests will be done on every participant - the tests will be sequenced so that every 5 participants the fFN test is undertaken first and then the next cohort of 5 will have the PhIGFBP-1 swab taken first. This is to remove any potential biases surrounding which test was undertaken first. Data collection (case report forms (CRFs)) will clearly document which test was performed 1st and 2nd.


Recruitment information / eligibility

Status Terminated
Enrollment 128
Est. completion date December 31, 2023
Est. primary completion date December 31, 2023
Accepts healthy volunteers No
Gender Female
Age group 18 Years and older
Eligibility Inclusion criteria - aged = 18 years - confirmed pregnancy - gestational age between 22 and 34 weeks - self-reported signs, symptoms or complaints suggestive of preterm labour; - abdominal pain - contractions - pelvic pressure Exclusion criteria - unable to provide written informed consent - multiple pregnancy - participating in an interventional clinical trial - a symptom not associated with idiopathic threatened preterm delivery (e.g. trauma) - contraindicated to either fFN or PhIGFBP-1; e.g. - vaginal bleeding - cervical dilation =3cm dilated - evidence of rupture of membranes - had intercourse in last 24 hours - cervical cerclage in situ - placenta praevia

Study Design


Related Conditions & MeSH terms


Locations

Country Name City State
United Kingdom Basildon Hospital Basildon Essex

Sponsors (1)

Lead Sponsor Collaborator
Mid and South Essex NHS Foundation Trust

Country where clinical trial is conducted

United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary diagnosis of heightened risk of imminent delivery preterm birth at 7 days 7 days
Primary diagnosis of heightened risk of imminent delivery preterm birth at 14 days 14 days