Precision Medicine for Preterm Birth
Completed
Conditions studied: Premature Birth
In brief
This project is examining genetic and metabolic markers for the use of 17 hydroxyprogesterone caproate (17OHPC) in pregnant women with a history of preterm birth (PTB). 17OHPC has been associated with a 30-35% reduction in repeat PTB in women carrying a singleton gestation. However, it is not well known why it works for some women but not for others. There are limited available interventions for the prevention of recurrent PTB. This study will enroll 150 women at risk for PTB and eligible to receive 17OHPC, and expect that 80% will use 17OHPC and 20% will decline use. We will obtain blood samples and samples of cervical cells and cervical vaginal fluid. The objective of the study is to identify genetic, microbial and molecular markers that help to identify which women at risk for recurrent preterm birth will respond to 17OHPC and which women will not. The ultimate goal is to develop a personalized screening test based on these markers.
Key facts
- Study ID
- NCT02173210
- Run by
- University of Pennsylvania
- People needed
- 380
- Starts
- 2014-06-25
- Expected to finish
- 2017-12-27
- Last updated by the study team
- 2018-05-02
Who can join
Age: any. Sex: female. Healthy volunteers: not accepted.
You may qualify if…
- Women with a prior spontaneous preterm birth of a singleton pregnancy (delivered at 16-36 6/7 weeks gestation)
- Singleton in the current pregnancy
- Eligible to use 17 hydroxyprogesterone caproate (17OHPC) in this pregnancy for clinical indications
- 16-22 weeks gestation at the time of visit 1 assessments
You may not qualify if…
- Major fetal anomaly
- Allergy to 17OHPC
Where it is running
- Hospital of the University of Pennsylvania — Philadelphia, Pennsylvania, United States
- Pennsylvania Hospital — Philadelphia, Pennsylvania, United States
Full record on ClinicalTrials.gov
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