Ripening Approaches for Prompt Induction and Delivery - Sequential Versus Concurrent Dilapan-S and Misoprostol to Achieve Vaginal Delivery (RAPID-DS)

Starting soon · Not applicable

Conditions studied: Nulliparous Women Who Scheduled for Labor Induction, Pregnancy

In brief

The purpose of this study is to compare the effectiveness of sequential versus combined multimodal cervical ripening strategies to achieve vaginal delivery within 24 hours among nulliparous patients with singleton, vertex pregnancies at term undergoing induction of labor.

Key facts

Study ID

NCT07717502

Run by

Ochsner Health System

People needed

260

Starts

2026-08-01

Expected to finish

2027-12-01

Last updated by the study team

2026-07-21

Who can join

Age: 18 and older. Sex: female. Healthy volunteers: not accepted.

You may qualify if…

• Nulliparous patients with singleton pregnancies with vertex lie at term receiving prenatal care that are eligible for outpatient cervical ripening will be eligible

You may not qualify if…

• age less than 18,
• suspected major fetal anomalies (including suspected or proven chromosome anomalies, congenital cardiac disease expected to require neonatal intervention, and multiple anomalies suggestive of a complex syndrome),
• fetal growth restriction
• oligohydramnios
• prior full thickness
• uterine scar
• placenta previa,
• low-lying placenta,
• premature rupture of amniotic membranes,
• cervical dilation > 2 cm
• modified Bishop score > 4
• residence greater than 60 minutes from the hospital

Where it is running

• Ochsner Baptist — New Orleans, Louisiana, United States

Full record on ClinicalTrials.gov

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