Home » Trials » SLCTR/2010/009


Efficacy of two different treatment regimens of vaginal nitric oxide donor (Isosorbide mononitrate) used for pre-induction cervical ripening: A randomized controlled trial

-

SLCTR Registration Number

SLCTR/2010/009


Date of Registration

11 Oct 2010

The date of last modification

Mar 03, 2019


Trial Status



Application Summary


Scientific Title of Trial

Efficacy of two different treatment regimens of vaginal nitric oxide donor (Isosorbide mononitrate) used for pre-induction cervical ripening: A randomized controlled trial


Public Title of Trial

Vaginal isosorbide mononitrate for ripening of the uterine cervix before induction of labour


Disease or Health Condition(s) Studied

Effects of isosorbide mononitrate for pre-induction cervical ripening


Scientific Acronym

None


Public Acronym

None


Brief title

None


Universal Trial Number

None


Any other number(s) assigned to the trial and issuing authority

None


Trial Details


What is the research question being addressed?

  1. Is vaginal ISMN (isosorbide mononitrate) therapy for 3 days better than 2 days therapy for pre-induction cervical ripening?
  2. Is vaginal ISMN therapy feasible as an outpatient procedure?

Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Treatment


Study Phase

Not Available


Intervention(s) planned

Women will be randomly allocated to three groups by using stratified (primi/multi) block randomization and ISMN - SR 60mg will be inserted for 2 days (group 1) and 3 days (group 2) vaginally. Women in group 3 will be advised to self administer ISMN - SR 60mg vaginally for 3 days as an outpatient procedure.


Inclusion criteria

Consecutive women with uncomplicated singleton pregnancies having a cephalic presentation at period of gestation of 40 weeks and 3 days and having modified Bishop's score < 6.


Exclusion criteria

*Complicated pregnancies – both maternal or fetal complications *Pregnancies with uncertain dates not confirmed by early scan, even though clinically considered as 41 weeks. Multiple pregnancies *Pregnancies with contraindication for normal vaginal delivery *Pregnancies with previous caesarean section. Any contraindication for the use of ISMN.



Primary outcome(s)

1.

Establishment of spontaneous onset of labour within 72 hours

[

72 hours

]
2.

Change in mean modified Bishop's score after 72 hours

[

72 hours

]
3.

Favorable induction of labour after 72 hours.

[

72 hours

]

Secondary outcome(s)

1.

Induction to delivery interval.

[

After delivery

]
2.

Mode of delivery.

[

After delivery

]
3.

Side effects of ISMN therapy.

[

After delivery

]
4.

Acceptance of outpatient self administration of therapy.

[

After delivery

]

Target number/sample size

225


Countries of recruitment

Sri Lanka


Anticipated start date

2010-09-01


Anticipated end date

2011-03-31


Date of first enrollment


Date of study completion


Recruitment status

Complete: follow up complete


Funding source

None


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2010-08-17


Approval number

Not Available


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medicine, University of Ruhuna
Institutional Address:PO Box 70, Labuduwa Rd, Galle, Sri Lanka
Telephone:+94-91-2234801/803 (Extension: 161)
Email: ethics@med.ruh.ac.lk

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Prof. Malik Goonewardene
Professor and Head
Dept. of Obstetric and Gynaecology, Faculty of Medicine, Galle
(091) 2246878, 2234801/3, 2234730 (091) 2222314, Int: (+94)


malikg@eureka.lk

Contact Person for Public Queries

Prof. Malik Goonewardene
Professor and Head
Dept. of Obstetric and Gynaecology, Faculty of Medicine, Galle
(091) 2246878, 2234801/3, 2234730 (091) 2222314, Int: (+94)


malikg@eureka.lk


Primary study sponsor/organization

University of Ruhuna, Faculty of Medicine

P.O. Box 70, Galle, Sri Lanka
091) 2246878, 2234801/3, 2234730 94 91 2222314

malikg@eureka.lk
malikg@eureka.lk

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description

Not Available


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results