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Trial registered on ANZCTR
Registration number
ACTRN12611000126910
Ethics application status
Approved
Date submitted
2/02/2011
Date registered
4/02/2011
Date last updated
9/02/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Combination of Misoprostol and Mechanical Dilation for Induction of Labor
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Scientific title
Randomized study of a combination of oral misoprostol (OM) and mechanical dilation of the cervix by a double balloon device (COOK CRB [Cervical Ripening Balloon]) versus OM alone to improve efficacy in inducing labor.
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Secondary ID [1]
253525
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Effiaciacy of two different methods of labor induction at term
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Condition category
Condition code
Reproductive Health and Childbirth
259223
259223
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0
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Other reproductive health and childbirth disorders
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Reproductive Health and Childbirth
259224
259224
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0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Combination of OM and mechanical dilation with a double-balloon catheter for cervical ripening (COOK CRB) was used.
First day: OM 50 microg with repeat doses 4 and 8 hours later if necessary plus CRB for a maximum of 24 hours
Second day: OM 100 microg with repeat doses 4 and 8 hours later if necessary
Third day: misoprostol 50 microg vaginally with repeat doses 4 and 8 hours later if necessary
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Intervention code [1]
257954
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Treatment: Other
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Intervention code [2]
257962
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Treatment: Drugs
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Comparator / control treatment
Only OM was used.
First day: OM 50 microg with repeat doses 4 and 8 hours later if necessary
Second day: OM 100 microg with repeat doses 4 and 8 hours later if necessary
Third day: misoprostol 50 microg vaginally with repeat doses 4 and 8 hours later if necessary
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Control group
Active
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Outcomes
Primary outcome [1]
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The rate of failure to induce labor, defined as no delivery within 48 hours.
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Assessment method [1]
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Timepoint [1]
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After birth.
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Secondary outcome [1]
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The time of induction of labor to birth
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Assessment method [1]
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Timepoint [1]
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After birth.
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Eligibility
Key inclusion criteria
singleton pregnancy at term (= 259 days of gestation), vertex presentation, indication for induction of labor, and an unfavorable cervix (Bishop score < 8)
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
cases of structural or chromosomal malformation and intrauterine fetal death, contraindication for labor induction with misoprostol (e.g. placenta previa, previous cesarean sections)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/08/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
122
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3165
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Germany
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State/province [1]
3165
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University Hospital Mannheim
Department of Obstetrics and Gynecology
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Address [1]
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Theodor-Kutzer-Ufer 1-3
68167 Mannheim
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Country [1]
258416
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Germany
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Primary sponsor type
Individual
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Name
Sven Kehl
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Address
University Hospital Mannheim
Department of Obstetrics and Gynecology
Theodor-Kutzer-Ufer 1-3
68167 Mannheim
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Country
Germany
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
257567
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
Induction of labor is a common obstetric procedure that is being more widely used nowadays than ever before. Pharmacologic and mechanical methods are used to induce labor. As there are different modes of action, a reduced induction-to-delivery time can be expected if the pharmacologic and mechanical methods are used simultaneously. The hypothesis is that a combination of pharmacological (oral misoprostol) and mechanical dilation (CRB - a double balloon device) improve the efficacy of labor induction.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
32158
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Country
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Phone
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Fax
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Email
32158
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Contact person for public queries
Name
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Sven Kehl
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Address
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University Hospital Mannheim
Department of Obstetrics and Gynecology
Theodor-Kutzer-Ufer 1-3
68167 Mannheim
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Country
15405
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Germany
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Phone
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0049-621-3832286
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Sven Kehl
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Address
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University Hospital Mannheim
Department of Obstetrics and Gynecology
Theodor-Kutzer-Ufer 1-3
68167 Mannheim
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Country
6333
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Germany
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Phone
6333
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0049-621-3832286
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Fax
6333
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Email
6333
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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