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Trial registered on ANZCTR
Registration number
ACTRN12612000093886
Ethics application status
Approved
Date submitted
17/01/2012
Date registered
18/01/2012
Date last updated
11/07/2019
Date data sharing statement initially provided
11/07/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Prostaglandin gel versus oxytocin for induction of labour in term prelabour rupture of membranes
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Scientific title
For women with term prelabour rupture of membranes who wish active management does use of PG gel result in better satisfaction and less need for oxytocin without increasing risk of neonatal sepsis.
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Secondary ID [1]
279746
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nil
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Universal Trial Number (UTN)
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Trial acronym
PO PROM
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
term prelabour rupture of membranes
285604
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Condition category
Condition code
Reproductive Health and Childbirth
285798
285798
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0
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Fetal medicine and complications of pregnancy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Three doses of Prostaglandin F2 alpha gel 6 hours apart = first dose after obtaining consent
doses are 2mg each time for nulliparous women and 1mg initially and then 2 mg for multiparous women
gel will be inserted vaginally
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Intervention code [1]
284058
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Treatment: Drugs
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Comparator / control treatment
Oxytocin infusion - standard regime used in B/sute for induction of labour - commencing as soon as consented and a bed available in b/suite.
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Control group
Active
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Outcomes
Primary outcome [1]
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onset of labour without need for further oxytocin
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Assessment method [1]
286307
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Timepoint [1]
286307
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in labour
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Secondary outcome [1]
295576
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need fo augmentation with oxytocin - these will be assessed by review of charts after birth
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Assessment method [1]
295576
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Timepoint [1]
295576
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in labour
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Secondary outcome [2]
295577
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rate of epidural
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Assessment method [2]
295577
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Timepoint [2]
295577
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in labour
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Secondary outcome [3]
295578
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c/section rate
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Assessment method [3]
295578
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Timepoint [3]
295578
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at birth
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Secondary outcome [4]
295579
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chorioamnionitis - assessed by review of charts - these are clincal diagnoses
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Assessment method [4]
295579
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Timepoint [4]
295579
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during hospiotal stay or readmission within 6 weeks of delivery
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Secondary outcome [5]
295580
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neonatal sepsis - confirmed or suspected - as charted in the babys chart
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Assessment method [5]
295580
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Timepoint [5]
295580
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whilst in hospital or needing readmission with such a diagnosis within 6 weeks of birth
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Eligibility
Key inclusion criteria
gestational age >36 weeks and 6 days
Confirmed SROM
Singleton pregnancy
live fetus
cephalic presentation
informed consent
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Minimum age
16
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
severe medical problem
compromised fetus
indication for immediate delivery
suspected sepsis
previous c/section
known gbs infection
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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)
all eligible women will be provided with written information on the study
after about an hour they will be approached to answer any questions
if willing to participate women will sign consent and an allocation will be performed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer generated random table - equal blocks - allocation by research staff not involvd in clinical care - sequentaiily numbered sealed opaque enevelopes will contain the allocation
envelope will only be opened after signed consent
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
nil
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Phase
Phase 3
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
10/01/2009
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Actual
1/02/2009
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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
280
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Accrual to date
184
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
284527
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Self funded/Unfunded
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Name [1]
284527
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Address [1]
284527
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Country [1]
284527
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Australia
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Primary sponsor type
Hospital
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Name
ipswich Hospital
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Address
P O Box 73
Ipswich
Qld
4305
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Country
Australia
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Secondary sponsor category [1]
283456
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Individual
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Name [1]
283456
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kassam Mahomed
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Address [1]
283456
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P O Box 73
Ipswich
Qld
4305
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Country [1]
283456
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Australia
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Other collaborator category [1]
260454
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Individual
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Name [1]
260454
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Chris Weekes
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Address [1]
260454
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Trainee registrar
Ipswich hospital
P O Box 73
Ipswich
Qld
4305
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Country [1]
260454
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
286512
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West Moreton South Burnett HSD HREC
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Ethics committee address [1]
286512
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WMDD HREC School of Mental health Dawson House Sumner park Richland Qld 4077
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Ethics committee country [1]
286512
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Australia
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Date submitted for ethics approval [1]
286512
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10/09/2008
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Approval date [1]
286512
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20/11/2008
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Ethics approval number [1]
286512
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5/09/2012
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Summary
Brief summary
Term PROM is a common problem. Women have traditionally been offered oxytocin infusion. This requires intravenous fluids, continuous FHR monitoring and the woman is restricted to bed. PG gel has been shown in a large RCT to be safe and effective but has not become widely used in the public sector. This study will address safety and efficacy as well as womens satisfaction of the two methods of induction.
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Trial website
nil
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Trial related presentations / publications
nil yet
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Public notes
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Contacts
Principal investigator
Name
33644
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A/Prof kassam mahomed
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Address
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Dept of Obstetrics and Gynaecology
Ipswich Hospital
1 chelmsford ave
Ipswich
Qld
4305
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Country
33644
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Australia
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Phone
33644
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+61 407034283
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Fax
33644
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Email
33644
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[email protected]
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Contact person for public queries
Name
16891
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Kassam Mahomed
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Address
16891
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Senior Staff Specialist
Dept of Obstetrics
P O Box 73
Ipswich
Qld
4305
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Country
16891
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Australia
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Phone
16891
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+61 - 7 - 38101111
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Fax
16891
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Email
16891
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[email protected]
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Contact person for scientific queries
Name
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Kassam Mahomed
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Address
7819
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Senior Staff Specialist
Dept of Obstetrics
P O Box 73
Ipswich
Qld
4305
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Country
7819
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Australia
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Phone
7819
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+61-7-38101111
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Fax
7819
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Email
7819
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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
Source
Title
Year of Publication
DOI
Embase
Prostaglandin gel versus oxytocin - prelabour rupture of membranes at term - A randomised controlled trial.
2018
https://dx.doi.org/10.1111/ajo.12788
N.B. These documents automatically identified may not have been verified by the study sponsor.
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