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Trial registered on ANZCTR
Registration number
ACTRN12612000517875
Ethics application status
Approved
Date submitted
23/04/2012
Date registered
15/05/2012
Date last updated
15/05/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Hypotension in Threatened Preterm Labour Treating with Initial Loading Dose of 30 mg versus 40 mg Nifedipine
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Scientific title
Hypotension in Threatened Preterm Labour Treating with Initial Loading Dose of 30 mg versus 40 mg Nifedipine
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Secondary ID [1]
280363
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nil
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Universal Trial Number (UTN)
nil
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Trial acronym
nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
hypotension in threatened preterm pregnant who treated with nifedipine
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Condition category
Condition code
Reproductive Health and Childbirth
286580
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0
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Fetal medicine and complications of pregnancy
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Cardiovascular
286702
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0
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Other cardiovascular diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Arm 1: nifedipine 30 mg loading in 1 hour (10 mg orally every 20 minutes) then nifedipine slow release (SR) 20 mg orally every 4-8 hours until 48 hours, regularly of treatment given will be at the discretion of the treating physician
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Intervention code [1]
284729
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Treatment: Drugs
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Comparator / control treatment
Arm 2: nifedipine 40 mg loading in 1 hour (10 mg orally every 15 minutes) then nifedipine slow release (SR) 20 mg orally every 4-8 hours until 48 hours, regularly of treatment given will be at the discretion of the treating physician
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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Incidence of hypotension measurement by non invasive measurement instrument,autonomic blood pressure monitor,Dinamap blood pressure monitor have set the standard for accuracy and have been calibrated by schedule and all candidate will use the same instrument and systolic and diastolic blood pressure were recorded in medical recording form.
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Assessment method [1]
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Timepoint [1]
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At 48 hours after drug administration
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
Pregnant women with gestational age between 24 to 36 weeks with one or more uterine contractions in 10 minutes with Cervical dilatation 0 to 3 cm
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1.History of active medical diseases: e.g. cardiovascular diseases, renal diseases, diabetes, hyperthyroidism, infection
2.Pregnant women with contra-indication for inhibiting preterm labor e.g. chorioamnionitis, placental abruption, ruptured vasa previa, uterine rupture, severe preeclampsia, eclampsia, severe fetal anomalies, rupture of membrane, and etc.
3.Contra-indication for oral route treatment
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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)
Opaque-sealed envelops will be used for treatment allocation
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
We will use computer-generated random sequence with varying block size randomization
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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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
1/05/2012
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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
90
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Thailand
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State/province [1]
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Khon Kaen
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Khon Kaen Hospital
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Address [1]
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Srichan road
Muang
Khon Kaen
40000
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Country [1]
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Thailand
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Primary sponsor type
Hospital
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Name
Khon Kaen Hospital
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Address
Srichan road
Muang
Khon Kaen
40000
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Country
Thailand
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Secondary sponsor category [1]
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Individual
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Name [1]
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Ananya Somsaard
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Address [1]
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Srichan road
Muang
Khon Kaen
40000
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Country [1]
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Thailand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Khon Kaen Hospital Ethics Committee
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Ethics committee address [1]
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Srichan road Muang Khon Kaen 40000
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Ethics committee country [1]
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Thailand
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Date submitted for ethics approval [1]
287158
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01/09/2011
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Approval date [1]
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28/09/2011
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Ethics approval number [1]
287158
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59/01/2554
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Summary
Brief summary
Preterm birth significantly contributes to infant morbidities and neurological disability. It has been hope that tocolytic treatment would reduce the consequences of preterm birth by prolonging pregnancy Calcium channel blockers (CCB) have been used to prevent preterm labor over 20 years. Nifedipine is the first CCB used for tocolytics therapy by 1980 Although nifedipine has significantly lower of maternal and fetal side-effects than alternatives, but the major concern is about vasodilating properties which can induce maternal tachycardia, headache, nausea, hot flush, palpitation and especially severe hypotension Suchaya 2010 study in 157 Thai women 17% of cases experienced hypotension within 60 min after receiving nifedipine. Of these there was no severe hypotension. But if the pregnant women had lower baseline, profound shock can be occurred (Before using nifedipine, the mean systolic and diastolic blood pressures were 109.4 +/- 10.4 and 72.5 +/- 7.9 mmHg the mean decrease of systolic and diastolic blood pressure in severe hypotension was 16.3 and 14.5 mmHg) The incidence of profound hypotension(BP<90/60 mmHg) at first 60 minutes is 3.8% From previous study show that there was same effectiveness of using oral nifedipine 30 mg between 40 mg loading in the first hour for tocolysis .In Suchaya 2010 trial was study in Thai pregnant woman show incidence of hypotension was 17% when treated preterm labour with initial loading dose 40 mg . We aim that decreasing the incidence of hypotension could be reached by lowering the initial nifedipine loading dose
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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
34092
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Thirawut Khanprakob
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Address
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Khon Kaen Hospital
Srichan Road
Muang
Khon Kaen
40000
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Country
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Thailand
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Phone
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+66883394554
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Fax
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+6643336789 ext 3736
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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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Thirawut Khanprakob
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Address
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Khon Kaen Hospital
Srichan Road
Muang
Khon Kaen
40000
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Country
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Thailand
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Phone
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+66883394554
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Fax
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+6643336789 ext 3736
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Email
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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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