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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01737788
Registration number
NCT01737788
Ethics application status
Date submitted
24/11/2012
Date registered
30/11/2012
Date last updated
30/11/2012
Titles & IDs
Public title
Cervical Occlusion for the Prevention of Preterm Birth
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Scientific title
Randomised Trial of Cervical Cerclage With and Without Occlusion for the Prevention of Preterm Birth in Women Suspected for Cervical Insufficiency
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Secondary ID [1]
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CervOcc-001
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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:
Uterine Cervical Incompetence
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Condition category
Condition code
Reproductive Health and Childbirth
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Complications of newborn
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Reproductive Health and Childbirth
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Childbirth and postnatal care
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Reproductive Health and Childbirth
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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
Treatment: Surgery - Cervical occlusion
Experimental: Therapeutic Trial - Therapeutic cervical cerclage with or without cervical occlusion in women presenting with short cervix (\<25mm)
Experimental: Prophylactic Trial - Prophylactic cervical cerclage with or without cervical occlusion in women with a history of cervical insufficiency
Treatment: Surgery: Cervical occlusion
Women were randomized to receive cervical occlusion or no cervical occlusion in addition to a cervical cerclage (McDonald or Shirodkar cerclage). Cervical occlusion was performed with interrupted or continuous sutures, placed approximately 1 cm deep on each lip, and 0.5 cm apart with a nylon 2-0/3-0 suture.
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Intervention code [1]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Take-home baby rate
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Assessment method [1]
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Take-home baby rate was defined as the proportion of living babies discharged from the hospital of all singleton pregnancies.
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Timepoint [1]
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Neonates will be followed for the duration of stay in the neonatal intensive care unit, an expected average of 28 days with a minimum of 0 days up to a maximum of 98 days.
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Secondary outcome [1]
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Gestational age at birth
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Assessment method [1]
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Evaluated as a continuous variable and as a dichotomous variable (\<34+0 weeks gestation)
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Timepoint [1]
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At birth
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Eligibility
Key inclusion criteria
* The physician in charge considered that a cerclage was indicated.
* Gestational age between 12 and 27 completed weeks.
* Previous late mid-trimester miscarriage, or spontaneous preterm labour and delivery before 28 weeks with or without previous cerclages.
* Previous cerclage because of short cervix.
* Confirmed gestational age defined as gestational age estimated by ultrasound at less than or equal to 22+0 weeks, and/or certain last menstrual period.
* Vaginal infection treated before cerclage.
* Ability to read and understand the relevant national language.
* Consent obtained in accordance with specifications of the local research ethics committee.
* 18 years or more of age and legally competent.
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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?
No
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Key exclusion criteria
* Demonstrated cervical infection.
* Obstetrical complications in the current pregnancy.
* Multiple pregnancies.
* History of a significant abruptio placenta in a previous pregnancy.
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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
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
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/08/2006
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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
1/08/2011
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Sample size
Target
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Accrual to date
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Final
309
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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- Adelaide
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Recruitment postcode(s) [1]
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- Adelaide
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Recruitment outside Australia
Country [1]
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Denmark
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State/province [1]
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Funen
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Country [2]
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Denmark
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State/province [2]
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Jutland
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Denmark
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State/province [3]
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Zealand
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Country [4]
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India
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State/province [4]
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New Delhi
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Country [5]
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Saudi Arabia
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State/province [5]
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Makkah Province
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Country [6]
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South Africa
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State/province [6]
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Gauteng
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Country [7]
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Spain
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State/province [7]
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Catalonia
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Country [8]
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Sweden
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State/province [8]
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Scania
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Country [9]
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Switzerland
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State/province [9]
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Basel-Stadt
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Country [10]
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United Kingdom
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State/province [10]
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Lancashire
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Country [11]
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United Kingdom
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State/province [11]
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London
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Funding & Sponsors
Primary sponsor type
Other
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Name
Niels Jørgen Secher
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The aim of this study was to evaluate the effect of cervical occlusion versus no cervical occlusion in women with cervical cerclages.
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Trial website
https://clinicaltrials.gov/study/NCT01737788
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Trial related presentations / publications
Brix N, Secher NJ, McCormack CD, Helmig RB, Hein M, Weber T, Mittal S, Kurdi W, Palacio M, Henriksen TB; CERVO group. Randomised trial of cervical cerclage, with and without occlusion, for the prevention of preterm birth in women suspected for cervical insufficiency. BJOG. 2013 Apr;120(5):613-20. doi: 10.1111/1471-0528.12119. Epub 2013 Jan 18.
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Public notes
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Contacts
Principal investigator
Name
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Niels J Secher, Professor
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Address
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Department of Obstetrics and Gynecology, Hvidovre University Hospital, Denmark
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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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Address
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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 scientific queries
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
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01737788
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