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Prediction and Prevention of Preterm Birth (PREVENT-PTB Study)

Not Applicable
Terminated
Conditions
Preterm Birth
Interventions
Diagnostic Test: PreTRM test
Registration Number
NCT03530332
Lead Sponsor
Ware Branch
Brief Summary

This research study is being done to find out whether a screening blood test can help identify women with an increased risk of preterm birth.

Detailed Description

Preterm birth (PTB) remains the leading cause of neonatal mortality and long-term disability throughout the world. Recently treatments early in pregnancy such as progesterone, cervical support and maternal support have been demonstrated to delay delivery amongst at risk women. Nonetheless, the majority of women who are at risk are not identified using current screening methods.

Women who are 18 years or older, with a singleton pregnancy between 19 5/7 weeks and 20 6/7 weeks gestational age (GA) confirmed by ultrasound prior to enrollment and no history of prior preterm birth (delivery between 16 0/7 weeks and 37 6/7 weeks) will be invited to participate. Women who enroll will be randomized to screening and intervention for those at high risk of PTB or no screening and standard care. All participants will undergo sample collection, but the samples from the group randomized to "no screening' will not be analyzed until the end of the study (post-delivery of all neonates).

Women randomized to the intervention group will be screened using the PreTRM® test (Sera Prognostics, Inc.) at a large tertiary care center. Predicated upon the degree of risk, women will be treated according to a pre-specified algorithm. The outcomes of these women will be compared to a control group of women who do not receive screening at the same tertiary care center.

Recruitment & Eligibility

Status
TERMINATED
Sex
Female
Target Recruitment
1208
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TreatmentPreTRM test-
Primary Outcome Measures
NameTimeMethod
Incidence of spontaneous preterm birthBefore 37 weeks of pregnancy
Secondary Outcome Measures
NameTimeMethod
Length of stay among all neonates (including NICU and nursery)Up to 1 year post delivery
Neonatal costsUp to 1 year post delivery
Gestational age at deliveryAt delivery
Neonatal Intensive Care Unit (NICU) length of stay only among neonates who were admitted to the NICUUp to 1 year post delivery

Trial Locations

Locations (4)

Intermountain Medical Center

🇺🇸

Murray, Utah, United States

LDS Hospital

🇺🇸

Salt Lake City, Utah, United States

McKay-Dee Hospital

🇺🇸

Ogden, Utah, United States

Utah Valley Hospital

🇺🇸

Provo, Utah, United States

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