APOSTEL III.
Trial name or title | APOSTEL III |
Methods | Randomised controlled trial. |
Participants | Women ≥ 18 years old with a singleton pregnancy with a gestational age of 25‐34 weeks in threatened preterm labour, as defined by: uterine contractions, ≥ 3 contractions per 30 minutes, and 1 of the following: 1. cervical length of ≤ 10 mm or; 2. cervical length of 11‐30 mm and a positive Fibronectin test or; 3. ruptured amniotic membranes. |
Interventions | ORA group: atosiban. Bolus dose 6.75 mg (i.v.), followed by 18 mg/h for 3 h (i.v.) then 6 mg/h for 45 h. Control group: nifedipine. Bolus dose of 20 mg orally, followed by 20 mg every 6 h for 47 h. |
Outcomes | Primary outcome: composite poor neonatal outcome, including broncho pulmonary dysplasia (BPD), periventricular leucomalacia (PVL) > grade 1, intracerebral haemorrhage > grade 2, necrotising enterocolitis (NEC) > stage 1, proven sepsis and in‐hospital death. |
Starting date | 21 June 2011 |
Contact information | Dr K Heida Dept. of Obstetrics UMC Utrecht Utrecht The Netherlands |
Notes | NTR:2947 |
h: hour i.v.: intravenous ORA: oxytocin receptor antagonists