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. Author manuscript; available in PMC: 2020 Mar 27.
Published in final edited form as: Am J Obstet Gynecol MFM. 2019 Mar 27;1(1):50–62. doi: 10.1016/j.ajogmf.2019.03.001

TABLE 4.

Description of 4 randomized studies with oral progesterone in preterm birth prevention that were excluded from metaanalysis

Randomized trial
Characteristic Noblot et al, 199122 Ndoni et al, 201020 Choudhary et al, 201421 Pustotina, 201823
Methods Double blind randomized controlled trial Randomized control study Double blind randomized controlled trial Randomized trial, open label with crossover after 1 week of therapy in randomized assignment

Location France Albania India Russia

Sample size 44 121 90 95

Inclusion criteria Pregnant patients (including multiples) underwent tocolytic therapy for threated preterm labor; patients with preterm premature rupture of membranes at <32 wks gestation or previous tocolytic therapy excluded Pregnant patients hospitalized at high risk for preterm delivery Singletons at 24–34 wks Singleton gestation, cervical length ≤25 mm with or without symptoms of preterm labor/miscarriage (60 symptomatic at randomization)

Oral progesterone dose 400 mg every 6 hrs for 24 hrs, every 8 hrs for 24 hrs, 300 mg every 8 hrs daily; micronized progesterone (Utrogestan) Dose not specified, micronized oral progesterone (Utrogestan) 200 mg micronized progesterone daily Oral progesterone 400 mg daily

Comparator Placebo Daily 17 hydroxy-progesterone caproate and placebo Placebo 17OHP 250 mg intramuscularly weekly OR vaginal progesterone 400 mg daily OR dydrogesterone 30 mg daily

Gestational age range at randomization <35 Wks 15–22 Wks 24–64 Wks 15–24 Wks

Primary outcome Latency to delivery: not different between groups Not specified (abstract only), preterm labor and perinatal outcomes reported as improved in 17OHPC and oral progesterone vs placebo, but not compared with each other Latency to delivery: improved in oral progesterone vs placebo Not specified; oral progesterone not directly compared with other formulations