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 |