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TerminatedNCT01269450Updated Jun 6, 2018

Progesterone and Second Trimester Bleeding

An interventional study of micronized progesterone 200 mg (Utrogestan) and placebo in Antepartum Bleeding and Preterm Birth, sponsored by HaEmek Medical Center, Israel. Terminated at 3 sites in Israel. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-06-06.

Sponsored by HaEmek Medical Center, Israel · Not applicable, Interventional, and Prevention

Why this study was terminated
Slow recruitment
Phase
Not applicable
Study type
Interventional
Enrollment
128
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

Working hypothesis and aims:

To investigate whether progesterone treatment affects the incidence of preterm labor compared to placebo, among women with 2nd trimester bleeding.

The participants will be allocated through randomization to a study or control group. Women in the study group will receive micronized progesterone 200 mg (Utrogestan, company) with an intra-vaginal tablet once daily while the control group will receive placebo. Both women and medical staff will be blinded to group allocation. Treatment will commence on the day of inclusion to the study, but not before 16 weeks and will continue until 36 weeks gestation. Data will be collected after the conclusion of pregnancy regarding the maternal and neonatal outcome.

02

Conditions studied

  • Antepartum Bleeding
  • Preterm Birth

Keywords

  • second trimester vaginal bleeding
  • late abortion
  • preterm birth
  • progesterone
03

In context

Premature Birth

2,554 studies on the registry are indexed under Premature Birth; 498 are open to participants now.

This study's enrollment of 128 is above the median of 84 across 1,689 interventional studies indexed under Premature Birth.

Browse Premature Birth studies →

Lead sponsor

HaEmek Medical Center, Israel is the lead sponsor of 228 studies on the registry; 12 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Viable pregnancy
  • Gestational age between 13 to 26 weeks
  • Vaginal bleeding from uterine origin
  • Singleton pregnancy
  • Normal clotting tests
  • Hemodynamically stable woman

Exclusion criteria

Exclusion Criteria:

  • Water leak
  • Signs of preterm labor
  • Fetal malformations incompatible with life
  • Uterine malformations and other maternal conditions, i.e. liver disease, breast cancer, active thromboembolic state
  • Past preterm birth
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
128 participants (actual)

Study arms

  • Active comparator
    Utrogestan

    Drug: micronized progesterone 200 mg (Utrogestan)

  • Placebo comparator
    placebo

    Drug: placebo

Interventions

  • Drugmicronized progesterone 200 mg (Utrogestan)

    micronized progesterone 200 mg (Utrogestan, company) as an intra-vaginal tablet once daily

  • Drugplacebo

    placebo 200mg vaginal tablets

06

What researchers measure

Primary outcomes

  1. Incidence of spontaneous preterm birth - before 37 weeks.

    Time frame: 3 years

Secondary outcomes

  1. Maternal and fetal outcomes

    Time frame: 3 years

07

Study locations

3 sites
  • Emek medical center
    Afula, 18101, Israel
  • dEP ob/gyn, Hillel Yaffe Medical Center.
    Hadera, Israel
  • Dep. OB/GYN, The Nazareth Hospital, E.M.M.S
    Nazareth, Israel
08

References and documents

Publications

  • Salim R, Hakim M, Zafran N, Nachum Z, Romano S, Garmi G. Double-blind randomized trial of progesterone to prevent preterm birth in second-trimester bleeding. Acta Obstet Gynecol Scand. 2019 Oct;98(10):1318-1325. doi: 10.1111/aogs.13641. Epub 2019 Jun 1. PubMed 31087325 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 6, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01269450
Lead sponsor
HaEmek Medical Center, Israel
Responsible party
Raed Salim (Dr., HaEmek Medical Center, Israel) — Principal investigator
First posted
Jan 4, 2011
Start date
Mar 2011
Primary completion
Jan 2017
Completion
Jul 2017
Last update
Jun 6, 2018

Study contacts

RAED SALIM, MD
principal investigator · HaEmek medical center affiliated to the Rappaport faculty of medicine, Technion, Haifa, Israel

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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