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CompletedNCT02861079Updated Feb 1, 2018

Combined Foley Catheter Balloon and PGE2 Vaginal Ovule for Induction of Labor at Term: A Randomized Study

A Phase 2 interventional study of Foley catheter and PGE2 in Unfavorable Cervix, Cervical Ripening, sponsored by Zeynep Kamil Maternity and Pediatric Research and Training Hospital. Completed at 1 site in Turkey. Open to female participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-02-01.

Sponsored by Zeynep Kamil Maternity and Pediatric Research and Training Hospital · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
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Study summary

This study evaluates the addition of transcervical Foley catheter balloon and vaginal prostaglandin E2 in induction of labor at term. Half of participants will be used combine transcervical Foley catheter balloon and vaginal prostaglandin E2, while the other half will be used alone vaginal prostaglandin E2.

Read the detailed description

An unfavorable cervix during induction decreases the success rate of labor induction and vaginal delivery. Therefore it is required to apply cervical ripening methods for unfavorable cervices. Application of transcervical Foley catheter is an effective mechanical method and has the advantages of lower cost and lowest rate of fetal heart rate changes due to tachysystole compared with PGE1 and PGE2. Despite the advantages of mechanical methods, PGE1 and PGE2 are reported to be more effective than mechanical methods to achieve vaginal delivery within 24 hours. Although there are a lot of studies comparing PGE1, PGE2 and transcervical Foley balloon catheter separately and PGE1 combined with transcervical Foley balloon catheter, less is known about combined usage of PGE2 and transcervical Foley balloon catheter.

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Conditions studied

  • Unfavorable Cervix, Cervical Ripening
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In context

Lead sponsor

Zeynep Kamil Maternity and Pediatric Research and Training Hospital is the lead sponsor of 38 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  1. singleton pregnancy,
  2. gestational age ≥37 weeks,
  3. intact membranes,
  4. cephalic presentation,
  5. bishop score ≤5,
  6. had obstetrical indications for induction of labor,
  7. had less than three uterine contractions in every 10 minutes. -

Exclusion criteria

Exclusion Criteria:

  1. Patients who had contraindications for vaginal delivery,
  2. previous uterine surgery,
  3. fetal malpresentation,
  4. multifetal pregnancy,
  5. more than three contractions in 10 minutes,
  6. contraindications to prostaglandins,
  7. a category II or III fetal heart rate pattern,
  8. anomalous fetus,
  9. fetal demise
  10. women with immediate delivery indications -
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
300 participants (actual)

Study arms

  • Experimental
    Propess with Foley balloon catheter

    10 mg PGE2 vaginal ovul will be inserted to the posterior fornix and an 18-F Foley catheter which filling with 30 mL of saline solution will be placed into the cervix

    Device: Foley catheter · Drug: PGE2

  • Active comparator
    Propess vaginal ovule

    10 mg PGE2 vaginal ovule will be inserted to the posterior fornix

    Drug: PGE2

Interventions

  • DeviceFoley catheter

    An 18-F Foley catheter will insert into the endocervical canal and the balloon will fill with 30 mL of saline solution.

  • DrugPGE2

    10 mg PGE2 vaginal ovul (Propess,Ferring®) will place high into the posterior vaginal fornix.

    Also known as: propess

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What researchers measure

Primary outcomes

  1. induction-to- delivery time

    the length of time between the beginning of induction and the end of labor

    Time frame: the length of time between the beginning of induction and the end of labor

Secondary outcomes

  1. induction-to-active phase of labor time

    the length of time between the beginning of induction and the onset of labor

    Time frame: the length of time between the beginning of induction and the onset of labor

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Study locations

1 site
  • Zeynep Kamil Education and Research Hospital
    Istanbul, Turkey
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References and documents

Publications

  • Du C, Liu Y, Liu Y, Ding H, Zhang R, Tan J. Double-balloon catheter vs. dinoprostone vaginal insert for induction of labor with an unfavorable cervix. Arch Gynecol Obstet. 2015 Jun;291(6):1221-7. doi: 10.1007/s00404-014-3547-3. Epub 2014 Nov 19. PubMed 25408273 ↗
  • Dalui R, Suri V, Ray P, Gupta I. Comparison of extraamniotic Foley catheter and intracervical prostaglandin E gel for preinduction cervical ripening. Acta Obstet Gynecol Scand. 2005 Apr;84(4):362-7. doi: 10.1111/j.0001-6349.2005.00662.x. PubMed 15762966 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 1, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02861079
Lead sponsor
Zeynep Kamil Maternity and Pediatric Research and Training Hospital
Responsible party
Ahmet Eser (medical doctor, Zeynep Kamil Maternity and Pediatric Research and Training Hospital) — Principal investigator
First posted
Aug 10, 2016
Start date
Aug 25, 2017
Primary completion
Dec 25, 2017
Completion
Dec 25, 2017
Last update
Feb 1, 2018

Study contacts

ahmet eser, M.D.
study director · Zeynep Kamil Maternity and Children's Training and Research Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2018. You cannot join it, but the record below documents what was studied.

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