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CompletedNCT04597333Updated Apr 20, 2022

Labor Induction After Failed Induction With Dinoprostone.

An interventional study of Dinoprostone and Cervical ripening balloon. in Induction of Labor Affected Fetus / Newborn, sponsored by Rambam Health Care Campus. Completed at 1 site in Israel. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2022-04-20.

Sponsored by Rambam Health Care Campus · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
144
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

Women after induction of labor with a dinoprostone insert will be evaluated after 24 hours from the beginning of labor induction. Women with a BISHOP score of less than 5 will be randomized to 1 of 2 groups. Induction with a cervical ripening balloon versus induction with a 2nd dinoprostone insert.

Read the detailed description

Nulliparous women with obstetric indications for induction of labor who were induced with a dinoprostone insert and failed to go into labor after 24 hours from the beginning of labor induction and a BISHOP score of less than 5 will receive a thorough explanation regarding the study and sign informed consent. The eligible women will be randomized to 1 of 2 groups. Induction with a cervical ripening balloon versus induction with a 2nd dinoprostone insert. Relevant demographic and medical information will be gathered from the patients' electronic files.

02

Conditions studied

  • Induction of Labor Affected Fetus / Newborn
03

In context

Lead sponsor

Rambam Health Care Campus is the lead sponsor of 466 studies on the registry; 34 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women after induction of labor with Dinoprostone.
  • BISHOP score of under 5 after 1st induction attempt.
  • Nulliparous women.

Exclusion criteria

Exclusion Criteria:

  • Women after induction of labor with a cervical ripening balloon.
  • BISHOP score of over 5 after 1st induction attempt.
  • Multiparous women.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
144 participants (actual)

Study arms

  • Active comparator
    2nd Dinoprostone.

    Women induced with a second dinoprostone insert.

    Drug: Dinoprostone

  • Active comparator
    Cervical ripening balloon.

    Women induced with a cervical ripening balloon.

    Device: Cervical ripening balloon.

Interventions

  • Dinoprostone vaginal insert.

  • DeviceCervical ripening balloon.

    Double lumen cervical ripening balloon.

06

What researchers measure

Primary outcomes

  1. Delivery within 24 hours.

    Rate of delivery in 24 hours.

    Time frame: From the time of induction up to 24 hours from induction.

  2. Time to delivery.

    The number of hours it takes to deliver.

    Time frame: From the time of induction up to 120 hours from induction.

Secondary outcomes

  1. Mode of delivery.

    Vaginal and cesarean delivery rates.

    Time frame: From the time of induction up to 120 hours from induction.

  2. Uterine revision.

    The rate of uterine revision postpartum.

    Time frame: From the time of induction up to 120 hours from induction.

  3. Postpartum hemorrhage.

    The rate of postpartum hemorrhage.

    Time frame: From the time of induction up to 120 hours from induction.

  4. Chorioamnionitis.

    The rate of chorioamnionitis.

    Time frame: From the time of induction up to 120 hours from induction.

07

Study locations

1 site
  • Rambam health care campus
    Haifa, Israel
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Oct 2020 to primary completion in Nov 2021, 13 months.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 15, 2020
First posted
Oct 22, 2020
StartActual
Oct 15, 2020
Primary completionActual
Nov 30, 2021
CompletionActual
Dec 31, 2021
Last update
Apr 20, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 20, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04597333
Responsible party
ROY LAUTERBACH MD (Principal Investigator, Rambam Health Care Campus) — Principal investigator
First posted
Oct 22, 2020
Start date
Oct 15, 2020
Primary completion
Nov 30, 2021
Completion
Dec 31, 2021
Last update
Apr 20, 2022

Study contacts

Roy Lauterbach, MD
principal investigator · Rambam Health Care Campus

Oversight

Data monitoring committee
No
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 Apr 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Dinoprostone

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