ClinicalTrials.gg
RecruitingNCT06702670ACCELUpdated May 6, 2026

Anticholinergics for Cervical Edema in Labor

A Phase 2/3 interventional study of Treatment with Diphenhydramine and Usual Care in Labor Dystocia, sponsored by The University of Texas Health Science Center, Houston. Recruiting at 1 site in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-06.

Sponsored by The University of Texas Health Science Center, Houston · Phase 2/3, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2025; still recruiting 1 year 7 months later.
Phase
Phase 2/3
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The purpose of this study is to is to determine the clinical effectiveness of a single dose of intravenous (IV) medication for the prevention of labor arrest and cesarean delivery in primiparous women undergoing trial of labor.

02

Conditions studied

  • Labor Dystocia

Keywords

  • dilation
  • labor
03

In context

Dystocia

55 studies on the registry are indexed under Dystocia; 12 are open to participants now.

This study's planned enrollment of 200 is close to the median of 200 across 42 interventional studies indexed under Dystocia.

Browse Dystocia studies →

Lead sponsor

The University of Texas Health Science Center, Houston is the lead sponsor of 897 studies on the registry; 214 are open to participants now.

Of its 173 completed or terminated interventional studies of FDA-regulated products, 142 (82%) have results posted.

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

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

  • Primiparous
  • Viable single intrauterine pregnancy

    -≥ 34 weeks of gestation

  • Ruptured membranes
  • Category I tracing at time of inclusion
  • Active phase of labor (>=6 cm of cervix dilation)

Exclusion criteria

Exclusion Criteria:

  • Category II or III tracing
  • Allergy to the study medication (IV Diphenhydramine)
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
200 participants (estimated)

Study arms

  • Experimental
    Treatment with Diphenhydramine

    Drug: Treatment with Diphenhydramine · Combination Product: Usual Care

  • Active comparator
    Usual Care

    Combination Product: Usual Care

Interventions

  • DrugTreatment with Diphenhydramine

    Drug page: Diphenhydramine

    Diphenhydramine 50mg IV will be administered within 1 hour of the cervical exam which diagnosed prolonged active phase of labor

  • Combination productUsual Care

    Participants will receive cervical exams every 2 hours in active labor, placement of intrauterine pressure catheter, up titration of Pitocin if contractions are inadequate, maternal repositioning, and use of adjunct devices such as a peanut ball.

06

What researchers measure

Primary outcomes

  1. Number of participants that achieve complete dilation of cervix (10cm)

    Time frame: from start of treatment upto 4 hours

  2. Number of participants that achieve complete dilation of cervix (10cm)

    Time frame: from start of treatment upto 6 hours

Secondary outcomes

  1. Number of participants who have vaginal delivery after protracted labor

    Time frame: End of delivery (an average of upto 6 hours after start of treatment)

  2. Number of participants who have Postpartum complications captured as composite maternal morbidity

    This includes postpartum hemorrhage, cervical lacerations or intraamniotic infection

    Time frame: from hospitalization up to 6 weeks postpartum

  3. Number of neonates that had adverse events

    Adverse events include 5 minute APGAR SCORES less than 7, Respiratory Support with intubation in the delivery room , Neonatal intensive acre unit (NICU) admission, Fetal Anomalies, Infection, Intraventricular Hemorrhage, Hypoglycemia, Retinopathy of prematurity, Injuries, Fractures

    Time frame: from birth up to 6 weeks post-delivery

07

Study locations

1 of 1 sites recruiting
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

Started Mar 2025 (actual). Primary completion is estimated for Mar 2027, 24 months after the start.

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

Registered
Nov 20, 2024
First posted
Nov 25, 2024
StartActual
Mar 25, 2025
Primary completionEst.
Mar 25, 2027
CompletionEst.
Apr 9, 2027
Last update
May 6, 2026
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 May 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06702670
Responsible party
Samantha Antonioli (Resident, The University of Texas Health Science Center, Houston) — Principal investigator
First posted
Nov 25, 2024
Start date
Mar 25, 2025
Primary completion
Mar 25, 2027 (estimated)
Completion
Apr 9, 2027 (estimated)
Last update
May 6, 2026

Study contacts

Samantha Antonioli, MD
Contact
Samantha.Hentosh@uth.tmc.edu
(713) 566-5735
Aaron Roberts
Contact
Aaron.W.Roberts@uth.tmc.edu
(713) 500-6412
Samantha Antonioli, MD
principal investigator · The University of Texas Health Science Center, Houston

Oversight

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

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Studies of the drug tested here: Diphenhydramine

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