ClinicalTrials.gg
RecruitingNCT07119398Updated Aug 13, 2025

Oxytocin/Foley vs. Oxytocin for Induction in Patients With PPROM

A Phase 4 interventional study of Oxytocin plus Foley Catheter and Oxytocin in Preterm PROM (Pregnancy), sponsored by Eastern Virginia Medical School. Recruiting at 1 site in United States. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2025-08-13.

Sponsored by Eastern Virginia Medical School · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2026, 3 months ago, but the record still lists the study as recruiting.
  • Started Jul 2025; still recruiting 1 year 3 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

Data on the optimal mode of labor induction after preterm prelabor rupture of membranes (PPROM) is lacking. Studies have shown no difference between oxytocin and misoprostol use for labor induction in this cohort (1). The preponderance of evidence from term pregnancies suggests that Foley catheter coupled with oxytocin is better than oxytocin alone, with a higher rate of delivery within 24 hours when a Foley catheter followed by oxytocin is compared to oxytocin alone. However, the use of a Foley catheter has not been evaluated in prospective studies on patients with PPROM.

02

Conditions studied

  • Preterm PROM (Pregnancy)

Keywords

  • Induction
  • PPROM
  • Preterm prelabor rupture of membranes
03

In context

Fetal Membranes, Premature Rupture

100 studies on the registry are indexed under Fetal Membranes, Premature Rupture; 23 are open to participants now.

This study's planned enrollment of 80 is below the median of 150 across 59 interventional studies indexed under Fetal Membranes, Premature Rupture.

Browse Fetal Membranes, Premature Rupture studies →

Lead sponsor

Eastern Virginia Medical School is the lead sponsor of 56 studies on the registry; 8 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 1 (11%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 50 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

  • Patients 18-50 years of age;
  • The patient is fluent in English, physically and mentally able to understand the , and is willing to participate in this study;
  • PPROM;
  • Cervical dilation \</= 2cm
  • Fetal cephalic presentation;
  • The patient is between 34 weeks 0 days and 36 weeks 6 days of gestation at the time of enrollment. Gestational age will be determined by last menstrual period, confirmed with a first trimester ultrasound, per the recommended guidelines by the American College of Obstetricians and Gynecologists.

Exclusion criteria

Exclusion Criteria:

  • Spontaneous labor
  • Known allergy to latex;
  • Cervical dilation >2cm;
  • Chorioamnionitis;
  • to induction of labor or use of Foley for cervical ripening
  • Known or suspected fetal anomaly or aneuploidy;
  • Prisoners.
Terms in these criteria, in plain language(3)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Oxytocin plus Foley

    • Induction of labor with intravenous oxytocin and a transcervical Foley catheter

    Combination Product: Oxytocin plus Foley Catheter

  • Active comparator
    Oxytocin Only

    • Induction of labor with intravenous oxytocin

    Drug: Oxytocin

Interventions

  • Combination productOxytocin plus Foley Catheter

    Intravenous oxytocin and a transcervical Foley catheter

  • Intravenous oxytocin

06

What researchers measure

Primary outcomes

  1. Vaginal Delivery within 12 Hours

    Vaginal Delivery within 12 hours of induction

    Time frame: 12 hours

Secondary outcomes

  1. Vaginal Delivery Rate

    Overall vaginal delivery rate

    Time frame: From enrollment until delivery

  2. Intraamniotic Infection

    Time frame: Enrollment through 6 weeks postpartum

  3. Operative vaginal delivery

    Time frame: From enrollment until delivery

  4. Cesarean delivery

    Time frame: From enrollment until delivery

  5. Estimated and quantitative blood loss

    Time frame: From enrollment until hospital discharge (up to 5 days post-delivery).

  6. Blood transfusion

    Time frame: From enrollment until hospital discharge (up to 5 days post-delivery)

  7. Maternal morbidity and adverse maternal outcomes

    Including endometritis / chorioamnionitis, wound infection, venous thromboembolism, massive transfusion and postpartum hemorrhage, ICU admission, and maternal death

    Time frame: From enrollment until 6 weeks postpartum

  8. Antepartum, intrapartum, or neonatal death

    Time frame: From enrollment until 6 weeks postpartum

  9. Suspected and confirmed neonatal sepsis

    Time frame: From delivery until hospital discharge (up to 5 days post-delivery)

  10. Birth weight

    Time frame: Recorded day of delivery

  11. Hypoglycemia (glucose &amp;lt; 35 mg/dl) requiring IV glucose therapy

    Time frame: From birth until hospital discharge (up to 5 days post-delivery)

  12. Intubation, continuous positive airway pressure (CPAP) or high-flow nasal cannula (HFNC) for ventilation or cardiopulmonary resuscitation within first 72 hours

    Time frame: From birth until 72 hours after delivery

  13. Neonatal encephalopathy

    As defined by the NICHD Neonatal Research Network criteria

    Time frame: From birth until hospital discharge (up to 5 days after delivery)

  14. Seizures

    Time frame: From birth until hospital discharge (up to 5 days post-delivery)

  15. Shoulder dystocia

    Time frame: Recorded day of delivery

  16. Birth trauma

    Bone fractures, brachial plexus palsy, other neurologic injury, retinal hemorrhage, or facial nerve palsy

    Time frame: Recorded day of delivery

  17. Intracranial hemorrhage

    Intraventricular hemorrhage, subgaleal hematoma, subdural hematoma, or subarachnoid hematoma

    Time frame: From birth until hospital discharge (up to 5 days post-delivery)

  18. Hyperbilirubinemia requiring phototherapy or exchange transfusion

    Time frame: From birth until hospital discharge (up to 5 days post-delivery)

  19. NICU admission

    Time frame: From birth until time of NICU admission or hospital discharge (up to 5 days post-delivery), whichever comes first

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • McMaster K, Sanchez-Ramos L, Kaunitz AM. Evaluation of a Transcervical Foley Catheter as a Source of Infection: A Systematic Review and Meta-analysis. Obstet Gynecol. 2015 Sep;126(3):539-551. doi: 10.1097/AOG.0000000000001002. PubMed 26244535 ↗
  • Gomez Slagle HB, Hoffman MK, Sciscione AC, Ma'ayeh M. Combination Foley Catheter-Oxytocin versus Oxytocin Alone following Preterm Premature Rupture of Membranes. Am J Perinatol. 2024 May;41(S 01):e3030-e3034. doi: 10.1055/a-2185-4102. Epub 2023 Oct 4. PubMed 37793430 ↗
  • Amorosa JMH, Stone J, Factor SH, Booker W, Newland M, Bianco A. A randomized trial of Foley Bulb for Labor Induction in Premature Rupture of Membranes in Nulliparas (FLIP). Am J Obstet Gynecol. 2017 Sep;217(3):360.e1-360.e7. doi: 10.1016/j.ajog.2017.04.038. Epub 2017 May 4. PubMed 28479288 ↗
  • Mackeen AD, Durie DE, Lin M, Huls CK, Qureshey E, Paglia MJ, Sun H, Sciscione A. Foley Plus Oxytocin Compared With Oxytocin for Induction After Membrane Rupture: A Randomized Controlled Trial. Obstet Gynecol. 2018 Jan;131(1):4-11. doi: 10.1097/AOG.0000000000002374. PubMed 29215519 ↗
  • Levine LD, Downes KL, Elovitz MA, Parry S, Sammel MD, Srinivas SK. Mechanical and Pharmacologic Methods of Labor Induction: A Randomized Controlled Trial. Obstet Gynecol. 2016 Dec;128(6):1357-1364. doi: 10.1097/AOG.0000000000001778. PubMed 27824758 ↗
  • Schoen CN, Grant G, Berghella V, Hoffman MK, Sciscione A. Intracervical Foley Catheter With and Without Oxytocin for Labor Induction: A Randomized Controlled Trial. Obstet Gynecol. 2017 Jun;129(6):1046-1053. doi: 10.1097/AOG.0000000000002032. PubMed 28486381 ↗
  • Lin MG, Nuthalapaty FS, Carver AR, Case AS, Ramsey PS. Misoprostol for labor induction in women with term premature rupture of membranes: a meta-analysis. Obstet Gynecol. 2005 Sep;106(3):593-601. doi: 10.1097/01.AOG.0000172425.56840.57. PubMed 16135593 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2025 (actual). Primary completion is estimated for Jul 2026, 12 months after the start.

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

Registered
Jul 21, 2025
First posted
Aug 13, 2025
StartActual
Jul 14, 2025
Primary completionEst.
Jul 30, 2026
CompletionEst.
Dec 30, 2026
Last update
Aug 13, 2025
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 Aug 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07119398
Lead sponsor
Eastern Virginia Medical School
Responsible party
Marwan Ma'ayeh (Assistant Professor, Eastern Virginia Medical School) — Principal investigator
First posted
Aug 13, 2025
Start date
Jul 14, 2025
Primary completion
Jul 30, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Aug 13, 2025

Study contacts

Kristin Ayers, MPH
Contact
ayerskl@evms.edu
7574460529
Marwan Ma'ayeh, MD
principal investigator · Eastern Virginia Medical School

Oversight

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

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