Can a Two-Week progesterone course buy more time in the womb?
NCT ID NCT06975943
First seen Aug 28, 2026 · Last updated Aug 28, 2026
Summary
This trial tests whether giving pregnant women vaginal progesterone for two weeks after a preterm labor scare can help them carry their baby longer and keep the cervix from shortening. Researchers will enroll 48 women between 28 and 33 weeks of pregnancy who have just recovered from an episode of threatened preterm labor. Half will receive daily 200 mg progesterone capsules, while the other half gets standard care. The study measures how many extra days the pregnancy lasts and how cervical length changes, along with delivery method and newborn health.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Vaginal micronized progesterone (Microgest) 200 mg daily for two weeks after arrested preterm labor
- What this could lead to
- If it works, this could offer a simple, low-cost way to help women at risk of preterm birth carry their babies longer, improving outcomes for mothers and newborns.
- What could go wrong
- This is a small, early-stage trial with only 48 participants, so results may not apply broadly. Progesterone may not prolong pregnancy in all cases, and the study does not yet prove long-term benefits.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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48 people
The number who actually took part.
- Started
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Jan 2025
- Finished
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Feb 2026
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 40 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Singleton pregnant women who have passed the acute phase of Threatened Preterm Labor that meets the following criteria: 1. Persistent contractions (2-3 contractions in 10 minutes) accompanied by cervical dilation assessed based on pelvic examination (Vaginal Touche) 2. Intact amniotic membrane 3. Cervical dilation ≤ 2 cm 4. No birth occurs within 2x24 hours since persistent contractions appear. 2. Age 18-40 years 3. The gestational age must be between 28 weeks and 33 weeks plus 6 days. 4. Able to participate, communicate well with researchers, and willing to provide written consent to participate in the study. Exclusion Criteria: 1. Patients with cervical cerclage in this pregnancy 2. Cervical length is less than 10 mm 3. Congenital abnormalities in the fetus 4. Anatomical abnormalities in the uterus 5. History of antepartum hemorrhage in this pregnancy 6. Known hypersensitivity to progesterone or contraindications to its use. 7. Suspected or proven premature rupture of membranes at enrollment 8. Subjects on drug therapy known to interact with progesterone (eg Bromocriptine, Rifampin, Ketoconazole, and Cyclosporine) 9. Subjects with comorbidities: cardiovascular disease, renal function, liver function, hematological disorders, and other uncontrolled comorbidities. 10. Subjects with stress conditions based on the DASS-42 questionnaire.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Dr. Soetomo General Hospital Surabaya
Surabaya, East Java, 60286, Indonesia
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