Twin pregnancy breakthrough? stitch plus hormone may stop preterm birth
NCT ID NCT07319715
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether a surgical stitch (cervical cerclage) plus a hormone gel (vaginal progesterone) works better than standard care to prevent preterm birth in women carrying twins with a short cervix. 59 women participated, and researchers also checked if the treatment reduced inflammation in cervical fluid. The goal is to help twins reach full term and improve health outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- vaginal progesterone
- What this could lead to
- If successful, this combined approach could offer a new way to reduce preterm births in twin pregnancies, improving outcomes for mothers and babies.
- What could go wrong
- This is a small Phase 2 trial with only 59 participants, so results may not apply to all twin pregnancies. The procedure and medication carry risks like infection or side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
59 people
The number who actually took part.
- Started
-
Jan 2023
- Finished
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Jun 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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 50 years
- Sex
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Female participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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: * Type of Pregnancy: Women with confirmed twin pregnancy (TP). * Cervical Length: Short cervical length (CL) defined as ≤25 mm. * Timing of Diagnosis: Short cervix detected via transvaginal ultrasound (TVU) at 11-13 weeks + 6 days, or detected during bi-weekly follow-up exams until 23 weeks + 6 days. * Consent: Participants willing to undergo randomization and comply with the follow-up protocol. Exclusion Criteria: * Multiple Gestation (High Order): Triplet or higher-order pregnancies. * Fetal/Uterine Complications: Polyhydramnios, premature rupture of membranes (PPROM), or known uterine abnormalities. * Acute Symptoms: Vaginal bleeding, fever, or signs of fetal distress. * Maternal Comorbidities: Pre-existing or gestational hypertension, and diabetes mellitus.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Faculty of Medicine, Benha University
Banhā, Qalyubia Governorate, 13511, Egypt
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