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Trial ยท NCT02518594

A Trial of Pessary and Progesterone for Preterm Prevention in Twin Gestation With a Short Cervix

NCT02518594, Phase 3, Completed, The George Washington University Biostatistics Center; results first posted 2026-03-10

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Trial of Pessary and Progesterone for Preterm Prevention in Twin Gestation With a Short Cervix. Trials, record NCT02518594. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02518594

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Trial of Pessary and Progesterone for Preterm Prevention in Twin Gestation With a Short Cervix
NCT number
NCT02518594
Status
Completed
Phases
Phase 3
Enrollment
1,311 participants, actual
Lead sponsor
The George Washington University Biostatistics Center
Conditions
Short Cervical Length
Interventions
Vaginal progesterone, Placebo, Arabin Pessary
First posted
2015-08-10
Last updated
2026-06-25
Results first posted
2026-03-10

Source ClinicalTrials.gov

Registered outcomes17

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With Delivery or Fetal Loss of Either Twin Prior to 35 Weeks GestationFrom randomization to 35 weeks gestation (a period of up to 19 weeks)Number of Participants who had preterm delivery or fetal loss of either twin prior to 35 weeks gestation
SecondaryDays From Randomization to Delivery (or Fetal Demise)Randomization to delivery (a period of up to 26 weeks)Days from the time of randomization (16-23 weeks gestation) to delivery or death of the fetus.
SecondaryGestational Age at Delivery or Fetal DeathRandomization to delivery (a period of up to 26 weeks)Gestational age at the time of delivery or death
SecondaryNumber of Participants With Preterm Delivery or Fetal Demise of Either Twin Prior to 28 Weeks GestationFrom randomization to up to 28 weeks gestation (a period if up to 12 weeks)Preterm delivery or fetal loss of either twin prior to 28 weeks gestation
SecondaryNumber of Participants With Preterm Delivery or Fetal Demise of Either Twin Prior to 32 Weeks GestationFrom randomization to 32 weeks gestation (a period of up to 16 weeks)Preterm Delivery or Fetal Demise of Either Twin Prior to 32 Weeks Gestation
SecondaryNumber of Participants With Preterm Delivery or Fetal Demise of Either Twin Prior to 37 Weeks Gestationrandomization to 37 weeks gestation (a period of up to 21 weeks)Preterm Delivery or Fetal Demise of Either Twin Prior to 37 Weeks Gestation
SecondaryNumber of Participants With Spontaneous Preterm Delivery < 32 Weeks Gestationrandomization to 32 weeks gestation (a period of up to 16 weeks)Spontaneous preterm delivery (following preterm labor or pPROM) before 32 weeks gestation
SecondaryNumber of Participants With Spontaneous Preterm Delivery < 35 Weeks Gestationrandomization to 35 weeks gestation (a period of up to 19 weeks)Spontaneous preterm delivery (following preterm labor or pPROM) before 35 weeks gestation
SecondaryNumber of Participants With Indicated Preterm Delivery for < 35 Weeksrandomization to 35 weeks gestation (a period of up to 19 weeks)Preterm delivery prior to 35 weeks gestation with medical indications
SecondaryNumber of Participants With Cesarean DeliveryRandomization to delivery (a period of up to 26 weeks)Delivery by cesarean

Outcomes16

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With Delivery or Fetal Loss of Either Twin Prior to 35 Weeks GestationFrom randomization to 35 weeks gestation (a period of up to 19 weeks)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDays From Randomization to Delivery (or Fetal Demise)Randomization to delivery (a period of up to 26 weeks)daysMEDIAN
SECONDARYGestational Age at Delivery or Fetal DeathRandomization to delivery (a period of up to 26 weeks)weeksMEDIAN
SECONDARYNumber of Participants With Preterm Delivery or Fetal Demise of Either Twin Prior to 28 Weeks GestationFrom randomization to up to 28 weeks gestation (a period if up to 12 weeks)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Preterm Delivery or Fetal Demise of Either Twin Prior to 32 Weeks GestationFrom randomization to 32 weeks gestation (a period of up to 16 weeks)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Preterm Delivery or Fetal Demise of Either Twin Prior to 37 Weeks Gestationrandomization to 37 weeks gestation (a period of up to 21 weeks)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Spontaneous Preterm Delivery < 32 Weeks Gestationrandomization to 32 weeks gestation (a period of up to 16 weeks)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Spontaneous Preterm Delivery < 35 Weeks Gestationrandomization to 35 weeks gestation (a period of up to 19 weeks)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Indicated Preterm Delivery for < 35 Weeksrandomization to 35 weeks gestation (a period of up to 19 weeks)ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Cesarean DeliveryRandomization to delivery (a period of up to 26 weeks)ParticipantsCOUNT_OF_PARTICIPANTS

Results by group48

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With Delivery or Fetal Loss of Either Twin Prior to 35 Weeks GestationProgesterone84Participants
Number of Participants With Delivery or Fetal Loss of Either Twin Prior to 35 Weeks GestationArabin Pessary84Participants
Number of Participants With Delivery or Fetal Loss of Either Twin Prior to 35 Weeks GestationPlacebo86Participants
Days From Randomization to Delivery (or Fetal Demise)Progesterone86Inter-Quartile Range 53 to 106days
Days From Randomization to Delivery (or Fetal Demise)Arabin Pessary86Inter-Quartile Range 53 to 106days
Days From Randomization to Delivery (or Fetal Demise)Placebo77Inter-Quartile Range 51 to 101days
Gestational Age at Delivery or Fetal DeathProgesterone34.1Inter-Quartile Range 29.0 to 36.1weeks
Gestational Age at Delivery or Fetal DeathArabin Pessary33.9Inter-Quartile Range 28.9 to 36.6weeks
Gestational Age at Delivery or Fetal DeathPlacebo33.1Inter-Quartile Range 27.9 to 36.2weeks
Number of Participants With Preterm Delivery or Fetal Demise of Either Twin Prior to 28 Weeks GestationProgesterone33Participants

Participant flow18

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDProgesterone147
Overall StudySTARTEDArabin Pessary153
Overall StudySTARTEDPlacebo137
Overall StudySTARTEDProgesterone - Fetus/Neonates/Infants294
Overall StudySTARTEDArabin Pessary - Fetus/Neonates/Infants306
Overall StudySTARTEDPlacebo - Fetus/Neonates/Infants274
Overall StudyCOMPLETEDProgesterone146
Overall StudyCOMPLETEDArabin Pessary152
Overall StudyCOMPLETEDPlacebo136
Overall StudyCOMPLETEDProgesterone - Fetus/Neonates/Infants292

Adverse events216

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherVaginal soreness/discomfortReproductive system and breast disordersProgesterone3014630
otherVaginal soreness/discomfortReproductive system and breast disordersArabin Pessary5715257
otherVaginal soreness/discomfortReproductive system and breast disordersPlacebo3213632
otherVaginal soreness/discomfortReproductive system and breast disordersProgesterone - Infants000
otherVaginal soreness/discomfortReproductive system and breast disordersArabin Pessary - Infants000
otherVaginal soreness/discomfortReproductive system and breast disordersPlacebo - Infants000
otherVaginal dischargeInfections and infestationsProgesterone107146107
otherVaginal dischargeInfections and infestationsArabin Pessary114152114
otherVaginal dischargeInfections and infestationsPlacebo9713697
otherVaginal dischargeInfections and infestationsProgesterone - Infants000

Adverse event totals18

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityProgesterone0147
Total, all-cause mortalityArabin Pessary0153
Total, all-cause mortalityPlacebo0137
Total, all-cause mortalityProgesterone - Infants30294
Total, all-cause mortalityArabin Pessary - Infants32306
Total, all-cause mortalityPlacebo - Infants40274
Total, other adverse eventsProgesterone125146
Total, other adverse eventsArabin Pessary129152
Total, other adverse eventsPlacebo113136
Total, other adverse eventsProgesterone - Infants00

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants20

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource
U24HD036801NICHD Maternal-Fetal Medicine Units (MFMU) Network: Data CoordinatingCenterCLIFTON, REBECCA GERSNOVIEZGEORGE WASHINGTON UNIVERSITYEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2021 to 2025NIH RePORTER
UG1HD027869Maternal-Fetal Medicine Units (MFMU) NetworkTITA, ALAN THEVENET N.UNIVERSITY OF ALABAMA AT BIRMINGHAMEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD027915NICHD maternal fetal medicine units networkCOSTANTINE, MAGEDOHIO STATE UNIVERSITYEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD034208UofU Maternal-Fetal Medicine Units (MFMU) Network: Clinical CentersMETZ, TORRI DUTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAHEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD040485Columbia University Maternal-Fetal Medicine Units Network Clinical CenterZORK, NOELIA MILENA MODADCOLUMBIA UNIVERSITY HEALTH SCIENCESEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD040500Brown University/Women & Infants Hospital of Rhode Island (WIH) Center Application for the Eunice Kennedy Shriver NICHD Maternal Fetal Medicine Units NetworkROUSE, DWIGHT JWOMEN AND INFANTS HOSPITAL-RHODE ISLANDEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD040512Maternal Fetal Medicine Units Network - Northwestern Study CenterYEE, LYNN MNORTHWESTERN UNIVERSITYEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD040544Case Western Reserve University Center of the NICHD MFMU NetworkGIBSON, KELLY S; RANZINI, ANGELA C.CASE WESTERN RESERVE UNIVERSITYEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD040545Eunice Kennedy Shriver NICHD Maternal-Fetal Medicine Units (MFMU) Network (UG1)MENDEZ-FIGUEROA, HECTORUNIVERSITY OF TEXAS HLTH SCI CTR HOUSTONEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER
UG1HD040560UNC MFMU: Advancing Perinatal Health via Definitive, Multi-Site Clinical StudiesTHORP, JOHN MUNIV OF NORTH CAROLINA CHAPEL HILLEUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT2016 to 2025NIH RePORTER

1 to 10 of 20

See all 20 grants

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02518594

GET https://conductscience.org/api/trials/v1/NCT02518594/results?page=2