Progesterone
Conditions
Keywords
progesterone, pharmacology, pharmacokinetics
Brief summary
Pharmacokinetic analysis of 200mg vaginal progesterone suppository in women with singleton pregnancies between 18 0/7- 23 6/7 weeks' gestation
Detailed description
Prospective study of 6 women with singleton pregnancies 18 0/7- 23 6/7 weeks' gestation with no prior preterm birth or short cervix who are administered a single dose of 200mg vaginal progesterone suppository. Serum progesterone levels will be drawn serially from pre-dose to 24 hours post-dose.
Interventions
200mg vaginal suppository micronized progesterone
Sponsors
Study design
Intervention model description
Pharmacokinetic study to assess plasma concentration time profile of vaginal progesterone in pregnant women.
Eligibility
Inclusion criteria
* ≥18 years old pregnant with singleton gestation 16 0/7 - 23 6/7 weeks * pre-pregnancy BMI 20-40 * no history of prior preterm birth
Exclusion criteria
* history of an adverse reaction to progesterone * contraindication to progesterone treatment including prior or active thrombus, active hepatic disease, known adverse reaction to progesterone * medical comorbidity requiring medication including: hypertension, diabetes, substance abuse/methadone maintenance therapy, asthma, thyroid disease * major fetal anomaly diagnosed on ultrasound or known chromosomal disorder * multifetal gestation * vaginal bleeding, preterm labor, premature rupture of membranes, or clinical chorioamnionitis, at the time of enrollment or on Day 1 of study * any progesterone use of any form previously during the pregnancy * active vaginitis * Illicit substance use in pregnancy including cocaine, opiates, marijuana * abnormal pap smear/+HPV on most recent pap smear * known or suspected malignancy of the breast or genital organs * cervical length ≤25mm
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pharmacokinetic model | 24 hours | Plasma concentration time profile of vaginal progesterone in pregnant women. |
Countries
United States