Status:

COMPLETED

Sildenafil Citrate in Early Unexplained Recurrent Pregnancy Loss

Lead Sponsor:

Ain Shams University

Conditions:

Miscarriage, Recurrent

Eligibility:

FEMALE

20-35 years

Phase:

PHASE1

Brief Summary

Recurrent unexplained spontaneous miscarriage (RSM) is defined as three consecutive pregnancy loss prior to 20 weeks from the last menstrual period. 1% to 2% of women experience RSM. Treatment of URSM...

Eligibility Criteria

Inclusion

  • Age: 20-35 years.
  • BMI (20-30)
  • History of three or more successive unexplained recurrent miscarriage.
  • Normal uterine cavity by hystrography or hysteroscopy.
  • No luteal phase defects by progesterone \> 10 ng.
  • Normal thyroid function (TSH, T3, T4)
  • Normal lupus anticoagulant measured by activated partial throbmoplastine time (32-43 seconds).
  • Normal anticardolipin (IgG \< 20 gpl and IgM \< 15 MPL measured by ELISA).
  • Normal anti thyroid antibodies.
  • Normal glucouse tolerance test.
  • Normal parental karyotyping.

Exclusion

  • Age\<20 or\>35 year
  • BMI\<20 or\>30
  • Systemic diseases that might affect pregnancy such as diabetes or thyroid disorders or hypertension.
  • History of consanguinity.
  • Family history of chromosomal abnormalities (e.g. trisomy 21, trisomy 13, Turner's disease …etc.).
  • History of autoimmune diseases, eg: systemic lupus.
  • Congenital anomaly in uterine cavity as bicornate or septate uterus.
  • Luteal phase defect and corpus luteum insufficiency.
  • Uterine masses as fibroid or polyps.
  • Patient with patuoles os.
  • patient with antiphosphlipid syndrome.
  • Cigarette smoking and alcohol.

Key Trial Info

Start Date :

January 1 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2018

Estimated Enrollment :

90 Patients enrolled

Trial Details

Trial ID

NCT03766594

Start Date

January 1 2018

End Date

December 1 2018

Last Update

December 6 2018

Active Locations (1)

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1

Ain SHams Maternity Hospital

Cairo, Abbaseya, Egypt, 002