Clinical trial Recruiting at 1 site Interventional Ages 18 and up Women only

Magnesium, PEA, high‑molecular‑weight hyaluronic acid, vitamin B6, and vitamin D to help prevent preterm birth

Official title: The Combined Effect of Magnesium, Palmitoylethanolamide, High-Molecular-weight Hyaluronic Acid, Vitamin B6, and Vitamin D in Preventing Preterm Birth: A Randomized Controlled Trial

Run by University of Roma La Sapienza · NCT07305519 · Data updated 2026-11-12

This treatment will try a daily combination of magnesium, palmitoylethanolamide (PEA), high‑molecular‑weight hyaluronic acid, vitamin B6, and vitamin D together with vaginal progesterone in pregnant women with a short cervix (15–30 mm) between 20+0 and 34+0 weeks to see if it lowers the chance of preterm birth.

More Preterm Labor trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment150 (estimated)
SponsorUniversity of Roma La Sapienza
Academic / other
Locations1 site (Rome, RM)
StatusRecruiting
StartedApril 1, 2026
Main results expectedApril 1, 2027
Study endsJanuary 1, 2028
Registry record updatedApril 29, 2026
Trial IDNCT07305519 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Women aged 18 or older with a singleton pregnancy between 20+0 and 34+0 weeks and a transvaginal cervical length of 15–30 mm who can provide informed consent are the intended candidates.

Probably not a fit

Women with multiple pregnancies, prelabor rupture of membranes, major fetal anomalies, significant maternal chronic disease, or pregnancy complications are unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional protocol gives women with a singleton pregnancy and a transvaginal cervical length of 15–30 mm between 20+0 and 34+0 weeks a combination regimen of magnesium, PEA, high‑molecular‑weight hyaluronic acid, vitamin B6, and vitamin D alongside guideline-based vaginal progesterone and compares outcomes to standard treatment alone. The rationale is that these molecules may reduce inflammation, support uterine quiescence, and improve cervical integrity through multiple biochemical pathways. Participants with major maternal or fetal comorbidities, multiple gestation, or PROM are excluded. Outcomes will focus on rates of preterm birth and related neonatal morbidity.

Why it matters

Potential benefit: If successful, the combination could reduce preterm births and related neonatal complications in women with a short cervix.

How similar studies have gone: Individual components such as magnesium, hyaluronic acid, and PEA have shown promising anti-inflammatory or cervical-support effects in prior research, but the specific combined regimen is novel and has not been widely tested for preventing preterm birth.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Signed informed consent

Singleton pregnancy

Maternal age ≥ 18 years

Gestational age between 20+0 and 34+0 weeks at enrollment

Cervical length between 15 mm and 30 mm measured by transvaginal ultrasound

Exclusion Criteria:

* Fetal structural anomalies

Maternal chronic diseases or pregnancy-related conditions, including diabetes, hypertension, preeclampsia, cardiovascular disease, infections, or autoimmune disorders

Multiple gestation

Fetal growth abnormalities (estimated fetal weight \<10th or \>90th percentile)

Prelabor rupture of membranes (PROM)

Where it's running

  • Policlinico Umberto I
    Rome, Rm, Italy
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.