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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Women only |
| Enrollment | 150 (estimated) |
| Sponsor | University of Roma La Sapienza Academic / other |
| Locations | 1 site (Rome, RM) |
| Status | Recruiting |
| Started | April 1, 2026 |
| Main results expected | April 1, 2027 |
| Study ends | January 1, 2028 |
| Registry record updated | April 29, 2026 |
| Trial ID | NCT07305519 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
- Study coordinator: Giuseppe RIZZO, Professor
- Email: giuseppe.rizzo@uniroma1.it
- Phone: +393386973001
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.