Understanding Dexamethasone Use in Pregnant Women with Preterm Labor
Official title: Clinical Pharmacology of Dexamethasone in Pregnant Women With Preterm Labor
Run by Peking University Third Hospital · NCT05207852 · Data updated 2026-11-12
This study is testing how the medication dexamethasone affects pregnant women in preterm labor and their babies to help figure out the safest way to use it.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 20 Years to 40 Years |
| Sex | Women only |
| Enrollment | 288 (estimated) |
| Sponsor | Peking University Third Hospital Academic / other |
| Locations | 1 site (Beijing) |
| Status | Recruiting |
| Started | December 1, 2021 |
| Main results expected | December 31, 2025 |
| Study ends | December 31, 2027 |
| Registry record updated | January 26, 2022 |
| Trial ID | NCT05207852 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are Chinese pregnant women aged 20-40 with a BMI of 18.5-27.9 and experiencing preterm labor between 24-36 weeks.
✕Probably not a fit
Patients with ectopic pregnancies, serious infections, or those who have recently taken glucocorticoids will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to explore the pharmacokinetics of dexamethasone in pregnant women experiencing preterm labor. It involves collecting maternal blood, feces, umbilical venous blood, and placental tissue from Chinese women between 24 to 36 weeks of gestation who are treated with dexamethasone. The study will analyze how the drug affects fetal lung maturity and gather data to inform safe and effective dosing guidelines. A total of 288 participants will be monitored to assess the drug's impact without interfering with their normal pregnancy care.
Why it matters
Potential benefit: If successful, this study could provide critical insights into the safe use of dexamethasone to enhance fetal lung maturity in preterm infants.
How similar studies have gone: While there have been studies on dexamethasone in pregnancy, this specific pharmacokinetic approach in a Chinese population is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Aged 20-40 (inclusive); * Body mass Index (BMI) 18.5-27.9kg /m2 (inclusive) * Single and twin pregnancy; * Premature delivery at 24-36 weeks; * No antibiotics, prebiotics or probiotics were used one month before feces collection (such as Bifidobacterium triplex live powder, Lactobacillus acidophilus tablet, compound Lactobacillus acidophilus tablet, Bacillus subtilis diplex live intestinal capsule, etc.); * Preeclampsia patients accounted for about 1/10 of each group; * Use dexamethasone I.M. 5mg Q12h regimen (or other dexamethasone administration regimen) to promote fetal lung maturation. Exclusion Criteria: * Ectopic pregnancy; * Suffering from diabetes, fetal distress, serious infectious diseases (such as sepsis, septic shock), fever; * Those who have taken glucocorticoid drugs within 2 weeks before joining the clinical trial; * Those who took clindamycin during the study period; * Congenital fetal malformation or fetal hypoxia in early pregnancy; * Convulsive patients; * HIV/HCV/ HEPATITIS A, drug abuse history; * Suffering from chorioamnitis, endometritis; * Placental abruption, severe intrauterine bleeding; * Pregnant women whose cervical dilation is greater than or equal to 4 cm or whose cervical length is less than or equal to 20 mm by ultrasound examination; * Pregnant women who took food or drugs during the study that might affect the safety of the fetus; * Pregnant women participating in other clinical trials.
Where it's running
-
Dongyang Liu
Beijing, China Recruiting
Study contacts
- Principal investigator: Liu Dongyang — Drug Clinical Trial Center
- Study coordinator: Dongyang Liu
- Email: liudongyang@vip.sina.com
- Phone: (86)010-82266658
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Surfactant delivery methods in preterm infants with RDS in Sweden
This study tests different ways of giving surfactant to preterm babies with respiratory distress to see which method works best when care is routine.
-
LISA versus endotracheal surfactant distribution in preterm babies
This pilot trial tests whether giving surfactant through a thin catheter (LISA) or through a breathing tube leads to more even surfactant spread in preterm infants with respiratory distress.
-
Lung ultrasound score to guide surfactant timing in preterm newborns
This study tests whether using a lung ultrasound score can speed up diagnosing severe RDS and getting surfactant to moderately and late-preterm babies in the NICU.
-
Predicting which newborns in a lower-level NICU will need extended breathing support
This project will test whether analyzing a newborn's stomach fluid right after birth can help predict which babies born at 32+ weeks and attended by the neonatal resuscitation team will need breathing support for more than six hours.
-
Optimising breathing support at extubation for very preterm infants
This trial will try starting nasal CPAP before removing the breathing tube versus starting it after extubation to see if that reduces oxygen drops in very preterm infants.
-
Evaluating lung ultrasound after surfactant treatments in preterm babies
This study tests how different ways of giving surfactant treatment affect lung health in preterm babies with breathing problems.
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.