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Modified insurance requests by a new law released after its approval.
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The study is a multicenter randomized double blind placebo controlled trial. The study will be conducted on pregnant women with a diagnosis of intrahepatic cholestasis of pregnancy (ICP) in third level hospitals (that are also Academic Hospitals).
Pregnant women at the time of ICP diagnosis will be randomized in two groups:
Group 1 - will receive placebo and obstetrical monitoring until delivery Group 2 - will receive UDCA at the dose of 20 mg/Kg/day and obstetrical monitoring until delivery.
The hypotheses are that UDCA treatment will be superior to placebo and effective in:
reducing the rate of prematurity; improving maternal biochemical parameters and symptoms.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | obstetrical monitoring plus placebo |
|
| Ursodeoxycholic acid | Experimental | obstetrical monitoring plus active drug |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ursodeoxycholic Acid | Drug | 300 mg capsules 20 mg/kg body weight/day divided in three administrations per day from enrolment until delivery |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with preterm delivery (before week 37) | at the time of delivery |
| Measure | Description | Time Frame |
|---|---|---|
| Pruritus on the Visual Analogue Scale | from enrollment until delivery | |
| Transaminases | from enrolment until delivery | |
| Bile Acids |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Giuseppe Mazzella, Professor | University of Bologna | Study Director |
| Francesco Azzaroli, Professor | University of Bologna | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Divisione di Gastroenterologia, IRCCS Casa Sollievo della Sofferenza | San Giovanni Rotondo | Foggia | 71013 | Italy | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32716060 | Derived | Walker KF, Chappell LC, Hague WM, Middleton P, Thornton JG. Pharmacological interventions for treating intrahepatic cholestasis of pregnancy. Cochrane Database Syst Rev. 2020 Jul 27;7(7):CD000493. doi: 10.1002/14651858.CD000493.pub3. |
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| ID | Term |
|---|---|
| C535932 | Intrahepatic Cholestasis of Pregnancy |
| D002779 | Cholestasis |
| ID | Term |
|---|---|
| D001649 | Bile Duct Diseases |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D014580 | Ursodeoxycholic Acid |
| ID | Term |
|---|---|
| D003840 | Deoxycholic Acid |
| D002793 | Cholic Acids |
| D001647 | Bile Acids and Salts |
| D013256 | Steroids |
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| Placebo | Drug | 300 mg capsules 20 mg/kg body weight/day divided in three administrations per day from enrolment until delivery |
|
| from enrolment until delivery |
| Fetal movement count | mother evaluation | from enrolment until delivery |
| Number of pregnancies with cardiotocography suggestive of fetal stress | from enrolment until delivery |
| APGAR index | 1 and 5 minutes after birth |
| Number of pregnancies with Green stained amniotic fluid | obstetrician evaluation | at delivery |
| Dept. of Surgical and Gastroenterological Sciences, University of Padova |
| Padua |
| Italy |
| 34100 |
| Italy |
| UOC Ostetricia e Ginecologia, Ospedale Maggiore | Bologna | 40100 | Italy |
| S.Orsola-Malpighi Hospital | Bologna | 40138 | Italy |
| Gastroenterology and Liver Clinic, Azienda Ospedaliero-Universitaria, University of Modena and Reggio Emilia | Modena | Italy |
| Gastroenterology Unit, Policlinic of Palermo | Palermo | Italy |
| Internal Medicine Department, Gemelli Hospital, Catholic University of Sacred Heart | Rome | 00168 | Italy |
| D000072473 |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D002757 | Cholanes |