Overview

Multiple Courses of Antenatal Corticosteroids for Preterm Birth Study (MACS)

Status:
Completed
Trial end date:
2011-12-01
Target enrollment:
0
Participant gender:
Female
Summary
In women at 26 to 30 weeks gestation and who are risk for threatened early birth, who have not had their baby by 14 or more days after being given a single course of antenatal corticosteroids (ACS), do repeated courses of ACS every 14 days until 33 weeks' gestational age lower the risk of illness or death in babies compared to repeated courses of placebo. Children are assessed at 2 years and 5 years for neurodevelopmental impairment.
Phase:
Phase 4
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Sunnybrook Health Sciences Centre
Criteria
Inclusion Criteria:

- Women who have previously received one completed course of ACS, at least 14 days ago
and continue to be at increased risk of preterm birth

- Gestational age greater ≥ 26 weeks and gestational age < 31 weeks

Exclusion Criteria:

- Women requiring chronic doses of corticosteroids secondary to medical conditions

- Women with a contraindication to corticosteroids

- Women with clinical evidence of chorioamnionitis (temperature ≥ 38°c)

- Known lethal congenital anomaly (e.g. anencephaly)