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CTRI Number  CTRI/2026/03/106092 [Registered on: 12/03/2026] Trial Registered Prospectively
Last Modified On: 10/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Evaluation of Cervical Biomarker Test for Early Prediction of Preterm Birth in Pregnant Woman Presenting with Suspected Preterm Labor  
Scientific Title of Study   Evaluation Of Predictive Accuracy and Clinical Utility of Phosphorylated Insulin Like Growth Factor Binding Protein-1 In Suspected Preterm labor. 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr TANISHQA DEEPAK KADU 
Designation  JUNIOR RESIDENT 
Affiliation  JAWAHARLAL NEHRU MEDICAL COLLEGE 
Address  Department of obstetrics and gynecology, Jawaharlal Nehru Medical College, Sawangi meghe Wardha

Wardha
MAHARASHTRA
442001
India 
Phone  07039748411  
Fax    
Email  kadutanishqa@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr DEEPTI SHRIVASTAVA 
Designation  PROFFESSOR 
Affiliation  JAWAHARLAL NEHRU MEDICAL COLLEGE 
Address  Department of obstetrics and gynecology, Jawaharlal Nehru Medical College, Sawangi meghe Wardha

Wardha
MAHARASHTRA
442001
India 
Phone  07039748411  
Fax    
Email  deepti_shrivastava69@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr TANISHQA DEEPAK KADU 
Designation  JUNIOR RESIDENT 
Affiliation  JAWAHARLAL NEHRU MEDICAL COLLEGE 
Address  Department of obstetrics and gynecology, Jawaharlal Nehru Medical College, Sawangi meghe Wardha

Wardha
MAHARASHTRA
442001
India 
Phone  07039748411  
Fax    
Email  kadutanishqa@gmail.com  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  JAWHARLAL NEHRU MEDICAL COLLEGE 
Address  AVBRH,SAWANGI MEGHE WARDHA, INDIA PINCODE: 442001 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr TANISHQA DEEPAK KADU  JAWAHARLAL NEHRU MEDICAL COLLEGE  Department of obstetrics and gynecology, Jawaharlal Nehru Medical College, Sawangi meghe Wardha
Wardha
MAHARASHTRA 
07039748411

kadutanishqa@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
DATTA MEGHE INSTITUTE OF HIGHER EDUCATION AND RESEARCH  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  PRETERM LABOR 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  Pregnant women between gestational age between 28 weeks to 37 weeks
Presenting with symptoms of threatened preterm labor(i.e regular uterine contractions occurring every 10ish or more frequent, pelvic pressure, low dull backache, vaginal spotting, feeling of abdominal tightening) intact membranes at the time of testing
Cervical dilatation less tha 3cm on initial assessment
Willingness to provide informed consent
 
 
ExclusionCriteria 
Details  Ruptured membranes( Confirmed or suspected premature rupture of membranes)
Active vaginal bleeding or placenta previa
Cervical dilatation greaterthan 3 cm or established labor
Known fetal anomalies or Intrauterine fetal demise
Any condition requiring immediate delivery( e.g. severe preeclampsia, fetal distress)
Unwillingness to provide consent
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Incidence of delivery within 7 days of positive immunoenzymatic dipstick test  Incidence of delivery within 7 days of positive immunoenzymatic dipstick test 
 
Secondary Outcome  
Outcome  TimePoints 
Incidence of delivery within 14 days of testing
Neonatal outcomes(Birth Weight, APGAR Score, NICU Admission, Neonatal morbidity & mortality)
Gestational age at the time of delivery
Mode of delivery(normal vs caserean)
Use of interventions(corticosteroids,mgso4, tocolytics)
Hospital admission & length of maternal stay
 
7 DAYS 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   28/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Applicable 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Preterm labor is a major contributor to neonatal illness and mortality, particularly in developing countries. Women presenting with symptoms of threatened preterm labor often require hospitalization and treatment; however, many do not deliver preterm. This results in unnecessary interventions, increased healthcare costs, and psychological stress.

Phosphorylated insulin-like growth factor binding protein-1 (phIGFBP-1) is a biochemical marker released from the decidua when separation of fetal membranes begins prior to labor. Its detection in cervical secretions may help identify women at true risk of imminent preterm delivery.

The present study aims to evaluate the predictive accuracy and clinical utility of bedside phIGFBP-1 testing in pregnant women between 28 and 37 weeks of gestation presenting with symptoms of threatened preterm labor and intact membranes. Participants will be tested using a rapid immunoassay kit and followed to determine delivery outcomes, particularly delivery within seven days of testing.

The findings of this study may help determine whether phIGFBP-1 can serve as a reliable tool to guide clinical decision-making, reduce unnecessary hospital admissions and interventions, and improve maternal and neonatal outcomes in a tertiary care setting.

 
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