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Phase 4Recruiting
View on ClinicalTrials.gov

Testing Celestone + Celestone for preterm birth

Official title: Single Dose of Antenatal Corticosteroids for Pregnancies at Risk of Preterm Delivery (SNACS)

Single Dose of Antenatal Corticosteroids (SNACS) Randomized Controlled Trial for Pregnancies at Risk of Preterm Delivery: To Keep Babies and Children Safe

Condition: Preterm BirthSponsor: McMaster UniversityTarget enrollment: 3254
  • Phase 4
  • 2 groups
  • Sites in Calgary, Edmonton and 18 more cities
  • Recruiting
Royal Columbian Hospital, New Westminster, British ColumbiaFraser Health, University of British Columbia; Jim Pattison Outpatient Care and Surgery Centre, Surrey, British ColumbiaUniversity of British Columbia; BC Women's Hospital, Vancouver, British ColumbiaVictoria General Hospital, Victoria, British ColumbiaUniversity of Manitoba, Health Sciences Centre, Winnipeg, ManitobaUniversity of Manitoba; St. Boniface General Hospital, Winnipeg, ManitobaMemorial University, Eastern Health, St. John's, Newfoundland and LabradorSir Mortimer B. Davis Jewish General Hospital; McGill University, Montreal, QuebecUniversity of Saskatchewan, Regina General Hospital, Saskatoon, SaskatchewanUniversity of Calgary, Cumming School of Medicine, Calgary, AlbertaAlberta Health Services; University of Alberta, Edmonton, AlbertaDr. Everett Chalmers Regional Hospital, Fredericton, New BrunswickThe Moncton Hospital, Horizon Health Network, Moncton, New BrunswickDalhousie University; Izaak Walton Killam Health, Halifax, Nova ScotiaMcMaster University, Hamilton, OntarioQueen's University, Kingston General Hospital Health Sciences Centre, Kingston, OntarioWestern University; London Health Sciences Centre, Victoria Hospital, London, OntarioUniversity of Ottawa; The Ottawa Hospital, Ottawa, OntarioMount Sinai Hospital, Toronto, OntarioSunnybrook Health Sciences Center, Toronto, OntarioHopital Maisonneuve Rosemont, CIUSSS de l'est de l'Ile de Montréal, Montreal, QuebecMcGill University, McGill University Health Center, Royal Victoria Hospital, Montreal, QuebecThe Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montreal, QuebecUniversité Laval, Centre de recherche du CHU de Québec, Québec, Quebec(CIUSSS de l'Estrie-CHUS); Université de Sherbrooke, Sherbrooke, Quebec

Interventions

  • Medication

    Celestone + placebo

    After the first intramuscular injection of Celestone, participants randomized to the "Placebo Comparator" group will receive 1 intramuscular injection of placebo.

  • Medication

    Celestone + Celestone

    After the first intramuscular injection of Celestone, participants randomized to the "Active Comparator" group will receive 1 intramuscular injection of Celestone.

Canadian Sites (25)

16 of 25 recruiting

  • University of Calgary, Cumming School of Medicine

    Calgary, Alberta

    Recruiting
  • Alberta Health Services; University of Alberta

    Edmonton, Alberta

    Recruiting
  • Dr. Everett Chalmers Regional Hospital

    Fredericton, New Brunswick

    Recruiting

Eligibility Criteria

See who this study is looking for7 criteria

The trial’s own eligibility text, word for word from the registry. Only the trial site can say who takes part.

Inclusion

  • +Pregnant people, aged 18 to 55 years old, at risk of preterm birth with a singleton or twins between 22 weeks and 0 days and \<34 weeks and 6 days gestation who have received only a single dose of Celestone within 24 hours
  • +Capable of giving informed, written consentInformed consentThe process of being told what taking part involves, then choosing freely.Read more →.

Exclusion

  • Contraindication to corticosteroids
  • Demise of one or more fetuses after 14 weeks and 0 days
  • Systemic corticosteroids for medical conditions during the pregnancy (e.g. lupus, severe asthma, Covid, etc).
  • Previous participation in this trial (in a previous pregnancy)
  • Known severe/life-threatening fetal or pregnant patient condition (e.g. fetal congenital/chromosomal abnormality)
5 concepts to explore on this page · up to 1,300 pointsTap any term to learn what it means.

In plain language

Assembled directly from this trial’s registry record. Every sentence traces to a field below — nothing here is generated or interpreted.

Learning 
What this study is

This study does not fall into the standard research categories.

Phase 4Phase 4A study of a treatment that is already approved and in use.Read more → — a study of a treatment already approved for use, following it in everyday practice.

From the trial registry

Built from these fields:

  • designModule.designInfo.primaryPurpose
  • designModule.phases
Who receives what

There are 2 groups in this study.

Group A receives Celestone + placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more →.

Registry label: A: Single-Dose Celestone

Group B, the comparison group, receives Celestone + Celestone.

Registry label: B: Double-Dose Celestone

From the trial registry

Built from these fields:

  • armsInterventionsModule.armGroups[].label
  • armsInterventionsModule.armGroups[].type
  • armsInterventionsModule.armGroups[].interventionNames
How the study is run

Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.

You, the study team, the people giving the treatment, and the people analysing the results would all be kept unaware of which group you are in until the study ends.

From the trial registry

Built from these fields:

  • designModule.designInfo.allocation
  • designModule.designInfo.maskingInfo.masking
Is there a placebo?

One group receives a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → — a dummy treatment with no active medicine in it — alongside the other treatment that group is given.

One group receives an existing treatment, so the two can be compared.

From the trial registry

Built from these fields:

  • armsInterventionsModule.armGroups[].type
  • armsInterventionsModule.armGroups[].interventionNames
Who the study is looking for

The study lists an age range of 18 years to 55 years.

The study lists female participants only.

The study does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

These are the criteria the study lists. Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part.

From the trial registry

Built from these fields:

  • eligibilityModule.minimumAge
  • eligibilityModule.maximumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How big and how long

The study aims to enrol about 3,254 people.

The study is currently expected to finish around December 2029.

The main measurement is taken over: approximately 1 month.

From the trial registry

Built from these fields:

  • designModule.enrollmentInfo.count
  • statusModule.completionDateStruct.date
  • outcomesModule.primaryOutcomes[].timeFrame
What the study measures

Perinatal Mortality or Substantial Neonatal Morbidity — measured over approximately 1 month.

From the trial registry

Built from these fields:

  • outcomesModule.primaryOutcomes[].measure
  • outcomesModule.primaryOutcomes[].timeFrame

Source: NCT05114096 on ClinicalTrials.gov. The full registry text is further down this page — this summary never replaces it.

Not medical advice. What do these terms mean?

What is being tested — in plain terms

About Celestone + placeboDrug

After the first intramuscular injection of Celestone, participants randomized to the "Placebo Comparator" group will receive 1 intramuscular injection of placebo.

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About Celestone + CelestoneDrug

After the first intramuscular injection of Celestone, participants randomized to the "Active Comparator" group will receive 1 intramuscular injection of Celestone.

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

Common questions

Answered from this trial’s registry record. Where the record doesn’t say, these answers say so rather than filling the gap.

Am I eligible for this trial?

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part. Concord cannot make that determination, and neither can any tool that has not examined you.

What the study lists: an age range of 18 years to 55 years.

The full inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → and exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → are published on this page, exactly as the study team wrote them.

The useful next step is to bring this trial to your doctor. Answering a few questions first gives them something concrete to review.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.maximumAge
  • eligibilityModule.eligibilityCriteria
Is there a placebo?

Yes. One group receives a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → — a dummy treatment with no active medicine in it — alongside the other treatment that group is given.

One group receives an existing treatment so the two can be compared.

From the trial registry
  • armsInterventionsModule.armGroups[].type
Would I know which treatment I am getting?

You, the study team, the people giving the treatment, and the people analysing the results would all be kept unaware of which group you are in until the study ends.

Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.

From the trial registry
  • designModule.designInfo.maskingInfo.masking
  • designModule.designInfo.allocation
Who can join?

The study lists an age range of 18 years to 55 years.

It lists female participants only.

It does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can confirm whether a particular person can take part.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.maximumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How long would this take?

The study's main measurement is taken over: approximately 1 month.

The study as a whole is currently expected to finish around 2029-12-31.

How long any one person takes part can differ from the study length. The study team can tell you what the schedule looks like in practice.

From the trial registry
  • outcomesModule.primaryOutcomes[].timeFrame
  • statusModule.completionDateStruct.date
How many people are taking part?

The study aims to enrol about 3,254 people.

From the trial registry
  • designModule.enrollmentInfo.count
Where is this happening?

This study lists 20 locations, including: Calgary, Alberta, Canada; Edmonton, Alberta, Canada; New Westminster, British Columbia, Canada; Surrey, British Columbia, Canada; Vancouver, British Columbia, Canada; Victoria, British Columbia, Canada, and 14 more.

Sites can open and close during a study, so confirm with the team before travelling.

From the trial registry
  • trial_locations

About This Trial

Antenatal corticosteroids (ACS) reduce the risks of neonatal death and morbidities in preterm infants, such as respiratory distress syndrome. The standard of care for pregnant people at risk of preterm birth includes 2 doses of Celestone (for a total of 24 mg in Canada, or 22.8 mg in Australia) to accelerate fetal lung maturity. The investigators plan to conduct a randomized controlled trial to determine whether half the usual dose (12 mg in Canada, or 11.4 mg in Australia) of Celestone is non-inferior to the standard double doses.

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This page is for informational purposes only and does not constitute medical advice. Clinical trial eligibility can only be determined by the trial site after proper screening. Trial information is sourced from ClinicalTrials.gov and may not reflect the most current status. Always consult your healthcare provider before making decisions about clinical trial participation.