Effects of Vaginal Lactoferrin Administration Prior to Genetic Amniocentesis on Inflammatory Mediators
Study Details
Study Description
Brief Summary
The aim of the study is to evaluate the effect of vaginal lactoferrin administration on amniotic fluid PGE2 level and MMP-TIMP system in women undergoing genetic amniocentesis. Two groups of patients will be prospectively enrolled: not treated with lactoferrin and treated with vaginal lactoferrin 4 hours prior to mid-trimester genetic amniocentesis.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
Pregnant women undergoing genetic amniocentesis within the 16th-18th gestational week will be enrolled at the Obstetric Unit, University of Ferrara.
The selected patients will be randomly assigned to receive a vaginal compound containing 300 mg of lactoferrin 4 hours before amniocentesis or they will be untreated (controls).
Amniotic fluid samples will be obtained by transabdominal amniocentesis and the sample not required for clinical purposes will be centrifuged to remove particulate material and the supernatants will be aliquoted and stored at -80°C until assay.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
No Intervention: controls The patients will be not treated with vaginal lactoferrin |
|
Active Comparator: Lactoferrin The patients will be administered with a single dose of 300 mg vaginal lactoferrin 4 hours prior to mid-trimester genetic amniocentesis. |
Drug: Lactoferrin
|
Outcome Measures
Primary Outcome Measures
- Measurement of inflammatory markers in the amniotic fluid [1 month after the enrollment of patients will be concluded.]
The investigator will measure the amniotic fluid concentration of Prostaglandin E2(PGE2), active MMP(Matrix Metalloproteinase)-9, active MMP-2, TIMP(Tissue Inhibitor of Matrix Metalloproteinase)-1 and TIMP-2 by commercially available ELISA or activity assay systems; concentration of creatinine in the amniotic fluids will be measured by the alkaline picrate method. Controls and Lactoferrin-treated patients will be compared by parametric or non-parametric statistical tests.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
singleton gestation
-
maternal age as indication to fetal karyotyping
Exclusion Criteria:
-
consumption of drugs interfering with the immune system
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previous miscarriages
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pregnancy at risk for maternal or fetal disease
-
lactose intolerance
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Obstetric Unit, University of Ferrara | Cona | Ferrara | Italy | 44124 |
Sponsors and Collaborators
- Università degli Studi di Ferrara
Investigators
- Study Director: Carlo Contini, Professor, Section of Dermatology and Infectious Diseases, Department of Medical Sciences, University of Ferrara
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PRUa1GR-2013-00000220