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Pregnant Women Receive Celestenb-MhyalinesNCT01854840

Betamethasone and Severity of Hyaline Membrane Disease

An observational study of Pregnant Women Receive Celesten, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Primary purpose: to study the relationship between betamethasone placental transfer and the occurrence and severity of the Hyaline Membrane Disease. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Pregnant Women Receive Celesten
Type of treatment
Injection or infusion
How many people
127 participants
Where
1 siteFrance
Study dates
12 Jan 2012to 31 Dec 2018
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Study population: Pregnant women (at one-term >27 PMA) that received at least a first injection of Celesten in the prevention of hyaline membrane disease

Who may be able to join

  • Pregnant women who received at least a first injection of Celesten in the prevention of MMH.
  • A one-term> 27 SA,
  • Major Patients > or = 18 years old
  • Informed Consent Form signed

Who cannot join

  • Patients undergoing treatment with corticosteroids in the long term

Trial locations and contacts

1 site in 1 country.

France1 site
  • Necker Hospital

    Paris, 75015

Other trials in France

About this study

Official title: Betamethasone and Severity of Hyaline Membrane Disease in the Newborn Premature

Primary purpose: to study the relationship between betamethasone placental transfer and the occurrence and severity of the Hyaline Membrane Disease.

Read the detailed description

β-Mhyalines is a prospective multicentric non interventional study. One hundred fifty pregnant women at risk of premature delivery, in the framework of Hyaline Membrane Disease of the neonate, will receive 2 intramuscular injections of Celesten (betamethasone) at 24 hours interval. Plasma samples will be collected: 2 in the mother before delivery, one maternal and one cord samples at delivery. Concentrations will be measured and analyzed using a population approach. A ratio between neonatal and maternal exposure will be calculated to represent placental transfer. The effect of covariates (genetic polymorphism for CYP3A4, CYP3A5, P-glycoprotein…, and others variables as gestational age, bodyweight at birth, apgar score, co-medication, maternal disease) will be tested to explain the variability of placental transfer. The relationship between placental transfer and the occurrence and severity of the Hyaline Membrane Disease will then be study, in order to target betamethasone maternal concentration and thus to optimize the antenatal dose to administer to the mother in the framework of Hyaline Membrane Disease.

Keywords
hyaline membrane disease, placenta, betamethasone
Medical subject headings
Hyaline Membrane Disease

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT01854840
Study groupRoleWhat they receive
Celesten in prevention of hyaline membrane disease.Pregnant women that received at least a first injection of Celesten in the prevention of hyaline membrane disease.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of neonates with hyaline membrane disease

    respiratory symptoms (respiratory rhythm disorders, signs of retraction, cyanosis, oxgen dependance >30 %). Confirmation by radiology

    Measured: 3 days

Secondary outcomes (12)
  1. Genetic polymorphisms

    To study the pharmacogenetics of genetic polymorphisms that may affect the placental transfer of steroids (CYP-3A4, CYP-3A5, P-glycoprotein)

    Measured: Day 1

  2. mode of delivery

    To study the variability of the factor " mode of delivery" on fetal morbidity

    Measured: Day 7

  3. blood sample of betamethasone

    To study the pharmacokinetics of betamethasone in all women treated

    Measured: Day 1 and day 2

  4. Optimal dose of betamethasone

    Determine the optimal dose of betamethasone necessary for the prevention of MMH, especially in infants under 28 weeks

    Measured: Day 28

  5. gestational age

    To study the variability of the factors "gestational age" on fetal morbidity

    Measured: Day 7

  6. birth weight

    To study the variability of the factor " birth weight" on fetal morbidity

    Measured: Day 7

  7. sex

    To study the variability of the factor "sex" on fetal morbidity

    Measured: Day 7

  8. Apgar score

    To study the variability of the factor " Apgar score " on fetal morbidity

    Measured: Day 7

  9. twinning

    To study the variability of the factors "twinning" on fetal morbidity

    Measured: Day 7

  10. time between birth and the last dose

    To study the variability of the factor "time between birth and the last dose" on fetal morbidity

    Measured: Day 7

  11. ethnicity

    To study the variability of the factor "ethnicity" on fetal morbidity

    Measured: Day 7

  12. maternal disease and treatment

    To study the variability of the factor " maternal disease and treatment on fetal morbidity

    Measured: Day 7

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 May 2013 (estimated)
  2. Study start12 Jan 2012
  3. Primary completion30 Jun 2017
  4. Study completion31 Dec 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Prospective
Enrolment
127 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01854840
Sponsor's protocol ID
NI10069
Other IDs
2011-A01257-34
Acronym
b-Mhyalines
Status last verified
Mar 2026
First submitted
2 Apr 2012
Last updated
4 Mar 2026
Results posted
No
Data monitoring committee
No

Publications

  • Foissac F, Zheng Y, Hirt D, Lui G, Bouazza N, Ville Y, Goffinet F, Rozenberg P, Kayem G, Mandelbrot L, Benaboud S, Jarreau PH, Treluyer JM. Maternal Betamethasone for Prevention of Respiratory Distress Syndrome in Neonates: Population Pharmacokinetic and Pharmacodynamic Approach. Clin Pharmacol Ther. 2020 Nov;108(5):1026-1035. doi: 10.1002/cpt.1887. Epub 2020 Jun 4.

    PubMed 32394434

Questions about this trial

What is this clinical trial studying?

An observational study of Pregnant Women Receive Celesten, run by Assistance Publique - Hôpitaux de Paris at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of neonates with hyaline membrane disease (time frame: 3 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01854840, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Mar 2026.

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Betamethasone and Severity of Hyaline Membrane Disease | AzTrials