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Betamethasone - ACTIVE

Phase 3

Premature Birth | Small molecule | Other |Pediatrix Medical Group, Inc.|Last Updated: Dec 15, 2022

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLED
Total Trials1
Total Enrollment194
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02469519Impact of a Booster Course of Antenatal Steroids on Neonatal Outcome in Patients With Premature Rupture of the MembranesPHASE2 COMPLETED 194Mar 3, 2016Oct 31, 2022Dec 15, 20229 United States
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Study Endpoints
Primary Endpoints
Composite Neonatal Morbidity
from birth through the first 28 days of life

Composite Neonatal Morbidity includes any one or more of the following: respiratory distress syndrome, bronchopulmonary dysplasia, severe intraventricular hemorrhage, periventricular leukomalacia, proven sepsis, necrotizing enterocolitis, or neonatal death.

Secondary Endpoints
Gestational age of baby
measured within the first 24 hours following birth.
Baby's birth weight
measured within the first 24 hours following birth
Intrauterine growth restriction (IUGR)
anytime during the pregnancy prior to birth (~ 9 months of pregnancy)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Betamethasone - ACTIVEEXPERIMENTALBooster Course of Antenatal Steroids consists of Betamethasone \[12 mg intramuscular injection, 24 hours apart X 2 doses\] or if unavailable may give Dexamethasone \[6 mg intramuscularly 12 hours apart x 4 doses\]
normal saline - PLACEBOPLACEBO_COMPARATORNormal saline of equivalent volume given intramuscularly at the equivalent dosing regimes listed in experimental arm.
Interventions
NameTypeDescription
Betamethasone - ACTIVEDRUGantenatal corticosteroid (ACS) is to be given by injection 24 hours apart for two doses.
Normal Saline - PLACEBOOTHERnormal saline of the same quantity as with the experimental drug is to be given by injection 24 hours apart for two doses
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Eligibility Criteria
Age Range18 Years — 65 Years
SexFEMALE
Healthy VolunteersYes
Study Sites9

Inclusion Criteria: * Participants age 18 years or older * 24w0d to 32w6d weeks gestation * Singleton pregnancy * Received first course of ACS at or prior to 31w6d gestation * Began first course of ACS at least 7 days ( =/\> 168 hours) prior to randomization * Expectant management planned * Prematu...

Countries:United States
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