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Threatened Preterm LaborFB-CT2NCT06968364

FB-CT2 Includes Two Prospective, Multi-centre Studies With a Medical Device in Hospital Settings: a Randomized, Dual-arm, Open-label Pilot Study in Spain, Followed by a Single-arm, Non-randomized, Open-label International Pivotal Study

A study testing Cervisense Intravaginal Probe V0.1 cervical stiffness evaluation. and Transvaginal ultrasound in people with Threatened Preterm Labor, run by Ultrasound-Innovation Medtech, S.L. at 14 sites in Spain.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to evaluate the safety and the ability of a clinical investigation device (Cervisense TPTL) to predict the risk of spontaneous preterm birth in pregnant women with symptoms of threatened preterm labor (TPTL), between 28+0 and 36+6 weeks of gestation. Read more about this study

Who is it for?
Ages 18 years and older, women onlyHealthy volunteers can take part
Conditions the study is for
Threatened Preterm Labor
What is being tested?
Cervisense Intravaginal Probe V0.1 cervical stiffness evaluation. and Transvaginal ultrasound
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
457 participants
Where
14 sitesSpain
Study dates
10 May 2025to 1 Apr 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

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
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Female ≥18 years
  • Singleton pregnancy
  • Live fetus, 28w+0d-36w+6d GA
  • Intact membranes
  • Cervical dilatation <2 cm
  • Signed informed consent
  • Regular uterine contractions (≥8/60 min) (Pivotal only)

Who cannot join

  • Latex allergy
  • Prolapsed membranes
  • Fetal malformation
  • Fetal infection
  • Vaginal bleeding (severe or persistent)
  • Cervical cerclage
Show all 12Show fewer
  • Müllerian anomalies
  • Pessary use
  • Regular uterine contractions (reported by patient) (Pilot only)
  • History of preterm birth or TPTL (Pilot only)
  • Vasa/placenta previa (Pilot only)
  • Gastrointestinal or urinary infections (Pivotal only)

Trial locations and contacts

14 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Alberto Maroto Ferrer contact

+34 747 44 15 38

alberto.maroto@innitius.com

14 sites in 1 country

Spain14 sites, 14 recruiting
  • H. Universitario de A Coruña

    A Coruña

    Nuria Valiño, +34 981 178 000, atencion.paciente.chuac@sergas.es

    Not yet recruiting
  • H. Clínic de Barcelona

    Barcelona

    Teresa Cobo, +34 93 227 54 00, marvives@clinic.cat

    Not yet recruiting
  • H. Sant Joan de Déu

    Barcelona

    Sílvia Ferrero, +34 93 253 21 00, atenciousuari@sjdhospitalbarcelona.org

    Not yet recruiting
  • H. Vall d'Hebron

    Barcelona

    María del Mar Goya Canino, +34 934 893 000, web@vallhebron.cat

    Not yet recruiting
  • H. Universitario de Basurto

    Bilbao

    Amelia Valladolid Urdangaray, +34 944 006 000, sapu.basurto@osakidetza.eus

    Recruiting
  • H. Universitario de Cruces

    Bilbao

    Jorge Burgos San Cristóbal, 946 006 000, hospitalde.cruces@osakidetza.eus

    Recruiting
  • H. Universitario de Donostia

    Donostia / San Sebastian

    Miren Arrue Arrue, +34 943 007 000, osid.sapu@osakidetza.eus

    Not yet recruiting
  • H. Universitario San Cecilio

    Granada

    Francisca Molina García, +34 958 02 43 43, infoclinicogranada.husc.sspa@juntadeandalucia.es

    Recruiting
  • H. Materno Infantil de Gran Canaria

    Las Palmas de Gran Canaria

    Silvia de León Socorro, +34 928 444 000, gerenciachmi@gobiernodecanarias.org

    Not yet recruiting
  • H. General Universitario Gregorio Marañón

    Madrid

    Santiago García-Tizón Larroca, +34 91 586 80 00, sap.hgugm@salud.madrid.org

    Not yet recruiting
  • H. Universitario de Torrejón

    Madrid

    Maria del Mar Gil Mira, +34 91 626 26 00, informacioncitas@torrejonsalud.com

    Recruiting
  • H. Universitario La Paz

    Madrid

    Marcos Javier Cuerva González, +34 91 727 70 00, comunicacion.hulp@salud.madrid.org

    Not yet recruiting
  • H. Universitario de Málaga

    Málaga

    Jesús Jiménez López, +34 951 290 000, unidadinformacion.hvv.sspa@juntadeandalucia.es

    Not yet recruiting
  • H. Virgen Arrixaca

    Murcia

    José Eliseo Blanco Carnero, +34 968 36 95 00, sau.area1@carm.es

    Not yet recruiting

Other trials in Spain

About this study

Official title: Evaluation of the Safety and the Preterm Birth Predictive Capacity of the Clinical Investigation Device 'Cervisense TPTL': an International Clinical Study

The goal of this clinical trial is to evaluate the safety and the ability of a clinical investigation device (Cervisense TPTL) to predict the risk of spontaneous preterm birth in pregnant women with symptoms of threatened preterm labor (TPTL), between 28+0 and 36+6 weeks of gestation. The main questions it aims to answer are:

Does the Cervisense TPTL device predict spontaneous preterm birth within 7 days?

Read more

Is the device safe and technically reliable in a hospital setting?

Researchers will conduct a Pilot Study (randomized, dual-arm) followed by a Pivotal Study (single-arm) to assess technical feasibility and predictive performance.

Participants will undergo an intravaginal measurement of cervical stiffness using the Cervisense Intravaginal Probe. They will be followed for 14 days after the assessment to record delivery outcomes and any adverse events.

Read the detailed description

The study titled "Evaluation of the safety and the preterm birth predictive capacity of the clinical investigation device 'Cervisense TPTL': an international clinical study" is designed to assess both the safety and performance of the Cervisense TPTL device in predicting spontaneous preterm birth. It is being conducted across various Gynaecology, Obstetrics, and Emergency Services in hospitals throughout Spain and Germany.

Cervisense TPTL is the investigational product being evaluated. It includes two components: the Cervisense Intravaginal Probe V0.1, which measures cervical stiffness, and the Fine Birth algorithm, which combines the measurement with clinical data to assess the short-term risk of spontaneous preterm labor.

The device is intended for use in pregnant women showing symptoms of threatened preterm labor (TPTL), with intact amniotic membranes and a single fetus, between 28 weeks and 36 weeks plus 6 days of gestation. Its purpose is to determine the risk of spontaneous preterm birth within the following 7 days.

The clinical investigation is structured in two phases. The pilot study is a randomized, dual-arm, open-label, interventional, multi-centre study conducted in Spain. Participants are randomized 1:1 to receive either the standard of care or the Cervisense evaluation. The pivotal study is non-randomized and single-arm, also open-label and interventional, conducted at a larger scale across multiple centres in both Spain and Germany.

The main goal is to confirm that the device is safe to use and reliable in clinical settings. For safety, all adverse events associated with the use of the device are documented and analyzed in terms of severity, duration, and required intervention. Special attention is given to potential complications such as tissue trauma or infection. To ensure unbiased evaluation, a Clinical Events Committee and a Data Safety Monitoring Board have been established to independently review adverse events and guide study continuation.

Inclusion Criteria:

  • Female ≥18 years
  • Singleton pregnancy
  • Live fetus, 28w+0d-36w+6d GA
  • Intact membranes
  • Cervical dilatation <2 cm
  • Signed informed consent
  • Regular uterine contractions (≥8/60 min) (Pivotal only)

Exclusion Criteria:

  • Latex allergy
  • Prolapsed membranes
  • Fetal malformation
  • Fetal infection
  • Vaginal bleeding (severe or persistent)
  • Cervical cerclage
  • Müllerian anomalies
  • Pessary use
  • Regular uterine contractions (reported by patient) (Pilot only)
  • History of preterm birth or TPTL (Pilot only)
  • Vasa/placenta previa (Pilot only)
  • Gastrointestinal or urinary infections (Pivotal only)
Being tested
Cervisense Intravaginal Probe V0.1 cervical stiffness evaluation., Transvaginal ultrasound

What participants receive

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

  • Cervisense Intravaginal Probe V0.1 cervical stiffness evaluation.Device

    The Cervisense Intravaginal Probe V0.1 measures cervical stiffness. It is an in-vivo predictive technology that, by using torsional waves, quantifies the mechanical properties (specifically the shear modulus, or resistance of the cervix to shear deformation (kPa), of cervical tissue with extremely high precision. Torsional wave is a type of mechanical wave characterized by a rotational motion and low energy levels (it uses 1000 times less energy than other mechanical waves such as ultrasound). These waves propagate through the tissue, and their propagation speed, which is related to the stiffness (waves propagate faster in stiffer tissues), is measured using piezoelectric sensors.

  • Transvaginal ultrasoundDevice

    Cervicometry measured with transvaginal ultrasound

Study groups in NCT06968364
Study groupRoleWhat they receive
CervisenseExperimentalCervisense arm: Cervisense Intravaginal Probe V0.1 cervical stiffness evaluation.
Receives: Device: Cervisense Intravaginal Probe V0.1 cervical stiffness evaluation.
Control arm (only in Pilot Phase)Active comparatorControl arm: Cervicometry measured with transvaginal ultrasound
Receives: Device: Transvaginal ultrasound

What is being measured

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

  1. ≥90% Specificity and ≥50% Sensitivity for predicting spontaneous preterm birth within 7 days (Pivotal Phase)

    It will be determined in terms of accuracy, specifically with Specificity and Sensitivity as primary endpoints. Cervisense TPTL will be considered effective in screening for preterm birth risk if the validation study demonstrates at least 90% Specificity and 50% Sensitivity in detecting spontaneous preterm birth within the next 7 days of the cervical stiffness measurement among pregnant women with gestational age between 28w+0d and 36w+6d with suspected and symptomatic Threatened Preterm Labor (TPTL) presenting to the emergency department.

    Measured: From enrollment until delivery

  2. Document and analyse all adverse events related to device use (severity, duration, intervention) (Pilot and Pivotal Phases)

    To document and analyse all adverse events related to the device use, categorized by severity, duration, and required intervention. Exhaustive monitoring of complications directly attributable to the device or its usage, such as tissue damage or active infection.

    Measured: From enrollment until delivery

  3. Technical problems ratio (Pilot Phase)

    To report less than 10 technical problems that impeded the physician from performing cervical stiffness measurements

    Measured: From enrollment until the use of the device

  4. Probe repeatability (Pilot Phase)

    To have an average repeatability rate greater than 75%

    Measured: From enrollment until the use of the device

  5. Valid measurements obtained (Pilot Phase)

    To achieve more than 80% of valid cases among the measures obtained

    Measured: From enrollment until the use of the device

Secondary outcomes (9)
  1. Monitor labour progression indicators (Pilot and Pivotal Phases)

    To monitor key indicators of labour progression, such as frequency and intensity of contractions, and foetal descent after using the device to determine based on clinical criteria if there are any significant changes in labour progression indicators that could be attributed to its use.

    Measured: From enrollment until the 14-days follow-up

  2. Monitor trauma indicators (e.g., petechiae, bleeding) (Pilot and Pivotal Phases)

    To monitor key indicators of potential trauma caused by the device entering the vagina or contacting the cervix, such as bruising (petechiae) or bleeding. Visual evaluation of the vagina and the cervix will be performed before and immediately after the use of the device and any significant changes that could be attributed to its use will be documented.

    Measured: From enrollment until the 14-days follow-up

  3. VAS pain score ≤3 (mild/no pain) (Pilot and Pivotal Phases)

    To achieve a VAS score attributed to the use of Cervisense Intravaginal Probe V0.1 m≤ 3, which is equivalent to mild or no pain.

    Measured: From enrollment until the use of the device

  4. Specificity, Sensitivity, PPV, NPV within 10 and 14 days (Pivotal Phase)

    To estimate and report Cervisense TPTL Specificity, Sensitivity, Positive predictive value (PPV) and Negative predictive value (NPV) in screening for spontaneous preterm birth within the next 10 and 14 days of the cervical stiffness measurement among pregnant women with gestational age between 28w+0d and 36w+6d with suspected and symptomatic Threatened Preterm Labour (TPTL) presenting to the emergency department.

    Measured: From enrollment until delivery

  5. Subgroup analysis (gestational age, obstetric history) (Pivotal Phase)

    To estimate and report Cervisense TPTL Specificity, Sensitivity, Positive predictive value (PPV) and Negative predictive value (NPV) in screening for spontaneous preterm birth within the next 14 days of the cervical stiffness measurement among pregnant women with gestational age between 28w+0d and 36w+6d with suspected and symptomatic Threatened Preterm Labour (TPTL) presenting to the emergency department.

    Measured: From enrollment until delivery

  6. Training performance (Pivotal Phase)

    To evaluate the performance of the device in different subgroups (gestational age, previous pregnancies, previous deliveries previous miscarriages, previous episode of TPTL).

    Measured: From enrollment until delivery

  7. Operator satisfaction (SUS) (Pilot and Pivotal Phases)

    To measure the operator degree of satisfaction with the Cervisense technique with the SUS (System Usability Scale).

    Measured: From enrollment until the use of the device

  8. Comparison with PartoSure and cervical length (at 7, 10, 14 days) (Pivotal Phase)

    To compare the Specificity, Sensitivity, Positive predictive value (PPV) and Negative predictive value (NPV) of Cervisense TPTL with the ones obtained with PartoSure test and cervical length within the next 7, 10 and 14 days of the cervical stiffness measurement among pregnant women with gestational age between 28w+0d and 36w+6d with suspected and symptomatic Threatened Preterm Labour (TPTL) presenting to the emergency department.

    Measured: From enrollment until delivery

  9. Degree of success obtained during the use of the Cervisense Intravaginal Probe (Pilot Phase)

    To measure the degree of success obtained during the use of Cervisense Intravaginal Probe V0.1: device ID, operator profile and code, number of repetitions, % repeatability of the measurement, incidents and probe cover breakage

    Measured: From enrollment until the use of the device

Timeline

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

  1. First posted13 May 2025
  2. Study start10 May 2025 (estimated)
  3. Primary completion15 Feb 2027 (estimated)
  4. Study completion1 Apr 2027 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Screening
Allocation
Randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
457 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06968364
Sponsor's protocol ID
FB-CT2
Acronym
FB-CT2
Status last verified
May 2025
First submitted
5 May 2025
Last updated
13 May 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Papiernik E, Bouyer J, Collin D, Winisdoerffer G, Dreyfus J. Precocious cervical ripening and preterm labor. Obstet Gynecol. 1986 Feb;67(2):238-42. doi: 10.1097/00006250-198602000-00014.

    PubMed 3945433
  • Parra-Saavedra M, Gomez L, Barrero A, Parra G, Vergara F, Navarro E. Prediction of preterm birth using the cervical consistency index. Ultrasound Obstet Gynecol. 2011 Jul;38(1):44-51. doi: 10.1002/uog.9010.

    PubMed 21465603
  • Molina FS, Pardo L, Munoz MD, Aiartzaguena A, Valladolid A, Blanco JE, Burgos J, Gil MM. Reproducibility and usability assessment of the novel Fine Birth device for threatened preterm labor diagnosis. Am J Obstet Gynecol MFM. 2023 Jul;5(7):100982. doi: 10.1016/j.ajogmf.2023.100982. Epub 2023 Apr 23.

    PubMed 37094638
  • Melchor JC, Navas H, Marcos M, Iza A, De Diego M, Rando D, Melchor I, Burgos J. Predictive performance of PAMG-1 vs fFN test for risk of spontaneous preterm birth in symptomatic women attending an emergency obstetric unit: retrospective cohort study. Ultrasound Obstet Gynecol. 2018 May;51(5):644-649. doi: 10.1002/uog.18892. Epub 2018 Mar 26.

    PubMed 28850753
  • Melchor JC, Khalil A, Wing D, Schleussner E, Surbek D. Prediction of preterm delivery in symptomatic women using PAMG-1, fetal fibronectin and phIGFBP-1 tests: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2018 Oct;52(4):442-451. doi: 10.1002/uog.19119. Epub 2018 Sep 4.

    PubMed 29920825
  • Masso P, Callejas A, Melchor J, Molina FS, Rus G. In Vivo Measurement of Cervical Elasticity on Pregnant Women by Torsional Wave Technique: A Preliminary Study. Sensors (Basel). 2019 Jul 24;19(15):3249. doi: 10.3390/s19153249.

    PubMed 31344796
  • Jackson GM, Ludmir J, Bader TJ. The accuracy of digital examination and ultrasound in the evaluation of cervical length. Obstet Gynecol. 1992 Feb;79(2):214-8. doi: 10.3109/01443619209013646.

    PubMed 1731287
  • Horinouchi T, Yoshizato T, Muto M, Fujii M, Kozuma Y, Shinagawa T, Morokuma S, Kakuma T, Ushijima K. Gestational age-related changes in shear wave speed of the uterine cervix in normal pregnancy at 12-35 weeks' gestation. J Perinat Med. 2019 May 27;47(4):393-401. doi: 10.1515/jpm-2018-0250.

    PubMed 30817303
  • Holcomb WL Jr, Smeltzer JS. Cervical effacement: variation in belief among clinicians. Obstet Gynecol. 1991 Jul;78(1):43-5.

    PubMed 2047066
  • Goldenberg RL, Mercer BM, Meis PJ, Copper RL, Das A, McNellis D. The preterm prediction study: fetal fibronectin testing and spontaneous preterm birth. NICHD Maternal Fetal Medicine Units Network. Obstet Gynecol. 1996 May;87(5 Pt 1):643-8. doi: 10.1016/0029-7844(96)00035-x.

    PubMed 8677060
  • Carlson LC, Feltovich H, Palmeri ML, Dahl JJ, Munoz del Rio A, Hall TJ. Estimation of shear wave speed in the human uterine cervix. Ultrasound Obstet Gynecol. 2014 Apr;43(4):452-8. doi: 10.1002/uog.12555. Epub 2014 Mar 12.

    PubMed 23836486
  • Callejas A, Gomez A, Faris IH, Melchor J, Rus G. Kelvin-Voigt Parameters Reconstruction of Cervical Tissue-Mimicking Phantoms Using Torsional Wave Elastography. Sensors (Basel). 2019 Jul 25;19(15):3281. doi: 10.3390/s19153281.

    PubMed 31349721
  • BISHOP EH. PELVIC SCORING FOR ELECTIVE INDUCTION. Obstet Gynecol. 1964 Aug;24:266-8. No abstract available.

    PubMed 14199536

Questions about this trial

What is this clinical trial studying?

A study testing Cervisense Intravaginal Probe V0.1 cervical stiffness evaluation. and Transvaginal ultrasound in people with Threatened Preterm Labor, run by Ultrasound-Innovation Medtech, S.L. at 14 sites in Spain.

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 7 inclusion and 12 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: looking for participants now, as of the sponsor's last update on 13 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in Spain. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Alberto Maroto Ferrer (+34 747 44 15 38, alberto.maroto@innitius.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

≥90% Specificity and ≥50% Sensitivity for predicting spontaneous preterm birth within 7 days (Pivotal Phase) (time frame: From enrollment until delivery). The study lists 5 primary outcomes in all. 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 NCT06968364, which also lists 13 linked publications.

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 13 May 2025.

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