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CTRI Number  CTRI/2024/03/064722 [Registered on: 22/03/2024] Trial Registered Prospectively
Last Modified On: 18/03/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of two drugs for control of bleeding after vaginal delivery,in one arm drug named carbetocin alone and in other arm combination of carbetocin with methergine. 
Scientific Title of Study   EFFICACY OF CARBETOCIN ALONE AGAINST CARBETOCIN WITH METHYL ERGOMETRINE MALEATE IN ACTIVE MANAGEMENT OF THIRD STAGE OF LABOUR IN VAGINAL DELIVERIES-A DOUBLE BLINDED RANDOMISED CONTROL TRIAL. 
Trial Acronym  NILL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Fathima Najeeb 
Designation  DNB post graduate resident  
Affiliation  Rajagiri hospital 
Address  Department of Obstetrics and gynecology Rajagiri hospital Chunangamvely Aluva

Ernakulam
KERALA
683112
India 
Phone  9995210143  
Fax    
Email  getpathu@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ambujam k 
Designation  HOD and Senior consultatnt  
Affiliation  Rajagiri hospital 
Address  Department of obstetrics and gynecology Rajagiri hospital Chunangamvely Aluva

Ernakulam
KERALA
683112
India 
Phone  9447092467  
Fax    
Email  k.ambujam@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ambujam k 
Designation  HOD and Senior consultatnt  
Affiliation  Rajagiri hospital 
Address  Department of Obstetrics and gynecology Rajagiri hospital Chunangamvely Aluva

Ernakulam
KERALA
683112
India 
Phone  9447092467  
Fax    
Email  k.ambujam@gmail.com  
 
Source of Monetary or Material Support  
Rjagiri Hospital Chunangamvely,Aluva 683112 
 
Primary Sponsor  
Name  Dr Fathima najeeb 
Address  Rajagiri hospital Chunangamvely Aluva,683112 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Fathima najeeb  Rajagiri hospital  Rajagiri hospital Department of obstetrics and gynecology Chunangamvely Aluva,683112
Ernakulam
KERALA 
9995210143

getpathu@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
RAJAGIRI HOSPITAL INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O720||Third-stage hemorrhage,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  COMBINATION OF CARBETOCIN WITH METHYL ERGOMETRINE MALEATE  CARBETOCIN 100MCG INTRAVENOUS AFTER DELIVERY OF ANTEROIR SHOULDER OF BABY AND METHYL ERGOMETRINE MALEATE 0.2MG INTRAMUSCULAR AFTER DELIVERY OF PLACENTA .STUDY DURATION IS FOR A PERIOD OF 15 MONTHS. 
Intervention  FOR ACTIVE MANAGEMENT OF THIRD STAGE OF LABOUR, A DRUG CARBETOCIN IN ONE ARM   CARBETOCIN 100MCG SLOW INTRAVENOUSLY GIVEN AFTER DELIVERY OF ANTERIOR SHOULDER OF BABY.STUDY DURATION IS FOR A PERIOD OF 1 YEAR 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  WOMEN EXPECTED TO GIVE BIRTH VAGINALLY
TERM GESTATION
PRIMI AND MUTIGRAVIDA
MUTIPLE PREGNANCIES
RECIEVING ALL MODE OF ANALGESIA 
 
ExclusionCriteria 
Details  PRETERM AND POST DATED PREGNANCIES
WOMEN UNDERGOING CAESAREAN SECTION
ABRUPTIO PLACENTA AND PLACENTA PREVIA
GESTATIONAL HYPERTENSION AND CHRONIC HYPERTENSION
ABNORMAL LIE
KNOWN CASE OF EPILEPSY CARDIAC AND RESPIRATORY DISORDERS 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
COMPARE MEAN BLOOD LOSS IN BOTH GROUPS
USE OF ADDITIONAL UTEROTONICS
OCCURANCE OF POSTPARTUM HEMORRHAGE
REQUIREMENT OF BLOOD TRASFUSION
HEMOGLOBIN DROP
 
FROM TIME OF DELIVERY TO POST NATAL DAY 2
 
 
Secondary Outcome  
Outcome  TimePoints 
BLOOD PRESSURE
PULSE
SIDE EFFECTS OF
NAUSEA
VOMITING
HYPOTENSION
RETAINED PLACENTA 
1 HOUR 
 
Target Sample Size   Total Sample Size="430"
Sample Size from India="430" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   01/04/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   FOR ACTIVE MANAGEMENT OF THIRD STAGE OF LABOUR,WE ARE COMPARING THE EFFICACY OF CARBETOCIN ALONE AGAINST CARBETOCIN WITH METHYL ERGOMETRINE MALEATE IN VAGINAL DELIVERIES.According to a study conducted in our department ,Efficacy of carbetocin against oxytocin in active management of third stage of labour,states that there is no significant difference in blood loss in both groups.Hence we proposed to combine another cost effective uterotonic methergine  for a better outcome for  further control of bleeding to ensure adequate patient care and improve the quality of life and to keep a check in postpartum morbidity. 
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