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CTRI Number  CTRI/2025/10/096663 [Registered on: 30/10/2025] Trial Registered Prospectively
Last Modified On: 31/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Preventive 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical trial to compare the efficacy of Carbetocin and Oxytocin in preventing post partum haemorrhage in elective caesarean sections 
Scientific Title of Study   A Open labelled Randomised controlled trial to compare the efficacy of Carbetocin and Oxytocin in preventing post partum haemorrhage in uncomplicated elective caesarean sections at a tertiary care centre in Telangana 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  PALATI BHARGAVI 
Designation  JUNIOR RESIDENT 
Affiliation  AIIMS BIBINAGAR 
Address  DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY

Hyderabad
TELANGANA
508126
India 
Phone  8919995419  
Fax    
Email  palatibhargavi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR NABNITA PATNAIK 
Designation  HOD AND ADDITIONAL PROFESSOR ,DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY 
Affiliation  AIIMS BIBINAGAR 
Address  DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY

Hyderabad
TELANGANA
508126
India 
Phone  8919995419  
Fax    
Email  drnabnitapatnaik@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR NABNITA PATNAIK 
Designation  HOD AND ADDITIONAL PROFESSOR ,DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY 
Affiliation  AIIMS BIBINAGAR 
Address  DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY


TELANGANA
508126
India 
Phone  8919995419  
Fax    
Email  drnabnitapatnaik@gmail.com  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor
Modification(s)  
Name  ALL INDIA INSTITUTE OF MEDICAL SCIENCESBIBINAGAR 
Address  AIIMS BIBINAGAR, 508126 
Type of Sponsor  Government medical college 
 
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 
DRPALATI BHARGAVI  AIIMS BIBINAGAR  DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY
Hyderabad
TELANGANA 
89199 95419

palatibhargavi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE(AIIMS BBN-IEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O00-O9A||Pregnancy, childbirth and the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  INJ.CARBETOCIN  UTEROTONIC AGENT 100mcg IV in 10ml NS over 10 min 
Comparator Agent  OXYTOCIN  UTEROTONIC AGENT 10IU in 500mlNS  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  Pregnant women 37 weeks of gestation
Age 18 to 45 years
Uncomplicated elective caesarean section Singleton pregnancy 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To estimate the amount of intra operative blood loss in uncomplicated elective caesarean sections  To estimate the amount of intra operative blood loss after placental delivery in uncomplicated elective caesarean sections 
 
Secondary Outcome  
Outcome  TimePoints 
Estimation of postpartum blood loss within 24 hours following uncomplicated elective caesarean sections

2)Assessment of the requirement for other interventions like additional uterotonics/ haemostatic agents/ surgical methods for the management of the haemorrhage.

3)Evaluation of the need for blood transfusion & fall in postpartum haemoglobin levels during follow-up.
4) to evaluate & compare the adverse effects of carbetocin & oxytocin.

 
Estimation of postpartum blood loss within 24 hours following uncomplicated elective caesarean sections 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
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 3/ Phase 4 
Date of First Enrollment (India)   16/11/2025 
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="6"
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   open-label randomized controlled trial aims to compare the efficacy of carbetocin versus oxytocin in preventing postpartum hemorrhage (PPH) following uncomplicated elective caesarean sections. The study will be conducted over 18 months at AIIMS Bibinagar, involving 200 pregnant women randomly assigned to receive either carbetocin or oxytocin during surgery. Intraoperative blood loss will be measured using mop weight and suction canister volume, while postpartum blood loss will be visually estimated over 24 hours. Secondary outcomes include the need for additional uterotonics, surgical interventions, blood transfusions, and adverse drug effects. Participants will be selected based on strict inclusion and exclusion criteria to ensure uniformity. Randomization will be done using permuted blocks and allocation concealed in sealed envelopes. Hemoglobin levels will be assessed pre- and post-operatively to evaluate blood loss impact. Data will be analyzed using Stata 18, applying appropriate statistical tests for continuous and categorical variables. The study seeks to generate evidence on which uterotonic agent offers superior efficacy and safety in PPH prevention. Results will inform clinical practice in obstetric care during cesarean deliveries. 
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