CTRI Number |
CTRI/2024/03/063466 [Registered on: 01/03/2024] Trial Registered Prospectively |
Last Modified On: |
27/02/2024 |
Post Graduate Thesis |
Yes |
Type of Trial |
Observational |
Type of Study
|
COMPARATIVE OBSERVATIONAL STUDY |
Study Design |
Other |
Public Title of Study
|
COMPARISON OF INJECTION CARBETOCIN WITH INJECTION OXYTOCIN IN VAGINAL DELIVERY FOR PREVENTION OF BLOOD LOSS |
Scientific Title of Study
|
INJECTION CARBETOCIN VERSUS INJECTION OXYTOCIN IN VAGINAL DELIVERY FOR PREVENTION OF POST-PARTUM HEMORRHAGE |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
PALLAVI |
Designation |
JUNIOR RESIDENT |
Affiliation |
JAWAHARLAL NEHRU MEDICAL COLLEGE, WARDHA, MAHARASHTRA |
Address |
IN-PATIENT DEPARTMENT
DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY
JAWAHARLAL NEHRU MEDICAL COLLEGE
SAWANGI (MEGHE)
WARDHA
MAHARASHTRA
Wardha MAHARASHTRA 442001 India |
Phone |
|
Fax |
|
Email |
PALLAVIYDV97@GMAIL.COM |
|
Details of Contact Person Scientific Query
|
Name |
DR.ARPITA JAISWAL |
Designation |
PROFESSOR |
Affiliation |
JAWAHARLAL NEHRU MEDICAL COLLEGE, WARDHA, MAHARASHTRA |
Address |
DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY
JAWAHARLAL NEHRU MEDICAL COLLEGE
SAWANGI (MEGHE)
WARDHAR
MAHARASHTRA
Wardha MAHARASHTRA 442001 India |
Phone |
|
Fax |
|
Email |
DRARPITAJAISWAL@GMAIL.COM |
|
Details of Contact Person Public Query
|
Name |
PALLAVI |
Designation |
JUNIOR RESIDENT |
Affiliation |
JAWAHARLAL NEHRU MEDICAL COLLEGE, WARDHA, MAHARASHTRA |
Address |
DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY
JAWAHARLAL NEHRU MEDICAL COLLEGE
SAWANGI (MEGHE)
WARDHA
MAHARASHTRA
Wardha MAHARASHTRA 442001 India |
Phone |
|
Fax |
|
Email |
PALLAVIYDV97@GMAIL.COM |
|
Source of Monetary or Material Support
|
Acharya Vinobha Bhave Rural Hospital, Sawangi(Meghe), Wardha, Maharashtra |
|
Primary Sponsor
|
Name |
DATTA MEGHE INSTITUTE OF HIGHER EDUCATION AND RESEARCH |
Address |
SAWANGI (MEGHE)
WARDHA
MAHARASHTRA |
Type of Sponsor |
Research institution and hospital |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
PALLAVI |
In- patient department, Department of Obstetrics and Gynaecology,ACHARYA VINOBA BHAVE RURAL HOSPITAL |
SAWANGI (MEGHE)
WARDHA Wardha MAHARASHTRA |
7310595854
PALLAVIYDV97@GMAIL.COM |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
INSTITUTIONAL ETHICS COMMITTEE |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: O721||Other immediate postpartum hemorrhage, |
|
Intervention / Comparator Agent
|
|
Inclusion Criteria
|
Age From |
19.00 Year(s) |
Age To |
35.00 Year(s) |
Gender |
Female |
Details |
REPRODUCTIVE AGE GROUP AND ELIGIBLE FOR STUDY
SINGLETON PREGNANCY
TERM GESTATION
|
|
ExclusionCriteria |
Details |
WOMEN WITH KNOWN COAGULOPATHY
STUDY DRUG HYPERSENSITIVITY
OLIGOHYDRAMNIOS OR POLYHYDRAMNIOS
CARDIAC DISEASES (INCLUDING DYSRHYTHMIA)
HYPERTENSION
LIVER,RENAL OR ENDOCRINE DISEASES (EXCEPT GESTATIONAL DIABETES)
UTERINE FIBROIDS OR SUSPICION OF PLACENTAL PATHOLOGY (ACRETA, PREVIA OR ABRUPTIO) |
|
Method of Generating Random Sequence
|
|
Method of Concealment
|
|
Blinding/Masking
|
|
Primary Outcome
|
Outcome |
TimePoints |
INTRA-PARTUM BLOOD LOSS
UTERINE TONE |
24 HOURS |
|
Secondary Outcome
|
Outcome |
TimePoints |
DIFFERENCE IN HEMOGLOBIN TAKEN BEFORE THE VAGINAL DELIVERY AND 48 HOURS AFTER VAGINAL DELIVERY
NEED FOR ADDITIONAL UTEROTONICS
EVALUATION OF NAUSEA AND VOMITING |
48 HOURS |
|
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
|
N/A |
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="2" Months="0" Days="0" |
Recruitment Status of Trial (Global)
|
Not Applicable |
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 - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [PALLAVIYDV97@GMAIL.COM].
- For how long will this data be available start date provided 01-05-2023 and end date provided 01-12-2025?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
Brief Summary
|
Approximately one-fourth of all maternal deaths are caused by postpartum
haemorrhage (PPH), which has a prevalence of 6% worldwide and is a significant
contributor to maternal mortality and morbidity. “PPH typically manifests
within 24 hours of delivery, however it can also appear up to 12 weeks after
the deliveryâ€. PPH has reportedly became more prevalent and severe in a number
of industrialised nations . Up to 80% of PPH cases are caused by uterine
atony , which is also the most common cause of PPH. As a result, it is
crucial to timely and effectively induce the uterine contractions soon after
the childbirth.
It is seen that when active management of third stage of labour is done,
probability of severe primary PPH, need for transfusion, and subsequent
uterotonic therapy are all decreased . The most used and efficient
uterotonic drug for preventing PPH is oxytocin . However, because to its
early onset and short duration of action, it is best administered to initiate
persistent uterotonic activity.
Oxytocin often requires several doses or other uterotonics to arrest
haemorrhage which adds to various side effects and increase in expenditure of
treatment.
In contrast to oxytocin, carbetocin
(octapeptide) is a long-acting synthetic analogue of oxytocin (nonapeptide)
which requires only single dose administration. .Even after a single bolus
injection of carbetocin, the uterotonic effects lasts for several hours.
Currently oxytocin is most frequently used as agent of first choice
after vaginal delivery. Due to its short half-life (4 to 10 minutes), it
requires continuous or frequently repeated administration. More recently
carbetocin has been developed as a long acting oxytocin agonist and when
administered it results in a sustained uterine contraction.
There is currently less data to evaluate the efficacy of carbetocin in
women undergoing vaginal delivery for prevention of post-Partum haemorhage,
hence we aim to do this study. Ø
Study Type : Comparative
Observational Study Ø
Estimated sample size: 200 Ø
Allocation: Randomized Ø
Masking: Single
(Investigator) Ø
Primary Purpose: Treatment Place
of study: Department of Obstetrics and Gynecology
JNMC, AVBRH, DMIHER (Deemed University), Wardha. Duration
of Study: 2023-2025 Study
design:
Comparative Observational Study
Sample
size: 200
|