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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  
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 
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  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O721||Other immediate postpartum hemorrhage,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
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
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [PALLAVIYDV97@GMAIL.COM].

  6. 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.

  7. 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 delivery”. 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

 

 

 

 
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