| CTRI Number |
CTRI/2024/04/065975 [Registered on: 19/04/2024] Trial Registered Prospectively |
| Last Modified On: |
16/04/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
A study comparing Carbetocin and oxytocin for prevention of post partum hemorrhage following vaginal delivery |
|
Scientific Title of Study
|
Carbetocin versus oxytocin in the prevention of atonic postpartum hemorrhage following normal vaginal delivery - An interventional study |
| Trial Acronym |
nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Kondamudi Saranya |
| Designation |
junior resident |
| Affiliation |
AIIMS Mangalagiri |
| Address |
DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY,OPD BLOCK,ROOM NO:305,AIIMS MANGALAGIRI
Guntur ANDHRA PRADESH 522501 India |
| Phone |
9493550788 |
| Fax |
|
| Email |
Kondamudisaru72@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Kondamudi Saranya |
| Designation |
junior resident |
| Affiliation |
AIIMS Mangalagiri |
| Address |
DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY,OPD BLOCK,ROOM NO:305,AIIMS MANGALAGIRI
Guntur ANDHRA PRADESH 522501 India |
| Phone |
9493550788 |
| Fax |
|
| Email |
Kondamudisaru72@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Sharmila V |
| Designation |
Professor and Head of the department |
| Affiliation |
AIIMS Mangalagiri |
| Address |
DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY,OPD BLOCK,ROOM NO:305,AIIMS MANGALAGIRI
Guntur ANDHRA PRADESH 522501 India |
| Phone |
98437763667 |
| Fax |
|
| Email |
sharu_jipmer@yahoo.co.in |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
Dr.Saranya,Postgraduate in Obstetrics and gynaecology |
| Address |
AIIMS MANGALAGIRI |
| Type of Sponsor |
Other [Self funding(PI)] |
|
|
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 |
| Dr Saranya Kondamudi |
AIIMS Mangalagiri |
Department of Obstetrics and Gynaecology,OPD BLOCK ROOM NO.305 ,AIIMS Mangalagiri Guntur ANDHRA PRADESH |
9493550788
Kondamudisaru72@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| INSTITUTIONAL ETHICAL COMMITTEE |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O80||Encounter for full-term uncomplicated delivery, (2) ICD-10 Condition: O80||Encounter for full-term uncomplicated delivery, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Carbetocin |
Injection Carbetocin 100 mcg in 9 ml of Normal Saline slow I.V |
| Comparator Agent |
Oxytocin |
Injection Oxytocin 10 IU in Ringer lactate I.V Infusion |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
35.00 Year(s) |
| Gender |
Female |
| Details |
Pregnant women in age group 18-35 years
1. Singleton pregnancy
2. Term (37-42 weeks of gestation)
3. Women who undergo vaginal delivery
4. Patients willing to give informed consent |
|
| ExclusionCriteria |
| Details |
High risk pregnant women including: antepartum hemorrhage- placenta previa, abruptio
placentae, preeclampsia, eclampsia, GDM A2, multiple pregnancies, post cesarean
pregnancy, polyhydramnios, macrosomia, patients with gynecological disorders such as
myomas
â— Medical disorders: coagulation disorders, thrombocytopenia (platelets <1.5 lakh), renal
disorders, hepatic disorders, heart disease, asthma, epilepsy, women with HIV
â— Intellectual challenged women
â— Known allergy to carbetocin
â— Patients not willing to sign informed consent. |
|
|
Method of Generating Random Sequence
|
Permuted block randomization, fixed |
|
Method of Concealment
|
On-site computer system |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
Uterine tone and vaginal bleeding immediately and at 1, 2, 3 hours post delivery in both the
groups
1.Estimated blood loss (ml) and PPH (blood loss 500 ml) in both study groups
2. Need for use of additional uterotonic drugs and/or blood transfusion in both the groups |
1-3 Days after Randomization
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Change in value of hemoglobin, Hematocrit and Packed cell volume (PCV)Pre and 24 -hour
post-delivery in both the groups
â— Drug related adverse effects such as nausea, vomiting, shivering, headache, anaphylaxis in
both the groups |
1-3 Days after Randomization |
|
|
Target Sample Size
|
Total Sample Size="60" Sample Size from India="60"
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)
|
01/06/2024 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
01/06/2024 |
| 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 - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol
- Who will be able to view these files?
Response - Anyone
- 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 [Kondamudisaru72@gmail.com].
- For how long will this data be available start date provided 08-01-2026 and end date provided 08-01-2031?
Response - Beginning 3 months and ending 5 years following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - nil
|
|
Brief Summary
|
The most important step in the active management of third stage of labour is the use of uterotonic agent.conventionally we have been using oxytocin as the uterotonic agent.however it has to be kept under refrigeration during transport and storage for maintaining its potency.carbetocin is an oxytocin analogue which doesnot require refrigeration.In our study we aim to compare the efficacy of both these agents in the prevention of atonic postpartum hemorrhage following normal vaginal delivery. |