| CTRI Number |
CTRI/2024/01/061097 [Registered on: 03/01/2024] Trial Registered Prospectively |
| Last Modified On: |
01/01/2024 |
| 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
|
Comparing two drugs efficacy and safety in prevention of PPH in a computer generated randomisation technique |
|
Scientific Title of Study
|
Efficacy and safety of carbetocin versus oxytocin in prevention of post partum hemorrhage in high risk women.
An Open label randomised controlled trial |
| Trial Acronym |
nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
SMRITI BAG |
| Designation |
JUNIOR RESIDENT |
| Affiliation |
KING GEORGE MEDICAL COLLEGE AND UNIVERSITY |
| Address |
QUEEN MARY’S HOSPITAL(DEPT OF OBS AND GYANE) ,KGMU, SUBASH MARG,RAJA BAZAAR,CHOWK,LUCKNOW
Lucknow UTTAR PRADESH 226003 India |
| Phone |
8984167023 |
| Fax |
|
| Email |
drsmritibag@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
DR MONICA AGRAWAL |
| Designation |
ADDITIONAL PROFESSOR |
| Affiliation |
KING GEORGE MEDICAL COLLEGE |
| Address |
QUEEN MARY’S HOSPITAL,KGMU,SUBASH MARG,RAJA BAZAAR,CHOWK,LUCKNOW
Lucknow UTTAR PRADESH 226003 India |
| Phone |
9628667755 |
| Fax |
|
| Email |
dr.monikagrawal@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
MONICA AGRAWAL |
| Designation |
ADDITIONAL PROFESSOR |
| Affiliation |
KING GEORGE MEDICAL COLLEGE |
| Address |
QUEEN MARY’S HOSPITAL,KGMU,SUBASH MARG,RAJA BAZAAR,CHOWK,LUCKNOW
Lucknow UTTAR PRADESH 226003 India |
| Phone |
9628667755 |
| Fax |
|
| Email |
dr.monikagrawal@gmail.com |
|
|
Source of Monetary or Material Support
|
| DR SMRITI BAG
JUNIOR RESIDENT-3
DEPT OF OBS AND GYNE
QUEEN MARYS HOSPITAL
KGMU
SUBASH MARG,LUCKNOW-226003,UTTARPRADESH |
|
|
Primary Sponsor
|
| Name |
DR SMRITI BAG |
| Address |
JUNIOR RESIDENT-3
DEPT OF OBS AND GYNAE
QUEEN MARY’S HOSPITAL,KGMU,SUBASH MARG,RAJA BAZAAR,CHOWK,LUCKNOW-226003 |
| Type of Sponsor |
Government medical college |
|
|
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 SMRITI BAG |
Queen Mary’s Hospital(Department of Obstetrics AND Gyanecology)King Georges Medical University |
King George’s Medical University
Shah Mina Rd, Chowk, Lucknow, Uttar Pradesh 226003 Lucknow UTTAR PRADESH |
8984167023
drsmritibag@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| INSTITUTIONAL ETHICS COMMITTEE,KGMU |
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
|
| Type |
Name |
Details |
| Comparator Agent |
CARBETOCIN |
SYNTHETIC OXYTOCIN ANALOGUE WITH A LONGER DURATION |
| Comparator Agent |
OXYTOCIN |
Oxytocin injection is a synthetic hormone |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
35.00 Year(s) |
| Gender |
Female |
| Details |
Women of age between 18-35 years of Gestational age of 37-42 weeks
Patients who have given written informed consent Women at risk of PPH including
Factors resulting in overdistention of the uterusÂ
Multiple gestation (eg, twins)
Fetal macrosomia
Polyhydramnios
Nature of labor and deliveryÂ
Induced labor
Precipitous labor (lasting less than 3 hours)
Prolonged labor
Forceps or vacuum-assisted delivery
Cesarean delivery
Factors relating to the placentaÂ
Abruptio placentae
Placenta previa
Abnormal implantation
High multiparity 

PreeclampsiaÂ
ChorioamnionitisÂ
Â
Amniotic fluid embolismÂ
May precipitate disseminated intravascular coagulation, resulting in consumptive coagulopathy and uncontrolled blood loss
Under general AnesthesiaÂ
Medications
Prolonged oxytocin useÂ
Magnesium sulfate
Anticoagulants
|
|
| ExclusionCriteria |
| Details |
Gestational age less than 37 or more than 42 weeks
History of thromboembolic disorders,
Cases suffering from chronic medical diseases (cardiac, hepatic, renal),
Not giving consent
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
An Open list of random numbers |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
The total amount of blood loss within 24 hours postpartum measured by V drapes
Adverse maternal events like nausea vomiting tachycardia flushing dizziness headache shivering metallic taste dyspnea palpitations itching
Hemodynamic status will be measured at 0 min 30 min 60min 120 min |
The total amount of blood loss within 24 hours postpartum measured by V drapes |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Need for second line uterotonics and interventions
Need of blood and blood products
Difference between hemoglobin before and after 24 hours of delivery
Difference between hematocrit before and after 24 hours of delivery |
24 hours |
|
|
Target Sample Size
|
Total Sample Size="120" Sample Size from India="120"
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 |
|
Date of First Enrollment (India)
|
09/01/2024 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
09/01/2024 |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="0" 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
|
Ethical clearance and informed consent will be done.
Information on age, education, parity, occupation and obstetric history was obtained from the mother using a questionnaire
Using a computer generated randomisation sequence, women eligible in the study will be randomly divided into two equal groups with at least one risk factor and a prospective open blinded randomised study will be conducted on 120 (60 in each group) pregnant women divided equally between two groups
- Group 1- Oxytocin group
- Group 2 - Carbetocin group
|