Carbetocin Compared To Oxytocin During Cesarean Delivery
Undesired Effects of Carbetocin Compared To Oxytocin Administered As Single Intravenous Dose or Infusion During Cesarean Delivery: A Prospective Randomised Controlled Study
1 other identifier
observational
260
1 country
1
Brief Summary
As both oxytocin and carbetocin are used daily in obstetric units all over the world, the investigators find it compelling to investigate whether the hemodynamic and myocardial effects of oxytocin and carbetocin are comparable in healthy women during delivery and determine any potential harmful effects following the use of oxytocin or Carbetocin as uterotonic. Other endpoints relating to uterus tone, blood loss, blood pressure, heart rate, post-operative pain and side effects will also be assessed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started May 2023
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 4, 2022
CompletedFirst Posted
Study publicly available on registry
March 7, 2023
CompletedStudy Start
First participant enrolled
May 1, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2024
CompletedMarch 7, 2023
March 1, 2023
1.5 years
November 4, 2022
March 4, 2023
Conditions
Outcome Measures
Primary Outcomes (2)
Myocardial effects
Electrocardiograph (QT interval)
immediately before drug administration
Myocardial effects
Electrocardiograph (QT interval)
24 hours after drug administration
Secondary Outcomes (3)
Cardiac enzyme
immediately before drug administration
Cardiac enzyme
24 hours after drug administration
Uterine contraction
One hour post delivery
Study Arms (2)
oxytocin group
Oxytocin 5 IU will be administered by a trained anaesthetist as a one-minute IV injection.
Carbetocin group
Carbetocin 100 μg will be administered by a trained anaesthetist as a one-minute IV injection.
Interventions
Participants will be randomized to receive Oxytocin after delivery of the baby's head and shoulders
Participants will be randomized to receive Cabetocin after delivery of the baby's head and shoulders
Eligibility Criteria
Women will be recruited from the pregnant women attending antenatal clinics in Sabah Maternity Hospital and planned for Delivery either vaginal or Cesarean section .
You may qualify if:
- Normal singleton pregnancy at gestational age of 36 weeks or more.
- Women with common comorbid diagnoses (diabetes, hypothyroidism, hypertension)
- pregnancy after in vitro fertilization
You may not qualify if:
- placenta praevia or invasive placenta.
- pre-eclampsia.
- Bleeding disorder, such as von Willebrand disease type I.
- Current treatment with low-molecular-weight heparin or other anticoagulation medication (not including aspirin).
- Any known intolerance to either of the study drugs.
- Prolonged QT-time.
- Other serious cardiac disease.
- Liver or kidney failure.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Assiut Universitylead
- Ministry of Health, Kuwaitcollaborator
Study Sites (1)
Munistery of Health Kuwait
Kuwait City, Kuwait
Related Publications (1)
Masuzawa Y, Kataoka Y, Fujii K, Inoue S. Prophylactic management of postpartum haemorrhage in the third stage of labour: an overview of systematic reviews. Syst Rev. 2018 Oct 11;7(1):156. doi: 10.1186/s13643-018-0817-3.
PMID: 30305154BACKGROUND
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Fatemah Qasem
Ministry of Health, Kuwait
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Anesthesia and ICU
Study Record Dates
First Submitted
November 4, 2022
First Posted
March 7, 2023
Study Start
May 1, 2023
Primary Completion
November 1, 2024
Study Completion
December 1, 2024
Last Updated
March 7, 2023
Record last verified: 2023-03