Combined Use of Oxytocin and Misoprostol in the Prevention of Post Partum Haemorrhage (CYTOCINON)
Recruitment status was Recruiting
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Purpose
To demonstrate that the combined used of oxytocin and misoprostol prevent from post partum haemorrhage better than oxytocin alone, following vaginal birth at 36 to 42 weeks.
| Condition | Intervention | Phase |
|---|---|---|
|
Hemorrhage; Complicating Delivery |
Drug: Misoprostol |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Prevention |
| Official Title: | Combined Use of Oxytocin and Misoprostol in the Prevention of Post Partum Haemorrhage |
- Occurrence of post partum hemorrhage > 500mL in 1 hour [ Time Frame: 1 HOUR ] [ Designated as safety issue: Yes ]
- Occurrence of post partum hemorrhage > 1000mL in 1 hour [ Time Frame: 1 HOUR ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 3100 |
| Study Start Date: | March 2010 |
| Estimated Study Completion Date: | March 2013 |
| Estimated Primary Completion Date: | March 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Misoprostol
10 UI of oxytocin IV during delivery of the anterior shoulder of the newborn and two misoprostol tablets taken orally (400µg) following cord clamp
|
Drug: Misoprostol
two misoprostol tablets taken orally (400µg)
Other Name: two misoprostol tablets taken orally (400µg
|
|
Placebo Comparator: PLACEBO
10 UI of oxytocin IV during delivery of the anterior shoulder of the newborn and two placebo tablets taken orally following cord clamp.
|
Drug: Misoprostol
two misoprostol tablets taken orally (400µg)
Other Name: two misoprostol tablets taken orally (400µg
|
Detailed Description:
Objective :
To demonstrate that the combined used of oxytocin and misoprostol prevent from post partum haemorrhage better than oxytocin alone, following vaginal birth at 36 to 42 weeks'.
Method :
Double blinded Randomized controlled trial in two centers over 30 months.
Treatment :
Patients will be randomly allocated into one of the two following group :
Group A : 10 UI of oxytocin IV during delivery of the anterior shoulder of the newborn and two misoprostol tablets taken orally (400µg) following cord clamp.
Group B: 10 UI of oxytocin IV during delivery of the anterior shoulder of the newborn and two placebo tablets taken orally following cord clamp.
Number of patients:
1550 patients per group (one third reduction of occurrence with alpha and beta set at 0.05 and 0.20 respectively). Patients were included in the study during 48 hours.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Women>18 years,
- during first stage of normal labor,
- at 36 to 42 weeks,
- with epidural analgesia and informed signed consent
Exclusion Criteria:
- Cesarean section delivery,
- clotting disorders,
- prostaglandin allergy,
- absent consent.
Contacts and Locations| France | |
| Chi Poissy St Germain | Recruiting |
| Poissy, France, 78300 | |
| Contact: Patrick Rozenberg, PH +33(0)1 39 27 52 57 ext +33 prozenberg@chi-poissy-st-germain.fr | |
| Principal Investigator: | Patrick Rozenberg, PH | CHI POISSY ST GERMAIN |
More Information
No publications provided
| Responsible Party: | Assistance Publique - Hôpitaux de Paris |
| ClinicalTrials.gov Identifier: | NCT01113229 History of Changes |
| Other Study ID Numbers: | P 081104, 2009-013177-18 |
| Study First Received: | April 28, 2010 |
| Last Updated: | October 12, 2012 |
| Health Authority: | France: Ministry of Health |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
Post Partum Haemorrhage, oxytocin, misoprostol, prevention, delivery. |
Additional relevant MeSH terms:
|
Hemorrhage Postpartum Hemorrhage Pathologic Processes Obstetric Labor Complications Pregnancy Complications Puerperal Disorders Uterine Hemorrhage Oxytocin Misoprostol |
Oxytocics Reproductive Control Agents Physiological Effects of Drugs Pharmacologic Actions Therapeutic Uses Anti-Ulcer Agents Gastrointestinal Agents Abortifacient Agents, Nonsteroidal Abortifacient Agents |
ClinicalTrials.gov processed this record on May 19, 2013