Carbetocin at Elective Cesarean Delivery Part 2
NCT01428817 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2012-03-26
Summary
Post-partum hemorrhage (PPH) is a major cause of maternal death worldwide. Oxytocin is the most common uterotonic drug used to prevent and treat PPH in North America, however, there are some limitations to its use. Oxytocin has a very short duration of action, which requires a continuous infusion to achieve sustained uterotonic activity. The Society of Obstetricians and Gynecologists of Canada (SOGC) has recently recommended a single 100mcg dose of carbetocin at elective Cesarean delivery to promote uterine contraction and prevent post partum hemorrhage (PPH), in lieu of the more traditional oxytocin regimens. Carbetocin lasts 4 to 7 times longer than oxytocin, with a similar side effect profile and apparent greater efficacy rate. However, a dose response to determine the minimum effective dose of carbetocin has not yet been published. The investigators hypothesize that the minimum effective dose (ED90) is above 20mcgs and below 80mcgs in women undergoing elective Cesarean delivery.
Conditions
- Postpartum Hemorrhage
Interventions
- DRUG
-
Carbetocin
20mcg carbetocin, IV, over 1 minute following delivery of the fetal head.
- DRUG
-
Carbetocin
40mcg carbetocin, IV, over 1 minute following delivery of the fetal head.
- DRUG
-
Carbetocin
60mcg carbetocin, IV, over 1 minute following delivery of the fetal head.
- DRUG
-
Carbetocin
80mcg carbetocin, IV, over 1 minute following delivery of the fetal head.
- DRUG
-
Carbetocin
100mcg carbetocin, IV, over 1 minute following delivery of the fetal head.
Sponsors & Collaborators
-
Samuel Lunenfeld Research Institute, Mount Sinai Hospital
lead OTHER
Principal Investigators
-
Jose CA Carvalho, MD · MOUNT SINAI HOSPITAL
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 55 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2011-06-30
- Primary Completion
- 2011-12-31
- Completion
- 2011-12-31
Countries
- Canada
Study Locations
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