Double Simultaneous Uterotonic Agents Versus Single Agent Regimen to Prevent Early Postpartum Hemorrhage

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexFemale
Age18+
SponsorStony Brook University

About this trial

To determine the effectiveness of using two medications simultaneously versus one medication, as is standard of care, in preventing early postpartum hemorrhage.

There have been studies that looked at giving two medications and that there were reduced odds of postpartum hemorrhage.

Specific Aim 1: Determine if double simultaneous uterotonic agent regimen (misoprostol and oxytocin) is superior to single agent (oxytocin only) in reducing postpartum hemorrhage.

Specific Aim 2: Determine any potential side effects of a double simultaneous uterotonic agentregimen (misoprostol and oxytocin) versus a single agent (oxytocin only).

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

None

Disqualifiers

Women under 18 years old

Women with known coagulation disorders

Women with planned cesarean hysterectomy

Women with known placental accreta spectrum disorders

Trial design

Design model

Parallel

Treatments tested in this trial

  • Sublingual Misoprostol

    Drug

    Misoprostol 400 mcg sublingual

  • IV Oxytocin

    Drug

    40 units IV Oxytocin in 1000 mL normal saline

Treatment groups

1,358 Participants
are divided into 2 treatment groups
Group A: Intravenous Oxytocin onlyActive comparator 1 intervention
Group B: Misoprostol plus intravenous OxytocinExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Determine if double simultaneous uterotonic agent regimen (misoprostol and oxytocin) is superior to single agent (oxytocin only) in changing postpartum hemorrhage blood loss volume.

Determine if double simultaneous uterotonic agent regimen (misoprostol and oxytocin) is superior to single agent (oxytocin only) in changing postpartum hemorrhage.

Time frame
through study completion, an average of 1 year

Secondary outcomes

1

Determine serious adverse outcomes of a double simultaneous uterotonic agent regimen (misoprostol and oxytocin) versus a single agent (oxytocin only) that is documented in the medical record.

Determine any potential side effects of a double simultaneous uterotonic agent regimen (misoprostol and oxytocin) versus a single agent (oxytocin only).

Time frame
through study completion, an average of 1 year

Other outcomes

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