Trial Outcomes & Findings for In-vitro Study to Assess the Coagulation Effects of Exogenous Oxytocin Using Thromboelastography. (NCT NCT00788255)

NCT ID: NCT00788255

Last Updated: 2016-11-28

Results Overview

thromboelastographic indices - reaction time (normal range, 5-10 min)

Recruitment status

COMPLETED

Target enrollment

25 participants

Primary outcome timeframe

6 months

Results posted on

2016-11-28

Participant Flow

Participant milestones

Participant milestones
Measure
All Participants
For each patient, 1 solution with citrated whole blood (control) and 3 solutions with citrated whole blood and exogenous oxytocin were prepared in separate vials using micropipettes as follows: Citrated whole blood 1mL + 23μU oxytocin: final exogenous oxytocin concentration=22.5 μU/mL Citrated whole blood 1mL + 31μU oxytocin: final exogenous oxytocin concentration=30.1μU/mL Citrated whole blood 1mL + 34μU oxytocin: final exogenous oxytocin concentration=32.9μU/mL After mixing by inversion 8-10 times, 360μL kaolin-activated blood of each study solution was pipetted into a plastic cup in a prewarmed Thromboelastograph® (37°C). Each sample was recalcified in a plastic cup with 10μL of CaCl2 6.45%, and TEG® analysis was commenced within 1 minute of reconstituted sample preparation.
Overall Study
STARTED
25
Overall Study
Oxytocin Infusion 1: 22.5 μU/mL
25
Overall Study
Oxytocin Infusion 2: 30.1μU/mL
25
Overall Study
Oxytocin Infusion 3: 32.9μU/mL
25
Overall Study
Oxytocin: 0 μU/mL
25
Overall Study
COMPLETED
25
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

In-vitro Study to Assess the Coagulation Effects of Exogenous Oxytocin Using Thromboelastography.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=25 Participants
For each patient, 1 solution with citrated whole blood (control) and 3 solutions with citrated whole blood and exogenous oxytocin were prepared in separate vials using micropipettes as follows: Citrated whole blood 1mL + 23μU oxytocin: final exogenous oxytocin concentration=22.5 μU/mL Citrated whole blood 1mL + 31μU oxytocin: final exogenous oxytocin concentration=30.1μU/mL Citrated whole blood 1mL + 34μU oxytocin: final exogenous oxytocin concentration=32.9μU/mL After mixing by inversion 8-10 times, 360μL kaolin-activated blood of each study solution was pipetted into a plastic cup in a prewarmed Thromboelastograph® (37°C). Each sample was recalcified in a plastic cup with 10μL of CaCl2 6.45%, and TEG® analysis was commenced within 1 minute of reconstituted sample preparation.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
25 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
25 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Region of Enrollment
United States
25 participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months

thromboelastographic indices - reaction time (normal range, 5-10 min)

Outcome measures

Outcome measures
Measure
All Participants
n=25 Participants
For each patient, 1 solution with citrated whole blood (control) and 3 solutions with citrated whole blood and exogenous oxytocin were prepared in separate vials using micropipettes as follows: Citrated whole blood 1mL + 23μU oxytocin: final exogenous oxytocin concentration=22.5 μU/mL Citrated whole blood 1mL + 31μU oxytocin: final exogenous oxytocin concentration=30.1μU/mL Citrated whole blood 1mL + 34μU oxytocin: final exogenous oxytocin concentration=32.9μU/mL After mixing by inversion 8-10 times, 360μL kaolin-activated blood of each study solution was pipetted into a plastic cup in a prewarmed Thromboelastograph® (37°C). Each sample was recalcified in a plastic cup with 10μL of CaCl2 6.45%, and TEG® analysis was commenced within 1 minute of reconstituted sample preparation.
r Time
Exogenous Oxytocin 22.5
5.6 minutes
Standard Deviation 1.4
r Time
Exogenous Oxytocin 30.1
4.2 minutes
Standard Deviation 1.3
r Time
Exogenous Oxytocin 32.9
3.9 minutes
Standard Deviation 1.3
r Time
Exogenous oxytocin 0
6 minutes
Standard Deviation 1.5

PRIMARY outcome

Timeframe: 6 months

thromboelastographic indices - clot formation time (normal range, 1-3 min)

Outcome measures

Outcome measures
Measure
All Participants
n=25 Participants
For each patient, 1 solution with citrated whole blood (control) and 3 solutions with citrated whole blood and exogenous oxytocin were prepared in separate vials using micropipettes as follows: Citrated whole blood 1mL + 23μU oxytocin: final exogenous oxytocin concentration=22.5 μU/mL Citrated whole blood 1mL + 31μU oxytocin: final exogenous oxytocin concentration=30.1μU/mL Citrated whole blood 1mL + 34μU oxytocin: final exogenous oxytocin concentration=32.9μU/mL After mixing by inversion 8-10 times, 360μL kaolin-activated blood of each study solution was pipetted into a plastic cup in a prewarmed Thromboelastograph® (37°C). Each sample was recalcified in a plastic cup with 10μL of CaCl2 6.45%, and TEG® analysis was commenced within 1 minute of reconstituted sample preparation.
k Time
Exogenous Oxytocin 22.5
1.6 minutes
Standard Deviation 0.4
k Time
Exogenous Oxytocin 30.1
1.5 minutes
Standard Deviation 0.7
k Time
Exogenous Oxytocin 32.9
1.4 minutes
Standard Deviation 0.4
k Time
Exogenous Oxytocin 0
1.7 minutes
Standard Deviation 0.4

PRIMARY outcome

Timeframe: 6 months

thromboelastographic - alpha angle = clot formation rate (normal range, 53 degress to 72 degrees)

Outcome measures

Outcome measures
Measure
All Participants
n=25 Participants
For each patient, 1 solution with citrated whole blood (control) and 3 solutions with citrated whole blood and exogenous oxytocin were prepared in separate vials using micropipettes as follows: Citrated whole blood 1mL + 23μU oxytocin: final exogenous oxytocin concentration=22.5 μU/mL Citrated whole blood 1mL + 31μU oxytocin: final exogenous oxytocin concentration=30.1μU/mL Citrated whole blood 1mL + 34μU oxytocin: final exogenous oxytocin concentration=32.9μU/mL After mixing by inversion 8-10 times, 360μL kaolin-activated blood of each study solution was pipetted into a plastic cup in a prewarmed Thromboelastograph® (37°C). Each sample was recalcified in a plastic cup with 10μL of CaCl2 6.45%, and TEG® analysis was commenced within 1 minute of reconstituted sample preparation.
Alpha Angle
Exogenous Oxytocin 22.5
67.4 degrees
Standard Deviation 4.2
Alpha Angle
Exogenous Oxytocin 30.1
67.7 degrees
Standard Deviation 3.7
Alpha Angle
Exogenous Oxytocin 32.9
69.4 degrees
Standard Deviation 4.2
Alpha Angle
Exogeneous oxytocin 0
66.2 degrees
Standard Deviation 4.4

PRIMARY outcome

Timeframe: 6 months

thromboelastographic indices - maximum amplitude (normal range, 50-70 mm)

Outcome measures

Outcome measures
Measure
All Participants
n=25 Participants
For each patient, 1 solution with citrated whole blood (control) and 3 solutions with citrated whole blood and exogenous oxytocin were prepared in separate vials using micropipettes as follows: Citrated whole blood 1mL + 23μU oxytocin: final exogenous oxytocin concentration=22.5 μU/mL Citrated whole blood 1mL + 31μU oxytocin: final exogenous oxytocin concentration=30.1μU/mL Citrated whole blood 1mL + 34μU oxytocin: final exogenous oxytocin concentration=32.9μU/mL After mixing by inversion 8-10 times, 360μL kaolin-activated blood of each study solution was pipetted into a plastic cup in a prewarmed Thromboelastograph® (37°C). Each sample was recalcified in a plastic cup with 10μL of CaCl2 6.45%, and TEG® analysis was commenced within 1 minute of reconstituted sample preparation.
MA
Exogenous Oxytocin 22.5
69.8 mm
Standard Deviation 4.3
MA
Exogenous Oxytocin 30.1
67.2 mm
Standard Deviation 3.7
MA
Exogenous Oxytocin 32.9
69.0 mm
Standard Deviation 4.2
MA
Exogeneous Oxytocin 0
67.2 mm
Standard Deviation 3.9

PRIMARY outcome

Timeframe: 6 months

thromboelastographic indices - maximum rate of thrombus generation (normal range, 5-17 mm/min)

Outcome measures

Outcome measures
Measure
All Participants
n=25 Participants
For each patient, 1 solution with citrated whole blood (control) and 3 solutions with citrated whole blood and exogenous oxytocin were prepared in separate vials using micropipettes as follows: Citrated whole blood 1mL + 23μU oxytocin: final exogenous oxytocin concentration=22.5 μU/mL Citrated whole blood 1mL + 31μU oxytocin: final exogenous oxytocin concentration=30.1μU/mL Citrated whole blood 1mL + 34μU oxytocin: final exogenous oxytocin concentration=32.9μU/mL After mixing by inversion 8-10 times, 360μL kaolin-activated blood of each study solution was pipetted into a plastic cup in a prewarmed Thromboelastograph® (37°C). Each sample was recalcified in a plastic cup with 10μL of CaCl2 6.45%, and TEG® analysis was commenced within 1 minute of reconstituted sample preparation.
MRTG
Exogenous Oxytocin 22.5
13.5 mm/min
Standard Deviation 2.7
MRTG
Exogenous Oxytocin 30.1
14.9 mm/min
Standard Deviation 3.7
MRTG
Exogenous Oxytocin 32.9
14.3 mm/min
Standard Deviation 2.8
MRTG
Exogeneous Oxytocin 0
12.8 mm/min
Standard Deviation 2.5

PRIMARY outcome

Timeframe: 6 months

thromboelastographic indices - time to initiation of clot formation plus time to achieve maximum rate of clot strength development (normal range, 6-12 min)

Outcome measures

Outcome measures
Measure
All Participants
n=25 Participants
For each patient, 1 solution with citrated whole blood (control) and 3 solutions with citrated whole blood and exogenous oxytocin were prepared in separate vials using micropipettes as follows: Citrated whole blood 1mL + 23μU oxytocin: final exogenous oxytocin concentration=22.5 μU/mL Citrated whole blood 1mL + 31μU oxytocin: final exogenous oxytocin concentration=30.1μU/mL Citrated whole blood 1mL + 34μU oxytocin: final exogenous oxytocin concentration=32.9μU/mL After mixing by inversion 8-10 times, 360μL kaolin-activated blood of each study solution was pipetted into a plastic cup in a prewarmed Thromboelastograph® (37°C). Each sample was recalcified in a plastic cup with 10μL of CaCl2 6.45%, and TEG® analysis was commenced within 1 minute of reconstituted sample preparation.
Tmax
Exogenous Oxytocin 22.5
6.9 minutes
Standard Deviation 1.6
Tmax
Exogenous Oxytocin 30.1
5.4 minutes
Standard Deviation 1.9
Tmax
Exogenous Oxytocin 32.9
5.0 minutes
Standard Deviation 1.5
Tmax
Exogeneous Oxytocin 0
7.5 minutes
Standard Deviation 1.7

PRIMARY outcome

Timeframe: 6 months

thromboelastographic indices - total thrombus generation (normal range, 584-796 mm)

Outcome measures

Outcome measures
Measure
All Participants
n=25 Participants
For each patient, 1 solution with citrated whole blood (control) and 3 solutions with citrated whole blood and exogenous oxytocin were prepared in separate vials using micropipettes as follows: Citrated whole blood 1mL + 23μU oxytocin: final exogenous oxytocin concentration=22.5 μU/mL Citrated whole blood 1mL + 31μU oxytocin: final exogenous oxytocin concentration=30.1μU/mL Citrated whole blood 1mL + 34μU oxytocin: final exogenous oxytocin concentration=32.9μU/mL After mixing by inversion 8-10 times, 360μL kaolin-activated blood of each study solution was pipetted into a plastic cup in a prewarmed Thromboelastograph® (37°C). Each sample was recalcified in a plastic cup with 10μL of CaCl2 6.45%, and TEG® analysis was commenced within 1 minute of reconstituted sample preparation.
TTG
Exogenous Oxytocin 22.5
845.9 mm
Standard Deviation 53.9
TTG
Exogenous Oxytocin 30.1
820 mm
Standard Deviation 45.9
TTG
Exogenous Oxytocin 32.9
839.7 mm
Standard Deviation 51.8
TTG
Exogeneous Oxytocin 0
819.4 mm
Standard Deviation 48.9

Adverse Events

22.5 μU/mL Exogenous Oxytocin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

30.1 μU/mL Exogenous Oxytocin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

32.9 μU/mL Exogenous Oxytocin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

0 μU/mL Exogenous Oxytocin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Alexander Butwick

Stanford University School of Medicine

Phone: (650) 736-8513

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place