Combined Use of Oxytocin and Misoprostol in the Prevention of Post Partum Haemorrhage

NCT ID: NCT01113229

Last Updated: 2015-04-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

1721 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-31

Study Completion Date

2014-12-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Hemorrhage; Complicating Delivery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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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

Group Type EXPERIMENTAL

Misoprostol

Intervention Type DRUG

two misoprostol tablets taken orally (400µg)

PLACEBO

10 UI of oxytocin IV during delivery of the anterior shoulder of the newborn and two placebo tablets taken orally following cord clamp.

Group Type PLACEBO_COMPARATOR

Misoprostol

Intervention Type DRUG

two misoprostol tablets taken orally (400µg)

Interventions

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Misoprostol

two misoprostol tablets taken orally (400µg)

Intervention Type DRUG

Other Intervention Names

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two misoprostol tablets taken orally (400µg

Eligibility Criteria

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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.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Patrick Rozenberg, MD

Role: PRINCIPAL_INVESTIGATOR

CHI POISSY ST GERMAIN

Locations

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Chi Poissy St Germain

Poissy, , France

Site Status

Countries

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France

References

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Voillequin S, Quibel T, Rozenberg P, Rousseau A. Duration of the second and third stages of labor and risk of postpartum hemorrhage: a cohort study stratified by parity. BMC Pregnancy Childbirth. 2025 Feb 11;25(1):143. doi: 10.1186/s12884-025-07229-4.

Reference Type DERIVED
PMID: 39934771 (View on PubMed)

Quibel T, Ghout I, Goffinet F, Salomon LJ, Fort J, Javoise S, Bussieres L, Aegerter P, Rozenberg P; Groupe de Recherche en Obstetrique et Gynecologie (GROG). Active Management of the Third Stage of Labor With a Combination of Oxytocin and Misoprostol to Prevent Postpartum Hemorrhage: A Randomized Controlled Trial. Obstet Gynecol. 2016 Oct;128(4):805-11. doi: 10.1097/AOG.0000000000001626.

Reference Type DERIVED
PMID: 27607864 (View on PubMed)

Other Identifiers

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2009-013177-18

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

P 081104

Identifier Type: -

Identifier Source: org_study_id

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