Oral Nifedipine Versus IV Labetalol in Severe Pre Eclampsia

NCT ID: NCT03325348

Last Updated: 2017-10-30

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

UNKNOWN

Clinical Phase

PHASE2/PHASE3

Total Enrollment

194 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-23

Study Completion Date

2018-01-15

Brief Summary

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OBJECTIVE: To determine the efficacy of nifedipine and labetalol in terms of control of BP in pre eclamptic pregnant patients

Design: Randomised control trial

SETTING: Department Obstetrics \& gynaecology, Services Hospital, Services Institute of Medical Sciences. Lahore

POPULATION: Pregnant patients with BP 160/110 or symptoms of severe preeclampsia

METHODS: Patients are randomised to receive nifedipine (10 mg tablet, orally, up to five doses) and intravenous placebo saline injection or intravenous labetalol injection (in an escalating dose regimen of 20, 40, 80, 80 and 80 mg) and a placebo tablet every 15 minutes until the target blood pressure of ≤140/90mmHg is achieved. Crossover treatment is given if the initial treatment regimen is unsuccessful

Detailed Description

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Gestational hypertension is associated with increased risk of maternal morbidity and mortality. Parenteral therapy needs more resources, more monitoring and supervision. Oral therapy is cheap, easily available, easy to administer especially in resource constrained settings

OBJECTIVE: To determine the efficacy of nifedipine and labetalol in terms of control of BP in pre eclamptic pregnant patients

Design: Randomised control trial SETTING: Department Obstetrics \& gynaecology, Services Hospital, Services Institute of Medical Sciences.Lahore POPULATION: Pregnant patients with BP 160/110 mm Hg or symptoms of severe preeclampsia

METHODS: Patients are randomised to receive nifedipine (10 mg tablet, orally, up to five doses) and intravenous placebo saline injection or intravenous labetalol injection (in an escalating dose regimen of 20, 40, 80, 80 and 80 mg) and a placebo tablet every 15 minutes until the target blood pressure of ≤140/90mmHg is achieved. Crossover treatment is given if the initial treatment regimen is unsuccessful

Conditions

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Severe Pre-Eclampsia, Antepartum

Keywords

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Severe Pre eclampsia Nifidepine Labetalol

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Oral Nifedipine

Nifedipine 10mg oral tablet \& 1ml 0.9%N/Saline will be given every 15 minutes up till one hour

Group Type EXPERIMENTAL

Nifedipine 10 mg

Intervention Type DRUG

Nifedipine 10mg oral tablet with 1 ml 0.9% n/saline will be given to patients every 15 min uptil one hour

IV Labetalol

IV labetalol 20 mg and mint tablet will be given every 15 minutes up till one hour

Group Type ACTIVE_COMPARATOR

Labetalol

Intervention Type DRUG

IV labetalol 20 mg \& mint tablet will be given to patients every 15 min until one hour

Interventions

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Nifedipine 10 mg

Nifedipine 10mg oral tablet with 1 ml 0.9% n/saline will be given to patients every 15 min uptil one hour

Intervention Type DRUG

Labetalol

IV labetalol 20 mg \& mint tablet will be given to patients every 15 min until one hour

Intervention Type DRUG

Other Intervention Names

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Cap nefidil 10 mg Labetalol Hydrochloride injection

Eligibility Criteria

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Inclusion Criteria

* Gestational age 24 to 41 weeks
* BP \> 160/110 mm Hg with proteinuria
* Patients with S/S of imminent eclampsia as headache, visual disturbance.

Exclusion Criteria

* Gestational age \< 24 wks
* Non proteinuric chronic hypertension
* Eclampsia
* Cardiac patients, asthma, severe renal disease, allergy to Nifedipine or Labetalol
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Services Institute of Medical Sciences, Pakistan

OTHER_GOV

Sponsor Role lead

Responsible Party

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Tayyiba Wasim

professor obs Gynecology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Services Institute of Medical Sciences

Lahore, Punjab Province, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Tayyiba Wasim, FCPS

Role: CONTACT

Phone: +923008400197

Email: [email protected]

Natasha Usman

Role: CONTACT

Phone: +923008480027

Email: [email protected]

Facility Contacts

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TAYYIBA WASIM, FCPS

Role: primary

Natasha Usman, FCPS

Role: backup

Other Identifiers

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IRB/2017/306/SIMS

Identifier Type: -

Identifier Source: org_study_id