BUSCLAB - Buscopan to Prevent Slow Progress in Labor

NCT ID: NCT03961165

Last Updated: 2022-12-20

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-05-25

Study Completion Date

2022-06-16

Brief Summary

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To study the effect of Butylscopolamine Bromide on duration of the active phase of first stage of labor in first time mothers who cross the alert-line for labor dystocia, according to the WHO partograph.

Detailed Description

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Conditions

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Labor (Obstetrics)--Complications Labor; Prolonged, First Stage

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Treatment arm

1mL 20 mg/mL butylscopolamine bromide i.v.

Group Type EXPERIMENTAL

Butylscopolamine Bromide 20 MG/ML

Intervention Type DRUG

1 mL Butylscopolamine Bromide 20 mg/mL i.v. Single dose.

Placebo

1mL 9mg/mL NaCl

Group Type PLACEBO_COMPARATOR

Sodium Chloride 9mg/mL

Intervention Type DRUG

1 mL Sodium Chloride 9 mg/mL i.v. Single dose.

Interventions

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Butylscopolamine Bromide 20 MG/ML

1 mL Butylscopolamine Bromide 20 mg/mL i.v. Single dose.

Intervention Type DRUG

Sodium Chloride 9mg/mL

1 mL Sodium Chloride 9 mg/mL i.v. Single dose.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ≥18 years
* Primiparous women
* Spontaneous onset of labor
* Active phase of labor
* ≥37 weeks of gestation
* Vertex position
* Crossing the alert line, i.e. cervical dilatation of less than one cm per hour in the active phase of first stage of labour (cervix dilation ≥3 - \<10 cm)
* Signed informed consent and expected cooperation of the patients for the treatment and follow up must be obtained and documented according to ICH GCP and national and local regulations

Exclusion Criteria

* Multiple gestation
* Elective cesarean section
* Women in labor already receiving oxytocin when crossing the alert line
* Fully dilated cervix when crossing the alert line
* Preeclampsia defined as blood pressure ≥140/90 and proteinuria (1 or more on a urine dipstick on more than one occasion) with debut after 20 weeks of pregnancy
* Known intestinal stenosis, ileus or megacolon
* Persisting maternal tachycardia (heart rate \>130 beats per minute)
* Known maternal myasthenia gravis
* Persisting fetal tachycardia (fetal heart rate baseline \>170 beats per minute)
* Hypersensitivity to any of the ingredients in IMP or placebo (butylscopolamine bromide or sodium chloride)
* Women with heart disease who are under surveillance with heart rate monitoring during labor
* Known fetal heart disease
* Untreated glaucoma
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Oslo University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Trond Melbye Michelsen

Attending Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Trond M Michelsen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Oslo University Hospital

Locations

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Oslo University Hospital Rikshospitalet

Oslo, , Norway

Site Status

Countries

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Norway

References

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Gaudernack LC, Einarsen AES, Sorbye IK, Lukasse M, Gunnes N, Michelsen TM. The effect of intravenous hyoscine butylbromide on slow progress in labor (BUSCLAB): A double-blind randomized placebo-controlled trial. PLoS Med. 2024 Mar 28;21(3):e1004352. doi: 10.1371/journal.pmed.1004352. eCollection 2024 Mar.

Reference Type DERIVED
PMID: 38547322 (View on PubMed)

Other Identifiers

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2018/2380

Identifier Type: -

Identifier Source: org_study_id