DEXMEDETOMIDINE in NORMAL VAGINAL DELIVERY

NCT ID: NCT05840328

Last Updated: 2023-05-03

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

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-05

Study Completion Date

2023-07-05

Brief Summary

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compare the effect of intravenous and epidural dexmetomidine as an adjuvant to local anesthetics in epidural labor analgesia in normal labor

Detailed Description

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Conditions

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Painless Vainal Labour

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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plan group

bupivacaine will be administered epidurally as a loading dose then epidural continuous infusion with 0.125 % bupivacaine at rate 10 ml will be a maintainance for analgesia .IV placebo (normal saline) infusion will be connected to each patient at a rate of 10 ml \\hr.

Group Type PLACEBO_COMPARATOR

Bupivacaine Injection

Intervention Type DRUG

intervention drug will be administred epidurally

epidural group

10 ml of 0.125 % buoivacaine with 0.5 µg\\ml dexmetomidine as a loading dose then continuous epidural infusion of 0.125% bupivacaine with 0.5µ/ml dexmetomidine at a rate of 10 ml\\hr will be used as maintainance . IV placebo (normal saline) infusion will be connected to each patient at a rate of 10 ml\\hr

Group Type ACTIVE_COMPARATOR

Dexmedetomidine Injection [Precedex]

Intervention Type DRUG

interventional drug will be administred either intravenously or epidurally

Bupivacaine Injection

Intervention Type DRUG

intervention drug will be administred epidurally

intravenous group

continuous intravenous dexmetomidine infusion at rate of 0.5 µg / kg / hour in addition to same epidural infusion of 0.125% bupivacaine

Group Type ACTIVE_COMPARATOR

Dexmedetomidine Injection [Precedex]

Intervention Type DRUG

interventional drug will be administred either intravenously or epidurally

Bupivacaine Injection

Intervention Type DRUG

intervention drug will be administred epidurally

Interventions

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Dexmedetomidine Injection [Precedex]

interventional drug will be administred either intravenously or epidurally

Intervention Type DRUG

Bupivacaine Injection

intervention drug will be administred epidurally

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Full term (≥ 37 weeks) healthy primigravida parturients ASA2
* with single fetus scheduled for vaginal delivery
* with cephalic presentation
* requesting labor analgesia.

Exclusion Criteria

* Allergy to dexmetomidine.(based on previous history)
* Cardiac conduction abnormalities.(all degrees of heart block , tachyarrythmias)
* Twins.
* Malpresentation.
* Preeclampsia or gestational hypertension
* Uncontrolled diabetes HBA1c ≥ 6.5%
* Uncontrolled renal failure
* Uncontrolled liver disease
* Bleeding tendency or coagulopathy.
* Contraindication or patient refusal to epidural block.
* Body mass index ≥ 35.
Minimum Eligible Age

19 Years

Maximum Eligible Age

30 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Menoufia University

OTHER

Sponsor Role lead

Responsible Party

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mostafa saieed fahim mansour

lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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mostafa M mansour, MD

Role: PRINCIPAL_INVESTIGATOR

Menoufia University

Locations

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Menoufia University Hospitals

Shibīn al Kawm, Menoufia, Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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mostafa S mansour, MD

Role: CONTACT

01225484055

Facility Contacts

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Ghada Ali

Role: primary

01001775783

Other Identifiers

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11/2022ANET49

Identifier Type: -

Identifier Source: org_study_id

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