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Trial registered on ANZCTR
Registration number
ACTRN12610000900011
Ethics application status
Approved
Date submitted
1/10/2010
Date registered
25/10/2010
Date last updated
25/10/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
High and low dose oxytocin for augmentation of labor
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Scientific title
The effects of high versus low dose oxytocin on cesarean section rate, fetal and maternal outcomes for augmentation of labor in pregnant women gestational age > 37 weeks
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Secondary ID [1]
252810
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Effect of oxytocin for augmentation of labor
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Cesarean section rate
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Condition category
Condition code
Reproductive Health and Childbirth
258504
258504
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0
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Normal pregnancy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Arm 1: High dose oxytocin infusion (4 mU/minute and increase the rate by 4 mU/ml every 30 minutes with maximum dose not exceed 16 mU/ml (oxytocin 10 units in isotonic solution 1,000 ml)
Arm 2: Low dose oxytocin infusion 2 mU/minute and increase the rate by 2 mU/ml every 30 minutes with maximum dose not exceed 16 mU/ml (oxytocin 10 units in isotonic solution 1,000 ml)
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Intervention code [1]
257352
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Treatment: Drugs
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Comparator / control treatment
Arm 2:Low dose oxytocin infusion (2 mU/minute and increase the rate by 2 mU/ml every 30 minutes with maximum dose not exceed 16 mU/ml (oxytocin 10 units in isotonic solution 1,000 ml)
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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Primary outcome: Cesarean section rate, will be assessed by medical records
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Assessment method [1]
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Timepoint [1]
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Time point: at one year after randomization
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Secondary outcome [1]
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Secondary outcome: Fetal and maternal outcome, will be assessed by medical records
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Assessment method [1]
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Timepoint [1]
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Time point: at one year after randomization
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Eligibility
Key inclusion criteria
Mother criteria
1. Singleton, gestational age 37 weeks or more
2. Vertex presentation
3. Bishop score = 9 or more
4. Inadequate uterine contraction
Child criteria
1. Viable fetus
2. Singleton
3. Vertex presentation
4. well being fetus
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Minimum age
No limit
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Contraindication for augmentation of labor e.g. malposition, placenta previa, prior uterine scar, overdistended uterus, grand multiparity
2. Cephalopelvic disproportion (CPD)
3. Dead fetus in utero (DFIU)
4. Contraindication in using oxytocin e.g. allergy to oxytocin, low blood pressure, fetal distress
5. Medical complications: hypertension, HIV infection, coagulopathy, diabetes mellitus, heart diseases
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation concealment using sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomization using a randomization table created by computer software
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
300
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2947
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Thailand
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State/province [1]
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Khon Kaen
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Khon Kaen Hospital
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Address [1]
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Srichan Road
Muang District
Khon Kaen Preovince
40000
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Country [1]
257769
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Thailand
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Primary sponsor type
Individual
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Name
Suppasiri Hayakungchat
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Address
Khon Kaen Hospital
Srichan Road
Muang District
Khon Kaen Province
40000
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Country
Thailand
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Secondary sponsor category [1]
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Individual
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Name [1]
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Ussanee Sangkhomkamhang Swadpanich
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Address [1]
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Khon Kaen Hospital
Srichan Road
Muang District
Khon Kaen Province
40000
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Country [1]
256981
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Thailand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Ethics Committee for Research in Human Subjects, Khon Kaen Hospital
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Ethics committee address [1]
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Srichan Road Muang District Khon Kaen Province 40000
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Ethics committee country [1]
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Thailand
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Date submitted for ethics approval [1]
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02/08/2010
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Approval date [1]
259811
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22/09/2010
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Ethics approval number [1]
259811
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75/01/2553
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Summary
Brief summary
Dystocia is the most common cause of cesarean section in primigravida, This would be improved by adequate augmentation of labor. The augmentation methods included amniotomy, prostaglandins or oxytocin adminiatration. Intravenous oxytocin infusion was a commonly method used for augmentation of labor, but standard regimen is still inconclusive. The prior study reported that high dose oxytocin was significantly decrease cesarean section rate without serious maternal and fetal complications when compared to low dose oxytocin. However, some studies showed that high dose was not superior to low dose in augmentation of labor but only shorten delivery time. After we intensively searched and reviewed the literature, we found that no prior study has been conducted in Thailand. We therefore would like to study the effectiveness and safety of high dose oxytocin in augmentation of labor when compared to low dose oxytocin. The primary endpoint is cesarean section rate and the secondary endpoints are duration of delivery and maternal and fetal complications.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
31730
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Country
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Phone
31730
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Fax
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Email
31730
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Contact person for public queries
Name
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Suppasiri Hayakungchat
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Address
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Khon Kaen Hospital
Srichan Road
Muang District
Khon Kaen Province
40000
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Country
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Thailand
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Phone
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+66813781283
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Fax
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+6643336789 Ext.3736
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Email
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[email protected]
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Contact person for scientific queries
Name
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Ussanee Sangkhomkamhang Swadpanich
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Address
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Khon Kaen Hospital
Srichan Road
Muang District
Khon Kaen Province
40000
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Country
5905
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Thailand
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Phone
5905
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+66812619299
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Fax
5905
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+6643336789 Ext.3736
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Email
5905
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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