ClinicalTrials.gg
CompletedNCT01373359Updated Jun 14, 2011

Prevention of Postpartum Haemorrhage With Sublingual Misoprostol or Oxytocin

A Phase 3 interventional study of Misoprostol and Oxytocin in Postpartum Hemorrhage, sponsored by Jawaharlal Nehru Medical College. Completed at 1 site in India. Open to female participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2011-06-14.

Sponsored by Jawaharlal Nehru Medical College · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
652
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 59 studies testing misoprostol in Postpartum Hemorrhage — 2 open to participants now, 2 under way, 1 of them phase 3. Misoprostol · Postpartum Hemorrhage.

Enrollment
13th of 59
652 · median 240
Started
2007
the only one that year
Phase 3
10 of 59
1 open now
Registered
11th of 59
by date

Among the 59 studies testing misoprostol in Postpartum Hemorrhage, this one is the 13th largest by enrollment, is the only one that started in 2007, is one of 10 in phase 3, and was the 11th registered.

By phase

59 studies; the count open now beside each. This study's row is marked.

No phase23 · 0 open
Phase 413 · 1 open
Phase 3this study10 · 1 open
Phase 27 · 0 open
Phase 2/33 · 0 open
Phase 12 · 0 open
Phase 1/21 · 0 open

By the year they started

First in 1999; this study’s year is marked. 1 started in 2007.

Tested beside misoprostol

Size and results

Median enrollment 240 across the 59 interventional studies. Of the 43 that completed or were terminated, 4 (9%) have results posted.

Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 59 studies testing misoprostol in Postpartum Hemorrhage, or all of them as a file.
02

Study summary

Sublingual misoprostol produces rapid peak concentration and is more effective than oral misoprostol for prevention of excessive postpartum bleeding. The study hypothesis was to test whether women receiving sublingual misoprostol for prevention of postpartum hemorrhage have 30 ml less average blood loss than women receiving oxytocin, the standard of care for prevention of postpartum hemorrhage. We conducted a Double blind randomized controlled trial of .652 consenting, eligible pregnant women admitted to the labor room of the teaching hospital at J N Medical College, Belgaum, India. Women participating in the study were assigned by computer generated randomization to receive the study medications and placebos within one minute after clamping and cutting the umbilical cord. We also looked at the drugs effects on postpartum blood loss at or above ≥500 ml (considered hemorrhage), and the percent of women experiencing more than a 10% decline in haemoglobin, and reported drug side effects.

03

Conditions studied

  • Postpartum Hemorrhage

Browse trials for

Keywords

  • Misoprostol, oxytocin, postpartum blood loss, hemoglobin
04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women with a gestational age >28weeks
  • singleton pregnancy with cephalic presentation anticipating a normal spontaneous vaginal delivery (including episiotomy)
  • a ≥ 8g/dl upon presentation who were admitted to labour room in the KLE teaching hospital attached to J N Medical College, Belgaum

Exclusion criteria

Exclusion Criteria:

  • Women with pregnancy induced hypertension
  • antepartum haemorrhage
  • previous caesarean section or presence of uterine scar
  • diagnosed chorioamnionitis
  • oxytocin induction or augmentation of labour
  • intrauterine death
  • diagnosed medical disorders (such as diabetes, cardiac, renal and hepatic diseases, etc.) or those in active labour (defined as >4 cm dilatation)
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
652 participants (actual)

Study arms

  • Experimental
    Sublingual misoprostol

    400 µg powdered misoprostol administered sublingually; IM placebo

    Drug: Misoprostol

  • Active comparator
    Oxytocin

    10 IU IM oxytocin; placebo powder

    Drug: Oxytocin

Interventions

06

What researchers measure

Primary outcomes

  1. mean blood loss

    Blood loss was objectively measured using the BRASSS-V DrapeTM, placed under the buttock before the delivery. The calibrated blood collection receptacle was opened after the delivery and drainage of amniotic fluid. Blood collected in the drape was transferred to measuring jar with 10 ml calibrations for accuracy. Blood soaked swabs were weighed in grams, and the known dry weight of the swabs was subtracted; this volume was added to the drape's measured blood volume (assuming 1 gm equivalence with 1 ml).

    Time frame: 2 hours after delivery

  2. postpartum hemorrhage (Blood loss >500 mls)

    Blood loss was objectively measured using the BRASSS-V DrapeTM, placed under the buttock before the delivery. The calibrated blood collection receptacle was opened after the delivery and drainage of amniotic fluid. Blood collected in the drape was transferred to measuring jar with 10 ml calibrations for accuracy. Blood soaked swabs were weighed in grams, and the known dry weight of the swabs was subtracted; this volume was added to the drape's measured blood volume (assuming 1 gm equivalence with 1 ml).

    Time frame: 2 hours after delivery

Secondary outcomes

  1. The percent of women experiencing a ≥10% postpartum decline in haemoglobin

    Hemoglobin was obtained at presentation for delivery and again between 12 and 48 hours after delivery.

    Time frame: At presentation for delivery and 12-48 hours after delivery

  2. Medication side effects

    Self reported side effects including nausea, vomiting, diarrhoea, abdominal pain, shivering and elevated temperature

    Time frame: 2 hours after delivery

07

Study locations

1 site
  • Jawaharlal Nehru Medical College
    Belgaum, Karnataka 590010, India
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 14, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01373359
Lead sponsor
Jawaharlal Nehru Medical College
Collaborators
Cipla Ltd., AstraZeneca
First posted
Jun 14, 2011
Start date
Mar 2007
Primary completion
Jan 2008
Completion
Jan 2008
Last update
Jun 14, 2011

Study contacts

M B Bellad, M.D.
principal investigator · Jawaharlal Nehru Medical College

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2008. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Misoprostol

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