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Status unknownNCT02969239Updated Mar 10, 2017

Norepinephrine and Phenylephrine for Maternal Cardiac Output During Spinal Anesthesia for Elective Cesarean Delivery

A Phase 4 interventional study of Norepinephrine and Phenylephrine in Hypotension, sponsored by Jeju National University Hospital. Status unknown at 1 site in Korea, Republic of. Open to female participants aged 19 Years to 45 Years. Per ClinicalTrials.gov, last updated 2017-03-10.

Sponsored by Jeju National University Hospital · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2017), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
19 Years to 45 Years
Sex
Female
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Study summary

The purpose of this study is to compare norepinephrine and phenylephrine on the effects of maintaining the cardiac output in Cesarean section under spinal anesthesia.

Read the detailed description

CO was measured using the NICOM® monitor. Bioreactance, a development from impedance technology, is also emerging as an accessible mode of continuous CO monitoring in the operating room and can provide valuable insight into the hemodynamic effects of our interventions. This method of monitoring provides continuous CO, stroke volume (SV) and heart rate (HR) monitoring, and intermittent BP and SVR assessments at 1-minute intervals.

Either phenylephrine (100 mcg/ml) or norepinephrine (0.5 mcg/ml) in 50-ml syringe that were labeled "study drug". She was not involved in patient's care or study assessment.

The hypotension was defined as systolic blood pressure \<80% of baseline or \< 90 mmHg, and managed with study drug (1 ml) intravenously. The bradycardia was defined as HR \< 60 beats/min and was recorded and managed with atropine (0.5 mg) intravenously as HR \< 45 beats/min. The presence of nausea and vomiting was measured on a 3 point scale (1 = no nausea and vomiting, 2 = nausea only, and 3 = both nausea and vomiting) and managed with ondansetron (4mg) intravenously.

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Conditions studied

  • Hypotension

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03

In context

Hypotension

1,003 studies on the registry are indexed under Hypotension; 173 are open to participants now.

This study's planned enrollment of 50 is below the median of 80 across 675 interventional studies indexed under Hypotension.

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Lead sponsor

Jeju National University Hospital is the lead sponsor of 4 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
19 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • ASA class I and II, term pregnancy (gestational age>37weeks), planned spinal anesthesia for elective cesarean section

Exclusion criteria

Exclusion Criteria:

  • preexisting or gestational hypertension, cerebrovascular or cardiovascular disease, any contraindication to the spinal anesthesia, fetal anormaly, weight\<50kg or >100kg, and height\<140cm or >180cm.
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
50 participants (estimated)

Study arms

  • Experimental
    norepinephrine

    norepinephrine 5mcg intravenously administered

    Drug: Norepinephrine

  • Active comparator
    phenylephrine

    phenylephrine 100mcg intravenously administered

    Drug: Phenylephrine

Interventions

  • DrugNorepinephrine

    bolus administered norepinephrine 5mcg intravenously, if SBP \<90mmHg or 20% decrease from baseline

    Also known as: vasopressor given

  • DrugPhenylephrine

    bolus administered phenylephrine 100mcg intravenously, if SBP \<90mmHg or 20% decrease from baseline

    Also known as: vasopressor given

06

What researchers measure

Primary outcomes

  1. change of cardiac index (L/min/m2)

    Change from Baseline at time 2, 3, 4, and 5

    Time frame: 1. initial (baseline); 2. 20 min after spinal anesthesia; 3. 1min after the surgery; 4. 1min after baby out; 5. 1min after the end of surgery

Secondary outcomes

  1. change of Stroke volume (ml/beat)

    Change from Baseline at time 2, 3, 4, and 5

    Time frame: 1. initial (baseline); 2. 20 min after spinal anesthesia; 3. 1min after the surgery; 4. 1min after baby out; 5. 1min after the end of surgery

  2. change of Total Peripheral Resistance (dynes sec/cm3)

    Change from Baseline at time 2, 3, 4, and 5

    Time frame: 1. initial (baseline); 2. 20 min after spinal anesthesia; 3. 1min after the surgery; 4. 1min after baby out; 5. 1min after the end of surgery

  3. change of Systolic blood pressure (mmHg)

    Change from Baseline at time 2, 3, 4, and 5

    Time frame: 1. initial (baseline); 2. 20 min after spinal anesthesia; 3. begin the surgery; 4. baby out; 5. the end of surgery

  4. change of heart rate (beats per minute)

    Change from Baseline at time 2, 3, 4, and 5

    Time frame: 1. initial (baseline); 2. 20 min after spinal anesthesia; 3. 1min after the surgery; 4. 1min after baby out; 5. 1min after the end of surgery

Other outcomes

  1. Apgar score

    Time frame: 1 min after baby out, 5 min after baby out

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Study locations

1 of 1 sites recruiting
  • Jeju National University Hospital
    Jeju, 690-767, Korea, Republic of
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 10, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02969239
Lead sponsor
Jeju National University Hospital
Responsible party
Ae ryoung Lee (Assistant Professor, Jeju National University Hospital) — Principal investigator
First posted
Nov 21, 2016
Start date
Jan 2016
Primary completion
Jul 2017 (estimated)
Completion
Jul 2017 (estimated)
Last update
Mar 10, 2017

Study contacts

AE RYOUNG LEE
Contact
nanrong95@naver.com
+82647171810
Hyun Jung Kim
Contact
aeryoung.lee@gmail.com
+82647172031
AE RYOUNG LEE
study director · Jeju National University Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2017. You cannot join it, but the record below documents what was studied.

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