ClinicalTrials.gg
RecruitingNCT06580782CALCUpdated Oct 23, 2025

Calcium Carbonate to Augment Labor Contractions

A Phase 4 interventional study of Calcium Carbonate 500 MG and Standard Dose Synthetic Pitocin in Labor Dystocia, Labor Induction and Labor Augmentation, sponsored by Weill Medical College of Cornell University. Recruiting at 1 site in United States. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-10-23.

Sponsored by Weill Medical College of Cornell University · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Dec 2025, 11 months ago, but the record still lists the study as recruiting.
  • Started Nov 2024; still recruiting 1 year 11 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
Female
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Study summary

The investigators think that calcium carbonate can act as an assistive medication to improve contractions during labor.

Read the detailed description

This study plans to study the acceptance and safety of using calcium carbonate as an medicine to help the labor induction process. The study aims to find if the use of calcium carbonate will lead to better labor contractions and increase the percentage of vaginal deliveries and improve delivery outcomes.

02

Conditions studied

  • Labor Dystocia
  • Labor Induction
  • Labor Augmentation

Browse trials for

Keywords

  • Labor
  • Pregnancy
  • Labor Augmentation
  • Calcium Carbonate
  • labor induction
03

In context

Dystocia

55 studies on the registry are indexed under Dystocia; 12 are open to participants now.

This study's planned enrollment of 60 is below the median of 200 across 42 interventional studies indexed under Dystocia.

Browse Dystocia studies →

Lead sponsor

Weill Medical College of Cornell University is the lead sponsor of 892 studies on the registry; 165 are open to participants now.

Of its 123 completed or terminated interventional studies of FDA-regulated products, 94 (76%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

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

  • 18 years or older
  • Nulliparas (no prior pregnancy lasting 20 weeks or greater of gestation)
  • Gestational age above 36 weeks, at enrollment
  • Present for induction or augmentation of labor inclusive of medical indication, elective induction at greater than 39 weeks' gestation, trial of labor after cesarean
  • Singleton gestation (a multiple gestation reduced to a singleton, either spontaneously or therapeutically, before 14 0/7 weeks of gestation is acceptable)
  • Ability to give
  • Planned to undergo initiation of oxytocin infusion by their maternity care provider

Exclusion criteria

Exclusion Criteria:

  • Unable to understand or read English
  • Presence of tachysystole (defined as more than 5 contractions in 10 minutes averaged over 30 minutes), recurrent variable or late fetal decelerations, and bradycardia in the prior 30 minutes before enrollment
  • Non-vertex presenting fetus at enrollment
  • Planned for cesarean delivery or to labor by institutional policy (e.g., placenta previa, vasa previa, active genital herpes infection, previous transmural myomectomy)
  • Multi-fetal gestation (twins, triplets, and higher order multiples)
  • Known contraindication to taking calcium carbonate including renal calculus, high urine calcium levels, elevated serum calcium, low serum phosphate, achlorhydria, or suspected digoxin toxicity.
  • Deliveries with fetal chronic and/or pregnancy-related conditions, IUFD (Intra Uterine Fetal Death) or premature \< 36 weeks of gestation.
  • Major fetal anomaly suspected prenatally (defined as a fetal anomaly with anticipated neonatal intensive care unit admission)
  • Suspected alloimmunization (given the increased likelihood for anticipated neonatal intensive care unit admission)
  • Known severe fetal growth restriction (estimated fetal weight \<3rd percentile) or abnormal umbilical artery Doppler studies (given the increased likelihood for anticipated neonatal intensive care unit admission)
  • Participation in another interventional study that influences management of labor and delivery or perinatal morbidity or mortality
  • Known allergic reactions to synthetic oxytocin intravenous solution or to Calcium Carbonate
  • Significantly impaired consciousness or executive function (e.g., intubated or sedated)
  • Patients treated with calcium channel blockers such as nifedipine or magnesium.
  • Chronic renal failure and hyperphosphatemia.
  • Inability to tolerate oral intake (i.e., nausea/vomiting)
Terms in these criteria, in plain language(2)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Active comparator
    Pitocin

    Control group will receive only the standard-dose synthetic oxytocin (Pitocin) alone for labor induction or augmentation.

    Drug: Standard Dose Synthetic Pitocin

  • Experimental
    Calcium Carbonate with Pitocin

    Participants will start an oral calcium carbonate regimen at the same time as initiating synthetic oxytocin (Pitocin) infusion.

    Drug: Calcium Carbonate 500 MG · Drug: Standard Dose Synthetic Pitocin

Interventions

  • Calcium Carbonate 500mg, orally, every 4 hours.

  • DrugStandard Dose Synthetic Pitocin

    The participant will receive thestandard-dose synthetic oxytocin for labor induction or augmentation.

06

What researchers measure

Primary outcomes

  1. Number of Participants Consented

    RedCAP is used to track the consent rates to determine the feasibility of a larger randomized controlled trial.

    Time frame: Day 0

  2. Number of Participants Enrolled

    RedCAP is used to track the enrollment rates to determine the feasibility of a larger randomized controlled trial.

    Time frame: Day 0

  3. Number of Participants that complete the Intervention as prescribed (Adherence)

    RedCAP is used to track the adherence rates to determine the feasibility of a larger randomized controlled trial.

    Time frame: During hospitalization, approximately 5 days

Secondary outcomes

  1. Duration of Labor (minutes)

    Time frame: Approximately 5 days, length of hospitalization

  2. Mode of Delivery

    Vaginal Delivery, Operative Delivery, or Cesarean Section

    Time frame: Approximately 5 days, length of hospitalization

  3. Number of Postpartum Hemorrhages

    Postpartum Hemorrhage as defined as estimated blood loss of over 1000mL.

    Time frame: Approximately 5 days, length of hospitalization

  4. Number of Treatment Related Adverse Events

    Time frame: Approximately 6 weeks after delivery

  5. Neonatal health (APGAR Score)

    APGAR (Activity, Pulse, Grimace, Appearance, Respiration). A normal APGAR score ranges from 8-10. An abnormal score ranges from 0-7. Each scoring indicator can range from 0 to 2 points. Activity (Muscle Tone): 0 Points: Absent 1. Point: Flexed Limbs 2. Points: Active Pulse: 0 Points: Absent 1. Point: \<100 beats per minute 2. Points: \>100 beats per minute Grimace (Reflex Irritability): 0 Points: Floppy 1. Point: Minimal response to stimulation 2. Points: Prompt response to stumulation Appearance (Skin Color): 0 Points: Blue/Pale 1. Point: Pink Body, Blue Extremitites 2. Points: Pink Respiration: 0 Points: Absent 1. Point: Slow and Irregular 2. Points: Vigorous Cry

    Time frame: Approximately 5 days, length of hospitalization

  6. Neonatal health (Cord Blood Gases)

    Normal Ranges Arterial pH: 7.20 - 7.30 Venous pH: 7.25 - 7.35 Base Excess: -8 to -2 mmol/L Abnormal Ranges pH \< 7.0 (Arterial and Venous) Base Excess \< -16 mmol/L (Arterial and Venous) Abnormal Ranges indicate potential neonatal hypoxia or acidemia.

    Time frame: Approximately 5 days, length of hospitalization

  7. Maternal Health (Number of Subject who experience PostPartum Fever)

    Time frame: Approximately 5 days, length of hospitalization

  8. Practicality of Administering Calcium Carbonate, as measured by number of subjects who were administered the total prescribed intervention

    Time frame: Approximately 5 days, length of hospitalization

  9. Race

    White, Black or African American, Asian, More than One Race/Other, Unknown/Not Reported

    Time frame: Day 0

  10. Ethnicity

    Hispanic, Non-Hispanic, Unknown/Not Reported

    Time frame: Day 0

07

Study locations

1 of 1 sites recruiting
08

References and documents

Related links

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2024 (actual). Primary completion is estimated for Dec 2025, 13 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 28, 2024
First posted
Aug 30, 2024
StartActual
Nov 18, 2024
Primary completionEst.
Dec 2025
CompletionEst.
Dec 2025
Last update
Oct 23, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 23, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06580782
Responsible party
Sponsor
First posted
Aug 30, 2024
Start date
Nov 18, 2024
Primary completion
Dec 2025 (estimated)
Completion
Dec 2025 (estimated)
Last update
Oct 23, 2025

Study contacts

Ester Sanchez, BSN
Contact
ess4006@med.cornell.edu
212-746-2106
Moeun Son, MD
principal investigator · Weill Medical College of Cornell University

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Calcium Carbonate

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