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Not yet recruitingNCT06968481Updated Apr 23, 2026

Sublingual Oxytocin for the Prevention of Post-partum Hemorrhage

A Phase 2 interventional study of Oxytocin sublingual and Oxytocin IM in Post Partum Hemorrhage, sponsored by Insud Pharma. Not yet recruiting at 1 site in Nigeria. Open to female participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-04-23.

Sponsored by Insud Pharma · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
330
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
Female
01

Study summary

An open-label, randomized, single-center, dose ascending trial will be conducted to evaluate the efficacy and safety of sublingual oxytocin for the prevention of post-partum hemorrhage caused by uterine atony in term pregnant women having an uncomplicated vaginal delivery.

Read the detailed description

The primary objective is to estimate the optimal effective dose (ED90) of sublingual oxytocin administered during the active management of the third stage of labor to result in satisfactory uterine tone and a cumulative blood loss \< 500 ml at 20 minutes after vaginal delivery in 90% of parturients with an acceptable safety profile.

02

Conditions studied

  • Post Partum Hemorrhage

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Keywords

  • sublingual oxytocin
  • oxytocin
  • post-partum hemorrhage
  • severe post-partum hemorrhage
  • SPPH
  • Prevention of post-partum hemorrhage
  • Efficacy and safety
03

In context

Postpartum Hemorrhage

469 studies on the registry are indexed under Postpartum Hemorrhage; 76 are open to participants now.

This study's planned enrollment of 330 is above the median of 148 across 360 interventional studies indexed under Postpartum Hemorrhage.

Browse Postpartum Hemorrhage studies →

Lead sponsor

Insud Pharma is the lead sponsor of 10 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 40 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

  1. Women willing and able to provide .
  2. Women who are able to understand, confirm and give informed consent during an antenatal visit or first stage of labor (cervical dilation \<6 cm).
  3. Healthy, primiparous or multiparous (2-4 deliveries), term-pregnant female with a gestational age of 37 to 42 weeks (inclusive). Gestational age should be confirmed with an obstetrical ultrasound if available.
  4. Aged between 18 and 40 years (both inclusive).
  5. Confirmed singleton pregnancy.
  6. Based on the Investigator assessment, maternal and fetal conditions are met to expect a vaginal delivery.
  7. For participants in the PK subgroup: women with baseline level ≥11 g/dL.

Exclusion criteria

Exclusion Criteria:

  1. Women who are unable to provide written .
  2. Women undergoing an elective or emergency cesarean section.
  3. Conditions predisposing to uterine atony and PPH (e.g., previous PPH, placenta praevia, multiple gestation, severe pre-eclampsia, polyhydramnios, uterine fibroids, need for induction of labor, bleeding diathesis, sepsis, [BMI] ˃ 30 kg/m2 , macrosomia with estimated fetal weight >4500 g, if antenatal ultrasound was performed).
  4. Women with moderate or severe anemia (defined as \<10 g/dL).
  5. Women who have undergone female genital mutilation.
  6. Known allergies to carbetocin, other oxytocin homologues or in the medicinal products used in the trial.
  7. Oral conditions before administration of sublingual oxytocin such as moderate erythema and edema, severe irritation/inflammation, moderate or severe abrasion.
  8. Conditions predisposing to myocardial ischemia due to pre-existing cardiovascular diseases (such as hypertrophic cardiomyopathy, valvular heart disease and/or ischemic heart disease, including vasospasm of the coronary arteries) or known long syndrome or related symptoms.
  9. Any abnormality following review of medical history, laboratory result and physical examination at screening as judged by the Investigator (e.g., severe anemia, antepartum hemorrhage, mental disorder, history of cervical cancer or history of severe infection of the uterus, religious beliefs prohibiting blood transfusions).
  10. Previous surgery of the cervix or uterus or any other preexisting condition that could interfere with the measurement of uterine contractility.
  11. Current use or use within 30 days before the start of the IMP or reference product of one or more of predefined medications
Terms in these criteria, in plain language(6)

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.

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).

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
330 participants (estimated)

Study arms

  • Experimental
    Sublingual Oxytocin

    sublingual administration of oxytocin

    Drug: Oxytocin sublingual

  • Other
    Intramuscular Oxytocin

    Reference product is intramuscular administration of oxytocin

    Drug: Oxytocin IM

Interventions

  • DrugOxytocin sublingual

    Sublingual oxytocin 1000 IU, 3000 IU or 6000 IU

    Also known as: oxytocin investigational drug

  • DrugOxytocin IM

    Intramuscular oxytocin 10 IU

    Also known as: oxytocin standard therapy

06

What researchers measure

Primary outcomes

  1. Proportion of participants with a satisfactory uterine tone and cumulative blood loss < 500 ml

    Time frame: From administration of the drug to 20 minutes post-partum

Secondary outcomes

  1. Proportion of participants with satisfactory uterine tone

    Time frame: after 3 min, 5 min, 10 min, 15 min, 30 min, 1 hour, 2 hours, 4 hours, 12 hours and 24 hours after administration of the drug

  2. Measurement of blood loss

    Time frame: 3 min, 5 min, 10 min, 15 min, 30 min, 1 hour, 2 hours, 4 hours, 12 hours and 24 hours after administration of the drug

  3. Proportion of participants who develop primary PPH

    Time frame: Up to 24 hours after administration of the drug

  4. Incidence of blood transfusion due to PPH

    Time frame: At 24 hours after administration of the drug

  5. Incidence of laparotomy for the treatment of PPH

    Time frame: At 24 hours after administration of the drug

  6. Proportion of participants that achieve cessation of active bleeding

    Time frame: Within 20 minutes after administration of the drug

  7. Time to PPH onset

    Time frame: Immediately after the intervention up to 24 hours post intervention

  8. Time to active bleeding cessation

    Time frame: Immediately after the intervention up to 24 hours post intervention

  9. Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: From the time of written informed consent until the End of Study visit and must be followed up until resolution or stabilization

  10. Absolute number and percentage of participants with oral irritation/inflammation and abrasion

    Time frame: after admission to hospital (during the Latent or Active phase for all participants) and at 20 minutes and 24 hours post dose for participants who are administered the investigational drug

07

Study locations

1 site
  • Africa Center of Excellence for Population Health and Policy
    Kano, Nigeria
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for May 2026; primary completion for Oct 2026, 5 months later.

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

Registered
Apr 1, 2025
First posted
May 13, 2025
StartEst.
May 30, 2026
Primary completionEst.
Oct 30, 2026
CompletionEst.
Oct 30, 2026
Last update
Apr 23, 2026
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 Apr 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06968481
Lead sponsor
Insud Pharma
Responsible party
Sponsor
First posted
May 13, 2025
Start date
May 30, 2026 (estimated)
Primary completion
Oct 30, 2026 (estimated)
Completion
Oct 30, 2026 (estimated)
Last update
Apr 23, 2026

Study contacts

Alicyoy Angulo, MD
Contact
Alicyoy.angulo@external.chemogroup.com
+34 676 943 642
Enrico Colli, MD
study director · Chemo Research SL

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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