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Not yet recruitingNCT06990217Updated May 25, 2025

Comparing High Versus Low Dose of Oxytocin, in Gravida Women With BMI 30 and Above Which Are Undergoing Induction of Labor

A Phase 4 interventional study of Oxytocin Grindeks 10 IU/ml- solution for injection in Induction of Labor and Augmentation of Labor, sponsored by HaEmek Medical Center, Israel. Not yet recruiting at 1 site in Israel. Open to female participants. Per ClinicalTrials.gov, last updated 2025-05-25.

Sponsored by HaEmek Medical Center, Israel · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
130
Allocation
Randomized
Sex
Female
01

Study summary

The goal of this clinical trial is to compare between higher and lower dose of oxytocin to induce delivery in obese women. Researches will compare between low and high doses of oxytocin. the study group will use high dose of oxytocin (20 units in 1000 ml) versus the control group which will use low dose of oxytocin (10 units of oxytocin in 1000 ml)

Read the detailed description

the duration and the progression of the first stage of labor is slower in obese women and oxytocin seems to be less effective in the treatment of protracted labor in obese women. There is no consensus in the literature about the optimal oxytocin dose. Hence, the objective of this study is to compare 2 oxytocin regimens, low VS high dose among obese women who need induction or augmentation of labor.

Women at term (37-42 weeks), requiring the use of oxytocin for induction of labor or for augmentation of labor. Who are obese (BMI 30 and above), Viable singleton pregnancies with Cephalic presentation. After their consent, will be randomization: in a 1:1 allocation.

Group 1 (control) will receive a low dose- 10 units of oxytocin in 1000 ml STD. Starting rate 12 ml/h increase dose by 12 ml/h every 30 min up to 5 contractions / 10 min. Max dose 120 ml/h.

Group 2 (study) will receive a high dose- 20 units of oxytocin in 1000 ml STD. Starting rate 12 ml/h increase dose by 12 ml/h every 30 min up to 5 contractions / 10 min. Max dose 120 ml/h.

The primary outcome of the study is the time from the start of oxytocin to delivery

Statistical analysis Mean time interval from initiation of augmentation/ induction with oxytocin until delivery was eight hours (±240 minutes), based on previous observation at the delivery ward. The aim of study is to demonstrate a difference of 2 hours between the 2 groups with an alpha of 0.05 and a power of 80%, a sample size of 64 women per group is required. The primary analysis will be performed on the groups as allocated, that is, by the intention to treat, including all women as randomized.

02

Conditions studied

  • Induction of Labor
  • Augmentation of Labor

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Keywords

  • induction of labor
  • augmentation of labor
  • obese
  • obese gravida
  • high dose of oxytocin in obese gravida
03

In context

Obesity

11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.

This study's planned enrollment of 130 is above the median of 67 across 9,006 interventional studies indexed under Obesity.

Browse Obesity studies →

Lead sponsor

HaEmek Medical Center, Israel is the lead sponsor of 237 studies on the registry; 11 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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 at term (37-42 weeks), requiring the use of oxytocin for induction of labor or for augmentation of labor.
  • 30 and above
  • Viable singleton pregnancies
  • Cephalic presentation.
  • No for vaginal delivery

Exclusion criteria

Exclusion Criteria:

  • Women with previous cesarean delivery
  • Multiple pregnancy
  • Multiple fetal malformations
  • IUFD
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.

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.

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
None (open label)
Enrollment
130 participants (estimated)

Study arms

  • Active comparator
    High dose oxytocin

    This arm of the study will receive high dose oxytocin - 20 units of oxytocin in 1000 ml STD. Starting rate 12 ml/h increase dose by 12 ml/h every 30 min up to 5 contractions / 10 min. Max dose 120 ml/h.

    Drug: Oxytocin Grindeks 10 IU/ml- solution for injection

  • Other
    Low dose oxytocin

    This arm of the study will receive low dose oxytocin- - 10 units of oxytocin in 1000 ml STD. Starting rate 12 ml/h increase dose by 12 ml/h every 30 min up to 5 contractions / 10 min. Max dose 120 ml/h.

    Drug: Oxytocin Grindeks 10 IU/ml- solution for injection

Interventions

  • DrugOxytocin Grindeks 10 IU/ml- solution for injection

    our study is aims to compare two oxytocin regimens - low VS high dose among obese women who need induction or augmentation of labor

06

What researchers measure

Primary outcomes

  1. Time from the start of oxytocin to delivery

    our hypothesis that high dose of oxytocin shortens the time from the start of induction to delivery

    Time frame: from the start of induction till delivery

Secondary outcomes

  1. Maternal age

    maternal age at enrollment

    Time frame: at enrollment

  2. mode of delivery

    Time frame: at delivery

  3. intrapartum fever

    Time frame: during labor

  4. uterine rupture

    Time frame: up to 6 weeks after delivery

  5. perineal tears

    Time frame: during delivery

  6. PPH

    Time frame: up to 6 weeks

  7. length of postpartum stay

    normally a gravida's length of stay after normal delivery is 48 hours and after c-section is up to 3-4 days.

    Time frame: perinatal.

  8. Maternal satisfaction

    We will assess maternal satisfaction using a scale - Birth Satisfaction Scale-Revised (BSS-R). a five pont scale, 0 is totally disagree, 5 totally agree.

    Time frame: will be assessed up to 1 day after delivery

  9. Neonatal outcomes

    NICU admittion

    Time frame: up to 1 week

  10. Neonatal outcomes

    neonatal PH\<7.1

    Time frame: up to 1 week

  11. Apgar score

    minimum 0 and maximum 10. zero is bad outcome 10 is good outcome

    Time frame: at 1, 5 and 10 minutes

  12. GTPAL system

    GTPAL system assessed by questionnaire

    Time frame: at enrollment

  13. maternal weight

    weight before pregnancy, weight at admission

    Time frame: at enrollment

  14. maternal height

    height

    Time frame: at enrollment

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No — to protect patients privacy.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jun 2025; primary completion for Jun 2027, 24 months later.

Of 190 non-industry phase 4 interventional studies under Obesity, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 52. This study's planned 24 months is below that.

Counting every sponsor, half of 210 studies reached it within 31 months; a quarter within 15 and three quarters within 51.

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

Registered
May 7, 2025
First posted
May 25, 2025
StartEst.
Jun 2025
Primary completionEst.
Jun 2027
CompletionEst.
Dec 2027
Last update
May 25, 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 May 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06990217
Responsible party
Rola Iskander (Dr Rula Iskander - ObGyn resident and official investigator, HaEmek Medical Center, Israel) — Principal investigator
First posted
May 25, 2025
Start date
Jun 2025 (estimated)
Primary completion
Jun 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
May 25, 2025

Study contacts

Rula Iskander, MD
Contact
rula_isk@hotmail.com
+972544357554
Galit Garmi
Contact
Rula Iskander, MD
study chair · Emek Medical Center

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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