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Postpartum HemorrhageRUBYNCT04995887

RUBY Post-Market Registry on the Jada® System

An observational study of Postpartum Hemorrhage, run by Alydia Health at 16 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The RUBY Study is a multicenter, observational, post-market registry designed to collect observational data on patients treated with the Jada System in the post-market setting. Read more about this study

Who is it for?
Any age, women only
Conditions the study is for
Postpartum Hemorrhage
What is being tested?
Jada® System
Type of treatment
Medical device
How many people
809 participants
Where
16 sitesUnited States
Study dates
1 Oct 2020to 30 Apr 2022
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • Women only
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Patients included are all identified through review of the medical charts as having received Jada treatment starting from the center's first commercial use of the Jada System. This chart review will be ongoing until the specified date or until a minimum of 100 patients are enrolled in each of the groups described below (whichever occurs first): 1. ≥ 1500 mL estimated blood loss (EBL) at time of Jada insertion (C-S) 2. < 1500 mL EBL at time of Jada insertion (C-S) 3. ≥ 1000 mL EBL at time of Jada insertion (vaginal) 4. < 1000 mL EBL at time of Jada insertion (vaginal) Up to a maximum of 50 sites can be included in this registry. Each IRB approval constitutes a "site."

Who may be able to join

  • Use of the Jada System (inserted into the patient and connected to vacuum).
  • NOTE: There is no Exclusion Criteria in this protocol.

Who cannot join

None listed.

Trial locations and contacts

16 sites in 1 country.

16 sites in 1 country

United States16 sites
  • Charleston Area Medical Center

    Charleston, West Virginia, 25302

  • University Hospitals

    Cleveland, Ohio, 44106

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • The Ohio State University

    Columbus, Ohio, 43210

  • Ohio Health

    Gahanna, Ohio, 43230

  • Northeast Georgia Medical Center

    Gainesville, Georgia, 30501

  • Loma Linda University

    Loma Linda, California, 92354

  • Allina (Abbott Northwestern)

    Minneapolis, Minnesota, 55409

  • Charleston Birth Place

    Mt. Pleasant, South Carolina, 29464

  • Long Island Jewish Medical Center

    New Hyde Park, New York, 11040

  • Oshsner Baptist

    New Orleans, Louisiana, 70115

  • Mount Sinai

    New York, New York, 10029

  • Nyph/Cumc

    New York, New York, 10032

  • ChristianaCare

    Newark, Delaware, 19718

  • UPMC - Magee Women's Hospital

    Pittsburgh, Pennsylvania, 15213

  • University of Utah

    Salt Lake City, Utah, 84132

Other trials in United States

About this study

Official title: RUBY: Treating Abnormal Postpartum Uterine Bleeding or Postpartum Hemorrhage With the Jada® System - A Post-Market Registry

The RUBY Study is a multicenter, observational, post-market registry designed to collect observational data on patients treated with the Jada System in the post-market setting.

Read the detailed description

The purpose of this registry is to collect observational data on patients treated with the Jada System in the post-market setting. Data collection will include observations of effectiveness and safety of the device. Additional outcome data related to resource utilization will also be included.

Being tested
Jada® System
Keywords
Vacuum-Induced Hemorrhage-Control (VHC), Jada, Postpartum Hemorrhage
Medical subject headings
Postpartum Hemorrhage

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Jada® SystemDevice

    Also called Vacuum-induced Hemorrhage Control, Obstetric-Gynecologic Specialized Manual Instrument

    The Jada® System is intended to provide control and treatment of abnormal postpartum uterine bleeding or hemorrhage when conservative management is warranted. It is a teardrop-shaped, soft silicone ring that is placed into the uterus, where gentle suction is applied to cause the uterus to contract and shrink in size, compressing the blood vessels so the bleeding stops.

Study groups in NCT04995887
Study groupRoleWhat they receive
C-Section Delivery with EBL ≥ 1500 mLPatients with ≥ 1500 mL estimated blood loss (EBL) at time of Jada insertion for cesarean delivery; data collection will continue until a minimum of 100 patients are enrolled in each group/category or until March 31, 2022 (whichever occurs first).
Receives: Device: Jada® System
C-Section Delivery with EBL < 1500 mLPatients with < 1500 mL EBL at time of Jada insertion for cesarean delivery; data collection will continue until a minimum of 100 patients are enrolled in each group/category or until March 31, 2022 (whichever occurs first).
Receives: Device: Jada® System
Vaginal Delivery with EBL ≥ 1000 mLPatients with ≥ 1000 mL EBL at time of Jada insertion for vaginal delivery; data collection will continue until a minimum of 100 patients are enrolled in each group/category or until March 31, 2022 (whichever occurs first).
Receives: Device: Jada® System
Vaginal Delivery with EBL < 1000 mLPatients with < 1000 mL EBL at time of Jada insertion for vaginal delivery; data collection will continue until a minimum of 100 patients are enrolled in each group/category or until March 31, 2022 (whichever occurs first).
Receives: Device: Jada® System

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Efficacy: Cessation of PPH

    Proportion of patients with atony-related abnormal postpartum uterine bleeding or PPH successfully treated with the Jada System. Treatment success is defined as the avoidance of escalated non-surgical or surgical intervention to control abnormal postpartum uterine bleeding or PPH after the Jada System was used.

    Note: Concomitant treatment with uterotonics or uterine compression sutures does not constitute escalation (i.e., failure). However, if the Jada treatment was aborted to instead administer treatment with compression sutures for ongoing bleeding, then the event does meet the escalation (i.e., failure) definition.

    Measured: 24 hours

  2. Safety: device-related Adverse Events

    Rates of procedure- and device-related adverse events.

    Measured: 24 hours through time of discharge.

Secondary outcomes (5)
  1. Rate of non-surgical or surgical procedures other than Jada

    Rate of non-surgical or surgical procedures other than Jada for atony-related bleeding after Jada was used

    Measured: 24 hours

  2. Transfusion rates

    Rate of blood transfusions

    Measured: 24 hours through time of discharge.

  3. In-dwelling time of Jada during treatment

    In-dwelling time (i.e., insertion of Jada to removal of Jada)

    Measured: 24 hours

  4. Time spent in care settings

    Time spent in care settings (e.g., L\&D, OR, Delivery Room, Postpartum Room, ICU, Other) from Jada treatment through discharge

    Measured: 24 hours through time of discharge.

  5. Length of stay

    Length of stay (LOS) from delivery to discharge

    Measured: 24 hours through time of discharge.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Aug 2021
  2. Study start1 Oct 2020
  3. Primary completion31 Mar 2022
  4. Study completion30 Apr 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Other
Enrolment
809 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04995887
Sponsor's protocol ID
CIP-05 v1.0
Other IDs
Protocol No. PPH-05
Acronym
RUBY
Status last verified
Aug 2022
First submitted
13 Jul 2021
Last updated
22 Aug 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
Undecided: It is not yet known if there will be a plan to make IPD available.

Publications

  • Gulmezoglu AM, Lawrie TA, Hezelgrave N, Oladapo OT, Souza JP, Gielen M, Lawn JE, Bahl R, Althabe F, Colaci D, Hofmeyr GJ. Interventions to Reduce Maternal and Newborn Morbidity and Mortality. In: Black RE, Laxminarayan R, Temmerman M, Walker N, editors. Reproductive, Maternal, Newborn, and Child Health: Disease Control Priorities, Third Edition (Volume 2). Washington (DC): The International Bank for Reconstruction and Development / The World Bank; 2016 Apr 5. Chapter 7. Available from http://www.ncbi.nlm.nih.gov/books/NBK361904/

    PubMed 27227224
  • Callaghan WM, Kuklina EV, Berg CJ. Trends in postpartum hemorrhage: United States, 1994-2006. Am J Obstet Gynecol. 2010 Apr;202(4):353.e1-6. doi: 10.1016/j.ajog.2010.01.011.

    PubMed 20350642
  • Mulic-Lutvica A, Bekuretsion M, Bakos O, Axelsson O. Ultrasonic evaluation of the uterus and uterine cavity after normal, vaginal delivery. Ultrasound Obstet Gynecol. 2001 Nov;18(5):491-8. doi: 10.1046/j.0960-7692.2001.00561.x.

    PubMed 11844171
  • Andersen HF, Hopkins MP. Chapter 80: postpartum hemorrhage. In: Sciarra JJ, editor. Gynecology and obstetrics, volume 2. Philadelphia, PA: Lippincott Williams & Wilkins; 2004.

  • Lyon DS. Chapter 90: postpartum care. In: Sciarra JJ, editor. Gynecology and obstetrics, volume 2. Philadelphia, PA: Lippincott Williams & Wilkins; 2004.

  • Baskett TF. A flux of the reds: evolution of active management of the third stage of labour. J R Soc Med. 2000 Sep;93(9):489-93. doi: 10.1177/014107680009300913. No abstract available.

    PubMed 11089490
  • Main EK, Goffman D, Scavone BM, Low LK, Bingham D, Fontaine PL, Gorlin JB, Lagrew DC, Levy BS; National Partnership for Maternal Safety; Council on Patient Safety in Women's Health Care. National Partnership for Maternal Safety: Consensus Bundle on Obstetric Hemorrhage. Obstet Gynecol. 2015 Jul;126(1):155-62. doi: 10.1097/AOG.0000000000000869.

    PubMed 26241269
  • Goffman D, Ananth CV, Fleischer A, D'Alton M, Lavery JA, Smiley R, Zielinski K, Chazotte C; Safe Motherhood Initiative Obstetric Hemorrhage Work Group. The New York State Safe Motherhood Initiative: Early Impact of Obstetric Hemorrhage Bundle Implementation. Am J Perinatol. 2019 Nov;36(13):1344-1350. doi: 10.1055/s-0038-1676976. Epub 2019 Jan 4.

    PubMed 30609429
  • Shields LE, Smalarz K, Reffigee L, Mugg S, Burdumy TJ, Propst M. Comprehensive maternal hemorrhage protocols improve patient safety and reduce utilization of blood products. Am J Obstet Gynecol. 2011 Oct;205(4):368.e1-8. doi: 10.1016/j.ajog.2011.06.084. Epub 2011 Jun 29.

    PubMed 22083059
  • Rossen J, Okland I, Nilsen OB, Eggebo TM. Is there an increase of postpartum hemorrhage, and is severe hemorrhage associated with more frequent use of obstetric interventions? Acta Obstet Gynecol Scand. 2010 Oct;89(10):1248-55. doi: 10.3109/00016349.2010.514324.

    PubMed 20809871
  • Della Torre M, Kilpatrick SJ, Hibbard JU, Simonson L, Scott S, Koch A, Schy D, Geller SE. Assessing preventability for obstetric hemorrhage. Am J Perinatol. 2011 Dec;28(10):753-60. doi: 10.1055/s-0031-1280856. Epub 2011 Jun 22.

    PubMed 21698554
  • American College of Obstetricians and Gynecologists. ACOG Practice Bulletin: Clinical Management Guidelines for Obstetrician-Gynecologists Number 76, October 2006: postpartum hemorrhage. Obstet Gynecol. 2006 Oct;108(4):1039-47. doi: 10.1097/00006250-200610000-00046.

    PubMed 17012482
  • Zelop CM. Postpartum hemorrhage: becoming more evidence-based. Obstet Gynecol. 2011 Jan;117(1):3-5. doi: 10.1097/AOG.0b013e318202ec9a. No abstract available.

    PubMed 21173639
  • Purwosunu Y, Sarkoen W, Arulkumaran S, Segnitz J. Control of Postpartum Hemorrhage Using Vacuum-Induced Uterine Tamponade. Obstet Gynecol. 2016 Jul;128(1):33-36. doi: 10.1097/AOG.0000000000001473.

    PubMed 27275795
  • D'Alton ME, Rood KM, Smid MC, Simhan HN, Skupski DW, Subramaniam A, Gibson KS, Rosen T, Clark SM, Dudley D, Iqbal SN, Paglia MJ, Duzyj CM, Chien EK, Gibbins KJ, Wine KD, Bentum NAA, Kominiarek MA, Tuuli MG, Goffman D. Intrauterine Vacuum-Induced Hemorrhage-Control Device for Rapid Treatment of Postpartum Hemorrhage. Obstet Gynecol. 2020 Nov;136(5):882-891. doi: 10.1097/AOG.0000000000004138.

    PubMed 32909970

Questions about this trial

What is this clinical trial studying?

An observational study of Postpartum Hemorrhage, run by Alydia Health at 16 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Efficacy: Cessation of PPH (time frame: 24 hours). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04995887, which also lists 17 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Aug 2022.

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