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Post Partum HemorrhagePhase 2NCT05488457

Oxytocin Pharmacokinetics and Pharmacodynamics

A Phase 2 study testing deuterated oxytocin (d5OT) in people with Post Partum Hemorrhage and Cesarean Section Complications, run by Stanford University at 2 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Oxytocin is the first-line drug to promote contraction of the uterus and prevent atony immediately after delivery. Nonetheless, unpredictable uterine atony refractory to oxytocin affects roughly 250,000 parturients annually in the U.S. and rates are increasing. Read more about this study

Who is it for?
Ages 18 to 50 years, women only
What is being tested?
deuterated oxytocin (d5OT)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
2 sitesUnited States
Study dates
1 Jan 2025to 31 Dec 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 18 to 50 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • 18-50 years old
  • intrauterine pregnancy
  • term (>39 weeks gestation or 37-39 weeks gestation with fetal or maternal medical indication for delivery) pregnancy
  • non-emergent (scheduled or unscheduled) cesarean delivery

Who cannot join

  • allergy or contraindication to oxytocin
  • inability to provide informed consent

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Naida M Cole, MD contact

773-702-6700

nmcole@bsd.uchicago.edu

United States2 sites, 2 recruiting
  • University of Chicago

    Chicago, Illinois, 60637

    Naida M Cole, MD, 773-702-6700, nmcole@bsd.uchicago.edu

    Somayeh Mohammadi, 17738343274, mohammadis@bsd.uchicago.edu

    Recruiting
  • Stanford University

    Stanford, California, 94305

    Brendan Carvalho, MD, (650) 723-6415

    Not yet recruiting

Other trials in United States

About this study

Official title: Pharmacokinetics and Pharmacodynamics of Oxytocin in Cesarean Delivery

Oxytocin is the first-line drug to promote contraction of the uterus and prevent atony immediately after delivery. Nonetheless, unpredictable uterine atony refractory to oxytocin affects roughly 250,000 parturients annually in the U.S. and rates are increasing. This two-part study will measure the action of oxytocin at cesarean delivery. The first part will measure the pharmacokinetics of a single intravenous (IV) dose of deuterium-labeled oxytocin. The second part will measure the pharmacodynamics of all plasma oxytocin to see how concentrations correspond to the contractile effect on the uterus.

After delivery of the fetus, study subjects will receive a bolus of IV deuterated oxytocin followed by an unlabeled oxytocin infusion. Venous blood samples drawn at multiple time points (within 1 hour after delivery) will be analyzed for plasma concentrations of labeled and unlabeled (endogenous + exogenous infused) oxytocin over time. Plasma concentrations will be compared with 0-10 uterine tone scores measuring uterine contraction strength, to describe the concentration-effect relationship.

The goal of this study is to define both the pharmacokinetics and pharmacodynamics of oxytocin in parturients to help identify the cause(s) of failed first-line oxytocin therapy.

Read the detailed description

Parturients aged 18-50 with an intrauterine term pregnancy (37 weeks or greater) undergoing non-emergent cesarean delivery at the University of Chicago (UC) and Stanford University will be recruited.

Methods: All subjects will receive standard pre-, intra- and postoperative care for their cesarean delivery with additional study interventions.

Study subjects will have an additional intravenous (IV) catheter inserted for intra-operative study-related blood draws.

A single, 1 International Unit (IU) bolus of deuterated oxytocin (d5OT) will be given to the subject, followed by an infusion of standard protocol oxytocin immediately after placental delivery. IV samples will be drawn from the study IV at 0, 1, 2.5, 5, 10, 20, 30, 45, 60 minutes following administration of the study drug. The samples will be processed, batched and shipped to the central lab being used in this study. Uterine tone scores will be measured simultaneously with blood draws until accurate palpation is no longer possible. Uterine tone score is a 0 to 10 numeric rating scale with 0 to describe unsatisfactory or no uterine tone and 10 to describe perfect uterine tone.

Being tested
deuterated oxytocin (d5OT)
Keywords
Oxytocin, pharmacokinetics and Pharmacodynamics, Uterine Tone, Postpartum, Elective C-Section, Parturients
Medical subject headings
Postpartum Hemorrhage, Hemorrhage

What participants receive

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

  • deuterated oxytocin (d5OT)Drug

    Also called Deuterium-labeled oxytocin

    Subjects will receive a 1 IU bolus of deuterated oxytocin (d5OT) intraoperatively during their nonemergent cesarean delivery.

Study groups in NCT05488457
Study groupRoleWhat they receive
Oxytocin PK/PD ArmExperimentalEligible subjects will receive a single, 1 IU bolus of deuterated oxytocin (d5OT) intra-operatively, followed by an infusion of standard therapeutic d0 oxytocin immediately after placental delivery.
Receives: Drug: deuterated oxytocin (d5OT)

What is being measured

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

  1. Baseline plasma concentrations of deuterated oxytocin

    The plasma concentration of deuterium labelled oxytocin at baseline

    Measured: Intraoperatively (prior to delivery)

  2. Plasma concentrations of deuterated oxytocin at 1 minute

    The plasma concentration of deuterium labelled oxytocin at 1 minute post-study drug

    Measured: Intraoperatively (1 minute following study drug administration)

  3. Plasma concentrations of deuterated oxytocin at 2.5 minutes

    The plasma concentration of deuterium labelled oxytocin at 2.5 minutes post-study drug

    Measured: Intraoperatively (2.5 minutes following study drug administration)

  4. Plasma concentrations of deuterated oxytocin at 5 minutes

    The plasma concentration of deuterium labelled oxytocin at 5 minutes post-study drug

    Measured: Intraoperatively (5 minutes following study drug administration)

  5. Plasma concentrations of deuterated oxytocin at 10 minutes

    The plasma concentration of deuterium labelled oxytocin at 10 minutes post-study drug

    Measured: Intraoperatively (10 minutes following study drug administration)

  6. Plasma concentrations of deuterated oxytocin at 15 minutes

    The plasma concentration of deuterium labelled oxytocin at 15 minutes post-study drug

    Measured: Intraoperatively (15 minutes following study drug administration)

  7. Plasma concentrations of deuterated oxytocin at 20 minutes

    The plasma concentration of deuterium labelled oxytocin at 20 minutes post-study drug

    Measured: Intraoperatively (20 minutes following study drug administration)

  8. Plasma concentrations of deuterated oxytocin at 30 minutes

    The plasma concentration of deuterium labelled oxytocin at 30 minutes post-study drug

    Measured: Intraoperatively (30 minutes following study drug administration)

  9. Plasma concentrations of deuterated oxytocin at 45 minutes

    The plasma concentration of deuterium labelled oxytocin at 45 minutes post-study drug

    Measured: Intraoperatively (45 minutes following study drug administration)

  10. Plasma concentrations of deuterated oxytocin at 60 minutes

    The plasma concentration of deuterium labelled oxytocin at 60 minutes post-study drug

    Measured: Intraoperatively (60 minutes following study drug administration)

  11. 0-10 Uterine Tone Score

    Uterine tone will be ranked by the obstetrician on a 0-10 scale by palpation of the uterus. A score of 0 will represent 'no tone' and a score of 10 will represent 'perfect tone'. The relationship between plasma concentrations and clinical effect will be determined for pharmacodynamic modeling.

    Measured: Intraoperatively (at the time of study drug administration)

  12. 0-10 Uterine Tone Score

    Uterine tone ranked by the obstetrician on a 0-10 scale by palpation of the uterus. A score of 0 will represent 'no tone' and a score of 10 will represent 'perfect tone'. The relationship between plasma concentrations and clinical effect will be determined for pharmacodynamic modeling.

    Measured: Intraoperatively (1 minute following study drug administration)

  13. 0-10 Uterine Tone Score

    Uterine tone ranked by the obstetrician on a 0-10 scale by palpation of the uterus. A score of 0 will represent 'no tone' and a score of 10 will represent 'perfect tone'. The relationship between plasma concentrations and clinical effect will be determined for pharmacodynamic modeling.

    Measured: Intraoperatively (2.5 minutes following study drug administration)

  14. 0-10 Uterine Tone Score

    Uterine tone ranked by the obstetrician on a 0-10 scale by palpation of the uterus. A score of 0 will represent 'no tone' and a score of 10 will represent 'perfect tone'. The relationship between plasma concentrations and clinical effect will be determined for pharmacodynamic modeling.

    Measured: Intraoperatively (5 minutes following study drug administration)

  15. 0-10 Uterine Tone Score

    Uterine tone ranked by the obstetrician on a 0-10 scale by palpation of the uterus. A score of 0 will represent 'no tone' and a score of 10 will represent 'perfect tone'. The relationship between plasma concentrations and clinical effect will be determined for pharmacodynamic modeling.

    Measured: Intraoperatively (10 minutes following study drug administration)

  16. 0-10 Uterine Tone Score

    Uterine tone ranked by the obstetrician on a 0-10 scale by palpation of the uterus. A score of 0 will represent 'no tone' and a score of 10 will represent 'perfect tone'. The relationship between plasma concentrations and clinical effect will be determined for pharmacodynamic modeling.

    Measured: Intraoperatively (15 minutes following study drug administration)

  17. 0-10 Uterine Tone Score

    Uterine tone ranked by the obstetrician on a 0-10 scale by palpation of the uterus. A score of 0 will represent 'no tone' and a score of 10 will represent 'perfect tone'. The relationship between plasma concentrations and clinical effect will be determined for pharmacodynamic modeling.

    Measured: Intraoperatively (20 minutes following study drug administration)

  18. 0-10 Uterine Tone Score

    Uterine tone ranked by the obstetrician on a 0-10 scale by palpation of the uterus. A score of 0 will represent 'no tone' and a score of 10 will represent 'perfect tone'. The relationship between plasma concentrations and clinical effect will be determined for pharmacodynamic modeling.

    Measured: Intraoperatively (30 minutes following study drug administration)

  19. 0-10 Uterine Tone Score

    Uterine tone ranked by the obstetrician on a 0-10 scale by palpation of the uterus. A score of 0 will represent 'no tone' and a score of 10 will represent 'perfect tone'. The relationship between plasma concentrations and clinical effect will be determined for pharmacodynamic modeling.

    Measured: Intraoperatively (45 minutes following study drug administration)

  20. 0-10 Uterine Tone Score

    Uterine tone ranked by the obstetrician on a 0-10 scale by palpation of the uterus. A score of 0 will represent 'no tone' and a score of 10 will represent 'perfect tone'. The relationship between plasma concentrations and clinical effect will be determined for pharmacodynamic modeling.

    Measured: Intraoperatively (60 minutes following study drug administration)

Timeline

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

  1. First posted4 Aug 2022
  2. Study start1 Jan 2025
  3. Primary completion30 Dec 2026 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Model description
All subjects will receive a 1 IU bolus of deuterated oxytocin (d5OT) intraoperatively during their cesarean delivery.
Masking
None (open label)
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05488457
Sponsor's protocol ID
76388
Other IDs
IRB24-0480
Status last verified
Aug 2026
First submitted
19 Jul 2022
Last updated
21 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing deuterated oxytocin (d5OT) in people with Post Partum Hemorrhage and Cesarean Section Complications, run by Stanford University at 2 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 4 inclusion and 2 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: looking for participants now, as of the sponsor's last update on 21 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 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.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Naida M Cole, MD (773-702-6700, nmcole@bsd.uchicago.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Baseline plasma concentrations of deuterated oxytocin (time frame: Intraoperatively (prior to delivery)). The study lists 20 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Aug 2026.

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