Home
Search
Study Topics
Glossary
|
|
|
|
|
Sponsors and Collaborators: |
Gynuity Health Projects Christian Medical College, Vellore, India King George Medical College, Lucknow, India Government Medical College, Nagpur MacArthur Foundation |
---|---|
Information provided by: | Gynuity Health Projects |
ClinicalTrials.gov Identifier: | NCT00666133 |
Preeclampsia is a condition unique to pregnancy characterized by the new onset of hypertension and proteinuria. Eclampsia, characterized by maternal seizures, is a serious complication increasing the risk of maternal and infant mortality and morbidity. Magnesium sulfate is the drug of choice for prevention and treating convulsions in severe preeclampsia and eclampsia.
Magnesium sulfate is administered parenterally by intramuscular (IM) or intravenous routes (IV). In general a loading dose of 4 to 5 grams of magnesium sulfate is administered intravenously followed by an IM injection every 4 hours or by a continuous IV infusion. The IV regimen achieves more stable serum levels of magnesium but requires the use of an infusion pump for safe delivery and has a greater potential for inadvertent overdose. Although magnesium sulfate has been demonstrated as a safe and effective drug for the treatment and prevention of severe preeclampsia and eclampsia, concerns about the safety of the drug remain. The IM dosing regimen, while potentially safer, requires repeated painful IM injections. These limitations in administration hinder the widespread use of magnesium sulfate despite its demonstrated benefits.
The goal of this research is to develop a system of care that avoids overdose and facilitates the use of magnesium sulfate for the treatment of preeclampsia. To this end, a primary objective of this research is to demonstrate the safety of a simple, inexpensive flow controlled pump system (Springfusor®). This randomized study will compare the administration of magnesium sulfate by the Springfusor® controlled pump with an IM regimen, the standard of care in most hospitals in India. The study will document the efficacy and acceptability of each treatment for patients and staff and compare the cost and time elements involved in providing each method.
Condition | Intervention |
---|---|
Preeclampsia |
Device: SpringFusor Pump |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Open Label, Parallel Assignment, Safety/Efficacy Study |
Official Title: | Treatment Approaches for Preeclampsia in Low-Resource Settings |
Estimated Enrollment: | 304 |
Study Start Date: | April 2008 |
Estimated Study Completion Date: | December 2008 |
Estimated Primary Completion Date: | December 2008 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
---|---|
2: No Intervention
Women in Group II (standard of care) will receive an 8 mL loading dose containing 4g magnesium sulfate administered manually per standard hospital protocol. The solution will be diluted with normal saline according to standard hospital practice, and given IV over 20 minutes. For women in Group II, the IV loading dose will be followed immediately with 20 mL treatment by IM injection, given as 10 mL (5 g magnesium sulfate) into each buttock. This dose will be followed by 10 mL treatments (5g magnesium sulfate) every four hours, injected into alternate buttock. Treatment will be discontinued when clinically indicated.
|
|
1: Experimental
Women in Group I (Springfusor® arm) will receive a 8 mL loading dose containing 4g magnesium sulfate heptahydrate (MgSO4*7H2O) 50% solution, which is approximately 2 mmoL magnesium/mL. The loading dose of 8mL with 4 g MgSO4will be administered using the Springfusor® pump. For women in Group I, the administration of the loading dose will be immediately followed by a maintenance infusion. The maintenance dose of 4 g (8 cc, 50% MgSO4) will be administered with the Springfusor® pump continuously over four hours. The pump will be started immediately after the initial bolus and the 4g dose repeated (and syringe replaced) every four hours for upto 24 hours postpartum.
|
Device: SpringFusor Pump
Women in Group I (Springfusor® arm) will receive loading and maintenance doses of magnesium sulfate administered via an IV infusion administered with the Springfusor pump, a simple, inexpensive flow-controlled pump system.
|
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Female |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Hillary J Bracken, PhD, MHS | 212.448.1230 | hbracken@gynuity.org |
India, Maharastra | |
Government Medical College | Recruiting |
Nagpur, Maharastra, India, 440015 | |
Contact: Shuchita Mundle, MD 0712-2220703 shuchita_m@hotmail.com | |
Principal Investigator: Shuchita Mundle, MD | |
India, Tamil Nadu | |
Christian Medical College | Recruiting |
Vellore, Tamil Nadu, India, 632004 | |
Contact: Annie Regi, MBBS, DGO, MD 0091-416-2283399 annieregi@cmcvellore.ac.in | |
Contact: Bivas Biswas, MBBS, DGO, MD 0091-416-2283399 bivasbong@yahoo.co.in | |
Principal Investigator: Annie Regi, MD |
Principal Investigator: | Beverly Winikoff, MD, MPH | Gynuity Health Projeccts |
Responsible Party: | Gynuity Health Projects ( Dr. Beverly Winikoff, President ) |
Study ID Numbers: | 4.2 |
Study First Received: | April 22, 2008 |
Last Updated: | April 22, 2008 |
ClinicalTrials.gov Identifier: | NCT00666133 History of Changes |
Health Authority: | United States: Institutional Review Board; India: Institutional Review Board |
Preeclampsia Eclampsia Magnesium Sulfate |
Pregnancy Complications Eclampsia Magnesium Sulfate Calcium Channel Blockers Pre-Eclampsia Anesthetics Central Nervous System Depressants Cardiovascular Agents |
Preeclampsia Calcium, Dietary Hypertension, Pregnancy-Induced Analgesics Peripheral Nervous System Agents Anti-Arrhythmia Agents Anticonvulsants Hypertension |
Pregnancy Complications Molecular Mechanisms of Pharmacological Action Magnesium Sulfate Physiological Effects of Drugs Calcium Channel Blockers Pre-Eclampsia Anesthetics Central Nervous System Depressants Reproductive Control Agents Cardiovascular Agents Pharmacologic Actions |
Membrane Transport Modulators Hypertension, Pregnancy-Induced Tocolytic Agents Sensory System Agents Therapeutic Uses Anti-Arrhythmia Agents Analgesics Peripheral Nervous System Agents Central Nervous System Agents Anticonvulsants |