Labor, Obstetric Clinical Trial
Official title:
Randomized, Double-Blind, Placebo-Controlled, Parallel-Group, Dose-Finding Study to Evaluate the Effect of Continuous Infusion of Tafoxiparin as an Adjunct Treatment to Oxytocin for up to 36 Hours in Term Pregnant, Nulliparous Women to Treat Primary Slow Progress of Labor Including Prolonged Latent Phase and Labor Arrest
The study will be designed as a double-blind, placebo-controlled, parallel-group, dose-finding study with one group treated with placebo and three groups treated with tafoxiparin in three different infusion concentration levels, respectively. The intravenous infusion will be initiated by a pre-defined bolus dose infusion.
Primary objective
To assess the dose-response relationship of tafoxiparin on the labor time defined as the time
from the start of continuous infusion of tafoxiparin/placebo as an Adjunct Treatment to
Oxytocin, until partus in term-pregnant, nulliparous women requiring labor augmentation due
to Primary Slow Progress of Labor including prolonged latent phase and Labor Arrest.
Secondary objectives
To assess the safety and efficacy of tafoxiparin based on the safety and secondary efficacy
parameters evaluated in the protocol. PK (pharmacokinetic) response in pregnant women during
labor.
Methodology
All term-pregnant, nulliparous women presenting to the delivery ward are potential study
patients unless they have already been enrolled in another clinical study. Subjects may be
pre-informed about the study through the use of advertisements or information at the
physician/midwife visits during pregnancy and at hospital admission.
The whole study includes the following steps:
- Screening and Baseline including informed consent and randomization
- Labor
- Discharge
- Follow-up at 8 (+/-1)weeks - End of study
- Safety follow up of infant at 6 months, +/-4 weeks, by telephone interview
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