Two common drugs face off to shield mothers from a dangerous drop in blood pressure
NCT ID NCT07793760
First seen Aug 31, 2026 · Last updated Sep 01, 2026 · Updated 1 time
Summary
This trial compares two drugs, dexamethasone and ondansetron, given before spinal anesthesia for cesarean delivery in women with preeclampsia. Spinal anesthesia often causes a sudden drop in blood pressure, which can reduce blood flow to the placenta and vital organs. Researchers will randomly assign 110 women to receive one of the two drugs and monitor blood pressure, heart rate, and outcomes for both mother and baby. The goal is to see which drug better prevents this dangerous complication.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Intravenous dexamethasone (8 mg) or intravenous ondansetron (4 mg), given 15 minutes before spinal anesthesia
- What this could lead to
- If one drug works better, it could offer a simple, safe way to prevent blood pressure drops during cesarean delivery in women with preeclampsia, protecting both mother and baby.
- What could go wrong
- This is a single-center trial with 110 participants, so results may not apply broadly. The drugs may not prevent hypotension effectively, and each carries its own side effects.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
About 110 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Oct 2026
An estimate. Start dates often move.
- Expected to finish
-
Nov 2027
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 40 years
- Sex
-
Female participants only
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Pregnant women aged 18 to 40 years. * American Society of Anesthesiologists (ASA) physical status III. * Diagnosed with preeclampsia (new onset of hypertension ≥140/90 mmHg with proteinuria occurring after 20 weeks of gestation according to ACOG and ISSHP guidelines). * Scheduled for elective cesarean delivery under spinal anesthesia. Exclusion Criteria: * Peripartum bleeding. * Obesity (body mass index ≥40 kg/m²). * Coagulation disorders (platelet count \< 75,000/μL). * Neurological disorders. * Previous or current systemic corticosteroid therapy. * Known cardiac disease. * History of diabetes mellitus. * Renal dysfunction (serum creatinine \> 2 mg/dL). * Hepatic dysfunction (serum liver enzymes \> 2 times the upper limit of normal). * Known hypersensitivity to dexamethasone, ondansetron, or any component of the study medications. * Emergency cesarean delivery. * Known fetal congenital anomalies.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Cesarean section are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
-
The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
-
A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Effectiveness of health educational program for primigravida women in reducing the rate of unnecessary cesarean section
- A bracelet and a blood pressure cuff: a simple plan to protect new mothers at risk
- Can a Light-Based scan spot preeclampsia before it strikes?
- Can a malaria drug help prevent preeclampsia?
- Which drug best steadies blood pressure during C-Section in preeclampsia?
- Can simple recovery checklists after cesarean boost patient well-being?