- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06650930
Pharmacokinetics of Oral Calcium Carbonate in Parturients
August 10, 2026 updated by: Jessica Ansari, MD, MS, Stanford University
This study investigates the time course of change in calcium in the blood after a pregnant subject takes an oral dose of calcium carbonate (commonly marketed as "Tums").
Midway through the trial, with IRB permission, the oral calcium formulation was switched to calcium citrate to test whether this, better-absorbed formulation might prove more effective in increasing serum calcium.
This information is important for trials investigating whether oral calcium can reduce postpartum hemorrhage, bleeding after delivery.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
20
Phase
- Early Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
California
-
Stanford, California, United States, 94305
- Stanford Children's Health, Lucile Packard Children's Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Pregnant female subjects at the study institution, admitted for labor (spontaneous, augmented, or induced)
Exclusion Criteria:
- severe range blood pressure (BP >160/>110) within the 48 hours prior to delivery
- patient age <18 years or >45 years
- renal dysfunction with a documented serum Cr > 1.0 mg/dL
- known history of congenital or acquired cardiac disease or history of arrhythmia
- patient taking digoxin
- patient currently taking a calcium channel blocker
- Weight <55kg or >100kg, or
- receiving magnesium infusion within 24 hours prior to or during cesarean delivery
- Prior or planned administration of calcium by the obstetric or anesthesiology teams for clinical indications within 24 hours of study enrollment
- Patient took a calcium supplement in the past 48 hours
- Patient status is NPO (nothing by mouth) as ordered by the clinical team
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Oral calcium carbonate
Patients take a single dose of oral calcium carbonate 1200mg
|
Participants receive a single, open-label dose of oral calcium carbonate 1200mg
|
|
Experimental: Oral calcium citrate
Participants receive a single oral dose of calcium citrate 1250mg
|
Participants receive a single oral dose of calcium citrate 1250mg
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Ionized calcium concentration
Time Frame: 4 hours
|
Ionized calcium (mmol/L) is measured at baseline and over 5 additional convenience timepoints over the 4 hours after ingestion of calcium carbonate 3000mg.
|
4 hours
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Jessica Ansari, MD, MS, Stanford University
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Ansari JR, Kalariya N, Carvalho B, Flood P, Guo N, Riley E. Calcium chloride for the prevention of uterine atony during cesarean delivery: A pilot randomized controlled trial and pharmacokinetic study. J Clin Anesth. 2022 Sep;80:110796. doi: 10.1016/j.jclinane.2022.110796. Epub 2022 Apr 18.
- Ansari JR, Yarmosh A, Michel G, Lyell D, Hedlin H, Cornfield DN, Carvalho B, Bateman BT. Intravenous Calcium to Decrease Blood Loss During Intrapartum Cesarean Delivery: A Randomized Controlled Trial. Obstet Gynecol. 2024 Jan 1;143(1):104-112. doi: 10.1097/AOG.0000000000005441. Epub 2023 Nov 3.
- Ansari J, Carvalho B, Shafer SL, Flood P. Pharmacokinetics and Pharmacodynamics of Drugs Commonly Used in Pregnancy and Parturition. Anesth Analg. 2016 Mar;122(3):786-804. doi: 10.1213/ANE.0000000000001143.
- Ansari JR, Conti DJ, Michel G, Yarmosh A, Cole NM, Shafer SL. Bioequivalence and Pharmacokinetics of Intravenous Calcium during Cesarean Delivery. Anesthesiology. 2025 Jan 1;142(1):121-131. doi: 10.1097/ALN.0000000000005248.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 23, 2025
Primary Completion (Actual)
October 11, 2025
Study Completion (Actual)
December 3, 2025
Study Registration Dates
First Submitted
October 18, 2024
First Submitted That Met QC Criteria
October 18, 2024
First Posted (Actual)
October 21, 2024
Study Record Updates
Last Update Posted (Actual)
August 12, 2026
Last Update Submitted That Met QC Criteria
August 10, 2026
Last Verified
August 1, 2026
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Pathologic Processes
- Female Urogenital Diseases and Pregnancy Complications
- Obstetric Labor Complications
- Pregnancy Complications
- Hemorrhage
- Puerperal Disorders
- Uterine Hemorrhage
- Pathological Conditions, Signs and Symptoms
- Postpartum Hemorrhage
- Organic Chemicals
- Acids, Acyclic
- Carboxylic Acids
- Inorganic Chemicals
- Minerals
- Calcium Compounds
- Carbon Compounds, Inorganic
- Citrates
- Tricarboxylic Acids
- Carbonates
- Carbonic Acid
- Citric Acid
- Calcium Carbonate
- Calcium Citrate
Other Study ID Numbers
- 77182
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
Patient privacy
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.