Table 4.

Therapeutic agents to prevent PPH in WBD

AgentType of studyDose, routeComparatorAdditional notes
Uteronic agent27  International expert panel 3-5 IU, IV — First-line measure for uterine atony 
TA33  Randomized phase 3 trial 1 g, IV 0.9% NaCl In vaginal delivery with oxytocin 
TA32  Meta-analysis IV (various) — With uterotonic prophylaxis 
TA31  Randomized phase 3 trial 1 g, IV 0.9% NaCl International study, no uterotonics. 
rVWF/pdVWF40  Pilot observational study 80 IU/kg, IV 50 IU/kg IV In VWD, vaginal or cesarean delivery. 
rVWF40  Planned phase 3 trial 120 IU/kg, IV TA with or without rVWF In VWD, vaginal or cesarean delivery. 
AgentType of studyDose, routeComparatorAdditional notes
Uteronic agent27  International expert panel 3-5 IU, IV — First-line measure for uterine atony 
TA33  Randomized phase 3 trial 1 g, IV 0.9% NaCl In vaginal delivery with oxytocin 
TA32  Meta-analysis IV (various) — With uterotonic prophylaxis 
TA31  Randomized phase 3 trial 1 g, IV 0.9% NaCl International study, no uterotonics. 
rVWF/pdVWF40  Pilot observational study 80 IU/kg, IV 50 IU/kg IV In VWD, vaginal or cesarean delivery. 
rVWF40  Planned phase 3 trial 120 IU/kg, IV TA with or without rVWF In VWD, vaginal or cesarean delivery. 

TA, tranexamic acid; —, no comparator.

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