The Extended Gestational Age Medical Abortion Study
1 other identifier
interventional
1,400
5 countries
12
Brief Summary
This open-label, comparative study will compare the efficacy, safety, and acceptability of 200 mg mifepristone followed in 24-48 hours by 800mcg buccal misoprostol or 400mcg sublingual misoprostol for termination of pregnancy in existing outpatient early medical abortion services among women 57-63 days' versus 64-70 days' gestation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Jul 2009
Typical duration for phase_4
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2009
CompletedFirst Submitted
Initial submission to the registry
October 1, 2009
CompletedFirst Posted
Study publicly available on registry
October 19, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2012
CompletedJuly 2, 2012
June 1, 2012
2.6 years
October 1, 2009
June 28, 2012
Conditions
Outcome Measures
Primary Outcomes (1)
Efficacy: Proportion of women who successfully complete abortion without surgical intervention to resolve viable pregnancy or incomplete abortion
7-36 days
Secondary Outcomes (4)
Proportion of individual side effects experienced by participants
7-14 days
Proportion of women who determined method acceptable (i.e., overall acceptability of method, time to abortion completion, bleeding, side effects, and pain)
7-14 days
Bleeding patterns, i.e. proportion of women who experienced heavy, moderate, or light bleeding according by day since abortion began
7-14 days
Average number of missed days of work or school due to the abortion procedure
7-14 days
Study Arms (2)
64-70 days' gestational age
EXPERIMENTALWomen whose pregnancies are estimated to have a gestational age of 64-70 days
57-63 days' gestational age
NO INTERVENTIONWomen whose pregnancies are estimated to have a gestational age of 57-63 days. (Women in this arm receive the standard of care for medical termination of pregnancy in the stated gestational age range.)
Interventions
200 mg oral mifepristone 800 mcg buccal misoprostol or 400 mcg sublingual misoprostol 24-48 hours after mifepristone
Eligibility Criteria
You may qualify if:
- intrauterine pregnancy of greater than 56 days and less than 71 days
- eligible for medical abortion according to study doctor assessment
- willing and able to sign consent forms
- speak English or Spanish (in US sites); speak the local language(s) (in international sites)
- agree to comply with the study procedures and visit schedule
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (12)
Presidential Women's Center
West Palm Beach, Florida, 33407, United States
Family Planning Associates Medical Group
Chicago, Illinois, 60630, United States
Planned Parenthood League of Massachusetts
Boston, Massachusetts, 02215, United States
Planned Parenthood, Minnesota, North Dakota, South Dakota
Saint Paul, Minnesota, 55116, United States
Planned Parenthood of New York City
New York, New York, 10012, United States
Planned Parenthood, Central Texas
Waco, Texas, 76710, United States
Zhordania Institute of Human Reproduction
Tbilisi, Georgia
Government Medical College (GMC)
Nagpur, India
Naval Nursing Home
Solapur, India
La Rabta Maternity Hospital
Tunis, Tunisia
Central District Maternity House
Odesa, Ukraine
Maternity Hospital No.2
Simferopol, Ukraine
Related Publications (1)
Winikoff B, Dzuba IG, Chong E, Goldberg AB, Lichtenberg ES, Ball C, Dean G, Sacks D, Crowden WA, Swica Y. Extending outpatient medical abortion services through 70 days of gestational age. Obstet Gynecol. 2012 Nov;120(5):1070-6. doi: 10.1097/aog.0b013e31826c315f.
PMID: 23090524DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yael Swica, MD, MPH
Gynuity Health Projects
- PRINCIPAL INVESTIGATOR
Hillary Bracken, PhD
Gynuity Health Projects
- PRINCIPAL INVESTIGATOR
Beverly Winikoff, MD, MPH
Gynuity Health Projects
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 1, 2009
First Posted
October 19, 2009
Study Start
July 1, 2009
Primary Completion
February 1, 2012
Study Completion
February 1, 2012
Last Updated
July 2, 2012
Record last verified: 2012-06