NCT02141321

Brief Summary

The aim of the work is to evaluate the efficacy of the sub lingual prostaglandin E1 synthetic analogue (misoprostol) before IUD insertion to facilitate the procedure in patients delivered before only by cesarean section.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
124

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started May 2014

Shorter than P25 for phase_2

Geographic Reach
1 country

1 active site

Status
completed

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

May 1, 2014

Completed
14 days until next milestone

First Submitted

Initial submission to the registry

May 15, 2014

Completed
4 days until next milestone

First Posted

Study publicly available on registry

May 19, 2014

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2015

Completed
Last Updated

March 18, 2015

Status Verified

March 1, 2015

Enrollment Period

8 months

First QC Date

May 15, 2014

Last Update Submit

March 17, 2015

Conditions

Keywords

IUDMisoprostolRectal administration

Outcome Measures

Primary Outcomes (1)

  • Pain

    The perception of pain and discomfort as described by the patient assessed by Visual Analogue Scale (VAS). The scale will be graded from 0 to 10, 0 representing no pain at all and 10 worst possible imaginable pain.

    During the procedure

Secondary Outcomes (2)

  • Difficulty of Procedure

    During the procedure

  • Complications

    During the procedure and the following 24 hours.

Study Arms (2)

Misoprostol

EXPERIMENTAL

Women will receive two sub lingual tablets each containing 200 micro gram misoprostol (Misotac), receiving a total dose of 400 micro grams. Two hour later, Cu T 380A IUD (PREGNA) will be inserted.

Drug: Misoprostol

Placebo

PLACEBO COMPARATOR

Women will receive two sub lingual placebo tablets which will be similar in size, color, odor and shape to the misoprostol tablets. Two hour later, Cu T 380A IUD (PREGNA) will be inserted.

Drug: Placebo

Interventions

Also known as: Misotac, Cytotec, Misotec, Prostaglandin E1 synthetic analogue
Misoprostol
Placebo

Eligibility Criteria

Age18 Years - 45 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Normal size uterus.
  • Willing to participate.
  • Candidate for IUD insertion.
  • Delivered only by cesarean section.
  • Last delivery is more than 40 days before participating in the study.

You may not qualify if:

  • Previous vaginal delivery
  • Signs of genital infection.
  • Menopause.
  • Body mass index (BMI) \> 35 kg/m2.
  • Contraindication to misoprostol.
  • Copper allergy.
  • Positive pregnancy test.
  • Had a prior attempt for IUD insertion.
  • Uterine anomalies.
  • Uterine fibroid.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ain Shams University Maternity Hospital

Cairo, Egypt

Location

MeSH Terms

Interventions

Misoprostol

Intervention Hierarchy (Ancestors)

Prostaglandins E, SyntheticProstaglandins, SyntheticProstaglandinsEicosanoidsFatty Acids, UnsaturatedFatty AcidsLipidsAutacoidsInflammation MediatorsBiological Factors

Study Officials

  • Mohamed S. Sweed, MD

    Ain Shams University

    PRINCIPAL INVESTIGATOR
  • Hassan A. Bayoumy, Professor

    Ain Shams University

    STUDY DIRECTOR
  • Mohamed Y. Mohamed, M.B., B.Ch.

    Assiut University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Mohamed S. Sweed lecturer of Obstetrics & Gynecology AinShams University.

Study Record Dates

First Submitted

May 15, 2014

First Posted

May 19, 2014

Study Start

May 1, 2014

Primary Completion

January 1, 2015

Study Completion

January 1, 2015

Last Updated

March 18, 2015

Record last verified: 2015-03

Locations