Dry vs Wet Misoprostol for Cervical Dilation in First Trimester Abortion
MisoWet
1 other identifier
interventional
46
1 country
1
Brief Summary
This study aims to verify whether the moisture of 400 µg of misoprostol pre uterine evacuation increases the dilatation of uterine cervix compared to dry misoprostol
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4
Started Aug 2015
Shorter than P25 for phase_4
1 active site
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
August 1, 2015
CompletedFirst Submitted
Initial submission to the registry
August 4, 2015
CompletedFirst Posted
Study publicly available on registry
August 13, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2016
CompletedMarch 25, 2016
March 1, 2016
6 months
August 4, 2015
March 24, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Cervical dilation
Cervical dilation will be measure with Karman cannulas
3 to 4 hours after putting misoprostol into the vagina
Secondary Outcomes (1)
Vaginal acidity - hydrogen ion concentration
within 2 min before putting the misoprostol into the vagina
Study Arms (2)
Dry Misoprostol
ACTIVE COMPARATOR400 µg of dry misoprostol
Wet misoprostol
EXPERIMENTAL400 µg of wet misoprostol
Interventions
400 µg of dry misoprostol will be introduced into the vaginal fornices 3 or more hours before uterine evacuation
400 µg of wet misoprostol will be introduced into the vaginal fornices 3 or more hours before uterine evacuation
Eligibility Criteria
You may qualify if:
- Women with abortion (less than 12 weeks of pregnancy)
You may not qualify if:
- congestive heart failure
- chronic pulmonary disease
- hypovolemic shock
- twins
- Marfan syndrome
- septic abortion (fever, pus , leukocytosis \>14,000)
- known allergies to misoprostol
- blood dyscrasia
- open cervical (≥ 1cm)
- use of intrauterine device
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital de Clínicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035903, Brazil
Related Publications (6)
WHO. The Prevention and management of unsafe abortion: report of a technical working group, Geneva, 12-15 April 1992. 1993
BACKGROUNDRegan L, Rai R. Epidemiology and the medical causes of miscarriage. Baillieres Best Pract Res Clin Obstet Gynaecol. 2000 Oct;14(5):839-54. doi: 10.1053/beog.2000.0123.
PMID: 11023804BACKGROUNDGrimes DA, Benson J, Singh S, Romero M, Ganatra B, Okonofua FE, Shah IH. Unsafe abortion: the preventable pandemic. Lancet. 2006 Nov 25;368(9550):1908-19. doi: 10.1016/S0140-6736(06)69481-6.
PMID: 17126724BACKGROUNDKhan KS, Wojdyla D, Say L, Gulmezoglu AM, Van Look PF. WHO analysis of causes of maternal death: a systematic review. Lancet. 2006 Apr 1;367(9516):1066-1074. doi: 10.1016/S0140-6736(06)68397-9.
PMID: 16581405BACKGROUNDNeilson JP, Gyte GM, Hickey M, Vazquez JC, Dou L. Medical treatments for incomplete miscarriage. Cochrane Database Syst Rev. 2013 Mar 28;(3):CD007223. doi: 10.1002/14651858.CD007223.pub3.
PMID: 23543549BACKGROUNDFong YF, Singh K, Prasad RN. A comparative study using two dose regimens (200 microg or 400 microg) of vaginal misoprostol for pre-operative cervical dilatation in first trimester nulliparae. Br J Obstet Gynaecol. 1998 Apr;105(4):413-7. doi: 10.1111/j.1471-0528.1998.tb10126.x.
PMID: 9609268BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Ricardo F Savaris, MD, PhD
Hospital de Clínicas de Porto Alegre
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 4, 2015
First Posted
August 13, 2015
Study Start
August 1, 2015
Primary Completion
February 1, 2016
Study Completion
February 1, 2016
Last Updated
March 25, 2016
Record last verified: 2016-03