NCT02539199

Brief Summary

The purpose of this study is to investigate the effectiveness and safety of vaginally administered misoprostol (Misodel) versus per orally administered misoprostol (Cytotec) in induction of labour in nulliparous women.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
270

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Sep 2015

Typical duration for phase_4

Geographic Reach
1 country

5 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 31, 2015

Completed
1 day until next milestone

Study Start

First participant enrolled

September 1, 2015

Completed
1 day until next milestone

First Posted

Study publicly available on registry

September 2, 2015

Completed
2.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 2, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 2, 2018

Completed
Last Updated

April 18, 2018

Status Verified

April 1, 2018

Enrollment Period

2.5 years

First QC Date

August 31, 2015

Last Update Submit

April 16, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Cesarean section rate

    at time of child birth

Secondary Outcomes (2)

  • The time from beginning of induction to child birth

    up to child birth

  • Neonatal Apgar score

    1, 5, 10 minutes after child birth

Study Arms (2)

Misoprostol modified-release pessary

ACTIVE COMPARATOR
Drug: Misoprostol, modified-release pessary

Misoprostol, per-oral tablets

ACTIVE COMPARATOR
Drug: Misoprostol, per-oral tablets

Interventions

Misoprostol pessary (7 ug/h) placed in vaginal fornix until labour is induced or maximum 24 hours

Also known as: Misodel
Misoprostol modified-release pessary

First day: 50 ug PO in every 4 hours maximum 3 times per day. Second day: 100 ug PO in every 4 hours maximum 3 times per day. Third day: 50 ug vaginally in every 4 hours maximum 3 times per day or until labour is induced.

Also known as: Cytotec
Misoprostol, per-oral tablets

Eligibility Criteria

Sexfemale
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Nulliparous
  • Singleton at term pregnancy (\>36+6 weeks)
  • Unfavourable cervix (Bishop score \< 6)
  • Fetal cephalic position

You may not qualify if:

  • Pre-term pregnancy (\<37 weeks)
  • Multiple pregnancy
  • Rupture of membranes
  • Other than fetal cephalic position
  • Intra-uterine growth retardation
  • Severe pre-eclampsia
  • Severe hypertension
  • Previous cesarean section

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

Helsinki University hospital

Helsinki, Finland

Location

Kuopio University Hospital

Kuopio, Finland

Location

Oulu University Hospital

Oulu, Finland

Location

Tampere University Hospital

Tampere, Finland

Location

Turku University Hospital

Turku, Finland

Location

MeSH Terms

Interventions

Misoprostol

Intervention Hierarchy (Ancestors)

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

Study Officials

  • Kati Tihtonen, PhD, MD

    Tampere University Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 31, 2015

First Posted

September 2, 2015

Study Start

September 1, 2015

Primary Completion

March 2, 2018

Study Completion

March 2, 2018

Last Updated

April 18, 2018

Record last verified: 2018-04

Locations