NCT04242212

Brief Summary

The goal of the study is to determine whether important clinical outcomes differ among women who access a misoprostol-only medication abortion regimen from a patent medicine vendor when compared with those who access it from a clinic.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
4,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2019

Geographic Reach
1 country

3 active sites

Status
unknown

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 19, 2019

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

January 23, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 27, 2020

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2020

Completed
Last Updated

February 24, 2020

Status Verified

February 1, 2020

Enrollment Period

1.1 years

First QC Date

January 23, 2020

Last Update Submit

February 21, 2020

Conditions

Keywords

Medication abortionMisoprostol

Outcome Measures

Primary Outcomes (1)

  • Need for additional treatment to complete abortion

    The primary outcome of the study will be the need for additional treatment to complete the abortion (either aspiration or repeated misoprostol \>3 doses) following a woman taking the medication abortion pills.

    Final assessment at 45 days following misoprostol

Secondary Outcomes (1)

  • Serious complications/ morbidity

    Final assessment at 45 days following misoprostol

Other Outcomes (1)

  • Uptake of postabortion contraception

    Final assessment at 45 days following misoprostol

Study Arms (2)

Clinic-based

Women who get misoprostol from a clinic-based provider

Behavioral: Misoprostol sourced from clinics

PMV-based

Women who get misoprostol from a patent medicine vendor

Behavioral: Misoprostol sourced from PMVs

Interventions

One cohort of women using misoprostol sourced from clinics

Clinic-based

One cohort of women using misoprostol sourced from PMVs

PMV-based

Eligibility Criteria

Age15 Years - 49 Years
Sexfemale
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)
Sampling MethodNon-Probability Sample
Study Population

Nigerian women, age 15-49, living in the study geography, who are pregnant and seeking a misoprostol-only regimen for medication abortion, either from a patent medicine vendor or a healthcare clinic/facility.

You may qualify if:

  • Purchased a misoprostol-only abortion regimen at a PMV or from a clinic
  • Be at least 15 years of age
  • Have a known LMP of less than 9 weeks
  • No contraindications to medical abortion
  • Willing and able to give informed consent
  • Have a mobile phone of which they are the independent user or be willing to be followed-up in person
  • Willing to be contacted with questions about her abortion by telephone at 1-3, 10-29 and 30-45 days following initial contact.

You may not qualify if:

  • Contraindications to misoprostol
  • Age \<15 or \>49

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Multiple facilities

Awka, Anambra, Nigeria

RECRUITING

Multiple facilities

Abeokuta, Ogun State, Nigeria

RECRUITING

Multiple facilities

Ibadan, Oyo State, Nigeria

RECRUITING

Central Study Contacts

Kristen M Shellenberg, PhD, MPH

CONTACT

Nathalie Kapp, MD, MPH

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 23, 2020

First Posted

January 27, 2020

Study Start

May 19, 2019

Primary Completion

June 30, 2020

Study Completion

June 30, 2020

Last Updated

February 24, 2020

Record last verified: 2020-02

Data Sharing

IPD Sharing
Will not share

Locations