Safety and Efficacy Study of Vaginal Misoprostol for Cervical Ripening and Induction of Labor

NCT ID: NCT01428037

Last Updated: 2013-11-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

225 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-03-31

Study Completion Date

2013-01-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The purpose of this study is to estimate the efficacy and safety of the 25mcg vaginal misoprostol for cervical ripening and induction of labour.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

There are many pregnant women require medical intervention to induce labor for some reasons at term. There are two fundamental changes that characterize pre-labor preparation for delivery: sensitization of the myometrium to produce contractions, and ripening (softening and dilation) of the cervix. A synthetic Prostaglandin misoprostol is fundamental to both of these changes. Low dose misoprostol is effective and safe for labor induction and has been used widely.

Oral tablets(200mcg) are broken into fragments and used intravaginally to ripen the cervix and induce labor due to the disadvantages of existing cervical ripeners (delivery of bolus doses, freezer or refrigerated storage, lack of efficacy in labor induction), and due to safety concerns with the off-label use of oral misoprostol tablet fragments, Regenex Corporation has developed a vaginal tablet with 25mcg misoprostol.

The primary objective of the study was to assess of the efficacy and safety of low dose (25 mcg) of misoprostol vaginal tablet for cervical ripening and induction of labour.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Cervical Ripening Induction of Labor

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Vaginal Misoprostol Cervical Ripening Labor Induced

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Misoprostol Vagianl Tablet

Misoprostol Vaginal Tablet 25 mcg.

Group Type EXPERIMENTAL

Misoprostol vaginal Tablet 25 mcg

Intervention Type DRUG

One tablet vaginal insert at 4 hrly interval with maximum of three doses

Placebo

Tablet without active ingredient

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

One tablet vaginal inserted at 4 hrly interval with maximum of three doses

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Placebo

One tablet vaginal inserted at 4 hrly interval with maximum of three doses

Intervention Type DRUG

Misoprostol vaginal Tablet 25 mcg

One tablet vaginal insert at 4 hrly interval with maximum of three doses

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Misoprostol vaginal Tablet

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Singleton pregnancy.
* Aged 20 years or older.
* At term (37 to 42 weeks inclusive gestation).
* Cephalic presentation (normal lie).
* No rupture.
* Bishop score ≤6.
* With an indication for labour induction.
* Written informed consent.

Exclusion Criteria

* Any contraindication to vaginal delivery.
* Previous of uterine scar(Cesarean section or other uterine surgeries).
* Heavy or repeated vaginal bleeding in third trimester of pregnancy.
* Have a history of glaucoma,asthma or epilepsy.
* Contraindication to prostaglandin use.
* Known severe allergy to prostaglandin.
* Placenta previa
* Premature rupture of membranes
* Placental abruption
* Fetal malpresentation(Breech or Transverse)
* Obvious cephalopelvic disproportion
* Amniotic Fluid Index more than 250mm or less than 50mm
* Fetal growth restriction
* Fetal malformation
* Fetal distress
* Preeclampsia or eclampsia
* Fetal macrosomia of prenatal diagnosis(B-type ultrasonic inspection/Abdomen estimates)
* Intrahepatic cholestasis syndrome(ICP)
* Pregnancy with severe heart, lung, liver, kidney, endocrine disease and immune dysfunction
* Pregnancy with acute systemic infection
* Pregnancy with Severe anemia
* Cervical carcinoma
* Some genital tract infection disease, such as active herpes infection
* Take part in other clinical trials within three months.
* The person that investigator thought not be enrolled.
Minimum Eligible Age

20 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Regenex Pharmaceutical, China

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Wen Di, MD

Role: PRINCIPAL_INVESTIGATOR

RenJi Hospital

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Zhongda Hospital ,Southeast University

Nanjing, Jiangsu, China

Site Status

The First Affliated Hospital with Nanjing Meical Uniersity

Nanjing, Jiangsu, China

Site Status

Sichuan Provincial People's Hospital

Chengdu, Sichuan, China

Site Status

Southwest Hospital

Chongqing, , China

Site Status

The International Peace Maternity & Child Care of China Welfare Institute

Shanghai, , China

Site Status

Renji Hospital, Shanghai Jiaotong University School of Medicine

Shanghai, , China

Site Status

Countries

Review the countries where the study has at least one active or historical site.

China

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

RH-MS-01RCT

Identifier Type: -

Identifier Source: org_study_id