Mifepristone and Misoprostol for the Termination of Pregnancy up to 70 Days' Gestation in Kazakhstan

NCT ID: NCT02018796

Last Updated: 2015-08-13

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

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Recruitment Status

COMPLETED

Total Enrollment

290 participants

Study Classification

OBSERVATIONAL

Study Start Date

2013-10-31

Study Completion Date

2014-12-31

Brief Summary

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The study will be conducted in 4 sites and will examine how a simplified outpatient medical abortion procedure using mifepristone and misoprostol, with the option to take mifepristone at a place of woman's choosing, works in Kazakhstan. The investigators intend to demonstrate the efficacy of oral administration of 200 mg mifepristone and sublingual administration of 600 µg misoprostol with gestations through 70 days, as well as the acceptability of this method. Research questions include:

1. What is the efficacy of regimen of 200 mg mifepristone, followed 24 to 48 hours later by 600 µg sublingual misoprostol and used in gestations of up to 70 days?
2. Is medical abortion procedure consisting of two visits acceptable to women in Kazakhstan?
3. Are the side effects associated with sublingual use of misoprostol acceptable to women?
4. When given a choice, do women prefer to take mifepristone in the clinic or at a place of their choosing?

Detailed Description

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Conditions

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Complete Abortion

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Women seeking medical abortion

Women with pregnancies less than 71 days gestation seeking medical abortion. Women who choose to participate in the study will be administered 200 mifepristone, followed 24 to 48 hours later by 600 mcg misoprostol.

Mifepristone, misoprostol

Intervention Type DRUG

200 mifepristone, followed 24 to 48 hours later by 600 mcg misoprostol

Interventions

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Mifepristone, misoprostol

200 mifepristone, followed 24 to 48 hours later by 600 mcg misoprostol

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Have an intrauterine pregnancy consistent with gestational age less than 71 days;
* Be able to understand and willing to sign a consent form;
* Be eligible for medical abortion according to the clinician's assessment;
* Be able to return to the clinic and able to contact study staff or emergency medical services, if needed;
* Be willing to provide an address and/or telephone number for purposes of follow-up;
* Agree to comply with the study procedures and visit schedule.

Exclusion Criteria

* Confirmed or suspected ectopic pregnancy or undiagnosed adnexal mass;
* Chronic renal failure;
* Concurrent long-term corticosteroid therapy;
* History of allergy to mifepristone, or misoprostol or another prostaglandin;
* History of hemorrhagic disorders or concurrent anticoagulant therapy;
* History of inherited porphyrias;
* Intrauterine device in place (must be removed before mifepristone is administered).
Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Gynuity Health Projects

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Beverly Winikoff, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Gynuity Health Projects

Mariya Bashkirova, MD

Role: PRINCIPAL_INVESTIGATOR

Almaty City Policlinic No 19, Almaty, Kazakhstan

Tina Kan, MD

Role: PRINCIPAL_INVESTIGATOR

Almaty City Policlinic No. 9, Almaty, Kazakhstan

Gulnar Mukazhanova, MD

Role: PRINCIPAL_INVESTIGATOR

Consultation and Diagnostics Department, Regional Perinatal Center, Astana, Kazakhstan

Oksana Kolyadinova, MD

Role: PRINCIPAL_INVESTIGATOR

Consultation and Diagnostics Department, City Maternity House, Astana, Kazakhstan

Galina Grebennikova, MD

Role: STUDY_DIRECTOR

Kazakhstan Association on Sexual and Reproductive Health

Tamar Tsereteli, MD, MSc, PhD

Role: STUDY_DIRECTOR

Gynuity Health Projects

Locations

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Almaty City Policlinic No. 19

Almaty, , Kazakhstan

Site Status

Almaty City Policlinic No. 9

Almaty, , Kazakhstan

Site Status

Consultation and Diagnostics Department of the City Maternity House

Astana, , Kazakhstan

Site Status

Consultation and Diagnostics Department of the Regional Perinatal Center No. 2

Astana, , Kazakhstan

Site Status

Countries

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Kazakhstan

References

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Platais I, Tsereteli T, Grebennikova G, Lotarevich T, Winikoff B. Prospective study of home use of mifepristone and misoprostol for medical abortion up to 10weeks of pregnancy in Kazakhstan. Int J Gynaecol Obstet. 2016 Sep;134(3):268-71. doi: 10.1016/j.ijgo.2016.02.018. Epub 2016 May 26.

Reference Type DERIVED
PMID: 27352735 (View on PubMed)

Related Links

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http://www.kmpakaz.org/

Kazakhstan Association on Sexual and Reproductive Health

Other Identifiers

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1011

Identifier Type: -

Identifier Source: org_study_id

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