Effectiveness of Two Regimens of Misoprostol Alone for Early Pregnancy Termination and Use of SQPT for At-Home Follow-Up

NCT ID: NCT02299401

Last Updated: 2016-11-03

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

Clinical Phase

PHASE2/PHASE3

Total Enrollment

401 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2016-10-31

Brief Summary

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This randomized trial will compare the rates of ongoing pregnancy, safety/side effects and acceptability of two medical abortion regimens that are commonly used in Latin America. The first regimen will involve three 800 mcg doses of misoprostol taken buccally in three hour intervals; the second will involve three 800 mcg doses of misoprostol taken sublingually in three hour intervals. This study will also aim to assess the feasibility and acceptability of a semi-quantitative pregnancy test (SQPT) for at-home follow-up in both settings.

Detailed Description

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Conditions

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Pregnancy

Keywords

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Medical abortion Induced abortion Pregnancy test Semi-quantitative pregnancy test

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Buccal

Women randomized to receive three 800 mcg doses of misoprostol taken buccally in three hour intervals. All women receive a semi-quantitative pregnancy test for at-home follow up.

Group Type EXPERIMENTAL

Misoprostol

Intervention Type DRUG

Women will receive three 800 mcg doses of misoprostol.

Semi-quantitative pregnancy test

Intervention Type DEVICE

All women will be given a semi-quantitative pregnancy test (SQPT) for at-home follow-up.

Sublingual

Women randomized to receive three 800 mcg doses of misoprostol taken sublingually in three hour intervals. All women receive a semi-quantitative pregnancy test for at-home follow up.

Group Type EXPERIMENTAL

Misoprostol

Intervention Type DRUG

Women will receive three 800 mcg doses of misoprostol.

Semi-quantitative pregnancy test

Intervention Type DEVICE

All women will be given a semi-quantitative pregnancy test (SQPT) for at-home follow-up.

Interventions

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Misoprostol

Women will receive three 800 mcg doses of misoprostol.

Intervention Type DRUG

Semi-quantitative pregnancy test

All women will be given a semi-quantitative pregnancy test (SQPT) for at-home follow-up.

Intervention Type DEVICE

Other Intervention Names

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SQPT

Eligibility Criteria

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Inclusion Criteria

* Presents for voluntary termination of pregnancy
* Gestational age ≤ 70 days by last menstrual period plus clinical assessment or ultrasound
* General good health including the absence of conditions which contraindicate the use of misoprostol for pregnancy termination
* Agrees to return for follow-up visit and willing to provide an address and/or telephone number for the purposes of follow-up
* Able to consent to study participation

Exclusion Criteria

* Gestational age \> 70 days last menstrual period
* Confirmed or suspected ectopic or molar pregnancy
* Contraindications to medical abortion include having an intrauterine device in place and history of allergy to misoprostol or other prostaglandins
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

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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Wendy R Sheldon, PhD

Role: STUDY_DIRECTOR

Gynuity Health Projects

Locations

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Reproductive Health Clinic

La Paz, Pedro Domingo Murillo, Bolivia

Site Status

Reproductive Health Clinic

Quito, , Ecuador

Site Status

Countries

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Bolivia Ecuador

References

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Sheldon WR, Durocher J, Dzuba IG, Sayette H, Martin R, Velasco MC, Winikoff B. Early abortion with buccal versus sublingual misoprostol alone: a multicenter, randomized trial. Contraception. 2019 May;99(5):272-277. doi: 10.1016/j.contraception.2019.02.002. Epub 2019 Mar 1.

Reference Type DERIVED
PMID: 30831103 (View on PubMed)

Other Identifiers

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6006

Identifier Type: -

Identifier Source: org_study_id