Comparative Bioavailability Study of Two Misoprostol Formulations

NCT ID: NCT02516631

Last Updated: 2016-12-06

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

PHASE1

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-30

Study Completion Date

2016-02-29

Brief Summary

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The purpose of this study is to compare pharmacokinetics of two formulations of misoprostol following single dose administration in adult women being given misoprostol for cervical ripening and induction of labour.

Detailed Description

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Prostaglandin E2 (dinoprostone) given vaginally or intra-cervically, and oxytocin have been the most commonly used preparations for induction of labour. Misoprostol is a synthetic prostaglandin E1 analogue. Misoprostol has anti-secretory and mucosal protective properties and was originally developed in the 1970s for the prevention of nonsteroidal anti-inflammatory drug (NSAID)-induced peptic ulcers. It is now used much more widely for 'off-label' indications like medication abortion, medical management of miscarriage, cervical ripening before surgical procedures, treatment of postpartum hemorrhage, and induction of labour. The lack of a specific license for Cytotec® to be used in obstetrics and gynecology has led to a number of problems regarding correct dose and dose regime.

The study is an open-label, randomized, single-dose, comparative, parallel design, bioavailability study followed by repeat dosing of of two formulations misoprostol in healthy adult females being induced to go into labour.

The drug shall be administered orally or sublingually.

Conditions

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Labour, Induced

Keywords

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Labour, induced Misoprostol Pharmacokinetics Cardiotocography Safety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Oral (A)

One tablet of Angusta™ (25 µg) or 1/8 of a tablet of Cytotec® (25 µg).

Group Type ACTIVE_COMPARATOR

Angusta™

Intervention Type DRUG

One tablet of Angusta™ (25 µg) given every 2 hours

Cytotec®

Intervention Type DRUG

1/8 of a tablet of Cytotec® (25 µg) given every 2 hours. Drug administration should be repeated every 2 hours until labour has commenced.

Oral (B)

Two tablets of Angusta™ 25 µg or ¼ of a tablet of Cytotec®.

Group Type ACTIVE_COMPARATOR

Angusta™

Intervention Type DRUG

Two tablets of Angusta™ 25 µg given every 4 hours

Cytotec®

Intervention Type DRUG

¼ of a tablet of Cytotec® given every 4 hours. Drug administration should be repeated every 4 hours until labour has commenced.

Sublingual (C)

Two tablets of Angusta™ (total dose of 50 µg) or ¼ of a tablet of Cytotec® (50 µg.

Group Type ACTIVE_COMPARATOR

Angusta™

Intervention Type DRUG

Two tablets of Angusta™ (total dose of 50 µg), given every 4 hours

Cytotec®

Intervention Type DRUG

¼ of a tablet of Cytotec® (50 µg), given every 4 hours. Subjects should not swallow for a period of 5 minutes. Drug administration should be repeated every 4 hours until labour has commenced.

Interventions

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Angusta™

One tablet of Angusta™ (25 µg) given every 2 hours

Intervention Type DRUG

Cytotec®

1/8 of a tablet of Cytotec® (25 µg) given every 2 hours. Drug administration should be repeated every 2 hours until labour has commenced.

Intervention Type DRUG

Angusta™

Two tablets of Angusta™ 25 µg given every 4 hours

Intervention Type DRUG

Cytotec®

¼ of a tablet of Cytotec® given every 4 hours. Drug administration should be repeated every 4 hours until labour has commenced.

Intervention Type DRUG

Angusta™

Two tablets of Angusta™ (total dose of 50 µg), given every 4 hours

Intervention Type DRUG

Cytotec®

¼ of a tablet of Cytotec® (50 µg), given every 4 hours. Subjects should not swallow for a period of 5 minutes. Drug administration should be repeated every 4 hours until labour has commenced.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult females
* Women wanting to participate and having given informed consent
* Known to have reached week 37 + 0 days to week 42 + 2 days of gestation
* With a viable fetus in a vertex position
* Age above or equal to 18 years old
* Women opting for vaginal delivery
* BMI between 20 and 30 kg/m2

Exclusion Criteria

* Women with known allergy to misoprostol or other prostaglandins
* Women with prior caesarean section
* Women with dead or anomalous fetus
* Women with twin pregnancy
* Women with known liver or renal dysfunction
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Region Skane

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dag Wide-Swensson

Role: PRINCIPAL_INVESTIGATOR

Region Skåne

Locations

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Skåne University Hospital Lund

Lund, , Sweden

Site Status

Countries

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Sweden

References

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Amini M, Reis M, Wide-Swensson D. A Relative Bioavailability Study of Two Misoprostol Formulations Following a Single Oral or Sublingual Administration. Front Pharmacol. 2020 Feb 12;11:50. doi: 10.3389/fphar.2020.00050. eCollection 2020.

Reference Type DERIVED
PMID: 32116725 (View on PubMed)

Other Identifiers

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AZ-201

Identifier Type: -

Identifier Source: org_study_id