Mifepristone Versus Osmotic Dilators in Conjunction With Misoprostol for Cervical Preparation Prior to D&E at 14-19 Weeks

NCT ID: NCT02679092

Last Updated: 2019-09-19

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-30

Study Completion Date

2020-12-31

Brief Summary

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Dilation and evacuation (D\&E) is a common surgical procedure in the U.S. Adequate pre-operative preparation of the uterine cervix is an important part of preventing complications of the procedure. Traditionally, the uterine cervix is prepared for the procedure using water-attracting dilators, which are placed via a speculum exam and cause discomfort for many women. The objective of this study is to investigate the comparative effectiveness of mifepristone (an oral tablet) versus dilators for cervical preparation for D\&E.

Detailed Description

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Conditions

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Legally Induced Abortion Without Mention of Complication

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dilapan (14wks 0days-15wks, 6days)

The clinician will place 1 to 2 osmotic cervical dilators (Dilapan-S) (4mm x 65mm) the day before the participant's procedure.

Group Type ACTIVE_COMPARATOR

Hygroscopic cervical dilators

Intervention Type DEVICE

osmotic cervical dilators inserted through the internal os

Dilapan (16wks 0days-18wks, 6days)

The clinician will place 3 to 5 osmotic cervical dilators (Dilapan-S) (4mm x 65mm). Patients in this arm will also receive 200 mg misoprostol PO 30-90 minutes prior to their procedure.

Group Type ACTIVE_COMPARATOR

Misoprostol

Intervention Type DRUG

400 mcg buccal 60-90 minutes prior to procedure

Hygroscopic cervical dilators

Intervention Type DEVICE

osmotic cervical dilators inserted through the internal os

Mifepristone (14wks 0days-15wks, 6days)

The patient will be administered mifepristone (200mg) orally with juice or water by the clinician or study investigator. Patients in this arm will also receive 200 mg misoprostol PO 30-90 minutes prior to their procedure.

Group Type EXPERIMENTAL

Misoprostol

Intervention Type DRUG

400 mcg buccal 60-90 minutes prior to procedure

Mifepristone

Intervention Type DRUG

200 mg PO on the day prior to D\&E

Mifepristone (16wks 0days-18wks, 6days)

The patient will be administered mifepristone (200mg) orally with juice or water by the clinician or study investigator. Patients in this arm will also receive 200 mg misoprostol PO 30-90 minutes prior to their procedure.

Group Type EXPERIMENTAL

Misoprostol

Intervention Type DRUG

400 mcg buccal 60-90 minutes prior to procedure

Mifepristone

Intervention Type DRUG

200 mg PO on the day prior to D\&E

Interventions

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Misoprostol

400 mcg buccal 60-90 minutes prior to procedure

Intervention Type DRUG

Mifepristone

200 mg PO on the day prior to D\&E

Intervention Type DRUG

Hygroscopic cervical dilators

osmotic cervical dilators inserted through the internal os

Intervention Type DEVICE

Other Intervention Names

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Cytotec Danco Mifeprex Dilapan-S

Eligibility Criteria

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Inclusion Criteria

* \>18 Years Old
* Viable, Singleton pregnancy
* Voluntarily seeking abortion between 14-19 weeks gestation
* Able to give informed consent and comply with study protocol
* Fluent in English or Spanish

Exclusion Criteria

* Allergy to study drugs
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Principal Investigator

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Locations

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Planned Parenthood Mar Monte

San Jose, California, United States

Site Status

Countries

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United States

Other Identifiers

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IRB-36302

Identifier Type: -

Identifier Source: org_study_id

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