Isonicotinic Acid Hydrazide Pretreatment With Misoprostol Induction of Abortion in First-trimester Missed Miscarriage

NCT ID: NCT04499976

Last Updated: 2020-08-05

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-01

Study Completion Date

2021-06-30

Brief Summary

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This study compares the success rate of Adjuvant isonicotinic acid hydrazide and misoprostol versus misoprostol alone for medical termination of first-trimester pregnancy among women with one or more previous cesarean deliveries.

Detailed Description

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In the past, the role of laminaria and prostaglandins in cervical dilatation and reducing intraoperative complications of cervical dilatation have been proven . Misoprostol is a synthetic analogue of prostaglandin E1 used to treat and prevent gastric ulcers, which is now widely used in obstetrics and gynecology. Its applications in obstetrics and gynecology include medical abortion in the first and second trimesters of pregnancy.

Conditions

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Abortion, Missed

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

double blind randomized controlled study
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
double blind randomized controlled study

Study Groups

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INH

3 tablets of isonicotinic acid hydrazide 300 mg will be given as single daily dose, 900 mg per day for two days at home and the third dose will be given on admission to hospital on day 3 and will be followed by vaginal misoprostol 800 mcg every three hours up to maximum two doses.

Group Type EXPERIMENTAL

Isonicotinic Acid

Intervention Type DRUG

Drug: Isonicotinic Acid then misoprostol Drug: Isonicotinic Acid 300mg total dose 900 mg per day for 3 days

Misoprostol

Intervention Type DRUG

Drug: Misoprostol Misoprosrol 800mcg will be given to all patients for induction of abortion

Placebo Comparator

three tablets of placebo will be given as a single daily dose, for two days at home and will be admitted on day 3 and continue treatment with misoprostol 800 mcg every three hours up to maximum two doses

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Drug: placebo then misoprostol Drug: Placebo placebo for 3 days

Misoprostol

Intervention Type DRUG

Drug: Misoprostol Misoprosrol 800mcg will be given to all patients for induction of abortion

Interventions

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Isonicotinic Acid

Drug: Isonicotinic Acid then misoprostol Drug: Isonicotinic Acid 300mg total dose 900 mg per day for 3 days

Intervention Type DRUG

Placebo

Drug: placebo then misoprostol Drug: Placebo placebo for 3 days

Intervention Type DRUG

Misoprostol

Drug: Misoprostol Misoprosrol 800mcg will be given to all patients for induction of abortion

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Gestational age less than 70 days gestation (\<10 wks).
* Hemoglobin \>10 g/dL.
* BMI between 18.5 kg/m2 and 30 kg/m2.
* Missed abortion
* previous one or more cesarean deliveries

Exclusion Criteria

* Molar pregnancy
* Fibroid uterus.
* Uterine anomalies.
* Coagulopathy
* Medical disorder that contraindicate induction of abortion (e.g. heart failure).
* Previous attempts for induction of abortion in the current pregnancy.
* Allergy to misoprostol or INH.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Aswan University Hospital

OTHER

Sponsor Role lead

Responsible Party

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hany farouk

A Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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nahla w Shady

Role: STUDY_CHAIR

Aswan universirty

Locations

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Aswan University Hospital

Aswān, , Egypt

Site Status

Countries

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Egypt

Central Contacts

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hany f Sallam, md

Role: CONTACT

+20102435461 ext. 002

nahla w Shady, md

Role: CONTACT

+201022336052 ext. 002

Other Identifiers

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aswu/353/3/19

Identifier Type: -

Identifier Source: org_study_id

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