Trial Outcomes & Findings for Prophylactic Analgesic and Antiemetic Regimen for Medical Abortion < 70 Days (NCT NCT05819619)

NCT ID: NCT05819619

Last Updated: 2025-11-17

Results Overview

Determine if prophylactic use of ondansetron and ibuprofen during medical abortion treatment can increase patient satisfaction thereby creating a more favorable outcome. Patient satisfaction will be assessed using a home developed survey. Satisfaction is measured on 5-Likert scale ranging from Very satisfied to Very dissatisfied.

Recruitment status

TERMINATED

Study phase

EARLY_PHASE1

Target enrollment

8 participants

Primary outcome timeframe

At follow up visit, within 2 weeks from the administration of misoprostol

Results posted on

2025-11-17

Participant Flow

Participant milestones

Participant milestones
Measure
Standard of Care
Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration. Use of ibuprofen and ondansetron at symptom onset post misoprostol administration: Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration.
Prophylactic Use
Administration of ibuprofen and ondansetron at the time of misoprostol administration. Prophylactic use of ibuprofen and ondansetron post misoprostol administration: Prophylactic use of ibuprofen and ondansetron post misoprostol administration
Overall Study
STARTED
3
5
Overall Study
COMPLETED
0
3
Overall Study
NOT COMPLETED
3
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Prophylactic Analgesic and Antiemetic Regimen for Medical Abortion < 70 Days

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard of Care
n=3 Participants
Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration. Use of ibuprofen and ondansetron at symptom onset post misoprostol administration: Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration.
Prophylactic Use
n=5 Participants
Administration of ibuprofen and ondansetron at the time of misoprostol administration. Prophylactic use of ibuprofen and ondansetron post misoprostol administration: Prophylactic use of ibuprofen and ondansetron post misoprostol administration
Total
n=8 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=202 Participants
0 Participants
n=283 Participants
0 Participants
n=120 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=202 Participants
5 Participants
n=283 Participants
8 Participants
n=120 Participants
Age, Categorical
>=65 years
0 Participants
n=202 Participants
0 Participants
n=283 Participants
0 Participants
n=120 Participants
Age, Continuous
29 years
n=202 Participants
29 years
n=283 Participants
29 years
n=120 Participants
Sex: Female, Male
Female
3 Participants
n=202 Participants
5 Participants
n=283 Participants
8 Participants
n=120 Participants
Sex: Female, Male
Male
0 Participants
n=202 Participants
0 Participants
n=283 Participants
0 Participants
n=120 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=202 Participants
0 Participants
n=283 Participants
0 Participants
n=120 Participants
Race (NIH/OMB)
Asian
0 Participants
n=202 Participants
0 Participants
n=283 Participants
0 Participants
n=120 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=202 Participants
1 Participants
n=283 Participants
1 Participants
n=120 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=202 Participants
1 Participants
n=283 Participants
1 Participants
n=120 Participants
Race (NIH/OMB)
White
2 Participants
n=202 Participants
2 Participants
n=283 Participants
4 Participants
n=120 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=202 Participants
0 Participants
n=283 Participants
0 Participants
n=120 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=202 Participants
1 Participants
n=283 Participants
2 Participants
n=120 Participants
Race/Ethnicity, Customized
Hispanic/Latino
1 Participants
n=202 Participants
1 Participants
n=283 Participants
2 Participants
n=120 Participants
Race/Ethnicity, Customized
Non Hispanic/Latino
1 Participants
n=202 Participants
2 Participants
n=283 Participants
3 Participants
n=120 Participants
Race/Ethnicity, Customized
Other- Hispanic/Latino Hispanic/Latino
0 Participants
n=202 Participants
1 Participants
n=283 Participants
1 Participants
n=120 Participants
Race/Ethnicity, Customized
Central or South American
0 Participants
n=202 Participants
1 Participants
n=283 Participants
1 Participants
n=120 Participants
Race/Ethnicity, Customized
Cuban
1 Participants
n=202 Participants
0 Participants
n=283 Participants
1 Participants
n=120 Participants
Region of Enrollment
United States
3 participants
n=202 Participants
5 participants
n=283 Participants
8 participants
n=120 Participants

PRIMARY outcome

Timeframe: At follow up visit, within 2 weeks from the administration of misoprostol

Determine if prophylactic use of ondansetron and ibuprofen during medical abortion treatment can increase patient satisfaction thereby creating a more favorable outcome. Patient satisfaction will be assessed using a home developed survey. Satisfaction is measured on 5-Likert scale ranging from Very satisfied to Very dissatisfied.

Outcome measures

Outcome measures
Measure
Standard of Care
n=3 Participants
Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration. Use of ibuprofen and ondansetron at symptom onset post misoprostol administration: Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration.
Prophylactic Use
n=4 Participants
Administration of ibuprofen and ondansetron at the time of misoprostol administration. Prophylactic use of ibuprofen and ondansetron post misoprostol administration: Prophylactic use of ibuprofen and ondansetron post misoprostol administration
Patient Satisfaction
Very satisfied
1 Participants
1 Participants
Patient Satisfaction
Fairly satisfied
2 Participants
2 Participants
Patient Satisfaction
Neither satisfied nor dissatisfied
0 Participants
1 Participants

PRIMARY outcome

Timeframe: At follow up visit, within 2 weeks from the administration of misoprostol

Population: Patients who were part of the active cohort and got the prophylactic administration

Determine if prophylactic use of ondansetron and ibuprofen during medical abortion treatment can increase patient satisfaction based on their likelihood to recommend the regimen. Likelihood to recommend will be assessed using a home developed survey measured on 5-Likert scale ranging from "Extremely likely to recommend" to "Extremely unlikely to recommend" (an additional "I do not know option" will be provided).

Outcome measures

Outcome measures
Measure
Standard of Care
n=4 Participants
Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration. Use of ibuprofen and ondansetron at symptom onset post misoprostol administration: Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration.
Prophylactic Use
Administration of ibuprofen and ondansetron at the time of misoprostol administration. Prophylactic use of ibuprofen and ondansetron post misoprostol administration: Prophylactic use of ibuprofen and ondansetron post misoprostol administration
Patient Satisfaction Based on Recommendation of Regimen
Extremely likely to recommend
1 Participants
Patient Satisfaction Based on Recommendation of Regimen
Likely to recommend
2 Participants
Patient Satisfaction Based on Recommendation of Regimen
Neither likely nor unlikely to recommend
1 Participants
Patient Satisfaction Based on Recommendation of Regimen
Unlikely to recommend
0 Participants
Patient Satisfaction Based on Recommendation of Regimen
Extremely unlikely to recommend
0 Participants
Patient Satisfaction Based on Recommendation of Regimen
I do not know
0 Participants

SECONDARY outcome

Timeframe: Within 6-8 hours from the administration of misoprostol

Evaluate for a satisfactory pain management regimen for medical abortion using a numerical pain scale ranging from 1 to 10 with 1 being "no pain" and 10 being "very much pain".

Outcome measures

Outcome measures
Measure
Standard of Care
n=3 Participants
Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration. Use of ibuprofen and ondansetron at symptom onset post misoprostol administration: Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration.
Prophylactic Use
n=4 Participants
Administration of ibuprofen and ondansetron at the time of misoprostol administration. Prophylactic use of ibuprofen and ondansetron post misoprostol administration: Prophylactic use of ibuprofen and ondansetron post misoprostol administration
Pain Management at 6-8 Hours
7.66 score on a pain scale
Interval 7.0 to 10.0
6.5 score on a pain scale
Interval 3.0 to 9.0

SECONDARY outcome

Timeframe: Within 24 hours from the administration of misoprostol

Evaluate for a satisfactory pain management regimen for medical abortion using a numerical pain scale ranging from 1 to 10 with 1 being "no pain" and 10 being "very much pain".

Outcome measures

Outcome measures
Measure
Standard of Care
n=3 Participants
Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration. Use of ibuprofen and ondansetron at symptom onset post misoprostol administration: Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration.
Prophylactic Use
n=4 Participants
Administration of ibuprofen and ondansetron at the time of misoprostol administration. Prophylactic use of ibuprofen and ondansetron post misoprostol administration: Prophylactic use of ibuprofen and ondansetron post misoprostol administration
Pain Management at 24 Hours
5 score on a pain scale
Interval 2.0 to 8.0
4.8 score on a pain scale
Interval 1.0 to 9.0

SECONDARY outcome

Timeframe: Within 6-8 hours from the administration of misoprostol

Evaluate for a satisfactory anti-nausea management regimen for medical abortion using a numerical nausea scale ranging from 1 to 10 with 1 being "no nausea" and 10 being "very much nausea".

Outcome measures

Outcome measures
Measure
Standard of Care
n=3 Participants
Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration. Use of ibuprofen and ondansetron at symptom onset post misoprostol administration: Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration.
Prophylactic Use
n=4 Participants
Administration of ibuprofen and ondansetron at the time of misoprostol administration. Prophylactic use of ibuprofen and ondansetron post misoprostol administration: Prophylactic use of ibuprofen and ondansetron post misoprostol administration
Nausea Management
4.33 score on a nausea scale
Interval 1.0 to 8.0
4 score on a nausea scale
Interval 1.0 to 7.0

SECONDARY outcome

Timeframe: Within 24 hours from the administration of misoprostol

Evaluate for a satisfactory anti-nausea management regimen for medical abortion using a numerical nausea scale ranging from 1 to 10 with 1 being "no nausea" and 10 being "very much nausea".

Outcome measures

Outcome measures
Measure
Standard of Care
n=3 Participants
Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration. Use of ibuprofen and ondansetron at symptom onset post misoprostol administration: Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration.
Prophylactic Use
n=5 Participants
Administration of ibuprofen and ondansetron at the time of misoprostol administration. Prophylactic use of ibuprofen and ondansetron post misoprostol administration: Prophylactic use of ibuprofen and ondansetron post misoprostol administration
Nausea Management
3 score on a nausea scale
Interval 1.0 to 7.0
1.2 score on a nausea scale
Interval 1.0 to 2.0

SECONDARY outcome

Timeframe: Within 24 hours from the administration of misoprostol

Evaluate for a satisfactory pain management regimen for medical abortion based on the need for additional pain medication (Yes vs. No).

Outcome measures

Outcome measures
Measure
Standard of Care
n=3 Participants
Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration. Use of ibuprofen and ondansetron at symptom onset post misoprostol administration: Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration.
Prophylactic Use
n=5 Participants
Administration of ibuprofen and ondansetron at the time of misoprostol administration. Prophylactic use of ibuprofen and ondansetron post misoprostol administration: Prophylactic use of ibuprofen and ondansetron post misoprostol administration
Need for Pain Management Medication.
Yes
3 Participants
2 Participants
Need for Pain Management Medication.
No
0 Participants
3 Participants

SECONDARY outcome

Timeframe: Within 24 hours from the administration of misoprostol

Evaluate for a satisfactory anti-nausea management regimen for medical abortion based on the additional anti-nausea medication (Yes vs. No).

Outcome measures

Outcome measures
Measure
Standard of Care
n=3 Participants
Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration. Use of ibuprofen and ondansetron at symptom onset post misoprostol administration: Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration.
Prophylactic Use
n=5 Participants
Administration of ibuprofen and ondansetron at the time of misoprostol administration. Prophylactic use of ibuprofen and ondansetron post misoprostol administration: Prophylactic use of ibuprofen and ondansetron post misoprostol administration
Need for Anti-nausea Medication.
Yes
1 Participants
0 Participants
Need for Anti-nausea Medication.
No
2 Participants
5 Participants

Adverse Events

Standard of Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Prophylactic Use

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Melissa M. Figueroa, MD, MPH, FACOG

Hackensack Meridian Health

Phone: 551-996-8400

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place