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CompletedNCT00670761Updated Jul 27, 2016

Misoprostol for the Treatment of Incomplete Abortion

An interventional study of misoprostol and MVA in Abortion, Incomplete, sponsored by Gynuity Health Projects. Completed at 6 sites in 5 countries. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-07-27.

Sponsored by Gynuity Health Projects · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
720
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This randomized study will examine the efficacy, safety and acceptability of misoprostol for treatment of incomplete abortion.

Women diagnosed with incomplete abortion will be randomized to receive one of the following regimens:

In Tanzania and Mozambique:

  1. 600 mcg of oral misoprostol in one dose, or
  2. Standard surgical treatment (MVA)

In Moldova and Madagascar:

  1. 600 mcg of oral misoprostol in one dose, or
  2. 400 mcg of sublingual misoprostol in one dose.

In Burkina Faso and Vietnam:

  1. 400 mcg of sublingual misoprostol in one dose.

We hypothesize that treatment of incomplete abortion with either 400 mcg sublingual misoprostol, 600 mcg oral misoprostol or MVA are equally effective in evacuating the uterus.

02

Conditions studied

  • Abortion, Incomplete

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Keywords

  • misoprostol
  • incomplete abortion
  • sublingual
  • postabortion care
  • MVA
03

In context

Abortion, Incomplete

24 studies on the registry are indexed under Abortion, Incomplete; 5 are open to participants now.

This study's enrollment of 720 is above the median of 311 across 21 interventional studies indexed under Abortion, Incomplete.

Browse Abortion, Incomplete studies →

Lead sponsor

Gynuity Health Projects is the lead sponsor of 113 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • If no ultrasound used:

    1. Past or present history of vaginal bleeding during pregnancy; and
    2. Open cervical os.
  • If ultrasound used:

    1. Past or present history of vaginal bleeding during pregnancy; and
    2. Evidence of incomplete abortion with substantial debris in the uterus.

All women would have been advised to have surgical evacuation of the uterus if misoprostol was not available.

  • Willing to provide contact information for purposes of follow-up.

    • In Tanzania: 18 years of age or over or parental permission
    • In Mozambique: 21 years of age or over or parental permission
    • In Moldova: 18 years of age or over
    • In Madagascar: 18 years of age or parental permission
    • In Vietnam: reproductive age

Exclusion criteria

Exclusion Criteria:

  • to the study drug;
  • Uterine size larger than 12 weeks L.M.P. at time of presentation for care.
  • Signs of severe infection, defined as at least one of the following of:

    1. foul smelling discharge,
    2. fever > 39 degrees C ,
    3. pulse >110/min;
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
720 participants (actual)

Study arms

  • Active comparator
    1

    treatment with 600mcg oral misoprostol

    Drug: misoprostol

  • Active comparator
    2

    treatment with 400mcg sublingual misoprostol

    Drug: misoprostol

  • Active comparator
    3

    treatment with Manual Vacuum Aspiration (MVA)

    Procedure: MVA

Interventions

  • comparison of orally administered 600mcg of misoprostol to either sublingually administered 400mcg or Manual Vacuum Aspiration (MVA)

    Also known as: Cytotec

  • ProcedureMVA

    comparison of orally administered 600mcg of misoprostol to either sublingually administered 400mcg or Manual Vacuum Aspiration (MVA)

06

What researchers measure

Primary outcomes

  1. complete resolution of signs/symptoms of incomplete abortion without recourse to surgery at any point for any reason

    Time frame: one week after initial treatment with the option of an additional week

07

Study locations

6 sites
  • Hôpital de District Sanitaire Dandé
    Bobo Dioulasso, Burkina Faso
  • Hôpital de District Sanitaire de Ziniaré
    Ouagadougou, Burkina Faso
  • Befelatanana Maternity Centre
    Antananarivo, Madagascar
  • Municipal Clinical Hospital
    Chishinau, Moldova, Republic of
  • Jose Macamo Hospital
    Maputo, Mozambique
  • Kagera Regional Hospital
    Bukoba, Tanzania
08

References and documents

Publications

  • Ngoc NT, Shochet T, Blum J, Hai PT, Dung DL, Nhan TT, Winikoff B. Results from a study using misoprostol for management of incomplete abortion in Vietnamese hospitals: implications for task shifting. BMC Pregnancy Childbirth. 2013 May 22;13:118. doi: 10.1186/1471-2393-13-118. PubMed 23697561 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 27, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00670761
Collaborators
Befelatanana Maternity Centre, Municipal Clinical Hospital No. 1, Kagera Regional Hospital, Jose Macamo Hospital, Tudu hospital, National OBGYN hospital, Cuchi General District hospital, Hôpital de District Sanitaire Dandé, Hôpital de District Sanitaire de Ziniaré
Responsible party
Sponsor
First posted
May 2, 2008
Start date
Jul 2004
Primary completion
Apr 2010
Completion
Dec 2010
Last update
Jul 27, 2016

Study contacts

Beverly Winikoff, MD, MPH
principal investigator · Gynuity Health Projects

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2016. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Misoprostol

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