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CompletedNCT02061657Updated Aug 12, 2014

Impact of Misoprostol on Blood Loss In Myomectomy Operations

A Phase 3 interventional study of Misoprostol and Placebo( for misoprostol) in Leiomyoma, sponsored by Ain Shams University. Completed at 1 site in Egypt. Open to female participants aged 35 Years to 50 Years. Per ClinicalTrials.gov, last updated 2014-08-12.

Sponsored by Ain Shams University · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
35 Years to 50 Years
Sex
Female
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Study summary

The aim of this research work is to assess the effect of using single preoperative dose of rectal misoprostol in abdominal myomectomy operations on blood loss, duration of the operation and possible operative complications

Read the detailed description

This study is a randomized, double-blind, controlled study that will be conducted in Ain Shams University Maternity Hospital.

A total of 50 women scheduled to undergo myomectomy for symptomatic uterine myoma will be included in this study after taking their consent for this clinical trial after full explanation of the trial.

The total of 50 included patients will be divided into two groups: Group A (Study group;): will Include 25 patients undergoing myomectomy operation will receive two tablets of misoprostol (400 mcg) rectally two hours before the operation.Group B (Control group): will Include 25 patients undergoing myomectomy operation will not receive misoprostol before the operation.

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Conditions studied

  • Leiomyoma

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03

In context

Leiomyoma

490 studies on the registry are indexed under Leiomyoma; 81 are open to participants now.

This study's enrollment of 50 is below the median of 62 across 345 interventional studies indexed under Leiomyoma.

Browse Leiomyoma studies →

Lead sponsor

Ain Shams University is the lead sponsor of 1,876 studies on the registry; 423 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

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Who can participate

Ages eligible
35 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Premenopausal patients aged between 35 to 50 years old.
  • Five or less symptomatic uterine myomas .
  • Maximum diameter of the largest myoma is 6 cm .
  • All myomas are subserous or intramural.
  • Uterine size less than 24 weeks pregnancy

Exclusion criteria

Exclusion Criteria:

  • History of previous surgery.
  • Allergy to Misoprostol.
  • Hypertension.
  • Cardiac and Pulmonary diseases.
  • Patients who have bleeding disorders.
  • Anemia (Hb \< 10g %).
  • Chronic endocrine or metabolic diseases such as Diabetes.
  • Obesity (body mass index > 30 kg/m2).
  • Cases that will require intraoperative conversion of myomectomy to hysterectomy.
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Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Myomectomy, rectal Misoprostol

    25 patients undergoing myomectomy operation will receive two tablets of misoprostol (400 mcg) rectally two hours before the operation.

    Drug: Misoprostol

  • Active comparator
    Myomectomy, Placebo

    Include 25 patients undergoing myomectomy operation will not receive misoprostol before the operation.

    Drug: Placebo( for misoprostol)

Interventions

  • DrugMisoprostol

    25 patients undergoing myomectomy operation will receive two tablets of misoprostol (400 mcg) rectally two hours before the operation

    Also known as: Cytotec

  • DrugPlacebo( for misoprostol)

    Include 25 patients undergoing myomectomy operation will not receive misoprostol before the operation.

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What researchers measure

Primary outcomes

  1. intraoperative blood loss

    Time frame: time from peritoneum opening till its closure around (1 Hour)

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Study locations

1 site
  • Ain Shams University, Maternity Hospital
    Cairo, Egypt
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References and documents

Publications

  • Abdel-Hafeez M, Elnaggar A, Ali M, Ismail AM, Yacoub M. Rectal misoprostol for myomectomy: A randomised placebo-controlled study. Aust N Z J Obstet Gynaecol. 2015 Aug;55(4):363-8. doi: 10.1111/ajo.12359. Epub 2015 Jul 14. PubMed 26174128 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 12, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02061657
Lead sponsor
Ain Shams University
Responsible party
Dr.Ahmed Elnaggar (DR, Ain Shams University) — Principal investigator
First posted
Feb 13, 2014
Start date
Jun 2013
Primary completion
Jun 2014
Completion
Jul 2014
Last update
Aug 12, 2014

Study contacts

Abd El Mgeed I. Abd El Mgeed, Professor
study chair · Ain Shams University
Mohamed S. Ali, Professor
study director · Ain Shams University
Mohamed A. Abdel-Hafeez, Lecturer
principal investigator · Ain Shams University
Mina A. Yacoup, Fellow
principal investigator · Ain Shams University
Ahmed M. Elnaggar, Lecturer
principal investigator · Ain Shams University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2014. You cannot join it, but the record below documents what was studied.

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