ClinicalTrials.gg
Status unknownNCT02474433Updated Apr 29, 2016

Same-day Cervical Preparation With Misoprostol Before Hysteroscopy

A Phase 4 interventional study of Misoprostol (Cytotec) in Cervical Preparation Prior to Hysteroscopy, sponsored by Wolfson Medical Center. Status unknown at 1 site in Israel. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-04-29.

Sponsored by Wolfson Medical Center · Phase 4, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Apr 2016), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
Female
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Study summary

This is a randomized trial, assessing Misoprostol efficacy in cervical preparation several hours prior to hysteroscopy, comparing the different routes of administration (PO/PV/buccal). Initial cervical dilatation will be assessed, as well as surgical ease of dilatation, time required to achieve dilatation and patient preference.

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Conditions studied

  • Cervical Preparation Prior to Hysteroscopy
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In context

Lead sponsor

Wolfson Medical Center is the lead sponsor of 118 studies on the registry; 17 are open to participants now.

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

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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

  • Patients admitted for elective hysteroscopy (diagnostic/surgical) at Wolfson Medical Center
  • Written consent supplied

Exclusion criteria

Exclusion Criteria:

  • Contraindications to prostaglandin treatment (severe asthma, glaucoma, severe cardiac disease, renal failure)
  • Prostaglandin allergy
  • Pregnancy
  • Genital infection
  • Space-occupying lesion in the endocervical canal
  • Prior cervical surgery
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Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Care provider)
Enrollment
120 participants (estimated)

Study arms

  • Active comparator
    PO Misoprostol

    Patients assigned to PO Misoprostol (Cytotec) 400 mg once, 2-4 hours prior to hysteroscopy

    Drug: Misoprostol (Cytotec)

  • Active comparator
    PV Misoprostol

    Patients assigned to PV Misoprostol (Cytotec) 400 mg once, 2-4 hours prior to hysteroscopy

    Drug: Misoprostol (Cytotec)

  • Active comparator
    Buccal Misoprostol

    Patients assigned to buccal Misoprostol (Cytotec) 400 mg once, 2-4 hours prior to hysteroscopy

    Drug: Misoprostol (Cytotec)

Interventions

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What researchers measure

Primary outcomes

  1. Preoperative cervical width in centimeters

    Initial cervical dilatation assessed by performing cervical dilatation , beginning with a number 10 Hegar dilator and subsequently inserting smaller Hegar dilators until the dilator can pass through the internal os without resistance. The largest one to pass will consist the initial cervical width.

    Time frame: intraoperative

Secondary outcomes

  1. Time required to achieve cervical dilatation

    The time in minutes required for dilatation up to a number 10 Hegar

    Time frame: intraoperative

  2. Ease of cervical dilatation

    The subjective ease of cervical dilatation recorded by the surgeon on a 5-point Likert scale (1-very difficult, 5- very easy)

    Time frame: intraoperative

  3. Patient preference

    Patient acceptability of the administration of medication on a 5-point Likert scale (1-very uncomfortable, 5-very comfortable)

    Time frame: baseline

  4. Adverse effects of medication

    Self reported misoprostol-associated adverse effects before the procedure (such as nausea, vomiting)

    Time frame: baseline

  5. Surgical complications

    Complications arising during surgery (perforation, cervical laceration, excess bleeding)

    Time frame: intraoperative

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Study locations

1 of 1 sites recruiting
  • Edith Wolfson Medical Center
    Holon, Israel
    Recruiting
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References and documents

Publications

  • Ganer Herman H, Kerner R, Gluck O, Feit H, Keidar R, Bar J, Sagiv R. Different Routes of Misoprostol for Same-Day Cervical Priming Prior to Operative Hysteroscopy: A Randomized Blinded Trial. J Minim Invasive Gynecol. 2017 Mar-Apr;24(3):455-460. doi: 10.1016/j.jmig.2016.12.024. Epub 2017 Jan 7. PubMed 28069480 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 29, 2016, 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
NCT02474433
Responsible party
Hadas Ganer Herman (MD, Wolfson Medical Center) — Principal investigator
First posted
Jun 17, 2015
Start date
Jul 2015
Primary completion
Jul 2017 (estimated)
Completion
Jul 2017 (estimated)
Last update
Apr 29, 2016

Study contacts

Hadas Ganer Herman, MD
Contact
hadassganer@yahoo.com
972526206696
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Apr 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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