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CompletedNCT03407521Updated Feb 28, 2018

Misoprosotol and Isosorbide Mononitrate for Induction of Second Trimester Abortion

A Phase 4 interventional study of Misoprostol and isosorbide mononitrate in Second Trimester Abortion, sponsored by Ain Shams University. Completed at 1 site in Egypt. Open to female participants aged 16 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-02-28.

Sponsored by Ain Shams University · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
16 Years to 40 Years
Sex
Female
01

Study summary

the investigators aimed to study the efficacy and safety of nitric oxide donors when combined with prostaglandins in induction of second trimester abortion expecting that both drugs when used together will be of greater efficiency and associated with less side effects.

the study included 60 women with gestational age between 13weeks+0day and 26weeks+6days indicated for pregnancy termination due to maternal or fetal cause.

Read the detailed description

the study aimed to compare the effect of isosorbid mononitrate when combined with misoprostol and misoprostol when used alone in second trimester abortion, expecting that both drugs when used together will be more effective and associated with fewer side effects.

In this study 60 women were enrolled, divided into two groups. The first group (group I), 30 women received misoprostol and isosorbid mononitrate.

The second group (group II), 30 women received misoprostol and placebo. The primary aim of the study was the occurrence of complete abortion in the first 24 hours.

The study concluded that the combination of isosorbid mononitrate with misoprostol is more effective in second trimester abortion than misoprostol with placebo, but is associated with more side effects mainly headache.

02

Conditions studied

  • Second Trimester Abortion

Keywords

  • second trimester abortion
03

Who can participate

Ages eligible
16 Years to 40 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Age 16 -40 years
  • Missed abortion
  • Singelton pregnancy
  • Gestationl age between 13 and 26 weeks of pregnancy
  • Normal uterus and cevix on clinical examination
  • Cervix is not dilatated
  • No uterine activity and vaginal bleeding
  • Written and informed consent by the patient
  • Unscarred uterus

Exclusion criteria

Exclusion Criteria:

  • Presence of uterine contraction or bleeding
  • Evidences suggesting of onset of spontaneous abortion as Previous trial to induce abortion
  • Multifetal pregnancy
  • Suspicion of septic abortion
  • History of cervical surgery or manipulation
  • Uterine anomaly
  • IUD in situ
  • Associtaed hemorrhagic disorder
  • History of adverse effects to vaginally adminstered medication
  • Inability to insert vaginal medication high in vagina
04

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
60 participants (actual)

Study arms

  • Active comparator
    study group

    misoprostol tab 200mcg 2 tab at first then one every 4 hours with isosorbide mononitrate 20mg once

    Drug: Misoprostol · Drug: isosorbide mononitrate

  • Placebo comparator
    control group

    misoprostol tab 200mcg 2 tab at first then one every 4 hours with placebo

    Drug: Misoprostol · Drug: Placebo

Interventions

  • DrugMisoprostol

    induction of abortion using misoprostol

  • Drugisosorbide mononitrate

    isosorbide mononitrate

  • DrugPlacebo

    Placebo

05

What researchers measure

Primary outcomes

  1. induction abortion interval

    time needed to induce abortion in second trimester abortion

    Time frame: 24 hours

06

Study locations

1 site
  • Faculty of Medicine Ain Shams University
    Cairo, 11566, Egypt
07

References and documents

Publications

  • Jain JK, Mishell DR Jr. A comparison of misoprostol with and without laminaria tents for induction of second-trimester abortion. Am J Obstet Gynecol. 1996 Jul;175(1):173-7. doi: 10.1016/s0002-9378(96)70270-3. PubMed 8694046 ↗

Individual participant data

Plan to share: No — publish in scientific journals

08

Registry details

Key details

Study ID
NCT03407521
Lead sponsor
Ain Shams University
Responsible party
Mohamed abd elfatah elsenity (lecturer MD, Ain Shams University) — Principal investigator
First posted
Jan 23, 2018
Start date
Apr 12, 2017
Primary completion
Oct 22, 2017
Completion
Dec 15, 2017
Last update
Feb 28, 2018

Study contacts

mohamed ab elsenity, MD
principal investigator · Ain Shams University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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