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CompletedNCT05108597Updated Nov 5, 2021

Effect of Rectal Misoprostol in Reducing Intra-operative Blood Loss During Myomectomy

A Phase 3 interventional study of Misoprostol in Blood Loss, Surgical and Uterine Myoma, sponsored by Pak Emirates Military Hospital. Completed at 1 site in Pakistan. Open to female participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-11-05.

Sponsored by Pak Emirates Military Hospital · Phase 3, Interventional, and Other

From the registry’s dates

  • Registered 2 years 7 months after the study started (first participant enrolled Mar 2019, registered Oct 2021).
Phase
Phase 3
Study type
Interventional
Enrollment
200
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

A total of 200 women for elective abdominal myomectomy were randomly allocated into two groups.

100 women in experimental group were administered 400ug Misoprostol (2 tablets of Prosotec®) through the rectal route prior to surgery and 100 were in control group, in which no drug was administered.

Read the detailed description

After getting approval from hospital's ethical committee, patients eligible for the study were recruited in the study according to the selection criteria. Before surgery, after taking informed written consent, patient's detailed history including demographics, parity \& BMI was recorded. Uterine size was assessed by bimanual pelvic examination. Patients undergoing myomectomy were randomly divided into 2 groups using lottery method. In experimental group Misoprostol 400ug was administered per rectally prior to surgery. In control group, no drug was administered.

The surgical procedural elements, the surgeon or surgeons performing the procedure and the use of antibiotics as well as anesthetic agents was standardized to remove any bias. Intraoperative blood loss was recorded by a single trained doctor and calculated using visual scale for the abdominal sponges and chest swabs/gauzes used during surgery and blood collected in suction bottle.

02

Conditions studied

  • Blood Loss, Surgical
  • Uterine Myoma
03

In context

Leiomyoma

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

This study's enrollment of 200 is above the median of 62 across 345 interventional studies indexed under Leiomyoma.

Browse Leiomyoma studies →

Lead sponsor

Pak Emirates Military Hospital is the lead sponsor of 22 studies on the registry; 10 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  1. ASA physical status class I-II
  2. Intramural or subserosal fibroids - diagnosed on ultrasound
  3. Candidates for elective abdominal myomectomy

Exclusion criteria

Exclusion Criteria:

  1. Pre-operative Hemoglobin \< 10 g/dl
  2. Patient who received Danazol or GnRH analogues before surgery
  3. No other systemic or metabolic disease
05

Study design

Phase
Phase 3
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
200 participants (actual)

Study arms

  • Experimental
    Misoprostol (Study Group)

    In study group, 400ug misoprostol will be administered through rectal route, 1 hour before surgery.

    Drug: Misoprostol

  • No intervention
    No drug

    In control group no dose will be administered

Interventions

  • DrugMisoprostol

    400ug misoprostol will be administered through rectal route, 1 hour before surgery to assess its effect on intra-operative blood loss during myomectomy

    Also known as: Prosotec

06

What researchers measure

Primary outcomes

  1. Intraoperative blood loss

    Intraoperative blood loss will be recorded by a trained doctor and calculated using visual scale for the abdominal sponges and chest swabs/gauzes used during surgery and blood collected in suction bottle.

    Time frame: During the surgical procedure

07

Study locations

1 site
  • PEMH
    Rawalpindi, Punjab 46000, Pakistan
08

References and documents

Individual participant data

Plan to share: No — Overall results will be shared only.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 5, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05108597
Lead sponsor
Pak Emirates Military Hospital
Responsible party
Salma Nisar (Resident OBGYN, Pak Emirates Military Hospital) — Principal investigator
First posted
Nov 5, 2021
Start date
Mar 4, 2019
Primary completion
Mar 4, 2020
Completion
Mar 4, 2020
Last update
Nov 5, 2021

Study contacts

Salma Nisar
principal investigator · Resident OBGYN

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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