CClinicalTrials.gg
TerminatedNCT05819619Updated Nov 17, 2025Results posted

Prophylactic Analgesic and Antiemetic Regimen for Medical Abortion < 70 Days

An Early Phase 1 interventional study of Prophylactic use of ibuprofen and ondansetron post misoprostol administration and Use of ibuprofen and ondansetron at symptom onset post misoprostol administration in Nausea and Pain, sponsored by Hackensack Meridian Health. Terminated at 1 site in United States. Open to female participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-11-17.

Sponsored by Hackensack Meridian Health · Early Phase 1, Interventional, and Prevention

Why this study was terminated
Inability to recruit and staffing changes
Phase
Early Phase 1
Study type
Interventional
Enrollment
8
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

Randomized trial which will aim to evaluate whether prophylactic use of ondansetron and ibuprofen will decrease side effects associated with medical abortion and increase patient satisfaction.

02

Conditions studied

  • Nausea
  • Pain

Keywords

  • medical abortion
  • prophylactic use
  • nausea
  • pain
  • patient satisfaction
03

In context

Nausea

822 studies on the registry are indexed under Nausea; 104 are open to participants now.

This study's enrollment of 8 is below the median of 115 across 703 interventional studies indexed under Nausea.

Browse Nausea studies →

Lead sponsor

Hackensack Meridian Health is the lead sponsor of 111 studies on the registry; 28 are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 11 (69%) have results posted.

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

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Who can participate

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

Inclusion criteria

  • Healthy
  • English speaking
  • female volunteers undergoing medical abortion whether for voluntary interruption of pregnancy or missed abortion
  • Gestational age \</= 70 days confirmed via ultrasound
  • Access to a time keeping device
  • Willingness to complete a telephone or in-clinic follow up

Exclusion criteria

Exclusion Criteria:

  • chronic medical problems including but not limited to cardiac conditions, malignancy or organ damage
  • Failed medical abortion resulting in surgical management
  • Known intrauterine infection
  • Known allergy to ondansetron or ibuprofen
  • Subjects chronically receiving analgesic drugs
  • Subjects unable to give consent
  • Subjects taking medications that interact with ondansetron or ibuprofen
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Study design

Phase
Early Phase 1
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Active comparator
    Standard of care

    Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration.

    Drug: Use of ibuprofen and ondansetron at symptom onset post misoprostol administration

  • Experimental
    Prophylactic use

    Administration of ibuprofen and ondansetron at the time of misoprostol administration.

    Drug: Prophylactic use of ibuprofen and ondansetron post misoprostol administration

Interventions

  • DrugProphylactic use of ibuprofen and ondansetron post misoprostol administration

    Prophylactic use of ibuprofen and ondansetron post misoprostol administration

  • DrugUse of ibuprofen and ondansetron at symptom onset post misoprostol administration

    Administration of ibuprofen or ondansetron only when experiencing pain or nausea respectively post misoprostol administration.

06

What researchers measure

Primary outcomes

  1. Patient Satisfaction

    Determine if prophylactic use of ondansetron and ibuprofen during medical abortion treatment can increase patient satisfaction thereby creating a more favorable outcome. Patient satisfaction will be assessed using a home developed survey. Satisfaction is measured on 5-Likert scale ranging from Very satisfied to Very dissatisfied.

    Time frame: At follow up visit, within 2 weeks from the administration of misoprostol

  2. Patient Satisfaction Based on Recommendation of Regimen

    Determine if prophylactic use of ondansetron and ibuprofen during medical abortion treatment can increase patient satisfaction based on their likelihood to recommend the regimen. Likelihood to recommend will be assessed using a home developed survey measured on 5-Likert scale ranging from "Extremely likely to recommend" to "Extremely unlikely to recommend" (an additional "I do not know option" will be provided).

    Time frame: At follow up visit, within 2 weeks from the administration of misoprostol

Secondary outcomes

  1. Pain Management at 6-8 Hours

    Evaluate for a satisfactory pain management regimen for medical abortion using a numerical pain scale ranging from 1 to 10 with 1 being "no pain" and 10 being "very much pain".

    Time frame: Within 6-8 hours from the administration of misoprostol

  2. Pain Management at 24 Hours

    Evaluate for a satisfactory pain management regimen for medical abortion using a numerical pain scale ranging from 1 to 10 with 1 being "no pain" and 10 being "very much pain".

    Time frame: Within 24 hours from the administration of misoprostol

  3. Nausea Management

    Evaluate for a satisfactory anti-nausea management regimen for medical abortion using a numerical nausea scale ranging from 1 to 10 with 1 being "no nausea" and 10 being "very much nausea".

    Time frame: Within 6-8 hours from the administration of misoprostol

  4. Nausea Management

    Evaluate for a satisfactory anti-nausea management regimen for medical abortion using a numerical nausea scale ranging from 1 to 10 with 1 being "no nausea" and 10 being "very much nausea".

    Time frame: Within 24 hours from the administration of misoprostol

  5. Need for Pain Management Medication.

    Evaluate for a satisfactory pain management regimen for medical abortion based on the need for additional pain medication (Yes vs. No).

    Time frame: Within 24 hours from the administration of misoprostol

  6. Need for Anti-nausea Medication.

    Evaluate for a satisfactory anti-nausea management regimen for medical abortion based on the additional anti-nausea medication (Yes vs. No).

    Time frame: Within 24 hours from the administration of misoprostol

07

Results

Posted Nov 17, 2025

Participant flow

Participant flow — Overall Study
MilestoneStandard of CareProphylactic Use
Started35
Completed03
Not completed32

Outcome measures

PrimaryPatient Satisfaction

Determine if prophylactic use of ondansetron and ibuprofen during medical abortion treatment can increase patient satisfaction thereby creating a more favorable outcome. Patient satisfaction will be assessed using a home developed survey. Satisfaction is measured on 5-Likert scale ranging from Very satisfied to Very dissatisfied.

Time frame:
At follow up visit, within 2 weeks from the administration of misoprostol
Reported as:
Count of participants · Participants
Patient Satisfaction
ParticipantsStandard of CareProphylactic Use
Very satisfied11
Fairly satisfied22
Neither satisfied nor dissatisfied01
PrimaryPatient Satisfaction Based on Recommendation of Regimen

Determine if prophylactic use of ondansetron and ibuprofen during medical abortion treatment can increase patient satisfaction based on their likelihood to recommend the regimen. Likelihood to recommend will be assessed using a home developed survey measured on 5-Likert scale ranging from "Extremely likely to recommend" to "Extremely unlikely to recommend" (an additional "I do not know option" will be provided).

Time frame:
At follow up visit, within 2 weeks from the administration of misoprostol
Reported as:
Count of participants · Participants
Patient Satisfaction Based on Recommendation of Regimen
ParticipantsProphylactic Group
Extremely likely to recommend1
Likely to recommend2
Neither likely nor unlikely to recommend1
Unlikely to recommend0
Extremely unlikely to recommend0
I do not know0
SecondaryPain Management at 6-8 Hours

Evaluate for a satisfactory pain management regimen for medical abortion using a numerical pain scale ranging from 1 to 10 with 1 being "no pain" and 10 being "very much pain".

Time frame:
Within 6-8 hours from the administration of misoprostol
Reported as:
Mean · score on a pain scale
Pain Management at 6-8 Hours
score on a pain scaleStandard of CareProphylactic Use
Pain Management at 6-8 Hours7.66 (7 to 10)6.5 (3 to 9)
SecondaryPain Management at 24 Hours

Evaluate for a satisfactory pain management regimen for medical abortion using a numerical pain scale ranging from 1 to 10 with 1 being "no pain" and 10 being "very much pain".

Time frame:
Within 24 hours from the administration of misoprostol
Reported as:
Mean · score on a pain scale
Pain Management at 24 Hours
score on a pain scaleStandard of CareProphylactic Use
Pain Management at 24 Hours5 (2 to 8)4.8 (1 to 9)
SecondaryNausea Management

Evaluate for a satisfactory anti-nausea management regimen for medical abortion using a numerical nausea scale ranging from 1 to 10 with 1 being "no nausea" and 10 being "very much nausea".

Time frame:
Within 6-8 hours from the administration of misoprostol
Reported as:
Mean · score on a nausea scale
Nausea Management
score on a nausea scaleStandard of CareProphylactic Use
Nausea Management4.33 (1 to 8)4 (1 to 7)
SecondaryNausea Management

Evaluate for a satisfactory anti-nausea management regimen for medical abortion using a numerical nausea scale ranging from 1 to 10 with 1 being "no nausea" and 10 being "very much nausea".

Time frame:
Within 24 hours from the administration of misoprostol
Reported as:
Mean · score on a nausea scale
Nausea Management
score on a nausea scaleStandard of CareProphylactic Use
Nausea Management3 (1 to 7)1.2 (1 to 2)
SecondaryNeed for Pain Management Medication.

Evaluate for a satisfactory pain management regimen for medical abortion based on the need for additional pain medication (Yes vs. No).

Time frame:
Within 24 hours from the administration of misoprostol
Reported as:
Count of participants · Participants
Need for Pain Management Medication.
ParticipantsStandard of CareProphylactic Use
Yes32
No03
SecondaryNeed for Anti-nausea Medication.

Evaluate for a satisfactory anti-nausea management regimen for medical abortion based on the additional anti-nausea medication (Yes vs. No).

Time frame:
Within 24 hours from the administration of misoprostol
Reported as:
Count of participants · Participants
Need for Anti-nausea Medication.
ParticipantsStandard of CareProphylactic Use
Yes10
No25

Adverse events

Collected over 24-hour follow-up. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Standard of Care0/3 (0%)0/3 (0%)0/3 (0%)
Prophylactic Use0/5 (0%)0/5 (0%)0/5 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Standard of CareProphylactic UseTotal
<=18 years000
Between 18 and 65 years358
>=65 years000
Age, Continuous
Age, Continuous(years)Standard of CareProphylactic UseTotal
Mean29 (21 to 41)29 (22 to 38)29 (21 to 41)
Sex: Female, Male
Sex: Female, Male(Participants)Standard of CareProphylactic UseTotal
Female358
Male000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Standard of CareProphylactic UseTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander011
Black or African American011
White224
More than one race000
Unknown or Not Reported112
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Standard of CareProphylactic UseTotal
Hispanic/Latino112
Non Hispanic/Latino123
Other- Hispanic/Latino Hispanic/Latino011
Central or South American011
Cuban101
Region of Enrollment
Region of Enrollment(participants)Standard of CareProphylactic UseTotal
United States358
08

Study locations

1 site
  • Antonia Oladipo
    Hackensack, New Jersey 07601, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Jan 20, 2023

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 17, 2025, 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
NCT05819619
Lead sponsor
Hackensack Meridian Health
Responsible party
Sponsor
First posted
Apr 19, 2023
Start date
Jul 20, 2023
Primary completion
Apr 1, 2024
Completion
Apr 11, 2024
Results posted
Nov 17, 2025
Last update
Nov 17, 2025

Study contacts

Melissa Figueroa, MD
principal investigator · Hackensack Meridian Health

Oversight

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

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This study is terminated, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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