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CompletedNCT06249815Updated Feb 21, 2025

Sequential Use of Foley's Catheter and Misoprostol Versus Misoprostol Alone for Induction of Labour: a Multicentre Randomised Controlled Trial

A Phase 4 interventional study of Misoprostol 200mcg Tab and Misoprostol 200mcg Tab in Induction of Labor, sponsored by Kazakhstan's Medical University "KSPH". Completed at 2 sites in Kazakhstan. Open to female participants aged 18 Years to 49 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-02-21.

Sponsored by Kazakhstan's Medical University "KSPH" · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
18 Years to 49 Years
Sex
Female
01

Study summary

Evaluation of efficacy of inducing labour using a Foley's catheter and low dose oral misoprostol sequentially, in comparison with low dose oral misoprostol alone.

Read the detailed description

a multicentre, open-label randomised controlled trial in 2 hospitals in the Almaty,Kazakhstan. Women with a term singleton pregnancy in cephalic presentation, an unfavourable cervix, intact membranes, and without a previous caesarean section will be randomly allocated to 2 groups: 1 group -cervical ripening with Foley's catheter for 16 hour and sequentially 25 μg oral misoprostol once every 2 hour, 2 nd group- 25 μg oral misoprostol once every 2 hour. The primary outcome will be vaginal delivery within 24 hours(to evaluate effectiveness) and secondary outcoms 1-5-min Apgar score and hospitalization in ICU, rate of hyperstimulation ,hemorrage,chorioamnionitis (for evaluating safety)

02

Conditions studied

  • Induction of Labor

Keywords

  • Induction of labor
  • low dose misoprostol
  • Foley Catheter
03

In context

Lead sponsor

Kazakhstan's Medical University "KSPH" is the lead sponsor of 4 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 49 Years
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

  • women with an unfavourable cervix who will scheduled for induction of labour

Exclusion criteria

Exclusion Criteria:

  • Women with previous caesarean sections unable to give informed consent Multiple pregnancy History of allergy to misoprostol Ruptured membranes All cases when physiological childbirth is impossible (placenta previa,transverse position of the fetus )
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
400 participants (actual)

Study arms

  • Active comparator
    Foley catheter + misoprostol

    -cervical ripening with transcervical Foley catheter 22 F for 16 hours, then sequentially 25 μg oral misoprostol once every 2 hour.Max 200 μg

    Combination Product: Misoprostol 200mcg Tab

  • Active comparator
    misoprostol

    25 μg oral misoprostol alone once every 2 hour, Max 200 μg.

    Drug: Misoprostol 200mcg Tab

Interventions

  • Combination productMisoprostol 200mcg Tab

    ranscervical Foley catheter (silicone, size 20F with 30ml balloon)+Misoprostol 200 mcg dissolvedwith 200 ml water and divided to 25ml solution every 2 hours per os for maximum of 8 doses

    Also known as: Transcervical Foley catheter (silicone, size 20F with 30ml balloon)

  • Misoprostol 200 mcg dissolvedwith 200 ml water and divided to 25ml solution every 2 hours per os for maximum of 8 doses

06

What researchers measure

Primary outcomes

  1. Efficiency of induction

    Number of Participants with vaginal births

    Time frame: 24 hours.

Secondary outcomes

  1. Safety for baby

    Rate of cases Apgar score \<7 points

    Time frame: 5 minutes

  2. Safety for mother

    incidence of hyperstimulation

    Time frame: 24 hour

  3. rete of hemorrage

    bleeding more than 500 ml during the vaginal delivery, more than 1000 ml after c-section

    Time frame: 24 hour

  4. rate of chorioamnionitis chorioamnionitis

    meconial amniotic fluid, tachycardia, leukocytosis

    Time frame: 24 hour

07

Study locations

2 sites
  • City Perinatology Centre 3
    Almaty, 050062, Kazakhstan
  • Center for Perinatology and Pediatric Cardiac Surgery
    Almaty, A15H0K1, Kazakhstan
08

References and documents

Individual participant data

Plan to share: Yes

Supporting information: Study protocol, Clinical study report

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 Feb 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06249815
Lead sponsor
Kazakhstan's Medical University "KSPH"
Collaborators
Asfendiyarov Kazakh National Medical University
Responsible party
Dilfuza Sultanmuratova (principal investigator, Kazakhstan's Medical University "KSPH") — Principal investigator
First posted
Feb 8, 2024
Start date
Apr 26, 2024
Primary completion
Dec 31, 2024
Completion
Dec 31, 2024
Last update
Feb 21, 2025

Study contacts

Saule Issenova
study chair · Asfendiyarov Kazakh National Univercity
DILFUZA SULTANMURATOVA
principal investigator · Kazakhstans Medical Uivercity

Oversight

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

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This study is completed, as verified in Feb 2025. 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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