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RecruitingNCT07417787POCT VEMAUpdated Jun 3, 2026

Point of Care Tests in the Management of Very Early Medical Abortion

An observational study in Abortion Early, sponsored by University of Edinburgh. Recruiting at 3 sites in 2 countries. Open to female participants aged 16 Years to 55 Years. Per ClinicalTrials.gov, last updated 2026-06-03.

Sponsored by University of Edinburgh · Observational

From the registry’s dates

  • Started Apr 2026; still recruiting 5 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
130
Ages
16 Years to 55 Years
Sex
Female
01

Study summary

This study will investigate the use of a point of care test in patients who are having an abortion at a gestation of \<6 weeks (known as a very early medical abortion). These patients have pregnancy hormone level checked at Day 0 and Day 7 to see if treatment has worked. The investigators plan to use a point of care test machine to see if it is possible to check pregnancy hormone level earlier than Day 7.

02

Conditions studied

  • Abortion Early

Keywords

  • VEMA
  • Very Early Medical Abortion
  • point of care test
  • POCT
03

In context

Lead sponsor

University of Edinburgh is the lead sponsor of 393 studies on the registry; 64 are open to participants now.

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

04

Who can participate

Ages eligible
16 Years to 55 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Those having an abortion who meet the currently accepted clinical criteria for very early medical abortions.

Inclusion criteria

  • Positive pregnancy test
  • Less than six weeks gestation based upon Last Menstrual Period (LMP)
  • No evidence of definite intrauterine pregnancy on ultrasound
  • No signs or symptoms or significant risk factors for ectopic
  • Wish to proceed to VEMA (Very Early Medical Abortion)
  • Available for usual clinical follow up
  • Willing to attend for serum Human Chorionic Gonadotropin (HCG) on two occasions Day 2-4 and Day 7 post mifepristone
  • Written informed consent

Exclusion criteria

Exclusion Criteria:

  • Pain and/or bleeding
  • Significant risk factors for ectopic (previous ectopic, sterilisation, tubal disease, intrauterine device in situ)
  • Suspicious features for ectopic on ultrasound (adnexal mass, moderate free fluid)
  • Unable to provide blood sample
  • Lack of Capacity to consent
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
130 participants (estimated)
Patient registry
No

Groups and cohorts

  • VEMA Patients

    Women \& Gender diverse individuals meeting clinical requirements for having very early medical abortion

    Diagnostic Test: Blood test · Other: Participant Questionnaire

  • Staff Members

    Staff members involved in using the point of care test

    Other: Participant Questionnaire

Interventions

  • Diagnostic testBlood test

    Patients will undergo one additional blood test than is usual with standard care, to measure Human Chorionic Gonadotropin (HCG) level which will be analysed on a point of care test machine and in the lab

  • OtherParticipant Questionnaire

    The investigators will administer participant questionnaires to both staff and patients to understand opinions on the point of care test machine

06

What researchers measure

Primary outcomes

  1. Sensitivity

    Sensitivity of percentage change in Human Chorionic Gonadotropin (HCG) between Day 0 and Day2-4 compared with percentage change in Human Chorionic Gonadotropin (HCG) between Day 0 and Day 7

    Time frame: Day 0, Day 2-4 and Day 7

  2. Specificity

    The Specificity of percentage HCG drop between Day 0 and Day 2-4, compared with specificity of percentage HCG drop between Day 0 and Day 7

    Time frame: 7 days

Secondary outcomes

  1. Usability questionnaire for Human Chorionic Gonadotropin (HCG) POCT verification using Likert scale.

    Assess how useful, easy to use, easy to learn to use and acceptable the point of care test is to staff members. Scale will be a minimum of 1 and maximum of 5, with 1 relating to strongly disagree and 5 relating strongly agree to a range of positive statements, meaning a higher score would be a better outcome

    Time frame: 1 year

  2. Positive Predictive Value (PPV)

    PPV for complete abortion of the HCG results between Day 2 and Day 4

    Time frame: 4 days

  3. Negative Predictive Value (NPV)

    NPV for complete abortion for HCG results day 2-day 4

    Time frame: 4 days

  4. Binary Outcome

    Whether the patients preferred follow up on Day 2-4 or on Day 7

    Time frame: 7 days

07

Study locations

1 of 3 sites recruiting
  • University of Gothenberg
    Gothenburg, Sweden
    Not yet recruiting
  • Karolinska Institutet
    Stockholm, Sweden
    Not yet recruiting
  • Chalmers Sexual Health Clinic
    Edinburgh, United Kingdom
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

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 Jun 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07417787
Lead sponsor
University of Edinburgh
Collaborators
NORDIC pharma (funding), NHS Lothian, Karolinska Institutet, Karolinska University Hospital, Göteborg University, Sahlgrenska University Hospital
Responsible party
Sponsor
First posted
Feb 18, 2026
Start date
Apr 23, 2026
Primary completion
Feb 2027 (estimated)
Completion
Feb 2028 (estimated)
Last update
Jun 3, 2026

Study contacts

Jacqueline Quinn
Contact
chalmers.research@ed.ac.uk
+44 0131 536 1542
Chalmers Centre Research Team Generic Email address
Contact
Chalmers.research@ed.ac.uk
Sharon Cameron
principal investigator · NHS Lothian
John Reynolds-Wright
principal investigator · University of Edinburgh

Oversight

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

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