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Comparison of the effect of methotrexate dose in the treatment of patients with ectopic pregnancy

Phase 2
Conditions
Ectopic pregnancy.
Ectopic pregnancy, unspecified
O00.9
Registration Number
IRCT20120716010297N7
Lead Sponsor
Esfahan University of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
Female
Target Recruitment
108
Inclusion Criteria

Satisfaction with participating in the study
Confirmation of ectopic pregnancy by ultrasound and ßHCG
Stable hemodynamic status
the gestational sac with the largest diameter of, 4 cm;
Existence of low free fluid in the abdominal and pelvic cavity based on ultrasound.

Exclusion Criteria

The presence of active hepatitis
The presence of kidney disease
Use of immunosuppressive drugs
History of severe allergy to methotrexate
Leukopenia in patient CBC tests
Hematopoiesis disorder

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Serum ßHCG level. Timepoint: On days 1, 3, 5 and 7 after injection of methotrexate. Method of measurement: blood test.;Outcome of treatment. Timepoint: 6 weeks after starting treatment. Method of measurement: The outcome of treatment is assessed as follows: The success of single-dose treatment means a 5% reduction in serum hCG levels after one week of treatment and a serum level of less than 5 mIU / mL after 6 weeks of treatment. In the multi-dose regimen, a 15% decrease in hCG serum levels after 48 hours of treatment or after 4 therapeutic doses, or hCG serum levels less than 5 mIU / mL after 6 weeks of treatment will be regarded as success of treatment.
Secondary Outcome Measures
NameTimeMethod
Methotrexate complications such as Hair loss, gastroenteritis, Neutropenia, Fever, and Increase in liver enzyme. Timepoint: during the treatment up to six weeks after. Method of measurement: Clinical observation and doctor's diagnosis.
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