A Randomized Study of Sublingual Versus Oral Misoprostol Administration Following Mifepristone 200 mg for Abortion up to 63 Days Gestation
Overview
- Phase
- Not Applicable
- Intervention
- Mifepristone, misoprostol
- Conditions
- Induced Abortion
- Sponsor
- Gynuity Health Projects
- Enrollment
- 1443
- Locations
- 9
- Primary Endpoint
- Need for surgical completion for incomplete abortions or ongoing viable pregnancies at follow up visit Study day 15.
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
This open-label, randomized study is being conducted to determine whether a dose of 400 mcg of sublingual misoprostol (i.e., under the tongue) taken 24 hours following administration of mifepristone 200 mg is effective and acceptable at inducing an abortion compared with misoprostol taken orally.
The goal of this study is to provide answers to the following four questions:
- Is a regimen of medical abortion with mifepristone using sublingual misoprostol at least as effective as using oral misoprostol up to 63 days since the last menstrual period (LMP)?
- Are the side effects with sublingual use tolerable for women?
- Is sublingual administration of misoprostol acceptable to women?
- Is one of the regimens (sublingual or oral) superior in terms of efficacy, safety (side-effects) or acceptability?
Investigators
Eligibility Criteria
Inclusion Criteria
- •Women presenting for medical abortion who consent to participate
- •Possibility of final gestational age of less than or equal to 63 days
- •General good health
- •Willing to provide contact information for purposes of follow-up
Exclusion Criteria
- •Conditions which contraindicate the use of mifepristone or misoprostol
- •Women presenting for medical abortion who do not consent to participate
Arms & Interventions
Sublingual Misoprostol
400 mcg of sublingual misoprostol
Intervention: Mifepristone, misoprostol
Oral Misoprostol
Misoprostol administered orally
Intervention: Mifepristone, misoprostol
Outcomes
Primary Outcomes
Need for surgical completion for incomplete abortions or ongoing viable pregnancies at follow up visit Study day 15.
Time Frame: 2 weeks after mifepristone administration
Secondary Outcomes
- Side effects(48 hours)
- Acceptability for women(2 weeks)