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The METEX Study: methotrexate versus expectant management in women with ectopic pregnancy

Phase 4
Conditions
Ectopic Pregnancy
Tubal Pregnancy
10010273
Registration Number
NL-OMON30421
Lead Sponsor
Academisch Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
72
Inclusion Criteria

All hemodynamically stable patients >= 18 years with either an ectopic pregnancy (a visible ectopic pregnancy or an ectopic mass on transvaginal sonography) and a plateauing serum hCG concentration < 1,500 IU/L or with a Pregnancy of Unknown Location (PUL) and a plateauing serum hCG concentration < 2,000 IU/L (persisting PUL).

Exclusion Criteria

Patients with a viable ectopic pregnancy, signs of tubal rupture and/or active intra abdominal bleeding or abnormalities in liver or renal function or in full blood count.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The primary outcome measure is an uneventful decline of serum hCG to an<br /><br>undetectable level. </p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Secondary outcomes are number of (re)interventions (additional methotrexate<br /><br>and/or surgery), treatment complications, health related quality of life,<br /><br>future fertility, and financial costs. The analysis will be performed according<br /><br>to the intention to treat principle. Moreover, patients* preferences will be<br /><br>assessed.</p><br>
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