Misoprostol

Generic Name
Misoprostol
Brand Names
Arthrotec, Cytotec, Mifegymiso
Drug Type
Small Molecule
Chemical Formula
C22H38O5
CAS Number
59122-46-2
Unique Ingredient Identifier
0E43V0BB57
Background

Misoprostol is a prostaglandin analog used to reduce the risk of NSAID related ulcers, manage miscarriages, prevent post partum hemorrhage, and also for first trimester abortions. The stimulation of prostaglandin receptors in the stomach reduces gastric acid secretion, while stimulating these receptors in the uterus and cervix can increase the strength and frequency of contractions and decrease cervical tone.

Misoprostol was granted FDA approval on 27 December 1988.

Indication

Misoprostol is indicated as a tablet to reduce the risk of NSAID induced gastric ulcers but not duodenal ulcers in high risk patients. Misoprostol is also formulated in combination with diclofenac to treat symptoms of osteoarthritis or rheumatoid arthritis in patients with a high risk of developing gastric ulcers. Misoprostol is used off label for the management of miscarriages, prevention of post partum hemorrhage, and is also used alone or in combination with mifepristone in other countries for first trimester abortions.

Associated Conditions
Gastric Ulcer, Incomplete Abortion, Missed Abortion, Postpartum Haemorrhage (PPH)
Associated Therapies
Induction of cervix ripening therapy, Medically induced abortion

A Prospective Study of Misoprostol Administration in Asymptomatic Patients With Pregnancies of Unknown Location

First Posted Date
2015-10-21
Last Posted Date
2015-10-21
Lead Sponsor
Sheba Medical Center
Target Recruit Count
100
Registration Number
NCT02581761

Termination Of Anembryonic Pregnancy

First Posted Date
2015-10-09
Last Posted Date
2024-07-31
Lead Sponsor
Assiut University
Registration Number
NCT02573051
Locations
🇪🇬

Assiut university, Assiut, Egypt

Uterotonics Using to Reduce Bleeding at Cesarean Section

Phase 2
Completed
Conditions
Interventions
First Posted Date
2015-09-29
Last Posted Date
2020-08-12
Lead Sponsor
Assiut University
Target Recruit Count
120
Registration Number
NCT02562300

Outpatient Foley Catheter Compared to Usual Inpatient Care for Labor Induction

Not Applicable
Terminated
Conditions
Interventions
First Posted Date
2015-09-10
Last Posted Date
2019-06-20
Lead Sponsor
Mayo Clinic
Target Recruit Count
39
Registration Number
NCT02546193
Locations
🇺🇸

Mayo Clinic in Rochester, Rochester, Minnesota, United States

Cervical Ripening in Postmenopausal Women

Not Applicable
Terminated
Conditions
Interventions
First Posted Date
2015-08-28
Last Posted Date
2018-07-12
Lead Sponsor
St. Louis University
Target Recruit Count
11
Registration Number
NCT02534883
Locations
🇺🇸

St. Mary's Health Center, Saint Louis, Missouri, United States

Comparison of Single and Repeated Dose of Vaginal Misoprostol for the Treatment of Early Pregnancy Failure

Phase 4
Completed
Conditions
Interventions
First Posted Date
2015-08-05
Last Posted Date
2016-11-01
Lead Sponsor
Wolfson Medical Center
Target Recruit Count
180
Registration Number
NCT02515604
Locations
🇮🇱

Wolfson Medical Center, Holon, Israel

Could Pre-operative Rectal Misoprostol Reduce Intra-operative Blood Loss During Ceserean Section?

Phase 2
Completed
Conditions
Interventions
First Posted Date
2015-07-28
Last Posted Date
2016-11-10
Lead Sponsor
Ain Shams University
Target Recruit Count
280
Registration Number
NCT02509351
Locations
🇪🇬

Faculty of Medicine, Ain Shams University, Cairo, Al Qahirah, Egypt

Medical Management of Late Intrauterine Death.

First Posted Date
2015-07-02
Last Posted Date
2015-07-24
Lead Sponsor
National Institute of Perinatology
Target Recruit Count
60
Registration Number
NCT02488642

Vaginal Estradiol Pretreatment in Labour Induction With Misoprostol

First Posted Date
2015-06-30
Last Posted Date
2016-02-17
Lead Sponsor
Ain Shams University
Target Recruit Count
200
Registration Number
NCT02485821
Locations
🇪🇬

Ain Shams University, Cairo, Egypt

Comparative Study on the Effects of Sublingual Misoprostol in Addition to Standard AMTSL in Low Risk Parturients in LASUTH, Ikeja.

First Posted Date
2015-04-22
Last Posted Date
2015-04-30
Lead Sponsor
Lagos State University
Target Recruit Count
660
Registration Number
NCT02424201
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