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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

Comparison of Two Regimens of Misoprostol for Second Trimester Medical Termination of Pregnancy

Phase 4
Completed
Conditions
Induced Abortion
Interventions
First Posted Date
2006-11-20
Last Posted Date
2010-03-12
Lead Sponsor
Nilratan Sircar Medical College
Target Recruit Count
185
Registration Number
NCT00401440
Locations
🇮🇳

Department of Gynae & Obstetrics, Nilratan Sircar Medical College , Kolkata, Kolkata, West Bengal, India

A Randomized, Control Trial for Preinduction Cervical Ripening

Phase 2
Completed
Conditions
Labor, Induced
First Posted Date
2006-10-29
Last Posted Date
2008-01-16
Lead Sponsor
The University of Texas Health Science Center, Houston
Target Recruit Count
540
Registration Number
NCT00393731
Locations
🇺🇸

Lyndon B. Johnson Hospital, Houston, Texas, United States

Bleeding Pattern and User Satisfaction During Second Consecutive MIRENA® in Contraception and Treatment of Menorrhagia

Phase 4
Completed
Conditions
Contraception
Menorrhagia
Interventions
First Posted Date
2006-10-27
Last Posted Date
2014-11-02
Lead Sponsor
Bayer
Target Recruit Count
204
Registration Number
NCT00393198

Ripening Interventions: Prostaglandins vs EASI Catheter

Phase 4
Terminated
Conditions
Cesarean Section
Interventions
Device: Catheter
First Posted Date
2006-10-04
Last Posted Date
2017-03-13
Lead Sponsor
Loyola University
Target Recruit Count
80
Registration Number
NCT00383942
Locations
🇺🇸

Loyola University Medical Center, Maywood, Illinois, United States

Trial of Cervical Ripening and Labor Induction Using Misoprostol With or Without Intravaginal Isosorbide Mononitrate

Not Applicable
Completed
Conditions
Cervical Ripening
Interventions
First Posted Date
2006-09-11
Last Posted Date
2017-04-25
Lead Sponsor
Stanford University
Target Recruit Count
156
Registration Number
NCT00374621
Locations
🇺🇸

Stanford University School of Medicine, Stanford, California, United States

Hysteroscopy and Misoprostol Project

Phase 3
Completed
Conditions
Uterine Hemorrhage
First Posted Date
2006-08-15
Last Posted Date
2007-08-07
Lead Sponsor
Ullevaal University Hospital
Target Recruit Count
86
Registration Number
NCT00363389
Locations
🇳🇴

Gynaecological Department, Ullevål University Hospital, Oslo, Norway

Comparison of Misoprostol and PGE2 Gel for Induction of Labour in Women With Premature Rupture of Membranes at Term

Phase 4
Completed
Conditions
Premature Rupture of Membranes at Term
Interventions
First Posted Date
2006-07-25
Last Posted Date
2010-03-25
Lead Sponsor
Nilratan Sircar Medical College
Target Recruit Count
212
Registration Number
NCT00355966
Locations
🇮🇳

NRS Medicl College,138 AJC Bose Road, Kolkata, West Bengal, India

Comparison of Misoprostol and Prostaglandin E2 (PGE2) Gel for Induction of Labour in Premature Rupture of Membranes at Term

Phase 4
Completed
Conditions
Premature Rupture of Membranes at Term
Interventions
First Posted Date
2006-07-21
Last Posted Date
2015-07-22
Lead Sponsor
Nilratan Sircar Medical College
Target Recruit Count
932
Registration Number
NCT00355303
Locations
🇮🇳

Nilratan Sircar Medical College, 138,AJC Bose Road,, Kolkata, West Bengal, India

Safety and Efficacy Study of Misoprostol Vaginal Insert for Induction of Labour

First Posted Date
2006-06-30
Last Posted Date
2012-06-18
Lead Sponsor
Ferring Pharmaceuticals
Target Recruit Count
124
Registration Number
NCT00346840
Locations
🇬🇧

Northampton General Hospital, Northampton, United Kingdom

🇬🇧

The Queen's Mother's Hospital, Yorkhill, Glasgow, United Kingdom

🇬🇧

Liverpool Women's Hospital, Liverpool, United Kingdom

and more 3 locations

Oral Mifepristone and Buccal Misoprostol Administered Simultaneously for Abortion Through 63 Days Gestation

Phase 2
Completed
Conditions
Abortion, Induced
First Posted Date
2006-05-29
Last Posted Date
2007-01-25
Lead Sponsor
University of Pittsburgh
Target Recruit Count
120
Registration Number
NCT00330993
Locations
🇺🇸

Office of Family Planning Research, Magee-Womens Hospital, Pittsburgh, Pennsylvania, United States

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