- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02318212
Dilapan-S / Dilasoft E-Registry in Induced Abortion (DSREGISTRYIA)
May 18, 2017 updated by: Medicem International CR s.r.o.
International Observational E-Registry on the Use of Dilapan-S/Dilasoft Osmotic Dilators for Cervical Priming Prior to Induced Abortion
International Observational E-Registry on the use of osmotic dilators DILAPAN-S® / DILASOFT® for cervical priming prior to induced abortion.
Study Overview
Detailed Description
International, multicentre, non-interventional, observational e-registry, post market clinical follow up study to document current clinical use of Dilapan-S or Dilasoft for cervical priming before induced abortion with regard to the number of dilators used, duration of insertion of dilators in situ and unusual complications consequent of their use.
Study Type
Observational
Enrollment (Actual)
439
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Sampling Method
Probability Sample
Study Population
All patients indicated for cervical priming with Dilapan-S or Dilasoft prior to induced abortion and meet all inclusion and exclusion criteria in centres involved in data collection.
Description
Inclusion Criteria:
- Intrauterine pregnancy ≥ 6 and ≤ 24 weeks gestation
- Patients who are capable of giving consent and sign the form
- Abortion being made in compliance with the Abortion Act 1967 (For England, Wales and Scotland)
Exclusion Criteria:
- Clinical signs of uterine, vaginal or vulvar infection
- Acute bleeding
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Case-Only
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of inserted osmotic dilators
Time Frame: max. up to 24 hrs; estimated average 6 hrs
|
max. up to 24 hrs; estimated average 6 hrs
|
|
Total time taken for cervical priming with Dilapan-S/Dilasoft
Time Frame: max. up to 24 hrs; estimated average 6 hrs
|
Duration of leaving osmotic dilators in situ
|
max. up to 24 hrs; estimated average 6 hrs
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Type of synthetic osmotic dilator used
Time Frame: max. up to 24 hrs; estimated average 6 hrs
|
Dilapan-S or Dilasoft
|
max. up to 24 hrs; estimated average 6 hrs
|
Complications during cervical priming
Time Frame: up to 24 hrs; estimated average 6 hrs
|
pre-operative bleeding, fever, pain, nausea, vomiting, diarrhoea, premature passage of foetal or chorionic tissue
|
up to 24 hrs; estimated average 6 hrs
|
Other observed undesirable effects uf use of synthetic osmotic dilators
Time Frame: up to 24 hrs; estimated average 6 hrs
|
up to 24 hrs; estimated average 6 hrs
|
|
Need of additional mechanical dilation
Time Frame: up to 10 minutes after osmotic dilators extraction
|
In cases, when surgical abortion is performed
|
up to 10 minutes after osmotic dilators extraction
|
Surgical operative time
Time Frame: estimated max. up to 10 min, estimated average 8 min.
|
Period from speculum insertion in to speculum extraction out
|
estimated max. up to 10 min, estimated average 8 min.
|
Initiation-to-delivery time
Time Frame: hrs
|
In case of medical abortion
|
hrs
|
Induction-to-delivery time
Time Frame: up to 72 hrs; estimated average 48 hrs
|
In case of medical abortion
|
up to 72 hrs; estimated average 48 hrs
|
Complications related to induced abortion procedure
Time Frame: up to 24 hrs; estimated average 12 hrs
|
up to 24 hrs; estimated average 12 hrs
|
|
Infectious complication and its relation to the use of Dilapan-S/Dilasoft
Time Frame: up to 72 hrs; Complications, if any, will be followed-up until stable situation has been reached.
|
up to 72 hrs; Complications, if any, will be followed-up until stable situation has been reached.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Patricia Lohr, MD, British Pregnancy Advisory Service, UK
- Principal Investigator: Jiri Hanacek, MD, Institute of Care for Mother and Child, Prague, CZ
- Principal Investigator: Natalia Kan, Prof., MD, Research Center for Obstetrics, Gynecology and Perinatology, Moscow
- Principal Investigator: John Roizin, MD, Allentown Women´s Center, Bethlehem, PA, US
- Principal Investigator: Mary Jane Bovo, MD, Choices Women´s Medical Center, New York
- Principal Investigator: LeRoy Carhart, MD, Germantown Reproductive Health Service
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Chen FC, Bergann A, Krosse J, Merholz A, David M. Isosorbide mononitrate vaginal gel versus misoprostol vaginal gel versus Dilapan-S for cervical ripening before first trimester curettage. Eur J Obstet Gynecol Reprod Biol. 2008 Jun;138(2):176-9. doi: 10.1016/j.ejogrb.2007.09.009. Epub 2007 Nov 5.
- Allen RH, Goldberg AB; Board of Society of Family Planning. Cervical dilation before first-trimester surgical abortion (<14 weeks' gestation). SFP Guideline 20071. Contraception. 2007 Aug;76(2):139-56. doi: 10.1016/j.contraception.2007.05.001. Epub 2007 Jul 10.
- Samuel MI, Parsons JH. Hygroscopic dilator (Dilapan-S) and misoprostol combination for the early first-trimester termination of pregnancy: a pilot study. J Fam Plann Reprod Health Care. 2009 Jan;35(1):45-7. doi: 10.1783/147118909787072234.
- Chambers DG, Willcourt RJ, Laver AR, Baird JK, Herbert WY. Comparison of Dilapan-S and laminaria for cervical priming before surgical pregnancy termination at 17-22 weeks' gestation. Int J Womens Health. 2011;3:347-52. doi: 10.2147/IJWH.S25551. Epub 2011 Oct 20.
- Lyus R, Lohr PA, Taylor J, Morroni C. Outcomes with same-day cervical preparation with Dilapan-S osmotic dilators and vaginal misoprostol before dilatation and evacuation at 18 to 21+6 weeks' gestation. Contraception. 2013 Jan;87(1):71-5. doi: 10.1016/j.contraception.2012.07.006. Epub 2012 Aug 13.
- Fox MC, Krajewski CM. Cervical preparation for second-trimester surgical abortion prior to 20 weeks' gestation: SFP Guideline #2013-4. Contraception. 2014 Feb;89(2):75-84. doi: 10.1016/j.contraception.2013.11.001. Epub 2013 Nov 11.
- Bartz D, Maurer R, Allen RH, Fortin J, Kuang B, Goldberg AB. Buccal misoprostol compared with synthetic osmotic cervical dilator before surgical abortion: a randomized controlled trial. Obstet Gynecol. 2013 Jul;122(1):57-63. doi: 10.1097/AOG.0b013e3182983889.
- Newmann SJ, Sokoloff A, Tharyil M, Illangasekare T, Steinauer JE, Drey EA. Same-day synthetic osmotic dilators compared with overnight laminaria before abortion at 14-18 weeks of gestation: a randomized controlled trial. Obstet Gynecol. 2014 Feb;123(2 Pt 1):271-278. doi: 10.1097/AOG.0000000000000080.
- Schulz KF, Grimes DA, Cates W Jr. Measures to prevent cervical injury during suction curettage abortion. Lancet. 1983 May 28;1(8335):1182-5. doi: 10.1016/s0140-6736(83)92464-9.
- Lichtenberg ES. Complications of osmotic dilators. Obstet Gynecol Surv. 2004 Jul;59(7):528-36. doi: 10.1097/00006254-200407000-00022.
- Newmann S, Dalve-Endres A, Drey EA; Society of Family Planning. Clinical guidelines. Cervical preparation for surgical abortion from 20 to 24 weeks' gestation. Contraception. 2008 Apr;77(4):308-14. doi: 10.1016/j.contraception.2008.01.004. Epub 2008 Mar 4.
- Poon LC, Parsons J. Audit of the effectiveness of cervical preparation with Dilapan prior to late second-trimester (20-24 weeks) surgical termination of pregnancy. BJOG. 2007 Apr;114(4):485-8. doi: 10.1111/j.1471-0528.2006.01257.x. Epub 2007 Feb 19.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
March 1, 2015
Primary Completion (Actual)
December 1, 2016
Study Completion (Actual)
December 1, 2016
Study Registration Dates
First Submitted
December 9, 2014
First Submitted That Met QC Criteria
December 11, 2014
First Posted (Estimate)
December 17, 2014
Study Record Updates
Last Update Posted (Actual)
May 19, 2017
Last Update Submitted That Met QC Criteria
May 18, 2017
Last Verified
May 1, 2017
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- DIS-2014-010
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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