- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00997074
Efficacy Study of Prophylactic Ibuprofen Versus Placebo on Pain Relief and Success Rates of Medical Abortion
The Effect of Prophylactic Ibuprofen Versus Placebo on Pain Relief and Success Rates of Medical Abortion: A Double-blind Randomized Placebo Controlled Study
In the current study, we want to evaluate the prophylactic use of ibuprofen versus a placebo for medical abortion by mifepristone and misoprostol, at a gestational age of up to 7 weeks, in regard to the effect on pain relief and the overall procedure success.
expected results:
The prophylactic use of NSAIDs could offer significant pain relief and thereby a reduction in the need for additional pain relievers compared to the placebo, without interfering with the outcome of medical abortion
Studieoversigt
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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Tel Aviv, Israel
- Sheba medical center
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Good general health
- Pregnancy of up to 7 weeks gestation.
- Approval from the Ministry of Health committee for termination of pregnancy after an intrauterine pregnancy was demonstrated by an ultrasound exam.
- Subjects that provided informed consent and agree to comply with all study procedures.
Exclusion Criteria:
- Known allergy to mifepristone, misoprostol, paracetamol or NSAIDs.
- Severe anemia.
- Drug or alcohol abuse
- Known abnormal liver function (liver function tests greater than 1.5 times upper range of normal).
- Known abnormal renal function (serum creatinine > 1.5 mg/dl).
- Abnormal blood tests
- Exclusionary health problems contraindicating mifepristone included adrenal disease; sickle cell anemia; severe liver, respiratory, or renal disease; and blood clotting defect.
- Chronic disease
- Patient is participating currently in another clinical trial
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: ibuprofen
the group will receive 2 tablets of ibuprofen 400 mg at the time of misoprostol administration.
The information about the effect of the analgesics on the pain, and on the course of medical abortion, will be prospectively gathered from questionnaires completed by the study participants
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The most common side effect observed during medical abortion using mifepristone together with misoprostol is abdominal pain.
The use of ibuprofen was not shown to interfere with the action of misoprostol to induce uterine contractions and pregnancy expulsion.
Andre navne:
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Ingen indgriben: placebo
this group will receive 2 placebo tablets together with the misoprostol
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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• Decrease in pain as assessed using an 11-point numeric pain scale from 0 (= no pain) to 10 (=most severe pain).
Tidsramme: 2 weeks
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2 weeks
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Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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• Success of medical abortion as assessed by follow-up ultrasound examination and the frequency of surgical intervention was recorded.
Tidsramme: 2 weeks
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2 weeks
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Daniel Seidman, Prof., Sheba medical center
Publikationer og nyttige links
Generelle publikationer
- Avraham S, Gat I, Duvdevani NR, Haas J, Frenkel Y, Seidman DS. Pre-emptive effect of ibuprofen versus placebo on pain relief and success rates of medical abortion: a double-blind, randomized, controlled study. Fertil Steril. 2012 Mar;97(3):612-5. doi: 10.1016/j.fertnstert.2011.12.041. Epub 2012 Jan 20.
- Reynolds-Wright JJ, Woldetsadik MA, Morroni C, Cameron S. Pain management for medical abortion before 14 weeks' gestation. Cochrane Database Syst Rev. 2022 May 13;5(5):CD013525. doi: 10.1002/14651858.CD013525.pub2.
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Lægemidlers fysiologiske virkninger
- Molekylære mekanismer for farmakologisk virkning
- Agenter fra det perifere nervesystem
- Enzymhæmmere
- Analgetika
- Sensoriske systemagenter
- Analgetika, ikke-narkotisk
- Antirheumatiske midler
- Cyclooxygenase-hæmmere
- Anti-inflammatoriske midler
- Ibuprofen
- Anti-inflammatoriske midler, ikke-steroide
Andre undersøgelses-id-numre
- SHEBA-09-7253-DS-CTIL
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