Measured as number of participants enrolled in study divided by number of patients screened for participation in study
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 37.5 |
Last reviewed · How we verify
Ulipristal Acetate for Use in Early Pregnancy Loss
Phase 2 trial testing Ulipristal Acetate Tablets in Missed Abortion in 3 participants. Completed in 30 April 2023.
| Lead sponsor | University of North Carolina, Chapel Hill |
|---|---|
| Phase | Phase 2 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | na |
| Design | single group |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 3 |
| Start date | 11 May 2022 |
| Primary completion | 3 January 2023 |
| Estimated completion | 30 April 2023 |
| Sites | 4 locations across United States |
University of North Carolina, Chapel Hill
18 and older, female only, with Missed Abortion or Anembryonic Pregnancy. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Measured as number of participants enrolled in study divided by number of patients screened for participation in study
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 37.5 |
Measured as number of participants self reporting adherence to study intervention of ulipristal acetate followed by misoprostol taken 6-18 hours later divided by number of participants enrolled in study.
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 100 |
Measured as number of participants attending all required study visits (day 0, day 3, day 8, and day 30) divided by number of participants enrolled in study
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 100 |
Absence of gestational sac on transvaginal ultrasound examination on day 3 follow up
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 3 |
Participant reported side effects based on pre-specified list of common side effects (fatigue, headache, dizziness, chills, nausea, diarrhea, vomiting, severe cramping, and fever) that may occur with medication management of early pregnancy loss.
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 2 |
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 0 |
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 2 |
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 1 |
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 1 |
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 0 |
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 0 |
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 1 |
Participant reported adverse events based on pre-specified list (bleeding requiring hospitalization and/or blood transfusion, pelvic infection requiring hospitalization and/or antibiotics) that may occur with medication management of early pregnancy loss.
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 1 |
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 0 |
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 0 |
Participant reported ordinal data based on 4 Likert scale questions about acceptability of study intervention with scores ranging from 1-5 (1=Very Unlikely, 2=More Unlikely, 3=Neutral, 4=More Likely, 5=Very Likely). Higher scores indicated more acceptable treatment.
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 3 | 1 – 5 |
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 4 | 3 – 5 |
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 4 | 3 – 4 |
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 3 | 3 – 4 |
Participant reported need for additional dose of misoprostol for resolution of early pregnancy loss.
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 0 |
Participant reported need for vacuum aspiration for resolution of early pregnancy loss.
| Group | Value | 95% CI |
|---|---|---|
| Ulipristal Acetate (UPA) 90 mg | 0 |
Time frame: From the time of signing informed consent through study completion, 30 days +/- 7 days.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | Ulipristal Acetate (UPA) 9… |
|---|---|---|
| Vaginal Bleeding Requiring Hospitalization | Pregnancy, puerperium and perinatal conditions | — |
| Reaction | System | Ulipristal Acetate (UPA) 9… |
|---|---|---|
| Fatigue | General disorders | — |
| Dizziness | General disorders | — |
| Chills | Infections and infestations | — |
| Severe cramping | Reproductive system and breast disorders | — |
| Nausea | Gastrointestinal disorders | — |
Most-reported serious reactions: Vaginal Bleeding Requiring Hospitalization.
Data from ClinicalTrials.gov NCT05216952 adverse events section.
The investigators will study the feasibility of using 90mg ulipristal acetate, a selective progesterone receptor agonist, as an adjunct to 800mcg vaginal misoprostol for the medical management of early pregnancy loss. Patients will be followed to assess effective treatment of early pregnancy loss, additional interventions needed, side effects, adverse events and patient acceptability.
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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