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NCT05216952

Ulipristal Acetate for Use in Early Pregnancy Loss

Completed Phase 2 Results posted Last updated 28 June 2023
What this trial tests

Phase 2 trial testing Ulipristal Acetate Tablets in Missed Abortion in 3 participants. Completed in 30 April 2023.

Timeline
11 May 2022
Primary endpoint
3 January 2023
30 April 2023

Quick facts

Lead sponsorUniversity of North Carolina, Chapel Hill
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment3
Start date11 May 2022
Primary completion3 January 2023
Estimated completion30 April 2023
Sites4 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of North Carolina, Chapel Hill

Who can join

18 and older, female only, with Missed Abortion or Anembryonic Pregnancy. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percentage of Participants Recruited to Study Protocol Primary · Baseline

Measured as number of participants enrolled in study divided by number of patients screened for participation in study

GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg37.5
Percentage of Participants Adherent to Study Protocol Primary · From admission until day 3 follow up, +/- 1 day

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.

GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg100
Percentage of Participants Retained in Study Protocol Primary · From admission until day 30 follow up, +/- 7 days

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

GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg100
Number of Participants With Resolution of Early Pregnancy Loss Following Study Intervention Secondary · From admission until day 3 follow up, +/- 1 day

Absence of gestational sac on transvaginal ultrasound examination on day 3 follow up

GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg3
Number of Participants With Treatment-Related Side Effects Secondary · From admission until day 30 follow up, +/- 7 days

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.

Fatigue
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg2
Headache
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg0
Dizziness
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg2
Chills
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg1
Nausea
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg1
Diarrhea
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg0
Vomiting
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg0
Severe cramping
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg1
Number of Participants With Treatment-Related Adverse Events Secondary · From admission until day 30 follow up, +/- 7 days

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.

Bleeding requiring hospitalization and/or blood transfusion
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg1
Pelvic infection requiring hospitalization and/or antibiotics
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg0
Other
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg0
Median Acceptability of Study Intervention Secondary · From admission until day 30 follow up, +/- 7 days

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.

Would you use these medications again if you had another miscarriage?
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg31 – 5
Would you recommend these medications to a friend with a miscarriage?
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg43 – 5
If possible to take Ulipristal Acetate (UPA) at home, would you be more or less likely to use again?
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg43 – 4
If possible to take UPA at a different time, would you be more or less likely to use again?
GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg33 – 4
Number of Participants Needing Additional Medication for Resolution of Early Pregnancy Loss Secondary · From admission until day 30 follow up, +/- 7 days

Participant reported need for additional dose of misoprostol for resolution of early pregnancy loss.

GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg0
Number of Participants Needing Surgical Management for Resolution of Early Pregnancy Loss Secondary · From admission until day 30 follow up, +/- 7 days

Participant reported need for vacuum aspiration for resolution of early pregnancy loss.

GroupValue95% CI
Ulipristal Acetate (UPA) 90 mg0

Adverse events — posted to ClinicalTrials.gov

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.

Ulipristal Acetate (UPA) 90 mg
Serious: 1/3 (33%)
Deaths: 0/3

Serious adverse events (1 terms)

ReactionSystemUlipristal Acetate (UPA) 9…
Vaginal Bleeding Requiring HospitalizationPregnancy, puerperium and perinatal conditions
Other adverse events (5 terms — click to expand)

ReactionSystemUlipristal Acetate (UPA) 9…
FatigueGeneral disorders
DizzinessGeneral disorders
ChillsInfections and infestations
Severe crampingReproductive system and breast disorders
NauseaGastrointestinal disorders

Most-reported serious reactions: Vaginal Bleeding Requiring Hospitalization.

Data from ClinicalTrials.gov NCT05216952 adverse events section.

Sponsor's own description

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.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other recruiting trials for Missed Abortion

Currently open trials in the same condition.

Other University of North Carolina, Chapel Hill trials

Trials by the same sponsor.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing