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NCT05262738: MD30 RCT

Misoprostol Dosing in BMI Greater Than 30

Completed Phase 4 Results posted Last updated 3 July 2024
What this trial tests

Phase 4 trial testing 50 Micrograms Vaginal Misoprostol (Intervention) in Pregnancy Related in 180 participants. Completed in 17 July 2023.

Timeline
1 June 2022
Primary endpoint
14 July 2023
17 July 2023

Quick facts

Lead sponsorUniversity of Texas at Austin
PhasePhase 4
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment180
Start date1 June 2022
Primary completion14 July 2023
Estimated completion17 July 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Texas at Austin

Who can join

18 and older, female only, with Pregnancy Related or Obesity. 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.

Interval Time From Labor Induction Initiation to Delivery (Vaginal or Cesarean) Primary · From baseline to the time of delivery (baseline is initiation of labor induction), up to 3 days
GroupValue95% CI
50 Micrograms Vaginal Misoprostol (Intervention)18.56± 9.92
25 Micrograms Vaginal Misoprostol (Control)21.59± 11.11
Interval Time From Labor Induction to Vaginal Delivery Secondary · From baseline (baseline is initiation of labor induction) to the time of vaginal delivery, up to 3 days
GroupValue95% CI
50 Micrograms Vaginal Misoprostol (Intervention)17.20± 9.22
25 Micrograms Vaginal Misoprostol (Control)19.00± 10.76
Number of Cesarean Deliveries Secondary · Assessed following delivery, through study completion which is estimated at 1 year.
GroupValue95% CI
50 Micrograms Vaginal Misoprostol (Intervention)25
25 Micrograms Vaginal Misoprostol (Control)24
Number of Participants Exhibiting Uterine Tachysystole Secondary · Assessed 4 hours post-misoprostol placement

Tachysystole is defined as greater than or equal to 5 contractions within a 10 minute period

GroupValue95% CI
50 Micrograms Vaginal Misoprostol (Intervention)20
25 Micrograms Vaginal Misoprostol (Control)9
Number of Participants Exhibiting Uterine Tachysystole With Fetal Decelerations Secondary · Assessed 4 hours post-misoprostol placement

Tachysystole is defined as greater than or equal to 5 contractions within a 10 minute period. Decelerations are defined by the 2008 NICHD Fetal Monitoring Terminology.

GroupValue95% CI
50 Micrograms Vaginal Misoprostol (Intervention)2
25 Micrograms Vaginal Misoprostol (Control)2
Number of Participants Receiving Terbutaline Secondary · From baseline to the time of delivery
GroupValue95% CI
50 Micrograms Vaginal Misoprostol (Intervention)2
25 Micrograms Vaginal Misoprostol (Control)1
Number of Participants Diagnosed With Clinical Chorioamnionitis Secondary · From baseline to the time of delivery
GroupValue95% CI
50 Micrograms Vaginal Misoprostol (Intervention)8
25 Micrograms Vaginal Misoprostol (Control)10
Number of Participants Diagnosed With Postpartum Hemorrhage Secondary · Assessed at time of delivery
GroupValue95% CI
50 Micrograms Vaginal Misoprostol (Intervention)12
25 Micrograms Vaginal Misoprostol (Control)17
Patient Satisfaction Six Simple Questions, Question 1 Secondary · Assessed postpartum day one following delivery, up to 5 days post-delivery.

Assessed through validated survey, Six Simple Questions. Adapted from Harvey S, Rach D, et al. Evaluation of satisfaction with midwifery care. 2002 Dec; 18(4):260-7. Question 1: Experience has shown that I can have appropriate and adequate control over my care. 1=strongly disagree, 4 = neutral, 7=strongly agree. Title: Six simple questions Definition: A survey to assess patient satisfaction during their cervical ripening and induction. Ranges: 1-7 Best score: 7 Worst score: 1

GroupValue95% CI
50 Micrograms Vaginal Misoprostol (Intervention)66 – 7
25 Micrograms Vaginal Misoprostol (Control)66 – 7
Patient Satisfaction Six Simple Questions, Question 2 Secondary · Assessed postpartum day one following delivery, up to 5 days post-delivery.

Assessed through validated survey, Six Simple Questions. Adapted from Harvey S, Rach D, et al. Evaluation of satisfaction with midwifery care. 2002 Dec; 18(4):260-7. Question 2: The person(s) responsible for my care are/were caring and compassionate. 1=strongly disagree, 4 = neutral, 7=strongly agree. Title: Six simple questions Definition: A survey to assess patient satisfaction during their cervical ripening and induction. Ranges: 1-7 Best score: 7 Worst score: 1

GroupValue95% CI
50 Micrograms Vaginal Misoprostol (Intervention)76 – 7
25 Micrograms Vaginal Misoprostol (Control)76 – 7
Patient Satisfaction Six Simple Questions, Question 3 Secondary · Assessed postpartum day one following delivery, up to 5 days post-delivery.

Assessed through validated survey, Six Simple Questions. Adapted from Harvey S, Rach D, et al. Evaluation of satisfaction with midwifery care. 2002 Dec; 18(4):260-7. Question 3: Problems that have arisen up to now have not been dealt with effectively. 1=strongly disagree, 4 = neutral, 7=strongly agree. Title: Six simple questions Definition: A survey to assess patient satisfaction during their cervical ripening and induction. Ranges: 1-7 Best score: 7 Worst score: 1

GroupValue95% CI
50 Micrograms Vaginal Misoprostol (Intervention)21 – 4
25 Micrograms Vaginal Misoprostol (Control)21 – 4
Patient Satisfaction Six Simple Questions, Question 4 Secondary · Assessed postpartum day one following delivery, up to 5 days post-delivery.

Assessed through validated survey, Six Simple Questions. Adapted from Harvey S, Rach D, et al. Evaluation of satisfaction with midwifery care. 2002 Dec; 18(4):260-7. Question 4: My needs have been addressed with appropriate consideration for my time. 1=strongly disagree, 4 = neutral, 7=strongly agree. Title: Six simple questions Definition: A survey to assess patient satisfaction during their cervical ripening and induction. Ranges: 1-7 Best score: 7 Worst score: 1

GroupValue95% CI
50 Micrograms Vaginal Misoprostol (Intervention)66 – 7
25 Micrograms Vaginal Misoprostol (Control)76 – 7

Adverse events — posted to ClinicalTrials.gov

Time frame: through study completion, an average of 1 week.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

50 Micrograms Vaginal Misoprostol (Intervention)
Serious: 2/91 (2%)
Deaths: 0/91
25 Micrograms Vaginal Misoprostol (Control)
Serious: 5/88 (6%)
Deaths: 0/88

Serious adverse events (2 terms)

ReactionSystem50 Micrograms Vaginal Miso…25 Micrograms Vaginal Miso…
Neonatal ICU AdmissionPregnancy, puerperium and perinatal conditions
Maternal ICU admissionPregnancy, puerperium and perinatal conditions
Other adverse events (5 terms — click to expand)

ReactionSystem50 Micrograms Vaginal Miso…25 Micrograms Vaginal Miso…
postpartum hemorrhagePregnancy, puerperium and perinatal conditions
clinical endometritisPregnancy, puerperium and perinatal conditions
pRBC transfusionBlood and lymphatic system disorders
wound complicationSurgical and medical procedures
sepsisInfections and infestations

Most-reported serious reactions: Neonatal ICU Admission, Maternal ICU admission.

Data from ClinicalTrials.gov NCT05262738 adverse events section.

Sponsor's own description

The investigators are performing a randomized controlled-trial investigating if 50mcg (compared to 25 mcg) of vaginal misoprostol reduces the time from induction start to delivery in obese women.

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 Pregnancy Related

Currently open trials in the same condition.

Other University of Texas at Austin trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05262738.

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