The Value of Pretreatment With Letrozole on Induction Time of Medical Evacuation With Misoprostol in Cases of Missed Abortion

ConditionLetrozole
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18-45
SponsorCairo University

About this trial

The aim is to evaluate the effect of letrozole pretreatment on the induction time during medical evacuation using misoprostol in women diagnosed with missed abortion, and to compare its efficacy and safety to misoprostol alone.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Women aged 18 - 45 years.

Diagnosed with missed abortion confirmed by ultrasound (absent fetal heartbeat and/or no embryonic development).

Gestational age ≤ 12 weeks based on last menstrual period

Hemoglobin levels >10 g/dL.

Disqualifiers

Incomplete abortion, inevitable abortion, or threatened miscarriage.

Suspected ectopic pregnancy and molar pregnancy.

History of allergy or contraindication to misoprostol or letrozole.

Coagulopathy or use of anticoagulant medications.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Intervention Group: letrozole followed by misoprostol

    Procedure/Surgery

    Group A (Intervention Group) will receive letrozole followed by misoprostol.

  • Control Group: misoprostol only

    Procedure/Surgery

    Group B (Control Group) will receive misoprostol only, without prior letrozole pretreatment

Treatment groups

74 Participants
are divided into 2 treatment groups
Group A: Intervention Group: letrozole followed by misoprostolExperimental treatment 1 intervention
Group B: Control Group: misoprostol onlyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Time of complete uterine evacuation

Time from misoprostol administration to complete uterine evacuation

Time frame
one week following Misoprostol administration

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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