Status:

RECRUITING

The Use of Letrozole or Mifepristone for Pretreatment of Medical Termination of Pregnancy

Lead Sponsor:

KK Women's and Children's Hospital

Conditions:

Abortion in First Trimester

Eligibility:

FEMALE

21+ years

Phase:

PHASE4

Brief Summary

Medical termination of pregnancy (mTOP) generally involves using either a combined regimen consisting of mifepristone and misoprostol, or a misoprostol-only regimen. Complete abortion rates of first t...

Detailed Description

The standard of care for termination of pregnancy (TOP) has shifted from a predominantly surgical approach towards medical strategy. Medical termination of pregnancy (mTOP) has increased in popularity...

Eligibility Criteria

Inclusion

  • 21 years and above
  • Patient requesting for medical termination of pregnancy (mTOP)
  • Patient eligible for legal abortion according to the Termination of Pregnancy Act (Chapter 324)
  • Gestational age ≤10 weeks (on day 1 of mifepristone or letrozole administration) as confirmed by the first trimester dating scan
  • Singleton pregnancy
  • Patient is agreeable to undergo surgical evacuation or repeat medical therapy if treatment fails
  • Willing and able to provide written, informed consent

Exclusion

  • History or evidence of adrenal pathology, steroid-dependent cancer, porphyria, poorly controlled hypertension, bronchial asthma, thromboembolism and severe cardiac/renal/liver disease
  • Haemoglobin level of \<9.5 g/L
  • Presence of an intrauterine contraceptive device
  • Breastfeeding
  • Reported allergic reaction to mifepristone, misoprostol or letrozole,
  • Participating in another trial of investigational medicinal products during the current pregnancy

Key Trial Info

Start Date :

November 22 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 1 2025

Estimated Enrollment :

144 Patients enrolled

Trial Details

Trial ID

NCT05341817

Start Date

November 22 2022

End Date

November 1 2025

Last Update

January 22 2025

Active Locations (1)

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1

KK Women&#39;s and Children&#39;s Hospital

Singapore, Singapore, 229899