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Safety/Efficacy Study Comparing the Misoprostol Vaginal Insert to Cervidil for Cervical Ripening and Induction of Labor
This study has been completed.
Study NCT00308711   Information provided by Cytokine PharmaSciences

First Received on March 27, 2006.   Last Updated on March 29, 2010   History of Changes
Results First Received: July 29, 2009  
Study Type: Interventional
Study Design: Allocation: Randomized;   Endpoint Classification: Efficacy Study;   Intervention Model: Parallel Assignment;   Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor);   Primary Purpose: Treatment
Conditions: Cervical Ripening
Labor, Induced
Interventions: Drug: Misoprostol vaginal insert 100 mcg
Drug: Misoprostol vaginal insert 50 mcg
Drug: Dinoprostone vaginal insert (Cervidil)

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
First subject entered 26 April 2006; last subject completed 07 August 2007; 49 hospitals entered subjects requiring cervical ripening prior to induction of labor.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
  Description
Misoprostol Vaginal Insert (MVI) 100 Misoprostol vaginal insert 100 mcg over a period of up to 24 h
Misoprostol Vaginal Insert (MVI) 50 Misoprostol vaginal insert 50 mcg over a period of up to 24 h
Cervidil 10 mg Vaginal Insert Cervidil 10 mg vaginal insert over a period of up to 24h

Participant Flow:   Overall Study
    Misoprostol Vaginal Insert (MVI) 100     Misoprostol Vaginal Insert (MVI) 50     Cervidil 10 mg Vaginal Insert  
STARTED     428     444     436  
COMPLETED     426     440     431  
NOT COMPLETED     2     4     5  
Withdrawal by Subject                 1                 0                 1  
Protocol Violation                 0                 1                 1  
Lost to Follow-up                 0                 1                 0  
Baby not born within 7 days of treatment                 1                 2                 2  
Subject incarcerated, data not allowed                 0                 0                 1  



  Baseline Characteristics
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Reporting Groups
  Description
Misoprostol Vaginal Insert (MVI) 100 Misoprostol vaginal insert 100 mcg over a period of up to 24 h
Misoprostol Vaginal Insert (MVI) 50 Misoprostol vaginal insert 50 mcg over a period of up to 24 h
Cervidil 10 mg Vaginal Insert Cervidil 10 mg vaginal insert over a period of up to 24h

Baseline Measures
    Misoprostol Vaginal Insert (MVI) 100     Misoprostol Vaginal Insert (MVI) 50     Cervidil 10 mg Vaginal Insert     Total  
Number of Participants  
[units: participants]
  428     444     436     1308  
Age  
[units: participants]
       
<=18 years     0     0     0     0  
Between 18 and 65 years     428     444     436     1308  
>=65 years     0     0     0     0  
Age  
[units: years]
Mean ± Standard Deviation
  26.2  ± 5.9     26.9  ± 6.2     26.0  ± 5.7     26.4  ± 5.9  
Gender  
[units: participants]
       
Female     428     444     436     1308  
Male     0     0     0     0  
Region of Enrollment  
[units: participants]
       
United States     413     427     419     1259  
Canada     15     17     17     49  
Parity [1]
[units: participants]
       
Nulliparous     267     275     270     812  
Parous     161     169     166     496  
modified Bishop score (mBS) [2]
[units: Units on a scale of 0 (low) to 12 (most)]
Mean ± Standard Deviation
  2.69  ± 1.1     2.74  ± 1.1     2.73  ± 1.1     2.72  ± 1.1  
[1] Nulliparaous = no previous vaginal delivery prior to 24 wks gestation Parous = at least one previous vaginal delivery after 24 weeks
[2] The mBS measures cervical softness. There are five elements assessed during a vaginal examination. Maximum mBS is 12: 0 to 3 for Dilation, 0 to 3 for Station, 0 to 2 for Consistency, 0 to 1 for Position, and 0 to 3 for Length of Cervix. A score of zero is a long, closed, thick firm cervix; a score of 12 indicates thin, completely soft, 100% effaced cervix.



  Outcome Measures
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1.  Primary:   Minutes From Drug Insertion to Vaginal Delivery   [ Time Frame: 2880 minutes ]

2.  Primary:   Percentage of Participants With a Cesarean Section Delivery   [ Time Frame: 2880 minutes ]

3.  Secondary:   Percentage of Participants With Maternal/Fetal, Maternal (Post-Partum), and Neonatal Adverse Events   [ Time Frame: 96 hours ]

4.  Secondary:   Percentage of Participants With Pre-Delivery Oxytocin Use   [ Time Frame: 2880 minutes ]

5.  Secondary:   Percentage of Participants With Cervical Ripening Success Based On Modified Bishop Score (mBS) 12 Hours After Administration of Vaginal Insert   [ Time Frame: 12 hours ]

6.  Secondary:   Minutes to Onset of Active Labor   [ Time Frame: 2880 minutes ]

7.  Secondary:   Minutes to Rupture of Membranes (ROM)   [ Time Frame: 2880 minutes ]

8.  Secondary:   Duration of Stay in Minutes in Labor and Delivery Suite   [ Time Frame: 5760 minuts ]

9.  Secondary:   Days in Hospital for Mother and Neonate   [ Time Frame: 10 days ]


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
No text entered.  


Results Point of Contact:  
Name/Title: Barbara L. Powers
Organization: Cytokine PharmaSciences, Inc.
phone: 610-687-1776 ext 214
e-mail: bpowers@cytokinepharmasciences.com


Publications of Results:
Other Publications:
Publications automatically indexed to this study:

Responsible Party: Barbara Powers, Vice President, Clinical Development, Cytokine PharmaSciences
ClinicalTrials.gov Identifier: NCT00308711     History of Changes
Other Study ID Numbers: Miso-Obs-004
Study First Received: March 27, 2006
Results First Received: July 29, 2009
Last Updated: March 29, 2010
Health Authority: United States: Food and Drug Administration