Trial Outcomes & Findings for Cabergoline for Lactation Inhibition After Second-Trimester Abortion or Loss (NCT NCT04701333)

NCT ID: NCT04701333

Last Updated: 2024-02-13

Results Overview

Participants will assess their breast symptoms using the validated Bristol Breast Inventory survey to assess 4 domains of breast symptoms: tenderness, engorgement, leaking milk, pain relief. Participants who indicated symptoms in any of these areas met the criteria for this outcome.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

73 participants

Primary outcome timeframe

Day 4 after procedure

Results posted on

2024-02-13

Participant Flow

Participant milestones

Participant milestones
Measure
Cabergoline
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered cabergoline 1mg orally with juice or water by the clinician or study investigator. Cabergoline 1 MG: Dopamine agonist
Placebo
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered a placebo pill orally with juice or water by the clinician or study investigator. Placebo: Placebo
Overall Study
STARTED
36
37
Overall Study
COMPLETED
33
29
Overall Study
NOT COMPLETED
3
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Cabergoline
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered cabergoline 1mg orally with juice or water by the clinician or study investigator. Cabergoline 1 MG: Dopamine agonist
Placebo
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered a placebo pill orally with juice or water by the clinician or study investigator. Placebo: Placebo
Overall Study
Lost to Follow-up
3
7
Overall Study
Withdrawal by Subject
0
1

Baseline Characteristics

Cabergoline for Lactation Inhibition After Second-Trimester Abortion or Loss

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cabergoline
n=36 Participants
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered cabergoline 1mg orally with juice or water by the clinician or study investigator. Cabergoline 1 MG: Dopamine agonist
Placebo
n=37 Participants
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered a placebo pill orally with juice or water by the clinician or study investigator. Placebo: Placebo
Total
n=73 Participants
Total of all reporting groups
Age, Continuous
30.5 years
STANDARD_DEVIATION 5.4 • n=99 Participants
31.6 years
STANDARD_DEVIATION 5.7 • n=107 Participants
31.1 years
STANDARD_DEVIATION 5.6 • n=206 Participants
Sex/Gender, Customized
Woman
35 Participants
n=99 Participants
37 Participants
n=107 Participants
72 Participants
n=206 Participants
Sex/Gender, Customized
Non-binary
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
12 Participants
n=99 Participants
13 Participants
n=107 Participants
25 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
24 Participants
n=99 Participants
24 Participants
n=107 Participants
48 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Asian
14 Participants
n=99 Participants
15 Participants
n=107 Participants
29 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Race (NIH/OMB)
White
11 Participants
n=99 Participants
15 Participants
n=107 Participants
26 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=99 Participants
0 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants
n=99 Participants
5 Participants
n=107 Participants
12 Participants
n=206 Participants
Gestational age at time of procedure
148.9 days
STANDARD_DEVIATION 13.4 • n=99 Participants
147.7 days
STANDARD_DEVIATION 12.8 • n=107 Participants
148.3 days
STANDARD_DEVIATION 13.0 • n=206 Participants
Nulliparous
16 participants
n=99 Participants
25 participants
n=107 Participants
41 participants
n=206 Participants
Indication
Undesired pregnancy
14 Participants
n=99 Participants
8 Participants
n=107 Participants
22 Participants
n=206 Participants
Indication
Fetal anomaly
20 Participants
n=99 Participants
27 Participants
n=107 Participants
47 Participants
n=206 Participants
Indication
Maternal comorbidity
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Indication
Fetal demise
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Day 4 after procedure

Population: Participants who returned survey data for this outcome are included in the analysis.

Participants will assess their breast symptoms using the validated Bristol Breast Inventory survey to assess 4 domains of breast symptoms: tenderness, engorgement, leaking milk, pain relief. Participants who indicated symptoms in any of these areas met the criteria for this outcome.

Outcome measures

Outcome measures
Measure
Cabergoline
n=36 Participants
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered cabergoline 1mg orally with juice or water by the clinician or study investigator. Cabergoline 1 MG: Dopamine agonist
Placebo
n=33 Participants
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered a placebo pill orally with juice or water by the clinician or study investigator. Placebo: Placebo
Number of Participants Reporting Breast Pain
10 Participants
32 Participants

SECONDARY outcome

Timeframe: 2 weeks

Population: Participants who returned survey data for this outcome are included in the analysis.

Participants selected from previously documented side-effects from the dopaminergic class or free-text. Participants may have reported more than one side-effect.

Outcome measures

Outcome measures
Measure
Cabergoline
n=36 Participants
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered cabergoline 1mg orally with juice or water by the clinician or study investigator. Cabergoline 1 MG: Dopamine agonist
Placebo
n=36 Participants
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered a placebo pill orally with juice or water by the clinician or study investigator. Placebo: Placebo
Number of Participants Experiencing Side-effects
Nausea/ vomiting
5 Participants
2 Participants
Number of Participants Experiencing Side-effects
Headache
12 Participants
9 Participants
Number of Participants Experiencing Side-effects
Dizziness/ lightheadness
7 Participants
7 Participants
Number of Participants Experiencing Side-effects
Constipation
14 Participants
18 Participants
Number of Participants Experiencing Side-effects
Acid reflux
3 Participants
2 Participants
Number of Participants Experiencing Side-effects
Fatigue
12 Participants
11 Participants
Number of Participants Experiencing Side-effects
Lower extremity edema
4 Participants
4 Participants
Number of Participants Experiencing Side-effects
Hot flashes
2 Participants
9 Participants
Number of Participants Experiencing Side-effects
Palpitations
1 Participants
1 Participants
Number of Participants Experiencing Side-effects
Anxiety
4 Participants
3 Participants
Number of Participants Experiencing Side-effects
Insomnia
8 Participants
11 Participants
Number of Participants Experiencing Side-effects
Visual disturbance
1 Participants
2 Participants

SECONDARY outcome

Timeframe: Day 4 after procedure

Population: Participants who returned survey data for this outcome are included in the analysis.

Assessed using a Facial Pain Score (scale range 0-6, significant bother \>=4)

Outcome measures

Outcome measures
Measure
Cabergoline
n=36 Participants
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered cabergoline 1mg orally with juice or water by the clinician or study investigator. Cabergoline 1 MG: Dopamine agonist
Placebo
n=33 Participants
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered a placebo pill orally with juice or water by the clinician or study investigator. Placebo: Placebo
Number of Participants Reporting Significant Bother From Breast Pain
1 Participants
11 Participants

SECONDARY outcome

Timeframe: Day 4 after procedure

Population: Participants who returned for serum blood draws

A subset of participants returned blood tests to measure effectiveness of drug

Outcome measures

Outcome measures
Measure
Cabergoline
n=3 Participants
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered cabergoline 1mg orally with juice or water by the clinician or study investigator. Cabergoline 1 MG: Dopamine agonist
Placebo
n=3 Participants
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered a placebo pill orally with juice or water by the clinician or study investigator. Placebo: Placebo
Serum Prolactin Level
6.5 ng/mL
Standard Deviation 2.2
18.0 ng/mL
Standard Deviation 5.9

SECONDARY outcome

Timeframe: Day 4 after procedure

Population: Participants who returned survey data for this outcome are included in the analysis.

Assessed using a Facial Pain Score (scale range 0-6, significant bother \>=4)

Outcome measures

Outcome measures
Measure
Cabergoline
n=36 Participants
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered cabergoline 1mg orally with juice or water by the clinician or study investigator. Cabergoline 1 MG: Dopamine agonist
Placebo
n=33 Participants
After the completion of the surgical procedure or medical induction for the second-trimester abortion or fetal loss, the participant will be administered a placebo pill orally with juice or water by the clinician or study investigator. Placebo: Placebo
Number of Participants Reporting Significant Bother From Side-effects
2 Participants
6 Participants

Adverse Events

Cabergoline

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Principal Investigator

Stanford University

Phone: 650-497-5175

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place