Trial Outcomes & Findings for Simultaneous Mifepristone and Misoprostol Versus Misoprostol Alone for Induction of Labor of Nonviable Second Trimester Pregnancy: a Pilot Randomized Controlled Trial (NCT NCT05322252)

NCT ID: NCT05322252

Last Updated: 2026-04-07

Results Overview

Delivery of fetus and placenta

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

30 participants

Primary outcome timeframe

12 hours

Results posted on

2026-04-07

Participant Flow

Participant milestones

Participant milestones
Measure
Simulatenous Mifepristone and Misoprostol
Participants will receive a dose of 200mg oral mifepristone at time of induction with misoprostol
Misoprostol Alone
Participants will have labor induced with misoprostol alone
Overall Study
STARTED
15
15
Overall Study
COMPLETED
15
14
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Simultaneous Mifepristone and Misoprostol Versus Misoprostol Alone for Induction of Labor of Nonviable Second Trimester Pregnancy: a Pilot Randomized Controlled Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Misoprostol Alone
n=14 Participants
Participants will have labor induced with misoprostol alone
Total
n=29 Participants
Total of all reporting groups
Simulatenous Mifepristone and Misoprostol
n=15 Participants
Participants will receive a dose of 200mg oral mifepristone at time of induction with misoprostol
Age, Continuous
30.7 years
STANDARD_DEVIATION 4.2 • n=527 Participants
30.0 years
STANDARD_DEVIATION 5.9 • n=1054 Participants
29.3 years
STANDARD_DEVIATION 7.3 • n=527 Participants
Sex: Female, Male
Female
14 Participants
n=527 Participants
29 Participants
n=1054 Participants
15 Participants
n=527 Participants
Sex: Female, Male
Male
0 Participants
n=527 Participants
0 Participants
n=1054 Participants
0 Participants
n=527 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=527 Participants
0 Participants
n=1054 Participants
0 Participants
n=527 Participants
Race (NIH/OMB)
Asian
0 Participants
n=527 Participants
0 Participants
n=1054 Participants
0 Participants
n=527 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=527 Participants
0 Participants
n=1054 Participants
0 Participants
n=527 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=527 Participants
10 Participants
n=1054 Participants
5 Participants
n=527 Participants
Race (NIH/OMB)
White
9 Participants
n=527 Participants
19 Participants
n=1054 Participants
10 Participants
n=527 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=527 Participants
0 Participants
n=1054 Participants
0 Participants
n=527 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=527 Participants
0 Participants
n=1054 Participants
0 Participants
n=527 Participants
BMI
30.6 kg/m2
STANDARD_DEVIATION 6.1 • n=527 Participants
31.7 kg/m2
STANDARD_DEVIATION 6.7 • n=1054 Participants
32.8 kg/m2
STANDARD_DEVIATION 7.3 • n=527 Participants
Indication for IOL
IUFD
10 Participants
n=527 Participants
20 Participants
n=1054 Participants
10 Participants
n=527 Participants
Indication for IOL
Emergency
4 Participants
n=527 Participants
9 Participants
n=1054 Participants
5 Participants
n=527 Participants
Nulliparity
5 Participants
n=527 Participants
10 Participants
n=1054 Participants
5 Participants
n=527 Participants

PRIMARY outcome

Timeframe: 12 hours

Delivery of fetus and placenta

Outcome measures

Outcome measures
Measure
Simulatenous Mifepristone and Misoprostol
n=15 Participants
Participants will receive a dose of 200mg oral mifepristone at time of induction with misoprostol
Misoprostol Alone
n=14 Participants
Participants will have labor induced with misoprostol alone
Delivery Within 12 Hours
5 Participants
5 Participants

SECONDARY outcome

Timeframe: 24 hours

Delivery of fetus and placenta

Outcome measures

Outcome measures
Measure
Simulatenous Mifepristone and Misoprostol
n=15 Participants
Participants will receive a dose of 200mg oral mifepristone at time of induction with misoprostol
Misoprostol Alone
n=14 Participants
Participants will have labor induced with misoprostol alone
Delivery Within 24 Hours
12 Participants
13 Participants

SECONDARY outcome

Timeframe: During admission

Time from misoprostol to delivery of fetus and placenta

Outcome measures

Outcome measures
Measure
Simulatenous Mifepristone and Misoprostol
n=15 Participants
Participants will receive a dose of 200mg oral mifepristone at time of induction with misoprostol
Misoprostol Alone
n=14 Participants
Participants will have labor induced with misoprostol alone
Time to Delivery
950 minutes
Standard Deviation 106
745 minutes
Standard Deviation 95

SECONDARY outcome

Timeframe: During admission

Need for surgical evacuation of fetus via dilation and evacuation

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: During admission

Need for surgical evacuation of placenta or membranes via dilation and curettage or manual vacuum aspiration

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: During admission

Infection within the uterus during labor induction as diagnosed by obstetrician

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: During admission

Blood loss of greater than 1000mL or with hemodynamic instability

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 30 days

Outcome measures

Outcome data not reported

Adverse Events

Simulatenous Mifepristone and Misoprostol

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Misoprostol Alone

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Simulatenous Mifepristone and Misoprostol
n=15 participants at risk
Participants will receive a dose of 200mg oral mifepristone at time of induction with misoprostol
Misoprostol Alone
n=14 participants at risk
Participants will have labor induced with misoprostol alone
Pregnancy, puerperium and perinatal conditions
Composite morbidity
20.0%
3/15 • 30 days
35.7%
5/14 • 30 days

Additional Information

Katherine Bligard

Washington University School of Medicine

Phone: 2259542160

Results disclosure agreements

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