A Real-World Study Comparing the Efficacy of Different Treatment Regimens for Early Missed Abortion
NCT07422506 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 580
Last updated 2026-02-20
Summary
At present, there is no unified standard for the treatment of missed abortion in clinical practice. This study intends to collect clinical data of this type of disease to compare the efficacy of different treatments, and on this basis, presuppose the synergistic effect of different doses of estrogen in the process of drug induction, conduct statistical analysis of the efficacy, evaluate whether the treatment plan can achieve the therapeutic effect while reducing the occurrence of complications, and provide an effective basis for the subsequent clinical treatment of missed abortion.
This study is divided into two parts. The first part is a retrospective analysis to explore the differences between missed abortion surgery and drug treatment, clinical efficacy and reproductive outcomes; the second part is a prospective study to explore the effects of different doses of estrogen combined with surgery or drug abortion on the efficacy of missed abortion in early pregnancy, and explore the best clinical treatment method for missed abortion.
Conditions
- Missed Abortion
- Early Pregnancy Failure
Interventions
- DRUG
-
Control group
No estrogen supplementation
- DRUG
-
Conventional dose of estrogen
1 day after medical abortion, give oral estradiol valerate, 1 mg Bid, for 21 days, and add dydrogesterone 10 mg Bid for the next 7 days. Take it in a cycle starting from the 5th day of the next menstruation for a total of 2 cycles.
- DRUG
-
High-dose estrogen
1 day after abortion, give oral estradiol valerate, 2 mg Bid, for 21 days, and add dydrogesterone 10 mg Bid for the next 7 days. Take it in a cycle starting from the 5th day of the next menstruation for a total of 2 cycles.
Sponsors & Collaborators
-
The Third Xiangya Hospital of Central South University
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 40 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-01-01
- Primary Completion
- 2030-01-01
- Completion
- 2035-01-01
Countries
- China
Study Locations
More Related Trials
-
Use of Aromatase Inhibitor Before Misoprostol in Medical Termination of Miscarriage
NCT07109947 ·Status: RECRUITING ·Phase: NA
-
Histopathological Evaluation of Product of Conception in Sporadic and Recurrent Abortions
NCT04326595 ·Status: UNKNOWN ·Phase: NA
-
Letrozole Pretreatment With Misoprostol fInduction of Abortion In First-Trimester Missed Miscarriage
NCT03628625 ·Status: UNKNOWN ·Phase: PHASE2
-
Optimal Treatment of Miscarriage
NCT01033903 ·Status: COMPLETED ·Phase: NA
-
Letrozole Pretreatment With Misoprostol Induction of Abortion in First Trimester Missed Abortion
NCT04590482 ·Status: UNKNOWN ·Phase: PHASE4
-
Medication Abortion for Pregnancy of Unknown Location
NCT04026789 ·Status: UNKNOWN ·Phase: NA
-
Effects of Prior Induced Termination of Pregnancy on Complications and Pregnancy Outcomes.
NCT04183829 ·Status: RECRUITING
-
Comparison Between Letrozole and Mifepristone in Medical Termination of First Trimester Miscarriages
NCT05304273 ·Status: COMPLETED ·Phase: PHASE3
-
Randomized Double-blind Controlled Trial of Use of Dydrogesterone in Threatened Miscarriage
NCT02128685 ·Status: COMPLETED ·Phase: PHASE3
-
Letrozole in Induction of Abortion of Anembryonic Pregnancy
NCT05198050 ·Status: COMPLETED ·Phase: NA
-
Fertility and Obstetric Outcomes After Medical Management Versus Surgical Treatment for First-trimester Miscarriage First-trimester Miscarriage
NCT03570307 ·Status: UNKNOWN ·Phase: NA
-
Letrozole Pretreatment With Misoprostol for Second-Trimester Medical Abortion
NCT02405156 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Sublingual vs Vaginal Misoprostol for Termination of First Trimesteric Missed Abortion
NCT05001061 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Management of Women With an Incomplete Miscarriage
NCT03148561 ·Status: COMPLETED ·Phase: NA
-
Sublingual Versus Vaginal Misoprostol In Medical Treatment of Second Trimestric Missed Miscarriage
NCT05088707 ·Status: UNKNOWN ·Phase: NA
-
Progesterone Supplementation in Threatened Abortion
NCT03930212 ·Status: COMPLETED ·Phase: PHASE4
-
Different Methods of Termination of Second Trimester Abortion
NCT03400683 ·Status: UNKNOWN ·Phase: NA
-
Mifepristone and Misoprostol Versus Misoprostol Alone in the Medical Management of Missed Miscarriage
NCT03065660 ·Status: COMPLETED ·Phase: PHASE3
-
Termination Of Anembryonic Pregnancy
NCT02573051 ·Status: WITHDRAWN ·Phase: PHASE2
-
Misoprostol for Second Trimester Pregnancy Termination
NCT02669420 ·Status: COMPLETED ·Phase: PHASE2
-
Misoprostol for Management of Women With an Incomplete Miscarriage
NCT05088720 ·Status: UNKNOWN ·Phase: NA
-
Study on the Effect of Combined Estrogen and Progestogen Therapy on Endometrial Repair After Induced Abortion
NCT06546397 ·Status: RECRUITING ·Phase: PHASE1
-
Effectiveness of Hysteroscopy in the Treatment of Intrauterine Trophoblastic Retentions
NCT02201732 ·Status: COMPLETED ·Phase: NA
-
Chart Review Study of Medical Abortion
NCT02841072 ·Status: COMPLETED
-
Comparing Buccal and Vaginal Misoprostol in Management of Early Pregnancy Loss
NCT02141555 ·Status: COMPLETED ·Phase: PHASE2/PHASE3