Diphenhydramine as an Adjunct to Moderate Sedation for Procedural First Trimester Abortions
NCT07542730 · Status: NOT_YET_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 98
Last updated 2026-04-21
Summary
This single center, double blind, randomized controlled trial will evaluate whether adding intravenous diphenhydramine to a standard moderate sedation regimen improves pain control during first trimester procedural abortion. Participants undergoing uterine aspiration at less than 13 weeks gestation will be randomized 1 to 1 to receive standard moderate sedation with midazolam and fentanyl plus either diphenhydramine 50 mg intravenously or matching placebo. The primary outcome is participant reported pain during uterine aspiration measured by a 100 mm Visual Analog Scale.
Conditions
Interventions
- DRUG
-
Matching placebo composed of normal saline administered intravenously once prior to the procedure.
- DRUG
-
Diphenhydramine
Diphenhydramine 50 mg administered intravenously once prior to the procedure.
Sponsors & Collaborators
-
University of Rochester
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-05-31
- Primary Completion
- 2027-02-28
- Completion
- 2027-02-28
- FDA Drug
- Yes
More Related Trials
-
Non-Pharmacologic Patient Centered Pain Control Adjuncts During First Trimester Abortion
NCT02590146 ·Status: COMPLETED ·Phase: NA
-
Use of an Algorithm to Determine IV Sedation Dosing During First-trimester Surgical Abortion
NCT01994317 ·Status: COMPLETED ·Phase: NA
-
Dextromethorphan as a Novel Non-opioid Adjunctive Agent for Pain Control in Medication Abortion
NCT03480009 ·Status: COMPLETED ·Phase: PHASE3
-
Mifepristone and Mid-Trimester Termination of Pregnancy
NCT00382538 ·Status: COMPLETED ·Phase: NA
-
Gabapentin as an Adjunct to Perioperative Pain Management Regimens for Uterine Aspiration
NCT02725710 ·Status: COMPLETED ·Phase: PHASE2
-
Intravenous Ketamine for Pain Control During First Trimester Surgical Abortion
NCT03751423 ·Status: SUSPENDED ·Phase: PHASE3
-
Ketamine Versus Fentanyl for Surgical Abortions
NCT04871425 ·Status: COMPLETED ·Phase: PHASE4
-
Prophylactic Pregabalin to Decrease Pain During Medical Abortion
NCT02782169 ·Status: COMPLETED ·Phase: PHASE4
-
Gabapentin for Pain Control After Osmotic Dilator Insertion and Prior to D&E Procedure: a Randomized Controlled Trial
NCT03080493 ·Status: COMPLETED ·Phase: PHASE4
-
Gabapentin for Pain Management During Dilation and Evacuation
NCT03635905 ·Status: COMPLETED ·Phase: PHASE4
-
Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Management With Medication Abortion Through 70 Days' Gestation
NCT03925129 ·Status: COMPLETED ·Phase: NA
-
Efficacy Study of Prophylactic Ibuprofen Versus Placebo on Pain Relief and Success Rates of Medical Abortion
NCT00997074 ·Status: COMPLETED ·Phase: PHASE3
-
The Feasibility of Different Doses of Etomidate Admixed With Propofol in Induced Abortion: A Randomized, Double Blind Controlled Trial
NCT02208596 ·Status: UNKNOWN ·Phase: PHASE4
-
Second Trimester Labor Induction
NCT00592215 ·Status: WITHDRAWN ·Phase: PHASE1
-
Misoprostol Dose and Timing Before Surgical Abortion at 13 to 16 Weeks' Gestation: a Randomized Trial
NCT02279914 ·Status: COMPLETED ·Phase: NA
-
Paracervical Block in First Trimester Surgical Abortions
NCT00617097 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
A Randomized Controlled Trial of Three Antibiotic Regimens for First Trimester Abortions
NCT02756403 ·Status: COMPLETED ·Phase: NA
-
A Pilot of an Outpatient Regimen of Medical Abortion With Mifepristone and Sublingual Misoprostol in the 11 and 12 Weeks
NCT02720991 ·Status: COMPLETED ·Phase: PHASE4
-
Mifepristone Versus Osmotic Dilator Insertion for Cervical Preparation Prior to Surgical Abortion at 15-18 Weeks
NCT01436279 ·Status: COMPLETED ·Phase: PHASE3
-
Intramuscular Ketorolac Versus Oral Ibuprofen for Pain Relief in First Trimester Suction Curettage
NCT01595282 ·Status: COMPLETED ·Phase: NA
-
Medical Abortion up to 10 Weeks Gestation at Home
NCT02191774 ·Status: COMPLETED
-
Effect of Paracervical Block Volume on Pain Control for Dilation and Curettage.o
NCT03636451 ·Status: COMPLETED ·Phase: PHASE3
-
24-hour Mifepristone and Buccal Versus Mifepristone and Vaginal Misoprostol for Cervical Preparation for D&E
NCT03134183 ·Status: COMPLETED ·Phase: PHASE4
-
Applied Topical Heat as an Adjunct for Pain Control in First-Trimester Surgical Abortionl
NCT02536235 ·Status: COMPLETED ·Phase: NA
-
Uterotonic Prophylaxis Trial
NCT02408965 ·Status: COMPLETED ·Phase: PHASE4