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Combination Gefitinib and Methotrexate to Medically Treat Ectopic Pregnancies: A Phase II Study of Efficacy

Combination Gefitinib and Methotrexate to Medically Treat Ectopic Pregnancies: A Phase II Open-Label Single-Arm Study of Efficacy

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12611001056987
Acronym
GEM for EP: Phase II
Enrollment
40
Registered
2011-10-10
Start date
2012-02-23
Completion date
2014-05-31
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This trial builds on a phase I (ACTRN12610000684022) study of toxicity in investigating a new combination treatment of gefitinib and methotrexate for the treatment of ectopic pregnancy. This study will recruit 40 women diagnosed with a haemodynamically stable ectopic pregnancy with any pre-treatment serum hCG level. As methotrexate is clinically indicated for women with ectopic pregnancies with a starting serum beta hCG of less then 3000IU/L, this study will seek to show that combination treatment with gefitinib is more efficacious and enables more women to avoid surgery for managment of their ectopic pregnancy.

Interventions

50mg/m2 of intramuscular methotrexate on day 1 of treatment PLUS 250mg of oral gefitinib daily for seven days (day 1 to day 7 of treatment) PLUS/MINUS additional doses of 50mg/m2 IM methotrexate on day 7 if serum hCG has not fallen >15% between days 4 and 7 PLUS/MINUS additional dose of 50mg/m2 IM methotrexate on day 14 if serum hCG has not fallen >15% between days 11 and 14

Sponsors

Associate Professor Stephen Tong
Lead SponsorIndividual

Study design

Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

Women diagnosed with a haemodynamically stable ectopic pregnancy with any level of pre-treatment serum hCG.

Exclusion criteria

Haemodynamic instability, women of Japanese ethnicity, chronic and/or severe history of lung disease including lung cancer history, history of severe gastrointestinal and dermatological conditions, hepatic or renal dysfunction on screening blood tests, allergy to gefitinib/methotrexate.

Outcome results

None listed

Source: ANZCTR · Data processed: Mar 10, 2026