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Comparing isonicotinic acid hydrazide to misoprostol for dilating cervix in gynecological surgeries

Comparison of the efficacy of intravaginal isoniconitic acid hydrazide versus misoprostol for cervical ripening in benign gynaecological procedures - Nil

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/06/088777
Enrollment
102
Registered
2025-06-13
Start date
Unknown
Completion date
Unknown
Last updated
2025-06-24

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

Conditions

Health Condition 1: N950- Postmenopausal bleeding

Interventions

Intervention1: Tab. Isonicotinic acid hydrazide for cervical dilatation: Use of Tab. Isonicotinic acid hydrazide for cervical dilatation 4 hours prior to surgery Control Intervention1: Misoprostol tab

Sponsors

Dr Suman Sandeep Samal
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Age more than or equal to 18 years b) Written informed consent c) No contraindications for isoniazid or misoprostol d) Absence of active pelvic infection or uterine malignancy e) No history of prior cervical surgeries f) Not pregnant or breastfeeding

Exclusion criteria

Exclusion criteria: Known allergy to either isoniazid or misoprostol b) Severe liver diseases or renal insufficiency c) Active pelvic infections d) Gynecological malignancies e) Immunocompromised patients or those on medications affecting isoniazid or misoprostol metabolism

Design outcomes

Primary

MeasureTime frame
Primary Outcome: Cervical Dilatation: The degree of cervical dilatation will be measured with a Hegar dilator just prior to the procedure, with results recorded in millimeters (the size of the dilator that enters easily through the cervix). Timepoint: At the time of surgery

Secondary

MeasureTime frame
Procedure Time: Total duration from start of the procedure to entry into the uterine cavity Adverse Events: Side effects such as nausea, vomiting, headache, fever or vaginal bleeding in the post-operative period Complications: Any significant complications such as uterine perforation or cervical laceration Surgeon Satisfaction: A post-procedure questionnaire will assess surgeon satisfaction with cervical dilation and overall comfort during the procedure using a visual analog scale (VAS), where 0 represents inability to enter through the cervix and 5 represents very easy cervical entry (0: unable to enter the cervix, 1: very difficult entry, 2: moderately difficult, 3: mild difficulty elicited, 4: easy cervical entry, 5: very easy). Timepoint: After obtaining approval for 18 months

Countries

India

Contacts

Public ContactDr Suman Sandeep Samal

All India Institute of Medical Sciences, Kalyani

avir.obg@aiimskalyani.edu.in6280765384

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026