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Investigation of the effect of letrozole in the treatment of ectopic pregnancies compared to methotrexate.

Investigating the success rate of aromatase inhibitor (letrozole) in the treatment of ectopic pregnancies compared to methotrexate.

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
IRCT
Registry ID
IRCT20170828035961N2
Enrollment
40
Registered
2023-07-01
Start date
2023-05-22
Completion date
Unknown
Last updated
2023-07-25

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

Conditions

Ectopic pregnancy.. Ectopic pregnancy, unspecified

Interventions

Intervention 1: Intervention group: In the group receiving methotrexate, a single dose of methotrexate with a dose of 50 mg per square meter of the body will be calculated and injected intramuscularly

Sponsors

Esfahan University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
Female
Age
18 Years to 40 Years

Inclusion criteria

Inclusion criteria: Proven ectopic pregnancy(EP) Patient age 18-40 years Serum level (BHCG) beta Human Chorionic Gonadotropin less than 5000 Serum hemoglobin level above 10 Serum platelet level above 150,000

Exclusion criteria

Exclusion criteria: unstability of vital signs and occurrence of symptoms related to internal bleeding. The presence of surgical indications (viewing the fetal heart, abdominal EP(ectopic pregnancy), size above 3.5 cm, EP rupture and abdominal bleeding) Contraindications for use of letrozole or methotrexate (chronic kidney, liver and blood diseases, immunodeficiency, breastfeeding, active lung disease, peptic ulcer, simultaneous intrauterine pregnancy, drug interactions, severe drug sensitivity)

Design outcomes

Primary

MeasureTime frame
Serum levels of beta Human Chorionic Gonadotropin(BHCG). Timepoint: The first day of treatment and days 4, 7 and 14 after treatment. Method of measurement: BHCG test.

Secondary

MeasureTime frame
Serum levels of liver enzymes. Timepoint: The first day of treatment and 7 days after that. Method of measurement: Blood test.;Serum levels of creatinine. Timepoint: The first day of treatment and 7 days after that. Method of measurement: Blood test.;Serum hemoglobin level. Timepoint: The first day of treatment and 7 days after that. Method of measurement: Blood test.;Counting the number of blood platelets. Timepoint: The first day of treatment and 7 days after that. Method of measurement: Blood test.;Anti-Müllerian hormone serum level. Timepoint: The first day of treatment and 3 months after that. Method of measurement: Blood test.;Drug side effects. Timepoint: while taking medication. Method of measurement: check list.;History of ectopic pregnancy. Timepoint: The beginning of treatment. Method of measurement: check list.;Number of pregnancies. Timepoint: The beginning of treatment. Method of measurement: check list.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactDr. Farhanaz Mardanian.

Esfahan University of Medical Sciences

fmardani2005@yahoo.com009832363500

Outcome results

None listed

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