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Management of the Missed Abortion

Comparison of the Efficacy of Letrozole Pretreatment Followed by Misoprostol Versus Only Misoprostol for the Management of Missed Abortion

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20250414065324N1
Enrollment
78
Registered
2025-07-12
Start date
2025-07-23
Completion date
Unknown
Last updated
2025-07-21

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

Conditions

Missed Abortion. Missed abortion

Interventions

Intervention 1: Intervention group: Participants in this group receive oral letrozole at a dose of 10 milligrams per day for three consecutive days. Following the completion of letrozole administratio

Sponsors

Bandare-abbas University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
Female
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: Women Admitted to the Hospital with a Diagnosis of Missed Abortion Gestational Age = 20 Weeks and = 50 Days (Based on the First Sonography) Age = 18 Years Old General Health Status Sufficient for Study Participation Hemoglobin Level = 10 g/dL Diastolic Blood Pressure < 95 mmHg

Exclusion criteria

Exclusion criteria: History of Adrenal Disease, Cancer, Porphyria, Severe or Recurrent Liver Disease, Asthma, Thromboembolic Diseases Patients With Blood Pressure = 130/80 mmHg History of Giving Birth to a Baby With Congenital Anomalies Breastfeeding Regular and Active Use of Prescribed, Hormonal, and Interfering Medications Prior to Study Entry Use of Intrauterine Device (IUD) Any Abnormalities in Baseline Tests Including: CBC, PT, PTT, INR, Urea, Creatinine, Na, K, Ca, Cl, Albumin, Fibrinogen, AST, ALT, ALP, Bili T, Bili D Symptoms of Allergy to any of the Prescribed Medications Unwillingness to Continue Participating in the Study or Withdrawing from Treatment at any Stage Failure to Attend Scheduled Follow-ups or Loss of Contact With the Research Team Heavy or Uncontrolled Vaginal Bleeding at any Point During the Intervention

Design outcomes

Primary

MeasureTime frame
Rate of complete uterine evacuation, assessed via post-treatment transvaginal ultrasound. Timepoint: At baseline (Day 0): Prior to the intervention, transvaginal ultrasound is used to confirm the diagnosis of missed abortion. 48 hours after the last dose of misoprostol: Transvaginal ultrasound is used to assess for complete uterine evacuation. Method of measurement: Transvaginal ultrasound performed by an obstetrics and gynecology specialist using a transvaginal ultrasound probe to assess retained products of conception within the uterine cavity.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactArvin Mahmoodi

Bandare-abbas University of Medical Sciences

a.ma8080@hums.ac.ir+98 44 3672 0698

Outcome results

None listed

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