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Randomised double blind controlled trial of single dose methotrexate versus expectant management in women with tubal ectopic pregnancy

Randomised double blind controlled trial of single dose methotrexate versus expectant management in women with tubal ectopic pregnancy

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN95698259
Enrollment
70
Registered
2005-11-21
Start date
2005-08-15
Completion date
Unknown
Last updated
2017-04-18

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

Conditions

Tubal ectopic pregnancy Pregnancy and Childbirth Ectopic pregnancy

Interventions

Women who fulfill the inclusion criteria and have normal blood results will be randomised to methotrexate treatment or placebo. Those having methotrexate will be given a single dose 50 mg/m^2. Women r

Sponsors

King's College Hospital NHS Trust (UK)
Lead Sponsor

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: 1. Certain ultrasound diagnosis of tubal ectopic pregnancy 2. Clinically stable patient with no evidence of haematoperitoneum on ultrasound scan 3. Non-viable pregnancy 4. No history of liver or renal disease 5. Normal red and white cell count, renal and liver function tests 6. Inital serum human Chorionic Gonadotropin (hCG) less than 1500 IU/l 7. Written informed consent

Exclusion criteria

Exclusion criteria: 1. Haemodynamic instability 2. Severe pain 3. History renal/liver/pulmonary disease 4. Blood dyscrasia 5. Haematoperitoneum 6. Foetal heart present 7. Written informed consent declined

Design outcomes

Primary

MeasureTime frame
The percentage of women successfully treated.

Secondary

MeasureTime frame
1. Complications such as tubal rupture, pain and the need for emergency surgery 2. Length of time followed up (i.e. time for beta-hCG to fall to below 20 IU/l)

Countries

United Kingdom

Outcome results

None listed

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