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| Name | Class |
|---|---|
| Gynuity Health Projects | OTHER |
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The present study is designed to address the null hypothesis that there is no difference in the local and systemic immunomodulatory effects of buccally or vaginally administered misoprostol in healthy, reproductive-age women.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Misoprostol administration - buccal then vaginal | Experimental | Vaginal or buccal administration |
|
| Misoprostol administration - vaginal then buccal | Experimental | Vaginal or buccal administration |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Misoprostol - buccal | Drug | buccal administration |
|
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of misoprostol drug levels in patients after vaginal and buccal administration | Peripheral blood collected at Days 0, 1, 28, and 29 | Peripheral blood collected at Days 0, 1, 28, and 29 |
| Comparison of cytokine and chemokine levels in patients after vaginal and buccal administration | Peripheral blood collected at Days 0, 1, 28, and 29 | Peripheral blood collected at Days 0, 1, 28, and 29 |
| Determination of immune cell activation state after vaginal and buccal administration | Peripheral blood collected at Days 0, 1, 28, and 29 | Peripheral blood collected at Days 0, 1, 28, and 29 |
| Comparison of misoprostol drug levels in patients after vaginal and buccal administration | Cervicovaginal lavage at Days 0, 1, 28, and 29 | Cervicovaginal lavage at Days 0, 1, 28, and 29 |
| Comparison of cytokine and chemokine levels in patients after vaginal and buccal administration | Cervicovaginal lavage at Days 0, 1, 28, and 29 | Cervicovaginal lavage at Days 0, 1, 28, and 29 |
| Determination of immune cell activation state after vaginal and buccal administration | Cervical cytobrush at Days 0, 1, 28, and 29 | Cervical cytobrush at Days 0, 1, 28, and 29 |
| Measure | Description | Time Frame |
|---|---|---|
| Sequencing of 16S rRNA gene for microbial ecology studies after vaginal and buccal administration | Vaginal swab at Days 0, 1, 28, and 29 | Vaginal swab at Days 0, 1, 28, and 29 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David M. Aronoff, MD | Vanderbilt University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vanderbilt University Medical Center | Nashville | Tennessee | 37232 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 2109195 | Background | Moran M, Mozes MF, Maddux MS, Veremis S, Bartkus C, Ketel B, Pollak R, Wallemark C, Jonasson O. Prevention of acute graft rejection by the prostaglandin E1 analogue misoprostol in renal-transplant recipients treated with cyclosporine and prednisone. N Engl J Med. 1990 Apr 26;322(17):1183-8. doi: 10.1056/NEJM199004263221703. | |
| 8090337 |
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| ID | Term |
|---|---|
| D016595 | Misoprostol |
| ID | Term |
|---|---|
| D011459 | Prostaglandins E, Synthetic |
| D011465 | Prostaglandins, Synthetic |
| D011453 | Prostaglandins |
| D015777 | Eicosanoids |
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| Misoprostol - vaginal | Drug | vaginal administration |
|
|
| Pouteil-Noble C, Chapuis F, Berra N, Hadj-Aissa A, Lacavalerie B, Lefrancois N, Martin X, Touraine JL. Misoprostol in renal transplant recipients: a prospective, randomized, controlled study on the prevention of acute rejection episodes and cyclosporin A nephrotoxicity. Nephrol Dial Transplant. 1994;9(5):552-5. doi: 10.1093/ndt/9.5.552. |
| 9207820 | Background | Zieman M, Fong SK, Benowitz NL, Banskter D, Darney PD. Absorption kinetics of misoprostol with oral or vaginal administration. Obstet Gynecol. 1997 Jul;90(1):88-92. doi: 10.1016/S0029-7844(97)00111-7. |
| 14697743 | Background | Waiser J, Bohler T, Stoll J, Schumann B, Budde K, Neumayer HH. The immunosuppressive potential of misoprostol--efficacy and variability. Clin Immunol. 2003 Dec;109(3):288-94. doi: 10.1016/j.clim.2003.08.009. |
| 16246656 | Background | Middleton T, Schaff E, Fielding SL, Scahill M, Shannon C, Westheimer E, Wilkinson T, Winikoff B. Randomized trial of mifepristone and buccal or vaginal misoprostol for abortion through 56 days of last menstrual period. Contraception. 2005 Nov;72(5):328-32. doi: 10.1016/j.contraception.2005.05.017. Epub 2005 Aug 9. |
| 16781256 | Background | Tang OS, Ho PC. The pharmacokinetics and different regimens of misoprostol in early first-trimester medical abortion. Contraception. 2006 Jul;74(1):26-30. doi: 10.1016/j.contraception.2006.03.005. Epub 2006 Apr 27. |
| 7885426 | Background | el-Refaey H, Rajasekar D, Abdalla M, Calder L, Templeton A. Induction of abortion with mifepristone (RU 486) and oral or vaginal misoprostol. N Engl J Med. 1995 Apr 13;332(15):983-7. doi: 10.1056/NEJM199504133321502. |
| 9351755 | Background | Ho PC, Ngai SW, Liu KL, Wong GC, Lee SW. Vaginal misoprostol compared with oral misoprostol in termination of second-trimester pregnancy. Obstet Gynecol. 1997 Nov;90(5):735-8. doi: 10.1016/S0029-7844(97)00419-5. |
| 7611589 | Background | Silverstein FE, Graham DY, Senior JR, Davies HW, Struthers BJ, Bittman RM, Geis GS. Misoprostol reduces serious gastrointestinal complications in patients with rheumatoid arthritis receiving nonsteroidal anti-inflammatory drugs. A randomized, double-blind, placebo-controlled trial. Ann Intern Med. 1995 Aug 15;123(4):241-9. doi: 10.7326/0003-4819-123-4-199508150-00001. |
| 3932053 | Background | Herting RL, Clay GA. Overview of clinical safety with misoprostol. Dig Dis Sci. 1985 Nov;30(11 Suppl):185S-193S. doi: 10.1007/BF01309407. |
| 3113801 | Background | Wildeman RA. Focus on misoprostol: review of worldwide safety data. Clin Invest Med. 1987 May;10(3):243-5. |
| 12519573 | Background | Rostom A, Dube C, Wells G, Tugwell P, Welch V, Jolicoeur E, McGowan J. Prevention of NSAID-induced gastroduodenal ulcers. Cochrane Database Syst Rev. 2002;(4):CD002296. doi: 10.1002/14651858.CD002296. |
| 22305917 | Background | Chong E, Tsereteli T, Nguyen NN, Winikoff B. A randomized controlled trial of different buccal misoprostol doses in mifepristone medical abortion. Contraception. 2012 Sep;86(3):251-6. doi: 10.1016/j.contraception.2011.12.012. Epub 2012 Feb 2. |
| 22898359 | Background | Raymond EG, Shannon C, Weaver MA, Winikoff B. First-trimester medical abortion with mifepristone 200 mg and misoprostol: a systematic review. Contraception. 2013 Jan;87(1):26-37. doi: 10.1016/j.contraception.2012.06.011. Epub 2012 Aug 13. |
| 3932047 | Background | Kotsonis FN, Dodd DC, Regnier B, Kohn FE. Preclinical toxicology profile of misoprostol. Dig Dis Sci. 1985 Nov;30(11 Suppl):142S-146S. doi: 10.1007/BF01309401. |
| 21882086 | Background | Zane S, Guarner J. Gynecologic clostridial toxic shock in women of reproductive age. Curr Infect Dis Rep. 2011 Dec;13(6):561-70. doi: 10.1007/s11908-011-0207-7. |
| 19587339 | Background | Fjerstad M, Trussell J, Sivin I, Lichtenberg ES, Cullins V. Rates of serious infection after changes in regimens for medical abortion. N Engl J Med. 2009 Jul 9;361(2):145-51. doi: 10.1056/NEJMoa0809146. |
| Background | Hemmerling A. The safety of misoprostol. ELSEVIER IRELAND LTD; 2006. |
| D005231 |
| Fatty Acids, Unsaturated |
| D005227 | Fatty Acids |
| D008055 | Lipids |
| D012898 | Autacoids |
| D018836 | Inflammation Mediators |
| D001685 | Biological Factors |