Comparing gemeprost and dinoprostone for treating first trimester miscarriages

Gemeprost Versus Dinoprostone in the Medical Management of First Trimester Miscarriages: a Randomized Controlled Study

Phase 2 Interventional National University of Malaysia · NCT05342467

This study is testing whether two medications, gemeprost and dinoprostone, can help women who have had a miscarriage in the first trimester clear the uterus more effectively.

Quick facts

PhasePhase 2
Study typeInterventional
Enrollment174 (estimated)
Ages18 Years to 50 Years
SexFemale
SponsorNational University of Malaysia Academic / other
Locations2 sites (Kuala Lumpur, W.Persekutuan and 1 other locations)
Trial IDNCT05342467 on ClinicalTrials.gov

What this trial studies

This clinical trial aims to compare the effectiveness of two medications, gemeprost and dinoprostone, in the management of first trimester miscarriages. Women diagnosed with missed or incomplete miscarriages will be randomly assigned to receive either gemeprost or dinoprostone as a vaginal pessary. The study will evaluate the outcomes of these treatments in terms of their ability to facilitate the evacuation of the uterus following a miscarriage. By assessing the efficacy and safety of these two interventions, the trial seeks to provide valuable insights into optimal management strategies for early pregnancy loss.

Who should consider this trial

Good fit: Ideal candidates for this study are women diagnosed with missed or incomplete miscarriages during their first trimester.

Not a fit: Patients with conditions such as coagulopathy, suspected ectopic pregnancy, or those who are hemodynamically unstable may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved treatment options for women experiencing first trimester miscarriages.

How similar studies have performed: Other studies have explored similar approaches in managing miscarriages, but the specific comparison of gemeprost and dinoprostone in this context is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* missed miscarriages
* incomplete miscarriages
* first trimester

Exclusion Criteria:

* coagulopathy
* Rhesus negative
* suspected ectopic pregnancy or pregnancy of unknown location
* on anticoagulation drug
* septic miscarriages
* hemodynamically unstable

Where this trial is running

Kuala Lumpur, W.Persekutuan and 1 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Missed AbortionMedicalAbortion, FetusIncomplete Abortionmiscarriagesfirst trimestermedical treatment
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.