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CTRI Number  CTRI/2025/10/095930 [Registered on: 13/10/2025] Trial Registered Prospectively
Last Modified On: 11/10/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of effectiveness’s of letrozole with misoprostol versus mifepristone with Misoprostol in achieving complete abortions in first trimester among women aged 18-40 years a randomised controlled trial 
Scientific Title of Study   Comparison of effectiveness of letrozole with misoprostol versus mifepristone with misoprostol in achieving complete abortions in first trimester among women aged 18 – 40 years – A Randomized controlled trial. 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Deeksha B  
Designation  Postgraduate  
Affiliation  Aarupadai Veedu medical college and hospital  
Address  Department Of Obstetrics and Gynaecology, A-Block, NO-22, Aarupadai Veedu Medical College and Hospital, Pondicherry-Cuddalore Main Road, Kirumampakkam, Pondicherry. Pondicherry PONDICHERRY

Pondicherry
PONDICHERRY
607402
India 
Phone  7337697634  
Fax    
Email  deeksha162000@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ramya P 
Designation  Associate professor  
Affiliation  Aarupadai Veedu Medical College and Hospita 
Address  Department Of Obstetrics and Gynaecology, A-Block, NO-22, Aarupadai Veedu Medical College and Hospital, Pondicherry-Cuddalore Main Road, Kirumampakkam, Pondicherry. Pondicherry PONDICHERRY

Pondicherry
PONDICHERRY
607402
India 
Phone  9791246020  
Fax    
Email  p.ramya.dr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Deeksha B 
Designation  Postgraduate  
Affiliation  Aarupadai Veedu Medical College and Hospita 
Address  Department Of Obstetrics and Gynaecology, A-Block, NO-22, Aarupadai Veedu Medical College and Hospital, Pondicherry-Cuddalore Main Road, Kirumampakkam, Pondicherry. Pondicherry

Pondicherry
PONDICHERRY
607402
India 
Phone  7337697634  
Fax    
Email  deeksha162000@gmail.com  
 
Source of Monetary or Material Support  
Aarupadai Veedu medical college and hospital,Pondy Cuddalore main road ,Kirumampakkam Bahour Pondicherry 607402 
 
Primary Sponsor  
Name  Aarupadai Veedu medical college and hospital 
Address  Aarupadai Veedu medical college and hospital Address Department Of Obstetrics and Gynaecology, A-Block, NO-22, Aarupadai Veedu Medical College and Hospital, Pondicherry-Cuddalore Main Road, Kirumampakkam, Pondicherry. 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr DeekshaB  Aarupadai Veedu medical college and hospital   Department of obstetrics and gynaecology,A block , no 22 , Aarupadai Veedu medical college and hospital, Pondicherry- Cuddalore main road, kirumampakkam , Pondicherry
Pondicherry
PONDICHERRY 
7337697634

deeksha162000@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Vinayaka Missions Research Foundation INSTITUTE ETHICAL COMMITTE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Antenatal women in first trimester needing medical termination of pregnancy  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Tab Mifepristone 200 mg   200 mg per oral stat  
Intervention  Tab.Letrozole 20mg  20mg per  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  1. Women with single live intrauterine pregnancy less than 12 weeks intended for medical abortion
2. No comorbidities
3. Not allergic to drug in usage
4. Willing for follow up 
 
ExclusionCriteria 
Details  1) Antenatal women belong to First trimester (1-12 weeks of
gestation) and more than 32 weeks of gestation
2) Women with medical complications/ Hematological disorders
3) Women with Hemoglobinopathies
4) Liver disorder like jaundice, cirrhosis, or renal failure
5) Antenatal women with Hemoglobin level less than 7g% 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To determine the addition of letrozole versus mifepristone with misoprostol in achieving complete abortion in first trimester among woman between age of 18-40 years.  72 hours 
 
Secondary Outcome  
Outcome  TimePoints 
1. To evaluate number of abortions requiring instrumentation follow up.
2.To evaluate additional dose of Misoprostol required for complete abortion in both regimens.
3.To evaluate the blood loss in both regimens
4. To evaluate the adverse effects in both regimens  
3 days  
• To evaluate the induction to complete abortion time interval in both regimen
• To evaluate the number of abortions requiring follow up instrumentation.
• To evaluate the additional dose of misoprostol required for complete abortion in both regimens.
• To estimate the amount of blood loss between both of the regimens by haemoglobin estimation.
• To evaluate the adverse effects in both regimens. 
72 hours 
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   24/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
This study aims to investigate the effectiveness of the combination of regimen of Tablet Letrozole 20 mg per oral stat with Tablet Misoprostol 800 mcg per oral versus Tablet Mifepristone 200 mg per oral with Tablet Misoprostol 800 mcg per oral in achieving complete abortions in first trimester medical abortion among woman of age 18-40 years of age
A randomized controlled trial will be employed and ANC mothers seeking first trimester medical abortions among the age group 18 to 40 years satisfying inclusion criteria will be provided with Tablet Letrozole 20 mg po stat with Tablet Misoprostol 800 mcg po or Tablet Mifepristone 200 mg with Tablet Misoprostol 800 mcg based on convenient sampling 
The effectiveness of the regimen will be based on the complete abortion rate in each of the regimen
The overarching goal of the research is to determine which regimen has better complete abortion rates, lesser adverse effects and better patient satisfaction in terms of lesser blood loss, decreased hospital stay and lesser abdominal pain
 
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