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CTRI Number  CTRI/2026/03/105237 [Registered on: 02/03/2026] Trial Registered Prospectively
Last Modified On: 08/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical trial of mifepristone alone versus mifepristone -misoprostol combination regimen for induction of labor in late intrauterine fetal death. 
Scientific Title of Study   Randomized control study of mifepristone alone versus mifepristone -misoprostol combination regimen for induction of labor in late intrauterine fetal death. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Reena Rani Punia  
Designation  Assistant Professor  
Affiliation  Maulana Azad Medical College  
Address  Department of Obstetrics & Gynaecology Maulana Azad Medical College Bahadur shah zafar marg New Delhi

Central
DELHI
110002
India 
Phone  09958770203  
Fax    
Email  dr.reena0310@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Komal Yadav  
Designation  Post graduate  
Affiliation  Maulana Azad Medical College  
Address  Department of Obstetrics & Gynaecology Maulana Azad Medical College Bahadur shah zafar marg New Delhi

Central
DELHI
110002
India 
Phone  8447605286  
Fax    
Email  komalmamc2000@gmail.com   
 
Details of Contact Person
Public Query
 
Name  Dr Komal Yadav  
Designation  Post graduate  
Affiliation  Maulana Azad Medical College  
Address  Department of Obstetrics & Gynaecology Maulana Azad Medical College Bahadur shah zafar marg New Delhi

Central
DELHI
110002
India 
Phone  8447605286  
Fax    
Email  komalmamc2000@gmail.com   
 
Source of Monetary or Material Support  
Maulana Azad medical college and Lok Nayak Hospital, Bahadur shah Zafar marg, New Delhi- 110002, India  
 
Primary Sponsor  
Name  Maulana Azad Medical College  
Address  Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi- 110002, India 
Type of Sponsor  Government medical college 
 
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 Komal Yadav   Maulana Azad medical college   Department of obstetrics and gynaecology, Maulana Azad medical college, Bahadur shah Zafar marg, New Delhi- 110002
New Delhi
DELHI 
8447605286

komalmamc2000@gmail.com  
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Maulana Azad Medical College  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
No Objection Certificate 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O364||Maternal care for intrauterine death,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Induction of labor in late intrauterine fetal death.  Induction of labor with FIGO regime (Tablet Mifepristone 200 milligrams per orally single dose, after 24- 48 hours Tablet Misoprostol 50-100 micrograms every 2 hours per orally or Tablet Misoprostol 25 -50 micrograms every 4 hours per vaginally) in late intrauterine fetal death when period of gestation is more than 28 weeks. 
Intervention  Induction of labor in late intrauterine fetal death.  Induction of labor with Tablet Mifepristone 200 milligrams per orally thrice daily for two days in late intrauterine fetal death when period of gestation is more than 28 weeks.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Singleton pregnancy with late intrauterine fetal death and non-scarred uterus.
 
 
ExclusionCriteria 
Details  1.Deranged liver function tests/ kidney function tests/ coagulation profile.
2.Known allergy or contraindication for Mifepristone or Misoprostol.
3.Known case of inherited porphyria.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Proportion of women who deliver vaginally with Mifepristone alone vs Mifepristone- Misoprostol
combination regimen within 5 days of initiation of regimen.
 
Proportion of women who deliver vaginally with Mifepristone alone vs Mifepristone- Misoprostol
combination regimen within 5 days of initiation of regimen.
 
 
Secondary Outcome  
Outcome  TimePoints 
1.Mean induction to delivery time in both regimens
2.Proportion of women requiring additional intervention (medical/ surgical).
 
Women who deliver vaginally within 5 days of initiation of regimen.  
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   10/03/2026 
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="0"
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  

AIM- To study the efficacy of Mifepristone alone vs Mifepristone- Misoprostol combination regimen for induction of labor in cases of late intrauterine fetal death.

Primary Outcome:

Proportion of women who deliver vaginally with Mifepristone alone vs Mifepristone- Misoprostol  

combination regimen within 5 days of initiation of regimen.

Secondary Outcomes:

1.     Mean induction to delivery time in both regimens

2.     Proportion of women requiring additional intervention (medical/ surgical).   



 
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