Literature DB >> 3653415

Early pregnancy termination with antiprogestins: a comparative clinical study of RU 486 given in two dose regimens and Epostane.

L Birgerson1, V Odlind.   

Abstract

Mifepristone, (RU 486, Roussel Uclaf, Romainville, France), a progesterone (P) receptor blocking agent, and Epostane, (WIN 32,729, Sterling-Winthrop, Guildford, United Kingdom), a P synthesis inhibitor, were compared for their ability to terminate early human pregnancy. Seventy-eight healthy women, with a gestational length of less than 49 days from the last menstrual period and who requested termination of pregnancy, were recruited to the study. The patients were randomly allocated to three treatment regimens: (1) Mifepristone 25 mg bid for 7 days; (2) Mifepristone 50 mg bid for 7 days; and (3) Epostane 200 mg qid for 7 days. The results of the study confirmed that both compounds are potent abortifacients in early human pregnancy. No difference in efficacy was seen between the two dose regimens of Mifepristone, which both resulted in 61% complete abortions. Seventy-three percent aborted completely in the Epostane group. Subjective side effects, especially nausea, were more common in the women treated with Epostane, but no serious side effects were seen.

Entities:  

Keywords:  Abortifacient Agents; Abortion, Drug Induced; Abortion, Induced; Biology; Contraception; Contraception Research; Developed Countries; Diseases; Endocrine System; Enzyme Inhibitors; Enzymes And Enzyme Inhibitors; Europe; Family Planning; Female Contraception; Fertility Control, Postconception; Hormone Antagonists--administraction and dosage; Hormone Receptors; Hormones; Membrane Proteins; Nausea; Northern Europe; Physiology; Pregnancy; Pregnancy, First Trimester; Reproduction; Reproductive Control Agents; Scandinavia; Self Care; Signs And Symptoms; Steroid Abortifacients--administraction and dosage; Sweden; Treatment

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Year:  1987        PMID: 3653415     DOI: 10.1016/s0015-0282(16)59465-5

Source DB:  PubMed          Journal:  Fertil Steril        ISSN: 0015-0282            Impact factor:   7.329


  4 in total

Review 1.  Mifepristone. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential.

Authors:  R N Brogden; K L Goa; D Faulds
Journal:  Drugs       Date:  1993-03       Impact factor: 9.546

2.  Ethical considerations on methods used in abortions.

Authors:  Eike-Henner W Kluge
Journal:  Health Care Anal       Date:  2015-03

Review 3.  Medical approaches to termination of early pregnancy.

Authors:  P F Van Look; M Bygdeman
Journal:  Bull World Health Organ       Date:  1989       Impact factor: 9.408

4.  Mifepristone Treatment in Pregnant Murine Model Induced Mammary Gland Dysplasia and Postpartum Hypogalactia.

Authors:  Hongmei Zhu; Xuchen Jia; Mingli Ren; Liguo Yang; Jianguo Chen; Li Han; Yi Ding; Mingxing Ding
Journal:  Front Cell Dev Biol       Date:  2020-02-21
  4 in total

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