Treating ectopic pregnancy with the combination of mifepristone and methotrexate: A phase II nonrandomized study

Autor: E. Camus, Patrick Rozenberg, François Goffinet, M. Perdu, Henri-Jean Philippe, Claude Chastang, Israel Nisand
Rok vydání: 1998
Předmět:
Zdroj: American Journal of Obstetrics and Gynecology. 179:640-643
ISSN: 0002-9378
Popis: OBJECTIVE: Our goal was to compare the use of a combination of methotrexate and mifepristone with methotrexate alone in the medical management of ectopic pregnancy. STUDY DESIGN: This was a preliminary nonrandomized phase II study. All patients with progressing ectopic pregnancy meeting criteria for medical management were included. Treatment consisted of 50 mg/m 2 of methotrexate injected intramuscularly and 600 mg of mifepristone, administered orally, compared with a previous group who received only 50 mg/m 2 of methotrexate injected intramuscularly. RESULTS: Of the 30 patients treated with the combination, there was only 1 failure, whereas medical treatment had failed for 11 of 42 patients treated with methotrexate alone. CONCLUSIONS: The combination of mifepristone and methotrexate decreased the risk of failure in medical treatment of ectopic pregnancy. (Am J Obstet Gynecol 1998;179:640-3.)
Databáze: OpenAIRE