Can a simple office procedure replace surgery for early miscarriage care?
NCT ID NCT07732231
First seen Jul 28, 2026 · Last updated Jul 29, 2026 · Updated 1 time
Summary
This trial compares two ways to surgically manage a first-trimester miscarriage: manual vacuum aspiration (MVA) done in a clinic with local anesthesia, versus electric aspiration (EA) performed in an operating room under general anesthesia. Researchers want to see if the outpatient approach is just as effective and less costly, while maintaining patient quality of life. The study involves 860 women aged 18 to 44 with a confirmed miscarriage needing surgical treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Manual vacuum aspiration (MVA) performed in consultation under local anesthesia versus electric aspiration (EA) in the operating room under general or regional anesthesia.
- What this could lead to
- If MVA proves as effective and less costly, it could become the standard, more accessible option for managing early miscarriage.
- What could go wrong
- This is a cost-effectiveness study, not a test of a new drug; results depend on real-world implementation and patient preferences.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 860 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 44 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Female, aged 18-44 years * Ultrasound-confirmed first-trimester miscarriage requiring surgical management * Gestational age between 5 and 12 weeks of amenorrhea * Incomplete spontaneous abortion or ongoing non-viable pregnancy * Patient able to provide oral informed consent Exclusion Criteria: * Complete expulsion of pregnancy (endometrial thickness \< 15 mm) * Choice of medical treatment with misoprostol * Elective termination of pregnancy * Unwanted pregnancy * Pregnancy of unknown location, molar pregnancy * Known uterine malformation * Prior surgical aspiration for the current pregnancy * Intrauterine device in place * Contraindicating medications (e.g. anticoagulants) * Protected adults (under guardianship) * Inability to complete study questionnaires * Lack of social security coverage * Haemorrhagic miscarriage
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CHU de Nantes
Nantes, 44000, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a blood thinner plus progesterone prevent recurrent miscarriages?
- Can a hormone blocker make miscarriage care more complete?
- Could low egg count predict miscarriage? new study seeks answers
- New DNA tests could spot hidden chromosome flaws in infertility and developmental disorders
- Miscarriage care showdown: camera surgery vs suction – which works better?
- Study: surgical abortion may harm sexual function more than medical abortion