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This trial showed that giving mifepristone in addition to misoprostol was superior for resolution of missed miscarriage within 7 days by medical management.

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Adam Devall 1,*, Justin Chu 1, Leanne Beeson 2, Pollyanna Hardy 3, Versha Cheed 2, Yongzhong Sun 2, Tracy Roberts 2, Chidubem Okeke Ogwulu 2, Eleanor Williams 2, Laura Jones 2, Jenny La Fontaine Papadopoulos 2, Ruth Bender-Atik 4, Jane Brewin 5, Kim Hinshaw 6, Meenakshi Choudhary 7, Amna Ahmed 6, Joel Naftalin 8, Natalie Nunes 9, Abigail Oliver 10, Feras Izzat 11, Kalsang Bhatia 12, Ismail Hassan 13, Yadava Jeve 13, Judith Hamilton 14, Shilpa Deb 15, Cecilia Bottomley 16, Jackie Ross 17, Linda Watkins 18, Martyn Underwood 19, Ying Cheong 20, Chitra Kumar 21, Pratima Gupta 22, Rachel Small 22, Stewart Pringle 23, Frances Hodge 24, Anupama Shahid 25, Ioannis Gallos 1, Andrew Horne 26, Siobhan Quenby 27, Arri Coomarasamy 1

1 Institute of Metabolism and Systems Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
2 Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK
3 National Perinatal Epidemiology Unit Clinical Trials Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK
4 Miscarriage Association, Wakefield, UK
5 Tommy’s Charity, London, UK
6 Sunderland Royal Hospital, South Tyneside & Sunderland NHS Foundation Trust, Sunderland, UK
7 Royal Victoria Infirmary, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
8 University College Hospital, University College London Hospitals NHS Foundation Trust, London, UK
9 West Middlesex University Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, Isleworth, UK
10 St Michael’s Hospital, University Hospitals Bristol NHS Foundation Trust, Bristol, UK
11 University Hospital Coventry, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK
12 Burnley General Hospital, East Lancashire Hospitals NHS Trust, Burnley, UK
13 Birmingham Women’s Hospital, Birmingham Women’s and Children’s NHS Foundation Trust, Birmingham, UK
14 Guy’s and St Thomas’ Hospital, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
15 Queen’s Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK
16 Chelsea and Westminster Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
17 King’s College Hospital, King’s College Hospital NHS Foundation Trust, London, UK
18 Liverpool Women’s Hospital, Liverpool Women’s NHS Foundation Trust, Liverpool, UK
19 Princess Royal Hospital, Shrewsbury and Telford Hospital NHS Trust, Telford, UK
20 Department of Reproductive Medicine, University of Southampton, Southampton, UK
21 Glasgow Royal Infirmary, NHS Greater Glasgow and Clyde, Glasgow, UK
22 Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
23 Queen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK
24 Singleton Hospital, Swansea Bay University Health Board, Swansea, UK
25 Barts Health NHS Trust, Royal London Hospital, London, UK
26 MRC Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK
27 Biomedical Research Unit in Reproductive Health, University of Warwick, Coventry, UK
* Corresponding author Email: a.j.devall@bham.ac.uk

Declared competing interests of authors: Andrew Horne reports having served as a consultant for AbbVie (Lake Bluff, IL, USA), Roche Diagnostics (Roche Holding AG, Basel, Switzerland), Ferring Controlled Therapeutics (Glasgow, UK) and Nordic Pharma Ltd (Berkshire, UK), and has received research support from the Medical Research Council (MRC), National Institute for Health Research (NIHR), Chief Scientist’s Office, Wellbeing of Women, Roche Diagnostics, AstraZeneca (Cambridge, UK) and Ferring Controlled Therapeutics outside the submitted work. Pollyanna Hardy reports membership of the NIHR Health Technology Assessment (HTA) Commissioning Committee (2020–present). Meenakshi Choudhary reports membership of the NIHR HTA Maternal, Neonatal and Child Health Panel Panel (2017–18), NIHR HTA Prioritisation Committee C (Mental Health, Women and Children’s Health) (2017–20) and the NIHR HTA Prioritisation Committee B (In Hospital) (2017–21). Arri Coomarasamy reports membership of the NIHR Efficacy and Mechanism Evaluation (EME) programme (2019–present) outside the submitted work.

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