Levonorgestrel-releasing Intrauterine System for the Treatment of Symptomatic Adenomyosis
Primary Purpose
Adenomyosis
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Placement of levonorgestrel-releasing intrauterine system
Sponsored by
About this trial
This is an interventional treatment trial for Adenomyosis focused on measuring levonorgestrel-releasing intrauterine system, adenomyosis
Eligibility Criteria
Inclusion Criteria:
- Women with regular menses
- Adenomyosis diagnosed via transvaginal ultrasound
- With severe dysmenorrhea (VAS ≥ 7) and/or menorrhea (pictorial chart scores >100)
- Duration of placement > 12 months
- Size of uterus by physical examination less than uterus of 12-week pregnancy
Exclusion Criteria:
- Desire for pregnancy or lactation
- With diagnosis of malignancies or precancerous lesions
- Acceptance of laparotomy
- Contraindication of placing levonorgestrel-releasing intrauterine system
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Other
Arm Label
patients with LNG-IUS
Arm Description
Placement of levonorgestrel-releasing intrauterine system
Outcomes
Primary Outcome Measures
improvement of symptoms of adenomyosis assessed by change from baseline visual analogue scale at 5 years after placement of levonorgestrel-releasing intrauterine system
visual analogue scale for pain
Secondary Outcome Measures
unplanned taking-out rate in percent of levonorgestrel-releasing intrauterine system
spontaneously expulsion rate in percent of levonorgestrel-releasing intrauterine system
improvement of symptoms of adenomyosis assessed by verbal rating scales for pain
verbal rating scales for pain
improvement of symptoms of adenomyosis assessed by hemoglobin for menorrhea
hemoglobin for menorrhea
improvement of symptoms of adenomyosis assessed by pictorial chart scores for menorrhea
visual analogue scale for pain
Full Information
NCT ID
NCT03027648
First Posted
January 15, 2017
Last Updated
January 19, 2017
Sponsor
Peking Union Medical College Hospital
1. Study Identification
Unique Protocol Identification Number
NCT03027648
Brief Title
Levonorgestrel-releasing Intrauterine System for the Treatment of Symptomatic Adenomyosis
Official Title
Cohort Study of Levonorgestrel-releasing Intrauterine System for the Treatment of Symptomatic Adenomyosis
Study Type
Interventional
2. Study Status
Record Verification Date
January 2017
Overall Recruitment Status
Completed
Study Start Date
December 2006 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
January 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Peking Union Medical College Hospital
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Objective: To investigate the effects of levonorgestrel-releasing intrauterine system (LNG-IUS) for symptomatic adenomyosis.
Methods: From December, 2006 to December, 2014, symptomatic patients of adenomyosis diagnosed (with dysmenorrhea and/or menorrhea) by transvaginal ultrasound in outpatient or inpatient clinics of Peking Union Medical College Hospital were given the treatment of LNG-IUS. Before and after placement of LNG-IUS, during each following period, all the parameters were recorded prospectively, including carrying status of IUS, symptoms and scores of dysmenorrhea, menstruation scores, biochemical indicators, physical parameters, menstruation patterns and adverse effects.
Primary outcome measures: symptoms and scores of dysmenorrhea and menorrhea
Second outcome measures: carrying status of IUS
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Adenomyosis
Keywords
levonorgestrel-releasing intrauterine system, adenomyosis
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
1100 (Actual)
8. Arms, Groups, and Interventions
Arm Title
patients with LNG-IUS
Arm Type
Other
Arm Description
Placement of levonorgestrel-releasing intrauterine system
Intervention Type
Procedure
Intervention Name(s)
Placement of levonorgestrel-releasing intrauterine system
Intervention Description
All the patients accepted treatment of levonorgestrel-releasing intrauterine system
Primary Outcome Measure Information:
Title
improvement of symptoms of adenomyosis assessed by change from baseline visual analogue scale at 5 years after placement of levonorgestrel-releasing intrauterine system
Description
visual analogue scale for pain
Time Frame
5 years after placement of levonorgestrel-releasing intrauterine system
Secondary Outcome Measure Information:
Title
unplanned taking-out rate in percent of levonorgestrel-releasing intrauterine system
Time Frame
5 years after placement of levonorgestrel-releasing intrauterine system
Title
spontaneously expulsion rate in percent of levonorgestrel-releasing intrauterine system
Time Frame
5 years after placement of levonorgestrel-releasing intrauterine system
Title
improvement of symptoms of adenomyosis assessed by verbal rating scales for pain
Description
verbal rating scales for pain
Time Frame
5 years after placement of levonorgestrel-releasing intrauterine system
Title
improvement of symptoms of adenomyosis assessed by hemoglobin for menorrhea
Description
hemoglobin for menorrhea
Time Frame
5 years after placement of levonorgestrel-releasing intrauterine system
Title
improvement of symptoms of adenomyosis assessed by pictorial chart scores for menorrhea
Description
visual analogue scale for pain
Time Frame
5 years after placement of levonorgestrel-releasing intrauterine system
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Women with regular menses
Adenomyosis diagnosed via transvaginal ultrasound
With severe dysmenorrhea (VAS ≥ 7) and/or menorrhea (pictorial chart scores >100)
Duration of placement > 12 months
Size of uterus by physical examination less than uterus of 12-week pregnancy
Exclusion Criteria:
Desire for pregnancy or lactation
With diagnosis of malignancies or precancerous lesions
Acceptance of laparotomy
Contraindication of placing levonorgestrel-releasing intrauterine system
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Leng Jinghua, MD
Organizational Affiliation
Peking Union Medical College Hospital
Official's Role
Principal Investigator
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
IPD will be shared with researchers via online database
Citations:
PubMed Identifier
31194884
Citation
Li L, Leng J, Jia S, Lang J. Treatment of symptomatic adenomyosis with the levonorgestrel-releasing intrauterine system. Int J Gynaecol Obstet. 2019 Sep;146(3):357-363. doi: 10.1002/ijgo.12887. Epub 2019 Jun 27.
Results Reference
derived
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Levonorgestrel-releasing Intrauterine System for the Treatment of Symptomatic Adenomyosis
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