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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
Peking Union Medical College Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Adenomyosis focused on measuring levonorgestrel-releasing intrauterine system, adenomyosis

Eligibility Criteria

20 Years - 45 Years (Adult)FemaleDoes not accept healthy volunteers

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

    First Posted
    January 15, 2017
    Last Updated
    January 19, 2017
    Sponsor
    Peking Union Medical College Hospital
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    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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