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临床试验/NL-OMON41262
NL-OMON41262已完成不适用

A prospective, multicenter clinical trial to evaluate the safety and the effectiveness of the AEGEA Vapor System* for the treatment of excessive uterine bleeding. - Pivotal study

AEGEA Medical Inc.0 个研究点目标入组 18 人开始时间: 待定最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
18

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • 1. Able to understand and has voluntarily signed and dated the IRB/EC approved informed
  • consent form (ICF) prior to initiation of any screening or study-specific procedures;
  • 2. Female subject from (and including) age 30 to 50 years;
  • 3. Self-reported history of heavy menstrual bleeding in at least 3 of the last 6 months prior to
  • 4. Predictable cyclic menstrual cycles (consistent cycle duration days 21-35 days) over the
  • last 6 months;
  • 5. Excessive uterine bleeding, as documented by the Pictorial Blood Loss Assessment
  • Chart (PBLAC), with a PBLAC score of *150 for one baseline cycle within three months
  • prior to the endometrial ablation procedure for women who:
  • * Had at least 3 prior months (documented) failed medical therapy; or
  • * Had a contraindication to medical therapy (e.g., oral contraceptive pills, NSAIDs,
  • failed D&C, iron, cox inhibitors, tranexamic acid, progestins); or
  • * Intolerant of medical therapy; or
  • * Refused medical therapy.
  • 6. Pre-menopausal at enrollment as determined by FSH measurement *40 IU/L;
  • 7. Normal PAP or ASCUS PAP with negative HR HPV, within the past year or at the time of
  • screening or ASCUS HPV positive/low grade SIL who have been appropriately evaluated
  • and managed;
  • 8. Normal endometrial biopsy within the past 3 months or at the time of screening;
  • 9. Willing to use reliable contraception through the initial 12 month time period following the
  • AEGEA endometrial ablation procedure. Acceptable methods include:
  • * Female surgical sterilization (bilateral tubal sterilization), if completed prior to
  • enrollment in the study
  • * Implantable contraceptive device (e.g., Essure® Birth Control or Adiana®
  • Permanent Contraception System) if the tubal occlusion confirmation test has
  • been completed and is satisfactory prior to enrollment in this study;
  • Vasectomy with semen analysis confirming no sperm present (based on subject
  • report) and subject has a stable monogamous relationship throughout the initial
  • 12 month follow-up phase
  • * Barrier contraceptives combined with spermicidal agent
  • * Monthly cyclic hormonal contraception (allowing a monthly withdrawal period) if
  • the subject has used monthly cyclic hormonal contraception for *3 months prior
  • to enrollment and is willing to continue the same monthly cyclic hormonal
  • contraception through the initial 12 month follow-up phase. Note: subjects not
  • on monthly cyclic hormonal contraceptives for a minimum of 3 months prior to
  • enrollment must agree to not use any monthly cyclic hormonal contraceptive from
  • enrollment through the initial 12 month follow-up phase except for the use of
  • endometrial thinning agents prior to the endometrial ablation procedure.
  • However, such subjects must agree to use another acceptable method of birth
  • control as outlined above.
  • NOTE: Other than for purposes of endometrial thinning prior to the ablation procedure,
  • subjects must not use hormonal contraception continuously (in order to suppress the
  • menstrual cycle and thus not allow a withdrawal bleed) for the concomitant treatment of
  • menorrhagia. There should be no concomitant use of any medication intended to treat
  • menorrhagia.
  • 10. Not currently taking any hormonal medication (e.g., estrogen, progestin) and have not
  • been using any hormonal medication for a minimum of three months prior to study
  • enrollment and ag

排除标准

  • 1. Is pregnant as determined by urine or serum pregnancy test at screening or on day of
  • 2. Desires future childbearing;
  • 3. Presence of an intrauterine device/system (IUD/IUS) that the subject is unwilling to have
  • removed prior to or at the time of the ablation procedure. Note: Subjects using a
  • hormonal releasing IUD/IUS must have their device removed prior to ablation and then
  • have one complete menstrual cycle at which time the baseline PBLAC diary may be
  • completed. An IUD/IUS may not be re-inserted following ablation. The subject must
  • agree to rely on either a barrier method plus spermicide, or vasectomy through the initial
  • 12 month follow-up phase, as outlined above in inclusion (9).
  • 4. Previous endometrial ablation procedure;
  • 5. Evidence of an active sexually transmitted infection (STI) as determined by screening
  • examinations or testing as required;
  • Evidence of active or recurrent chronic pelvic inflammatory disease (PID) as determined
  • by screening examination;
  • 7. Active infection of the genitals, vagina, cervix, uterus or urinary tract, at the time of the
  • procedure, as detected by screening examination and patient symptoms;
  • 8. Presence of active endometritis identified by clinical diagnosis;
  • 9. Presence of bacteremia, sepsis or other active systemic infection confirmed by blood
  • 10. Suspected or confirmed gynecologic malignancy within the last five years as confirmed
  • by histology;
  • 11. Endometrial hyperplasia as confirmed by histology;
  • 12. Known clotting defects or bleeding disorders (coagulopathy), based on patient history
  • unless excluded by appropriate hematological examination;
  • 13. Currently on anticoagulant therapy;
  • 14. Hemoglobin <8gm/dl or considered by the investigator to be at risk for requiring a blood
  • transfusion within 12 months;
  • 15. Prior uterine surgery (except low transverse cesarean section) which could lead to
  • weakening of the uterine wall (e.g. transmural myomectomy or classical cesarean
  • 16. Currently on medications that could thin the myometrial muscle such as long-term steroid
  • use (except inhaler or nasal therapy for asthma);
  • 17. Severe dysmenorrhea that, in the opinion of the investigator, is secondary to
  • adenomyosis (AUB-A) or where adenomyosis is suspected/known by prior evaluation;
  • Note: Severe dysmenorrhea is defined as pain with menses that interferes with the
  • subject*s lifestyle and is unresponsive to over-the-counter (OTC) medications taken at the
  • usual dose.
  • 18. Known uterine wall thickness of <1cm as measured by ultrasound;
  • 19. Known bicornuate uterus;
  • 20. Known uterine septum > 1/3 cavity length;
  • 21. Known leiomyoma(s) that obstructs access to the uterine cavity or which prevents
  • distension as determined by vaginal ultrasound, SIS or hysteroscopy;
  • 22. Known uterine and/or cervical polyps *1cm in diameter or length or which, in the opinion
  • of the investigator, contribute to the bleeding (AUB-P). Note: polyp removal will be
  • allowed during screening but subjects must complete 2 menstrual cycles and then be re-
  • evaluated against all inclusion and exclusion criteria prior to enrollment.
  • 23. Known or suspected hydrosalpinx based on history or ultrasound at screening;
  • 24. Known uterine length measurement of <6cm or >12 cm (external os to internal fundus);
  • 25. Currently participating or

研究者

发起方
AEGEA Medical Inc.

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