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PREOPERATIVE LOCALLY APPLIED OESTROGEN IN POSTMENOPAUSAL WOMEN WITH PELVIC ORGAN PROLAPSE: INFLUENCE ON SUBJECTIVE AND OBJECTIVE PARAMETERS

Phase 1
Conditions
Pelvic organ prolapse
Therapeutic area: Diseases [C] - Female diseases of the urinary and reproductive systems and pregancy complications [C13]
Registration Number
EUCTR2016-000410-30-AT
Lead Sponsor
Medical University of Vienna, Department of Obstetrics and Gynecology
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Female
Target Recruitment
120
Inclusion Criteria

•Postmenopausal women
•Able to read, understand and sign informed consent
•Able to apply a vaginal cream
•Symptomatic pelvic organ prolapse
•Planned and indicated for surgery

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 60
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 60

Exclusion Criteria

•Suspicion or history of breast cancer or other oestrogen responsive malignancies (endometrial cancer)
•unexplained abnormal vaginal bleeding
•history of deep vein thrombosis
•inherited or acquired blood clotting disorders (eg, APC resistance, Antithrombin III deficiency)
•transient ischaemic attack, myo- cardial infarction or ischaemic heart disease
•Hypersensitivity to oestrogen
•Unable to read and sign informed consent

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: Primary Objective<br>•To demonstrate treatment efficacy of preoperative vaginally administered oestrogen in postmenopausal women with symptomatic pelvic organ prolapse in comparison to placebo, measured by a subjective questionnaire <br>;Secondary Objective: Secondary Objectives<br>•To assess effect of preoperative vaginally administered oestrogen on postoperative outcome in comparison to placebo<br>•To assess differences in tissue operability between the two groups assessed by the surgeon<br>•To assess possible differences regarding subjective and objective outcome parameters between intervention and placebo-group 3 months after operation<br>;Primary end point(s): Improvement of prolapse specific symptoms after preoperative treatment;Timepoint(s) of evaluation of this end point: after treatment of 6 weeks
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): Questionnaire domaine POP (POP score) at 3 months follow up, Other domains of the questionnaire (xxxxx) (baseline, 6 weeks, 3 months), POP-Q Score (baseline, 6 weeks, 3 months), postoperative variables;Timepoint(s) of evaluation of this end point: 6 weeks and 3 months after treatment
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