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临床试验/NCT06145438
NCT06145438已完成3 期

Comparing the Safety and Efficacy in the Use of Dienogest, Leuprolide Acetate, DMPA and Combined Oral Contraceptive Pills (Microgynon) on Endometriosis Patients After Conservative Surgery

Universitas Diponegoro1 个研究点 分布在 1 个国家目标入组 80 人开始时间: 2023年9月4日最近更新:
适应症
干预措施

试验速览

阶段
3 期
状态
已完成
入组人数
80
试验地点
1
主要终点
beta estradiol level

研究概览

简要总结

The goal of this clinical trial is to compare safety and efficacy in endometriosis patient after conservative surgery. The main question[s] it aims to answer are:

  1. Health-related quality of life (HRQoL)
  2. VAS score
  3. Beta estradiol
  4. TNF Alpha
  5. Adnexal mass recurrence

Participants will be randomized into 4 groups, each group will receive:

  1. Leuprolide Acetate injection/month
  2. Dienogest 2 mg/day
  3. COC (mycrogynon)/day
  4. DMPA injection 150mg/month Researcher will compare the efficacy and safety in the assigned group.

详细描述

  1. Beta estradiol level is measured in the serum, before and after treatment
  2. TNF alpha is measured in the serum, before and after treatment
  3. Evaluation of HRQoL using the Endometriosis Health Profile-30 (EHP-30)
  4. VAS score will be recorded before and after treatment
  5. Adnexal massa recurrence evaluation using USG

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

性别
Female
接受健康志愿者

入选标准

  • Patient post surgical removal of endometriosis cyst Willing to participate

排除标准

  • Use of any hormonal therapy for endometriosis within the previous 16 weeks.
  • History of severe adverse drug reactions or hypersensitivity to steroid hormones.
  • Failure of previous treatment with COC, DMPA used in this study.
  • There are contraindications to the use of Leuprolide Acetate, COC, DMPA or Dienogest, such as a history or complications of thrombosis/embolism, stroke, Diabetes Mellitus, liver cirrhosis or other liver function disorders, breast, ovarian and endometrial malignancies.

研究组 & 干预措施

Leuprolide Acetate

Active Comparator

Leuprolide Acetate, brand name Tapros 3.75 mg, injected intramuscularly every month for 3 months

干预措施: Leuprolide (as Leuprolide Acetate) (Drug)

Dienogest

Experimental

Dienogest 2 mg, brand name Nelandoz 2mg, administered orally, every day for 3 months

干预措施: Dienogest (Drug)

Depot medroxyprogesterone acetate

Experimental

Depot medroxyprogesterone acetate, brand name Depo Provera 150mg/ml, injected intramuscularly, every month for 3 months

干预措施: Depo Medroxyprogesterone acetate (Drug)

Combined Oral Contraceptive

Experimental

Levonogestrel 150 mcg + etinilestradiol 30 mcg, brand name Mycrogynon, administered orally, every day for 3 months

干预措施: Levonogestrel + etinilestradiol (30 mcg, brand name Mycrogynon) (Drug)

结局指标

主要结局

beta estradiol level

时间窗: 0 and 12 weeks of treatment

Measuring beta estradiol level on the serum

TNF alpha level

时间窗: 0 and 12 weeks of treatment

Measuring TNF alpha level on the serum

次要结局

  • Mass recurrence(0 and 12 weeks of treatment)
  • VAS score(0 and 12 weeks of treatment)
  • health-related quality of life (HRQoL)(0 and 12 weeks of treatment)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Yuli Trisetiyono

Principal Investigator

Universitas Diponegoro

研究点 (1)

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