A Multicenter Observational Study of Diphereline 3.75 mg Treatment Effectiveness in Russian Women Suffering From Internal Genital Endometriosis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Ipsen
- Enrollment
- 465
- Locations
- 34
- Primary Endpoint
- Severity of disease symptom menorrhagia (none-mild-moderate-severe) in different disease stages I, II, III in the Russian subject population scheduled for treatment with Diphereline 3.75 mg
Study Overview
Brief Summary
To describe Gonadotropin-Releasing Hormone agonists (GnRH-a) treatment effectiveness on reduction of internal genital endometriosis symptom - menorrhagia - in different disease stages I, II, III in the Russian patient population scheduled for treatment with Diphereline 3,75 mg - assessment performed six months after the last injection.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 25 Years to 40 Years (Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Premenopausal women aged 25-40 years old
- •With symptomatic internal genital endometriosis - at least mild menorrhagia present or worse
- •Internal genital endometriosis diagnosis is based on enlarged uterus detected by pelvic bimanual examination and ultrasound examination (stages I-II-III by Demidov in accordance with ultrasound results not earlier than 2 months before first injection
- •Naive patients who have never been prescribed a GnRH agonist
Exclusion Criteria
- •Pregnant subjects
- •Subjects with hypersensitivity to GnRH analogue or to one of its excipients
- •Subjects treated with any other investigational drug within the last 30 days before study entry
- •Subjects' refusal to participate in the study
Outcomes
Primary Outcomes
Severity of disease symptom menorrhagia (none-mild-moderate-severe) in different disease stages I, II, III in the Russian subject population scheduled for treatment with Diphereline 3.75 mg
Time Frame: Change from baseline to up to 6 months after the last injection (up to month 11)
A responder is defined as a subject with menorrhagia reduction at least by one level (i.e. from severe to moderate, from moderate to mild, from mild to none).
Secondary Outcomes
- Patients' age at study entry(Baseline (Day 1))
- Gynaecological history(Baseline (Day 1))
- Internal genital endometriosis symptom dysmenorrhea in different disease stages I, II, III in the Russian patient population scheduled for treatment with Diphereline 3.75 mg(Change from baseline (Day 1) to 6 months after the last injection (up to Month 11))
- Reproduction function will be assessed by the number of patients who avoided hysterectomy/ did not receive a surgical treatment 6 and 9 months after the end of treatment with Diphereline 3.75mg(6 and 9 months after the end of treatment with Diphereline)
- Age at the time of internal genital endometriosis diagnosis(Baseline (Day 1))
- Concomitant medications and non drug therapy for internal endometriosis treatment(Baseline (Day 1))
- Severity of disease symptom dysmenorrhea (none-mild-moderate-severe) in different disease stages I, II, III in the Russian patient population scheduled for treatment with Diphereline 3.75 mg(On the day of the last injection (up to Month 5))
- Reproduction function will be assessed by the number of patients got pregnant 6 and 9 months after the end of treatment with Diphereline 3.75mg(6 and 9 months after the end of treatment with Diphereline)
- Medical history(Baseline (Day 1))
- Severity of disease symptom menorrhagia (none-mild-moderate-severe) in different disease stages I, II, III in the Russian patient population scheduled for treatment with Diphereline 3.75 mg(On the day of the last injection (up to Month 5))
- Uterine volume in different disease stages I, II, III in the Russian patient population scheduled for treatment with Diphereline 3.75 mg(Baseline (Day 1) and on the day of the last injection (up to Month 5))
- Internal genital endometriosis symptom metrorrhagia in different disease stages I, II, III in the Russian patient population scheduled for treatment with Diphereline 3.75 mg(Change from baseline (Day 1) to 6 months after the last injection (up to Month 11))
- Internal genital endometriosis symptom pelvic pain in different disease stages I, II, III in the Russian patient population scheduled for treatment with Diphereline 3.75 mg(Change from baseline (Day 1) to 6 months after the last injection (up to Month 11))
- Diphereline 3.75 mg treatment practice will be assessed by patient compliance with treatment schedule (each 28 days) in line with treatment administration approved in Russian Federation(Up to Month 5)
- Data on fertility: primary and secondary sterility(Baseline (Day 1))
- Uterine shape (bimanual pelvic examination) in different disease stages I, II, III in the Russian patient population scheduled for treatment with Diphereline 3.75 mg(Baseline (Day 1) and on the day of the last injection (up to Month 5))
- Severity of disease symptom metrorrhagia (none-mild-moderate-severe)(On the day of the last injection (up to Month 5))
- Severity of disease symptom pelvic pain (none-mild-moderate-severe) in different disease stages I, II, III in the Russian patient population scheduled for treatment with Diphereline 3.75 mg(On the day of the last injection (up to Month 5))
- Diphereline 3.75 mg treatment practice will be assessed by the number of scheduled/ performed injections with treatment schedule (each 28 days) in line with treatment administration approved in Russian Federation(Up to Month 5)
