Comparison Study in the Treatment of Uterine Fibroids Uterine Fibroid Embolization Using BeadBlock™ Embolic Agent

NCT ID: NCT00361036

Last Updated: 2011-04-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-08-31

Study Completion Date

2010-03-31

Brief Summary

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A double arm (non-inferiority) 44 patient study to assess the performance of BeadBlock™ in the treatment of uterine fibroids by embolization with respect to clinical \& imaging outcome with comparison of primary safety endpoints to Embosphere.

Detailed Description

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The purpose of the study is to conduct a comparison between BeadBlock™ and Embosphere in uterine fibroid embolization. Baseline and follow-up MR Imaging data will be made with respect to changes in fibroid and uterus perfusion and fibroid and uterine volume. This is a 12 months study (12 month follow up for all enrollees). The primary end-point will be the degree of fibroid devascularization as seen at contrast-enhanced MRI performed 3 months (+/- 15 days) after UAE procedure. In addition we will assess symptom reduction in patients that have undergone uterine fibroid embolization with Bead Block™ and Embosphere®.

Primary Objective 1. To assess the change in fibroid devascularization as seen at contrast-enhanced MRI performed after UAE and at three (3) months (+/- 15 days) following the UAE, and compare the changes between BeadBlock™ and Embosphere.

Secondary Objective

1\. To assess the change in fibroid devascularization as seen at contrast-enhanced MRI performed several days after UAE and 6 months (+/- 15 days) following the UAE, and compare the changes between BeadBlock™ and Embosphere.

Tertiary Objective

1. To assess the change in uterine volume as seen at contrast-enhanced MRI performed several days after UAE, 3 months (+/- 15 days) and 6 months (+/- 15 days) following the UAE, and compare the changes between BeadBlock™ and Embosphere.
2. To assess the change from baseline in symptom severity (UFS-QOL)at 3, 6 and 12 months (+/- 15 days) follow-up, as measured by the subscale of the UFS questionnaire, and compare the changes between BeadBlock™ and Embosphere.

Conditions

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Leiomyoma Leiomyomatosis Uterine Neoplasms

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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1

BeadBlock treatment arm

Group Type EXPERIMENTAL

Uterine fibroid embolization BeadBlock™

Intervention Type DEVICE

Intervention with BeadBlock Microspehere

2

Embospheres control arm

Group Type ACTIVE_COMPARATOR

Uterine fibroid embolization Embosphere®

Intervention Type DEVICE

Embosphere - control arm

Interventions

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Uterine fibroid embolization BeadBlock™

Intervention with BeadBlock Microspehere

Intervention Type DEVICE

Uterine fibroid embolization Embosphere®

Embosphere - control arm

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Patient chooses to participate and has signed informed consent
2. Age between 30 and 50 years old
3. Symptoms caused by uterine fibroids, such as heavy bleeding (menorrhagia) and/or bulk-related complaints such as urinary frequency, constipation or pelvic pain.
4. Patient has fibroids confirmed by MRI
5. Patient has normal kidney function.
6. Patient is willing and able to undergo follow-up imaging at 3 and 6 months post UFE.

Exclusion Criteria

1. Patients who are pregnant or plan to become pregnant within the study period, or desire future fertility.
2. Patients with a history of gynecologic malignancy
3. Patients with known endometrial hyperplasia
4. Patients with adenomyosis
5. Patients with pelvic inflammatory disease
6. Patients with Uteri \< 250 ml (cm) calculated volume or \> 24 weeks
7. Patients with pedunculated subserosal fibroids with a narrow attachment (\<50% diameter of the fibroid) to the uterus.
8. Patients with pelvic pain as dominant syndrome
9. Known allergy to contrast media that cannot be adequately pre-medicated.
10. Patients not suitable for arterial access.
11. Previous uterine artery embolization attempts.
12. History of pelvic irradiation.
13. Patients on GnRH Therapy within 3-6 months prior to the study enrollment.
Minimum Eligible Age

30 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Terumo Medical Corporation

INDUSTRY

Sponsor Role collaborator

Biocompatibles UK Ltd

INDUSTRY

Sponsor Role collaborator

Worthington-Kirsch, Robert L., M.D.

INDIV

Sponsor Role lead

Responsible Party

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Image Guided Surgery associates

Principal Investigators

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Robert Worthington-Kirsch, MD

Role: PRINCIPAL_INVESTIGATOR

Image Guided Surgery Associates

Locations

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Albany Medical Center

Albany, New York, United States

Site Status

Image Guided Surgery Associates

Pottstown, Pennsylvania, United States

Site Status

Countries

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United States

References

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Worthington-Kirsch RL, Siskin GP, Hegener P, Chesnick R. Comparison of the efficacy of the embolic agents acrylamido polyvinyl alcohol microspheres and tris-acryl gelatin microspheres for uterine artery embolization for leiomyomas: a prospective randomized controlled trial. Cardiovasc Intervent Radiol. 2011 Jun;34(3):493-501. doi: 10.1007/s00270-010-0049-y. Epub 2010 Dec 3.

Reference Type DERIVED
PMID: 21127866 (View on PubMed)

Related Links

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http://www.clinicaltrials.gov/ct/show/NCT00100191

Emmy Trial: Uterine Artery Embolization (UAE) Versus Hysterectomy for Uterine Fibroids

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Abstract&list_uids=16260201

Uterine artery embolization versus hysterectomy in the treatment of symptomatic uterine fibroids (EMMY trial): peri- and postprocedural results from a randomized controlled trial

Other Identifiers

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G060030

Identifier Type: -

Identifier Source: org_study_id

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