Efficacy Study of Vaginal Mifepristone to Treat Uterine Fibroids

NCT ID: NCT00881140

Last Updated: 2012-12-19

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

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-30

Study Completion Date

2012-07-31

Brief Summary

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The purpose of this study is to evaluate the effect of daily dosage of vaginally mifepristone on reduction of uterine fibroids size and the symptoms associated with uterine fibroids.

Detailed Description

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Uterine fibroids are benign tumors of the uterus made up of smooth muscle and the extracellular matrix proteins Collagen and Elastin. They are exceptionally common; the cumulative incidence of a diagnosis of fibroids in women aged 25 to 45 is approximately 30 percent.

Uterine fibroids can cause abnormal uterine bleeding, dysmenorrhea, lower back pain and non-cyclic pelvic pain. They also can contribute to symptoms related to an enlarging pelvic mass (e.g., urinary frequency or constipation).

Uterine fibroids are also associated with an increased risk of complications of pregnancy, and with infertility, although it is unclear whether this association is causative. Symptoms associated with uterine fibroids can have a significant impact on quality of life, with scores on standard measures that are comparable to those for other major chronic diseases

Conditions

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Uterine Fibroid Vaginal Bleeding.

Keywords

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oral mifepristone vaginal tablets

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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antiprogestin

Daily use of 10 mg administrated per vagina

Group Type EXPERIMENTAL

mifepristone vaginal tablets

Intervention Type DRUG

Daily use of 10 mg administrated per vagina for 3 months

Interventions

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mifepristone vaginal tablets

Daily use of 10 mg administrated per vagina for 3 months

Intervention Type DRUG

Other Intervention Names

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mifepristone

Eligibility Criteria

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Inclusion Criteria

* Uninterested in fertility during the study.
* Premenopausal status.
* Active symptoms related to uterine fibroids.
* Subjects will be obligated to use non hormonal contraceptives during the study.

Exclusion Criteria

* Abnormal liver and renal function
* Participants with significant increase in uterine fibroids size during a short time.
* Exclusionary health problems contraindicating mifepristone included adrenal disease; sickle cell anemia; severe liver, respiratory, or renal disease; and blood clotting defect.
* Current use of steroids, anticoagulants, herbals, or botanicals with possible hormonal effects.
Minimum Eligible Age

30 Years

Maximum Eligible Age

53 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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BioPro Medical Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Daniel Seidman, Prof'

Role: PRINCIPAL_INVESTIGATOR

unaffiliation

Locations

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Rabin Medical Center

Petah Tikva, Hasaron, Israel

Site Status

Gynecolaoy department - Shiba Medical Center Tel Hashomer

Ramat Gan, , Israel

Site Status

Countries

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Israel

References

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Fiscella K, Eisinger SH, Meldrum S, Feng C, Fisher SG, Guzick DS. Effect of mifepristone for symptomatic leiomyomata on quality of life and uterine size: a randomized controlled trial. Obstet Gynecol. 2006 Dec;108(6):1381-7. doi: 10.1097/01.AOG.0000243776.23391.7b.

Reference Type BACKGROUND
PMID: 17138770 (View on PubMed)

Steinauer J, Pritts EA, Jackson R, Jacoby AF. Systematic review of mifepristone for the treatment of uterine leiomyomata. Obstet Gynecol. 2004 Jun;103(6):1331-6. doi: 10.1097/01.AOG.0000127622.63269.8b.

Reference Type BACKGROUND
PMID: 15172874 (View on PubMed)

Eisinger SH, Meldrum S, Fiscella K, le Roux HD, Guzick DS. Low-dose mifepristone for uterine leiomyomata. Obstet Gynecol. 2003 Feb;101(2):243-50. doi: 10.1016/s0029-7844(02)02511-5.

Reference Type BACKGROUND
PMID: 12576246 (View on PubMed)

Spies JB, Coyne K, Guaou Guaou N, Boyle D, Skyrnarz-Murphy K, Gonzalves SM. The UFS-QOL, a new disease-specific symptom and health-related quality of life questionnaire for leiomyomata. Obstet Gynecol. 2002 Feb;99(2):290-300. doi: 10.1016/s0029-7844(01)01702-1.

Reference Type BACKGROUND
PMID: 11814511 (View on PubMed)

Eisinger SH, Bonfiglio T, Fiscella K, Meldrum S, Guzick DS. Twelve-month safety and efficacy of low-dose mifepristone for uterine myomas. J Minim Invasive Gynecol. 2005 May-Jun;12(3):227-33. doi: 10.1016/j.jmig.2005.01.022.

Reference Type BACKGROUND
PMID: 15922980 (View on PubMed)

Murphy AA, Kettel LM, Morales AJ, Roberts VJ, Yen SS. Regression of uterine leiomyomata in response to the antiprogesterone RU 486. J Clin Endocrinol Metab. 1993 Feb;76(2):513-7. doi: 10.1210/jcem.76.2.8432797.

Reference Type BACKGROUND
PMID: 8432797 (View on PubMed)

Yang Y, Zheng S, Li K. [Treatment of uterine leiomyoma by two different doses of mifepristone]. Zhonghua Fu Chan Ke Za Zhi. 1996 Oct;31(10):624-6. Chinese.

Reference Type BACKGROUND
PMID: 9275461 (View on PubMed)

Murphy AA, Morales AJ, Kettel LM, Yen SS. Regression of uterine leiomyomata to the antiprogesterone RU486: dose-response effect. Fertil Steril. 1995 Jul;64(1):187-90.

Reference Type BACKGROUND
PMID: 7789557 (View on PubMed)

Yerushalmi GM, Gilboa Y, Jakobson-Setton A, Tadir Y, Goldchmit C, Katz D, Seidman DS. Vaginal mifepristone for the treatment of symptomatic uterine leiomyomata: an open-label study. Fertil Steril. 2014 Feb;101(2):496-500. doi: 10.1016/j.fertnstert.2013.10.015. Epub 2013 Nov 9.

Reference Type DERIVED
PMID: 24220703 (View on PubMed)

Other Identifiers

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5300/08

Identifier Type: -

Identifier Source: secondary_id

bp001

Identifier Type: -

Identifier Source: org_study_id