Visanne Post-approval Observational Study (VIPOS)

NCT ID: NCT01266421

Last Updated: 2020-07-29

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

Total Enrollment

27840 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-12-07

Study Completion Date

2019-01-26

Brief Summary

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The study assesses safety aspects of Dienogest (DNG) 2mg/day (Visanne) used as endometriosis therapy and of other hormonal treatments for endometriosis.

Detailed Description

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Endometriosis is a common, chronic, gynecological disease characterized by pain and impaired fertility. It causes chronic inflammation, ovarian cyst formation, fibrosis and adhesions. Symptoms seem to respond to decreased circulating estrogen. The mainstay of medical treatment is hormonal induced anovulation and a reduction in endogenous estrogen production.

Medications for endometriosis such as Danazol and GnRH agonists have clinically relevant side-effects limiting treatment duration with these medications to 6-12 months.

Dienogest (DNG) is a 19-nortestosterone derivative progestogen. DNG 2mg/day is a reliable and effective treatment for dysmenorrhea, premenstrual pain, dyspareunia and diffuse pelvic pain associated with endometriosis.

Two important class effects of progestogens are the induction of bleeding disturbances and their influence on mood disturbance. It is not known what influence DNG will have on bleeding disturbances associated with endometriosis, particularly over a longer time frame.

In addition, women who suffer from endometriosis are at high risk of developing depressive symptoms. It is difficult to differentiate if depressive symptoms are causally associated with progestogen use or sequela of the disease process.

This study investigates the safety of DNG for endometriosis with regard to medical interventions for anemia and worsening of depressive symptoms associated with the disease. It is a prospective, controlled, non-interventional cohort study with two cohorts: users of DNG and users of other medications for the treatment of endometriosis. The study will be implemented in several European countries.

Conditions

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Endometriosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Dienogest (DNG)

Women using DNG) for the treatment of endometriosis

No interventions assigned to this group

Other approved endometriosis drugs (OAED)

Women using hormonal medications approved for endometriosis treatment in all particiapting countries other than DNG.

No interventions assigned to this group

Non-approved endometriosis drugs (NAED)

Women using hormonal medications not approved for endometriosis treatment in all particiapting countries.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Women using a newly prescribed regimen for endometriosis (first-time users or switchers or re-starters)
* Women who are willing to participate in this long-term follow-up study

Exclusion Criteria

* Women who are not cooperative/available for follow-up
* Women with a language barrier
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Bayer

INDUSTRY

Sponsor Role collaborator

Center for Epidemiology and Health Research, Germany

OTHER

Sponsor Role lead

Responsible Party

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Klaas Heinemann, MD, PhD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Klaas Heinemann, PhD, MD, MBA

Role: PRINCIPAL_INVESTIGATOR

Center for Epidemiology and Health Research

Locations

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Center for Epidemiology and Health Research

Berlin, , Germany

Site Status

Countries

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Germany

References

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Moehner S, Becker K, Lange JA, von Stockum S, Heinemann K. Risk of depression and anemia in users of hormonal endometriosis treatments: Results from the VIPOS study. Eur J Obstet Gynecol Reprod Biol. 2020 Aug;251:212-217. doi: 10.1016/j.ejogrb.2020.05.049. Epub 2020 Jun 2.

Reference Type RESULT
PMID: 32559605 (View on PubMed)

Becker K, Heinemann K, Imthurn B, Marions L, Moehner S, Gerlinger C, Serrani M, Faustmann T. Real world data on symptomology and diagnostic approaches of 27,840 women living with endometriosis. Sci Rep. 2021 Oct 14;11(1):20404. doi: 10.1038/s41598-021-99681-3.

Reference Type DERIVED
PMID: 34650132 (View on PubMed)

Heinemann K, Imthurn B, Marions L, Gerlinger C, Becker K, Moehner S, Faustmann T. Safety of Dienogest and Other Hormonal Treatments for Endometriosis in Real-World Clinical Practice (VIPOS): A Large Noninterventional Study. Adv Ther. 2020 May;37(5):2528-2537. doi: 10.1007/s12325-020-01331-z. Epub 2020 Apr 16.

Reference Type DERIVED
PMID: 32301063 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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ZEG2010_03

Identifier Type: -

Identifier Source: org_study_id

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