The Efficacy of Estrogen Therapy Against Adhesion Reformation After Hysteroscopic Adhesiolysis

NCT ID: NCT03351205

Last Updated: 2017-11-22

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-21

Study Completion Date

2018-11-22

Brief Summary

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Asherman's syndrome is characterized by the presence of intrauterine adhesions (IUA) as well as symptoms such as amenorrhea, hypomenorrhea, pelvic pain, and infertility. The gold standard for the treatment of intrauterine adhesions is hysteroscopic intrauterine adhesions. The recurrence of intrauterine adhesions is a major challenge in clinical practice. Intrauterine balloon has been used for the prevention of intrauterine adhesions. It has been reported that dried biological amnion graft was used to prevent adhesion after the operation of intrauterine adhesions. Estrogen is also used for postoperative prevention of intrauterine adhesions. Intrauterine balloon can reduce the recurrence of adhesions after operation. Disposable balloon uterine stent,which is an innovative intrauterine balloon,is specially designed to fit into the cavity of the uterus. Does Disposable balloon uterine stent and amniotic products combine estrogen therapy improve clinical outcomes? Therefore, this study was conducted.

Detailed Description

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Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double (participant and outcomes Assessor) Primary Purpose: Prevention

Conditions

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Intrauterine Adhesion

Keywords

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Asherman syndrome hysteroscopy uterine stent Estrogen Amnion Hysteroscopic Adhesiolysis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Uterine cavity barrier only

patients, who are with IUA, treated by uterine application of disposable balloon uterine stent + amnion membrane following hysteroscopic adhesiolysis.

Group Type EXPERIMENTAL

disposable balloon uterine stent

Intervention Type DEVICE

The disposable balloon uterine stent is heart-shaped that resembled the shape of the uterine cavity and could fully separate the two sides of the uterine wall and the corners of the uterus compare to Foley catheter.

dried biological amnion graft

Intervention Type PROCEDURE

Uterine application of dried biological amnion graft following hysteroscopic adhesiolysis.

Other Name: Human amnion membrane

hormone

patients, who are with IUA, treated by uterine application of disposable balloon uterine stent+ amnion membrane+hormones (estradiol valerate tablets+dydrogesterone Tablets) following hysteroscopic adhesiolysis.

Group Type EXPERIMENTAL

disposable balloon uterine stent

Intervention Type DEVICE

The disposable balloon uterine stent is heart-shaped that resembled the shape of the uterine cavity and could fully separate the two sides of the uterine wall and the corners of the uterus compare to Foley catheter.

dried biological amnion graft

Intervention Type PROCEDURE

Uterine application of dried biological amnion graft following hysteroscopic adhesiolysis.

Other Name: Human amnion membrane

estradiol valerate tablets+dydrogesterone tablets

Intervention Type DRUG

oral estradiol valerate tablets+dydrogesterone tablets

Interventions

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disposable balloon uterine stent

The disposable balloon uterine stent is heart-shaped that resembled the shape of the uterine cavity and could fully separate the two sides of the uterine wall and the corners of the uterus compare to Foley catheter.

Intervention Type DEVICE

dried biological amnion graft

Uterine application of dried biological amnion graft following hysteroscopic adhesiolysis.

Other Name: Human amnion membrane

Intervention Type PROCEDURE

estradiol valerate tablets+dydrogesterone tablets

oral estradiol valerate tablets+dydrogesterone tablets

Intervention Type DRUG

Other Intervention Names

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amnion membrane Progynova+dydrogesterone

Eligibility Criteria

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Inclusion Criteria

* age 20-40 years;
* previously diagnostic hysteroscopy confirmed adhesion score \>5, according to the American Fertility Society (AFS)classification of IUA;
* complains of menstruation disorder and reproductive dysfunction;
* informed consent.

Exclusion Criteria

* premature menopause,
* presence of other intrauterine lesions (e.g. polyps, myoma, septa), and
* presence of severe intercurrent illness (e.g. systemic disease, coagulative disorders, severe kidney and liver diseases),
* adhesions limited to the lower uterine cavity or the cervical canal.
Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Beijing Obstetrics and Gynecology Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Duan Hua, MD

Role: STUDY_CHAIR

Beijing Obstetrics and Gynecology Hospital

Locations

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Beijing Obstetrics and Gynecology Hospital,Capital Medical University

Beijing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Zhu Ru, MD

Role: CONTACT

Phone: 13966636438

Email: [email protected]

Wang Sha, MD

Role: CONTACT

Phone: 15201556908

Email: [email protected]

Facility Contacts

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Liu Zhen

Role: primary

Other Identifiers

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No.6-20171120

Identifier Type: -

Identifier Source: org_study_id