Dienogest for Treatment of Adenomyotic Uteri

NCT ID: NCT03890042

Last Updated: 2020-08-25

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

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-01

Study Completion Date

2020-08-01

Brief Summary

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Adenomyosis is a common disease in women aged 40-50 years. It associates with dysmenorrhea and menorrhagia. Hysterectomy was considered the main treatment that could definitively cure this disease. Other treatment options are increasingly offered, including hormonal suppression with gonadotropin-releasing hormone agonists or danazol and endometrial ablation. However, deep adenomyosis responds weakly to the above treatment options, which are commonly not considered for long-term management because of the associated side effects.

Dienogest is a progestin medication which is used in birth control pills and in the treatment of endometriosis and adenomyosis. Low-dose combined oral contraceptive (COC) pills have been widely used as the primary treatment for menorrhagia. COCs can also be used to induce endometrial atrophy and to decrease endometrial prostaglandin production, which can consequently improve menorrhagia and dysmenorrhea that are associated with adenomyosis

Detailed Description

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Conditions

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Adenomyosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dienogest group

Group Type ACTIVE_COMPARATOR

Dienogest group

Intervention Type DRUG

VISANNE 2MG Tablet once daily

Ultrasound

Intervention Type RADIATION

ultrasound assessment of uterine volume

visual analogue scale

Intervention Type OTHER

visual analogue scale for assessment of pain

Gynera group

Group Type ACTIVE_COMPARATOR

Gestodene-Ethinyl Estradiol

Intervention Type DRUG

Gynera tablet once daily

Ultrasound

Intervention Type RADIATION

ultrasound assessment of uterine volume

visual analogue scale

Intervention Type OTHER

visual analogue scale for assessment of pain

Interventions

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Dienogest group

VISANNE 2MG Tablet once daily

Intervention Type DRUG

Gestodene-Ethinyl Estradiol

Gynera tablet once daily

Intervention Type DRUG

Ultrasound

ultrasound assessment of uterine volume

Intervention Type RADIATION

visual analogue scale

visual analogue scale for assessment of pain

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Women aged 20-40 years
* Women with ultrasonographic evidence of adenomyosis
* Woman complains of vaginal bleeding or pelvic pain related to adenomyosis

Exclusion Criteria

* Women with a history of malignancy or histological evidence of endometrial hyperplasia
* any adnexal abnormality on ultrasound
* undiagnosed vaginal
* contraindication to receive Vissane or gynera .
Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Mohammed Khairy Ali

Lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Women Health Hospital - Assiut university

Asyut, , Egypt

Site Status

Countries

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Egypt

References

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Hassanin AI, Youssef AA, Yousef AM, Ali MK. Comparison of dienogest versus combined oral contraceptive pills in the treatment of women with adenomyosis: A randomized clinical trial. Int J Gynaecol Obstet. 2021 Aug;154(2):263-269. doi: 10.1002/ijgo.13600. Epub 2021 Feb 11.

Reference Type DERIVED
PMID: 33454995 (View on PubMed)

Other Identifiers

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DAD

Identifier Type: -

Identifier Source: org_study_id

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