Endometriosis-Angiopoietin-like Protein-4

NCT ID: NCT07164196

Last Updated: 2025-09-10

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

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-06-05

Study Completion Date

2025-09-02

Brief Summary

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Endometriosis is a chronic inflammatory disease associated with pelvic pain, dyspareunia, and impaired ovarian reserve. Cancer antigen-125 (CA-125) is widely studied but limited by low specificity, while angiopoietin-like protein-4 (ANGPTL4) has emerged as a potential biomarker due to its role in angiogenesis and inflammation. In the current study it was aimed to investigate serum and peritoneal fluid ANGPTL4 levels in women with endometriosis compared to healthy controls, and to evaluate their associations with clinical symptoms, serum CA-125, and anti-Müllerian hormone levels.

Detailed Description

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Conditions

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Endometriosis Angiopoietin-like Protein-4 Pelvic Pain

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Endometriosis group (Study group)

The study group included women with endometriosis. The study group consisted of women diagnosed with endometriosis who consecutively underwent laparoscopic endometriosis surgery.

Angiopoietin-like protein-4 (ANGPTL4) Peritoneal Fluid Level

Intervention Type OTHER

Measurement of peritoneal fluid levels of Angiopoietin-like protein-4 (ANGPTL4) level by ELISA method.

Cancer Antigen 125 (CA-125) Serum Level

Intervention Type OTHER

Measurement of venous blood serum level of CA-125 level by ELISA method.

Angiopoietin-like protein-4 (ANGPTL4) Serum Level

Intervention Type OTHER

Measurement of venous blood serum level of Angiopoietin-like protein-4 (ANGPTL4) Level level by ELISA method.

Healthy women (Control group)

Control group consisted of healthy women. The control group consisted of women who consecutively visited the outpatient clinic for routine gynecologic examinations and had no known diseases.

Cancer Antigen 125 (CA-125) Serum Level

Intervention Type OTHER

Measurement of venous blood serum level of CA-125 level by ELISA method.

Angiopoietin-like protein-4 (ANGPTL4) Serum Level

Intervention Type OTHER

Measurement of venous blood serum level of Angiopoietin-like protein-4 (ANGPTL4) Level level by ELISA method.

Interventions

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Angiopoietin-like protein-4 (ANGPTL4) Peritoneal Fluid Level

Measurement of peritoneal fluid levels of Angiopoietin-like protein-4 (ANGPTL4) level by ELISA method.

Intervention Type OTHER

Cancer Antigen 125 (CA-125) Serum Level

Measurement of venous blood serum level of CA-125 level by ELISA method.

Intervention Type OTHER

Angiopoietin-like protein-4 (ANGPTL4) Serum Level

Measurement of venous blood serum level of Angiopoietin-like protein-4 (ANGPTL4) Level level by ELISA method.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of endometriosis for study group who underwent laparoscopic endometriosis surgery
* Healthy women for control group

Exclusion Criteria

* Cardiovascular diseases including hypertension
* Type 1 or type 2 diabetes mellitus
* Morbid obesity
* Primary adrenal insufficiency
* Uterine fibroids
* Thyroid dysfunctions including Hashimoto thyroiditis and Grave's disease
* Hepatic dysfunctions
* Renal insufficiency
* Genetic disorders in chromosome constitution or karyotype analysis including monosomy X, trisomy X and gene mutations as BMP15, FMR I, POFIB, and GDF9
* Neurologic diseases
* Psychiatric disorders
* Autoimmune diseases or syndromes including Addison's disease, autoimmune syndromes, scleroderma, Sjogren's syndrome, myasthenia gravis, inflammatory bowel diseases, multiple sclerosis, rheumatoid arthritis, systemic lupus erythematosus and familial Mediterranean fever
* History of any malignancy
* History of exposure to chemotherapeutic agents or radiotherapy
Minimum Eligible Age

18 Years

Maximum Eligible Age

44 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Ankara City Hospital Bilkent

OTHER

Sponsor Role lead

Responsible Party

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Merve Didem Eşkin Tanrıverdi

Medical Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Merve Didem Eşkin Tanrıverdi, MD

Role: PRINCIPAL_INVESTIGATOR

Ankara City Hospital Bilkent

Locations

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Ankara Bilkent City Hospital

Ankara, Not Valid, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Campara K, Rodrigues P, Viero FT, da Silva B, Trevisan G. A systematic review and meta-analysis of advanced oxidative protein products levels (AOPP) levels in endometriosis: Association with disease stage and clinical implications. Eur J Pharmacol. 2025 Jun 5;996:177434. doi: 10.1016/j.ejphar.2025.177434. Epub 2025 Feb 28.

Reference Type BACKGROUND
PMID: 40024324 (View on PubMed)

Makoui MH, Fekri S, Makoui RH, Ansari N, Esmaeilzadeh A. The Role of Mast Cells in the Development and Advancement of Endometriosis. Am J Reprod Immunol. 2025 Mar;93(3):e70019. doi: 10.1111/aji.70019.

Reference Type BACKGROUND
PMID: 40028674 (View on PubMed)

Falcone T, Flyckt R. Clinical Management of Endometriosis. Obstet Gynecol. 2018 Mar;131(3):557-571. doi: 10.1097/AOG.0000000000002469.

Reference Type BACKGROUND
PMID: 29420391 (View on PubMed)

Brown R, Imran SA, Wilkinson M. Lipopolysaccharide (LPS) stimulates adipokine and socs3 gene expression in mouse brain and pituitary gland in vivo, and in N-1 hypothalamic neurons in vitro. J Neuroimmunol. 2009 Apr 30;209(1-2):96-103. doi: 10.1016/j.jneuroim.2009.02.001. Epub 2009 Mar 3.

Reference Type BACKGROUND
PMID: 19261336 (View on PubMed)

Other Identifiers

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TABED 1-25-1372

Identifier Type: -

Identifier Source: org_study_id

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