Anastrazole Plus GnRH-agonist in the Treatment of Endometriosis Recurrence
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Purpose
The aromatase inhibitor (anastrazole) plus long acting GnRH agonist leuprolide acetate will be tested for the treatment of women with endometriosis recurrence compared with classical GnRH analog treatment. Pain symptom disappearance and disease free time during follow-up will be the outcomes for establishing which medical treatment is the best in endometriosis recurrence treatment.
| Condition | Intervention | Phase |
|---|---|---|
|
Endometriosis |
Drug: anastrazole Drug: GnRH analog alone |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | Treatment of Patients With Endometriosis Recurrence With Aromatase Inhibitor (Anastrazole) Plus GnRH-agonist (Luprolide). |
- disease free time [ Time Frame: 24 months ] [ Designated as safety issue: Yes ]time without pain symptoms due to the disease recurrence
- time of pain disappearance [ Time Frame: 24 months ] [ Designated as safety issue: Yes ]time needed during treatment to improve pain symptoms
- reduction of endometriosis lesions [ Time Frame: 24 months ] [ Designated as safety issue: No ]endometriosis lesions regression during treatment evidenced by MRI scan
| Estimated Enrollment: | 70 |
| Study Start Date: | January 2013 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | August 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: anastrazole
women with endometriosis recurrence will be treated with Leuprolide acetate 11,25mg plus anastrazole 1mg/day for three months
|
Drug: anastrazole
combined treatment with aromatase inhibitor (anastrazole) plus GnRH analog (leuprolide acetate) for three months
|
|
Active Comparator: GnRH analog alone
women with endometriosis recurrence will be treated with leuprolide acetate 11.25mg
|
Drug: GnRH analog alone
treatment for three months with GnRH analog (leuprolide acetate) alone
|
Detailed Description:
Endometriosis is a chronic disease affecting 5-10% of women in reproductive age, showing recurrence after surgery at least in 20-50% after 5 years of follow-up. Aromatase inhibitor plus GnRH analog may be more effective than GnRH agonist alone in the treatment of endometriosis recurrence.
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- women affected by endometriosis showing recurrence of pain symptoms, previous surgery for endometriosis
Exclusion Criteria:
- presence of other systemic diseases
Contacts and Locations| Italy | |
| Cerm-Hungaria | Recruiting |
| Rome, Italy, 00153 | |
| Contact: FABIO SCARPELLINI, MD +39-3278779064 quelidebercia@hotmail.com | |
| Contact: MARCO SBRACIA, MD +39-3479037433 marcandrea@hotmail.com | |
| Principal Investigator: FABIO SCARPELLINI, MD | |
| Study Chair: | marco sbracia, md | CERM-HUNGARIA |
More Information
No publications provided
| Responsible Party: | Fabio Scarpellini, PRINCIPAL INVESTIGATOR, Centre for Endocrinology and Reproductive Medicine, Italy |
| ClinicalTrials.gov Identifier: | NCT01769781 History of Changes |
| Other Study ID Numbers: | CR013-01 |
| Study First Received: | January 15, 2013 |
| Last Updated: | January 16, 2013 |
| Health Authority: | Italy: National Monitoring Centre for Clinical Trials - Ministry of Health |
Keywords provided by Centre for Endocrinology and Reproductive Medicine, Italy:
|
endometriosis recurrence pelvic pain aromatase inhibitor |
Additional relevant MeSH terms:
|
Endometriosis Recurrence Genital Diseases, Female Disease Attributes Pathologic Processes Deslorelin Anastrozole Leuprolide Aromatase Inhibitors Enzyme Inhibitors |
Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Antineoplastic Agents, Hormonal Antineoplastic Agents Therapeutic Uses Fertility Agents, Female Fertility Agents Reproductive Control Agents Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 19, 2013