Topic: Cancer, Metabolic and endocrine disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Women seen in sleep apnoea clinic at Salford Royal Hospital 2. BMI>40 3. Informed consent 4. Aged 18 years or over 5. Not actively trying to lose weight 6. Normal up to date smear 7. Normal endometrial sampling at screening
Exclusion criteria
Exclusion criteria: 1. Previous hysterectomy 2. LNG-IUS or IUD in situ or in previous 6 months 3. Pregnant or breast feeding, previous endometrial ablation 4. Breast cancer 5. Congenital/acquired uterine anomaly 6. Pelvic inflammatory disease or genital actinomycosis 7. Immunodeficiency 8. Mirena IUS contraindicated 9. Taking systemic progestagens 10. Patient actively trying to lose weight (awaiting bariatric surgery)
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Histopathology 2. Phospho-H3 3. Cleaved Caspase 3, cleaved PARP 4. MAPK signalling molecules and their phosphorylated isoforms 5. P13K-AKT-mTOR signalling molecules and their phosphorylated isoforms 6. PTEN and AMPK, P53 7. Strathmin, cyclin A, c-myc 8. Oestrogen, progesterone, LH, FSH, insulin, adiponectin and leptin receptors 9. IGF-1IR, IGF2, EIG121, RALDH2, SFRP-1, SFRP-4, Survivin 10. Endocrine markers including but not limited to: 11. Fasting serum glucose & insulin, HbA1c, IGFBP-1 and C-peptide levels 12. SHBG, oestrogen, progesterone, free androgen index, FSH, LH, testosterone, CRP 13. Leptin, adiponectin 14. Changes in menstrual function, physical and mental wellbeing | — |
Primary
| Measure | Time frame |
|---|---|
| 1. Ki-67 | — |
Countries
United Kingdom