Uterine Fibroids
Conditions
Keywords
Uterine fibroids, mifepristone, antiprogestins
Brief summary
The objectives of this study are to estimate the efficacy and safety of the daily administration of mifepristone 5 mg versus 10 mg for three months for the treatment of uterine fibroids. The hypothesis of the study is that both mifepristone doses reduce the volume of the myoma in about 40% after 3 months of treatment.
Detailed description
Women, in fertile age or in premenopausal status, presenting symptomatic uterine fibroids were randomly assigned to receive 5 mg or 10 of mifepristone. The diminishing of prevalence of symptoms attributable to uterine fibroids is the most important goal to achieve under both treatments. The possible side effects of mifepristone are slight and women's adherence to treatment is remarkable. Also the reduction of the volumes of the uterus and fibroids contribute to enhance the wellbeing of subjects.
Interventions
Oral administration of Mifepristone 10 mg daily for three months
Sponsors
Study design
Eligibility
Inclusion criteria
* Symptomatic uterine leiomyomata * Reproductive age or premenopausal * Accepting the use of non hormonal contraception * Conformity in keeping a monthly log of all episodes of vaginal bleeding during the treatment as well as all side effects of mifepristone * Agreeing to have ultrasound examinations in every follow-up or evaluation visit * Agreeing to two endometrial biopsies: one before starting treatment and another in the following 10 days after treatment termination.
Exclusion criteria
* Pregnancy or desire to become pregnant * Breastfeeding * Hormonal contraception or any hormonal therapy received in the last three months * Signs or symptoms of pelvic inflammatory disease * Adnexal masses * Abnormal or unexplained vaginal bleeding * Suspected or diagnosed malignant neoplastic disease * Signs or symptoms of mental illness * Adrenal disease * Sickle cell anemia * Hepatic disease * Renal disease * Coagulopathy * Any other severe or important disease * Any contraindication to receiving antiprogestins
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Volume of the uterine leiomyomata with 5 mg versus 10 mg daily of mifepristone after 3 months of treatment | 3 months |
Secondary
| Measure | Time frame |
|---|---|
| Volume of the uterus with 5 mg versus 10 mg daily of mifepristone after 3 months of treatment | 3 months |
Countries
Cuba