Endometriosis
Conditions
Keywords
Endometriosis, long acting GnRH antagonist, Degarelix, Recurrence, Pelvic Pain
Brief summary
The long acting GnRH antagonist degarelix 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.
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. The long acting GnRH antagonist degarelix, which do not have the flare-up effect at the opposite of GnRH agonist and strongly suppress LH secretion and thecal cell activity may show a better effects on endometrial implants than GnRH agonist.
Interventions
180 women will be treated with degarlix 120 mg, in only one administration covering three months
180 women will be treated with leuprolide acetate11.25 only once covering three months
Sponsors
Study design
Eligibility
Inclusion criteria
* women affected by endometriosis showing recurrence of pain symptoms * previous surgery for endometriosis
Exclusion criteria
* presence of other systemic diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| disease free time | 24 months | time without pain symptoms due to the disease recurrence |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| time of disappearance pain | 24 months | time needed during treatment to improve the pain symptoms |
Other
| Measure | Time frame | Description |
|---|---|---|
| reduction of endometriosis lesions | 24 months | endometriosis lesions regression during treatment evidenced by MRI scan |
Countries
Albania, Bulgaria, Italy