Endometriosis
Conditions
Brief summary
The study is an observational, multicenter, prospective, single arm study to evaluate the efficacy of dydrogesterone in endometriosis-related pain (EAP).
Interventions
DRUGDydrogesterone
The duration of treatment with dydrogesterone is determined by the physician before inclusion in the study and will last for 6 menstrual cycles (Cycle used in the protocol refers to menstrual cycle. 1 cycle is 28 days on average)
Sponsors
Abbott
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Inclusion criteria
* Female, ≥18 and ≤45 years of age. * With normal menstrual cycles (according to the International Federation of Gynecology and Obstetrics \[FIGO\]-2018 classification system) in the preceding 6 months before Cycle 0, defined as menstrual frequency ≥24 to ≤38 days, menstrual duration ≤8 days, shortest to longest cycle variation ≤7-9 days, normal flow volume (patient determined) and no intermenstrual bleeding. * Have clinically or surgically diagnosed endometriosis according to routine clinical practice. * Complaints of ERP. * Prescribed treatment with Duphaston® according to the local approved label for treatment of endometriosis 10 mg BID or TID from the 5th to the 25th day of the menstrual period. * Signed informed consent form (ICF).
Exclusion criteria
* With definite diagnosis of adenomyosis confirmed by clinical diagnosis or histopathology. * Routine consumption of analgesics other than for the pain of endometriosis. * Patients receiving hormonal treatment (e.g., dienogest, levonorgestrel releasing intrauterine system, dydrogesterone, etc.) or hormonal contraceptives (including intrauterine devices, contraceptive patches, contraceptive rings, oral contraceptives, etc.) during the previous menstrual cycle prior to Cycle 0. * Ongoing pregnancy. * Menopause or premature ovarian failure. * Had surgery within 3 months before enrollment or have planned surgery during the study. * Any coexisting disease(s) with or without chronic concomitant medication that may affect the assessment of pain intensity at the investigator's judgment. * With any metabolic and genetic diseases that may affect pregnancy and fetus at the investigator's judgment. * With contraindications for dydrogesterone treatment listed in the locally approved label (instructions for the medical use of Duphaston®). * Other conditions that made the patient's participation impossible (based on the investigator's decision). * Fertility treatments requiring assisted reproductive technology. * Patients simultaneous participating in any interventional clinical study during observation period.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in visual analogue scale (VAS) score of dysmenorrhea, Chronic Pelvic Pain (CPP), dyspareunia, and other Endometriosis related Pain (ERP) after dydrogesterone treatment from baseline to Cycle 6. | From baseline to Cycle 6 (Cycle refers to menstrual cycle, 1 cycle is 28 days on average) | The VAS consists of a 100-mm line with the end points no pain and worst pain, which absence of pain corresponds to the value of 0 and unbearable pain corresponding to the value of 100 . Patients will be asked to point the average pain intensity throughout the last menstrual cycle. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Endometriosis Health Profile Questionnaire-30 (EHP-30) after dydrogesterone treatment from baseline to Cycle 3 and Cycle 6. | From baseline to Cycle 3 and Cycle 6 (Cycle refers to menstrual cycle, 1 cycle is 28 days on average) | For the EHP-30, scale scores are standardized on a range from 0 to 100. The higher scores indicate worse health status. |
| Changes in score of pain domain of Endometriosis Health Profile Questionnaire (EHP-30) from baseline to Cycle 3 and Cycle 6. | From baseline to Cycle 3 and Cycle 6 (Cycle refers to menstrual cycle, 1 cycle is 28 days on average) | For the pain domain of EHP-30, scale scores are standardised on a range from 0 to 100. The higher scores indicate more severe pain. |
| Changes in sexual well-being after dydrogesterone treatment by 5-points Likert scale from baseline to Cycle 3 and Cycle 6. | From baseline to Cycle 3 and Cycle 6 (Cycle refers to menstrual cycle, 1 cycle is 28 days on average) | A patient-reported sexual wellbeing by 5-points Likert scale proposes patients to rate themselves on a 5-point scale as being very satisfied, satisfied, ordinarily, rather not satisfied, not satisfied |
| Changes in visual analogue scale (VAS) score of dysmenorrhea, Chronic Pelvic Pain(CPP), dyspareunia, and other Endometriosis related Pain (ERP) after dydrogesterone treatment from baseline to Cycle 3. | From baseline to Cycle 3 (Cycle refers to menstrual cycle, 1 cycle is 28 days on average) | The visual analogue scale (VAS) consists of a 100-mm line with the end points no pain and worst pain, which absence of pain corresponds to the value of 0 and unbearable pain corresponding to the value of 100. Patients will be asked to point the average pain intensity throughout the last menstrual cycle. |
| The number of days per menstrual cycle when analgesics are taken at baseline, Cycle 3, and Cycle 6. | At baseline, Cycle 3, and Cycle 6 (Cycle refers to menstrual cycle, 1 cycle is 28 days on average) | — |
| The proportion of participants with amenorrhea, infrequent bleeding, frequent bleeding, irregular bleeding, prolonged bleeding upon treatment with dydrogesterone at baseline, Cycle 3, and Cycle 6. | At baseline, Cycle 3, and Cycle 6 (Cycle refers to menstrual cycle, 1 cycle is 28 days on average) | — |
| The absolute number and percentage of adverse drug reactions (ADRs) / other pharmacovigilance-relevant information (OPRI) reported with dydrogesterone treatment. | Time Frame: From informed consent to last contact (refers to cycle 6 visit, where Cycle refers to menstrual cycle, 1 cycle is 28 days on average) or 5 half-lives (75 hours from the last dose), whichever is longer. | — |
| Changes in menstrual cycle duration from baseline to Cycle 3 and Cycle 6. | From baseline to Cycle 3 and Cycle 6 (Cycle refers to menstrual cycle, 1 cycle is 28 days on average) | — |
Contacts
Primary ContactTony Piha, MD MBA
Outcome results
None listed