Comparing the Use of Dienogest and Combined Oral Contraceptive Pills (Microgynon) to Reduce the Risk of Recurrence of Endometriotic Cyst After Conservative Surgery
A Prospective, Randomized Controlled Trial Comparing the Use of Dienogest and Combined Oral Contraceptive Pills (Microgynon) to Reduce the Risk of Recurrence of Endometriotic Cyst After Conservative Surgery
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Contact
Study Contact
- Name: Jennifer K.Y. Ko, MBBS, MRCOG
- Phone Number: 852 22554647
- Email: jenko@hku.hk
Study Contact Backup
- Name: Man Wa Lui, MBBS, MRCOG
- Phone Number: 852 22554647
- Email: luimanwa@gmail.com
Study Locations
-
-
-
Hong Kong, Hong Kong, 000000
- Recruiting
- Queen Mary Hospital
-
Contact:
- Jennifer K.Y. Ko, MBBS, MRCOG
- Phone Number: 22554647
- Email: jenko@hku.hk
-
Contact:
- Ellen Lui, MBBS, MRCOG
- Phone Number: 22554647
- Email: luimanwa@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Good general health
- Older than the age of legal consent (i.e. 18 years old)
- Sonographic diagnosis of ovarian endometrioma with diameter at least 4cm on 2 separate scans at least 6 weeks apart
- No contraindication to use of progesterone or combined oral contraceptive pills
- Not attempting to conceive either at the time of study entry or for at least 2 years after surgery
- Willing and able to participate after the study has been explained
Exclusion Criteria:
- Operative findings not suggestive of endometriotic cyst
- Contraindications to progestogens or oral contraceptive pills
- Unwillingness to tolerate menstrual irregularity
- Planning pregnancy within 2 years of study
- Cannot understand English, Cantonese or Putonghua
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dienogest
|
The dienogest group will receive dienogest 2mg daily for 24 months postoperatively
Other Names:
|
|
Active Comparator: Combined oral contraceptive pills
|
The combined oral contraceptive pills group will be given cyclical Microgynon for 24 months.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Recurrence of ovarian endometrioma
Time Frame: 2 years
|
Time to recurrence by sonography (months)
|
2 years
|
|
Recurrence of ovarian endometrioma
Time Frame: 2 years
|
Size of recurrent endometrioma on sonography (mean diameter in centimeters)
|
2 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Side effects
Time Frame: 2 years
|
Days of irregular bleeding
|
2 years
|
|
Symptoms of endometriosis
Time Frame: 2 years
|
Pain by visual analog score
|
2 years
|
|
Need for additional analgesics
Time Frame: 2 years
|
Types of analgesics used
|
2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jennifer K.Y. Ko, MBBS, MRCOG, The University of Hong Kong, Queen Mary Hospital
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Disease Attributes
- Recurrence
- Endometriosis
- Physiological Effects of Drugs
- Antineoplastic Agents
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Hormone Antagonists
- Contraceptive Agents, Hormonal
- Contraceptive Agents
- Reproductive Control Agents
- Contraceptives, Oral, Combined
- Contraceptives, Oral
- Contraceptive Agents, Female
- Contraceptives, Oral, Synthetic
- Contraceptives, Oral, Hormonal
- Contraceptives, Postcoital, Synthetic
- Contraceptives, Postcoital
- Contraceptive Agents, Male
- Contraceptives, Postcoital, Hormonal
- Dienogest
- Ethinyl estradiol, levonorgestrel drug combination
- Ethinyl Estradiol-Norgestrel Combination
Other Study ID Numbers
Other Study ID Numbers
- UW 14-097
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