- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00579475
The Effect of Mifepristone on Uterine Fibroids and Breast Tissue
The Effect of Preoperative Treatment With Mifepristone on Uterine Fibroids and Breast Tissue
Uterine fibroids are a benign but common condition among women in reproductive age. It is one of the most common reasons for hysterectomy since it often causes bleeding problems sometimes leading to anemia. Several alternative treatment regimens have been investigated that could replace surgery. The antiprogesterone, mifepristone, is one of the most promising drugs that have been tested. In addition to the inhibiting effect on the growth of uterine fibroids antiprogestins have been proposed to have an antiproliferative effect on breast tissue.
The purpose of the present study is to evaluate the effect of mifepristone on the volume of uterine fibroids. The study will also address the effect of mifepristone on the breast tissue
Study Overview
Detailed Description
Other purposes of this study include:
- To develop a new non-surgical method for treatment of uterine fibroids
- To study the effect of mifepristone on the size of uterine fibroids
- To evaluate factors regulating fibroid growth by comparison with untreated fibroids and normal myometrium
- To study the effect of mifepristone on the amount of blood loss and pelvic pain in patients with fibroids
- To study the effect of mifepristone on proliferation of breast tissue
Study Type
Enrollment (Actual)
Phase
- Phase 1
Contacts and Locations
Study Locations
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Stockholm, Sweden, SE17176
- Dept of Obstetrics and Gynecology, Karolinska University Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Uterine fibroids requiring treatment
- Good general health
- Willing and able to participate after giving informed consent
Exclusion Criteria:
- Need for immediate surgery
- Concomitant hormonal treatment (HRT)
- History of malignant disorder of the breast
- Any contraindication for mifepristone
Criteria for retrospective exclusion:
Subjects may be excluded from analysis if one of the following applies:
- Any violation of the study protocol
- Lack of essential data
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Placebo Comparator: Placebo
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Active Comparator: I
Mifepristone (Mifegyne) 50 mg every other day for 3 months
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tablets, 50 mg every other day
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Myoma size
Time Frame: 2004 to 2007
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2004 to 2007
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Breast epithelial cell proliferation
Time Frame: 2004 to 2007
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2004 to 2007
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Kristina Gemzell Danielsson, Prof.MD.PHD, Karolinska Institutet
Publications and helpful links
General Publications
- Berger C, Boggavarapu N, Norlin E, Queckborner S, Hornaeus K, Falk A, Engman M, Ramstrom M, Lalitkumar PGL, Gemzell-Danielsson K. Molecular characterization of PRM-associated endometrial changes, PAEC, following mifepristone treatment. Contraception. 2018 Oct;98(4):317-322. doi: 10.1016/j.contraception.2018.05.020. Epub 2018 Jun 8.
- Engman M, Varghese S, Lagerstedt Robinson K, Malmgren H, Hammarsjo A, Bystrom B, Lalitkumar PG, Gemzell-Danielsson K. GSTM1 gene expression correlates to leiomyoma volume regression in response to mifepristone treatment. PLoS One. 2013 Dec 4;8(12):e80114. doi: 10.1371/journal.pone.0080114. eCollection 2013.
- Engman M, Granberg S, Williams AR, Meng CX, Lalitkumar PG, Gemzell-Danielsson K. Mifepristone for treatment of uterine leiomyoma. A prospective randomized placebo controlled trial. Hum Reprod. 2009 Aug;24(8):1870-9. doi: 10.1093/humrep/dep100. Epub 2009 Apr 23.
- Engman M, Skoog L, Soderqvist G, Gemzell-Danielsson K. The effect of mifepristone on breast cell proliferation in premenopausal women evaluated through fine needle aspiration cytology. Hum Reprod. 2008 Sep;23(9):2072-9. doi: 10.1093/humrep/den228. Epub 2008 Jun 24.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms, Connective and Soft Tissue
- Neoplasms by Histologic Type
- Neoplasms
- Connective Tissue Diseases
- Neoplasms, Connective Tissue
- Neoplasms, Muscle Tissue
- Leiomyoma
- Myofibroma
- Physiological Effects of Drugs
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Hormone Antagonists
- Contraceptive Agents, Hormonal
- Contraceptive Agents
- Reproductive Control Agents
- Contraceptives, Oral
- Contraceptive Agents, Female
- Contraceptives, Oral, Synthetic
- Abortifacient Agents
- Luteolytic Agents
- Abortifacient Agents, Steroidal
- Contraceptives, Postcoital, Synthetic
- Contraceptives, Postcoital
- Menstruation-Inducing Agents
- Mifepristone
Other Study ID Numbers
- WMB300
- MPA Dnr151:2003/4444
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