- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03558321
Relation Between Human Epididymis Protein 4 (HE4) and Endometrial Pathology in Patients With Postmenopausal Bleeding
All patients included in the study had single or multiple episodes of postmenopausal bleeding with an endometrial thickness of more than 5mm.
full history, general and local examination were done. Transvaginal ultrasound (TVS) was performed .The uterus was scanned in the sagittal plane. The double-layer ET was measured at the widest point between the endometrial-myometrial interfaces.the level of HE4 was measured. All women underwent hystrospopic guided endometrial biopsy. Definitive management was later performed in the form of total abdominal hysterectomy, bilateral salpingo oophrectomy, with or without pelvic lymph nodal dissection and histopathological examination.
Study Overview
Status
Conditions
Detailed Description
All patients included in the study had single or multiple episodes of postmenopausal bleeding with an endometrial thickness of more than 5mm.
Full history was taken , the number of episodes of postmenopausal bleeding, and previous investigations and current medications), general examination was performed and local examination was performed for all patients.
Transvaginal ultrasound (TVS) was performed .The uterus was scanned in the sagittal plane. The double-layer ET was measured at the widest point between the endometrial-myometrial interfaces by using electronic calipers. If there was fluid in the uterine cavity it was recorded. Suspected polyp was also recorded.
For the level of HE4: 5 ml of venous blood were withdrawn from all patients. The samples were left to clot. The separated sera were stored at -20˚ until all samples were obtained. Frozen samples were allowed to reach room temperature prior to use. Samples were then mixed thoroughly by gently inverting multiple times before analysis. HE4 was quantitatively assayed using the enzyme immunoassay (EIA) method (Fujirebio Diagnostics, Inc. Göteborg, Sweden). The functional sensitivity of the HE4 EIA is ≤ 25pM. The analytical specificity is 100 ± 15%.
All patients were then submitted to hysteroscopy under general anesthesia and endometrial biopsy.
After hysteroscopy and biopsy, 2 patient proved to have cervical malignancy, 2 patients were unfit for open surgery, and another 6 patients did not show up after. These 10 patients were excluded from the study leaving 90 patients eligible for final analysis .
Definitive management was later performed in the form of total abdominal hysterectomy, bilateral salpingo oophrectomy, with or without pelvic lymph nodal dissection and histopathological examination.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Cairo, Egypt, 12111
- Kasr Alainy medical school
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with single or multiple episodes of postmenopausal bleeding Endometrial Thickness ≥ 5mm
Exclusion Criteria:
• History of other Malignancies
- Patients on chemo and/or radiotherapy
- Patients on tamoxifen
- Patients unfit for surgical intervention
- Patients on HRT or other hormonal treatment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: DIAGNOSTIC
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: post menopausal bleeding
women with postmenopausal bleeding and endometrial thickness more than 5 mm
|
Under general anaesthesia , evaluation of the endometrial cavity was done followed by biopsy of the whole endometrial tissue
Through abdominal incision , removal of the whole uterus , both tubes and ovaries and in some cases pelvic lymph nodes removal was done
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
endometrial pathology
Time Frame: 3 days after hystroscopy
|
pathological examination of the endometrial tissue
|
3 days after hystroscopy
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 37
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Postmenopausal Bleeding
-
Novo Nordisk A/SCompletedMenopause | Postmenopausal BleedingSweden, Norway
-
Aswan University HospitalRecruitingPostmenopausal BleedingEgypt
-
Cairo UniversityUnknownPostmenopausal BleedingEgypt
-
Aljazeera HospitalKasr El Aini Hospital; National Research Centre, Egypt; om almasreen hospital...Completed
-
Cairo UniversityUnknownPostmenopausal Bleeding
-
Benha UniversityUnknownPostmenopausal BleedingEgypt
-
Faculty of Medicine, SousseCentre Hôpital Universitaire Farhat HachedCompletedMetrorrhagia | Hysterectomy | Heavy Menstrual Bleeding | Abnormal Uterine Bleeding | Menorrhagia; PostmenopausalTunisia
-
Aljazeera HospitalKasr El Aini HospitalUnknown
-
Cairo UniversityCompleted
-
National Cancer Institute (NCI)CompletedEndometrial Hyperplasia | Endometrial Cancer | Vaginal Bleeding | Postmenopausal BleedingUnited States
Clinical Trials on Hysteroscopic guided fractional curretage
-
Ain Shams UniversityRecruiting
-
Odense University HospitalCompletedMyocardial Ischemia | Cardiovascular Diseases | Coronary Artery Disease | Coronary Disease | ArteriosclerosisDenmark
-
Stanford UniversityCompletedCoronary ArteriosclerosisUnited States, Netherlands
-
Young-Hak Kim, MD, PhDRecruitingCoronary DiseaseKorea, Republic of
-
Assistance Publique - Hôpitaux de ParisMinistry of Health, France; AbbottActive, not recruitingAcute Myocardial Infarction | Acute ST Segment Elevation Myocardial Infarction | Multi Vessel Coronary Artery DiseaseFrance
-
Chengde Central HospitalCompletedCaesarean Scar Pregnancy | Ultrasound Scoring SystemChina
-
Sejong General HospitalSeoul St. Mary's Hospital; Pusan National University Hospital; Ulsan University... and other collaboratorsRecruiting
-
Stanford UniversityUniversity of California, Irvine; Catharina Ziekenhuis Eindhoven; Medtronic; Abbott... and other collaboratorsActive, not recruitingCoronary Disease | Coronary StenosisUnited Kingdom, Korea, Republic of, Netherlands, New Zealand, Sweden, Norway, Denmark, United States, Australia, Lithuania, Serbia, Canada, Belgium, Czechia, France, Hungary
-
William Beaumont HospitalsTerminatedChest Pain | Acute Coronary Syndrome | Heart Disease, CoronaryUnited States
-
Second Affiliated Hospital, School of Medicine,...The First Affiliated Hospital of Nanchang University; Seoul St. Mary's Hospital and other collaboratorsNot yet recruitingCoronary Artery DiseaseKorea, Republic of, China