Abnormal Uterine Bleeding, Unspecified Clinical Trial
Official title:
Is Prophylactic Bilateral Salpingectomy Added to Laparoscopic Myomectomy as New Preventive Strategy for Ovarian Cancer a Safe Procedure?
Verified date | November 2016 |
Source | University Magna Graecia |
Contact | n/a |
Is FDA regulated | No |
Health authority | Italy: Ministry of Health |
Study type | Interventional |
We already demonstrated that the addiction of PBS to Total Laparoscopic Hysterectomy (TLH)
has no negative effects in term of ovarian function, evaluated by anti-Müllerian hormone
(AMH), Follicle Stimulating Hormone (FSH), Antral Follicle Count (AFC), mean ovarian
diameters and Peak Systolic Velocity (PSV). In addition, in our experience, no negative
surgical outcomes (in terms of operative time, intraoperative blood loss, postoperative
hospital stay, postoperative return to normal activity and complication rate) are related to
PBS step in TLH.
Although the good statistical reliability of our retrospective data, we want to
prospectively confirm our results. Moreover we aim to refine PBS safety demonstration by
collecting also 3D ultrasound parameters [AFC, ovarian volume (OV), Vascularization Index
(VI), Flow Index (FI) and Vascularization Flow Index (VFI)]. Hormonal and ultrasonographic
parameters may possibly be unified into a new diagnostic algorithm (already at an advanced
stage of production in UMG Department) able to estimate the ovarian function both in term of
reproductive ability that in term of distance from menopause.
Status | Recruiting |
Enrollment | 154 |
Est. completion date | December 2016 |
Est. primary completion date | December 2016 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years to 50 Years |
Eligibility |
Inclusion Criteria: - Indication to laparoscopic myomectomy - Accomplished reproductive desire Exclusion Criteria: - Age older than 50 years - family history of ovarian cancer, BRCA positive - basal FSH value of >20 IU/mL and/or E2 levels >60 pg/mL - presence of menopausal symptoms,irregular (cycle-to-cycle variation over 12 months >20 days orpresence of any breakthrough bleeding) menstrual cycles, hormonereplacement treatment and/or hormonal contraception for the last 3 months, history of previous uterine or ovarian surgeries, and imaging suggestive of ovarian cyst or tubal pathology at transvaginal ultrasound. |
Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
Country | Name | City | State |
---|---|---|---|
Italy | Magna Graecia University - Azienda Ospedaliera Pugliese Ciaccio | Catanzaro | CZ |
Lead Sponsor | Collaborator |
---|---|
University Magna Graecia |
Italy,
Morelli M, Venturella R, Mocciaro R, Di Cello A, Rania E, Lico D, D'Alessandro P, Zullo F. Prophylactic salpingectomy in premenopausal low-risk women for ovarian cancer: primum non nocere. Gynecol Oncol. 2013 Jun;129(3):448-51. doi: 10.1016/j.ygyno.2013.03.023. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Ovarian reserve modification | Ovarian reserve modification will be defined as the difference (expressed as ?) between post-operative and pre-operative values of anti-Müllerian hormone (AMH), Follicle Stimulating Hormone (FSH), Antral Follicle Count (AFC), Ovarian volume (OV), Vascularization Index (VI), Flow index (FI) and Vascularization Flow Index (VFI) | three months after laparoscopy | Yes |
Secondary | Surgical outcomes | For each surgical procedure operative time, variation of hemoglobin level, postoperative hospital stay, postoperative return to normal activity and complication rate will be recorded as secondary outcomes. | one day to one month after laparoscopy | Yes |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT02059954 -
Vaginal vs. Laparoscopic Hysterectomy
|
N/A | |
Terminated |
NCT01963403 -
Treatment of Unacceptable Bleeding Patterns in ETG Implant Users With an Oral Contraceptive
|
Phase 4 |