Acceptability and satisfaction of Dienogest in the treatment of patients with symptomatic endometriosis

ISRCTN ISRCTN68041248
DOI https://doi.org/10.1186/ISRCTN68041248
Submission date
07/03/2024
Registration date
13/03/2024
Last edited
11/03/2024
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Urological and Genital Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
To establish the efficacy of 2 mg dienogest per day over 6 months in an Asian population for the management of endometriosis.

Who can participate?
Any patients 18 years up to 45 years with endometriosis

What does the study involve?
A hormonal treatment with 2 mg Dienogest for patients with endometriosis; this over a time of 6 months. A clinical evaluation and the recording of side effects will be performed at the months 3 and 6 of the treatment.

What are the possible benefits and risks of participating?
Benefits: A significant improvement in the endometriosis associated pain. Side effects: possible clinical signs of hypoestrogenimn like hot flushes.

Where is the study run from?
Exeltis Thailand

When is the study starting and how long is it expected to run for?
September 2023 to October 2025

Who is funding the study?
Exeltis Thailand

Who is the main contact?
Asst. Prof. Ammarin Suwan

Contact information

Mr Pedro Antonio Regidor
Public, Scientific, Principal Investigator

Adalperostr. 84
Ismaning
85737
Germany

ORCiD logoORCID ID 0000-0002-9551-2847
Phone +49 1738938132
Email pedro-antonio.regidor@exeltis.com

Study information

Study designObservational prospective study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital, Medical and other records
Study typeTreatment, Safety, Efficacy
Participant information sheet No participant information sheet available
Scientific titleAcceptability and satisfaction of Dienogest in the treatment of patients with symptomatic endometriosis
Study acronymEndogest
Study objectivesTo investigate acceptability and satisfaction of Dienogest in the treatment of patients with symptomatic endometriosis
Ethics approval(s)

Approved 28/09/2023, Institutional Review Board, Faculty of Medicine, Chulalongkorn University (1873 Rama 4 Road 10330 Bangkok Thailand, Bangkok, 10330, Thailand; +662 256-4493; medchulairb@chula.ac.th), ref: COA No. 1267/2023

Health condition(s) or problem(s) studiedEndometriosis
InterventionAn observational prospective study will be conducted at King Chulalongkorn Memorial Hospital. The expected duration of subject participation is approximately 6 months.
Subjects visiting gynaecology complaining about pelvic pain that the investigator suspect related to endometriosis will be identified. Thereafter, the investigator or assignee will provide information about the trial. If the patient agrees to participate, informed consent will be written. Screening procedures and baseline assessment will then take place.
Treatment of endometriosis with Dienogest 2mg per day
Subjects will be followed up at the 3rd and 6th month after taking dienogest for endometriosis treatment at Gynecology Outpatient Clinic, King Chulalongkorn Memorial Hospital
Intervention typeDrug
Pharmaceutical study type(s)Not Applicable
PhasePhase IV
Drug / device / biological / vaccine name(s)Dienogest
Primary outcome measureEndometriosis-associated pain symptoms after 3 months and 6 months of Dienogest treatment measured using a questionnaire
Secondary outcome measuresTolerability and safety aspects after the use of Dienogest for 6 months measured using routine controls
Overall study start date28/09/2023
Completion date01/10/2025

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit45 Years
SexFemale
Target number of participants65
Key inclusion criteria1. Female patients, age ≥ 18 and ≤ 45 years.
2. Present at least one classical symptom of endometriosis associated pain including dysmenorrhea, dyspareunia, chronic pelvic pain, dysdefecation without any other pathology by taking a history or physical examination plus Visual Analogue Scale (VAS) ≥ 4
3. Decision taken by the physician to prescribe Dienogest 2 mg
Key exclusion criteria1. Current Body mass Index (BMI) > 30 kg/m²
2. Patients with severe acute or chronic diseases (e.g. pancreatitis, hypertriglyceridemia, liver disease, benign or malignant liver tumor, malignant sex-hormone dependent diseases of genitals or breasts)
3. Intake of herbal medicines or medicines which induce microsomal enzymes, especially cytochrome-P450-enzyme, e.g. Phenytoin, Phenobarbital, Primidon Bosentan, Carbamazepine, Rifampicin, Topiramate, Felbamat, Griseofulvin, a few HIV protease inhibitors (e.g. Ritonavir), and non-nucleosidic Reverse-Transcriptase-Inhibitors (e.g. Efavirenz) as well as preparations of Aaron´s beard.
4. History of cardiovascular events
5. Advanced hypertension or diabetes
6. Known hypersensitivity to components of Dienogest
7. Undiagnosed abnormal vaginal bleeding
8. Use of drugs containing Ombitasvir/Paritaprevir/Ritonavir and Dasabuvir during and two weeks before start of the study
9. Patients using intrauterine devices (IUD) or intrauterine systems (IUS)
10. Pregnancy
11. Breast feeding
12. Patients who are postmenopausal
13. Patients switching from a GnRH agonist, hormonal contraception, or progestin treatment within 3 months
14. Participation in any other trial 30 days before starting to use Dienogest
Date of first enrolment01/03/2024
Date of final enrolment01/01/2025

Locations

Countries of recruitment

  • Thailand

Study participating centre

Chulalongkorn University
Division of Obstetrics and Gynecology, Faculty of Medicine
Rama IV Road, Pathumwan district
Bangkok
10330
Thailand

Sponsor information

Exeltis Thailand
Industry

287 Liberty Square 21st Floor, room no.2101
Bangkok
10500
Thailand

Phone +662 6311952
Email enrique.calvo@exeltis.com

Funders

Funder type

Industry

Exeltis Thailand

No information available

Results and Publications

Intention to publish date01/12/2025
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe current data sharing plans for this study are unknown and will be available at a later date

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol file version 1.2 11/03/2024 No No

Additional files

45146 Endovelle protocol_version 1.2-English.pdf

Editorial Notes

11/03/2024: Trial's existence confirmed by Institutional Review Board, Faculty of Medicine, Chulalongkorn University