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Trial registered on ANZCTR
Registration number
ACTRN12612001055897
Ethics application status
Approved
Date submitted
28/09/2012
Date registered
3/10/2012
Date last updated
3/10/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Comparison of therapeutic efficacy of two different medical treatments and hormone releasing intrauterine device in treatment of heavy uterine bleeding
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Scientific title
Comparison of therapeutic efficacy of norethisterone, tranexamic acid and levonorgestrel releasing intrauterine system in treatment of dysfunctional uterine bleeding
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Secondary ID [1]
281317
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Heavy menstrual bleeding defined by PBAC scores
287519
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Condition category
Condition code
Reproductive Health and Childbirth
287843
287843
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0
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Menstruation and menopause
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
We planned to divide the study group into three groups:
Arm 1: Oral norethisterone in 15mg/day (3x5 mg) dose for 10 days between 14th and 23th day of the menstrual cycle; the treatment will be given for 6 menstrual cycles
Arm 2: Oral tranexamic acid 4 mg/day (4x1 mg) for the first four days of the menstrual cycle; the treatment will be given for 6 menstrual cycles
Arm 3: Levonorgestrel releasing intrauterine system which releases 20 microgram levonorgestrel /day, will be applied during the 4-5th day of the menstrual cycle by the physician. The system remains in place for at least 6 months, if the patient is satisfied with the system, it will go on for 5 years.
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Intervention code [1]
285772
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Treatment: Drugs
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Comparator / control treatment
Comparison of three groups is planned
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Control group
Active
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Outcomes
Primary outcome [1]
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Decrease in menstrual blood loss measured as PBAC scores described by Higham.
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Assessment method [1]
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Timepoint [1]
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Patients with PBAC scores>100 were included. At 1st, 3rd and 6th month PBAC scores were measured
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Secondary outcome [1]
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Hemoglobin, hematocrit levels
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Assessment method [1]
299361
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Timepoint [1]
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Basal, at 3rd and 6th months of treatment
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Secondary outcome [2]
299362
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Ferritin, serum iron and iron binding capacity
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Assessment method [2]
299362
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Timepoint [2]
299362
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Basal, at 3rd and 6th months of treatment
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Secondary outcome [3]
299363
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Quality of Life evaluation by the World Health Organization Quality of Life-Short Form
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Assessment method [3]
299363
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Timepoint [3]
299363
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Before the study, at the end of 6 months of treatment
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Eligibility
Key inclusion criteria
Regularly menstruating patients in the reproductive period, other than adolescents
Patients with mean PBAC scores of two menstrual periods greater than 100
Premenopausal women
Patients with benign endometrial biopsy
Patients who were willing to participate in the study
Patients with fibroids smaller than 2 cm, not distorting the endometrial cavity
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Minimum age
20
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Malign Cervical cytology
Contraindications to current therapies
Systemic diseases like hypertension, diabetes, thyroid disease or coronary artery disease
Women having used steroid hormone or anticoagulants during last three months or hormonal contraceptive injection during last year
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/05/2005
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
66
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4573
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Turkey
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State/province [1]
4573
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Mine Kiseli
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Address [1]
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Mesa Park Sit. Sogut Blok No:12/18 06490 Oran Ankara
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Country [1]
286072
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Turkey
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Primary sponsor type
Individual
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Name
Mine Kiseli
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Address
Mesa Park Sit. Sogut Blok No:12/18 06490 Oran Ankara
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Country
Turkey
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Secondary sponsor category [1]
284887
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Individual
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Name [1]
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Ozlem Ozdegirmenci
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Address [1]
284887
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Etlik Zubeyde Hanim Maternity and Women Health Education and Research Hospital
Asagi Eglence Mah., Yeni Etlik Cad., 06010 Etlik (Incirli)
Ankara
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Country [1]
284887
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Turkey
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
We planned to evaluate and compare the effectiveness of norethisterone, tranexamic acid and Levonorgestrel Releasing Intaruterine System in regular heavy menstrual bleeding in reproductive age women. Mean PBAC scores of two periods > or equal to 100 was accepted as 80 mL blood loss and defined as menorrhagia. 66 patients with menorrhagia without organic patologies were enrolled into the study. Patients are divided into three treatment arms sequentially; oral norethisterone, oral tranexamic acid and Levonorgestrel releasing intrauterine system. During 6 months of therapy PBAC scores were recorded by the patients and decrease in PBAC scores at 1st, 3rd and 6th month as well as hemoglobin, hematocrit, serum iron and ferritin levels was measured. Quality of life assessment forms in World Health Organization Quality of Life Short Form, Turkish version which was translated from the original English version, were filled up before and at the end of the study.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
34763
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Mine Kiseli
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Address
18010
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Mesa Park Sit. Sogut Blok No:12/18 06490 Oran Ankara
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Country
18010
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Turkey
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Phone
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+90 532 5080110
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Fax
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Email
18010
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[email protected]
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Contact person for scientific queries
Name
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Mine Kiseli
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Address
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Mesa Park Sit. Sogut Blok No:12/18 06490 Oran Ankara
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Country
8938
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Turkey
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Phone
8938
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+90 532 5080110
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Fax
8938
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Email
8938
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF