NCT00966264

Brief Summary

A randomised study including 236 women referred for essential menorrhagia to five university hospitals in Finland was conducted to compare the cost-effectiveness and the quality of life issues in the treatment of menorrhagia.Participants were randomly assigned to treatment with LNG-IUS (n=119), or hysterectomy (n=117), and were monitored for ten years. The primary outcome measures were health related quality of life (HRQoL), other measures of psychosocial well-being (anxiety, depression, sexual functioning), and costs.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
236

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Oct 1994

Longer than P75 for phase_3

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 1, 1994

Completed
14 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2008

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2008

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

January 20, 2009

Completed
7 months until next milestone

First Posted

Study publicly available on registry

August 26, 2009

Completed
Same day until next milestone

Results Posted

Study results publicly available

August 26, 2009

Completed
Last Updated

September 2, 2009

Status Verified

August 1, 2009

Enrollment Period

14 years

First QC Date

January 20, 2009

Results QC Date

January 20, 2009

Last Update Submit

August 26, 2009

Conditions

Keywords

randomized controlled trialmenorrhagiaLNG-IUShysterectomy

Outcome Measures

Primary Outcomes (2)

  • HRQoL (Health Related Quality of Life)

    HRQoL was measured by the 5-Dimensional EuroQol (EQ-5D) questionnaire which measures HRQoL in 5 dimensions of life (scale 0-1)(from very poor=0 to very good=5). The results are the change of HRQoL from baseline at 5 years (EQ-5D score at 5 years - EQ-5D score at baseline)

    baseline and 5 years

  • Costs

    baseline, 6 and 12 months, 5 and 10 years

Secondary Outcomes (1)

  • Depression

    baseline, 6 and 12 months, 5 and 10 years

Study Arms (2)

LNG-IUS

ACTIVE COMPARATOR

Levonorgestrel releasing intrauterine system

Drug: LNG-IUSProcedure: Hysterectomy

Hysterectomy

OTHER

Hysterectomy

Drug: LNG-IUSProcedure: Hysterectomy

Interventions

LNG-IUS releasing 25 microg of levonorgestrel

Also known as: Mirena
HysterectomyLNG-IUS
HysterectomyPROCEDURE

operation

Also known as: Removal of uterus by laparoscopy, vaginally or abdominally
HysterectomyLNG-IUS

Eligibility Criteria

Age35 Years - 49 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • heavy menstrual bleeding
  • years
  • were menstruating
  • had completed their family size
  • were eligible for both treatments

You may not qualify if:

  • submucous fibroids
  • endometrial polyps
  • ovarian tumours or cysts,
  • cervical pathology
  • urinary and bowel symptoms or pain due to large fibroids
  • lack of indication for hysterectomy
  • history of malignancies
  • menopause
  • severe depression
  • metrorrhagia as a main complaint
  • previous treatment failure with LNG-IUS
  • severe acne
  • uterine malformation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Menorrhagia

Interventions

LevonorgestrelHysterectomy

Condition Hierarchy (Ancestors)

Uterine HemorrhageUterine DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesHemorrhagePathologic ProcessesPathological Conditions, Signs and SymptomsMenstruation Disturbances

Intervention Hierarchy (Ancestors)

NorgestrelNorpregnenesNorpregnanesNorsteroidsSteroidsFused-Ring CompoundsPolycyclic CompoundsGynecologic Surgical ProceduresUrogenital Surgical ProceduresSurgical Procedures, Operative

Results Point of Contact

Title
Ritva Hurskainen
Organization
Helsinki University

Study Officials

  • Ritva S Hurskainen, MD, PhD

    Helsinki University Central Hospital

    PRINCIPAL INVESTIGATOR
  • Jorma Paavonen, prof

    University of Helsinki

    STUDY DIRECTOR
  • Juha Teperi, prof

    National Istitute For Health and Welfare, Finland

    STUDY CHAIR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
FACTORIAL
Sponsor Type
OTHER

Study Record Dates

First Submitted

January 20, 2009

First Posted

August 26, 2009

Study Start

October 1, 1994

Primary Completion

October 1, 2008

Study Completion

October 1, 2008

Last Updated

September 2, 2009

Results First Posted

August 26, 2009

Record last verified: 2009-08