Therapeutic MRI Guided High Intensity Focused Ultrasound Ablation of Uterine Fibroids
HIFU
1 other identifier
interventional
15
1 country
2
Brief Summary
This study is to collect supplementary safety and technical effectiveness data of Philips MRI guided High Intensity Focused Ultrasound (HIFU) in ablating uterine tissue associated with symptomatic fibroids in a 3T MRI scanner. The importance of this therapy is that it offers a non-invasive, uterine sparing procedure for the treatment of uterine fibroids in pre- and peri- menopausal women. MRI guided high intensity focused ultrasound uses ultrasound to heat and thermally ablate fibroid tissue. The MRI system identifies the ultrasound path and monitors heat rise in the fibroid tissue. The goal of the study is to collect supplementary 3T treatment safety and technical effectiveness data in a 1 month follow-up study. MRguided HIFU will be performed in patients who pass inclusion/exclusion criteria. Safety, quality of life, and imaging endpoints will be evaluated in all study patients.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Jun 2010
Shorter than P25 for phase_3
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2010
CompletedFirst Submitted
Initial submission to the registry
June 8, 2010
CompletedFirst Posted
Study publicly available on registry
June 10, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2011
CompletedDecember 4, 2012
December 1, 2012
1.3 years
June 8, 2010
December 3, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Safety of HIFU for treatment of the uterine fibroids as determined by adverse event reporting.
Safety of HIFU for treatment of the uterine fibroids as determined by adverse event reporting.
Day of treatment, 24, 48, 72 hrs, 1 and 2 wks and 30 days after treatment
Technical efficacy of HIFU for treatment of uterine fibroids as assessed by a change in the Symptom Severity Score
Technical efficacy of HIFU for treatment of uterine fibroids as assessed by a change in the Symptom Severity Score
Day of treatment, 30 days after treatment
Secondary Outcomes (3)
Change in Quality of Life Scores
0, 30 days
Pain score
0, 24, 48, 72 hours and 1 and 2 weeks, and 30 days
Timeframe before returning to daily activities
0, 24, 48, 72 hours and 1 and 2 weeks, and 30 days
Study Arms (1)
Treated leiomyomas
EXPERIMENTALPhilips MR-guided HIFU
Interventions
HIFU is the use of focused ultrasound energy to penetrate through soft tissue and causes localized high temperatures (55°C to 70°C) for a few seconds within the target producing well defined regions of protein denaturation, irreversible cell damage, and coagulative necrosis.
Eligibility Criteria
You may qualify if:
- Women, age between 18 and 59 years
- Weight \< 140kg
- Pre- or peri-menopausal
- Uterine size \< 24 weeks
- Transformed SSS score \> 40
- Normal Cervical cell assessment by PAP
- Symptomatic Fibroid disease
- Dominant fibroid greater than or equal to 3cm and less than or equal to 12 cm
You may not qualify if:
- Other Pelvic Disease
- Desire for future pregnancy
- Significant systemic disease even if controlled
- Positive pregnancy test
- Hematocrit \< 25%
- Scarring or other interference of the HIFU beam
- MRI or contrast contraindicated
- Fibroids not quantifiable on MRI
- Calcifications around or throughout uterine tissues
- Communication barrier
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Thunder Bay Regional Health Sciences Centre
Thunder Bay, Ontario, P7B 6V4, Canada
Sunnybrook Health Sciences Centre, University of Toronto
Toronto, Ontario, M4N 3M5, Canada
Related Publications (1)
Spies JB, Coyne K, Guaou Guaou N, Boyle D, Skyrnarz-Murphy K, Gonzalves SM. The UFS-QOL, a new disease-specific symptom and health-related quality of life questionnaire for leiomyomata. Obstet Gynecol. 2002 Feb;99(2):290-300. doi: 10.1016/s0029-7844(01)01702-1.
PMID: 11814511BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Elizabeth David, MD
Sunnybrook Health Sciences Centre
- PRINCIPAL INVESTIGATOR
Neety Panu, MD
Thunder Bay Regional Health Sciences Centre
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 8, 2010
First Posted
June 10, 2010
Study Start
June 1, 2010
Primary Completion
October 1, 2011
Study Completion
October 1, 2011
Last Updated
December 4, 2012
Record last verified: 2012-12