NCT02819609

Brief Summary

The purpose of this observational, retrospective database study of patients with uterine fibroids is to compare the durability of symptom relief after uterus-conserving treatments for symptomatic fibroids in terms of incidence of, and time to, new or recurrent symptoms and subsequent procedures and evaluate the effect stakeholder participation had on the research process.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
12,234

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Nov 2014

Shorter than P25 for all trials

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

November 1, 2014

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2015

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

February 12, 2016

Completed
5 months until next milestone

First Posted

Study publicly available on registry

June 30, 2016

Completed
Last Updated

June 30, 2016

Status Verified

June 1, 2016

Enrollment Period

2 months

First QC Date

February 12, 2016

Last Update Submit

June 27, 2016

Conditions

Outcome Measures

Primary Outcomes (5)

  • Number of uterine fibroids patients who experience new or recurrent symptoms after uterus-conserving treatments (myomectomy, endometrial ablation, uterine artery embolization, magnetic resonance imaging [MRI]-guided focused ultrasound ablation)

    Minimum of two years after index procedure

  • Time to new or recurrent symptoms after uterus-conserving treatments (myomectomy, endometrial ablation, uterine artery embolization, magnetic resonance imaging [MRI]-guided focused ultrasound ablation)

    Minimum of two years after index procedure

  • Number of uterine fibroids patients who experience a subsequent procedure after uterus-conserving treatments (myomectomy, endometrial ablation, uterine artery embolization, magnetic resonance imaging [MRI]-guided focused ultrasound ablation)

    Minimum of two years after index procedure

  • Time to a subsequent procedure after uterus-conserving treatments (myomectomy, endometrial ablation, uterine artery embolization, magnetic resonance imaging [MRI]-guided focused ultrasound ablation)

    Minimum of two years

  • Effect of stakeholder participation in the research process

    From first stakeholder conference (April 2014) to final stakeholder conference (November 2015)

Study Arms (4)

Myomectomy

Women with uterine fibroids who underwent myomectomy as their index procedure as part of their routine clinical care

Procedure: myomectomy

Endometrial ablation

Women with uterine fibroids who underwent endometrial ablation as their index procedure as part of their routine clinical care

Procedure: endometrial ablation

Uterine artery embolization

Women with uterine fibroids who underwent uterine artery embolization as their index procedure as part of their routine clinical care

Procedure: uterine artery embolization

MRI-guided focused ultrasound ablation

Women with uterine fibroids who underwent MRI-guided focused ultrasound ablation as their index procedure as part of their routine clinical care

Procedure: MRI-guided focused ultrasound ablation

Interventions

myomectomyPROCEDURE

Myomectomy as part of routine clinical care

Myomectomy

Endometrial ablation as part of routine clinical care

Endometrial ablation

Uterine artery embolization as part of routine clinical care

Uterine artery embolization

MRI-guided focused ultrasound ablation as part of routine clinical care

MRI-guided focused ultrasound ablation

Eligibility Criteria

Age18 Years - 54 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)
Sampling MethodNon-Probability Sample
Study Population

The patient population for the retrospective data analysis was uterine fibroid patients who have a record of at least 1 of the procedures of interest occurring during the time period of January 1, 2005 - December 31, 2011, with the first instance being designated as the index date. The study time period spanned from January 1, 2004 - December 31, 2013 to allow for 12 months pre-index for evaluating baseline demographic and clinical characteristics and 24 months post-index, ensuring a minimum of 2 years follow-up.

You may qualify if:

  • Female patients with a diagnosis of uterine fibroids at any time and at least 1 office visit during study time period
  • At least 1 of the procedures of interest occurring between January 1, 2005 - December 31, 2011
  • ≥ 18 years and \< 55 years of age at the index date

You may not qualify if:

  • Patients with a diagnosis of gynecologic cancer (ovarian, uterine, cervical)
  • First recorded diagnosis of uterine fibroids occurring beyond four weeks after the Index Date ONLY for patients who underwent endometrial ablation or hysterectomy
  • Patients with a record of any procedures of interest occurring before January 1, 2005

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Leiomyoma

Interventions

Uterine MyomectomyEndometrial Ablation TechniquesUterine Artery Embolization

Condition Hierarchy (Ancestors)

Neoplasms, Muscle TissueNeoplasms, Connective and Soft TissueNeoplasms by Histologic TypeNeoplasms

Intervention Hierarchy (Ancestors)

Gynecologic Surgical ProceduresUrogenital Surgical ProceduresSurgical Procedures, OperativeAblation TechniquesEmbolization, TherapeuticHemostatic TechniquesTherapeuticsTherapeutic Occlusion

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
RETROSPECTIVE
Sponsor Type
INDUSTRY
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Senior Director of Epidemiology and Health Outcomes

Study Record Dates

First Submitted

February 12, 2016

First Posted

June 30, 2016

Study Start

November 1, 2014

Primary Completion

January 1, 2015

Study Completion

January 1, 2015

Last Updated

June 30, 2016

Record last verified: 2016-06