Tubal PregnancyPhase 4NCT00137982
Evaluation of Therapeutic Strategies for Treatment of Ectopic Pregnancies (EP) and Evaluation of Subsequent Fertility
A Phase 4 study testing Treatment of ectopic pregnancy in people with Tubal Pregnancy, run by Hopital Antoine Beclere at 18 sites in France.
Trial summary
Three protocols are used to treat ectopic pregnancies: medical treatment by methotrexate, conservative surgery or radical surgery. There are no data about subsequent fertility except in a cohort study. Read more about this study
- Who is it for?
- Ages 18 to 44 years, women only
- Conditions the study is for
- Tubal Pregnancy
- What is being tested?
- Treatment of ectopic pregnancy
- Type of treatment
- Surgery or procedure
- How many people
- 600 participants
- Where
- 18 sitesFrance
- Study dates
- Aug 2004to Jul 2008
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 44 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Diagnosis by ultra sound of ectopic pregnancy (EP)
- Patients aged > 18 years old
- Desire of future pregnancy
Who cannot join
- EP by failure of contraception
- EP associated with in vitro fertilization (IVF)
Trial locations and contacts
18 sites in 1 country.
18 sites in 1 country
France18 sites, 18 recruiting
- Recruiting
Angers Hospital
Angers, 49033
CATALA Laurent, MD, +33 2 41 35 46 35, lacatala@chu-angers.fr
CATALA Laurent, MD
- Recruiting
Antoine Beclere Hospital
Clamart, 92140
DARRÉ Caroline, +33 1 45 37 45 59, caroline.darre@abc.aphp.fr
FERNANDEZ Hervé, PhD, MD
- Recruiting
Créteil Hospital
Créteil, 94000
UZAN Catherine, MD, +33 6 03 57 86 35, catherine.uzan1@libertysurf.fr
LÉONARD Franck, MD
- Recruiting
Franco-Britannique Hospital
Levallois-Perret, 92300
MAIROVITZ Valérie, MD, +33 1 46 39 22 97, vabomai@hotmail.com
MAIROVITZ Valérie, MD
- Recruiting
Jeanne de Flandre Hospital
Lille, 59037
LUCOT Jean-Philippe, MD, +33 3 20 44 64 37, jplucot@chru-lille.fr
LUCOT Jean-Philippe, MD
- Recruiting
Hôtel Dieu
Lyon, 69288
GOLFIER François, PhD, +33 4 72 41 32 44, francois.golfier@chu-lyon.fr
GOLFIER François, PhD
- Recruiting
Assistance Publique Hôpitaux de Marseille ; Maternité de la Conception
Marseille, 13005
AGOSTINI Aubert, MD, +33 6 10 56 80 52, aubert.agostini@mail.ap-hm.fr
AGOSTINI Aubert, MD
- Recruiting
Assistance Publique Hôpitaux de Marseille ; Hôpital Nord
Marseille, 13326
BRETELLE Florence, PhD, MD, +33 4 91 96 46 72, florence.bretelle@mail-ap-hm.fr
BRETELLE Florence, PhD, MD
- Recruiting
Maternité Régionale de Nancy
Nancy, 54042
DEVAL Bruno, PhD, MD, +33 83 34 44 52, b.deval@maternite.chu-nancy.fr
ESZTO Marie-Laure, MD
- Recruiting
Nantes Hospital
Nantes, 44093
DARNIS Éric, MD, +33 2 40 08 32 24, eric.darnis@chu-nantes.fr
DARNIS Éric, MD
- Recruiting
Lariboisière Hospital
Paris, 75010
FAZEL Afchine, MD, +33 1 49 95 85 42, afchine.fazel@lrb.aphp.fr
FAZEL Afchine, MD
- Recruiting
Cochin Hospital
Paris, 75679
LEONARD Franck, MD, +33 1 58 41 18 81, franck.leonard@cch.aphp.fr
CHOPIN Nicolas, MD
- Recruiting
Poissy Saint-Germain-en-Laye Hospital
Poissy, 78303
BELOT Franck, MD, +33 6 67 28 61 15, af.belot@gmail.com
BELOT Franck, MD
- Recruiting
Roubaix Hospital
Roubaix, 59100
LE GOUEFF Françoise, MD, +33 3 20 99 32 50, francoise.le-goueff@ch-roubaix.fr
LE GOUEFF Francoise, MD
- Recruiting
Charles Nicolle Hospital
Rouen, 76031
RESCH Benoît, MD, +33 2 32 88 89 90, benoit.resch@chu-rouen.fr
RESCH Benoît, MD
- Recruiting
CMCO
Schiltigheim, 67303
VAYSSIERE Christophe, MD, +33 3 88 62 83 00, cvayssiere@club-internet.fr
THOMA Véronique, MD
- Not yet recruiting
Tours Hospital
Tours, 37000
MARRET Henri, PhD, +33 2 47 47 82 59, marret@med.univ-tours.fr
MARRET Henri, Ph D
- Recruiting
Versailles Hospital ; Hôpital André Mignot
Versailles, 78157
PANEL Pierre, MD, +33 1 39 63 97 33, ppanel@ch-versailles.fr
RAYNAL Pierre, MD
About this study
Official title: Prospective Study, Randomized Controlled Trial Between Medical Treatment by Methotrexate Versus Conservative Surgical Treatment (Group 1) and Conservative Versus Radical Surgical Treatment (Group 2) to Evaluate Subsequent Fertility
Three protocols are used to treat ectopic pregnancies: medical treatment by methotrexate, conservative surgery or radical surgery. There are no data about subsequent fertility except in a cohort study. The investigators propose to evaluate the true subsequent fertility with a follow-up of 2 years, in a randomized controlled trial.
Read the detailed description
The first group includes non active ectopic pregnancies defined by score or algorithm. In this case, we propose a randomized controlled trial between medical and conservative surgery. In all others clinical situations, we proposed surgery treatment. In a randomized controlled trial we compare conservative versus radical treatment. The patients are followed-up during 2 years with phone contact every 6 months.
- Conditions
- Tubal Pregnancy
- Being tested
- Treatment of ectopic pregnancy
- Keywords
- Ectopic pregnancy, Surgical treatment, Medical treatment, Fertility
- Medical subject headings
- Pregnancy, Tubal, Pregnancy, Ectopic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Treatment of ectopic pregnancyProcedure or surgery
What is being measured
The primary outcome is the main question the study is designed to answer.
Subsequent fertility with 2 years follow-up
Secondary outcomes (4)
Complications of treatments
Time of hospitalisation
Decrease curve of beta-hCG after treatment
Success rate in each group
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Aug 2005 (estimated)
- Study startAug 2004
- Study completionJul 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Tubal PregnancyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 600 participants
Sponsor and investigators
- Lead sponsor
- Hopital Antoine Beclere
- Sponsor type
- University, hospital or other
- Investigators
- Fernandez Hervé, PhD MD, Study chair, Hopital Antoine Beclere
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00137982
- Sponsor's protocol ID
- P030409/AOR03040
- Status last verified
- Aug 2005
- First submitted
- 29 Aug 2005
- Last updated
- 8 Sep 2006
- Results posted
- No
Publications
Fernandez H, Gervaise A. Ectopic pregnancies after infertility treatment: modern diagnosis and therapeutic strategy. Hum Reprod Update. 2004 Nov-Dec;10(6):503-13. doi: 10.1093/humupd/dmh043. Epub 2004 Sep 23.
PubMed 15388673Bourel G, Pelletier-Fleury N, Bouyer J, Delbarre A, Fernandez H, Capmas P. Cost-effectiveness analysis of medical management versus conservative surgery for early tubal pregnancy. Hum Reprod. 2019 Feb 1;34(2):261-267. doi: 10.1093/humrep/dey352.
PubMed 30520964Fernandez H, Capmas P, Lucot JP, Resch B, Panel P, Bouyer J; GROG. Fertility after ectopic pregnancy: the DEMETER randomized trial. Hum Reprod. 2013 May;28(5):1247-53. doi: 10.1093/humrep/det037. Epub 2013 Mar 12.
PubMed 23482340
Study at a glance
From the registry record, last updated by the sponsor on 8 Sep 2006. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prospective Study, Randomized Controlled Trial Between Medical Treatment by Methotrexate Versus Conservative Surgical Treatment (Group 1) and Conservative Versus Radical Surgical Treatment (Group 2) to Evaluate Subsequent Fertility
- ClinicalTrials.gov ID
- NCT00137982
- Acronym / sponsor ID
- P030409/AOR03040
- Conditions
- Tubal Pregnancy
- Keywords
- Ectopic pregnancy, Surgical treatment, Medical treatment, Fertility
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 600 participants
- Lead sponsor
- Hopital Antoine BeclereUniversity, hospital or other
- Study start
- Aug 2004
- Study completion
- Jul 2008
- First posted
- 30 Aug 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Three protocols are used to treat ectopic pregnancies: medical treatment by methotrexate, conservative surgery or radical surgery. There are no data about subsequent fertility except in a cohort study. The investigators propose to evaluate the true subsequent fertility with a follow-up of 2 years, in a randomized controlled trial.
Detailed description
The first group includes non active ectopic pregnancies defined by score or algorithm. In this case, we propose a randomized controlled trial between medical and conservative surgery. In all others clinical situations, we proposed surgery treatment. In a randomized controlled trial we compare conservative versus radical treatment. The patients are followed-up during 2 years with phone contact every 6 months.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
Who may qualify
- Ages
- 18 to 44 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Diagnosis by ultra sound of ectopic pregnancy (EP)
- Patients aged > 18 years old
- Desire of future pregnancy
Key exclusion criteria (2 listed)
- EP by failure of contraception
- EP associated with in vitro fertilization (IVF)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Treatment of ectopic pregnancy | Procedure or surgery | – |
Primary outcome
Subsequent fertility with 2 years follow-up
4 secondary outcomes
Complications of treatments
Time of hospitalisation
Decrease curve of beta-hCG after treatment
Success rate in each group
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Sep 2006.
- Background: PubMed 15388673Fernandez H, Gervaise A. Ectopic pregnancies after infertility treatment: modern diagnosis and therapeutic strategy. Hum Reprod Update. 2004 Nov-Dec;10(6):503-13. doi: 10.1093/humupd/dmh043. Epub 2004 Sep 23.
- Derived from this study: PubMed 30520964Bourel G, Pelletier-Fleury N, Bouyer J, Delbarre A, Fernandez H, Capmas P. Cost-effectiveness analysis of medical management versus conservative surgery for early tubal pregnancy. Hum Reprod. 2019 Feb 1;34(2):261-267. doi: 10.1093/humrep/dey352.
- Derived from this study: PubMed 23482340Fernandez H, Capmas P, Lucot JP, Resch B, Panel P, Bouyer J; GROG. Fertility after ectopic pregnancy: the DEMETER randomized trial. Hum Reprod. 2013 May;28(5):1247-53. doi: 10.1093/humrep/det037. Epub 2013 Mar 12.
- General information about Ectopic PregnanciesLink provided by the sponsor.
Related trials for Tubal Pregnancy
Not yet recruiting
Ovarian Cancer Liquid Biopsy for Early Assessment & Detection in Individuals With BRCA1/2 Pathogenic Variants
Ovarian Neoplasms, BRCA 1 Gene Mutation
Active, not recruitingPhase 2/3
Sequential vs. Combined Letrozole and Methotrexate for Tubal Ectopic Pregnancy.
Ectopic Pregnancy
RecruitingObservational study
InAdvance: Surveillance, Prevention, and Interception in a Population at Risk for Cancer
Cancer Risk, Cancer Predisposition Syndrome
RecruitingObservational study
Doppler Flow in Tubal Ectopic Pregnancy in Diagnosis as a Predictor of Treatment Success - Conservative and MTX Treatment
Ectopic Pregnancy
Active, not recruitingPhase 4
Live Birth After Additional Tubal Flushing With Oil-based Contrast Versus no Additional Flushing:
Infertility, Female
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Fernandez Hervé, PhD MD study chair
Hopital Antoine Beclere
18 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Treatment of ectopic pregnancy in people with Tubal Pregnancy, run by Hopital Antoine Beclere at 18 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 8 Sep 2006. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 18 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Fernandez Hervé, PhD MD (+33 1 45 37 44 69, herve.fernandez@abc.aphp.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Subsequent fertility with 2 years follow-up. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00137982, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 8 Sep 2006.