EndometriomaNCT02047838
Second Laparoscopic Surgery for Recurrent Unilateral Endometriomas.
An observational study of Endometrioma and Endometriosis, run by IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy at 1 site in Italy.
Trial summary
This retrospective case-control study was performed in an Academic centre for the diagnosis and treatment of endometriosis. It included patients with recurrent unilateral endometriomas who were previously operated for the same condition (cases) and patients without recurrency who previously underwent surgery for… Read more about this study
- Who is it for?
- Ages 18 to 50 years, women only
- Conditions the study is for
- Endometrioma, Endometriosis, Surgery
- What is being tested?
- Anti-mullerian hormone (AMH) level dosage., Follicle-stimulating hormone (FSH) level dosage. and Antral follicle count (AFC).
- How many people
- 36 participants
- Where
- 1 siteItaly
- Study dates
- Jan 2007to Dec 2013
- Phase
- Observational
- 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 50 years
- Women only
- No healthy volunteers
- Adult
Study population: In this study were recruited women referred to an academic centre for the diagnosis and treatment of endometriosis. Cases were patients undergoing second surgery for recurrent unilateral endometrioma. Controls were patients previously operated for unilateral endometrioma.
Who may be able to join
- reproductive age (at the time of both surgical procedures);
- two surgical procedures on the same ovary (stripping of endometrioma with
- largest diameter ≥ 4 cm; cases) performed at our Institution;
- one surgical procedures (stripping of endometrioma with largest diameter ≥ 4 cm; controls) performed at our Institution;
- histological diagnosis of ovarian endometriomas;
- complete assessment of ovarian reserve at routinary follow-up at our institution.
Who cannot join
- patients aged ≥ 40 years at the time of primary surgery;
- surgical procedures on the contralateral ovary (at primary or second-line surgery);
- previous salpingectomy or hysterectomy;
- unilateral ovariectomy at the time of first or second surgery;
- ultrasonographic diagnosis of persistent endometrioma after first surgery;
- additional surgical procedures for endometriomas or for other ovarian diseases before first surgery and between first and second surgery;
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- hormonal treatment within 3 months from ovarian reserve assessment;
- patients followed-up < 3 months after second-line surgery (for cases).
- pregnancy and/or breastfeeding during the study period.
Trial locations and contacts
1 site in 1 country.
Italy1 site
IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro
Genoa, Ligury, 16122
About this study
Official title: Impact on Ovarian Reserve of Second Laparoscopic Surgery for Recurrent Unilateral Endometriomas: a Case-control Study.
This retrospective case-control study was performed in an Academic centre for the diagnosis and treatment of endometriosis. It included patients with recurrent unilateral endometriomas who were previously operated for the same condition (cases) and patients without recurrency who previously underwent surgery for unilateral endometrioma (controls). The primary outcome of the study was to assess the impact on ovarian reserve of second surgery for recurrent unilateral endometriomas. The evaluation of ovarian reserve was performed by assessing serum anti-mullerian hormone (AMH) level, serum follicle-stimulating hormone (FSH) level, 17-beta estradiol level and antral follicle count (AFC).
- Conditions
- Endometrioma, Endometriosis, Surgery
- Being tested
- Anti-mullerian hormone (AMH) level dosage., Follicle-stimulating hormone (FSH) level dosage., Antral follicle count (AFC).
- Medical subject headings
- Endometriosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Anti-mullerian hormone (AMH) level dosage.Other
Follicle-stimulating hormone (FSH) level dosage.Other
Antral follicle count (AFC).Other
| Study group | Role | What they receive |
|---|---|---|
| Cases. | Patients with recurrent unilateral endometrioma who were previously operated for the same condition. Receives: Other: Anti-mullerian hormone (AMH) level dosage.; Other: Follicle-stimulating hormone (FSH) level dosage.; Other: Antral follicle count (AFC). | |
| Controls. | Patients previously operated for unilateral endometrioma without recurrence. Receives: Other: Anti-mullerian hormone (AMH) level dosage.; Other: Follicle-stimulating hormone (FSH) level dosage.; Other: Antral follicle count (AFC). |
What is being measured
The primary outcome is the main question the study is designed to answer.
Anti-mullerian hormone (AMH) level.
Measured: In cases, anti-mullerian hormone (AMH) level was determined 3 months after second laparoscopic surgery. In controls, AMH levels was determined in the the fertility assessment performed during follow-up (matched to the correspondent case).
Secondary outcomes (3)
Follicle-stimulating hormone (FSH) level.
Measured: In cases, follicle-stimulating hormone (FSH) level was determined 3 months after second laparoscopic surgery. In controls, FSH levels was determined in the the fertility assessment performed during follow-up (matched to the correspondent case).
17-beta estradiol level.
Measured: In cases, 17-beta estradiol level was determined 3 months after second laparoscopic surgery. In controls, 17-beta estradiol level was determined in the the fertility assessment performed during follow-up (matched to the correspondent case).
Antral follicle count (AFC).
Measured: In cases, antral follicle count (AFC) was determined 3 months after second laparoscopic surgery. In controls, antral follicle count was determined in the the fertility assessment performed during follow-up (matched to the correspondent case).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Jan 2014 (estimated)
- Study startJan 2007
- Primary completionDec 2013
- Study completionDec 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for EndometriomaStudies 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
- Observational
- Observational model
- Case-control
- Time perspective
- Retrospective
- Enrolment
- 36 participants (actual)
Sponsor and investigators
- Lead sponsor
- IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Umberto Leone Roberti Maggiore, IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
- Investigators
- Simone Ferrero, PhD, Study director, IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, ItalyUmberto Leone Roberti Maggiore, MD, Principal investigator, IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02047838
- Sponsor's protocol ID
- Lillo 01/2014
- Status last verified
- Nov 2014
- First submitted
- 25 Jan 2014
- Last updated
- 25 Nov 2014
- Results posted
- No
- Data monitoring committee
- No
Publications
Ferrero S, Scala C, Racca A, Calanni L, Remorgida V, Venturini PL, Leone Roberti Maggiore U. Second surgery for recurrent unilateral endometriomas and impact on ovarian reserve: a case-control study. Fertil Steril. 2015 May;103(5):1236-43. doi: 10.1016/j.fertnstert.2015.01.032. Epub 2015 Feb 11.
PubMed 25681854
Study at a glance
From the registry record, last updated by the sponsor on 25 Nov 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Impact on Ovarian Reserve of Second Laparoscopic Surgery for Recurrent Unilateral Endometriomas: a Case-control Study.
- ClinicalTrials.gov ID
- NCT02047838
- Acronym / sponsor ID
- Lillo 01/2014
- Conditions
- Endometrioma, Endometriosis, Surgery
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 36 participants (actual)
- Lead sponsor
- IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, ItalyUniversity, hospital or other
- Study start
- Jan 2007
- Primary completion
- Dec 2013 (actual)
- Study completion
- Dec 2013 (actual)
- First posted
- 28 Jan 2014 (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.
This retrospective case-control study was performed in an Academic centre for the diagnosis and treatment of endometriosis. It included patients with recurrent unilateral endometriomas who were previously operated for the same condition (cases) and patients without recurrency who previously underwent surgery for unilateral endometrioma (controls). The primary outcome of the study was to assess the impact on ovarian reserve of second surgery for recurrent unilateral endometriomas. The evaluation of ovarian reserve was performed by assessing serum anti-mullerian hormone (AMH) level, serum follicle-stimulating hormone (FSH) level, 17-beta estradiol level and antral follicle count (AFC).
Study design
- Observational model
- Case-control
- Time perspective
- Retrospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cases. | – | Other: Anti-mullerian hormone (AMH) level dosage., Other: Follicle-stimulating hormone (FSH) level dosage., Other: Antral follicle count (AFC).Patients with recurrent unilateral endometrioma who were previously operated for the same condition. |
| Controls. | – | Other: Anti-mullerian hormone (AMH) level dosage., Other: Follicle-stimulating hormone (FSH) level dosage., Other: Antral follicle count (AFC).Patients previously operated for unilateral endometrioma without recurrence. |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
- Study population
- In this study were recruited women referred to an academic centre for the diagnosis and treatment of endometriosis. Cases were patients undergoing second surgery for recurrent unilateral endometrioma. Controls were patients previously operated for unilateral endometrioma.
Key inclusion criteria (6 listed)
- reproductive age (at the time of both surgical procedures);
- two surgical procedures on the same ovary (stripping of endometrioma with
- largest diameter ≥ 4 cm; cases) performed at our Institution;
- one surgical procedures (stripping of endometrioma with largest diameter ≥ 4 cm; controls) performed at our Institution;
- histological diagnosis of ovarian endometriomas;
Key exclusion criteria (9 listed)
- patients aged ≥ 40 years at the time of primary surgery;
- surgical procedures on the contralateral ovary (at primary or second-line surgery);
- previous salpingectomy or hysterectomy;
- unilateral ovariectomy at the time of first or second surgery;
- ultrasonographic diagnosis of persistent endometrioma after first surgery;
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 |
|---|---|---|
| Anti-mullerian hormone (AMH) level dosage. | Other | Cases., Controls. |
| Follicle-stimulating hormone (FSH) level dosage. | Other | Cases., Controls. |
| Antral follicle count (AFC). | Other | Cases., Controls. |
Primary outcome
Anti-mullerian hormone (AMH) level.
Time frame: In cases, anti-mullerian hormone (AMH) level was determined 3 months after second laparoscopic surgery. In controls, AMH levels was determined in the the fertility assessment performed during follow-up (matched to the correspondent case).
3 secondary outcomes
Follicle-stimulating hormone (FSH) level.
Time frame: In cases, follicle-stimulating hormone (FSH) level was determined 3 months after second laparoscopic surgery. In controls, FSH levels was determined in the the fertility assessment performed during follow-up (matched to the correspondent case).
17-beta estradiol level.
Time frame: In cases, 17-beta estradiol level was determined 3 months after second laparoscopic surgery. In controls, 17-beta estradiol level was determined in the the fertility assessment performed during follow-up (matched to the correspondent case).
Antral follicle count (AFC).
Time frame: In cases, antral follicle count (AFC) was determined 3 months after second laparoscopic surgery. In controls, antral follicle count was determined in the the fertility assessment performed during follow-up (matched to the correspondent case).
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Nov 2014.
- Derived from this study: PubMed 25681854Ferrero S, Scala C, Racca A, Calanni L, Remorgida V, Venturini PL, Leone Roberti Maggiore U. Second surgery for recurrent unilateral endometriomas and impact on ovarian reserve: a case-control study. Fertil Steril. 2015 May;103(5):1236-43. doi: 10.1016/j.fertnstert.2015.01.032. Epub 2015 Feb 11.
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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.
Simone Ferrero, PhD study director
IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
Umberto Leone Roberti Maggiore, MD principal investigator
IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Endometrioma and Endometriosis, run by IRCCS Azienda Ospedaliera Universitaria San Martino - IST Istituto Nazionale per la Ricerca sul Cancro, Genoa, Italy at 1 site in Italy.
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 6 inclusion and 9 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: finished, as of the sponsor's last update on 25 Nov 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Italy. 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.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Anti-mullerian hormone (AMH) level. (time frame: In cases, anti-mullerian hormone (AMH) level was determined 3 months after second laparoscopic surgery. In controls, AMH levels was determined in the the fertility assessment performed during follow-up (matched to the correspondent case).). 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 NCT02047838, which also lists 1 linked publication.
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 25 Nov 2014.