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EndometriosisPhase 2/3NCT02271958

Mifepristone 2.5, 5, 10 mg Versus Placebo in the Treatment of Endometriosis

A Phase 2/3 study testing Mifepristone in people with Endometriosis, run by Mediterranea Medica S. L. at 1 site in Cuba.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to evaluate the effectiveness and safety of 2.5, 5 and 10 mg doses of mifepristone against a placebo in women with laparoscopic diagnostic of endometriosis. Read more about this study

Who is it for?
Ages 18 to 45 years, women only
Conditions the study is for
Endometriosis
What is being tested?
Mifepristone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
360 participants
Where
1 siteCuba
Study dates
Nov 2010to Dec 2013
Phase
Phase 2/3
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 45 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Women with laparoscopic confirmed diagnosis of endometriosis
  • Age between 18 and 45
  • Certain diagnosis of endometriosis of any degree corresponding to the American Fertility Society (AFS)
  • Patients with symptoms of endometriosis: dysmenorrhea or pelvic pain not attributable to other gynecological illness and
  • Acceptance of the use of barrier contraceptive methods during the study

Who cannot join

  • Breastfeeding
  • Hormonal or surgical treatment for the endometriosis less than 4 months previous to study
  • Diabetes
  • Severe arterial hypertension
  • Hepatopathy
  • Renal malfunction
  • Endocrinopathy
  • Any other contraindication regarding the use of antiprogestins.

Trial locations and contacts

1 site in 1 country.

Cuba1 site
  • Hospital Eusebio Hernández, "Maternidad Obrera"

    Havana, La Habana

Other trials in Cuba

About this study

The purpose of this study is to evaluate the effectiveness and safety of 2.5, 5 and 10 mg doses of mifepristone against a placebo in women with laparoscopic diagnostic of endometriosis.

The hypothesis of the study is that the 5 mg mifepristone dose is safe and effective and should be used in future studies on medical treatment of endometriosis.

Read the detailed description

This is double-blind randomized clinical trial.

Examinations undertaken Thorough gynecological examination, pelvic ultrasound examination, diagnostic laparoscopy before starting treatment in order to determine the localization, extent and degree of severity of the endometrial lesions and a score was assigned in accordance with the revised American Fertility Society (AFS) classification.19 Blood samples were taken for hematological tests and hepatic function. Endometrial biopsy was performed if endometrial thickness as calibrated by ultrasound was >8 mm or if there had been abnormal bleeding in the past 3 months. After 90 and 180 days of treatment an ultrasound examination of the pelvis was carried out and then followed by diagnostic-therapeutic laparoscopy and endometrial biopsy.

Subjects Women with laparoscopic confirmed diagnosis of endometriosis who volunteered to take part in the study. Inclusion criteria: a) age between 18 and 45, b) certain diagnosis of endometriosis of any degree corresponding to the American Fertility Society (AFS); c) patients with symptoms of endometriosis: dysmenorrhea or pelvic pain not attributable to other gynecological illness and d) acceptance of the use of barrier contraceptive methods during the study. Exclusion criteria: a) breastfeeding, b) hormonal or surgical treatment for the endometriosis less than 4 months previous to study, c) diabetes, d) severe arterial hypertension, e) hepatopathy, f) renal malfunction, g) endocrinopathy, and f) any other contraindication regarding the use of antiprogestins.

Conditions
Endometriosis
Being tested
Mifepristone, PLACEBO
Keywords
Mifepristone, Endometriosis
Medical subject headings
Endometriosis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MifepristoneDrug

  • PLACEBODrug

Study groups in NCT02271958
Study groupRoleWhat they receive
Group 1ExperimentalOral administration of 2,5 mg of mifepristone daily for 6 months
Receives: Drug: Mifepristone
Group 2ExperimentalOral administration of 5 mg of mifepristone daily for 6 months
Receives: Drug: Mifepristone
Group 3ExperimentalOral administration of 10 mg of mifepristone daily for 6 months
Receives: Drug: Mifepristone
Group 4ExperimentalOral administration of mifepristone placebo daily for 3 months
Receives: Drug: PLACEBO

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in prevalence of dysmenorrhea and the average reduction in its intensity.

    The principal variables in evaluating effectiveness were the percentage changes in prevalence of dysmenorrhea and the average reduction in its intensity.

    Measured: 6 months

  2. Incidence of hot flushes, nausea, dizzy spells, vomiting, fatigue/tiredness, raised hepatic transaminases, histological alterations of the endometrium.

    Safety was evaluated by the incidence of hot flushes, nausea, dizzy spells, vomiting, fatigue/tiredness, raised hepatic transaminases, histological alterations of the endometrium.

    Measured: 6 months

  3. Changes in scores according to American Fertility Society (AFS)

    Effectiveness was assessed by measuring changes in scores according to American Fertility Society (AFS)

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Oct 2014 (estimated)
  2. Study startNov 2010
  3. Primary completionOct 2013
  4. Study completionDec 2013

Resources

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
360 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02271958
Sponsor's protocol ID
Endomife 2,5/5/10/placebo
Status last verified
Oct 2014
First submitted
4 Sep 2014
Last updated
22 Oct 2014
Results posted
No
Data monitoring committee
Yes

Publications

  • Chen I, Kives S, Zakhari A, Nguyen DB, Goldberg HR, Choudhry AJ, Le AL, Kowalczewski E, Schroll JB. Progestagens for pain symptoms associated with endometriosis. Cochrane Database Syst Rev. 2025 Oct 9;10(10):CD002122. doi: 10.1002/14651858.CD002122.pub3.

    PubMed 41065045

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Mifepristone in people with Endometriosis, run by Mediterranea Medica S. L. at 1 site in Cuba.

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 5 inclusion and 8 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 22 Oct 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 Cuba. 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 combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Changes in prevalence of dysmenorrhea and the average reduction in its intensity. (time frame: 6 months). The study lists 3 primary outcomes in all. 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 NCT02271958, 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 22 Oct 2014.

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