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EndometriosisPhase 2NCT02676713

Traditional Chinese Medicine Sequential Treatment for Endometriosis Associated Infertility

A Phase 2 study testing pre-ovulation Decoction and post-ovulation Decoction in people with Endometriosis and Infertility, run by Guang'anmen Hospital of China Academy of Chinese Medical Sciences at 6 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Endometriosis is a common, chronic disease. 30% to 50% of women with endometriosis are infertile. There is moderate quality evidence that laparoscopic surgery to treat mild and moderate endometriosis increases live birth or ongoing pregnancy rates. Read more about this study

Who is it for?
Ages 20 to 35 years, women only
Conditions the study is for
Endometriosis, Infertility
What is being tested?
pre-ovulation Decoction and post-ovulation Decoction
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
204 participants
Where
6 sitesChina
Study dates
Dec 2014to Dec 2017
Phase
Phase 2
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 20 to 35 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Clinical diagnosis of endometriosis, infertility, with Syndrome of qi stagnation blood stasis pattern in TCM ;
  • The first time undergoing Laparoscopic or laparoscopy combined surgery , in lined with endometriosis-related infertility, tubal patency or obstruction lightly;
  • EFI score greater than 4 points;
  • Early follicular phase FSH≤10mIU / L;
  • 28 days of the menstrual cycle ± 7 days;
  • Female patients between 20-35 years old;
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  • No previous history of severe drug allergies;
  • Past Three-month no taking hormone drugs such as danazol, Gestrinone, GnRHa;
  • No severe primary brain vascular diseases, liver, kidney and hematopoietic systems diseases, no history of mental illness, no drugs, alcohol, tobacco, caffeine dependent history;
  • Have signed informed consent

Who cannot join

  • Associated with uterine fibroids, the diameter greater than 4cm, adenomyosis, pelvic tuberculosis, endometrial tuberculosis, intrauterine adhesions, polycystic ovary syndrome, hyperprolactinemia, thyroid dysfunction patients.
  • Serious history of drug allergy.
  • Male factor infertility.
  • The couple separated persons.

Trial locations and contacts

6 sites in 1 country.

Yi Tang, Master contact

+86 13260185007

yier1990@126.com

Jie Wang, Doctor contact

8601088001246

6 sites in 1 country

China6 sites, 6 recruiting
  • Beijing Obstetrics and Gynecology Hospital,Captial Medical University

    Beijing, Beijing Municipality, 100026

    Dan Lu, PHD, 8601052276423

    Recruiting
  • GAMHospital

    Beijing, Beijing Municipality, 100053

    Yi Tang, MD, 13260185007, yier1990@126.com

    Yong Liu, 13488676266, liuyong115@126.com

    Recruiting
  • Beijng Hospital

    Beijng, 100730

    Qingwei Meng, PHD, 8601085138118

    Recruiting
  • The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine

    Guangzhou, Guangdong, 510405

    Cheng Zeng, PHD, 8602036591369

    Recruiting
  • Traditional Chinese Medicine Hospital of Guangdong Province

    Guangzhou, Guangdong

    Xiaoyun Wang, PHD, 8602081887233

    Recruiting
  • The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine

    Hefei, Anhui, 230031

    Weili Li, PHD, 8601052276423

    Recruiting

Other trials in China

About this study

Official title: Activating Blood, Dredging Liver and Nourishing Kidney Sequential Treatment for Endometriosis Associated Infertility - a Randomized Double-blind Placebo Controlled Study

Endometriosis is a common, chronic disease. 30% to 50% of women with endometriosis are infertile. There is moderate quality evidence that laparoscopic surgery to treat mild and moderate endometriosis increases live birth or ongoing pregnancy rates. There was no evidence of benefit for post-surgical hormonal suppression of endometriosis compared to surgery alone for the outcomes of pregnancy rates. Past studies have confirmed that Chinese herbal medicine can inhibit post-surgical endometriosis recurrence, increase pregnancy rate.This study evaluates the efficacy and safety of Traditional Chinese Medicine Sequential Treatment of endometriosis-associated infertility. The study objective is to confirm that clinical pregnancy rate of patients with endometriosis-associated infertility post-conservative surgery accepting Chinese medicine activating blood, dredging liver and nourishing kidney sequential treatment is higher than expectant treatment.

Read the detailed description

This study is a randomized, double-blind, placebo-controlled, multicenter, prospective clinical study, conducted in China (six research centers).

204 cases of patients with endometriosis-associated infertility confined with Syndrome of qi stagnation blood stasis pattern in TCM after conservative surgery will be recruited. Patients will be randomly divided into two groups: experimental group (TCM Sequential Treatment) and control group (placebo). All the patients are treated for six menstrual cycles, taking pre-ovulation decoction before ovulation and post-ovulation decoction after ovulation. Pre-ovulation decoction of experimental group is HuoXueXiaoYi decoction, and post-ovulation decoction is BuShenZhuYun decoction. The drug of control group is placebo.

Each menstrual cycle, patient is monitored of antral follicle count (AFC), ovulation, endometrial thickness, and endometrial blood flow by ultrasonography, and need fill TCM syndrome rating scale, pictorial blood loss assessment chart (PBAC), and the visual analogue scale(VAS).The 1st, 3rd, 6th menstrual cycle after surgery, the level of serum female hormone (FSH, LH, E2) are detected in menstrual period of 2 to 5 days, and female hormone (E2, P) in the middle of the corpus luteum 6-9 days.

Patient must be security check (blood routine, urine routine, liver and kidney function, electrocardiogram) before and after drug treatment. Such as patients find pregnancy during medication, adopt the security check in finding pregnancy 7 days.

Patients after amenorrhea need to be confirmed pregnancy by serum β-HCG detection. According to the level of serum HCG, E2 and P and clinical symptoms, corresponding tocolytic treatment will be given. At 6~8 weeks of pregnancy, patient need to be confirmed the clinical pregnancy by ultrasonography. If confirmed the clinical pregnancy (at least having one heart throb in intrauterine gestational sac), patient need to be confirmed ongoing pregnancy by ultrasonography at the 12~14 weeks of pregnancy.

In the process of the entire study, adverse events will be closely observed, and the frequency and severity of adverse events will be recorded.

Being tested
pre-ovulation Decoction, post-ovulation Decoction, pre-ovulation Decoction(placebo), post-ovulation Decoction(placebo)
Keywords
Traditional Chinese Medicine, Chinese Herbal
Medical subject headings
Endometriosis, Infertility

What participants receive

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

  • pre-ovulation DecoctionDrug

    Also called HuoXueXiaoYi Decoction

    HuoXueXiaoYi Decoction(Bupleurum 10g, Cyperus 10g, Salvia miltiorrhiza 20g, Red peony 10g,etc)has activating blood and absorbing clots effect, can inhibit the growth of ectopic endometrium, promote follicular growth, maturity, improve ovulation and the receptivity of endometrium.

  • post-ovulation DecoctionDrug

    Also called BuShenZhuYun Decoction

    BuShenZhuYun Decoction(Bupleurum 10g,Poria 15g, Atractylodes 15g,Ligustrum 15g,etc) has dredging liver and nourishing kidney effect, can improve the function of corpus luteum.

    All are made into granules.

  • pre-ovulation Decoction(placebo)Drug

    Also called placebo

    Composition of maltodextrin, lactose, edible pigment, taste masking agent.

  • post-ovulation Decoction(placebo)Drug

    Also called placebo

    Composition of maltodextrin, lactose, edible pigment, taste masking agent.

Study groups in NCT02676713
Study groupRoleWhat they receive
TCM Sequential TreatmentExperimentalAfter conservative surgery, patients start to take pre-ovulation decoction for 14 days. Each menstrual period 2~5 days, patients start to take pre-ovulation decoction. If ultrasonography found ovulation, change to take post-ovulation decoction. If having taken 14 days, ultrasonography found LUFS or no follicle develop maturity, change to take post-ovulation decoction. Taking post-ovulation decoction for 14 days, or continue to next time menstruation. Taking medication for six menstrual cycles. Pre-ovulation decoction is HuoXueXiaoYi decoction, and post-ovulation decoction is BuShenZhuYun decoction. 2 bags each time, 2 times a day, fused with hot water, 1 hour after dinner. All drugs are tcm formula granules, manufactured by Jiangyin Tianjiang Pharmaceutical Co. ltd
Receives: Drug: pre-ovulation Decoction; Drug: post-ovulation Decoction
PlaceboPlacebo comparatorAfter conservative surgery, patients start to take pre-ovulation decoction(placebo) for 14 days. Each menstrual period 2~5 days, patients start to take pre-ovulation decoction. If ultrasonography found ovulation, change to take post-ovulation decoction. If having taken 14 days, ultrasonography found luteinized unruptured follicle syndrome (LUFS) or no follicle develop maturity, change to take post-ovulation decoction. Taking post-ovulation decoction(placebo) for 14 days, or continue to next time menstruation. Taking medication for six menstrual cycles. 2 bags each time, 2 times a day, fused with hot water, 1 hour after dinner. Pre-ovulation decoction and post-ovulation decoction is placebo, manufactured by Jiangyin Tianjiang Pharmaceutical Co. ltd
Receives: Drug: pre-ovulation Decoction(placebo); Drug: post-ovulation Decoction(placebo)

What is being measured

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

  1. Pregnancy rate

    Pregnancy rate is defined as the proportion of participants finding pregnancy after amenorrhea and confirming serumβ-HCG positive.

    Measured: six menstrual cycles(each cycle is 28±7 days)

Secondary outcomes (3)
  1. Clinical pregnancy rate (with intrauterine pregnancy sac)

    defined as the proportion of participants confirmed there are at least one gestational sac in uterine cavity (No matter whether there is a heart throb) by ultrasonography.

    Measured: at 6~8 weeks of pregnancy

  2. Clinical pregnancy rate (with a heart throb)

    defined as the proportion of participants confirmed at least having one heart throb in intrauterine gestational sac by ultrasonography.

    Measured: at 6~8 weeks of pregnancy

  3. Continued pregnancy rate

    defined as the proportion of participants confirmed at least one live fetuses by ultrasonography.

    Measured: at the 12~14 weeks of pregnancy

Timeline

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

  1. First posted8 Feb 2016 (estimated)
  2. Study startDec 2014
  3. Primary completionMay 2017 (estimated)
  4. Study completionDec 2017 (estimated)

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
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
204 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02676713
Sponsor's protocol ID
GAMHospital
Other IDs
2014BAI10B08
Status last verified
Feb 2016
First submitted
16 Aug 2015
Last updated
19 Feb 2016
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Duffy JM, Arambage K, Correa FJ, Olive D, Farquhar C, Garry R, Barlow DH, Jacobson TZ. Laparoscopic surgery for endometriosis. Cochrane Database Syst Rev. 2014 Apr 3;(4):CD011031. doi: 10.1002/14651858.CD011031.pub2.

    PubMed 24696265
  • Yap C, Furness S, Farquhar C. Pre and post operative medical therapy for endometriosis surgery. Cochrane Database Syst Rev. 2004;2004(3):CD003678. doi: 10.1002/14651858.CD003678.pub2.

    PubMed 15266496
  • Zhao RH, Hao ZP, Zhang Y, Lian FM, Sun WW, Liu Y, Wang R, Long L, Cheng L, Ding YF, Song DR, Meng QW, Wang AM. Controlling the recurrence of pelvic endometriosis after a conservative operation: comparison between Chinese herbal medicine and western medicine. Chin J Integr Med. 2013 Nov;19(11):820-5. doi: 10.1007/s11655-012-1247-z. Epub 2012 Dec 22.

    PubMed 23292545
  • Zhao RH, Liu Y, Lu D, Wu Y, Wang XY, Li WL, Zeng C, Meng QW, Lian FM, Zhou J, Shi Y, Sun WW, Han Q, Tang Y, Shi G. Chinese Medicine Sequential Therapy Improves Pregnancy Outcomes after Surgery for Endometriosis-Associated Infertility: A Multicenter Randomized Double-blind Placebo Parallel Controlled Clinical Trial. Chin J Integr Med. 2020 Feb;26(2):92-99. doi: 10.1007/s11655-019-3208-2. Epub 2020 Jan 29.

    PubMed 31997236

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing pre-ovulation Decoction and post-ovulation Decoction in people with Endometriosis and Infertility, run by Guang'anmen Hospital of China Academy of Chinese Medical Sciences at 6 sites in China.

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 10 inclusion and 4 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 19 Feb 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in China. 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 Yi Tang, Master (+86 13260185007, yier1990@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pregnancy rate (time frame: six menstrual cycles(each cycle is 28±7 days)). 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 NCT02676713, which also lists 4 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 19 Feb 2016.

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