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Endometrial PolypNCT05337605

Hand Driven Versus Motor Driven Hysteroscopic Tissue Removal System for Polypectomy: Long-term Results

An observational study of Endometrial Polyp, run by University Hospital, Ghent at 1 site in Netherlands.

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

In this study, a comparison is made between two types of polyp resection methods (hand driven and motor driven morcellation). More specifically, the effects of the resection on symptoms such as abnormal uterine bleeding, and on the recurrence of polyps. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Endometrial Polyp
How many people
87 participants
Where
1 siteNetherlands
Study dates
1 Apr 2022to 8 Nov 2022
How long will I take part?
2 Years
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 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Study population: women treated for endometrial polyps in earlier study

Who may be able to join

  • participation in earlier study

Who cannot join

  • N/A

Trial locations and contacts

1 site in 1 country.

Netherlands1 site
  • Catharina Ziekenhuis

    Eindhoven, North Brabant, 5623 EJ

Other trials in Netherlands

About this study

In this study, a comparison is made between two types of polyp resection methods (hand driven and motor driven morcellation). More specifically, the effects of the resection on symptoms such as abnormal uterine bleeding, and on the recurrence of polyps.

The aim of the study is to find a superior method in terms of symptom relieve and polyp recurrence so this method can be used in gynaecological practice.

Read the detailed description
  • Rationale: several techniques for hysteroscopic removal of intrauterine polyps exist today. Hysteroscopic morcellation is an effective, fast, and safe method for this. However, the differences between two different systems of hysteroscopic morcellation, motor-driven (Truclear incisor mini device) and hand-driven (Resectr 9fr) morcellation, are still unclear. The REMOvE9 study, in which women with a polyp were randomized between both techniques, is currently investigating the differences in short-term effectiveness between the two techniques.
  • Research question/goal: To investigate the long-term results of the effectiveness of a hysteroscopic morcellation of intrauterine polyps. The two systems are compared with each other.
  • Study design: This is a prospective cohort study. The patients previously participated in a randomized controlled trial (REMOvE9) and will now be contacted again for the completion of a one-time questionnaire. The study has an observational design.
  • Study population: Women with a history of endometrial polyp that was previously removed via hysteroscopic morcellation in the REMOvE9 study.
  • Primary and secondary endpoints: The primary endpoint is the risk of recurrence of abnormal uterine bleeding at post-surgery follow-up. Secondary endpoints include recurrence of other symptoms, time to recurrence, symptom relief, onset of new symptoms, onset of new polyp, satisfaction with regards to symptoms, satisfaction with regards to the treatment in general, need for additional treatments for blood loss and occurrence of pregnancy (in subfertility group).

What participants receive

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

Study groups in NCT05337605
Study groupRoleWhat they receive
Hand driven tissue removal systemEndometrial polyp removed by hysteroscopic hand-driven tissue removal system in a previous study.
Motor driven tissue removal systemEndometrial polyp removed by hysteroscopic motor-driven tissue removal system in a previous study.

What is being measured

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

  1. Rate of recurrence of abnormal uterine blood loss (+ cause, treatment)

    Patient reported outcome by means of a questionnaire (yes/no, specify)

    Measured: 1 to 4 years

Secondary outcomes (9)
  1. Rate of recurrence of other symptoms (abdominal pain, infections, back pain, other..) (+ cause, treatment)

    Patient reported outcome by means of a questionnaire (yes/no, specify)

    Measured: 1 to 4 years

  2. Recurrence interval (time to recurrence of endometrial polyp)

    Patient reported outcome by means of a questionnaire (when did blood loss occur / when was polyp identified)

    Measured: 1 to 4years

  3. Number of patients with symptom relief after initial intervention (abdominal pain, abnormal uterine blood loss, other...)

    Patient reported outcome by means of a questionnaire

    Measured: 1 to 4years

  4. Rate of occurrence of new symptoms after initial intervention (abdominal pain, abnormal uterine blood loss, infections, other...) (+ cause, treatment)

    Patient reported outcome by means of a questionnaire (yes/no, specify)

    Measured: 1 to 4years

  5. Rate of occurrence of new polyps (+ cause, treatment)

    Patient reported outcome by means of a questionnaire (yes/no, specify)

    Measured: 1 to 4years

  6. Satisfaction score in regard to symptoms (abdominal pain, abnormal uterine blood loss, other...)

    Patient reported outcome by means of a questionnaire on a scale from 0 (bad) to 5 (great)

    Measured: 1 to 4years

  7. General satisfaction score in regard to initial treatment

    Patient reported outcome by means of a questionnaire on a scale from 0 (bad) to 5 (great)

    Measured: 1 to 4years

  8. Rate of need for additional treatment

    Patient reported outcome by means of a questionnaire (yes/no, specify)

    Measured: 1 to 4years

  9. Chance of pregnancy after treatment

    Only applicable for women with fertility problems, Patient reported outcome by means of a questionnaire.

    Measured: 1 to 4 years

Timeline

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

  1. First posted20 Apr 2022
  2. Study start1 Apr 2022
  3. Primary completion8 Nov 2022
  4. Study completion8 Nov 2022

Resources

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
Cohort
Time perspective
Prospective
Enrolment
87 participants (actual)
Target duration
2 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT05337605
Sponsor's protocol ID
BC-11626 BC-11627 BC-11628
Status last verified
Jul 2023
First submitted
4 Apr 2022
Last updated
13 Jul 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Van Geyte M, de Frenne A, Weyers B, Weyers S, van Vliet H, Hamerlynck T, van Wessel S. Manually driven versus motor driven hysteroscopic tissue removal system for polypectomy: Long-term results. Eur J Obstet Gynecol Reprod Biol. 2024 May;296:270-274. doi: 10.1016/j.ejogrb.2024.03.013. Epub 2024 Mar 12.

    PubMed 38492506

Questions about this trial

What is this clinical trial studying?

An observational study of Endometrial Polyp, run by University Hospital, Ghent at 1 site in Netherlands.

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 1 inclusion and 1 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 13 Jul 2023. 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 Netherlands. 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?

Rate of recurrence of abnormal uterine blood loss (+ cause, treatment) (time frame: 1 to 4 years). 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 NCT05337605, 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 13 Jul 2023.

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