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The Effect of Mifepristone on Uterine Fibroids and Breast Tissue
This study has been completed.
First Received: December 21, 2007   No Changes Posted
Sponsored by: Karolinska Institutet
Information provided by: Karolinska Institutet
ClinicalTrials.gov Identifier: NCT00579475
  Purpose

Uterine fibroids are a benign but common condition among women in reproductive age. It is one of the most common reasons for hysterectomy since it often causes bleeding problems sometimes leading to anemia. Several alternative treatment regimens have been investigated that could replace surgery. The antiprogesterone, mifepristone, is one of the most promising drugs that have been tested. In addition to the inhibiting effect on the growth of uterine fibroids antiprogestins have been proposed to have an antiproliferative effect on breast tissue.

The purpose of the present study is to evaluate the effect of mifepristone on the volume of uterine fibroids. The study will also address the effect of mifepristone on the breast tissue


Condition Intervention Phase
Uterine Fibroids
Drug: Mifegyne
Drug: placebo
Phase I

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Safety/Efficacy Study
Official Title: The Effect of Preoperative Treatment With Mifepristone on Uterine Fibroids and Breast Tissue

Resource links provided by NLM:


Further study details as provided by Karolinska Institutet:

Primary Outcome Measures:
  • Myoma size [ Time Frame: 2004 to 2007 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Breast epithelial cell proliferation [ Time Frame: 2004 to 2007 ] [ Designated as safety issue: No ]

Enrollment: 30
Study Start Date: November 2004
Study Completion Date: June 2007
Estimated Primary Completion Date: June 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Placebo: Placebo Comparator Drug: placebo
I: Active Comparator
Mifepristone (Mifegyne) 50 mg every other day for 3 months
Drug: Mifegyne
tablets, 50 mg every other day

Detailed Description:

Other purposes of this study include:

  • To develop a new non-surgical method for treatment of uterine fibroids
  • To study the effect of mifepristone on the size of uterine fibroids
  • To evaluate factors regulating fibroid growth by comparison with untreated fibroids and normal myometrium
  • To study the effect of mifepristone on the amount of blood loss and pelvic pain in patients with fibroids
  • To study the effect of mifepristone on proliferation of breast tissue
  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Uterine fibroids requiring treatment

  • Good general health
  • Willing and able to participate after giving informed consent

Exclusion Criteria:

  • Need for immediate surgery
  • Concomitant hormonal treatment (HRT)
  • History of malignant disorder of the breast
  • Any contraindication for mifepristone

Criteria for retrospective exclusion:

Subjects may be excluded from analysis if one of the following applies:

  • Any violation of the study protocol
  • Lack of essential data
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00579475

Locations
Sweden
Dept of Obstetrics and Gynecology, Karolinska University Hospital
Stockholm, Sweden, SE17176
Sponsors and Collaborators
Karolinska Institutet
Investigators
Principal Investigator: Kristina Gemzell Danielsson, Prof.MD.PHD Karolinska Institutet
  More Information

No publications provided by Karolinska Institutet

Additional publications automatically indexed to this study by National Clinical Trials Identifier (NCT ID):
Responsible Party: Karolinska Institutet ( Kristina Gemzell Danielsson, Professor, MD,PhD )
Study ID Numbers: WMB300, MPA Dnr151:2003/4444
Study First Received: December 21, 2007
Last Updated: December 21, 2007
ClinicalTrials.gov Identifier: NCT00579475     History of Changes
Health Authority: Sweden: Medical Products Agency

Keywords provided by Karolinska Institutet:
mifepristone
leiomyomas
breast epithelial cell proliferation

Study placed in the following topic categories:
Neoplasms, Connective and Soft Tissue
Myofibroma
Contraceptive Agents
Hormone Antagonists
Contraceptives, Oral
Hormones, Hormone Substitutes, and Hormone Antagonists
Contraceptive Agents, Female
Connective Tissue Diseases
Mifepristone
Contraceptives, Postcoital
Hormones
Leiomyoma

Additional relevant MeSH terms:
Neoplasms, Muscle Tissue
Contraceptives, Postcoital, Synthetic
Contraceptive Agents
Hormone Antagonists
Contraceptives, Oral
Physiological Effects of Drugs
Contraceptive Agents, Female
Hormones, Hormone Substitutes, and Hormone Antagonists
Reproductive Control Agents
Leiomyoma
Neoplasms, Connective and Soft Tissue
Therapeutic Uses
Menstruation-Inducing Agents
Abortifacient Agents
Connective Tissue Diseases
Contraceptives, Oral, Synthetic
Abortifacient Agents, Steroidal
Myofibroma
Neoplasms by Histologic Type
Mifepristone
Contraceptives, Postcoital
Luteolytic Agents
Pharmacologic Actions
Neoplasms
Neoplasms, Connective Tissue

ClinicalTrials.gov processed this record on September 10, 2009