Study Comparing Ulipristal Acetate and Surgery for Women with Symptomatic Uterine Fibroids

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What is this study about?

This clinical trial is focused on studying the effects of a medication called ulipristal acetate, which is available in the form of Esmya 5 mg tablets. The study is comparing this medication to standard surgical treatments for a condition known as uterine fibroids. Uterine fibroids are non-cancerous growths that develop in or on the uterus, often causing symptoms such as heavy menstrual bleeding, pain, and pressure in the pelvic area.

The purpose of the study is to evaluate how well ulipristal acetate improves the quality of life for women with symptomatic uterine fibroids compared to those who undergo surgery. Participants in the study will be randomly assigned to receive either the medication or a surgical treatment. The study will follow participants for a period of 24 months to assess changes in symptoms and overall quality of life. The study will also look at the costs associated with each treatment, including healthcare expenses and any impact on work productivity.

Throughout the study, researchers will monitor various aspects of health and well-being, such as pain levels, social participation, and sexual functioning. They will also track any changes in fibroid size, menstrual bleeding, and blood health, including liver function. The study aims to understand which treatment option is more effective and satisfactory for patients, as well as to identify any side effects or complications. The findings will help determine the best approach for managing uterine fibroids and improving patients’ lives.

1 initial assessment

Upon joining the study, an initial assessment will be conducted to confirm eligibility. This includes verifying that you have symptomatic uterine fibroids that require surgical treatment and that you are pre-menopausal and over 18 years of age.

You will be asked to complete a questionnaire about your symptoms and quality of life, known as the Uterine Fibroid Symptom-questionnaire (UFS-QOL).

2 randomization

After the initial assessment, you will be randomly assigned to one of two groups: the Ulipristal Acetate (UPA) group or the surgery group.

This process is random to ensure that the study results are unbiased.

3 treatment phase

If assigned to the UPA group, you will take Esmya 5 mg tablets orally. The dosage is one tablet per day.

The duration of the treatment with UPA will be determined by the study protocol and your healthcare provider.

If assigned to the surgery group, you will undergo a surgical procedure such as hysterectomy, myomectomy, or uterine artery embolization, as previously discussed with your healthcare provider.

4 follow-up assessments

Throughout the study, regular follow-up assessments will be conducted to monitor your health and the effects of the treatment.

You will be asked to complete the UFS-QOL questionnaire at various intervals to assess changes in your symptoms and quality of life.

5 final evaluation

At the end of the study period, a final evaluation will be conducted to assess the overall impact of the treatment on your symptoms and quality of life.

The study aims to measure outcomes at 24 months after randomization, including any changes in symptom severity and quality of life.

Who Can Join the Study?

  • You must have symptomatic fibroids that need surgical treatment. This means you have fibroids causing symptoms that require surgery, such as a hysterectomy (removal of the uterus), myomectomy (removal of fibroids), or uterine artery embolization (blocking blood supply to fibroids).
  • Conservative treatment, like medication, has either not worked for you or you do not want it.
  • You must be pre-menopausal, meaning you have not yet gone through menopause.
  • You must be over 18 years of age.
  • You must be female.

Who Cannot Join the Study?

  • Patients who are not female cannot participate.
  • Patients who are not within the specified age range cannot participate.
  • Patients who are part of a vulnerable population may not be eligible.

Where you can join this trial?

Verified and Recommended Sites

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Verified Sites

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Other Sites

Site Name City Country Status
Groene Hart Ziekenhuis Gouda The Netherlands
Jeroen Bosch Ziekenhuis Stichting s-Hertogenbosch The Netherlands
Amphia Hospital Breda The Netherlands
Albert Schweitzer Ziekenhuis Dordrecht The Netherlands
Maxima Medisch Centrum Veldhoven The Netherlands
Flevoziekenhuis Stichting Almere The Netherlands
Catharina Ziekenhuis Stichting Eindhoven The Netherlands
St. Antonius Ziekenhuis Nieuwegein The Netherlands
Reinier de Graaf Groep Delft The Netherlands
Gelre Hospitals Zutphen The Netherlands
Rxwwmdogk Zapujstdha Ssjqfdpkk Arnhem The Netherlands
Agajoggsd Ugp Amsterdam The Netherlands

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
The Netherlands The Netherlands
Recruiting
13.12.2018

Trial locations

Investigated drugs:

Ulipristal is a medication used in this clinical trial to help manage symptoms caused by uterine fibroids, which are non-cancerous growths in the uterus. It works by altering the effects of the hormone progesterone in the body, which can help reduce the size of the fibroids and alleviate symptoms such as heavy menstrual bleeding and pelvic pain. This medication is being compared to standard surgical treatments to see how effective it is in improving the quality of life for women with symptomatic uterine fibroids.

Uterine fibroids – Uterine fibroids are non-cancerous growths that develop in or on the uterus. They are composed of muscle and fibrous tissue and can vary in size. These fibroids often grow slowly and may not cause symptoms initially. As they enlarge, they can lead to symptoms such as heavy menstrual bleeding, pelvic pain, and pressure on the bladder or bowel. The growth of fibroids is influenced by hormonal factors, particularly estrogen and progesterone. Over time, they may remain stable, grow, or shrink, especially after menopause.

Trial ID:
2024-512602-26-00
Protocol code:
NL62638.029.18
Trial Phase:
Therapeutic confirmatory (Phase III)

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