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Trial registered on ANZCTR
Registration number
ACTRN12618000677202
Ethics application status
Approved
Date submitted
15/01/2018
Date registered
26/04/2018
Date last updated
26/04/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Mirena for treatment of polyps
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Scientific title
The role of the Mirena Intrauterine Device(LNG-IUD) in the management of endometrial polyps – a case control study.
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Secondary ID [1]
293771
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Endometrial polyps
306169
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Condition category
Condition code
Reproductive Health and Childbirth
305281
305281
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0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
To test the hypothesis that the LNG-IUD over a two month period by an endosurgical consultant(OB/GYN) can have a role in the treatment of endometrial polyps confirmed at outpatient hysteroscopy in premenopausal women.
It is an intrauterine device that is inserted into the uterus
It lasts 5years and released 20mcg of levonorgestrel daily
In the study the mirena was kept in for two months until they went on to have an inpatient hysteroscopy.
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Intervention code [1]
300027
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Not applicable
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Comparator / control treatment
A contemporaneous control was taken sequentially from the outpatient hysteroscopy database to match the case.
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Control group
Active
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Outcomes
Primary outcome [1]
304438
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Presence of polyp at second procedure at the time of hysteroscopy. Two months after insertion of the mirena at the time of general anaesthetic
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Assessment method [1]
304438
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Timepoint [1]
304438
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2 months post outpatient hysteroscopy
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Secondary outcome [1]
341934
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no secondary outcome
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Assessment method [1]
341934
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Timepoint [1]
341934
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No outcome timepoint as no secondary outcome
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Eligibility
Key inclusion criteria
Patients attending the MHW outpatient hysteroscopy clinic who were premenopausal, English speaking, over 18, with abnormal uterine bleeding and ultrasound findings suggestive of an endometrial polyp and no contraindications to the LNG IUD were approached for participation into the study. Patients who consented to participation and subsequently were proven to have an endometrial polyp on outpatient hysteroscopy were eligible for inclusion.
Control group also had to meet the same eligibility criteria as above.
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients with an inadequate grasp of English, were less than 18 years old or had a medical contraindication to the LNG-IUD were not eligible for the study.
Patients unable to give informed consent or declining participation into the study were excluded, underwent standard treatment and were not disadvantaged or delayed in any way.
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
20/04/2015
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Date of last participant enrolment
Anticipated
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Actual
12/04/2017
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Date of last data collection
Anticipated
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Actual
14/06/2017
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Sample size
Target
39
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Accrual to date
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Final
39
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
9752
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Mercy Hospital for Women - Heidelberg
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Recruitment postcode(s) [1]
18530
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3084 - Heidelberg
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Funding & Sponsors
Funding source category [1]
298388
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Hospital
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Name [1]
298388
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Mercy Hospital for Women
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Address [1]
298388
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163 Studley Rd, Heidelberg VIC 3084, Australia
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Country [1]
298388
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Australia
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Primary sponsor type
Hospital
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Name
Mercy hospital for Women
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Address
163 Studley Rd, Heidelberg VIC 3084, Australia
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Country
Australia
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Secondary sponsor category [1]
297516
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None
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Name [1]
297516
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None
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Address [1]
297516
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No address provided as no secondary sponsor
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Country [1]
297516
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
299381
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Mercy health HREC
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Ethics committee address [1]
299381
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163 Studley Rd, Heidelberg VIC 3084, Australia
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Ethics committee country [1]
299381
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Australia
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Date submitted for ethics approval [1]
299381
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03/12/2014
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Approval date [1]
299381
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21/01/2015
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Ethics approval number [1]
299381
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Mercy health HREC R14/17
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Summary
Brief summary
Objective – To test the hypothesis that the LNG-IUD can have a role in the treatment of endometrial polyps confirmed at outpatient hysteroscopy in premenopausal women. Design - We designed a case control study, in which premenopausal women who had a polyp diagnosed at outpatient hysteroscopy and had a LNG-IUD inserted were booked for GA hysteroscopy and polypectomy through the standard booking process. A contemporaneous control was taken sequentially from the outpatient hysteroscopy database to match the case. Results - A total of 39 patients were included in the study, with 19 in the exposed group and 20 in the control group. The mean age was 43.6 (SD = 5.6) and 43.2 (SD = 8.1) in the two groups, respectively. No difference was found in time interval between the two procedures in the intervention and control groups (mean 92 vs 84 days, p=0.73). However, the proportion of polyps present at second procedure was significantly higher in the control group (80% vs 37%; relative risk (RR) 2.17; 95% CI [1.16, 4.07]; p=0.0062). Conclusion – Our case control study found that the LNG-IUD can have a role in the treatment of polyps for women who have heavy menstrual bleeding. This is the first study to show regression of endometrial polyps post treatment with LNG-IUD by direct visualisation at hysteroscopy.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
80234
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Dr Prathima Chowdary
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Address
80234
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Mercy Health for Women
163 Studley Rd, Heidelberg VIC 3084, Australia
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Country
80234
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Australia
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Phone
80234
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+61474033777
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Fax
80234
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Email
80234
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[email protected]
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Contact person for public queries
Name
80235
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Prathima Chowdary
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Address
80235
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Mercy Health for Women
163 Studley Rd, Heidelberg VIC 3084, Australia
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Country
80235
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Australia
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Phone
80235
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+61474033777
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Fax
80235
0
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Email
80235
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[email protected]
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Contact person for scientific queries
Name
80236
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Prathima Chowdary
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Address
80236
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Mercy Health for Women
163 Studley Rd, Heidelberg VIC 3084, Australia
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Country
80236
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Australia
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Phone
80236
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+61474033777
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Fax
80236
0
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Email
80236
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
The Role of the Mirena Intrauterine Device in the Management of Endometrial Polyps: A Pilot Study.
2019
https://dx.doi.org/10.1016/j.jmig.2018.12.013
N.B. These documents automatically identified may not have been verified by the study sponsor.
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