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Trial registered on ANZCTR
Registration number
ACTRN12621001641886
Ethics application status
Approved
Date submitted
27/01/2021
Date registered
30/11/2021
Date last updated
30/11/2021
Date data sharing statement initially provided
30/11/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of Placentas of Women with Endometriosis
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Scientific title
Morphological Evaluation of Placentas of Pregnant Women with Endometriosis
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Secondary ID [1]
303262
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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:
Endometriosis
320447
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Pregnancy
320448
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Condition category
Condition code
Reproductive Health and Childbirth
318339
318339
0
0
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Other reproductive health and childbirth disorders
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Reproductive Health and Childbirth
321899
321899
0
0
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Normal pregnancy
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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
Placentas of women with endometriosis will be morphologically evaluated after delivery The analysis will be held in accordance with the placental classification system defined by G Turowski , L N Berge, L B Helgadottir et al., 2012;33(12):1026-35. This system is clinically oriented, unifying and simple placental pathology classification defining mainly nine major diagnostic categories including normal placenta.
Clinical Diagnostic categories are listed below:
1.Placenta with normal morphology,according to gestational age
2. Placenta with chorioamnionitis
3. Placenta with villitis and intervillositis
4. Placenta with maternal circulatory disorders
(decidual vasculopathy)
5. Placenta with fetal circulatory disorders
6. Placenta with delayed villous maturation
7. Placenta with findings, suggestive of genetic aberration
8. Placenta with implantation disorders
9. Placenta with other lesions
Each clinical situation has major defining characteristics defined by the authors.
The placentas will be transported to Pathology Department in the same hospital as soon as delivered. The specimens will be fixed and stored until the histopathological examination.
Each patient will be questioned about demographic variables but also antenatal problems such as antenatal bleeding in any trimester, placenta previa, small for gestational age, diabetes mellitus etc. But also, each patient will be questioned about the diagnostic procedures held for endometriosis, the stage of endometriosis and the time to pregnancy after the operation etc. The questionnaires for each patient will be filled by the gynecologist by the interview with the patient. A ten minute questionnaire will be held for this purpose.
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Intervention code [1]
319562
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
326305
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Establishment of any distortion in placental histopathology from normal in placentas of women with endometriosis.
The morphological evaluation of placentas of women with endometriosis, who delivered after 20th week of pregnancy will be held in accordance with the classification system defined by Turowski G. et al., (A new, clinically oriented, unifying and simple placental classification system, Placenta 2012 Dec;33(12):1026-35. doi: 10.1016/j.placenta.2012.10.002.).
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Assessment method [1]
326305
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Timepoint [1]
326305
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within 10 days after placental removal in C-section for each patient
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Secondary outcome [1]
403310
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Determination of antenatal complications in pregnant women with endometriosis by a questionnaire which is designed for this study. The questionnaire consists of adverse perinatal outcomes such as antenatal bleeding, preeclampsia, preterm deliery etc. which have been recently correlated with endometriosis in the literature.
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Assessment method [1]
403310
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Timepoint [1]
403310
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The 10 minute questionnaire will be held at the last visit before delivery
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Eligibility
Key inclusion criteria
Histopathologically confirmed diagnosis of endometriosis in a pregnant woman and delivery of the fetus after 20th week of pregnancy whether viable or not.
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Minimum age
18
Years
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Maximum age
45
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
None
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
This is the first study aims to evaluate histo-pathological properties of placentas of women with endometriosis. This is why, a power analysis can not be held for determination of the study population. The authors aim to define the distorted histo-pathological properties of those placentas to guide further research in this field of research.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
15/12/2021
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
40
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
23411
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Turkey
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State/province [1]
23411
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Ankara
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Funding & Sponsors
Funding source category [1]
307670
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Self funded/Unfunded
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Name [1]
307670
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Address [1]
307670
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Country [1]
307670
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Primary sponsor type
Individual
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Name
Asli Yarci Gursoy
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Address
Ufuk Universitesi Dr. Ridvan Ege Hastanesi
Kizilirmak, Ufuk Ünv. Cd No:1, 06510 Çankaya/Ankara
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Country
Turkey
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Secondary sponsor category [1]
310445
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None
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Name [1]
310445
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Address [1]
310445
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Country [1]
310445
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
307709
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Ufuk University Faculty of Medicine
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Ethics committee address [1]
307709
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Ufuk Universitesi Dr. Ridvan Ege Hastanesi Kizilirmak, Ufuk Ünv. Cd No:1, 06510 Çankaya/Ankara
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Ethics committee country [1]
307709
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Turkey
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Date submitted for ethics approval [1]
307709
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01/07/2020
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Approval date [1]
307709
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08/07/2020
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Ethics approval number [1]
307709
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20200708/6
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Summary
Brief summary
Endometriosis is a common gynecological disease characterized with presence of ectopic endometrial tissue outside the uterus. Recent literature about pregnancy outcomes in women with endometriosis revealed that some adverse outcomes are more common in this special population. Placental properties might be one of the possible mechanisms contributing to these adverse pregnancy outcomes but there has not been a study evaluating the placental morphological properties of these women. The current study aims to reveal the morphological properties of placenta in women diagnosed with endometriosis and delivered after 20th week of pregnancy.
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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
108222
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Dr Asli Yarci Gürsoy
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Address
108222
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Ufuk Üniversitesi Tip Fakültesi Dr Ridvan Ege Hastanesi
Kizilirmak, Ufuk Ünv. Cd No:1, 06510 Çankaya/Ankara
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Country
108222
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Turkey
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Phone
108222
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+903122044212
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Fax
108222
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Email
108222
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[email protected]
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Contact person for public queries
Name
108223
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Asli YarciGürsoy
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Address
108223
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Ufuk Universitesi Dr. Ridvan Ege Hastanesi
Kizilirmak, Ufuk Ünv. Cd No:1, 06510 Çankaya/Ankara
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Country
108223
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Turkey
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Phone
108223
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+903122044212
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Fax
108223
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Email
108223
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[email protected]
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Contact person for scientific queries
Name
108224
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Asli Yarci Gürsoy
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Address
108224
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Ufuk Universitesi Dr. Ridvan Ege Hastanesi
Kizilirmak, Ufuk Ünv. Cd No:1, 06510 Çankaya/Ankara
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Country
108224
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Turkey
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Phone
108224
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+903122044212
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Fax
108224
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Email
108224
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
The individual participant data regarding histo-pathological evaluation might be shared on request.
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When will data be available (start and end dates)?
The data will be complete when the targeted number of patients are included and will be available for about 1 year.
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Available to whom?
On request
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Available for what types of analyses?
The data will be shared on request for any research purpose (meta-analyses etc.).
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How or where can data be obtained?
The data will be shared on request via e mail (
[email protected]
) of the primary investigator, Asli Yarci Gürsoy.
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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
No additional documents have been identified.
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