The effect of cabergoline in infertile women on peritoneal endometriosis related dysmenorrhea, chronic pelvic pain and fertility

2022-500792-31-00 Therapeutic use (Phase IV) Not authorised

Status Not authorised · 1 EU/EEA countries · 3 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Not authorised
Participants planned 80
Countries 1
Sites 3

Endometriosis in women with involuntary infertility

to evaluate the effectiveness of cabergoline on endometriosis associated pain symptoms among infertile patients with mild or moderate endometriosis.

Key facts

Sponsor
Turku University Central Hospital
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Decision date (initial)
2022-12-22
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Efficacy

to evaluate the effectiveness of cabergoline on endometriosis associated pain symptoms among infertile patients with mild or moderate endometriosis.

Secondary objectives 1

  1. to evaluate the effectiveness of cabergoline on endometriosis associated QoL among infertile patients with mild or moderate endometriosis.

Conditions and MedDRA coding

Endometriosis in women with involuntary infertility

VersionLevelCodeTermSystem organ class
20.0 PT 10014778 Endometriosis 100000004872

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. - Females - Age 20 – 37 year - Mild or moderate endometriosis either diagnosed by surgery or ultrasound or strong clinical suspicion of peritoneal endometriosis based on NICE Guidelines - Endometriosis related pain NRS > 3 (dysmenorrhea) - Primary or secondary infertility for 1 year or more - Cause of infertility: mild or moderate endometriosis, unknown ‘ - Regular ovulatory cycles

Exclusion criteria 1

  1. - Body mass index more than 35 kg/m2 or less than 18 kg/m2 - Severe endometriosis defined as o > 4 cm unilateral endometrioma or bilateral endometriomas o Adhesions above the level of sacrouterine ligaments demonstrated by absent sliding sign in ultrasound examination or detected surgically o Deep invasive endometriosis of bowel - Hormonal suppression of endometriosis or hormonal contraception within 6 mo - Other diagnosed cause of infertility o Ovulatory dysfunction o Tubal factor (Tubal occlusion, hydrosalpinx, tubal sterilization) o Uterine factor (Submucous myoma, intramural myoma > 4 cm, Uterine malformation apart from Uterus arcuatus) o Male factor o Social infertility - Indication for IVF-treatment - Hyperprolactinemia, macroprolactinemia excluded - Unbalanced hypothyreoidism - Cardiac disorders - Pleural, pericardiac or retroperinoteal fibrosis - Liver dysfunction - Clinical depression or other phychiatric disorder - Previous malignancy - Allergy for cabergoline - Insufficient skills in Finnish, Swedish or English language

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The worst Numeric Rating Scale of menstrual pain, weekly pelvic pain and pain during intercourse at baseline, during the treatment, at the end of treatment and at follow up after three natural or ovulation induction cycles and the change of worst NRS at baseline, at the end of treatment and at follow up after three natural or ovulation induction cycles. The number of subjects with reduction of the worst NRS of menstrual pain, weekly pelvic pain and weekly pain during intercourse by ≥30%, ≥50% ja

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Dostinex 0,5 mg tablett

PRD1968444 · Product

Active substance
Cabergoline
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
1 mg milligram(s)
Max total dose
3 mg milligram(s)
Max treatment duration
12 Week(s)
Authorisation status
Authorised
ATC code
G02CB03 — CABERGOLINE
Marketing authorisation
11079
MA holder
PFIZER OY
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
Encapsulated in gelatin cover

Placebo 1

Lume-kapselissa puolitettu yliopiston apteekin Placebo 9 mm tabletti (sis. mikrokiteistä selluloosaa sekä magnesium stearaattia).

N/A · Product

Other product name
N/A
Pharmaceutical form
N/A
ATC code
N/A — N/A
Marketing authorisation
N/A
MA holder
N/A
MA country
Iceland
Paediatric formulation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Turku University Central Hospital

Sponsor organisation
Turku University Central Hospital
Address
Kiinamyllynkatu 4-8
City
Turku
Postcode
20520
Country
Finland

Scientific contact point

Organisation
Turku University Central Hospital
Contact name
Varpu Jokimaa

Public contact point

Organisation
Turku University Central Hospital
Contact name
Varpu Jokimaa

Locations

1 EU/EEA country · 3 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Not authorised 80 3
Rest of world 0

Investigational sites

Finland

3 sites · Not authorised
Tampere University Hospital
Department of Obstetrics and Gynecology, Kalevantie 4, 33100, Tampere
Central Finland Hospital District Central Finland Hospital Nova
Department of Obstetrics and Gynecology, Hoitajantie 3, 40620, Jyvaskyla
Oulu University Hospital
Department of Obstetrics and Gynecology, Kajaanintie 50, 90220, Oulu

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2022-09-09 Finland Not acceptable
2022-12-19
2022-12-22