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Phase 2 N=53 Randomized Quadruple-blind Treatment

The Effect of Hormonal Add-Back Therapy in Adolescents Treated With a GnRH Agonist for Endometriosis: A Randomized Trial

Endometriosis

Enrolled (actual)
53
Serious AEs
25.5%
Results posted
Mar 2015
Primary outcome: Primary: Bone Mineral Density — 0.01; -0.11 g/cm^2 — p=0.10

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Norethindrone acetate + estrogens (Drug); norethindrone acetate + placebo (Drug)
Age
Pediatric, Adult · 13+ yrs
Sex
Female
Sponsor
Boston Children's Hospital
Primary completion
Oct 2013

Outcome Measures

OutcomeResultp-value
PRIMARY
Bone Mineral Density
0.01; -0.11 0.10
SECONDARY
Total Body Bone Mineral Content (BMC)
37; 15 0.02 sig

Summary

The purpose of this study is to determine whether a regimen of norethindrone acetate + placebo or norethindrone acetate + conjugated estrogens is superior in maintaining skeletal health and quality of life in adolescents treated with a GnRH agonist for endometriosis.

Eligibility Criteria

Inclusion Criteria

  • Age 13-22 years, at least two years post-menarche
  • Body mass index (BMI, kg/m2) between 18 -30 kg/m2
  • Surgical diagnosis of endometriosis
  • Clinical decision to treat with a GnRH agonist, leuprolide depot (Lupron Depot®; TAP Pharmaceuticals, Inc.) 11.25 mg intra-muscular every 3 months

Exclusion Criteria

  • Concomitant chronic diseases which affect bone health, such as cystic fibrosis, inflammatory bowel disease, renal disease, or diabetes mellitus
  • Markedly impaired liver function or liver failure
  • Personal history of thromboembolic event (such as deep venous thrombosis)
  • Medication use known to affect bone metabolism:
  • Glucocorticoid therapy (including inhaled steroids) or anticonvulsants used in the last 6 months
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00474851). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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