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The objective of this study is to evaluate the effects of 10 mg and 25 mg doses of asoprisnil, compared to placebo, taken daily for 12 weeks, on uterine blood flow and the morphology of the endometrium and uterine fibroids.
No medical therapy is currently available for the long-term treatment of uterine fibroids. The objective of this study is to determine the effects of asoprisnil in uterine fibroid growth suppression. Full thickness biopsies obtained from surgical procedures will allow the assessment of asoprisnil's effects on the basalis, the myometrium, and on endometrial angiogenesis. Various other exploratory immunohistological and biochemical specimens will be collected to evaluate the mechanisms of action of asoprisnil in the endometrium, the myometrium, and in uterine fibroids.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
| |
| 2 | Experimental |
| |
| 3 | Placebo Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Asoprisnil | Drug | Asoprisnil 10mg Tablet, oral Daily for 12 weeks |
|
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| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline to the Final Visit in uterine artery blood flow as determined by change in Resistance Index. | Final visit |
| Measure | Description | Time Frame |
|---|---|---|
| Change from baseline in uterine artery blood flow as determined by change in Pulsatility Index. | Final Visit | |
| Morphological changes in the endometrium, myometrium and uterine fibroids. | Final Visit |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Abbott | Study Chair |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17339234 | Result | Williams AR, Critchley HO, Osei J, Ingamells S, Cameron IT, Han C, Chwalisz K. The effects of the selective progesterone receptor modulator asoprisnil on the morphology of uterine tissues after 3 months treatment in patients with symptomatic uterine leiomyomata. Hum Reprod. 2007 Jun;22(6):1696-704. doi: 10.1093/humrep/dem026. Epub 2007 Mar 5. |
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| ID | Term |
|---|---|
| D007889 | Leiomyoma |
| ID | Term |
|---|---|
| D009379 | Neoplasms, Muscle Tissue |
| D018204 | Neoplasms, Connective and Soft Tissue |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C488516 | asoprisnil |
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| Asoprisnil | Drug | Asoprisnil 25 mg Tablet, oral Daily for 12 weeks |
|
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| Placebo | Drug | Placebo Tablet, oral Daily for 12 weeks |
|
| Change from baseline in menstrual pictogram score. | Final Month |
| Percent change from baseline in volume of the largest fibroid. | Final Visit |
| Endometrial thickness (post-treatment histologic evaluation). | Final Visit |
| Change from baseline in endometrial thickness by transvaginal ultrasound. | Final Visit |
| Percent of ovulatory subjects. | Final Month |
| Change from baseline in the Uterine Fibroid Symptom-Quality of Life total symptom severity score and the Uterine Fibroid Symptom-Quality of Life total score. | Final Visit |