Mifepristone for Treatment of Uterine Fibroids

Mifepristone 5 mg Versus 10 mg for the Treatment of Uterine Leiomyomata. A Randomized, Double Blinded Clinical Trial.

The objectives of this study are to estimate the efficacy and safety of the daily administration of mifepristone 5 mg versus 10 mg for three months for the treatment of uterine fibroids.

The hypothesis of the study is that both mifepristone doses reduce the volume of the myoma in about 40% after 3 months of treatment.

Women, in fertile age or in premenopausal status, presenting symptomatic uterine fibroids were randomly assigned to receive 5 mg or 10 of mifepristone.

The diminishing of prevalence of symptoms attributable to uterine fibroids is the most important goal to achieve under both treatments. The possible side effects of mifepristone are slight and women's adherence to treatment is remarkable. Also the reduction of the volumes of the uterus and fibroids contribute to enhance the wellbeing of subjects.

Inclusion Criteria:

• Symptomatic uterine leiomyomata
• Reproductive age or premenopausal
• Accepting the use of non hormonal contraception
• Conformity in keeping a monthly log of all episodes of vaginal bleeding during the treatment as well as all side effects of mifepristone
• Agreeing to have ultrasound examinations in every follow-up or evaluation visit
• Agreeing to two endometrial biopsies: one before starting treatment and another in the following 10 days after treatment termination.

Exclusion Criteria:

• Pregnancy or desire to become pregnant
• Breastfeeding
• Hormonal contraception or any hormonal therapy received in the last three months
• Signs or symptoms of pelvic inflammatory disease
• Adnexal masses
• Abnormal or unexplained vaginal bleeding
• Suspected or diagnosed malignant neoplastic disease
• Signs or symptoms of mental illness
• Adrenal disease
• Sickle cell anemia
• Hepatic disease
• Renal disease
• Coagulopathy
• Any other severe or important disease
• Any contraindication to receiving antiprogestins