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CTRI Number  CTRI/2015/10/006289 [Registered on: 21/10/2015] Trial Registered Retrospectively
Last Modified On: 20/10/2015
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Efficacy of ormeloxifene in uterine fibroids compared to oral contraceptives 
Scientific Title of Study   To compare the efficacy of ormeloxifene versus oral contraceptive pills in medical management of menorrhagia due to uterine myomas 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Alka Kriplani 
Designation  Professor 
Affiliation  All india institute of Medical Sciences, New Delhi 
Address  Room No. 3078, Teaching Block, 3rd Floor, Dept. of Obstetrics and Gynaecology, AIIMS, New Delhi

New Delhi
DELHI
110029
India 
Phone  911-26594933  
Fax    
Email  kriplanialka@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Astha Srivastava 
Designation  PG student 
Affiliation  All india institute of Medical Sciences, New Delhi 
Address  Room No. 3078, 3rd Floor, Teaching Block, dept of Obstetrics and Gynaecology

New Delhi
DELHI
110029
India 
Phone  91-9899847641  
Fax    
Email  astha1402@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Alka Kriplani 
Designation  Professor 
Affiliation  All india institute of Medical Sciences, New Delhi 
Address  Room No. 3078, Teaching Block, 3rd Floor, Dept. of Obstetrics and Gynaecology, AIIMS, New Delhi

New Delhi
DELHI
110029
India 
Phone  911-26594933  
Fax    
Email  kriplanialka@gmail.com  
 
Source of Monetary or Material Support  
AIIMS 
 
Primary Sponsor  
Name  All India institute of medical Sciences New Delhi 
Address  Room No. 3078, Teaching block, Dept. of Obstetrics and Gynaecology, AIIMS, New Delhi-110029 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Alka kriplani  AIIMS, New Delhi  Room no. 2, Gynae OPD, 3rd Floor, OPD Block. AIIMS
New Delhi
DELHI 
011-26594933

kriplanialka@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee, AIIMS, Ansari Nagar, New Delhi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients presenting with menorrhagia due to uterine myomas,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Novelon  Oral contraceptive pill containing Ethinyl Estradiol 30 mcg with Desogestrel 150 mg From Day 1 to day 21 of cycle for 6 months 
Intervention  Ormeloxifene  Ormeloxifene is a Selective Estrogen receptor modulator, which was given in the dose of 60 mg twice weekly for 6 months 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  Patients presenting with menorrhagia due to uterine myomas with intramural or subserosal myomas on ultrasound or submucosal grade 2 myomas on hysteroscopy 
 
ExclusionCriteria 
Details  Patients with more than 16 weeks gravid size uterus, submucosal myomas of grade 0 or 1 on hysteroscopy, atypia on endometrial histopathology, concurrent ovarian pathology, history or currently suffering from thromboembolic disease, smokers more than 35 years age, hypertension or with history of taking hormonal treatment within 3 months of treatment initiation 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
PBAC Score to assess menstrual blood loss  End of 1st, 3rd and 6th month during treatment and at 3 months after stopping treatment 
 
Secondary Outcome  
Outcome  TimePoints 
Bleeding days, cycle length, VAS score for dysmenorrhoea, Myoma volume, side effect, haemoglobin   End of 1st, 3rd and 6th month during treatment and at 3 months after stopping treatment, hemoglobin after 6 months of treatment 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   03/11/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   The study will be sent for publication after CTRI registration 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

Objective: To compare efficacy of ormeloxifene (Selective Estrogen Receptor Modulator) versus combined oral contraceptive pills (novelon) in medical management of menorrhagia due to uterine myomas.

Methods: Fifty women with menorrhagia due to myomas were recruited after taking informed consent and institute’s ethical clearance. Group-I (n=25) was given ormeloxifene 60mg twice weekly & group-II (n=25) was given combined oral contraceptive pills (novelon) from day 1 to 21 of menstrual cycle for 6 months. Menstrual blood loss was assessed by pictorial blood loss assessment chart (PBAC) score, myoma related symptoms like dysmenorrhoea were assessed by Visual Analogue Scale (VAS) and myoma volume was assessed by ultrasound.   Follow ups were done at 1, 3, 6 and 9 months. Haemoglobin was assessed at baseline, at 6 months and 9 months follow up.

Results: Mean baseline PBAC score reduced significantly in both groups at all follow ups. Reduction was greater with ormeloxifene. Myoma volume increased at sixth month in both the groups (p>0.05 in both groups). Seven (28%) developed ovarian cysts in group-I which disappeared after discontinuing treatment. No major adverse effect was seen in either group. 

 
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