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CTRI Number  CTRI/2016/05/006951 [Registered on: 20/05/2016] Trial Registered Retrospectively
Last Modified On: 19/05/2016
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To compare the effects of Cabergoline and Leuprolide acetate on pain in patients with endometriosis 
Scientific Title of Study   To Evaluate the Efficacy of Cabergoline as compared to GnRH Agonists in women with Endometriosis: A Prospective Open label Randomised Controlled Trial  
Trial Acronym  CAGE 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Garima Kachhawa 
Designation  Assistant Professor 
Affiliation  AIIMS, New Delhi 
Address  E 28 West Ansari Nagar

New Delhi
DELHI
110029
India 
Phone  9868246702  
Fax    
Email  garimakachhawa2012@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Garima Kachhawa 
Designation  Assistant Professor 
Affiliation  AIIMS, New Delhi 
Address  E 28 West Ansari Nagar

New Delhi
DELHI
110029
India 
Phone  9868246702  
Fax    
Email  garimakachhawa2012@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Neha Jain 
Designation  Junior Resident  
Affiliation  AIIMS,New Delhi 
Address  R.No.3086,Department of Obstetrics and Gynaecology 3rd Floor,Teaching Block, All India Institute of Medical Sciences East Ansari Nagar

New Delhi
DELHI
110029
India 
Phone  9871038422  
Fax    
Email  neha.doctor.jain@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Medical Sciences, New Delhi 
 
Primary Sponsor  
Name  Not Applicable 
Address  Not Applicable 
Type of Sponsor  Other [] 
 
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 Garima Kachhawa  ALL INDIA INSTITUTE OF MEDICAL SCIENCES  R.no.3086,Department of Obstetrics and Gynaecology, 3rd floor,Teaching Block EAST ANSARI NAGAR, NEW DELHI
South
DELHI 
9868246702

garimakachhawa2012@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Comittee, AIIMS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Endometriosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Cabergoline  Cabergoline 0.5 mg tablet will be given twice weekly orally for 4 months 
Comparator Agent  Leuprolide acetate(GnRH agonists)  Leuprolide acetate injection 3.75 mg will be given subcutaneously monthly for 4 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  1.Women with a clinical diagnosis with endometriosis by previous laproscopy or USG.
2.Presence of ovarian endometrioma not more than 6cm in diameter.
3.Women do not want to conceive for next 6 months.  
 
ExclusionCriteria 
Details  1.Patients with history of any hormonal treatment including contraceptives over past 3 months.
2.Body mass index (BMI) more than 30 kg/m2.
3.Patients with known history of allergy to one of the study medications.
4.Confirmed pregnancy.
5.H/o smoking, tobacco chewing.
6.Presence of hypertension, diabetes mellitus, hyperlipidemia, cardiovascular disease or any inflammatory disease
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1.Reduction in VAS score of pain more than 50% in these women.
2.Change in pre and post treatment levels of serum highly purified CRP(hpCRP),TNF-alpha and VEGF. 
4 months 
 
Secondary Outcome  
Outcome  TimePoints 
Reduction in size of Endometrioma as calculated by USG(more than 25% reduction will be taken as effective)  4 months 
Changes in Resistive Index (RI) and Pulsatility Index(PI) of ovarian blood flow.   4 months 
Changes in Pulse wave velocity of brachial artery  4 months 
Changes in the level of serum CA-125 and serum prolactin  4 months 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "50"
Final Enrollment numbers achieved (India)="50" 
Phase of Trial   N/A 
Date of First Enrollment (India)   19/01/2016 
Date of Study Completion (India) 30/06/2017 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 30/06/2017 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   not published 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This study is a prospective randomized, open label, parallel group, trial comparing the efficacy of Cabergoline 0.5mg tablet twice weekly and Leuprolide 3.75mg subcutaneous injections monthly for 4 months in 50 patients with endometriosis that will be conducted in Department of Obstetrics and Gynaecology, AIIMS. The primary outcome measures will be reduction in pain Visual Analog Score(VAS) by >50% and change in the pre and post treatment level of serum Vascular Endothelial Growth Factor(VEGF) after 4 months of treatment. The secondary outcomes will be reduction in size of endometrioma, changes in ovarian blood flow, change in pulse wave velocity of brachial artery and change in the serum levels of CA-125 and Prolactin after 4 months of treatment. 
Dosages: Cabergoline 0.5 mg twice weekly orally
               Leuprolide 3.75 mg monthly subcutaneously

Duration of treatment: 4 months
 
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