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CTRI Number  CTRI/2022/04/041870 [Registered on: 13/04/2022] Trial Registered Prospectively
Last Modified On: 01/08/2023
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   post-approval Phase IV (Post-Market Clinical Follow-Up study) 
Study Design  Single Arm Study 
Public Title of Study   To assess how safe and effective Visanne (Dienogest) is in managing pelvic pain caused due to endometriosis 
Scientific Title of Study   Phase IV study to assess the safety and effectiveness of Dienogest (Visanne®) amongst Indian women with Endometriosis, in real-world clinical practice: the VISAGE Study 
Trial Acronym  VISAGE 
Secondary IDs if Any  
Secondary ID  Identifier 
19837, V.4.0, Dated 08.03.2022  Protocol Number 
NCT04808843  ClinicalTrials.gov 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Upal Vyas 
Designation  Therapeutic Area Head - Women Healthcare 
Affiliation  Bayer Pharmaceuticals 
Address  Bayer Pharmaceuticals, Bayer House, Central Avenue, Hiranandani Estate, Thane West

Thane
MAHARASHTRA
400607
India 
Phone    
Fax    
Email  upal.vyas@bayer.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Upal Vyas 
Designation  Therapeutic Area Head - Women Healthcare 
Affiliation  Bayer Pharmaceuticals 
Address  Bayer Pharmaceuticals, Bayer House, Central Avenue, Hiranandani Estate, Thane West

Thane
MAHARASHTRA
400607
India 
Phone    
Fax    
Email  upal.vyas@bayer.com  
 
Details of Contact Person
Public Query
 
Name  Dr Upal Vyas 
Designation  Therapeutic Area Head - Women Healthcare 
Affiliation  Bayer Pharmaceuticals 
Address  Bayer Pharmaceuticals, Bayer House, Central Avenue, Hiranandani Estate, Thane West

Thane
MAHARASHTRA
400607
India 
Phone    
Fax    
Email  upal.vyas@bayer.com  
 
Source of Monetary or Material Support  
Bayer Pharmaceuticals Pvt. Ltd. 
 
Primary Sponsor  
Name  Bayer Pharmaceuticals Pvt Ltd 
Address  Bayer House, Central Avenue, Hiranandani Estate, Thane West, Maharashtra- 400607 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 14  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vidushi Kulshreshtha  All India Institute of Medical Sciences  Department of Gynaecology and Obstetrics, Teaching Block, 3rd floor, Room- 3082-A, All India Institute of Medical Sciences, Ansari Nagar, New Delhi- 110029, India
New Delhi
DELHI 
9891910880

drvidushi.kul@gmail.com 
Dr Chirag Amin  Amins Hospital for Women  17 Manipushp Society Opp Sarthi 2 Behind Goyal Intercity Theltej Ahmedabad 380054
Ahmadabad
GUJARAT 
9825067563

meenachirag@yahoo.co.in 
Dr Bhaskar Pal  Apollo Gleneagles Hospital  Kolkata 58-Canal Circular Road, Kolkata -700 054
Kolkata
WEST BENGAL 
9831298236

palbas@hotmail.com 
Dr Suryanarayan Mohanty  Apollo Hospitals  Plot Number 251 Sainik School Road Unit 15
Khordha
ORISSA 
8093060027

drsnmohanty@yahoo.com 
Dr Pranab Kumar Biswas  Calcutta National Medical College  Professor in department of gynecology and obstetrics 32 Gorachand Road, Kolkata-14, West Bengal
Kolkata
WEST BENGAL 
9830134456

drpranabkrbiswas@gmail.com 
Dr Gayathri Kamath  Fortis Hospital  senior consultant obstetrics and gynecology fortis hospital 154/9, Bannerghatta Road, Bangalore- 560076.
Bangalore
KARNATAKA 
9844172375

gayathri.kamath@fortishealthcare.com 
Dr Jheelam Mukhopadhyay  Healthworld Hospitals  Department of Obstetrics and Gynecology Healthworld Hospitals C-49 Commercial area opp ESIC sub-regional office city centre Durgapur 713216
Barddhaman
WEST BENGAL 
9733307050

dr.jheelam@gmail.com 
Dr Sangeeta Rai  Institute of Medical Sciences, Banaras Hindu University  Banaras Hindu University Institute of Medical Sciences Varanasi 221005
Varanasi
UTTAR PRADESH 
9621591247

drsangeeta1977@yahoo.co.in 
Dr Manju Khemani  Max Smart Super Speciality Hospital  Saket Mandir Marg Press Enclave Road
New Delhi
DELHI 
9810611598

dr.manjukhemani@gmail.com 
Dr Alka Kriplani  Paras Hospital  Director and head department of gynecology obstetrics and ART Paras Hospital Gurgaon Ex-professor and Head Department of Obstetrics and gynecology Phase-1, C-1, Sushant Lok Road, Sector-43, Gurugram, Haryana- 122002
Gurgaon
HARYANA 
9810828717

kriplanialka16@gmail.com 
Dr Ramani Devi  Ramakrishna Medical Centre LLP  19,20,21 Vivekananda Nagar, Woraiyur, Trichy- 620003
Tiruchirappalli
TAMIL NADU 
9443155282

ramanidevidr@yahoo.co.in 
Dr Priti Vyas  Sangita Maternity Surgical & Diagnostic Centre  11 Gangavihar Residency 174 SV Road Behind Centre Square
Mumbai (Suburban)
MAHARASHTRA 
9869428728

drpritivyas@gmail.com 
Dr Hephzibah Kirubamani   Saveetha Medical College and Hospital  Department of Obstetrics & Gynecology, Saveetha Medical College and Hospital, Saveetha Nagar, Thandalam, Chennai- 602105
Chennai
TAMIL NADU 
9841043753

hepsi1002@yahoo.co.in 
Dr Niranjan Mayadeo  Seth GS Medical College and KEM Hospital  Seth GS Medical College and KEM Hospital, Dr. E. B. Road, Parel, Mumbai – 400012
Mumbai
MAHARASHTRA 
8369884832

drmayadeo@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 14  
Name of Committee  Approval Status 
Adroit Ethics Committee  Approved 
Banaras Hindu University Ethics Committee  Submittted/Under Review 
Ethics Committee, Calcutta National Medical College (EC-CNMC)  Approved 
Fortis Hospital Ethics Committee  Approved 
Institutional Ethics Committee   Approved 
Institutional Ethics Committee - AIIMS  Approved 
Institutional Ethics Committee - Clinical Studies  Approved 
Institutional Ethics Committee - Clinical Trials  Approved 
Institutional Ethics Committee - Seth GS Medical College and KEM Hospital  Submittted/Under Review 
Institutional Ethics Committee-Paras Hospital   Approved 
Max Healthcare Ethics Committee  Approved 
Plasmaart Resto Ethical Committee  Approved 
Saveetha Medical College and Hospital Institutional Ethics Committee  Approved 
Shrey Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N809||Endometriosis, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Female 
Details  Female patients in India at least 18 years of age
Clinical or surgical diagnosis of endometriosis: Clinical diagnosis by suggestive symptoms
and positive finding in imaging study (Chocolate cyst)
Patients diagnosed with endometriosis associated pelvic pain who have not been previously
treated with Dienogest
Decision to initiate treatment with Dienogest was made as per investigator’s routine
treatment practice
Signed informed consent 
 
ExclusionCriteria 
Details  Participation in an investigational program with interventions outside of routine clinical
practice
Contra-indications according to the local summary of product characteristics (SPC) 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The primary objective in this study is:
to assess the incidence of adverse events, in Indian Endometriosis patients on Dienogest therapy. 
0 months, 3 months and 6 months 
 
Secondary Outcome  
Outcome  TimePoints 
Change in endometriosis associated pelvic pain from baseline at six months, measured by 0-10
EAPP NRS. 
0 months, 3 months and 6 months 
 
Target Sample Size   Total Sample Size="160"
Sample Size from India="160" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   15/04/2022 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
Endometriosis is a chronic, progressive, estrogen-dependent disease of unknown aetiology, with a prevalence rate of up to 10% in women in reproductive age-group. Since there is no known cure for endometriosis, management is aimed at reducing pain, minimizing disease progression and preserving fertility. Dienogest is a progestin with both local and central effects in reducing endometriosis associated pelvic pain, with a good
safety profile. Based on the information from the clinical developmental program for Dienogest the Indian Health Authority (DCGI) has approved Dienogest for the management of pelvic pain associated with endometriosis and requested to carry out a phase IV post-approval study. The proposed regulatory postapproval Phase IV study is planned to assess the safety and effectiveness of Dienogest in patients in India with endometriosis associated pelvic pain, in real world clinical practice.
 
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