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出境医 / 临床实验 / Vitamin D Deficit in Women With Uterine Fibroids

Vitamin D Deficit in Women With Uterine Fibroids

Study Description
Brief Summary:
Determinate the level of vitamin D in blood, and evaluate the prevalence of deficit and insufficiency among patients with diagnosis of uterine fibroids

Condition or disease Intervention/treatment
Leiomyoma Vitamin D Deficiency Fibroid Uterus Diagnostic Test: Level of Vitamin D

Detailed Description:
A cross-sectional prevalence study will be carried out, taking patients with a diagnosis of uterine fibroid in two hospitals; blood level of vitamin D will be taken to determine the proportion of patients with deficit and insufficiency; In addition, the number, size and type (according to the PALM-COEN classification) of the uterine fibroids in each patient will be analyzed.
Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 196 participants
Observational Model: Case-Only
Time Perspective: Cross-Sectional
Official Title: Vitamin D Deficit in Women With Uterine Fibroids
Actual Study Start Date : December 1, 2019
Estimated Primary Completion Date : October 30, 2020
Estimated Study Completion Date : December 30, 2020
Arms and Interventions
Group/Cohort Intervention/treatment
Level of vitamin D
Level in blood sample of vitamin D for each patient
Diagnostic Test: Level of Vitamin D
3 ml of venous blood will be taken to determine the level of vitamin D

Outcome Measures
Primary Outcome Measures :
  1. appointment for intervention [ Time Frame: 15 minutes ]

    All patients diagnosed with uterine fibroids who come for consultation, will be explained the protocol and if they agree to be part of it, an informed consent will be given and a 3 ml sample of venous blood will be taken.

    The sample will be analize in a COBAS 6000 ANALYZER SERIES model c501 (by ROCHE) and the reference levels will be:

    1-25 ng/mL - DEFICIT 25 - 30 ng/mL - INSUFFICIENCY > 30 ng/mL - Normal

    For this study, the qualitative variables will be expressed as frequencies and percentages (%); the quantitative variables will be expressed in means ± standard deviation. The prevalence of vitamin D deficiency at baseline will be calculated using the formula (total cases observed with vitamin D deficiency / total of patients included) X 100.



Biospecimen Retention:   Samples Without DNA
3 ml of venous blood sample to determine levels of vitamin D

Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   18 Years to 50 Years   (Adult)
Sexes Eligible for Study:   Female
Gender Based Eligibility:   Yes
Gender Eligibility Description:   Women with uterus and diagnosis of Uterine Leyomioma
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

All female patients diagnosed with uterine myomatosis who come for consultation, if they agree to be part of protocol, an informed consent will be given and a 3 ml sample of venous blood will be taken.

The present study will be performed in two Hospitals:

"Centro Médico Nacional de Occidente" (CMNO) "Hospital General Regional No. 45" (HGR 45) Both hospital established in the city of Guadalajara, Jalisco, Mexico.

Criteria

Inclusion Criteria:

  • Female
  • Diagnosis of uterine fibroid

Exclusion Criteria:

  • Female with diagnosis of uterine fibroid under treatment with exogenous vitamine D
Contacts and Locations

Contacts
Layout table for location contacts
Contact: LUIS ESTEBAN GONZALEZ VARELA, PhD +523312615736 invacemjal@hotmail.com
Contact: Yovana Marisol Gutiérrez Arias, PhD +5212345155 yovanadelen@hotmail.com

Locations
Layout table for location information
Mexico
Centro Médico Nacional de Occidente, Hospital de Gineco-Obstetricia Recruiting
Guadalajara, Jalisco, Mexico, 44600
Contact: Ana Fernanda Gómez Romero, PhD    +526671170105      
Contact: Gustavo Altamirano Briseño, PhD    +523331576042      
Hospital General Regional No. 45 Recruiting
Guadalajara, Jalisco, Mexico, 44600
Contact: Luis Esteban González Varela, MD    +5213312615736    invacemjal@hotmail.com   
Contact: Yovana Marisol Gutiérrez Arias, MD    +5212345155    yovanadelen@hotmail.com   
Sponsors and Collaborators
Instituto Mexicano del Seguro Social
Tracking Information
First Submitted Date July 2, 2019
First Posted Date July 23, 2019
Last Update Posted Date February 5, 2020
Actual Study Start Date December 1, 2019
Estimated Primary Completion Date October 30, 2020   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: July 22, 2019)
appointment for intervention [ Time Frame: 15 minutes ]
All patients diagnosed with uterine fibroids who come for consultation, will be explained the protocol and if they agree to be part of it, an informed consent will be given and a 3 ml sample of venous blood will be taken. The sample will be analize in a COBAS 6000 ANALYZER SERIES model c501 (by ROCHE) and the reference levels will be: 1-25 ng/mL - DEFICIT 25 - 30 ng/mL - INSUFFICIENCY > 30 ng/mL - Normal For this study, the qualitative variables will be expressed as frequencies and percentages (%); the quantitative variables will be expressed in means ± standard deviation. The prevalence of vitamin D deficiency at baseline will be calculated using the formula (total cases observed with vitamin D deficiency / total of patients included) X 100.
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Vitamin D Deficit in Women With Uterine Fibroids
Official Title Vitamin D Deficit in Women With Uterine Fibroids
Brief Summary Determinate the level of vitamin D in blood, and evaluate the prevalence of deficit and insufficiency among patients with diagnosis of uterine fibroids
Detailed Description A cross-sectional prevalence study will be carried out, taking patients with a diagnosis of uterine fibroid in two hospitals; blood level of vitamin D will be taken to determine the proportion of patients with deficit and insufficiency; In addition, the number, size and type (according to the PALM-COEN classification) of the uterine fibroids in each patient will be analyzed.
Study Type Observational
Study Design Observational Model: Case-Only
Time Perspective: Cross-Sectional
Target Follow-Up Duration Not Provided
Biospecimen Retention:   Samples Without DNA
Description:
3 ml of venous blood sample to determine levels of vitamin D
Sampling Method Non-Probability Sample
Study Population

All female patients diagnosed with uterine myomatosis who come for consultation, if they agree to be part of protocol, an informed consent will be given and a 3 ml sample of venous blood will be taken.

The present study will be performed in two Hospitals:

"Centro Médico Nacional de Occidente" (CMNO) "Hospital General Regional No. 45" (HGR 45) Both hospital established in the city of Guadalajara, Jalisco, Mexico.

Condition
  • Leiomyoma
  • Vitamin D Deficiency
  • Fibroid Uterus
Intervention Diagnostic Test: Level of Vitamin D
3 ml of venous blood will be taken to determine the level of vitamin D
Study Groups/Cohorts Level of vitamin D
Level in blood sample of vitamin D for each patient
Intervention: Diagnostic Test: Level of Vitamin D
Publications *
  • Bläuer M, Rovio PH, Ylikomi T, Heinonen PK. Vitamin D inhibits myometrial and leiomyoma cell proliferation in vitro. Fertil Steril. 2009 May;91(5):1919-25. doi: 10.1016/j.fertnstert.2008.02.136. Epub 2008 Apr 18.
  • Pavone D, Clemenza S, Sorbi F, Fambrini M, Petraglia F. Epidemiology and Risk Factors of Uterine Fibroids. Best Pract Res Clin Obstet Gynaecol. 2018 Jan;46:3-11. doi: 10.1016/j.bpobgyn.2017.09.004. Epub 2017 Oct 1. Review.
  • Lukes AS, Soper D, Harrington A, Sniukiene V, Mo Y, Gillard P, Shulman L. Health-Related Quality of Life With Ulipristal Acetate for Treatment of Uterine Leiomyomas: A Randomized Controlled Trial. Obstet Gynecol. 2019 May;133(5):869-878. doi: 10.1097/AOG.0000000000003211.
  • Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, Murad MH, Weaver CM; Endocrine Society. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011 Jul;96(7):1911-30. doi: 10.1210/jc.2011-0385. Epub 2011 Jun 6. Erratum in: J Clin Endocrinol Metab. 2011 Dec;96(12):3908.
  • Cashman KD, Sheehy T, O'Neill CM. Is vitamin D deficiency a public health concern for low middle income countries? A systematic literature review. Eur J Nutr. 2019 Feb;58(1):433-453. doi: 10.1007/s00394-018-1607-3. Epub 2018 Jan 17.
  • Atkinson SA. [The new dietary reference intakes from the Institute of Medicine for calcium and vitamin D]. Perspect Infirm. 2011 Sep-Oct;8(5):5. French.
  • Halder S, Al-Hendy A. Hypovitaminosis D and high serum transforming growth factor beta-3: important biomarkers for uterine fibroids risk. Fertil Steril. 2016 Dec;106(7):1648-1649. doi: 10.1016/j.fertnstert.2016.09.048. Epub 2016 Oct 25.
  • Jukic AM, Steiner AZ, Baird DD. Lower plasma 25-hydroxyvitamin D is associated with irregular menstrual cycles in a cross-sectional study. Reprod Biol Endocrinol. 2015 Mar 11;13:20. doi: 10.1186/s12958-015-0012-5.
  • Protic O, Toti P, Islam MS, Occhini R, Giannubilo SR, Catherino WH, Cinti S, Petraglia F, Ciavattini A, Castellucci M, Hinz B, Ciarmela P. Possible involvement of inflammatory/reparative processes in the development of uterine fibroids. Cell Tissue Res. 2016 May;364(2):415-27. doi: 10.1007/s00441-015-2324-3. Epub 2015 Nov 27.
  • Skowrońska P, Pastuszek E, Kuczyński W, Jaszczoł M, Kuć P, Jakiel G, Wocławek-Potocka I, Łukaszuk K. The role of vitamin D in reproductive dysfunction in women - a systematic review. Ann Agric Environ Med. 2016 Dec 23;23(4):671-676. doi: 10.5604/12321966.1226865. Review.
  • Holick MF. Vitamin D: A millenium perspective. J Cell Biochem. 2003 Feb 1;88(2):296-307. Review.
  • Ali, M. et al. Vitamin D synergizes the antiproliferative, apoptotic, antifibrotic and anti-inflammatory effects of ulipristal acetate against human uterine fibroids Fertility and Sterility, Volume 108, Issue 3, e66
  • Hartmann KE, Fonnesbeck C, Surawicz T, Krishnaswami S, Andrews JC, Wilson JE, Velez-Edwards D, Kugley S, Sathe NA. Management of Uterine Fibroids [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2017 Dec. Available from http://www.ncbi.nlm.nih.gov/books/NBK537742/
  • Munro MG, Critchley HO, Broder MS, Fraser IS; FIGO Working Group on Menstrual Disorders. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet. 2011 Apr;113(1):3-13. doi: 10.1016/j.ijgo.2010.11.011. Epub 2011 Feb 22.
  • Styer AK, Rueda BR. The Epidemiology and Genetics of Uterine Leiomyoma. Best Pract Res Clin Obstet Gynaecol. 2016 Jul;34:3-12. doi: 10.1016/j.bpobgyn.2015.11.018. Epub 2015 Dec 2. Review.
  • Dubuisson J. The current place of mini-invasive surgery in uterine leiomyoma management. J Gynecol Obstet Hum Reprod. 2019 Feb;48(2):77-81. doi: 10.1016/j.jogoh.2018.10.004. Epub 2018 Oct 12. Review.
  • Borah BJ, Nicholson WK, Bradley L, Stewart EA. The impact of uterine leiomyomas: a national survey of affected women. Am J Obstet Gynecol. 2013 Oct;209(4):319.e1-319.e20. doi: 10.1016/j.ajog.2013.07.017. Epub 2013 Jul 24.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: July 22, 2019)
196
Original Estimated Enrollment Same as current
Estimated Study Completion Date December 30, 2020
Estimated Primary Completion Date October 30, 2020   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Female
  • Diagnosis of uterine fibroid

Exclusion Criteria:

  • Female with diagnosis of uterine fibroid under treatment with exogenous vitamine D
Sex/Gender
Sexes Eligible for Study: Female
Gender Based Eligibility: Yes
Gender Eligibility Description: Women with uterus and diagnosis of Uterine Leyomioma
Ages 18 Years to 50 Years   (Adult)
Accepts Healthy Volunteers Yes
Contacts
Contact: LUIS ESTEBAN GONZALEZ VARELA, PhD +523312615736 invacemjal@hotmail.com
Contact: Yovana Marisol Gutiérrez Arias, PhD +5212345155 yovanadelen@hotmail.com
Listed Location Countries Mexico
Removed Location Countries  
 
Administrative Information
NCT Number NCT04030182
Other Study ID Numbers VIDANFI
Has Data Monitoring Committee Yes
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement Not Provided
Responsible Party Luis Esteban González Varela, Instituto Mexicano del Seguro Social
Study Sponsor Instituto Mexicano del Seguro Social
Collaborators Not Provided
Investigators Not Provided
PRS Account Instituto Mexicano del Seguro Social
Verification Date February 2020

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