Patient Centered Results for Uterine Fibroids (COMPARE-UF)

Duke University

Status: Completed

Conditions: Fibroids, Uterine

Treatments: Procedure: endometrial ablation; Procedure: magnetic resonance guided focused ultrasound; Procedure: radiofrequency ablation; Procedure: Uterine arterial embolization; Procedure: myomectomy; Drug: Medical Therapy; Procedure: hysterectomy

Study type: Observational

Funder types: Other

Identifiers

NCT02260752

RFA-HS-14-006 (Other Grant/Funding Number)

Pro00057883

Details and patient eligibility

About

The overall goal of this project is to better enable patients with uterine fibroids (UF) to make informed decisions about treatment options by leveraging the highest possible evidence of healthcare quality. The foundation of this project will be a multi-site, prospective registry of a diverse group of women who have undergone either medical or surgical treatment for UF.

Specifically, the investigators are interested in: comparing management options for symptom relief; comparing management options for preserving reproductive function; and comparing effectiveness among different subpopulations, including consideration of patient needs and preferences of treatment options.

Full description

COMPARE UF will enroll approximately 10,000 subjects across 9 clinical enrolling centers in the US. We anticipate recruitment to last approximately 24 months. Sites will consent interested patients and have them complete a patient contact information form to be used to contact the patient for telephone interviews. Following informed consent, the site will collect clinical information and several patient-reported outcomes scales, including the Uterine Fibroid Symptom Quality of Life Questionnaire (UFS-QOL), the Menopausal Rating Scale, and the EQ-5D, a standardized measure of general health outcomes.

In year 01 of this study, among patients receiving a procedure to treat their UF, 1000 will be asked to provide two blood samples: the first at time of enrollment (before the procedure) and the second at 12 months after the procedure. Samples will be evaluated for ovarian reserve via a blood assay measurement of anti-mullerian hormone.

Additionally, for patients who have a procedure to treat their UF, they will have a routine clinic follow-up visit, sometime between 6 - 12 weeks post procedure. Additional clinical data will be collected at this time.

For patients who are treated medically, there will be no further study-related clinic visits. Follow-up will occur exclusively by telephone.

All consented patients will complete telephone interviews at approximately 12, 24, and 36 months following the initial procedure. It is anticipated that patients enrolled during the first study year will complete a maximum of three years of follow-up. However, if additional funds become available, the investigators plan to extend the follow-up of enrolled patients to five years.

Enrollment: 3,094 patients

Sex: Female

Ages: 18 to 54 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of UF by imaging or pathology report within 2 years of enrollment initiation.
• Menstrual period within 12 months

Exclusion criteria

• Post-menopausal
• Men
• 55 years old or older

Trial design

3,094 participants in 2 patient groups

Medical

Description:

Patients who receive medical therapy only for treatment of their uterine fibroids

Treatment:

Drug: Medical Therapy

Procedure

Description:

Patients who have a hysterectomy, myomectomy, uterine arterial embolization, endometrial ablation, radiofrequency ablation, or magnetic resonance guided focused ultrasound to treat their UF.

Treatment:

Procedure: myomectomy

Procedure: Uterine arterial embolization

Procedure: hysterectomy

Procedure: radiofrequency ablation

Procedure: magnetic resonance guided focused ultrasound

Procedure: endometrial ablation