Trial Outcomes & Findings for Levonorgestrel-Releasing Intrauterine System in Treating Patients With Complex Atypical Hyperplasia or Grade I Endometrial Cancer (NCT NCT00788671)

NCT ID: NCT00788671

Last Updated: 2025-08-15

Results Overview

Will be defined as complete response or partial response based on the endometrial biopsy.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE2

Target enrollment

69 participants

Primary outcome timeframe

At 1 year

Results posted on

2025-08-15

Participant Flow

Recruitment period: November 2008- September 2015. All recruitments were done in a medical clinic setting.

69 participants enrolled, 12 participants did not participate on study (9) upgraded pathology, (2) screen failure and (1) withdrew.

Participant milestones

Participant milestones
Measure
Treatment
Single arm study, 52 mg levonorgestrel (Mirena) intrauterine device
Overall Study
STARTED
57
Overall Study
COMPLETED
47
Overall Study
NOT COMPLETED
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment
Single arm study, 52 mg levonorgestrel (Mirena) intrauterine device
Overall Study
Death
2
Overall Study
Unable to biopsy
1
Overall Study
Withdrawal by Subject
4
Overall Study
IUD expulsed
1
Overall Study
Lost to follow up
2

Baseline Characteristics

Participants diagnosed with Grade 1 Endometrioid Endometrial Cancer (G1EEC).

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Levonorgestrel-releasing IUD
n=57 Participants
Single arm study, 52 mg levonorgestrel (Mirena) intrauterine device
Age, Continuous
48 years
n=57 Participants
Sex: Female, Male
Female
57 Participants
n=57 Participants
Sex: Female, Male
Male
0 Participants
n=57 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
20 Participants
n=57 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
37 Participants
n=57 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=57 Participants
Race/Ethnicity, Customized
White
45 Participants
n=57 Participants
Race/Ethnicity, Customized
Black
9 Participants
n=57 Participants
Race/Ethnicity, Customized
Asian
2 Participants
n=57 Participants
Race/Ethnicity, Customized
Pacific Islander
1 Participants
n=57 Participants
Region of Enrollment
United States
57 participants
n=57 Participants
Body mass index (BMI) at diagnosis
45.5 kg/m^2
n=57 Participants
Parity
Parous
27 Participants
n=57 Participants
Parity
Nonparous
30 Participants
n=57 Participants
Menopausal status
Menopausal
25 Participants
n=57 Participants
Menopausal status
Premenopausal
32 Participants
n=57 Participants
Grade 1 Endometrioid Endometrial Cancer (G1EEC)
Desires of future childbearing
3 Participants
n=49 Participants • Participants diagnosed with Grade 1 Endometrioid Endometrial Cancer (G1EEC).
Grade 1 Endometrioid Endometrial Cancer (G1EEC)
BMI of >40 kg/m2
5 Participants
n=49 Participants • Participants diagnosed with Grade 1 Endometrioid Endometrial Cancer (G1EEC).
Grade 1 Endometrioid Endometrial Cancer (G1EEC)
Multiple comorbidities
2 Participants
n=49 Participants • Participants diagnosed with Grade 1 Endometrioid Endometrial Cancer (G1EEC).
Grade 1 Endometrioid Endometrial Cancer (G1EEC)
Desires future childbearing +BMI of >40 kg/m2
3 Participants
n=49 Participants • Participants diagnosed with Grade 1 Endometrioid Endometrial Cancer (G1EEC).
Grade 1 Endometrioid Endometrial Cancer (G1EEC)
BMI of >40 kg/m2 + multiple comorbidities
6 Participants
n=49 Participants • Participants diagnosed with Grade 1 Endometrioid Endometrial Cancer (G1EEC).
Grade 1 Endometrioid Endometrial Cancer (G1EEC)
Desires future childbearing + BMI of >40 kg/ m2þmultiple comorbidities
2 Participants
n=49 Participants • Participants diagnosed with Grade 1 Endometrioid Endometrial Cancer (G1EEC).

PRIMARY outcome

Timeframe: At 1 year

Will be defined as complete response or partial response based on the endometrial biopsy.

Outcome measures

Outcome measures
Measure
Treatment
n=47 Participants
Single arm study, 52 mg levonorgestrel (Mirena) intrauterine device
Response Rate at 12 Month
83 percentage of participants
Interval 72.7 to 90.3

PRIMARY outcome

Timeframe: At 1 year

To determine the efficacy of the Levonorgestrel Intrauterine Device (IUD) to treat complex atypical hyperplasia (CAH) and grade 1 endometrioid endometrial carcinoma (G1 EEC), defined as complete regression disease. The primary efficacy endpoint was pathologic response rate (RR) at 12 months defined as complete response (CR) or partial response (PR). CR was defined as no evidence of cancer or hyperplasia with atypia in patients with (CAH) or EEC. PR was defined as CAH in patients with EEC. Progressive disease (PD) was defined as grade 2 endometrioid endometrial cancer or above in patients with EEC or the presence of any cancer in patients with CAH.

Outcome measures

Outcome measures
Measure
Treatment
n=47 Participants
Single arm study, 52 mg levonorgestrel (Mirena) intrauterine device
Efficacy of the Levonorgestrel Intrauterine Device (IUD)
Complete Responders
37 Participants
Efficacy of the Levonorgestrel Intrauterine Device (IUD)
Partial Responders
2 Participants
Efficacy of the Levonorgestrel Intrauterine Device (IUD)
Stable Disease
3 Participants
Efficacy of the Levonorgestrel Intrauterine Device (IUD)
Progressive Disease
5 Participants

SECONDARY outcome

Timeframe: At baseline, 3 month, 6 month, 9 month and 12 month

Population: Number of participants analyzed differ for each row.

SF-36 is a standardized survey evaluating 8 aspects of functional health and well being (physical and social functioning, physical and emotional role limitations, bodily pain, general health, vitality, mental health); 2 summary scores (physical and mental component); and self evaluated change in health status (summary of health status). The score for subscale scores and 2 summary score is an average of the individual question scores, which are scaled 0-100 (100=highest level of functioning). Summary of health status is a 5-point Likert scale ranging from "0=much worse now" to "4=much better now". Higher subscale and summary score reflect better health status.

Outcome measures

Outcome measures
Measure
Treatment
n=57 Participants
Single arm study, 52 mg levonorgestrel (Mirena) intrauterine device
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Physical Functioning Baseline
61.1 score on a scale
Standard Deviation 31.2
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Physical Functioning 3 month
65.0 score on a scale
Standard Deviation 30.8
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Physical Functioning 6 month
69.0 score on a scale
Standard Deviation 29.6
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Physical Functioning 9 month
68.3 score on a scale
Standard Deviation 33.4
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Physical Functioning 12 month
66.3 score on a scale
Standard Deviation 31.9
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Role-Physical Baseline
55.1 score on a scale
Standard Deviation 41.8
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Role-Physical 3 month
61.9 score on a scale
Standard Deviation 38.8
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Role-Physical 6 month
69.0 score on a scale
Standard Deviation 41.6
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Role-Physical 9 month
74.4 score on a scale
Standard Deviation 38.2
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Role-Physical 12 month
74.3 score on a scale
Standard Deviation 39.3
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Role-Emotional Baseline
65.3 score on a scale
Standard Deviation 40.9
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Role-Emotional 3 month
61.6 score on a scale
Standard Deviation 40.3
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Role-Emotional 6 month
72.4 score on a scale
Standard Deviation 37.2
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Role-Emotional 9 month
71.7 score on a scale
Standard Deviation 39.6
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Role-Emotional 12 month
72.1 score on a scale
Standard Deviation 40.5
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Vitality Baseline
50.0 score on a scale
Standard Deviation 21.2
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Vitality 3 month
50.1 score on a scale
Standard Deviation 25.0
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Vitality 6 month
57.5 score on a scale
Standard Deviation 15.0
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Vitality 9 month
56.9 score on a scale
Standard Deviation 21.5
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Vitality 12 month
51.9 score on a scale
Standard Deviation 26.1
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Mental health Baseline
67.7 score on a scale
Standard Deviation 21.7
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Mental health 3 month
67.7 score on a scale
Standard Deviation 22.5
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Mental health 6 month
73.3 score on a scale
Standard Deviation 18.0
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Mental health 9 month
73.1 score on a scale
Standard Deviation 16.8
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Mental health 12 month
70.5 score on a scale
Standard Deviation 21.4
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Social functioning Baseline
68.5 score on a scale
Standard Deviation 27.9
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Social functioning 3 month
67.3 score on a scale
Standard Deviation 29.9
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Social functioning 6 month
77.7 score on a scale
Standard Deviation 22.3
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Social functioning 9 month
78.8 score on a scale
Standard Deviation 26.1
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Social functioning 12 month
72.0 score on a scale
Standard Deviation 28.5
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Pain Baseline
67.7 score on a scale
Standard Deviation 25.3
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Pain 3 month
70.5 score on a scale
Standard Deviation 24.0
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Pain 6 month
72.0 score on a scale
Standard Deviation 24.3
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Pain 9 month
73.5 score on a scale
Standard Deviation 24.9
Quality of Life Score Using the Short Form-36 (SF-36) Survey
Pain 12 month
70.7 score on a scale
Standard Deviation 23.4
Quality of Life Score Using the Short Form-36 (SF-36) Survey
General health Baseline
55.6 score on a scale
Standard Deviation 22.4
Quality of Life Score Using the Short Form-36 (SF-36) Survey
General health 3 month
56.8 score on a scale
Standard Deviation 22.2
Quality of Life Score Using the Short Form-36 (SF-36) Survey
General health 6 month
60.8 score on a scale
Standard Deviation 21.1
Quality of Life Score Using the Short Form-36 (SF-36) Survey
General health 9 month
62.0 score on a scale
Standard Deviation 20.0
Quality of Life Score Using the Short Form-36 (SF-36) Survey
General health 12 month
60.1 score on a scale
Standard Deviation 19.6

Adverse Events

Treatment

Serious events: 0 serious events
Other events: 26 other events
Deaths: 2 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment
n=57 participants at risk
Single arm study, 52 mg levonorgestrel (Mirena) intrauterine device
Blood and lymphatic system disorders
Vaginal bleeding
45.6%
26/57 • From baseline through 30 days following the IUD removal, up to 12 months
Gastrointestinal disorders
Abdominal/Pelvic pain
15.8%
9/57 • From baseline through 30 days following the IUD removal, up to 12 months
Investigations
Weight gain
19.3%
11/57 • From baseline through 30 days following the IUD removal, up to 12 months
Reproductive system and breast disorders
Breast pain
5.3%
3/57 • From baseline through 30 days following the IUD removal, up to 12 months
Nervous system disorders
Headache
3.5%
2/57 • From baseline through 30 days following the IUD removal, up to 12 months
Reproductive system and breast disorders
Vaginal discharge
1.8%
1/57 • From baseline through 30 days following the IUD removal, up to 12 months
Gastrointestinal disorders
Nausea
1.8%
1/57 • From baseline through 30 days following the IUD removal, up to 12 months

Additional Information

Dr. Shannon N. Westin, MD, Associate Professor, Gyn Onc & Reproductive Med

UT MD Anderson Cancer Center

Phone: (713) 794-4314

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place