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.
ACTIVE_NOT_RECRUITING
PHASE2
69 participants
At 1 year
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
| 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
| 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
| 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 yearWill be defined as complete response or partial response based on the endometrial biopsy.
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 yearTo 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
| 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 monthPopulation: 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
| 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 adverse events
Adverse event data not reported
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
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place