History
# Registration date Revision Id
3 2022-02-15, 1400/11/26 217947
2 2021-10-19, 1400/07/27 202713
1 2020-02-04, 1398/11/15 120709
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  • General information

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    70
    2018-12-21, 1397/09/30
    2020-02-07, 1398/11/18
    2019-12-21, 1398/09/30
    2021-03-14, 1399/12/24
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    2020-03-02, 1398/12/12
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    2021-05-18, 1400/02/28
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    2021-08-21, 1400/05/30
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    Completion of the sampling process and statistical analysis led us to update the recorded information of different sections of this trial in IRCT. As we have believed that this study might hold enormous potential for improving promising therapeutic agents to benefit patients who are suffering from various manifestations of endometriosis, especially endometrioma. Unfortunately, while updating the information related to the actual recruitment start/end dates, we noticed an inadvertent error in recording the expected recruitment start and end dates of the sampling, and a need has been felt on the imperative for transparency, accountability in order to fix that error and explain its causes to re-establish researchers’ trust in this clinical trial’s accuracy and reliability. All available evidence, including the date of approval of this clinical trial in the ethics committee of Tarbiat Modares University (IR.MODARES.REC.1398.143) and the date of entry of the researcher to the master's degree (1397-98 academic year) indicate an inadvertent error in the registration of this study and make the possibility of conducting this study in that time (before registration) unfeasible. We take full responsibility for the situation and all of patients’ consents and questionnaire forms with detailed for the current study are available upon any requests. In addition, the simultaneous recruiting of patients and the coronavirus pandemic and its lockdown resulted in study participants’ inaccessibility and trial personnel for in-person scheduled study visits and/or follow-up led to prolong sampling process and its postponement.
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    اتمام پروسه‌ی نمونه‌گیری بیماران و انجام آنالیزهای آماری، ما را بر آن داشت که اطلاعات ثبت شده این کلینیکال‌ترایال را بروز کنیم تا پژوهشگران علاقه‌مند به نتایج این مطالعه و فیلد اندومتریوز دید جامع‌تری نسبت به داروهای تاثیرگذار احتمالی بر شدت علائم و سیر پیشرفت این بیماری داشته‌باشند. متاسفانه هنگام ثبت اطلاعات مرتبط با اتمام روند نمونه‌گیری، متوجه خطای سهوی انجام گرفته در ثبت تاریخ شروع و اتمام مورد انتظار نمونه‌گیری شدیم و مجبور شدیم تا این مورد را اصلاح کنیم. تمام شواهد موجود از جمله تاریخ تایید این کارآزمایی بالینی در کمیته اخلاق دانشگاه تربیت مدرس(IR.MODARES.REC.1398.143) و تاریخ ورود پژوهشگر مربوطه به مقطع ارشد (سال تحصیلی98 -1397) دلالت بر خطای انجام گرفته در ثبت این مطالعه دارد به علاوه، همزمانی انجام نمونه‌گیری این مطالعه و همه‌گیری بیماری کووید 19 و قرنطینه ناشی از آن، منجر به طولانی شدن پروسه نمونه‌گیری و تعویق در آن شد
  • Sponsors / Funding sources

    #1
    contact.organization_id:
    Name of organization / entity - English: Tarbiat Modares University
    Name of organization / entity - Persian: دانشگاه تربیت مدرس
    Full name of responsible person - English: Shahideh Jahanian Sadatmahaleh
    Full name of responsible person - Persian: شهیده جهانیان سادات محله
    Street address - English: Jalal Al Ahmad Street، Iran
    Street address - Persian: جلال آل احمد، دانشگاه تربیت مدرس
    City - English: Tehran
    City - Persian: تهران
    Province: Tehran
    Country: Iran (Islamic Republic of)
    Postal code: 111-14115
    Phone: +98 21 8800 6544
    Fax: +98 21 8800 6544
    Email: pres@modares.ac.ir
    Web page address:
    contact.organization_id:
    Name of organization / entity - English: Vice chancellor for research Tarbiat Modares University
    Name of organization / entity - Persian: معاونت پژوهشی دانشگاه تربیت مدرس
    Full name of responsible person - English: Mohammad Javan
    Full name of responsible person - Persian: محمد جوان
    Street address - English: Jalal Al Ahmad Street، Iran
    Street address - Persian: جلال آل احمد، دانشگاه تربیت مدرس
    City - English: Tehran
    City - Persian: تهران
    Province: Tehran
    Country: Iran (Islamic Republic of)
    Postal code: 111-14115
    Phone: +98 21 8800 6544
    Fax: +98 21 8800 6544
    Email: pres@modares.ac.ir
    Web page address:

Protocol summary

Study aim
Evaluation and comparison of the effect of silymarin tablet (Levergel) on endometrial lesion volume and interleukin-6 inflammatory factor levels in women before and after intervention
Design
they are randomly divided into two groups: A (intervention group) and B (control group). The sample size required is pilot study of at least 10 patients in each group as a pilot study in Phase II of the clinical trial.
Settings and conduct
Gynecologists perform in hospitals and offices. For this purpose, Levergel tablets and placebo are coded by a research center. The lead researcher treats patients in a double-blind manner based on the drug package code. The code for the drug package is recorded on the personal information form and the researcher who completes the information form will not be informed of the type of treatment.
Participants/Inclusion and exclusion criteria
Married Women of Iranian Fertility (15-49) No chronic disease (diabetes, hypertension, liver and kidney disease, previous venous embolism ...) based on medical records Endometrioma based on gynecologist's diagnosis according to ultrasound and marker CA125 Be willing to participate in the study
Intervention groups
Those in the intervention group received Liverpool 140 mg twice daily for three months, and those in the control group received placebo for exactly three months with exactly the same appearance as the Liverpool tablet and with the same order. All people receive this drug along with their usual treatments (which include painkillers such as NSAIDs or a variety of hormonal compounds including estrogen and progesterone (LD tablets)) with the same treatment protocol according to the treatment of endometrial lesions. There is no drug between conventional endometrioma treatment and Liverpool treatment.
Main outcome variables
Lesion volume; Interleukin 6 levels

General information

Reason for update
Completion of the sampling process and statistical analysis led us to update the recorded information of different sections of this trial in IRCT. As we have believed that this study might hold enormous potential for improving promising therapeutic agents to benefit patients who are suffering from various manifestations of endometriosis, especially endometrioma. Unfortunately, while updating the information related to the actual recruitment start/end dates, we noticed an inadvertent error in recording the expected recruitment start and end dates of the sampling, and a need has been felt on the imperative for transparency, accountability in order to fix that error and explain its causes to re-establish researchers’ trust in this clinical trial’s accuracy and reliability. All available evidence, including the date of approval of this clinical trial in the ethics committee of Tarbiat Modares University (IR.MODARES.REC.1398.143) and the date of entry of the researcher to the master's degree (1397-98 academic year) indicate an inadvertent error in the registration of this study and make the possibility of conducting this study in that time (before registration) unfeasible. We take full responsibility for the situation and all of patients’ consents and questionnaire forms with detailed for the current study are available upon any requests. In addition, the simultaneous recruiting of patients and the coronavirus pandemic and its lockdown resulted in study participants’ inaccessibility and trial personnel for in-person scheduled study visits and/or follow-up led to prolong sampling process and its postponement.
Acronym
IRCT registration information
IRCT registration number: IRCT20150905023897N5
Registration date: 2020-02-04, 1398/11/15
Registration timing: prospective

Last update: 2021-10-25, 1400/08/03
Update count: 2
Registration date
2020-02-04, 1398/11/15
Registrant information
Name
ِDr. Shahideh Jahanian Sadatmahalleh
Name of organization / entity
Tarbiat Modares University
Country
Iran (Islamic Republic of)
Phone
+98 21 8288 4826
Email address
shahideh.jahanian@modares.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2020-02-07, 1398/11/18
Expected recruitment end date
2021-03-14, 1399/12/24
Actual recruitment start date
2020-03-02, 1398/12/12
Actual recruitment end date
2021-05-18, 1400/02/28
Trial completion date
2021-08-21, 1400/05/30
Scientific title
To evaluate the effect of Silymarin (Livergol) on IL-6 levels and endometrioma lesions: A Randomized Double-blind Placebo-controlled Trial
Public title
To evaluate the effect of Silymarin (Livergol) on IL-6 levels and endometrioma lesions: A Randomized Double-blind Placebo-controlled Trial
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Iranian Married Women in Fertility range (15-49) No chronic disease (diabetes, hypertension, liver and kidney disease, previous venous embolism ...) based on medical records Endometrioma based on gynecologist's diagnosis according to ultrasound sonography and marker CA125 People are willing to participate in the study
Exclusion criteria:
People with drug side effects. Individuals unwilling to continue to participate in the study Failure to comply with treatment protocol
Age
From 15 years old to 49 years old
Gender
Female
Phase
2
Groups that have been masked
  • Participant
  • Care provider
  • Investigator
  • Outcome assessor
  • Data analyser
  • Data and Safety Monitoring Board
Sample size
Target sample size: 60
Actual sample size reached: 70
Randomization (investigator's opinion)
Randomized
Randomization description
This study is randomized using permuted block randomization contains 4th block (two participants in experimental group and two participants in placebo group) by the Random allocation software .
Blinding (investigator's opinion)
Double blinded
Blinding description
The researcher and patient will be unaware of the treatment and grouping of the study. For this purpose, Levergel tablets and placebo are coded by a research center. The lead researcher treats patients in a double-blind manner based on the drug package code. The code for the drug package is recorded on the personal information form, and the researcher who completes the information form will not be informed of the type of treatment.
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Tarbiat Modares university
Street address
Jalal AleAhmad-Nasr, Tarbiat Modares University
City
Tehran
Province
Tehran
Postal code
11114115
Approval date
2019-10-22, 1398/07/30
Ethics committee reference number
IR.MODARES.REC.1398.143

Health conditions studied

1

Description of health condition studied
Endometrioma lesions
ICD-10 code
N80.1
ICD-10 code description
Endometriosis of ovary

Primary outcomes

1

Description
Interleukin 6 levels
Timepoint
At the beginning of the study and three months after starting the Livergol pill
Method of measurement
Using the ELISA method in pg / ml

2

Description
Endometrial lesion volume measurement
Timepoint
At the beginning of the study and three months after starting the Livergol pill
Method of measurement
ultrasound or laparoscopy in millimeters

3

Description
Sexual function
Timepoint
At the beginning of the study and three months after starting the Livergol pill
Method of measurement
Using the FSFI questionnaire

4

Description
Quality of Life
Timepoint
At the beginning of the study and three months after starting the Livergol pill
Method of measurement
Using the SF-12 questionnaire

5

Description
Pelvic pain
Timepoint
At the beginning of the study and three months after starting the Livergol pill
Method of measurement
VAS visual analog scale

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: People in the intervention group receive Liverpool 140 mg tablets at the pharmaceutical company twice daily for three months.
Category
Treatment - Drugs

2

Description
Control group: People in the control group used the placebo for exactly three months with exactly the same appearance of the Levergel tablet twice a day for three months.
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Arash hospital
Full name of responsible person
Shahideh Jahanian Sadatmahalleh
Street address
Alley 162, Shahid Baghdarnia Ave, after Shahid B, Resalat Highwayagheri Highway,
City
Tehran
Province
Tehran
Postal code
1653915981
Phone
+98 21 7788 3284
Fax
+98 21 7788 3196
Email
hosp_arash@tums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Vice chancellor for research Tarbiat Modares University
Full name of responsible person
Mohammad Javan
Street address
Jalal Al Ahmad Street، Iran
City
Tehran
Province
Tehran
Postal code
111-14115
Phone
+98 21 8800 6544
Fax
+98 21 8800 6544
Email
pres@modares.ac.ir
Web page address
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Vice chancellor for research Tarbiat Modares University
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Tarbiat modares University
Full name of responsible person
Shahideh Jahanian Sadatmahalleh
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Midwifery
Street address
Jalal E Al Ahmad
City
Tehran
Province
Tehran
Postal code
۱۴۱۱۷۱۳۱۱۶
Phone
+98 21 2230 6480
Fax
+98 21 8288 4826
Email
Shahideh.jahanian@modares.ac.ir

Person responsible for scientific inquiries

Contact
Name of organization / entity
Tarbiat Modares University
Full name of responsible person
Shahideh Jahanian Sadatmahalleh
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Midwifery
Street address
Jalal E Al Ahmad
City
Tehran
Province
Tehran
Postal code
۱۴۱۱۷۱۳۱۱۶
Phone
+98 21 2230 6480
Fax
+98 21 8288 4826
Email
shahideh.jahanian@modares.ac.ir

Person responsible for updating data

Contact
Name of organization / entity
Tarbiat Modares University
Full name of responsible person
Shahideh Jahanian Sadatmahalleh
Position
Assistant Professor
Latest degree
Ph.D.
Other areas of specialty/work
Midwifery
Street address
Jalal E Al Ahmad
City
Tehran
Province
Tehran
Postal code
۱۴۱۱۷۱۳۱۱۶
Phone
+98 21 2230 6480
Fax
+98 21 8288 4826
Email
shahideh.jahanian@modares.ac.ir

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
No - There is not a plan to make this available
Statistical Analysis Plan
No - There is not a plan to make this available
Informed Consent Form
No - There is not a plan to make this available
Clinical Study Report
No - There is not a plan to make this available
Analytic Code
No - There is not a plan to make this available
Data Dictionary
No - There is not a plan to make this available
Title and more details about the data/document
Information on the main outcome of the study
When the data will become available and for how long
1400
To whom data/document is available
Academic researchers
Under which criteria data/document could be used
Use for further research in the future
From where data/document is obtainable
Email Addressing Responsible for Study
What processes are involved for a request to access data/document
Submit a request to study and follow up
Comments
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