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Trial registered on ANZCTR
Registration number
ACTRN12607000496415
Ethics application status
Approved
Date submitted
25/09/2007
Date registered
27/09/2007
Date last updated
29/06/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Laparoscopic investigation of endometriosis using confocal endomicroscopy.
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Scientific title
Women with symptoms of endometriosis who are indicated for diagnostic or therapeutic surgery undergo in vivo microscopic imaging of endometriosis lesions for comparison with conventional histopathological analysis of biopsied lesions to assess the diagnostic potential of endomicroscopy in identifying lesions prior to therapeutic intervention.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Endometriosis.
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Condition category
Condition code
Reproductive Health and Childbirth
2510
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0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Confocal endomicroscopy
In vivo microscopic imaging using an intravenously administered fluorescent contrast agent (Fluorescein Sodium 10%), is performed during the participant's therapeutic or diagnostic surgery. Depending upon the number of lesions identified, endomicroscopic imaging is expected to add 10-20 minutes to each participant's laparoscopic surgery (1 session per participant).
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Intervention code [1]
2121
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Diagnosis / Prognosis
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Comparator / control treatment
Suspected endometriosis lesions will be biopsied at the time of laparoscopy, immediately prior to surgical intervention (e.g. ablation, excision) for conventional histopathological confirmation of the tissue type (endometriosis - uterine epithelium, endosalpingiosis - Fallopian tube epithelium, fibrosis, other normal tissue).
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Control group
Active
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Outcomes
Primary outcome [1]
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Endomicroscopy images from each lesion.
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Assessment method [1]
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Timepoint [1]
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During laparoscopy approximately 20-30 images per lesion will be collected to document the surface and subsurface cellular structure.
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Primary outcome [2]
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Macroscopic appearance of each lesion.
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Assessment method [2]
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Timepoint [2]
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At laparoscopy, the macroscopic appearance of each lesion will be recorded and assessed immediately prior to collecting endomicroscopy images.
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Primary outcome [3]
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Conventional histology from each lesion.
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Assessment method [3]
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Timepoint [3]
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Histopathological analysis of each biopsied lesion will be available from pathology approximately 1 week post laparoscopy.
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Secondary outcome [1]
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Accuracy of endomicroscopy for predicting histology based on a simple image classification system.
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Assessment method [1]
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Timepoint [1]
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Predictions of histology will be made during laparoscopy immediately after images of each lesion are obtained and before the conventional histology results are known (accuracy of predictions will be measured in the second series of patients only, once data from the first 8 patients are analysed).
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Eligibility
Key inclusion criteria
Women of reproductive age with symptoms consistent with endometriosis (including painful periods, pelvic pain, painful intercourse) who are indicated for diagnostic or therapeutic laparoscopy.
English speaking background.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Women under the age of 18 years.
Patients with inadequate English.
Patients who are mentally or legally incapacitated or unable to give informed consent.
Allergy or prior adverse reaction to Fluorescein Sodium.
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
30/10/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
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3053
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Recruitment postcode(s) [2]
270
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3121
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Optiscan Pty Ltd
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Address [1]
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15-17 Normanby Road
Notting Hill VIC 3168
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Country [1]
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Optiscan Pty Ltd
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Address
15-17 Normanby Road
Notting Hill VIC 3168
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Women's Hospital Human Research & Ethics Committee
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Ethics committee address [1]
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132 Grattan St Carlton VIC 3053
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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22/08/2007
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Ethics approval number [1]
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07/19
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Summary
Brief summary
The study aims to evaluate the diagnostic accuracy of a new cellular imaging device for identifying endometriosis lesions during surgery which require treatment or removal.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Ms Elise Murr
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Address
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15-17 Normanby Rd
Notting Hill VIC 3168
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Country
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Australia
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Phone
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+613 95383333
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Fax
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+613 95627742
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Martin Healey
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Address
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Head of Unit
Gynaecology 2
The Royal Women's Hospital
132 Grattan St
Carlton VIC 3053
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Country
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Australia
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Phone
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+613 94259833
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Fax
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+613 94278295
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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