The purpose of this study is to characterize the longitudinal bone mineral density (BMD) in premenopausal women with uterine fibroids or endometriosis.
This is a prospective observational study to characterize longitudinal BMD of premenopausal women with uterine fibroids or endometriosis over the 52-week observational period. Approximately 660 participants will be recruited into two cohorts: (1) premenopausal women with uterine fibroids confirmed by an ultrasound (approximately 260 participants), and (2) premenopausal women with endometriosis diagnosed or confirmed by surgical or direct visualization, or histopathology within 10 years of the Screening visit (approximately 400 participants). Since age is a strong risk factor for BMD change over time, participants in this observational study will be matched by age category (18 to 24, 25 to 34, 35 to 44, and ≥45 years old), with participants enrolled in the interventional studies of relugolix. During the Screening/Baseline period, the participant should be assessed for eligibility, and baseline dual-energy X-ray absorptiometry (DXA) scan will be obtained. Bone densitometry (lumbar spine \[L1-L4\], total hip, and femoral neck) will be obtained and submitted for central reading at Baseline, Week 24, and Week 52. Information related to health care utilization for uterine fibroids or endometriosis and concomitant medications will be collected at every visit and during the phone calls at Week 12 and Week 36. Collection of adverse events in this study will be limited to protocol-specified procedure-related adverse events. Reports of pregnancy will also be collected.
Study Type
OBSERVATIONAL
Enrollment
660
Percentage change in Bone Mineral Density (BMD) in lumbar spine (L1-L4).
Assessed by dual-energy X-ray absorptiometry (DXA) scan.
Time frame: from Baseline up to Week 52
Percentage change in BMD in the femoral neck and total hip.
Assessed by DXA scan.
Time frame: from Baseline up to Week 52
Absolute change in BMD in the lumbar spine (L1-L4), femoral neck and total hip.
Assessed by dual-energy X-ray absorptiometry (DXA) scan.
Time frame: from Baseline up to Week 52
Healthcare utilization for uterine fibroids or endometriosis
Assessed through participants self-reporting (may be aided by review of participant medical records). Healthcare utilization includes visits to gynecologists or other primary care providers, visits to urgent care, visits to emergency department, hospitalizations, procedures (diagnostic or surgical) or changes to medication concomitant related to uterine fibroids or endometriosis.
Time frame: over 52 weeks
Frequency of concomitant medication use.
Assessed through participants self-reporting.
Time frame: over 52 weeks
Change from Baseline on the European Quality of Life-5 Dimensions 5 Levels (EQ-5D-5L).
Assessed using participants responses on the EQ-5D-5L questionnaire. The EQ-5D-5L is a standardized measure of health-related quality of life states consisting of five dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression) each of which can take one of five responses (from 1= no problem to 5= extreme problems).
Time frame: from Baseline up to Week 52
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