Evidence map›Paper›PMID 21055739›Full record

Trial reportFertility and sterility2011

Efficacy and tolerability of CDB-2914 treatment for symptomatic uterine fibroids: a randomized, double-blind, placebo-controlled, phase IIb study.

Lynnette K Nieman, Wendy Blocker, Tonja Nansel, Sheila Mahoney, James Reynolds, Diana Blithe, Robert Wesley, Alicia Armstrong

2 registry-linked trialsAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Fertility and sterility, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
11.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00290251 phase2completednot on this map

Evaluation of Whether the Selective Progesterone Receptor Modulator CDB-2914 Can Shrink Leiomyomata

TypeinterventionalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran2006 to 2010Enrolled72ConditionsLeiomyomaArmsulipristal acetate 20 mg, ulipristal acetate 10 mg, placebo
NCT02825719 phase4terminatednot on this mapstarted 2015, after this paper: background citation

Pilot Study on the Pre-operative Use of Ulipristal on Fibroid in Chinese Population

TypeinterventionalSponsorQueen Mary Hospital, Hong KongRan2015 to 2020Enrolled31ConditionsFibroidArmsUlipristal acetate, Placebo pills, Ferrous sulphate, Tranexamic Acid
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Selective progesterone receptor modulators (SPRMs) for uterine fibroids.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Pooled it
  3. Trial
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  7. Review
  8. Article
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  11. Article
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  15. Current medical treatment of uterine fibroids.Obstetrics & gynecology science · 2018
    Review
  16. Review
  17. Recent Advances in Uterine Fibroid Etiology.Seminars in reproductive medicine · 2017
    Review
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Lynnette K NiemanProgram in Reproductive and Adult Endocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA. NiemanL@nih.gov
Wendy Blocker
Tonja Nansel
Sheila Mahoney
James Reynolds
Diana Blithe
Robert Wesley
Alicia Armstrong
Eunice Kennedy Shriver Center · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USNational Institutes of Health Clinical Center · US

Funding

Reproductive Endocrinology And Infertility Clinical Training ProgramZIEHD008737 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI HILL, MICAH · 2011 to 2025
$24.0M
Steroid Hormone Action In Female ReproductionZIAHD000637 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI NIEMAN, LYNNETTE · 2009 to 2015
$2.4M
Intramural NIH HHS Z99 HD999999
6 · The paper itself

Abstract

objectiveTo evaluate the efficacy and tolerability of the P receptor modulator CDB-2914 (Ulipristal, CDB).

designRandomized, placebo-controlled double-blind clinical trial.

settingClinical research center. PATIENT(S): Premenopausal women with symptomatic uterine fibroids. INTERVENTION(S): Once-daily oral CDB (10 or 20 mg) or placebo (PLC) for 12 weeks (treatment 1). A second 3-month treatment with CDB (treatment 2) was offered. A computer-generated blocked randomization was used. MAIN OUTCOME MEASURE(S): Magnetic resonance imaging (MRI)-determined total fibroid volume (TFV) change was the primary outcome; amenorrhea and quality of life (QOL) were secondary end points. RESULT(S): Treatment 1 TFV increased 7% in the PLC group, but decreased 17% and 24% in the CDB10 and CDB20 groups. The TFV decreased further in treatment 2 (-11%). Amenorrhea occurred in 20/26 women taking CDB and none on PLC. Ovulation resumed after CDB. Hemoglobin improved only with CDB (11.9 ± 1.5 to 12.9 ± 1.0 g/dL) as did the Fibroid QOL Questionnaire symptom severity, energy/mood, and concern subscores, and overall QOL scores. The CDB was well tolerated, with no serious adverse events. Adverse events were unchanged during treatments. CONCLUSION(S): Administration of CDB-2914 for 3-6 months controls bleeding, reduces fibroid size, and improves QOL.

Indexed as

AdultAlgorithmsAntineoplastic Agents, HormonalDouble-Blind MethodFemaleHormone AntagonistsHumansLeiomyomaMiddle AgedNorpregnadienesPlacebosProgesteroneTreatment OutcomeUterine NeoplasmsAntineoplastic Agents, HormonalHormone AntagonistsNorpregnadienesPlacebosProgesteroneulipristal

Identifiers

PMID21055739
PMCPMC4180231
OpenAlexW1983768667

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.