Evidence map›Paper›PMID 26881208›Full record

Trial reportBioMed research international2015

Treatment of Endometriosis with the GnRHa Deslorelin and Add-Back Estradiol and Supplementary Testosterone.

Sanjay K Agarwal, AnnaMarie Daniels, Steven R Drosman, Laurence Udoff, Warren G Foster, Malcolm C Pike, Darcy V Spicer, John R Daniels

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 10% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Gonadotropin-releasing hormone analogues for endometriosis.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Endometriosis andExperimental and therapeutic medicine · 2018
    Review
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 5 institutions in 2 countries.

Sanjay K AgarwalCenter for Endometriosis Research and Treatment, Department of Reproductive Medicine, UC San Diego, 9500 Gilman Drive, No. 0633, La Jolla, CA 92093-0633, USA.
AnnaMarie DanielsBalance Pharmaceuticals, 842 N Las Casas Avenue, Pacific Palisades, CA 90272, USA.
Steven R DrosmanGenesis Center for Clinical Research, 3651 4th Avenue, San Diego, CA 92103, USA.
Laurence UdoffGenetics and IVF Institute, 3015 Williams Drive, Fairfax, VA 22031, USA.
Warren G FosterDepartment of Obstetrics and Gynecology, McMaster University, 1280 Main Street West, HSC-3N52D, Hamilton, ON, Canada L8S 4K1.
Malcolm C PikeDepartment of Preventive Medicine, University of Southern California, 1441 Eastlake Avenue, Los Angeles, CA 90033, USA.
Darcy V SpicerDivision of Medical Oncology, University of Southern California, 1441 Eastlake Avenue, Los Angeles, CA 90033, USA.
John R DanielsDivision of Medical Oncology, University of Southern California, 1441 Eastlake Avenue, Los Angeles, CA 90033, USA.
University of Southern California · USCenter for Clinical Research (United States) · USGenetics and IVF Institute · USMcMaster University · CAUniversity of California, San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis randomized, multicenter, open-label clinical trial was intended to generate pilot data on the efficacy and safety of the gonadotropin-releasing hormone agonist (GnRHa) deslorelin (D) with low-dose estradiol ± testosterone (E2  ± T) add-back for endometriosis-related pelvic pain.

methodsWomen with pelvic pain and laparoscopically confirmed endometriosis were treated with a six-month course of daily intranasal D with concurrent administration of either transdermal E2, intranasal E2, or intranasal E2  + T. Efficacy data included evaluation of dyspareunia, dysmenorrhea, pelvic pain, tenderness, and induration. Cognition and quality of life were also assessed. Safety parameters included assessment of endometrial hyperplasia, bone mineral density (BMD), and hot flashes.

resultsEndometriosis symptoms and signs scores decreased in all treatment arms from a baseline average of 7.4 to 2.5 after 3 months of treatment and 3.4 after 6 months. BMD changes and incidence of hot flashes were minimal, and no endometrial hyperplasia was observed. Patient-reported outcomes showed significant improvement across multiple domains.

conclusionsDaily intranasal D with low dose E2  ± T add-back resulted in significant reduction in severity of endometriosis symptoms and signs with few safety signals and minimal hypoestrogenic symptoms that would be expected with the use of a GnRHa alone.

Indexed as

AdultEndometriosisEnzyme InhibitorsEstradiolFemaleHumansMiddle AgedTestosteroneTriptorelin PamoatedeslorelinEnzyme InhibitorsEstradiolTestosteroneTriptorelin Pamoate

Identifiers

PMID26881208
PMCPMC4736002
OpenAlexW2264252114

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.