DONNEZ, Jacques, Robert HUDEČEK, Olivier DONNEZ, Dace MATULE, Hans-Joachim ARHENDT, Janos ZATIK, Zaneta KASILOVSKIENE, Mihai Cristian DUMITRASCU, Hervé FERNANDEZ, David H. BARLOW, Philippe BOUCHARD, Bart C.J.M. FAUSER, Elke BESTEL, Paul TERRILL, Ian OSTERLOH and Ernest LOUMAYE. Efficacy and safety of repeated use of ulipristal acetate in uterine fibroids. Fertility and Sterility. New York: Elsevier Science Inc., 2015, vol. 103, No 2, p. 519-527. ISSN 0015-0282. Available from: https://dx.doi.org/10.1016/j.fertnstert.2014.10.038.
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Basic information
Original name Efficacy and safety of repeated use of ulipristal acetate in uterine fibroids
Authors DONNEZ, Jacques (56 Belgium), Robert HUDEČEK (203 Czech Republic, guarantor, belonging to the institution), Olivier DONNEZ (56 Belgium), Dace MATULE (440 Lithuania), Hans-Joachim ARHENDT (276 Germany), Janos ZATIK (348 Hungary), Zaneta KASILOVSKIENE (440 Lithuania), Mihai Cristian DUMITRASCU (642 Romania), Hervé FERNANDEZ (250 France), David H. BARLOW (634 Qatar), Philippe BOUCHARD (250 France), Bart C.J.M. FAUSER (250 France), Elke BESTEL (528 Netherlands), Paul TERRILL (826 United Kingdom of Great Britain and Northern Ireland), Ian OSTERLOH (826 United Kingdom of Great Britain and Northern Ireland) and Ernest LOUMAYE (756 Switzerland).
Edition Fertility and Sterility, New York, Elsevier Science Inc. 2015, 0015-0282.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30214 Obstetrics and gynaecology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 4.426
RIV identification code RIV/00216224:14110/15:00082298
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.fertnstert.2014.10.038
UT WoS 000348966700035
Keywords in English Repeated intermittent use; ulipristal acetate; uterine fibroid; quality of life; long-term treatment
Tags EL OK
Tags International impact, Reviewed
Changed by Changed by: Ing. Mgr. Věra Pospíšilíková, učo 9005. Changed: 14/4/2015 12:03.
Abstract
Objective: To investigate the efficacy and safety of repeated 12-week courses of 5 or 10 mg daily of ulipristal acetate for intermittent treatment of symptomatic uterine fibroids. Design: Double-blind, randomized administration of two 12-week courses of ulipristal acetate. Setting: Gynecology centers. Patient(s): A total of 451 patients with symptomatic uterine fibroid(s) and heavy bleeding. Intervention(s): Two repeated 12-week treatment courses of daily 5 or 10 mg of ulipristal acetate. Main Outcome Measure(s): Amenorrhea, controlled bleeding, fibroid volume, quality of life (QoL), pain. Result(s): In the 5- and 10-mg treatment groups (62% and 73% of patients, respectively) achieved amenorrhea during both treatment courses. Proportions of patients achieving controlled bleeding during two treatment courses were >80%. Menstruation resumed after each treatment course and was diminished compared with baseline. After the second treatment course, median reductions from baseline in fibroid volume were 54% and 58% for the patients receiving 5 and 10 mg of ulipristal acetate, respectively. Pain and QoL improved in both groups. Ulipristal acetate was well tolerated with less than 5% of patients discontinuing treatment due to adverse events.
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