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CompletedNCT04135118Updated Dec 27, 2023

Validation of the Adenomyosis Calculator

An observational study in Adenomyosis and Pelvic Pain Syndrome, sponsored by Oslo University Hospital. Completed at 5 sites in 2 countries. Open to female participants aged Up to 52 Years. Per ClinicalTrials.gov, last updated 2023-12-27.

Sponsored by Oslo University Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
500
Ages
Up to 52 Years
Sex
Female
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Study summary

Adenomyosis is a disease where ectopic endometrial glands affect the muscular wall of the uterus. Women that suffer from dysmenorrhea or infertility caused by adenomyosis need to confirm or rule out adenomyosis, and therefore tools for non-histologic confirmation of adenomyosis are indubitably required. Transvaginal ultrasound has been shown to be useful in diagnosing adenomyosis, but the interpretation of findings requires significant expertise in ultrasound and experience with diagnosing adenomyosis. This is because adenomyosis shows a very heterogeneous appearance in ultrasound. There are many different diagnostic signs that have to be considered and weighed.

In a previous study, the investigators have developed a diagnostic algorithm that helps clinicians diagnose adenomyosis with transvaginal ultrasound and a clinical examination. It showed good diagnostic accuracy and seemed to be very robust with regards to artifacts and experience of the examiner. It is now necessary to validate this prediction model in a new, prospective study so it can be used in clinical practice.

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Conditions studied

  • Adenomyosis
  • Pelvic Pain Syndrome
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In context

Adenomyosis

135 studies on the registry are indexed under Adenomyosis; 50 are open to participants now.

This study's enrollment of 500 is above the median of 150 across 56 observational studies indexed under Adenomyosis.

Browse Adenomyosis studies →

Lead sponsor

Oslo University Hospital is the lead sponsor of 810 studies on the registry; 148 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Up to 52 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

A consecutive sample of women that are scheduled for a hysterectomy at one of the study sites and fulfill eligibility criteria are invited to participate.

Inclusion criteria

  • Premenopausal (defined by having had menstruation the last six month)
  • If amenorrhea with levonorgestrel intrauterine device, the woman should be \< 45 years old
  • Hysterectomy planned due to a benign condition
  • Hysterectomy does not require morcellation it is allowed to divide the uterus into 2-3 pieces, given that the orientation of the specimen is still possible for the pathologist)
  • Written consent is given
  • Can communicate in Norwegian or English at the Norwegian study sites, and Finnish, Swedish or English at the Finnish study site.

Exclusion criteria

Exclusion Criteria:

  • Gynecological cancer present at the time of inclusion
  • Use of gonadotropin-releasing hormone agonist or antagonist within the last 3 months prior to the ultrasound evaluation
  • Prior endometrial ablation or resection
  • Postmenopausal status or no menstrual bleeding for the last 6 months, or amenorrhea with levonorgestrel-intrauterine device and age >45 years.
  • Need for morcellation of the uterus
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
500 participants (actual)
Patient registry
No
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What researchers measure

Primary outcomes

  1. Diagnostic accuracy of the prediction model for adenomyosis

    Diagnostic accuracy will be described using sensitivity (in %), specificity (in %), positive predictive value (in %), negative predictive value (in %), positive likelihood ratio (calculated by sensitivity/1-specificity), negative likelihood ratio (calculated as 1-sensitivity/specificity) and the area under the receiver-operator curve (as calculated with the (0-1) of the model.

    Time frame: 1 year

Secondary outcomes

  1. Intraclass correlation coefficient (ICC) between readers

    ICC values are categorized as follows: 0-0.20, slight agreement; 0.21-0.40, fair agreement; 0.41-0.60, moderate agreement; 0.61-0.80, substantial agreement; and 0.81-1, almost perfect agreement

    Time frame: 2 years

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Study locations

5 sites
  • Turku University Hospital
    Turku, 20521, Finland
  • Akershus University Hospital, Dept. of gynecology
    Lørenskog, Akershus 1478, Norway
  • St. Olavs Hospital, Dept. of Gynecology
    Trondheim, Trøndelag NO-7006, Norway
  • Sykehuset i Vestfold
    Tønsberg, Vestfold 3103, Norway
  • Department of Gynecology, Oslo University Hospital Ullevål and Rikshospital
    Oslo, 0382, Norway
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References and documents

Publications

  • Tellum T, Nygaard S, Skovholt EK, Qvigstad E, Lieng M. Development of a clinical prediction model for diagnosing adenomyosis. Fertil Steril. 2018 Oct;110(5):957-964.e3. doi: 10.1016/j.fertnstert.2018.06.009. PubMed 30316443 ↗

Individual participant data

Plan to share: Yes — We will share the values of all evaluated predictors in the model so that they can be used for re-calculation.

Supporting information: Study protocol, Sap

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04135118
Lead sponsor
Oslo University Hospital
Collaborators
The Hospital of Vestfold, University Hospital, Akershus, St. Olavs Hospital, Turku University Hospital
Responsible party
Marit Lieng (Head of department, dept. of gynecology, Oslo University Hospital, Oslo University Hospital) — Principal investigator
First posted
Oct 22, 2019
Start date
Jan 2, 2020
Primary completion
Jun 23, 2022
Completion
Sep 1, 2022
Last update
Dec 27, 2023

Study contacts

Marit Lieng, Phd
principal investigator · Oslo University Hospital, Oslo, Norway

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

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