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CompletedNCT04326049Updated Jul 19, 2022

LLETZ With Videocolposcopy Versus LLETZ With Binocular Colposcopy

An interventional study of LLETZ with videocolposcope and LLETZ with binocular colposcope in Uterine Cervical Dysplasia, sponsored by Zydolab - Institute of Cytology and Immune Cytochemistry. Completed at 1 site in Germany. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-07-19.

Sponsored by Zydolab - Institute of Cytology and Immune Cytochemistry · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
227
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

To assess the benefits of performing large Loop excision of the transformation Zone (LLETZ) using videocolposcopy compared to binocular colposcopy.

02

Conditions studied

  • Uterine Cervical Dysplasia

Keywords

  • conization
  • LLETZ
  • randomized controlled trial
  • colposcopy
  • binocular colposcopy
  • intraoperative colposcopy
  • videocolposcopy
  • loop excision
03

In context

Uterine Cervical Dysplasia

409 studies on the registry are indexed under Uterine Cervical Dysplasia; 76 are open to participants now.

This study's enrollment of 227 is above the median of 167 across 285 interventional studies indexed under Uterine Cervical Dysplasia.

Browse Uterine Cervical Dysplasia studies →

Lead sponsor

Zydolab - Institute of Cytology and Immune Cytochemistry is the lead sponsor of 9 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • proven cervical dysplasia
  • colposcopy Prior to conization

Exclusion criteria

Exclusion Criteria:

  • significant language barrier
  • a personal history of conization
  • pregnancy
  • the use of blood thinner
  • unwillingness to participate
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
227 participants (actual)

Study arms

  • Experimental
    LLETZ with videocolposcopy

    The LLETZ procedure will be performed using a videocolposcopy

    Device: LLETZ with videocolposcope

  • Active comparator
    LLETZ with binocular colposcopy

    The LLETZ procedure will be performed using a binocular colposcope

    Device: LLETZ with binocular colposcope

Interventions

  • DeviceLLETZ with videocolposcope

    Loop procedure using a videocolposcope in order to see and remove the abnormal cervical tissue

  • DeviceLLETZ with binocular colposcope

    Loop procedure using a binocular colposcope in order to see and remove the abnormal cervical tissue

06

What researchers measure

Primary outcomes

  1. the resected cone mass

    the resected cone mass will be quantified by weighing the removed tissue with a precision scale located in the operating room

    Time frame: 10 minutes

Secondary outcomes

  1. Margin status

    Resection margin is judge as "R0" if abnormal cells are not found in the margin of the biopsy or "R1" if abnormal cells remain in the margin of the biopsy. The histopathological examination will be done by an Independent pathologist

    Time frame: 2 Days after conization

  2. Operation time

    the time from the beginning of the Operation (start of the electrosurgical method) until the end of the operation (the end of hemostatic interventions) will be measured in minutes

    Time frame: 20 minutes

  3. Operative complications

    Operative complications defined as necessity to intervene therapeutically up to 14 days postoperatively

    Time frame: 14 days

  4. number of fragments of the surgical specimen

    surgeons will count the number of the surgical specimen (1 vs. \>1)

    Time frame: 10 minutes

  5. The circumference of the surgical specimens

    The circumference of the surgical specimens will be measured in cm

    Time frame: 2 Days after conization

  6. the length of the surgical specimens

    The length of The surgical specimens will be measured in cm

    Time frame: 2 Days after conization

  7. the thickness of the surgical specimens

    The thickness of The surgical specimens will be measured in cm

    Time frame: 2 Days after conization

  8. handling of the device

    surgeons will score their preference regarding the surgical method using an 11-step visual analogue scale (VAS) for ,(ranging from 0 (,very easy') to 10 (,very difficult')

    Time frame: 30 minutes

  9. satisfaction with the device

    surgeons will score their preference regarding the surgical method using an 11-step visual analogue scale (VAS) for ,satisfaction with the device' (ranging from 0 (,very satisfied') to 10 (,absolutely not satisfied')

    Time frame: 30 minutes

  10. Time to complete intraoperative hemostasis

    the time until complete hemostasis as judged by the surgeon has been achieved, will be measured in seconds

    Time frame: 120 seconds

  11. Intraoperative blood loss

    intraoperative blood loss will be measured using the difference in serum hemoglobin one day prior to surgery and within 5 hours postoperatively

    Time frame: 5 hours

07

Study locations

1 site
  • Department of Obstetrics and Gynecology of the Ruhr University Bochum
    Herne, NRW 44625, Germany
08

References and documents

Publications

  • Rezniczek GA, Neghabian N, Rehman S, Tempfer CB. Video colposcopy versus headlight for large loop excision of the transformation zone (LLETZ): a randomised trial. Arch Gynecol Obstet. 2022 Feb;305(2):415-423. doi: 10.1007/s00404-021-06331-0. Epub 2021 Nov 21. PubMed 34802113 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2020 to primary completion in Mar 2021, 12 months.

Of 77 non-industry interventional studies with no phase under Uterine Cervical Dysplasia, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 54. This study's 12 months is below that.

Counting every sponsor, half of 81 studies reached it within 26 months; a quarter within 13 and three quarters within 54.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 25, 2020
First posted
Mar 30, 2020
StartActual
Mar 25, 2020
Primary completionActual
Mar 28, 2021
CompletionActual
Jun 29, 2021
Last update
Jul 19, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 19, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04326049
Lead sponsor
Zydolab - Institute of Cytology and Immune Cytochemistry
Responsible party
Sponsor
First posted
Mar 30, 2020
Start date
Mar 25, 2020
Primary completion
Mar 28, 2021
Completion
Jun 29, 2021
Last update
Jul 19, 2022

Study contacts

Ziad Hilal, M.D.
principal investigator · Zydolab - Institute of Cytology and Immune Cytochemistry

Oversight

Data monitoring committee
No
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 Jul 2022. You cannot join it, but the record below documents what was studied.

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