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RecruitingNCT05162794Updated Nov 15, 2024

Is Laparoscopic Excision for Peritoneal Endometriosis Helpful or Harmful?

An interventional study of Laparoscopy with excision and Laparoscopy without excision in Endometriosis; Peritoneum, sponsored by University of Aarhus. Recruiting at 5 sites in Denmark. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2024-11-15.

Sponsored by University of Aarhus · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jan 2026, 9 months ago, but the record still lists the study as recruiting.
  • Started Jan 2022; still recruiting 4 years 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
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Study summary

The trial seeks to test effect of laparoscopic excision of peritoneal endometriosis on pelvic pain. Data will also be gathered on quality of life and neuropathic pain. Patients will be randomized to one of three groups: 1) laparoscopy with excision of endometrial tissue, 2) laparoscopy without excision of endometrial tissue and 3) waiting list control.

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Conditions studied

  • Endometriosis; Peritoneum

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Keywords

  • Pelvic pain
  • Quality of life
  • Post-surgical neuropathic pain
  • Endometriosis surgery
03

In context

Endometriosis

901 studies on the registry are indexed under Endometriosis; 259 are open to participants now.

This study's planned enrollment of 100 is above the median of 64 across 525 interventional studies indexed under Endometriosis.

Browse Endometriosis studies →

Lead sponsor

University of Aarhus is the lead sponsor of 1,274 studies on the registry; 183 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Adult (≥ 18 years) with suspected peritoneal endometriosis undergoing elective surgery for pain relief
  • Pain intensity ≥ 5 on Numeric Rating Scale (NRS) in the four weeks prior to giving consent

Exclusion criteria

Exclusion Criteria:

  • Other known conditions/diseases that may cause pelvic pain
  • Diagnosed personality disorder, schizophrenia or treatment with anti-psychotics
  • Planned pregnancy during study period
  • Women who cannot read or speak Danish
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Other
    Active Surgery

    Other: Laparoscopy with excision · Other: Medical treatment-as-usual

  • Other
    Diagnostic Surgery

    Other: Laparoscopy without excision · Other: Medical treatment-as-usual

  • Other
    No-surgery control

    Other: Medical treatment-as-usual

Interventions

  • OtherLaparoscopy with excision

    Diagnostic laparoscopy will be performed to visually confirm endometriosis in the peritoneum. Then, the relevant tissue will be excised and a histology will be performed.

  • OtherLaparoscopy without excision

    Diagnostic laparoscopy will be performed to visually confirm endometriosis in the peritoneum. However, no tissue will be excised and histology will not be performed.

  • OtherMedical treatment-as-usual

    Patients continue their hormonal and analgesic treatment-as-usual.

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What researchers measure

Primary outcomes

  1. Pelvic pain measured using NRS

    Pelvic pain intensity (sensory) and unpleasantness (affective) will be measured on 11-point Numeric Rating Scales (0 = no pain to 10 = worst pain imaginable) weekly.

    Time frame: Change from pre-randomization to 1, 3 and 6 months post-randomization.

Secondary outcomes

  1. Health-related Quality of Life measured using Endometriosis Health Profile-30

    Quality of Life will be measured using the validated and patient-generated, endometriosis-specific questionnaire "Endometriosis Health Profile 30", consisting of 30 questions rated on Likert scales.

    Time frame: Change from pre-randomization to 1, 3 and 6 months post-randomization.

  2. Neuropathic pain symptoms (patient-reported) measured using painDETECT

    Neuropathic pain symptoms (patient-reported) is measured using the validated painDETECT questionnaire.

    Time frame: Change from pre-randomization to 1, 3 and 6 months post-randomization.

  3. Neuropathic pain symptoms (assessed) measured using quantitative sensory testing

    Neuropathic pain symptoms (assessed) is measured using a quantitative sensory testing battery. Allodynia, pinprick and pressure pain thresholds are measured.

    Time frame: Change from pre-randomization to 6 months post-randomization.

  4. Work ability measured using "Work Ability Index"

    Work ability is measured using the "Work Ability Index" short questionnaire.

    Time frame: Change from pre-randomization to 1, 3 and 6 months post-randomization.

  5. Worst pelvic pain measured using NRS

    Worst pelvic pain intensity and unpleasantness will be measured on 11-point Numeric Rating Scales (0 = no pain to 10 = worst pain imaginable) weekly.

    Time frame: Change from pre-randomization to 1, 3 and 6 months post-randomization.

  6. Pain frequency measured using weekly count

    Pain frequency will be measured using a weekly count, ranging from 0 days of pain to 7 days of pain.

    Time frame: Change from pre-randomization to 1, 3 and 6 months post-randomization.

Other outcomes

  1. Widespread pain measured using body map

    Widespread pain will be measured using a body map. At each measurement point, participants will rate the areas where they experience pain.

    Time frame: Change from pre-randomization to 1, 3 and 6 months post-randomization.

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Study locations

5 of 5 sites recruiting
  • Regional Hospital Horsens, Department of Obstetrics and Gynecology
    Horsens, Central Jutland Region DK-8700, Denmark
    Recruiting
  • Aarhus University Hospital, Department of Obstetrics and Gynecology
    Aarhus N, DK-8200, Denmark
    Recruiting
  • Regional Hospital Herning, Department of Obstetrics and Gynecology
    Herning, DK-7400, Denmark
    Recruiting
  • Regional Hospital Randers, Department of Obstetrics and Gynecology
    Randers, DK-8930, Denmark
    Recruiting
  • Regional Hospital Viborg, Department of Obstetrics and Gynecology
    Viborg, DK-8800, Denmark
    Recruiting
08

References and documents

Publications

  • Marschall H, Forman A, Lunde SJ, Kesmodel US, Hansen KE, Vase L. Is laparoscopic excision for superficial peritoneal endometriosis helpful or harmful? Protocol for a double-blinded, randomised, placebo-controlled, three-armed surgical trial. BMJ Open. 2022 Nov 3;12(11):e062808. doi: 10.1136/bmjopen-2022-062808. PubMed 36328387 ↗

Individual participant data

Plan to share: Yes — When participant inclusion has ended, data can be shared in accordance with the ICJME guidelines, if relevant research objectives are provided. Data sharing will require approval from the Central Denmark Region and the Danish Data Protection Agency, and the requesting party shall cover any fees associated with data sharing. Requests for data can be addressed to af@clin.au.dk.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05162794
Lead sponsor
University of Aarhus
Collaborators
Aarhus University Hospital, Aalborg University Hospital
Responsible party
Sponsor
First posted
Dec 17, 2021
Start date
Jan 31, 2022
Primary completion
Jan 1, 2026 (estimated)
Completion
Jul 1, 2026 (estimated)
Last update
Nov 15, 2024

Study contacts

Henrik Marschall, MSc
Contact
hmars@psy.au.dk
+4522394563
Axel Forman, PhD, MD
study director · Aarhus University, Aarhus University Hospital, Denmark
Henrik Marschall, MSc
principal investigator · University of Aarhus
Dorthe K Thomsen, PhD
study chair · University of Aarhus

Oversight

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

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