ClinicalTrials.gg
RecruitingNCT05478083AGAINST-PLDUpdated Nov 4, 2022

A GnRH Agonist IN Pre-menopausal Women STudy to Treat Severe Polycystic Liver Disease

A Phase 2 interventional study of Leuprorelin in Polycystic Liver Disease and Autosomal Dominant Polycystic Kidney, sponsored by University Medical Center Groningen. Recruiting at 2 sites in Netherlands. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2022-11-04.

Sponsored by University Medical Center Groningen · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2022; still recruiting 4 years 5 months later.

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Phase
Phase 2
Study type
Interventional
Enrollment
36
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 23 studies in Polycystic Kidney, Autosomal Dominant with a site in Netherlands — 4 open to participants now, 8 under way, 3 of them phase 3. Polycystic Kidney, Autosomal Dominant · Netherlands.

Planned enrollment
16th of 20
36 · median 79
Started
2022
with 3 others
Phase 2
6 of 23
2 open now
Registered
18th of 23
by date
Lead sponsor
3 of 23
University Medical Center Groningen

Among the 23 studies in Polycystic Kidney, Autosomal Dominant with a site in Netherlands, this one is the 16th largest by planned enrollment of the 20 interventional ones that give a count, is one of 4 that started in 2022, is one of 6 in phase 2, and was the 18th registered.

Polycystic Kidney, Autosomal Dominant

185 studies on the registry are indexed under Polycystic Kidney, Autosomal Dominant; 42 are open to participants now.

Browse Polycystic Kidney, Autosomal Dominant studies →

Open to participants now

4 of the 23 studies in Polycystic Kidney, Autosomal Dominant with a site in Netherlands are open now. Recruiting first, the newest first:

All 4 open studies →

A study can be open while its sites in Netherlands have not opened yet or have stopped. Only those recruiting at a site in Netherlands →

Who these studies take

Of the 30 Polycystic Kidney, Autosomal Dominant studies recruiting now, 8 (27%) set no upper age limit and 19 (63%) stop at 75 or younger; 7 take children under 18; 9 take healthy volunteers.

This study: 18 Years to 45 Years · female · no healthy volunteers.

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02

Study summary

Multicenter trial on the effect of the GnRH analogue leuprorelin on the growth of total liver volume in pre-menopausal women with very severe polycystic liver disease who, despite available therapy, experience growth and are heading for liver transplantation.

03

Conditions studied

  • Polycystic Liver Disease
  • Autosomal Dominant Polycystic Kidney
04

Who can participate

Ages eligible
18 Years to 45 Years
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

  • Female patients
  • Diagnosis of polycystic liver disease defined as the presence of more than 10 liver cysts
  • Age between 18 to 45 (inclusive) years;
  • Very large liver for age, defined as the upper 10% of liver volumes in specific age categories (based on a retrospective polycystic liver disease registry, n=1.600 patients)

    • 18-30 yr; height adjusted TLV > 2.0 L/m
    • 30-35 yr; height adjusted TLV > 2.2 L/m
    • 35-40 yr; height adjusted TLV > 2.5 L/m
    • 40-45 years; height adjusted TLV > 3.0 L/m
  • Availability of at least 1 historical MRI or CT scan made between 5 to 1 years before baseline visit of this study
  • Ongoing liver growth, defined as an increase in absolute total liver volume between the historical MRI or CT scan and the MRI at screening of this trial
  • Since somatostatin analogues are proven efficacious therapy for polycystic liver disease at this time it is required that:

    • patients use a somatostatin analogue and still have confirmed liver growth; OR
    • patient have a specific reason not to use this medication, .e.g. patient used a somatostatin analogue in the past, but had to stop it due to inefficacy or because he/she did not tolerate it, patient has a for using somatostatin analogues, no availability of somatostatin analogues
  • Voluntary written before performance of any study-related procedures not part of standard medical care, and able to read, comprehend, and respond to study questionnaires.

Exclusion criteria

Exclusion Criteria:

status or (vasomotor) symptoms indicating upcoming menopause

  • Anti Mullerian Hormone (AMH) measurement at screening visit \<0.03 ng/ml.
  • Active desire to have children, pregnancy or breast-feeding
  • for leuprorelin, such as history of cardiovascular disease, history of osteoporosis or osteoporosis determined by DEXA-scan at screening (T score ≤ - 2.5), or a known intolerance for leuprorelin
  • Liver transplantation or liver surgery expected within 1.5 years, to the discretion of the study doctor
  • Use of hormonal oral contra-conception containing estrogen and/or progesterone. In contrast, a hormone containing uterine device is not an exclusion criteria.
  • Contra-indications for MRI assessments (such as implants) or not able or willing to undergo MRI scan for other reasons (e.g. claustrophobia, profound obesity)
  • Kidney transplantation or chronic use of agents (such as cyclosporine, mycophenolic acid, tacrolimus but not prednisolone) for other indications
  • Severe hypertension, defined as a systolic blood pressure >160 mmHg and/or diastolic blood pressure > 100 mm Hg.
  • , uncontrolled medical condition that, in the opinion of the investigator, would put the safety of the patient at risk through participation, or which would affect the efficacy of safety analysis if the condition exacerbated during the study, or that may significantly interfere with study compliance, such as, but not restricted to, recurrent cholangitis, recurrent ascites or hepato-venous outflow obstruction, (history of) depression
  • Participation in other interventional studies at the same time.
Terms in these criteria, in plain language(5)

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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
36 participants (estimated)

Study arms

  • Active comparator
    Direct start

    36 months of treatment with study medication

    Drug: Leuprorelin

  • Other
    Delayed start

    First 18 months standard care, hereafter 18 months treatment with study medication

    Drug: Leuprorelin

Interventions

  • Treatment consist of leuprorelin 3.75 mg once monthly for the first 3 months followed by 3-monthly injections of 11.25 mg. The direct start group will use leuprorelin for 36 months. The delayed start group will use standard of care in the first 18 months.

06

What researchers measure

Primary outcomes

  1. Liver growth

    Liver volumes (in % per year) measured in the MRI at screening, 6 months, 18 months, 24 months and 36 months

    Time frame: 36 months

Secondary outcomes

  1. Polycystic liver disease related complaints

    PLD related complaints assessed by the Polycystic liver disease-Questionnaire at baseline, 6 months, 18 months, 24 months and 36 months

    Time frame: 36 months

  2. Menopause related complaints

    Menopause related complaints by using the validated MENQOL questionnaire at baseline, 6 months, 18 months, 24 months and 36 months

    Time frame: 36 months

  3. Patient reported mental health

    Quality of life and as subset mental health will be measured by the validated RAND SF-36 questionnaires at baseline, 6 months, 18 months, 24 months and 36 months

    Time frame: 36 months

  4. Patient reported physical health

    Quality of life and as subset physical health will be measured by the validated RAND SF-36 questionnaires at baseline, 6 months, 18 months, 24 months and 36 months

    Time frame: 36 months

  5. Kidney growth

    Kidney volumes (in % per year) measured in the MRI at screening, 6 months, 18 months, 24 months and 36 months

    Time frame: 36 months

  6. Sex hormone levels

    Anti Muller Hormone will be assessed at screening. Other Extensive laboratory includes estradiol, progesterone, AMH, FSH, LH levels at baseline, 6 months after start therapy and after 18 and 36 months.

    Time frame: 36 months

  7. Bone density

    Bone density measured by a DEXA scan at screening, 18 months and 36 months.

    Time frame: 36 months

  8. Renal function

    eGFR measurements and 24h urine analyisis (in ADPKD patients only) at baseline, 6 months, 18 months, 24 months and 36 months time

    Time frame: 36 months

  9. Bloodpressure

    Manual blood pressure measurements in millimetres of mercury (measure 3 times with 2 minutes in between) at screening, baseline, 3 months, 6 months, 12 months, 18months, 21 months, 24 months, 30 months and 36 months .

    Time frame: 36 months

  10. Heart rate

    Heart rate in beats per minute (measure 3 times with 2 minutes in between) measured at screening, baseline, 3 months, 6 months, 12 months, 18months, 21 months, 24 months, 30 months and 36 months .

    Time frame: 36 months

  11. Weight

    Body weight in kilograms measured at screening, baseline, 3 months, 6 months, 12 months, 18months, 21 months, 24 months, 30 months and 36 months .

    Time frame: 36 months

  12. Upper-arm-circumference

    Upper-arm-circumference in centimeters of the non-dominant arm measured at screening, baseline, 3 months, 6 months, 12 months, 18months, 21 months, 24 months, 30 months and 36 months.

    Time frame: 36 months

  13. Abdominal circumference

    Abdominal circumference in centimeters (measured at the level of the umbilicus) measured at screening, baseline, 3 months, 6 months, 12 months, 18months, 21 months, 24 months, 30 months and 36 months . At screening, length will be collected to calculate Body Mass Index.

    Time frame: 36 months

  14. Length

    At screening length in centimeters will be collected.

    Time frame: 1 month

  15. The number of participants experciencing a (serious) adverse events

    During each physical or telephone contact, the adverse effects are queried and registered in accordance with national protocol

    Time frame: 36 months

  16. Symptoms of depression

    Symptoms of depression measured by the validated BD-II questionnaires at baseline, 6 months, 18 months, 24 months and 36 months

    Time frame: 36 months

07

Study locations

1 of 2 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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

Started Jun 2022 (actual). Primary completion is estimated for Jun 2027, 60 months after the start.

Of 17 phase 2 interventional studies under Polycystic Kidney, Autosomal Dominant, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 53. This study's planned 60 months is above that.

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

Registered
May 9, 2022
First posted
Jul 28, 2022
StartActual
Jun 1, 2022
Primary completionEst.
Jun 1, 2027
CompletionEst.
Oct 1, 2027
Last update
Nov 4, 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 Nov 4, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05478083
Responsible party
Sponsor
First posted
Jul 28, 2022
Start date
Jun 1, 2022
Primary completion
Jun 1, 2027 (estimated)
Completion
Oct 1, 2027 (estimated)
Last update
Nov 4, 2022

Study contacts

Ron T Gansevoort
Contact
r.t.gansevoort@umcg.nl
+31 50 3610923
Renée Duijzer
Contact
renee.duijzer@radboudumc.nl

Oversight

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

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Studies of the drug tested here: Leuprolide

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