IUB SEAD RED (Revolutionary Endometrial Ablation Device Study)

Last updated: November 7, 2023
Sponsor: Ocon Medical Ltd.
Overall Status: Active - Recruiting

Phase

N/A

Condition

Menstrual Disorders

Heavy Bleeding / Heavy Periods

Female Hormonal Deficiencies/abnormalities

Treatment

IUB SEAD

Clinical Study ID

NCT05606146
55P127
  • Ages 40-50
  • Female

Study Summary

One of the AUB symptoms, heavy menstrual bleeding (HMB), can lead to iron deficiency and iron deficiency anemia and in acute and severe cases, can necessitate emergency medical care. This study's focus is on the symptom of HMB which has a number of benign causes.

The investigative device, the IUB SEAD™, is a novel spherical endometrial ablation device developed to allow for simple, office-based chemical EA to treat benign causes of the symptom of HMB. The suggested procedure is expected to be simpler than the currently available EA methods and yet should still reduce the need for a hysterectomy.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Female subject age 40 to 50 years, inclusive
  2. Suffering from the symptom of heavy menstrual bleeding (HMB) from benign causes withno definable organic cause and are candidates for endometrial ablation or surgicaltreatment.
  3. PBAC score of >150 - an average of 2 consecutive screening scores prior to studytreatment
  4. Are thought to be ovulatory with cyclic predictable onset of menses with a cyclelength of 24-38 days.
  5. Have either a normal appearing endometrial cavity as assessed by hysteroscopyperformed within 90 days of study treatment, or one that is distorted by a FIGO Type 2submucous leiomyoma ≤3 cm in mean diameter.
  6. Have endometrial sampling with normal histology within 6 months of the studyprocedure.
  7. Premenopausal status confirmed by FSH level measurement at screening (FSH < 40 IU/L).FSH level measurement will be repeated in case of a borderline result
  8. Screening hemoglobin levels >9.0 g/dL
  9. Uterine sound measurement of 6.5-12 cm (external os to internal fundus)
  10. Negative serum pregnancy test at the Screening visit and on the day of SEAD™ treatment
  11. women whose sexual activity places them at risk for pregnancy must agree to use aneffective, non-hormonal, non-intrauterine method of contraception throughout thecourse of the study. For this study, acceptable effective methods of contraception areconsidered to be those listed below:
  • Barrier method, i.e., (a) condom (male or female) with spermicide or (b)diaphragm with spermicide or
  • Vasectomy (partner), or
  • Abstinence, if in line with the preferred and usual lifestyle of the subject [where abstinence is defined as refraining from heterosexual intercourse]
  1. Subject is able to understand and sign a written informed consent form
  2. Subject is willing and able to comply with scheduled visits, treatment plan,laboratory tests, and other study procedures
  3. The subject demonstrates an understanding of how to record menstrual blood loss usinga menstrual pictogram

Exclusion

Exclusion Criteria:

  1. Pregnant women or those who desire to conceive at any time in the future
  2. An endometrial cavity with any of the following: congenital malformation of (egseptate uterus), endometrial polyp >8 mm in largest dimension, FIGO Type 0 or 1leiomyomas of any diameter or Type 2 leiomyomas > 3 cm in mean diameter; intrauterineadhesions/ synechiae that distort the endometrial cavity sufficient to impairdeployment of the SEAD device.
  3. Underwent prior uterine surgery that interrupts the integrity of the uterine wall (e.g., transmural abdominal (laparoscopic or laparotomic) or hysteroscopic myomectomyand/or metroplasty during last 3 months prior to screening, classical Cesareansection, or endometrial ablation
  4. Have an abnormal endometrial biopsy that suggests either anovulation or a risk for thedevelopment of endometrial cancer (i.e., benign hyperplasia, endometrial hyperplasiawith atypia, endometrial intraepithelial neoplasia, endometrial cancer)
  5. Have a documented clinical history of titanium allergy or hypersensitivity to anycomponent of IUB™SEAD™.
  6. Suffers from active endometritis, active pelvic inflammatory disease (PID) or activesexually transmitted disease (STD)
  7. Suffers from active infection of the genitals, vagina, cervix, or uterus
  8. Presence of bacteremia, sepsis, or other active systemic infection
  9. Known/suspected abdominal, pelvic, or gynecological malignancy within the past 5 years
  10. Known clotting defects or bleeding disorders
  11. Currently using anticoagulant treatment
  12. Subjects with abnormal Papanicolaou (Pap) test or atypical squamous cells ofundetermined significance (ASCUS) with positive high-risk human papilloma virus (HPV)test result within the appropriate screen timeframe, and prior to SEAD™ treatment.Alternatively, a colposcopy performed prior to SEAD™ treatment, that showed evidenceof dysplasia requiring treatment. In case treatment was performed > 6 months prior toenrollment and follow-up was done with no evidence of disease by clinical evaluation,the subject is eligible.
  13. Suffers from clinically significant adenomyosis indicated by subject complaints orimaging
  14. Presence of an implantable contraceptive device, unless subject agrees to have thedevice removed immediately on screening, and prior to PBLAC assessment
  15. Post-partum ≤ 6-months
  16. Currently participating in or considering participation in a research study of aninvestigational drug or device that would begin during the course of thisinvestigational study
  17. Any general health or mental, or other situation or condition which, in the opinion ofthe Investigator, could present an increased risk for the subject or impact thesubject's ability to comply with protocol requirements.
  18. Has a polyp that was not removed before day of treatment

Study Design

Total Participants: 10
Treatment Group(s): 1
Primary Treatment: IUB SEAD
Phase:
Study Start date:
February 23, 2023
Estimated Completion Date:
July 31, 2024

Study Description

Chronic abnormal uterine bleeding (AUB), involving menstrual bleeding of abnormal quantity, duration, frequency, or regularity is experienced by 10-50% of women of reproductive age, adversely impacts quality of life, and can have substantial adverse economic impacts on patients, and healthcare systems. One of the AUB symptoms, heavy menstrual bleeding (HMB), can lead to iron deficiency and iron deficiency anemia and in acute and severe cases, can necessitate emergency medical care. This study's focus is on the symptom of HMB which has a number of benign causes.

While pharmacologic treatment options exist, they are not always effective, and they are frequently associated with both side effects and ongoing cost of care. Consequently, some women desire more definitive options. Endometrial ablation (EA) is a minimally invasive approach designed to manage a number of the causes of HMB and can be performed under direct intrauterine vision with resectoscopic instruments or with a non-resectoscopic approach (non-resectoscopic endometrial ablation or NREA). For NREA, one of a number of specially designed device is inserted into the endometrial cavity to deliver thermal, cryogenic or radiofrequency electrical energy in an attempt to destroy the uterine lining or endometrium. In some jurisdictions, NREA has become an accepted office-based procedure, but is still usually performed in an institutional setting, is associated with risks associated with the procedure, anesthesia, and subsequent infertility, and has a failure rate that averages about 26%. These devices are typically expensive and require training for the surgeon and the ancillary support staff.

The investigative device, the IUB SEAD™, is a novel spherical endometrial ablation device developed to allow for simple, office-based chemical EA to treat benign causes of the symptom of HMB. The suggested procedure is expected to be simpler than the currently available EA methods and yet should still reduce the need for a hysterectomy. This study will evaluate an additional exploratory endpoint in order to evaluate if there are detectable levels of silver in blood following SEAD treatment. SEAD treatment is performed locally by intrauterine administration for a duration of 30 minutes, during which the silver nitrate beads gradually dissolve. Upon dissolution the silver ions act on the mucus layer of the endometrium by binding to proteins and causing their denaturation, resulting in the formation of an eschar. The effect is local, and the bound silver is no longer active therefore it is unlikely that 100% of the silver dose will be available for absorption.

Connect with a study center

  • Shamir medical center

    Rishon LeZion,
    Israel

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.