Clinical trial • Other

Cabergoline for Endometriosis

Clinical trial of Cabergoline for Endometriosis.

Overview

Trial Therapeutic Area
Other
Trial Disease
Endometriosis
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
20-06-2025
First CTIS Authorization Date
17-09-2025

Trial design

Comparator: Sibilla diario 2 mg / 0.03 mg (dienogest + ethinylestradiol) oral tablet, 1 tablet daily (standard hormonal treatment). The protocol also allows standard treatment comparators (dienogest or combined contraceptives).-controlled trial across 1 site in Spain.

Comparator
Comparator: Sibilla diario 2 mg / 0.03 mg (dienogest + ethinylestradiol) oral tablet, 1 tablet daily (standard hormonal treatment). The protocol also allows standard treatment comparators (dienogest or combined contraceptives).
Target Sample Size
120

Eligibility

Recruits 120 No vulnerable populations selected (isVulnerablePopulationSelected: false). Participants are adults (aged 18–40) and must provide consent as per inclusion criterion 'Consent to participate in the study.' A subject information and informed consent form document is listed in the dossier. No assent procedures or minor/guardian consent arrangements are described..

Pregnancy Exclusion
Pregnancy or breastfeeding at the start of the study.
Vulnerable Population
No vulnerable populations selected (isVulnerablePopulationSelected: false). Participants are adults (aged 18–40) and must provide consent as per inclusion criterion 'Consent to participate in the study.' A subject information and informed consent form document is listed in the dossier. No assent procedures or minor/guardian consent arrangements are described.

Inclusion criteria

  • {"criterion_text":"- Aged between 18 and 40 years old, and premenopausal."}
  • {"criterion_text":"- Confirmed diagnosis of endometriosis by ultrasound/magnetic resonance imaging/laparoscopy."}
  • {"criterion_text":"- Pelvic pain (≥1 month) assessed using a VAS scale ≥3 points."}
  • {"criterion_text":"- No treatment with cabergoline in the three months prior to the start of the study."}
  • {"criterion_text":"- BMI between 18 and 35 kg/m²."}
  • {"criterion_text":"- No allergy to the treatments."}
  • {"criterion_text":"- Consent to participate in the study."}
  • {"criterion_text":"- Ability to speak and understand the message."}

Exclusion criteria

  • {"criterion_text":"- Documented allergy to dopamine agonists or previous serious side effects with cabergoline"}
  • {"criterion_text":"- Severe uncontrolled comorbidities (ASA> III)."}
  • {"criterion_text":"- Active thromboembolic disease."}
  • {"criterion_text":"- Pregnancy or breastfeeding at the start of the study."}
  • {"criterion_text":"- History of heart valve disorders, history of fibrotic disorders, or impaired liver function."}
  • {"criterion_text":"- Breast Cancer"}
  • {"criterion_text":"- Patient unwillingness to participate in the study"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Reduction in the size of endometriotic lesions assessed by transvaginal ultrasound/magnetic resonance imaging (MRI)/laparoscopy.","definition_or_measurement_approach":"Size reduction assessed by transvaginal ultrasound, MRI, or laparoscopy."}
  • {"endpoint_text":"- Relief of pelvic pain measured by visual analogue scale (VAS) before and after treatment.","definition_or_measurement_approach":"Pelvic pain measured using visual analogue scale (VAS) pre- and post-treatment."}

Secondary endpoints

  • {"endpoint_text":"- Demographic and clinical characteristics: Age, BMI, ethnicity, comorbidities (diabetes, hypertension, immunosuppression, smoking)","definition_or_measurement_approach":"Collection of standard demographic and clinical variables (age, BMI, ethnicity, specified comorbidities)."}
  • {"endpoint_text":"- Eznian classification (a system designed to describe deep infiltrating endometriosis (DIE) in a detailed and topographical manner, complementing the limitations of other classifications such as ASRM.","definition_or_measurement_approach":"Classification of lesions using the Eznian system for deep infiltrating endometriosis."}
  • {"endpoint_text":"- Changes in serum prolactin and VEGF levels as pre- and post-treatment angiogenic markers.","definition_or_measurement_approach":"Measurement of serum prolactin and VEGF levels before and after treatment."}
  • {"endpoint_text":"- Impact on other symptoms associated with endometriosis, such as irregular bleeding and infertility, assessed clinically and through hormonal analysis (FSH, LH, estradiol, AMH).","definition_or_measurement_approach":"Clinical assessment of symptoms and hormonal laboratory analyses (FSH, LH, estradiol, AMH)."}
  • {"endpoint_text":"- Safety profile: frequency and type of adverse effects related to cabergoline (nausea, vomiting, dizziness).","definition_or_measurement_approach":"Recording frequency and type of adverse events attributed to cabergoline (e.g., nausea, vomiting, dizziness)."}
  • {"endpoint_text":"- Quality of life measured using specific questionnaires such as the Endometriosis Health Profile (EHP-30).","definition_or_measurement_approach":"Quality of life assessed with validated questionnaires, e.g., EHP-30."}

Recruitment

Planned Sample Size
120
Recruitment Window Months
16
Consent Approach
Written informed consent required from participants (inclusion criterion: 'Consent to participate in the study.'). A subject information and informed consent form document is included in the dossier. Participants are adults (18–40). No assent procedures or languages specified in the available documents.

Geography

Total Number Of Sites
1
Total Number Of Participants
120

Spain

Earliest CTIS Part Ii Submission Date
25-08-2025
Latest Decision Or Authorization Date
17-09-2025
Processing Time Days
23
Number Of Sites
1
Number Of Participants
120

Sites

Site Name
Hospital Clinico San Carlos
Department Name
Gynecology
Principal Investigator Name
Ignacio Cristóbal Quevedo
Principal Investigator Email
icristobal@salud.madrid.org
Contact Person Name
Ignacio Cristóbal Quevedo
Contact Person Email
icristobal@salud.madrid.org

Sponsor

Primary sponsor

Full Name
Hospital Clinico San Carlos
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Spain

Investigational products

Investigational Product Name
Dostinex 0.5 mg Tablets
Active Substance
Cabergoline
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised (marketing authorisation PL 00057/0969)
Starting Dose
0.5 mg twice weekly
Frequency
Twice weekly
Maximum Dose
0.5 mg
Investigational Product Name
Sibilla diario 2 mg / 0,03 mg comprimidos recubiertos con película EFG
Active Substance
Dienogest; Ethinylestradiol
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Authorised (marketing authorisation 78334)
Starting Dose
1 tablet daily (dienogest 2 mg / ethinylestradiol 0.03 mg)
Frequency
Daily
Maximum Dose
1 tablet daily

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