Actively Recruiting

Age: 18Years +
FEMALE
ID06953076

MyomaS Aspect Transformation at Ultrasound During Relugolix Estradiol Noretisterone Treatment: The MySaturn Study

Led by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · Updated on 2025-08-17

111

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Uterine fibroids are common benign tumors that develop from the muscle of the uterus and affect many women by their 40s and 50s. Symptoms such as heavy menstrual bleeding, pelvic pain, and pressure can occur in about 25-50% of affected women. Distinguishing benign fibroids from rare malignant tumors before surgery is challenging, and ultrasound guided by MUSA criteria is the main tool for this evaluation. The study focuses on understanding how treatment with relugolix, estradiol, and norethisterone affects fibroid characteristics on ultrasound imaging. The treatment being studied is an oral combination of relugolix, estradiol, and norethisterone, given to premenopausal women with symptomatic uterine fibroids and abnormal uterine bleeding. The study collects data over 12 months, tracking changes in fibroid volume and ultrasound features at the start, and after 3, 6, and 12 months of treatment. It is an observational study combining retrospective and prospective data from 111 women over a 3-year period including 2 years of enrollment and 1 year of follow-up. Participants will have routine clinical evaluations, laboratory tests, and ultrasound imaging to monitor fibroid changes and symptoms. Ultrasound images in digital format are required for analysis. Researchers will observe fibroid volume and ultrasound appearance during treatment, as well as clinical characteristics and any adverse events. Safety will be monitored according to national pharmacovigilance regulations, and the study will provide valuable information about the impact of this treatment on fibroid morphology.

CONDITIONS

Brief Title

Ultrasound Transformation of Myomas During Relugolix-Estradiol-Norethisterone Treatment: The MySaturn Study

Who Can Participate

Age: 18Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Premenopausal status
  • Ultrasound diagnosis of benign myometrial lesion
  • Symptomatic with abnormal uterine bleeding (menorrhagia or metrorrhagia)
  • Availability of digital ultrasound images
Not Eligible

You will not qualify if you...

  • Patient refusal to participate
  • Age below 18 years
  • Postmenopausal women
  • Myometrial lesion 10 mm or smaller
  • Lesions suspected of malignancy on ultrasound (e.g., STUMP, uterine leiomyosarcoma)
  • Asymptomatic uterine fibromatosis
  • Personal history of malignant or premalignant uterine neoplasia
  • Presence of ovarian pathology
  • Current treatment for another malignancy
  • Lack of digital ultrasound images or poor image quality

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - 12 months

Participants receive oral therapy with relugolix/estradiol/norethisterone to manage symptomatic uterine fibroids and abnormal uterine bleeding.

Visits at baseline, 3 months, 6 months, and 12 months during treatment

Trial Site Locations

Total: 1 location

1

Fondazione Policlinico Universitario A. Gemelli IRCCS, UOC GINECOLOGIA ONCOLOGICA

Roma, Italy, 00168

Actively Recruiting

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Research Team

D

DANIELA ROMUALDI, MD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

Minimum training recommendations for the practice of medical ultrasound.

Education and Practical Standards Committee, European Federation of Societies for Ultrasound in Medicine and Biology

https://pubmed.ncbi.nlm.nih.gov/16508866

LIBERTY randomized withdrawal study: relugolix combination therapy for heavy menstrual bleeding associated with uterine fibroids.

Ayman Al-Hendy, Roberta Venturella, Juan Camilo Arjona Ferreira...

https://pubmed.ncbi.nlm.nih.gov/37666383

Terms, definitions and measurements to describe sonographic features of myometrium and uterine masses: a consensus opinion from the Morphological Uterus Sonographic Assessment (MUSA) group.

T Van den Bosch, M Dueholm, F P G Leone...

https://pubmed.ncbi.nlm.nih.gov/25652685

A clinical ultrasound algorithm to identify uterine sarcoma and smooth muscle tumors of uncertain malignant potential in patients with myometrial lesions: the MYometrial Lesion UltrasouNd And mRi study.

Francesca Ciccarone, Antonella Biscione, Eleonora Robba...

https://pubmed.ncbi.nlm.nih.gov/39084498