Glycemic Regulation as Endometriosis Adjunct Treatment

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexFemale
Age15-35
SponsorBoston Children's Hospital

About this trial

The goal of this pilot trial is to learn if a novel non-hormonal treatment, metformin hydrochloride, works to treat pelvic pain in young women with endometriosis. The main questions it aims to answer are:

* Is metformin superior to placebo in alleviating pain symptoms in young women with endometriosis? * Does metformin alter systemic inflammatory markers over 6 months in young women with endometriosis?

Researchers will compare metformin to a placebo (a look-alike substance that contains no drug) to see if metformin works to treat pelvic pain.

Participants will:

* Take drug metformin or a placebo every day for 6 months * Visit the clinic three times: once at baseline (pre-treatment), once at 3 months, and once at 6 months * Keep a daily symptom diary to track pain, bleeding, and usage of any pain medications

Eligibility criteria

Qualifiers

Female with surgically confirmed endometriosis, determined at laparoscopy

Current use for at least 2 months duration of a consistent hormonal therapy for endometriosis (either combination hormonal contraceptives or progestin-only therapy)

Current pelvic pain (score ≥ 3 on Visual Analog Scale) that has been present for at least 2 months prior to enrollment

Age 15 years to 35 years and premenopausal

Disqualifiers

Pre-menarche or post-menopause

Diagnosis of Type 1 or Type 2 Diabetes Mellitus

Severe renal dysfunction (creatinine >1.4 mg/dL or eGFR below 45 mL/minute/1.73 m2

History of lactic acidosis or diabetic ketoacidosis

Trial design

Treatments tested in this trial

  • Metformin Hydrochloride
  • Placebo

Treatment groups

14 Participants
are divided into 2 treatment groups

Sponsors and collaborators