Long‐term use of dienogest in the treatment of painful symptoms in adenomyosis

Journal of Obstetrics and Gynaecology Research - Tập 43 Số 9 - Trang 1441-1448 - 2017
Yutaka Osuga1, Manabu Watanabe2, Atsushi Hagino2
1Department of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo, Japan
2Clinical Development Department, Mochida Pharmaceutical Co., Ltd., Tokyo, Japan

Tóm tắt

AbstractAimWe aimed to investigate the safety and efficacy of dienogest (DNG), a progestational 19‐norsteroid, administered for 52 weeks in patients with symptomatic adenomyosis.MethodsA total of 130 patients with adenomyosis received 2 mg of DNG orally each day for 52 weeks. In cases of complicated anemia, patients were treated for anemia prior to receiving the medication. Adverse events and adverse drug reactions were evaluated. The patients' pain symptoms (dysmenorrhea and pelvic pain from adenomyosis) were assessed using a pain‐scoring tool. This was a verbal rating scale comprising a 0–3‐point pain‐severity score measuring disability to work, and an analgesics‐usage score measuring need for analgesics.ResultsThe most common adverse drug reactions included metrorrhagia (96.9%) and hot flush (7.7%). However, in most cases, metrorrhagia was tolerable and no clinically significant changes were observed concerning the incidence or severity of reactions during the 52‐week treatment period. There were no serious adverse events. Both the pain‐severity score and analgesics‐usage score decreased after the start of treatment with DNG. The mean ± standard deviation changes from baseline for the pain score were −3.4 ± 1.8 at 24 weeks and −3.8 ± 1.5 at 52 weeks, respectively.ConclusionThe long‐term use of DNG was well‐tolerated and effective in patients with symptomatic adenomyosis.

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Thông tin xuất bản

Journal of Obstetrics and Gynaecology Research

Tập 43 Số 9

1441-1448

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