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Trial · NCT06611501

Registered outcomes25

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryChange in pain assessed by the Brief Pain Inventory Interference Scale (BPI) over 6 monthsonce at each of the three visits (at baseline, 3 months, 6 months)
The BPI Interference Scale is a 7-item composite pain measurement. This self-report measure assesses the extent to which pain interferes with various components of physical and emotional functioning and sleep. The items in this scale can be grouped into those that assess physical functioning (general activity; walking ability; normal work, including both work outside the home and housework), those that assess emotional functioning (mood; relations with people; enjoyment of life), and a single item that assess the extent to which pain interferes with sleep. The arithmetic mean of the seven interference items can be used as a measure of pain interference. The BPI is anchored between a scale of zero (no pain/interference) to ten (maximum pain/interference). The magnitude of treatment-associated change in BPI Interference Scale scores in open-label and randomized clinical trials ranges from 1 to 3 points, depending on the specific pain conditions and treatments studied.
PrimaryChange in pain severity measured by Visual Analog Scale (VAS) over 6 monthsonce at each of the three visits (at baseline, 3 months, 6 months)
VAS: A measurement of pain intensity, assessed by a 0 to 10 numerical rating scale, to rate maximum and average pain intensity over the preceding 7 days. Higher scores indicate more severe pain intensity.
PrimaryChange in emotional functioning assessed by Beck Depression Inventory-II (BDI) over 6 monthsonce at each of the three visits (at baseline, 3 months, 6 months)
The BDI is a 21-item self-report instrument that provides a rapid assessment of depressive symptoms. BDI has been used in many studies of chronic pain, including chronic pelvic pain and endometriosis. Total scores on the BDI range from 0 to 63. The BDI takes about 5-10 minutes to complete. Scores below 13 should be considered to reflect "minimal or no" depression, with score ranges of 14 to 19, 20 to 28, and 29 to 63 reflect "mild to moderate," "moderate to severe," and "severe" depression, respectively.
PrimaryChange in ratings of overall improvement assessed by the Patient Global Impression of Change scale (PGIC)once at each of the three visits (at baseline, 3 months, 6 months)
The PGIC is a seven-point single-item scale with options ranging from 'very much worse' to 'very much improved'. There has been widespread use of the PGIC in recent endometriosis clinical trials, as it readily interprets a person's evaluation of the importance of their improvement or worsening.
SecondaryChange in quality of life, measured via Endometriosis Health Profile-30 (EHP-30)once at each of the three visits (at baseline, 3 months, 6 months)
The EHP-30 is a reliable instrument and recommended by the American Society for Reproductive Medicine and the European Society for Human Reproduction and Embryology. The questionnaire includes 30 questions in five subcategories, with each category addressing specific problem areas of pain, control and powerlessness, emotional wellbeing, social support, and self-image.
SecondaryChanges in sexual satisfaction for participants who are sexually active measured by the New Sexual Satisfaction Scaleonce at each of the three visits (at baseline, 3 months, 6 months)The NSSS is a 20-item measure assessing sexual sensations, sexual presence/awareness, sexual exchange, emotional connection/closeness, and sexual activity. The full scale takes 5 minutes to complete.
SecondaryComplete health and medication history assessed by the World Endometriosis Research Foundation (WERF) questionnaireonce at each of the three visits (at baseline, 3 months, 6 months)Study participants will complete an expanded version of the WERF questionnaire for a complete health and medication history
SecondaryChanges in serum angiogenic/inflammatory markersonce at each of the three visits (at baseline, 3 months, 6 months)
Serum samples will also be obtained for measures of inflammation, to test the hypothesis that endometriosis-relevant inflammatory markers will decrease over time in patients treated with metformin compared to those receiving placebo. These markers will include IL-6, IL-8, and VEGF based on the results of prior studies in which metformin appeared to reduce these levels in humans with endometriosis and from endometriotic implants in rats. C-reactive protein (CRP) will also be assessed; CRP has been shown to be upregulated, especially when examined with a high sensitivity assay making it possible to detect subclinical inflammation in women with endometriosis.
OtherChanges in school and/or work attendanceonce at each of the three visits (at baseline, 3 months, 6 months)School and/or work attendance will be assessed at each visit.
OtherChange in pregnancy statusonce at each of the three visits (at baseline, 3 months, 6 months)Urine pregnancy test throughout the study as current pregnancy is an exclusion criteria
OtherChanges in serum lactate levelsbaseline, three and six months if neededSerum lactate will be measured at baseline and then possibly at three and six months, if needed.
OtherChanges in paindaily for 6 monthsSubjects will keep a daily symptom diary to track pain for 6 months.
OtherIncidence of vaginal bleeding over six monthsdaily for 6 monthsMeasurement of the incidence of vaginal bleeding using a daily symptom diary to document the presence/absence of vaginal bleeding
OtherUsage of any pain medications (both prescription and over the counter)daily for 6 monthsUsage of any pain medications (both prescription and over the counter) tracked in a daily symptom diary for 6 months
OtherChanges in heightonce at each of the three visits (at baseline, 3 months, 6 months)Height, in cm, will be obtained at each study visit (at baseline, 3 months, and 6 months).
OtherChanges in weightonce at each of the three visits (at baseline, 3 months, 6 months)Study subjects will have their weight obtained at each study visit given the potential impact on weight by metformin.
OtherChanges in serum insulin c-peptide levelat baseline and 6 monthsSerum insulin c-peptide levels will be collected at baseline and again at 6-months given metformin impact on lowering c-peptide levels.
OtherChanges in hemoglobin and mean corpuscular volumeat baseline and 6 months
A Complete Blood Count (CBC) will be collected at baseline and again at 6-months due to the potential adverse effect of megaloblastic anemia by metformin, which would be detected by the hemoglobin and mean corpuscular volume.
OtherChanges in vitamin B12 levelsat baseline and 6 monthsSerum vitamin B12 levels will be obtained at baseline and at 6 months due to the possible adverse effect of vitamin b12 deficiency by metformin
OtherChanges in lipid levelsat baseline and 6 monthsA lipid panel will be collected at baseline and again at 6-months due to the potential lipid-lowering activity of metformin.

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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