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奥洛昔芬治疗纤维腺瘤的疗效的双盲随机对照试验(FIBROCENT 研究)。

Double blind randomized controlled trial of efficacy of ormeloxifene for the treatment of fibroadenoma (The FIBROCENT study).

机构信息

Department of Surgery, NSCB Medical College, Jabalpur, India.

出版信息

World J Surg. 2024 May;48(5):1177-1182. doi: 10.1002/wjs.12150. Epub 2024 Mar 18.

Abstract

BACKGROUND

We evaluated the effectiveness of Ormeloxifene (Centchroman) on regression of Fibroadenoma in a double-blind randomized controlled trial.

METHODS

Patients with biopsy proven Fibroadenoma were enrolled between March 2023 and October 2023 and divided in two arms- Ormeloxifene group and Placebo group. Effectiveness of the treatment was evaluated using USG. No residual mass was defined as complete regression and more than 30% decrease in size was considered as partial regression.

RESULTS

A total of 130 consecutive patients with Fibroadenoma were randomized to Ormeloxifene group (n = 65) and Placebo Group (n = 65). Complete regression was observed in 9% (6/65) patients in Ormeloxifene group and 10.8% (7/65) in Placebo Group at the end of 12 weeks (p = 0.49). Twenty one patients taking Ormeloxifene reported adverse events as compared to none in the other group.

CONCLUSION

In our study Ormeloxifene was not found to be effective in treatment of fibroadenoma and had concerning side effects.

摘要

背景

我们在一项双盲随机对照试验中评估了 Ormeloxifene(Centchroman)对纤维腺瘤消退的疗效。

方法

2023 年 3 月至 2023 年 10 月期间,我们招募了经活检证实的纤维腺瘤患者,并将其分为 Ormeloxifene 组和安慰剂组。使用超声评估治疗效果。无残留肿块定义为完全消退,体积减少超过 30%被认为是部分消退。

结果

共有 130 例纤维腺瘤患者被随机分配至 Ormeloxifene 组(n=65)和安慰剂组(n=65)。在 12 周结束时,Ormeloxifene 组有 9%(6/65)的患者出现完全消退,安慰剂组有 10.8%(7/65)(p=0.49)。与安慰剂组相比,服用 Ormeloxifene 的 21 名患者报告了不良反应。

结论

在我们的研究中,Ormeloxifene 并未被发现对纤维腺瘤的治疗有效,且存在令人担忧的副作用。

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