Female reproductive disorders: New insights and new targets

  • Research type

    Research Study

  • Full title

    The role of key lipids, steroids and inflammatory mediators in the pathogenesis of female reproductive disorders: New insights and new treatment targets.

  • IRAS ID

    294763

  • Contact name

    Kay Marshall

  • Contact email

    kay.marshall@manchester.ac.uk

  • Sponsor organisation

    University of Manchester

  • Clinicaltrials.gov Identifier

    N/A, REC Reference Number:

  • Duration of Study in the UK

    4 years, 11 months, 31 days

  • Research summary

    Background
    An estimated 176 million women worldwide suffer from endometriosis. In endometriosis, cells like those that line the womb (endometrium) grow outside of it to form lesions, typically in the pelvic (peritoneal) cavity. These lesions can cause debilitating pain, reduce fertility and can result in a substantial personal, social and healthcare burden. Even with surgery, current therapies fail to prevent the reappearance of disease, have long-term side-effects and reduce the likelihood of pregnancy. New non-hormonal treatments or local delivery systems are desperately needed.
    Unlike endometriosis, endometrial cancer is more common in women over 55 with 9,500 new cases/ year in the UK alone. The current treatment is removal of the womb and ovaries. This radical procedure does not afford family planning choices to those of child-bearing age nor does it benefit women who are medically unfit for surgery.
    The aim of this study is to enhance our knowledge of women’s reproductive disorders to improve diagnosis and treatment strategies.

    Eligibility
    We plan to collect tissues and biological fluids (e.g. endometrium, fat, blood) from consenting women undergoing routine examination or surgery for gynaecological disorders or for cancer at a Greater Manchester NHS Trust hospital. Any women of reproductive age (16+ years) would be eligible to participate and informed consent would permit a one-off donation. After collection, the research team would transport samples to the University of Manchester for scientific analysis.

    Research Plan
    Hormones, lipids, enzymes and receptors would be measured according to stage of the menstrual cycle, medical conditions and severity of disease. Potential treatments and new formulations would also be tested to:
    • Identify their effects on healthy and diseased tissues.
    • Optimise targeted delivery.
    • Lower therapeutic dose.
    This study should advance knowledge of reproductive and hormone-dependent disorders and ultimately help to improve patient health and well-being.

  • REC name

    Yorkshire & The Humber - South Yorkshire Research Ethics Committee

  • REC reference

    21/YH/0266

  • Date of REC Opinion

    30 Nov 2021

  • REC opinion

    Further Information Favourable Opinion