Study of Electro-kinetically Modified Water for the Treatment of Pain Associated With Endometriosis

This is a single center, double-blind, placebo controlled, randomized study to assess the
efficacy of EMW versus placebo in the treatment of premenopausal women (16-49 years of age)
with endometriosis associated pain. Approximately 40 subjects with endometriosis will be
enrolled at Madigan Army Medical Center (MAMC). Subjects will be asked to consume EMW (or
placebo) for three months. Subjects will record daily pain levels and other symptoms
associated with endometriosis in an electronic diary. In addition to standard of care for
this condition, the investigator will monitor the subjects at baseline, Month 1, and Month 3
visits, which will consist of patient questionnaires, blood sampling, and Adverse Events
monitoring.

Inclusion Criteria:

- Premenopausal women, 16 to 49 years of age

- Diagnosed with endometriosis by means of documented surgical visualization
(laparoscopy or laparotomy) within 10 years of study entry

- No endometriosis-related surgical procedures within a month of starting study agent

- Has at least 2 days of moderate or severe pain scores for dysmenorrhea (E-diary NRS >
5 of 10) and non-menstrual pelvic pain (E-diary NRS > 5 of 10) during the month prior
to starting study agent

- Must have had a menstrual cycle of interval 24-35 days within 3 months of starting
study agent

- BMI 18 to 39

- Able to provide written informed consent and able to comply with study procedures for
the entire length of the study

Exclusion Criteria:

- Pregnant or breastfeeding or planning pregnancy in the next 12 months

- Has been pregnant within 3 months of starting study agent

- Has had a hysterectomy or bilateral oophorectomy

- Has chronic pelvic pain not caused by endometriosis (i.e. inflammatory bowl disease,
irritable bowel syndrome, adenomyosis, interstitial cystitis, pelvic adhesive disease,
pelvic inflammatory disease) that requires chronic analgesic or narcotic use which
would interfere with assessment of endometriosis associated pain

- Current history of undiagnosed abnormal uterine bleeding

- Currently receiving Gonadotropin-releasing hormone (GnRH) agonist or GnRH antagonist
or have received any of these types of medications within 6 months of starting study
agent

- Currently receiving subcutaneous medroxyprogesterone acetate (DMPA-SC) or i.m.
medroxyprogesterone acetate (DMPA-IM) or have received any of these within the last 3
months of enrollment

- Currently has an intrauterine device in place

- Use of steroids or immunosuppressive medications on a regular basis within 3 months of
enrollment

- Has an unstable medical condition, chronic disease or psychiatric disorder that is
deemed by the investigator to be incompatible with participation in the study

- Treatment with any other investigational drug/interventions within 3 months of
starting study agent

- History of drug or alcohol abuse