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Vaginal AtrophyPhase 3NCT01256684

DHEA Against Vaginal Atrophy - 3-Month Efficacy Study

A Phase 3 study testing DHEA in people with Vaginal Atrophy, run by EndoCeutics Inc. at 33 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this Phase III trial is to confirm the efficacy of intravaginal dehydroepiandrosterone (DHEA) in postmenopausal women with vaginal atrophy. Read more about this study

Who is it for?
Ages 40 to 75 years, women only
Conditions the study is for
Vaginal Atrophy
What is being tested?
DHEA
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
255 participants
Where
33 sitesin 2 countries
Study dates
Dec 2010to Nov 2011
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 75 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Main Inclusion Criteria:

  • Postmenopausal women (hysterectomized or non-hysterectomized)
  • Women between 40 and 75 years of age.
  • Willing to participate in the study and sign an informed consent.
  • Women who have self-identified symptom(s)of vaginal atrophy.
  • For non-hysterectomized women, willing to have endometrial biopsy at screening and end of study.

Main Exclusion Criteria:

  • Undiagnosed abnormal genital bleeding.
  • Hypertension equal to or above 140/90 mm Hg.
  • The administration of any investigational drug within 30 days of screening visit.
  • Endometrial hyperplasia, cancer or endometrial histology showing proliferative, secretory or menstrual type characteristics at histologic evaluation of endometrial biopsy performed at screening.

Trial locations and contacts

33 sites in 2 countries.

33 sites in 2 countries

United States24 sites
  • EndoCeutics site # 27

    Baltimore, Maryland, 21285-6815

  • EndoCeutics site # 45

    Boynton Beach, Florida, 33472

  • EndoCeutics site # 31

    Charlottesville, Virginia, 22903

  • EndoCeutics site # 05

    Cleveland, Ohio, 44122

  • EndoCeutics site # 15

    Columbus, Ohio, 43213

  • EndoCeutics site # 36

    Denver, Colorado, 80218

  • EndoCeutics site # 16

    Durham, North Carolina, 27713

  • EndoCeutics site # 26

    Jacksonville, Florida, 32207

  • EndoCeutics site # 22

    Kalamazoo, Michigan, 49009

  • EndoCeutics site # 25

    Lincoln, Nebraska, 68510

  • EndoCeutics site # 10

    Meridian, Idaho, 83642

  • EndoCeutics site # 42

    Milford, Connecticut, 06460

  • EndoCeutics site # 39

    Montgomery, Alabama, 36117

  • EndoCeutics site # 28

    Moorestown, New Jersey, 08057

  • EndoCeutics site # 44

    New Brunswick, New Jersey, 08901

  • EndoCeutics site # 19

    New York, New York, 10016

  • EndoCeutics site # 03

    Norfolk, Virginia, 23507

  • EndoCeutics site # 35

    Pittsburgh, Pennsylvania, 15206

  • EndoCeutics site # 21

    Sacramento, California, 95821

  • EndoCeutics site # 30

    San Diego, California, 92108

  • EndoCeutics site # 17

    San Diego, California, 92120

  • EndoCeutics site # 23

    Sandy Springs, Georgia, 30328

  • EndoCeutics site # 14

    Tucson, Arizona, 85712

  • EndoCeutics site # 09

    West Jordan, Utah, 84088

Other trials in United States

Canada9 sites
  • EndoCeutics site # 06

    Bathurst, New Brunswick, E2A 4X7

  • EndoCeutics site # 13

    Calgary, Alberta, T2N 4L7

  • EndoCeutics site # 04

    Drummondville, Quebec, J2B 7T1

  • EndoCeutics site # 12

    Montreal, Quebec, H4N 3C5

  • EndoCeutics site # 02

    Québec, Quebec, G1S 2L6

  • EndoCeutics site # 01

    Québec, Quebec, G1V 2L9

  • EndoCeutics site # 18

    Saint Romuald, Quebec, G6W 5M6

  • EndoCeutics site # 08

    Shawinigan, Quebec, G9N 2H6

  • EndoCeutics site # 11

    Sherbrooke, Quebec, J1H 1Z1

Other trials in Canada

About this study

Official title: DHEA Against Vaginal Atrophy (Placebo-controlled, Double-blind and Randomized Phase III Study of 3-month Intravaginal DHEA)

The purpose of this Phase III trial is to confirm the efficacy of intravaginal dehydroepiandrosterone (DHEA) in postmenopausal women with vaginal atrophy.

Conditions
Vaginal Atrophy
Being tested
Placebo, DHEA
Keywords
Vulvar/vaginal atrophy, Atrophic Vaginitis, Dehydroepiandrosterone, DHEA, Prasterone, Vaginorm, Menopause, Intrarosa
Medical subject headings
Atrophic Vaginitis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PlaceboDrug

    Placebo vaginal suppository

  • DHEADrug

    Also called Prasterone, Dehydroepiandrosterone

    Vaginal suppository containing 0.25% (3.25 mg) DHEA; daily dosing with one suppository for 12 weeks.

  • DHEADrug

    Also called Prasterone, Dehydroepiandrosterone

    Vaginal suppository containing 0.50% (6.5 mg) DHEA; daily dosing with one suppository for 12 weeks.

Study groups in NCT01256684
Study groupRoleWhat they receive
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo
0.25% DHEAExperimentalNot described
Receives: Drug: DHEA
0.5% DHEAExperimentalNot described
Receives: Drug: DHEA

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline to Week 12 in Percentage of Parabasal Cells in the Maturation Index of the Vaginal Smear

    The percentage of parabasal cell was determined from the vaginal smears collected during the study. A 100-cell count was performed by a central laboratory to classify cells as parabasal (P) (including the basal), intermediate (I), and superficial (S) squamous cell types. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

    Measured: Baseline and Week 12

  2. Change From Baseline to Week 12 in Percentage of Superficial Cells in the Maturation Index of the Vaginal Smear

    The percentage of superficial cell was determined from the vaginal smears collected during the study. A 100-cell count was performed by a central laboratory to classify cells as parabasal (P) (including the basal), intermediate (I), and superficial (S) squamous cell types. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

    Measured: Baseline and Week 12

  3. Change From Baseline to Week 12 in Vaginal pH

    A pH strip fixed on an Ayre spatula (or equivalent) was applied directly to the lateral wall of the vagina. The change in color of the pH indicator strip was compared to the color chart for pH evaluation. The corresponding pH value (with one decimal) was recorded. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

    Measured: Baseline and Week 12

  4. Change From Baseline to Week 12 in Severity of the Most Bothersome Symptom of Dyspareunia

    The severity of dyspareunia was evaluated by a questionnaire filled out by women. The severity of dyspareunia recorded as none, mild, moderate or severe was analyzed using the score values of 0, 1, 2 or 3, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

    Measured: Baseline and Week 12

Secondary outcomes (5)
  1. Change From Baseline to Week 12 in Severity of Vaginal Dryness

    The severity of vaginal dryness was evaluated by a questionnaire filled out by women. The severity of vaginal dryness recorded as none, mild, moderate or severe was analyzed using the score values of 0, 1, 2 or 3, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

    Measured: Baseline and Week 12

  2. Change From Baseline to Week 12 in Severity of Vaginal Atrophy as Evaluated From Vaginal Secretions

    To evaluate the aspect of the mucosa and the local tolerance to DHEA suppositories, the vaginal secretions (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy were then analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

    Measured: Baseline and Week 12

  3. Change From Baseline to Week 12 in Severity of Vaginal Atrophy as Evaluated From Vaginal Epithelial Integrity

    To evaluate the aspect of the mucosa and the local tolerance to DHEA suppositories, the vaginal epithelial integrity (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy was then analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

    Measured: Baseline and Week 12

  4. Change From Baseline to Week 12 in Severity of Vaginal Atrophy as Evaluated From Vaginal Epithelial Surface Thickness

    To evaluate the aspect of the mucosa and the local tolerance to DHEA suppositories, the vaginal epithelial surface thickness (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy was then analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

    Measured: Baseline and Week 12

  5. Change From Baseline to Week 12 in Severity of Vaginal Atrophy as Evaluated From Vaginal Color

    To evaluate the aspect of the mucosa and the local tolerance to DHEA suppositories, the vaginal color (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy was then analyzed using the values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

    Measured: Baseline and Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Dec 2010 (estimated)
  2. Study startDec 2010
  3. Primary completionAug 2011
  4. Study completionNov 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
255 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01256684
Sponsor's protocol ID
ERC-231
Status last verified
May 2017
First submitted
3 Dec 2010
Last updated
26 Jun 2017
Data monitoring committee
Yes

Publications

  • Archer DF, Labrie F, Bouchard C, Portman DJ, Koltun W, Cusan L, Labrie C, Cote I, Lavoie L, Martel C, Balser J; VVA Prasterone Group. Treatment of pain at sexual activity (dyspareunia) with intravaginal dehydroepiandrosterone (prasterone). Menopause. 2015 Sep;22(9):950-63. doi: 10.1097/GME.0000000000000428.

    PubMed 25734980
  • Portman DJ, Labrie F, Archer DF, Bouchard C, Cusan L, Girard G, Ayotte N, Koltun W, Blouin F, Young D, Wade A, Martel C, Dube R; other participating members of VVA Prasterone Group. Lack of effect of intravaginal dehydroepiandrosterone (DHEA, prasterone) on the endometrium in postmenopausal women. Menopause. 2015 Dec;22(12):1289-95. doi: 10.1097/GME.0000000000000470.

    PubMed 25968836
  • Martel C, Labrie F, Archer DF, Ke Y, Gonthier R, Simard JN, Lavoie L, Vaillancourt M, Montesino M, Balser J, Moyneur E; other participating members of the Prasterone Clinical Research Group. Serum steroid concentrations remain within normal postmenopausal values in women receiving daily 6.5mg intravaginal prasterone for 12 weeks. J Steroid Biochem Mol Biol. 2016 May;159:142-53. doi: 10.1016/j.jsbmb.2016.03.016. Epub 2016 Mar 10.

    PubMed 26972555

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing DHEA in people with Vaginal Atrophy, run by EndoCeutics Inc. at 33 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Jun 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 33 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 25 Apr 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline to Week 12 in Percentage of Parabasal Cells in the Maturation Index of the Vaginal Smear (time frame: Baseline and Week 12). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01256684, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Jun 2017.

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