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AtrophyPhase 3NCT01585558

Long-Term Safety of 30 mg and 60 mg Oral Daily Dose of Ospemifene in the Treatment of Vulvar and Vaginal Atrophy (VVA) in Postmenopausal Women With Intact Uterus

A Phase 3 study testing Ospemifene (Dose 1) and Ospemifene (Dose 2) in people with Atrophy and Vaginal Diseases, run by Shionogi.

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 primary objective of the study was to assess the long-term safety of 30- and 60-mg daily doses of ospemifene in the treatment of Vulvar and Vaginal Atrophy (VVA) in postmenopausal women with an intact uterus. Read more about this study

Who is it for?
Ages 40 to 80 years, women only
Conditions the study is for
Atrophy, Vaginal Diseases
What is being tested?
Ospemifene (Dose 1) and Ospemifene (Dose 2)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
180 participants
Where
No sites listed yet
Study dates
16 May 2006to 18 Sep 2008
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 80 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Postmenopausal women aged 40 to 80 years with a diagnosis of vulvar and vaginal atrophy (VVA) as assessed by vaginal pH, maturation index of vaginal smear, and self-reported symptoms at Baseline for Protocol 15-50310
  • Had an intact uterus
  • Met the inclusion and exclusion criteria for Protocol 15-50310
  • Had completed Protocol 15-50310

Who cannot join

  • Had clinically significant abnormal findings at the Week 12 End of Study visit for Protocol 15-50310
  • Had any physical or mental condition which, in the opinion of the investigator, may have interfered with the subject's ability to comply with the study procedures

About this study

Official title: Long-Term Safety of 30 mg and 60 mg Oral Daily Dose of Ospemifene in the Treatment of Vulvar and Vaginal Atrophy (VVA) in Postmenopausal Women With Intact Uterus: A 40 Week Randomized, Double Blind, Placebo Controlled, Follow-Up to Protocol 15-50310.

The primary objective of the study was to assess the long-term safety of 30- and 60-mg daily doses of ospemifene in the treatment of Vulvar and Vaginal Atrophy (VVA) in postmenopausal women with an intact uterus.

Being tested
Ospemifene (Dose 1), Ospemifene (Dose 2), Placebo
Keywords
Menopausal symptoms, Urogenital atrophy, Vulvar and vaginal atrophy in menopausal women, Vaginal atrophy
Medical subject headings
Atrophy, Vaginal Diseases

What participants receive

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

  • Ospemifene (Dose 1)Drug

  • Ospemifene (Dose 2)Drug

  • PlaceboDrug

Study groups in NCT01585558
Study groupRoleWhat they receive
Treatment Group 1ExperimentalNot described
Receives: Drug: Ospemifene (Dose 1)
Treatment Group 2ExperimentalNot described
Receives: Drug: Ospemifene (Dose 2)
Treatment Group 3Placebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Incidence of Adverse Events (AEs)

    Measured: Week 20 (Phone Contact) to Week 56 (Visit 7)

  2. Assessment of Cervical Pap Smear Samples

    Cervical Pap smear samples were used to evaluate: atypical squamous cells of undetermined significance (ASC-US), squamous intraepithelial lesions (SILs), intraepithelial lesions or malignancy, and reactive endocervical cells and/or metaplastic cells.

    Measured: Week 52 (Visit 6)

  3. Assessment of Endometrial Biopsy

    Assessments were based on Blaustein's classification.

    Measured: Week 52 (Visit 6)

  4. Mean Percent Change From Baseline in Serum Lipids

    Measured: Baseline to Week 26 (Visit 5)

  5. Mean Percent Change From Baseline in Serum Lipids

    Measured: Baseline to Week 52 (Visit 6)

  6. Mean Change in Blood Chemistry Parameters

    Measured: Baseline to Week 26 (Visit 5)

  7. Mean Change in Blood Chemistry Parameters

    Measured: Baseline to Week 52 (Visit 6)

  8. Assessment of Endometrial Safety With a Transvaginal Ultrasound (TVU)

    Mean change in endometrial thickness from baseline

    Measured: Baseline to Week 26 (Visit 5)

  9. Assessment of Endometrial Safety With a TVU

    Mean change in endometrial thickness from baseline

    Measured: Baseline to Week 52 (Visit 6)

  10. Change From Baseline in Visual Evaluation of the Vagina

    Petechiae, pallor, friability, dryness in the mucosa, and redness in the mucosa were assessed on a 4-point scale (0=None, 1=Mild, 2=Moderate, 3=Severe).

    Measured: Baseline to Week 26 (Visit 5)

  11. Change From Baseline in Visual Evaluation of the Vagina

    Petechiae, pallor, friability, dryness in the mucosa, and redness in the mucosa were assessed on a 4-point scale (0=None, 1=Mild, 2=Moderate, 3=Severe).

    Measured: Baseline to Week 52 (Visit 6)

  12. Change From Baseline in Estradiol (E2) Levels

    Measured: Baseline to Week 26 (Visit 5)

  13. Change From Baseline in Luteinizing Hormone (LH) Levels

    Measured: Baseline to Week 26 (Visit 5)

  14. Change From Baseline in Follicle Stimulating Hormone (FSH) Levels

    Measured: Baseline to Week 26 (Visit 5)

  15. Change From Baseline in Sex Hormone Binding Globulin (SHBG) Levels

    Measured: Baseline to Week 26 (Visit 5)

  16. Change From Baseline in Testosterone (Total) Levels

    Measured: Baseline to Week 26 (Visit 5)

  17. Change From Baseline in Testosterone (Free) Levels

    Measured: Baseline to Week 26 (Visit 5)

  18. Change From Baseline in E2 Levels

    Measured: Baseline to Week 52 (Visit 6)

  19. Change From Baseline in LH Levels

    Measured: Baseline to Week 52 (Visit 6)

  20. Change From Baseline in FSH Levels

    Measured: Baseline to Week 52 (Visit 6)

  21. Change From Baseline in SHBG Levels

    Measured: Baseline to Week 52 (Visit 6)

  22. Assessment of Mammography

    Mammography was done for the detection of characteristic masses and microcalcifications in the breast.

    Measured: Week 52 (Visit 6)

  23. Change From Baseline in Testosterone (Total) Levels

    Measured: Baseline to Week 52 (Visit 6)

  24. Change From Baseline in Testosterone (Free) Levels

    Measured: Baseline to Week 52 (Visit 6)

  25. Change From Baseline in Antithrombin Antigen, P Levels

    Measured: Baseline to Week 26 (Visit 5)

  26. Change From Baseline in Fibrinogen Levels

    Measured: Baseline to Week 26 (Visit 5)

  27. Change From Baseline in Protein C Ag, P Levels

    Measured: Baseline to Week 26 (Visit 5)

  28. Change From Baseline in Protein S Ag (Free), P Levels

    Measured: Baseline to Week 26 (Visit 5)

  29. Change From Baseline in Thromboplastin Time

    Measured: Baseline to Week 26 (Visit 5)

  30. Change From Baseline in Antithrombin Antigen, P Levels

    Measured: Baseline to Week 52 (Visit 6)

  31. Change From Baseline in Fibrinogen Levels

    Measured: Baseline to Week 52 (Visit 6)

  32. Change From Baseline in Protein C Ag, P Levels

    Measured: Baseline to Week 52 (Visit 6)

  33. Change From Baseline in Protein S Ag (Free), P Levels

    Measured: Baseline to Week 52 (Visit 6)

  34. Change From Baseline in Thromboplastin Time

    Measured: Baseline to Week 52 (Visit 6)

  35. Assessment of Breast Palpation

    Breast palpation was done by the investigator to assess abnormalities in the breast.

    Measured: Week 26 (Visit 5)

  36. Assessment of Breast Palpation

    Breast palpation was done by the investigator to assess abnormalities in the breast.

    Measured: Week 52 (Visit 6)

  37. Assessment of Hematology Tests

    Change from baseline

    Measured: Baseline to Week 26 (Visit 5)

  38. Change From Baseline in Erythrocyte (RBC) Levels

    Measured: Baseline to Week 26 (Visit 5)

  39. Change From Baseline in Hemogobin Levels

    Measured: Baseline to Week 26 (Visit 5)

  40. Change From Baseline in Hematocrit Levels

    Measured: Baseline to Week 26 (Visit 5)

  41. Assessment of Hematology Test Values

    Change from baseline

    Measured: Baseline to Week 52 (Visit 6)

  42. Change From Baseline in Erythrocyte (RBC) Levels

    Measured: Baseline to Week 52 (Visit 6)

  43. Change From Baseline in Hemoglobin Levels

    Measured: Baseine to Week 52 (Visit 6)

  44. Change From Baseline in Hematocrit Levels

    Measured: Baseline to Week 52 (Visit 6)

  45. Change From Baseline in pH of Urine

    Measured: Baseline to Week 26 (Visit 5)

  46. Change From Baseline in Specific Gravtiy of Urine

    Measured: Baseline to Week 26 (Visit 5)

  47. Change From Baseline in pH of Urine

    Measured: Baseline to Week 52 (Visit 6)

  48. Change From Baseline in Specific Gravity of Urine

    Measured: Baseline to Week 52 (Visit 6)

  49. Change From Baseline in Systolic Blood Pressure (SBP)

    Measured: Baseline to Week 26 (Visit 5)

  50. Change From Baseline in Diastolic Blood Pressure (DBP)

    Measured: Baseline to Week 26 (Visit 5)

  51. Change From Baseline in Pulse Rate

    Measured: Baseline to Week 26 (Visit 5)

  52. Change From Baseline in Weight

    Measured: Baseline to Week 26 (Visit 5)

  53. Change From Baseline in BMI

    Measured: Baseline to Week 26

  54. Change From Baseline in SBP

    Measured: Baseline to Week 52 (Visit 6)

  55. Change From Baseline in DBP

    Measured: Baseline to Week 52 (Visit 6)

  56. Change From Baseline in Pulse Rate

    Measured: Baseline to Week 52 (Visit 6)

  57. Change From Baseline in Weight

    Measured: Baseline to Week 52 (Visit 6)

  58. Change From Baseline in BMI

    Measured: Baseline to Week 52 (Visit 6)

Timeline

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

  1. First posted26 Apr 2012 (estimated)
  2. Study start16 May 2006
  3. Primary completion19 Aug 2008
  4. Study completion18 Sep 2008

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
180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01585558
Sponsor's protocol ID
15-50310X
Status last verified
Apr 2018
First submitted
18 Apr 2012
Last updated
21 May 2018

Publications

  • Lara LA, Cartagena-Ramos D, Figueiredo JB, Rosa-E-Silva ACJ, Ferriani RA, Martins WP, Fuentealba-Torres M. Hormone therapy for sexual function in perimenopausal and postmenopausal women. Cochrane Database Syst Rev. 2023 Aug 24;8(8):CD009672. doi: 10.1002/14651858.CD009672.pub3.

    PubMed 37619252

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ospemifene (Dose 1) and Ospemifene (Dose 2) in people with Atrophy and Vaginal Diseases, run by Shionogi.

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

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. 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 21 May 2018. Status can change between updates, so confirm with the study contact before making plans.

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 28 Jun 2013). 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?

Incidence of Adverse Events (AEs) (time frame: Week 20 (Phone Contact) to Week 56 (Visit 7)). The study lists 58 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 NCT01585558, which also lists 1 linked publication.

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 21 May 2018.

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