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Vulvovaginal AtrophyPhase 3NCT01816139

Multicenter Study to Evaluate Safety and Efficacy of WC3011 (Estradiol Vaginal Cream) in Postmenopausal Women

A Phase 3 study testing WC3011 Estradiol Vaginal Cream in people with Vulvovaginal Atrophy, run by Warner Chilcott at 48 sites in United States.

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 this study is to compare the efficacy of WC3011 with placebo vaginal gel in postmenopausal women for the relief of vaginal dryness caused by vaginal atrophy as measured by self-assessment, vaginal pH and vaginal smear. Read more about this study

Who is it for?
Ages 35 years and older, women only
Conditions the study is for
Vulvovaginal Atrophy
What is being tested?
WC3011 Estradiol Vaginal Cream
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
576 participants
Where
48 sitesUnited States
Study dates
31 Jan 2013to 19 Nov 2013
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 35 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed informed consent
  • Moderate to severe vaginal dryness
  • Postmenopausal meeting one of the following: 12 months spontaneous amenorrhea, 6 months spontaneous amenorrhea with serum Follicle-stimulating hormone (FSH) > 40 milli-International Unit (mIU)/mL, 6 weeks postsurgical bilateral oophorectomy confirmed by surgical report, ultrasound or serum FSH > 40 mIU/mL, 6 weeks postsurgical hysterectomy with ovary failure confirmed by serum FSH > 40 mIU/mL
  • Age ≥ 40 years or if bilateral oophorectomy ≥ 35 years
  • Vaginal pH >5.0
  • Less than or equal 5% superficial cells on vaginal wall cytologic smear
  • Normal breast exam; if > 40 years, documentation of negative mammogram

Who cannot join

  • Randomization in PR-04409, participation in clinical trial or use of investigational drug within 30 days prior to screening
  • Smokes ≥ 15 cigarettes/day
  • Known or suspected premalignant or malignant disease
  • Cardiovascular disease, insulin-dependent diabetes mellitus, congestive heart failure, stroke or ischemic attack, thrombophlebitis or thromboembolic disorder
  • Increased frequency/severity headaches with estrogen therapy
  • Drug addiction/alcohol abuse within last 2 years
  • Currently taking St. John's Wort or anticoagulant
  • Uncontrolled hypertension or thyroid disorder, clinically significant depression or untreated urinary tract infection

Trial locations and contacts

48 sites in 1 country.

48 sites in 1 country

United States48 sites
  • Warner Chilcott Investigational Study Site

    Atlanta, Georgia, 30328

  • Warner Chilcott Investigational Study Site

    Bluffton, South Carolina, 29910

  • Warner Chilcott Investigational Study Site

    Boynton Beach, Florida, 33472

  • Warner Chilcott Investigational Study Site

    Clearwater, Florida, 33759

  • Warner Chilcott Investigational Study Site

    Cleveland, Ohio, 44122

  • Warner Chilcott Investigational Study Site

    Columbus, Ohio, 43213

  • Warner Chilcott Investigational Study Site

    Dallas, Texas, 75230

  • Warner Chilcott Investigational Study Site

    Dallas, Texas, 75231

  • Warner Chilcott Investigational Study Site

    Dallas, Texas, 75234

  • Warner Chilcott Investigational Study Site

    Granger, Indiana, 46530

  • Warner Chilcott Investigational Study Site

    Greensboro, North Carolina, 27408

  • Warner Chilcott Investigational Study Site

    Houston, Texas, 77030

  • Warner Chilcott Investigational Study Site

    Huntsville, Alabama, 35801

  • Warner Chilcott Investigational Study Site

    Jacksonville, Florida, 32216

  • Warner Chilcott Investigational Study Site

    Jenkintown, Pennsylvania, 19046

  • Warner Chilcott Investigational Study Site

    Kalamazoo, Michigan, 49009

  • Warner Chilcott Investigational Study Site

    Las Vegas, Nevada, 89106

  • Warner Chilcott Investigational Study Site

    Las Vegas, Nevada, 89113

  • Warner Chilcott Investigational Study Site

    Marrero, Louisiana, 70072

  • Warner Chilcott Investigational Study Site

    Miami, Florida, 33143

  • Warner Chilcott Investigational Study Site

    Miami, Florida, 33186

  • Warner Chilcott Investigational Study Site

    Mobile, Alabama, 36608

  • Warner Chilcott Investigational Study Site

    Moorestown, New Jersey, 08057

  • Warner Chilcott Investigational Study Site

    New Bern, North Carolina, 28562

  • Warner Chilcott Investigational Study Site

    New London, Connecticut, 06320

  • Warner Chilcott Investigational Study Site

    New Orleans, Louisiana, 70115

  • Warner Chilcott Investigational Study Site

    Norfolk, Virginia, 23507

  • Warner Chilcott Investigational Study Site

    Ormond Beach, Florida, 32174

  • Warner Chilcott Investigational Study Site

    Palm Beach Gardens, Florida, 33410

  • Warner Chilcott Investigational Study Site

    Philadelphia, Pennsylvania, 19114

  • Warner Chilcott Investigational Study Site

    Phoenix, Arizona, 85032

  • Warner Chilcott Investigational Study Site

    Pinellas Park, Florida, 33781

  • Warner Chilcott Investigational Study Site

    Pittsburgh, Pennsylvania, 15206

  • Warner Chilcott Investigational Study Site

    Richmond, Virginia, 23233

  • Warner Chilcott Investigational Study Site

    Roswell, Georgia, 30075

  • Warner Chilcott Investigational Study Site

    Salt Lake City, Utah, 84109

  • Warner Chilcott Investigational Study Site

    Salt Lake City, Utah, 84121

  • Warner Chilcott Investigational Study Site

    San Antonio, Texas, 78229

  • Warner Chilcott Investigational Study Site

    San Diego, California, 92103

  • Warner Chilcott Investigational Study Site

    San Diego, California, 92108

  • Warner Chilcott Investigational Study Site

    San Diego, California, 92123

  • Warner Chilcott Investigational Study Site

    Savannah, Georgia, 31406

  • Warner Chilcott Investigational Study Site

    Scottsdale, Arizona, 85251

  • Warner Chilcott Investigational Study Site

    Seattle, Washington, 98105

  • Warner Chilcott Investigational Study Site

    Spokane, Washington, 99207

  • Warner Chilcott Investigational Study Site

    Tucson, Arizona, 85712

  • Warner Chilcott Investigational Study Site

    West Palm Beach, Florida, 33409

  • Warner Chilcott Investigational Study Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: A Randomized, Multicenter, Double-Blind, Vehicle-Controlled Study to Evaluate the Safety and Efficacy of WC3011 in Postmenopausal Women

The primary objective of this study is to compare the efficacy of WC3011 with placebo vaginal gel in postmenopausal women for the relief of vaginal dryness caused by vaginal atrophy as measured by self-assessment, vaginal pH and vaginal smear.

Being tested
Vehicle, WC3011 Estradiol Vaginal Cream
Keywords
vaginal dryness, vaginal atrophy, estrogen

What participants receive

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

  • VehicleDrug

    Vehicle Cream applied to the vagina daily for 2 weeks followed by dosing 2 times a week for 10 weeks

  • WC3011 Estradiol Vaginal CreamDrug

    WC3011 estradiol vaginal cream applied daily for 2 weeks followed by dosing 2 times a week for 10 weeks

Study groups in NCT01816139
Study groupRoleWhat they receive
Vehicle (2 Times/Week)ExperimentalVehicle applied to the vagina daily for 2 weeks followed by dosing 2 times a week for 10 weeks.
Receives: Drug: Vehicle
WC3011 Estradiol Vaginal Cream (2 Times/Week)Placebo comparatorWC3011 estradiol vaginal cream applied daily for 2 weeks followed by dosing 2 times a week for 10 weeks.
Receives: Drug: WC3011 Estradiol Vaginal Cream

What is being measured

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

  1. Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Final Assessment

    Participant's self-assessment of Vaginal Dryness was scored on a 4-point scale where: 0=none, 1=mild, 2=moderate or 3=severe. Higher scores indicate the most bothersome symptoms. A negative change from Baseline indicates improvement. Final assessment is defined as the last available postbaseline assessment.

    Measured: Baseline (Day 0) to final assessment (Up to Week 12)

  2. Change From Baseline in Vaginal pH to Final Assessment

    Vaginal pH was obtained at baseline and final visit of the study. The pH was a numeric value from 0 to 14 expressing the acidity or alkalinity of the vaginal fluids where 7 was neutral, lower values were more acidic (values of 0-6) and higher values more alkaline (values of 8-14). A negative change from Baseline indicates improvement. Final assessment is defined as the last available postbaseline assessment.

    Measured: Baseline (Day 0) to final assessment (Up to Week 12)

  3. Change From Baseline in the Percentage of Vaginal Superficial Cells to Final Assessment

    Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of superficial cells. A positive change from Baseline indicates improvement. Final assessment is defined as the last available postbaseline assessment.

    Measured: Baseline (Day 0) to final assessment (Up to Week 12)

  4. Change From Baseline in the Percentage of Vaginal Parabasal Cells to Final Assessment

    Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of parabasal cells. A negative change from Baseline indicates improvement. Final assessment is defined as the last available postbaseline assessment.

    Measured: Baseline (Day 0) to final assessment (Up to Week 12)

Secondary outcomes (6)
  1. Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8, and 12

    Participant's self-assessment of Vaginal Dryness was scored on a 4-point scale where: 0=none, 1=mild, 2=moderate or 3=severe. Higher scores indicate the most bothersome symptoms. A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Weeks 2, 4, 8, and 12

  2. Change From Baseline in Participants Self-Assessment of the Symptoms of VVA

    Self-Assessment of the symptoms of VVA (vaginal and/or vulvar irritation/ Itching, dysuria, and dyspareunia) were evaluated by a questionnaire. Each symptom was scored on a 4-point scale where: 0=none, 1=mild, 2=moderate, or 3=severe. Higher scores indicate the most bothersome symptoms. A negative change from Baseline indicates improvement. Final Assessment is defined as the last available post-baseline assessment for the given efficacy endpoint.

    Measured: Baseline (Day 0) to Weeks 2, 4, 8, 12 and Final Assessment

  3. Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity

    Vaginal bleeding associated with sexual activity was assessed by participants as either "present" or "absent". Number of participants with assessment "present" are reported. Final assessment is defined as the last available postbaseline assessment.

    Measured: Baseline (Day 0) and Weeks 2, 4, 8, 12 and Final Assessment

  4. Change From Baseline in the Investigator's Assessment of Each of the Signs of VVA to Week 12 and Final Assessment

    Investigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to the signs of VVA: atrophy, pallor, vaginal dryness, friability, and petechiae each graded on a 4-point scale where: 0=none, 1=mild, 2=moderate or 3=severe. Higher scores are worse. A negative change from Baseline indicates improvement. Final assessment is defined as the last available postbaseline assessment.

    Measured: Baseline (Day 0) to Week 12 and Final Assessment

  5. Change From Baseline in the Percentage of Vaginal Superficial Cells to Week 12

    Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of superficial cells. A positive change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to Week 12

  6. Change From Baseline in the Percentage of Vaginal Parabasal Cells to Week 12

    Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of parabasal cells. A negative change from Baseline indicates improvement.

    Measured: Baseline (Day 0) to 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 posted21 Mar 2013 (estimated)
  2. Study start31 Jan 2013
  3. Primary completion19 Nov 2013
  4. Study completion19 Nov 2013

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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
576 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01816139
Sponsor's protocol ID
PR-05812
Status last verified
Sep 2021
First submitted
13 Mar 2013
Last updated
9 May 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing WC3011 Estradiol Vaginal Cream in people with Vulvovaginal Atrophy, run by Warner Chilcott at 48 sites in United States.

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 7 inclusion and 8 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 9 May 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 48 sites in United States. 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 9 May 2022). 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 in Participant's Self-Assessment of Severity of Vaginal Dryness to Final Assessment (time frame: Baseline (Day 0) to final assessment (Up to 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?
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 9 May 2022.

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