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.
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
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.
- Conditions
- Vulvovaginal Atrophy
- 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 group | Role | What they receive |
|---|---|---|
| Vehicle (2 Times/Week) | Experimental | Vehicle 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 comparator | WC3011 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.
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)
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)
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)
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)
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
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
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
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
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
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.
- First posted21 Mar 2013 (estimated)
- Study start31 Jan 2013
- Primary completion19 Nov 2013
- Study completion19 Nov 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Vulvovaginal AtrophyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Warner Chilcott
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Anna Chan, PharmD, Study director, Warner Chilcott
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
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 9 May 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Multicenter, Double-Blind, Vehicle-Controlled Study to Evaluate the Safety and Efficacy of WC3011 in Postmenopausal Women
- ClinicalTrials.gov ID
- NCT01816139
- Acronym / sponsor ID
- PR-05812
- Conditions
- Vulvovaginal Atrophy
- Keywords
- vaginal dryness, vaginal atrophy, estrogen
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 576 participants (actual)
- Lead sponsor
- Warner ChilcottIndustry (pharma, biotech, devices)
- Study start
- 31 Jan 2013 (actual)
- Primary completion
- 19 Nov 2013 (actual)
- Study completion
- 19 Nov 2013 (actual)
- First posted
- 21 Mar 2013 (estimated)
- Results
- Posted 9 May 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Vehicle (2 Times/Week) | Experimental | Drug: VehicleVehicle applied to the vagina daily for 2 weeks followed by dosing 2 times a week for 10 weeks. |
| WC3011 Estradiol Vaginal Cream (2 Times/Week) | Placebo comparator | Drug: WC3011 Estradiol Vaginal CreamWC3011 estradiol vaginal cream applied daily for 2 weeks followed by dosing 2 times a week for 10 weeks. |
Who may qualify
- Ages
- 35 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- 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
Key exclusion criteria (8 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VehicleVehicle Cream applied to the vagina daily for 2 weeks followed by dosing 2 times a week for 10 weeks | Drug | Vehicle (2 Times/Week) |
| WC3011 Estradiol Vaginal CreamWC3011 estradiol vaginal cream applied daily for 2 weeks followed by dosing 2 times a week for 10 weeks | Drug | WC3011 Estradiol Vaginal Cream (2 Times/Week) |
Primary outcome
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)
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.
Change From Baseline in Vaginal pH to Final Assessment
Time frame: Baseline (Day 0) to final assessment (Up to Week 12)
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.
Change From Baseline in the Percentage of Vaginal Superficial Cells to Final Assessment
Time frame: Baseline (Day 0) to final assessment (Up 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. Final assessment is defined as the last available postbaseline assessment.
Change From Baseline in the Percentage of Vaginal Parabasal Cells to Final Assessment
Time frame: Baseline (Day 0) to final assessment (Up 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. Final assessment is defined as the last available postbaseline assessment.
6 secondary outcomes
Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8, and 12
Time frame: Baseline (Day 0) to Weeks 2, 4, 8, and 12
Change From Baseline in Participants Self-Assessment of the Symptoms of VVA
Time frame: Baseline (Day 0) to Weeks 2, 4, 8, 12 and Final Assessment
Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity
Time frame: Baseline (Day 0) and Weeks 2, 4, 8, 12 and Final Assessment
Change From Baseline in the Investigator's Assessment of Each of the Signs of VVA to Week 12 and Final Assessment
Time frame: Baseline (Day 0) to Week 12 and Final Assessment
Change From Baseline in the Percentage of Vaginal Superficial Cells to Week 12
Time frame: Baseline (Day 0) to Week 12
Change From Baseline in the Percentage of Vaginal Parabasal Cells to Week 12
Time frame: Baseline (Day 0) to Week 12
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 May 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
Related trials for Vulvovaginal Atrophy
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Proof of Concept Study of Vaginal AZU-101 in Vulvovaginal Atrophy in Postmenopausal Women
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Recruiting
F-GYN for Vaginal Dryness and Vulvovaginal Atrophy
Atrophic Vaginitis, Atrophic Vulvovaginitis
Recruiting
A Laser and Topical Treatment Combination in the Vulvo-vaginal Atrophy Management in Breast Cancer Patients.
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Not yet recruitingObservational study
Retrospective Cohort Study of Symptoms and Quality of Life in Women With Genitourinary Syndrome of Menopause.
Vulvar Atrophy, Vulvovaginal Signs and Symptoms
RecruitingObservational study
Determining the Extent of the Genitourinary Syndrome of Menopause Burden in Breast Cancer Survivors
Genitourinary Syndrome of Menopause (GSM), Breast Cancer
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Anna Chan, PharmD study director
Warner Chilcott
48 sites in 1 country: see every site and its status.
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.