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Heavy Uterine BleedingPhase 2NCT01817530

Safety and Efficacy in Premenopausal Women With Heavy Menstrual Bleeding (HMB) Associated With Uterine Fibroids (UF)

A Phase 2 study testing Elagolix, 0.5 mg estradiol / 0.1 mg norethindrone acetate and 1 mg estradiol / 0.5 mg norethindrone acetate in people with Heavy Uterine Bleeding and Uterine Fibroids, run by AbbVie.

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

This is a Phase 2b randomized, double-blind, placebo-controlled study evaluating the safety and efficacy of elagolix alone and in combination with add-back therapy versus placebo on heavy menstrual bleeding in premenopausal women 18 to 51 years of age with uterine fibroids. Read more about this study

Who is it for?
Ages 18 to 51 years, women only
Conditions the study is for
Heavy Uterine Bleeding, Uterine Fibroids
What is being tested?
Elagolix, 0.5 mg estradiol / 0.1 mg norethindrone acetate and 1 mg estradiol / 0.5 mg norethindrone acetate
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
571 participants
Where
No sites listed yet
Study dates
8 Apr 2013to Dec 2015
Phase
Phase 2
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 18 to 51 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Subject is pre-menopausal female 18 to 51 years of age at Screening.
  • Subject has diagnosis of uterine fibroids documented by a Pelvic Ultrasound.
  • Subject has heavy uterine bleeding associated with uterine fibroids.

Who cannot join

  • Subject has had a myomectomy, uterine artery embolization or high intensity focused ultrasound for fibroid destruction within 6 months prior to Screening or endometrial ablation within 5 years prior to Screening.
  • Subject has a history of osteoporosis or other metabolic bone disease.
  • Subject shows evidence of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric (including depression, schizophrenia, bipolar disorder), or neurologic diseases or any uncontrolled medical illness such as uncontrolled type 2 diabetes. Subject has any history of attempted suicide.
  • Subject has a history of clinically significant condition(s) including but not limited to: * Symptomatic Endometriosis * Epilepsy or seizures * Type 1 diabetes * Chronic kidney disease * Any cancer (except treated basal cell carcinoma of the skin), including breast or ovarian cancer or subject has taken any systemic cancer chemotherapy

About this study

Official title: A Phase 2b Study to Evaluate the Safety and Efficacy of Elagolix in Premenopausal Women With Heavy Menstrual Bleeding Associated With Uterine Fibroids

This is a Phase 2b randomized, double-blind, placebo-controlled study evaluating the safety and efficacy of elagolix alone and in combination with add-back therapy versus placebo on heavy menstrual bleeding in premenopausal women 18 to 51 years of age with uterine fibroids.

Being tested
Elagolix placebo, Elagolix, 0.5 mg estradiol / 0.1 mg norethindrone acetate, 1 mg estradiol / 0.5 mg norethindrone acetate, E2/NETA placebo
Keywords
Uterine Fibroids, Leiomyomata, Elagolix, Menorrhagia, Elagolix sodium, Heavy Uterine Bleeding, ABT-620
Medical subject headings
Leiomyoma, Menorrhagia

What participants receive

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

  • Elagolix placeboOther

    oral coated tablet

  • ElagolixDrug

    Also called ABT-620

    oral coated tablet

  • 0.5 mg estradiol / 0.1 mg norethindrone acetateDrug

    Also called Activelle, Activella, low dose (LD) E2/NETA

    oral hard capsule

  • 1 mg estradiol / 0.5 mg norethindrone acetateDrug

    Also called Activelle, Activella, standard dose (SD) E2/NETA

    oral hard capsule

  • E2/NETA placeboDrug

    oral hard capsule

Study groups in NCT01817530
Study groupRoleWhat they receive
Cohort 1: PlaceboPlacebo comparatorPlacebo for elagolix and placebo for E2/NETA twice daily (BID)
Receives: Other: Elagolix placebo; Drug: E2/NETA placebo
Cohort 1: Elagolix 300 mg BIDExperimentalElagolix 300 mg BID alone
Receives: Drug: Elagolix; Drug: E2/NETA placebo
Cohort 1: Elagolix 300 mg BID plus LD E2/NETA QDExperimentalElagolix 300 mg BID plus low-dose (LD) E2/NETA once daily (QD)
Receives: Drug: Elagolix; Drug: 0.5 mg estradiol / 0.1 mg norethindrone acetate
Cohort 1: Elagolix 300 mg BID plus SD E2/NETA QDExperimentalElagolix 300 mg BID plus standard-dose (SD) E2/NETA QD
Receives: Drug: Elagolix; Drug: 1 mg estradiol / 0.5 mg norethindrone acetate
Cohort 2: PlaceboPlacebo comparatorPlacebo for elagolix and E2/NETA QD
Receives: Other: Elagolix placebo; Drug: E2/NETA placebo
Cohort 2: Elagolix 600 mg QDExperimentalElagolix 600 mg QD alone
Receives: Drug: Elagolix; Drug: E2/NETA placebo
Cohort 2: Elagolix 600 mg QD plus LD E2/NETA QDExperimentalElagolix 600 mg QD plus LD E2/NETA QD
Receives: Drug: Elagolix; Drug: 0.5 mg estradiol / 0.1 mg norethindrone acetate
Cohort 2: Elagolix 600 mg QD plus SD E2/NETA QDExperimentalElagolix 600 mg QD plus SD E2/NETA QD
Receives: Drug: Elagolix; Drug: 1 mg estradiol / 0.5 mg norethindrone acetate

What is being measured

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

  1. Percentage of Participants With a Menstrual Blood Loss (MBL) Volume of < 80 mL at the Final Month and a ≥ 50% Reduction in MBL Volume From Baseline to the Final Month

    The percentage of participants meeting a composite endpoint consisting of these 2 bleeding assessments: a MBL Volume of < 80 mL at the Final Month and a ≥50% Reduction in MBL Volume from Baseline to the Final Month (last 28 days of treatment). Baseline is defined as the last qualified menstrual cycle during the screening period.

    Measured: Baseline, Final Month (last 28 days of treatment)

Secondary outcomes (18)
  1. Percentage of Participants With a MBL Volume < 80 mL and a ≥ 50% Reduction in MBL Volume From Baseline During the Last 56 to 29 Days of Treatment

    The percentage of participants meeting a composite endpoint consisting of these 2 bleeding assessments: a MBL volume < 80 mL and a ≥ 50% reduction in MBL volume from baseline during the last 56 to 29 days of last treatment. Baseline is defined as the last qualified menstrual cycle during the screening period.

    Measured: Baseline, second last 28 days of treatment (last 56 to 29 days of treatment)

  2. Percentage of Participants With a MBL Volume < 80 mL and a ≥ 50% Reduction in MBL Volume From Baseline During the Last 84 to 57 Days of Treatment

    The percentage of participants meeting a composite endpoint consisting of these 2 bleeding assessments: a MBL volume < 80 mL and a ≥ 50% reduction in MBL volume from baseline during the last 84 to 57 days of last treatment. Baseline is defined as the last qualified menstrual cycle during the screening period.

    Measured: Baseline, third last 28 days of treatment (last 84 to 57 days of treatment)

  3. Percentage of Participants Who Achieved an MBL Volume of < 80 mL at the Final Month

    Percentage of participants who achieved an MBL volume of < 80 mL at the Final Month (last 28 days of treatment). Baseline is defined as the last qualified menstrual cycle during the screening period.

    Measured: Final Month (last 28 days of treatment)

  4. Percentage of Participants With a ≥ 50% Reduction in MBL Volume From Baseline to the Final Month

    Percentage of participants with a >= 50% reduction from baseline in MBL to the Final Month (last 28 days of treatment). Baseline is defined as the last qualified menstrual cycle during the screening period.

    Measured: Baseline, Final Month (last 28 days of treatment)

  5. Percentage of Participants Who Achieved Amenorrhea During the Last 56 Days of Treatment

    Amenorrhea is defined as having 0 days of bleeding or spotting based on observed validated and nonvalidated alkaline hematin data and having 0 days of bleeding or spotting, based on imputed electronic diary data during the last 56 days of treatment. Participants needed to have at least 66 days on treatment.

    Measured: Last 56 days of treatment (after 10 days from first dose date)

  6. Percentage of Participants Who Achieved Suppression of Bleeding During the Last 56 Days of Treatment

    Suppression of bleeding is defined as having 0 days of bleeding based on observed validated and nonvalidated alkaline hematin data and having 0 days of bleeding (spotting is allowed) based on imputed electronic diary data during the last 56 days of treatment.

    Measured: Last 56 days of treatment (after 10 days from first dose date)

  7. Mean Change in the Number of Bleeding Days From Baseline to Month 6

    The number of days with any bleeding including spotting was calculated using data collected on daily bleeding diary. Baseline is defined as the last 28 days prior to the first dose day of study drug.

    Measured: Baseline, Month 6

  8. Mean Change in the Number of Heavy Bleeding Days From Baseline to Month 6

    The number of days with heavy bleeding (either heavy or very heavy/gushing bleeding) was calculated using data collected on daily bleeding diary. Baseline is defined as the last 28 days prior to the first dose day of study drug.

    Measured: Baseline, Month 6

  9. Change in Bleeding Severity Scores From Baseline at the Final Month

    The average bleeding score was calculated for each 28-day interval starting on Day 29 using data collected on daily bleeding diary using the Mansfield-Voda-Jorgenson (MVJ) Menstrual Bleeding Scale (1=spotting, 2 = very light bleeding, 3 = light bleeding, 4 = moderate bleeding, 5 = heavy bleeding, 6 = very heavy/gushing bleeding). Baseline is defined as the last 28 days prior to the first day of study drug.

    Measured: Baseline, Final Month (last 28 days of treatment)

  10. Mean Change in Hemoglobin Concentration From Baseline to Final Visit

    Baseline is defined as the last measurement prior to the first dose of study drug.

    Measured: Baseline, Final Visit during treatment period (Month 6 or early termination)

  11. Mean Percentage Change From Baseline in Total Fibroid Volume at Month 3, Month 6, and Final Visit

    Volume of the total fibroid volume (3 largest fibroids), as measured by transvaginal ultrasound, or transabdominal ultrasound.

    Measured: Baseline, Month 3, Month 6, and Final Visit during treatment period (Month 6 or early termination)

  12. Mean Percentage Change From Baseline in Primary Fibroid Volume at Month 3, Month 6, and Final Visit

    Volume of the largest fibroid (primary fibroid), as measured by transvaginal ultrasound, or transabdominal ultrasound.

    Measured: Baseline, Month 3, Month 6, and Final Visit during treatment period (Month 6 or early termination)

  13. Mean Percentage Change From Baseline in Uterine Volume at Month 3, Month 6, and Final Visit

    Uterine volume, as measured by transvaginal ultrasound or transabdominal ultrasound.

    Measured: Baseline, Month 3, Month 6, and Final Visit during treatment period (Month 6 or early termination)

  14. Percentage of Participants With ≥ 25% Reduction From Baseline in Total Fibroid Volume at Month 3, Month 6, and Final Visit

    Total fibroid volume (3 largest fibroids) was measured by transvaginal ultrasound, or transabdominal ultrasound.

    Measured: Baseline, Month 3, Month 6, and Final Visit during treatment period (Month 6 or early termination)

  15. Percentage of Participants With ≥ 25% Reduction From Baseline in Primary Fibroid Volume at Month 3, Month 6, and Final Visit

    Volume of the largest fibroid (primary fibroid) was measured by transvaginal ultrasound or transabdominal ultrasound.

    Measured: Baseline, Month 3, Month 6, and Final Visit during treatment period (Month 6 or early termination)

  16. Percentage of Participants With ≥ 25% Reduction From Baseline in Uterine Volume at Month 3, Month 6, and Final Visit

    Uterine volume was measured by transvaginal ultrasound or transabdominal ultrasound.

    Measured: Baseline, Month 3, Month 6, and Final Visit during treatment period (Month 6 or early termination)

  17. Change From Baseline to Each Month in Non-Bleeding Uterine Fibroids Symptom (NBUFSQ) Questionnaire

    The NBUFSQ (8 items) is a brief patient-reported daily diary that assesses non-bleeding symptoms experienced by women with uterine fibroids. It includes 6 items, asking women to rate their symptoms (abdominal/pelvic pain, pressure, and cramping, back pain, bloating, and urinary problems) in the past 24 hours using an 11-point numeric response scale that ranges from 0 (i.e., no symptom) to 10 (i.e., worst possible symptom) and 2 items to address urinary frequency during the daytime and at night. Data presented in the sum of scores to the 6 symptom questions, ranging from 0 (no symptoms) to 60 (worst possible symptoms). Baseline is defined as the last 28 days prior to the first day of study drug. Final Month is defined as the last 28 days prior to and including the last dose date of study drug.

    Measured: Baseline, Days 1-28, Days 29-56, Days 57-84, Days 85-112, Days 113-140, Days 141-168, Final Month of treatment, Post-treatment (PT) Days 1-28, PT Days 29-56, PT Days 57-84, PT Days 85-112, PT Days 113-140, PT Days 141-168

  18. Percentage of Participants Who Successfully Avoided Surgical or Invasive Procedures for Uterine Fibroids

    The percentage of participants who successfully avoided surgical or invasive procedures for Uterine Fibroids was assessed.

    Measured: Month 6

Timeline

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

  1. First posted25 Mar 2013 (estimated)
  2. Study start8 Apr 2013
  3. Primary completionJun 2015
  4. Study completionDec 2015

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
571 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01817530
Sponsor's protocol ID
M12-813
Other IDs
2013-000082-37
Status last verified
Jun 2020
First submitted
21 Mar 2013
Last updated
21 Jul 2020
Data monitoring committee
No
Individual data sharing
Yes: AbbVie is committed to responsible data sharing regarding the clinical trials we sponsor. This includes access to anonymized, individual and trial-level data (analysis data sets), as well as other information (e.g., protocols and clinical study reports), as long as the trials are not part of an ongoing or planned regulatory submission. This includes requests for clinical trial data for unlicensed products and indications.

Publications

  • Carr BR, Stewart EA, Archer DF, Al-Hendy A, Bradley L, Watts NB, Diamond MP, Gao J, Owens CD, Chwalisz K, Duan WR, Soliman AM, Dufek MB, Simon JA. Elagolix Alone or With Add-Back Therapy in Women With Heavy Menstrual Bleeding and Uterine Leiomyomas: A Randomized Controlled Trial. Obstet Gynecol. 2018 Nov;132(5):1252-1264. doi: 10.1097/AOG.0000000000002933.

    PubMed 30303923

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Elagolix, 0.5 mg estradiol / 0.1 mg norethindrone acetate and 1 mg estradiol / 0.5 mg norethindrone acetate in people with Heavy Uterine Bleeding and Uterine Fibroids, run by AbbVie.

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 3 inclusion and 4 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 Jul 2020. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 21 Jul 2020). 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?

Percentage of Participants With a Menstrual Blood Loss (MBL) Volume of < 80 mL at the Final Month and a ≥ 50% Reduction in MBL Volume From Baseline to the Final Month (time frame: Baseline, Final Month (last 28 days of treatment)). 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 NCT01817530, 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 Jul 2020.

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