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LeiomyomaPhase 3NCT02147158

A Study of the Efficacy and Safety of Ulipristal Acetate Intermittent Treatment for Abnormal Uterine Bleeding Associated With Leiomyomas

A Phase 3 study testing Ulipristal acetate (UPA) in people with Leiomyoma and Uterine Hemorrhage, run by Allergan at 63 sites in 2 countries.

Completed

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

Official record
Search all trials

Trial summary

This study will evaluate the superiority of ulipristal acetate versus placebo for the treatment of abnormal uterine bleeding associated with uterine fibroids Read more about this study

Who is it for?
Ages 18 to 50 years, women only
Conditions the study is for
Leiomyoma, Uterine Hemorrhage
What is being tested?
Ulipristal acetate (UPA)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
432 participants
Where
63 sitesin 2 countries
Study dates
29 Jan 2014to 24 Nov 2016
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 18 to 50 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Premenopausal women, 18-50 years, inclusive.
  • Cyclic abnormal uterine bleeding (heavy or prolonged).
  • Menstrual blood loss (MBL) of ≥ 80 mL as measured by the alkaline hematin method in the first 8 days of menses.
  • Minimum of one discrete leiomyoma observable by transvaginal ultrasound.
  • Endometrial biopsy without evidence of malignancy or atypical or non-atypical hyperplasia.

Who cannot join

  • History of uterine surgery that would interfere with the study endpoints.
  • Known coagulation disorder including bleeding disorder or clotting disorder.
  • History of, or current uterine, cervix, ovarian, or breast cancer.
  • Alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP), or total bilirubin two times or greater than the upper limit of normal range.

Trial locations and contacts

63 sites in 2 countries.

63 sites in 2 countries

United States61 sites
  • Watson Investigational Site 115

    Albuquerque, New Mexico, 87109

  • Watson Investigational Site 160

    Atlanta, Georgia, 30342

  • Watson Investigational Site 136

    Bluffton, South Carolina, 29910

  • Watson Investigational Site 162

    Brownsburg, Indiana, 46112

  • Watson Investigational Site 113

    Champaign, Illinois, 61820

  • Watson Investigational Site 110

    Charleston, South Carolina, 29425

  • Watson Investigational Site 155

    Cincinnati, Ohio, 45267

  • Watson Investigational Site 131

    Clearwater, Florida, 33759

  • Watson Investigational Site 155

    Cleveland, Ohio, 44106

  • Watson Investigational Site 148

    Cleveland, Ohio, 44122

  • Watson Investigational Site 153

    Columbia, South Carolina, 29201

  • Watson Investigational Site 150

    Covington, Louisiana, 70433

  • Watson Investigational Site 122

    Dallas, Texas, 75231

  • Watson Investigational Site 159

    Denver, Colorado, 80209

  • Watson Investigational Site 126

    Durham, North Carolina, 27713

  • Watson Investigational Site 155

    Encino, California, 91436

  • Watson Investigational Site 139

    Englewood, Ohio, 45322

  • Watson Investigational Site 114

    Frisco, Texas, 75035

  • Watson Investigational Site 104

    Granger, Indiana, 46530

  • Watson Investigational Site 128

    Greensboro, North Carolina, 27408

  • Watson Investigational Site 154

    Greenville, South Carolina, 29615

  • Watson Investigational Site 157

    Hawaiian Gardens, California, 90716

  • Watson Investigational Site 109

    Houston, Texas, 77030

  • Watson Investigational Site 155

    Houston, Texas, 77054

  • Watson Investigational Site 155

    Knoxville, Tennessee, 37920

  • Watson Investigational Site 134

    La Mesa, California, 91942

  • Watson Investigational Site 108

    Las Vegas, Nevada, 89109

  • Watson Investigational Site 107

    Las Vegas, Nevada, 89128

  • Watson Investigational Site 111

    Lawrenceville, New Jersey, 08648

  • Watson Investigational Site 155

    Little Rock, Arkansas, 72205

  • Watson Investigational Site 138

    Mesa, Arizona, 85209

  • Watson Investigational Site 130

    Metairie, Louisiana, 70001

  • Watson Investigational Site 135

    Miramar, Florida, 33027

  • Watson Investigational Site 158

    Moorestown, New Jersey, 08057

  • Watson Investigational Site 145

    New Bern, North Carolina, 28562

  • Watson Investigational Site 116

    New Orleans, Louisiana, 70115

  • Watson Investigational Site 152

    Norfolk, Virginia, 23507-1627

  • Watson Investigational Site 132

    North Miami, Florida, 33161

  • Watson Investigational Site 161

    Orlando, Florida, 32806

  • Watson Investigational Site 133

    Philadelphia, Pennsylvania, 19114

  • Watson Investigational Site 147

    Phoenix, Arizona, 85032

  • Watson investigational site 142

    Pittsburgh, Pennsylvania, 15206

  • Watson Investigational Site 123

    Plantation, Florida, 33324

  • Watson Investigational Site 146

    Raleigh, North Carolina, 27612

  • Watson Investigational Site 120

    San Antonio, Texas, 78229

  • Watson Investigational Site 127

    San Diego, California, 92111

  • Watson Investigational Site 151

    San Diego, California, 92114

  • Watson Investigational Site 103

    Sandy Springs, Georgia, 30328

  • Watson Investigational Site 112

    Sarasota, Florida, 34239

  • Watson Investigational Site 117

    Savannah, Georgia, 31406

  • Watson Investigational Site 119

    Schaumburg, Illinois, 60173

  • Watson Investigational Site 106

    Scottsdale, Arizona, 85251

  • Watson Investigational Site 121

    Seattle, Washington, 98105

  • Watson Investigational Site 155

    The Bronx, New York, 10461

  • Watson Investigational Site 124

    Tucson, Arizona, 85712

  • Watson Investigational Site 137

    Virginia Beach, Virginia, 23456

  • Watson Investigational Site 129

    Webster, Texas, 77598

  • Watson Investigational Site 102

    Wellington, Florida, 33414

  • Watson Investigational Site 101

    West Palm Beach, Florida, 33409

  • Watson Investigational Site 105

    West Reading, Pennsylvania, 19611

  • Watson Investigational Site 118

    Winston-Salem, North Carolina, 27103

Other trials in United States

Canada2 sites
  • Watson Investigational Site 140

    Hamilton, Ontario, L8S4L8

  • Watson Investigational Site 144

    Ottawa, Ontario, K1H7W9

Other trials in Canada

About this study

Official title: A Randomized, Placebo-Controlled, Parallel Group, Multicenter Study to Evaluate the Efficacy and Safety of Ulipristal Acetate for the Intermittent Treatment of Abnormal Uterine Bleeding Associated With Leiomyomas

This study will evaluate the superiority of ulipristal acetate versus placebo for the treatment of abnormal uterine bleeding associated with uterine fibroids

Being tested
Ulipristal acetate (UPA), Placebo
Medical subject headings
Leiomyoma, Uterine Hemorrhage

What participants receive

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

  • Ulipristal acetate (UPA)Drug

    Ulipristal acetate (UPA) tablet.

  • PlaceboDrug

    Matching placebo tablet.

Study groups in NCT02147158
Study groupRoleWhat they receive
UPA 5 mg:PlaceboExperimentalUlipristal Acetate (UPA) 5 mg tablet plus matching placebo 10 mg tablet, orally, once daily for 12 weeks in Treatment Course 1; followed by a 2 menses drug-free interval; followed by matching placebo tablets (5 mg and 10 mg), orally, once daily for 12 weeks in Treatment Course 2.
Receives: Drug: Ulipristal acetate (UPA); Drug: Placebo
UPA 10 mg:PlaceboExperimentalUPA 10 mg tablet plus matching placebo 5 mg tablet, orally, once daily for 12 weeks in Treatment Course 1; followed by a 2 menses drug-free interval; followed by matching placebo tablets (5 mg and 10 mg), orally, once daily for 12 weeks in Treatment Course 2.
Receives: Drug: Ulipristal acetate (UPA); Drug: Placebo
UPA 5 mg:UPA 5 mgExperimentalUPA 5 mg tablet plus matching placebo 10 mg tablet, orally, once daily in both Treatment Course 1 and Treatment Course 2. There was a 2 menses drug-free interval in between courses.
Receives: Drug: Ulipristal acetate (UPA); Drug: Placebo
UPA 10 mg:UPA 10 mgExperimentalUPA 10 mg tablet plus matching placebo 5 mg tablet, orally, once daily in both Treatment Course 1 and Treatment Course 2. There was a 2 menses drug-free interval in between courses.
Receives: Drug: Ulipristal acetate (UPA); Drug: Placebo
Placebo:UPA 5 mgExperimentalMatching placebo tablets (5 mg and 10 mg) orally, once daily for 12 weeks in Treatment Course 1; followed by a 2 menses drug-free interval; followed by UPA 5 mg tablet plus matching placebo 10 mg tablet, orally, once daily for 12 weeks in Treatment Course 2.
Receives: Drug: Ulipristal acetate (UPA); Drug: Placebo
Placebo:UPA 10 mgExperimentalMatching placebo tablets (5 mg and 10 mg), orally, once daily for 12 weeks in Treatment Course 1; followed by a 2 menses drug-free interval; followed by UPA 10 mg tablet plus matching placebo 5 mg tablet, orally, once daily for 12 weeks in Treatment Course 2.
Receives: Drug: Ulipristal acetate (UPA); Drug: Placebo

What is being measured

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

  1. Percentage of Participants With Absence of Bleeding During the Last 35 Consecutive Days on Treatment in Treatment Course 1

    Participants recorded bleeding in a daily diary. Absence of bleeding was defined as no bleeding days (i.e., no entries for bleeding or heavy bleeding; however, spotting was allowed), during the last 35 consecutive days on treatment in Treatment Course 1.

    Measured: Last 35 consecutive days on treatment in the 12-Week Treatment Course 1

  2. Time to Absence of Bleeding on Treatment During Treatment Course 1

    Time to absence of bleeding was defined as the duration in days from first dose to the first day in the time interval in which absence of bleeding occurs and persists through the last dose in the first treatment course. The persistence of absence of bleeding occurred for a minimum of 35 consecutive days counting backward from the last dose in Treatment Course 1.

    Measured: From first dose up to the end of the 12-Week Treatment Course 1

Secondary outcomes (4)
  1. Percentage of Participants With Absence of Bleeding From Day 11 Through the End of Treatment Course 1

    Participants recorded bleeding in a daily diary. Absence of bleeding was defined as no bleeding days (i.e., no entries for bleeding or heavy bleeding; however, spotting was allowed), from Day 11 to the end of treatment in Treatment Course 1.

    Measured: Day 11 through the end of treatment in the 12-Week Treatment Course 1

  2. Percentage of Participants With Absence of Bleeding During the Last 35 Consecutive Days on Treatment in Treatment Course 2

    Participants recorded bleeding in a daily diary. Absence of bleeding was defined as no bleeding days (i.e., no entries for bleeding or heavy bleeding; however, spotting was allowed), during the last 35 consecutive days on treatment in Treatment Course 2.

    Measured: Last 35 consecutive days on treatment in the 12-Week Treatment Course 2

  3. Time to Absence of Bleeding on Treatment During Treatment Course 2

    Time to absence of bleeding is defined as the duration in days from first dose in treatment course 2 to the first day in the time interval in which absence of bleeding occurs and persists through the last dose in the second treatment course. The persistence of absence of bleeding occurred for a minimum of 35 consecutive days counting backward from the last dose in Treatment Course 2.

    Measured: From first dose up to the end of treatment in the 12-Week Treatment Course 2

  4. Change From Baseline in Uterine Fibroid Symptom and Health-Related Quality of Life Questionnaire (UFS-QOL) Revised Activities Subscale Score at the End of Treatment Course 1

    The UFS-QOL is a uterine fibroid-specific questionnaire consisting of 37 questions developed to evaluate symptoms of uterine fibroids and their impact on health-related quality of life in women with leiomyomas. The first 8 questions comprise the Symptom Severity subscale to assess symptoms experienced by women with uterine leiomyomas, the remaining 29 questions comprise 6 subscales (Concern, Activities, Energy/mood, Control, Self-consciousness, Sexual Function) which overall deal with women's feelings and experiences regarding impact of uterine leiomyoma symptoms on her life. Each item is scored between 1 and 5, where 1=none of the time or not at all and 5=all of the time or a very great deal. A Revised Activities subscale was created to include the most relevant items pertaining to physical and social activities with a total possible score of 0 to 100. Higher Revised Activities subscale scores indicate less impact on activities. A positive change from Baseline indicates improvement.

    Measured: Baseline (Day 1-4) to End of 12-Week Treatment Course 1

Timeline

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

  1. First posted26 May 2014 (estimated)
  2. Study start29 Jan 2014
  3. Primary completion24 Nov 2016
  4. Study completion24 Nov 2016

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
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
432 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02147158
Sponsor's protocol ID
UL1208
Status last verified
May 2019
First submitted
10 May 2014
Last updated
4 Jun 2019
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Coyne KS, Harrington A, Currie BM, Chen J, Gillard P, Spies JB. Psychometric validation of the 1-month recall Uterine Fibroid Symptom and Health-Related Quality of Life questionnaire (UFS-QOL). J Patient Rep Outcomes. 2019 Aug 23;3(1):57. doi: 10.1186/s41687-019-0146-x.

    PubMed 31444600
  • Lukes AS, Soper D, Harrington A, Sniukiene V, Mo Y, Gillard P, Shulman L. Health-Related Quality of Life With Ulipristal Acetate for Treatment of Uterine Leiomyomas: A Randomized Controlled Trial. Obstet Gynecol. 2019 May;133(5):869-878. doi: 10.1097/AOG.0000000000003211.

    PubMed 30969201
  • Liu JH, Soper D, Lukes A, Gee P, Kimble T, Kroll R, Mallick M, Chan A, Gillard P, Harrington A, Sniukiene V, Shulman LP. Ulipristal Acetate for Treatment of Uterine Leiomyomas: A Randomized Controlled Trial. Obstet Gynecol. 2018 Nov;132(5):1241-1251. doi: 10.1097/AOG.0000000000002942.

    PubMed 30303900

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ulipristal acetate (UPA) in people with Leiomyoma and Uterine Hemorrhage, run by Allergan at 63 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?

The sponsor lists 5 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 4 Jun 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 63 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. 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 4 Jun 2019). 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 Absence of Bleeding During the Last 35 Consecutive Days on Treatment in Treatment Course 1 (time frame: Last 35 consecutive days on treatment in the 12-Week Treatment Course 1). The study lists 2 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 NCT02147158, 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 4 Jun 2019.

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