EndometriosisPhase 3NCT03213457
A Clinical Study to Evaluate the Safety and Efficacy of Elagolix in Participants With Moderate to Severe Endometriosis-Associated Pain
A Phase 3 study testing Estradiol/Norethindrone Acetate and Elagolix in people with Endometriosis, run by AbbVie at 197 sites in 3 countries.
Trial summary
The objective of this study is to evaluate safety and efficacy of elagolix in the management of moderate to severe endometriosis-associated pain in adult premenopausal female participants including the safety and efficacy of elagolix in combination with concomitant hormonal add-back therapy. Read more about this study
- Who is it for?
- Ages 18 to 49 years, women only
- Conditions the study is for
- Endometriosis
- What is being tested?
- Estradiol/Norethindrone Acetate and Elagolix
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 681 participants
- Where
- 197 sitesin 3 countries
- Study dates
- 7 Jul 2017to 6 Dec 2023
- 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 49 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Participant is a premenopausal female 18 to 49 years of age (inclusive) at the time of Screening.
- Participant has a documented surgical diagnosis (e.g., laparoscopy or laparotomy) of endometriosis established by visualization within 10 years prior to entry into Washout or Screening.
- Participant must agree to use only protocol specified rescue analgesics during the Screening and Treatment Periods for endometriosis-associated pain.
- Participant must have the following documented in the e-Diary during the last 35 days prior to Study Day 1:
- At least 2 days of "moderate" or "severe" dysmenorrhea (DYS) AND either
- At least 2 days of "moderate" or "severe" non-menstrual pelvic pain (NMPP) and an average NMPP score of at least 1.0, OR
- At least 4 days of "moderate" or "severe" NMPP and an average NMPP score of at least 0.5.
Who cannot join
- Participant has chronic pelvic pain that is not caused by endometriosis, that requires chronic analgesic therapy, which would interfere with the assessment of endometriosis-related pain.
- Participant is using any systemic corticosteroids for over 14 days within 3 months prior to Screening or is likely to require treatment with systemic corticosteroids during the course of the study. Over-the-counter and prescription topical, inhaled or intranasal corticosteroids are allowed.
- Participant has a history of any major depression or post-traumatic stress disorder (PTSD) within 2 years of the screening visit or other major psychiatric disorder at any time.
- Participant has a history of suicide attempts or answered "yes" to questions 4 or 5 on the suicidal ideation portion of the Columbia-Suicide Severity Rating Scale (C-SSRS) within the last 1 year at Screening or prior to randomization on Day 1.
- Participant has any history of osteoporosis or other metabolic bone disease or any condition that would interfere with obtaining adequate dual energy x-ray absorptiometry (DXA) measurements
- Screening DXA results of the lumbar spine (L1-L4), femoral neck or total hip bone mineral density (BMD) corresponding to less than 2.0 or more standard deviations below normal.
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- Participant has either:
- a newly diagnosed, clinically significant medical condition that requires therapeutic intervention (e.g., new onset hypertension), that has not been stabilized 30 days prior to randomization on Day 1 OR
- a clinically significant medical condition that is anticipated to require intervention during the course of study participation (e.g., anticipated major elective surgery) OR
- an unstable medical condition that makes the subject an unsuitable candidate for the study in the opinion of the Investigator, (including, but not limited to, uncontrolled diabetes mellitus, uncontrolled hypertension, epilepsy requiring anti-epileptic medication, unstable angina, confirmed inflammatory bowel disease, hyperprolactinemia, clinically significant infection or injury).
- Participant has any conditions contraindicated with use of E2/NETA.
Trial locations and contacts
197 sites in 3 countries.
197 sites in 3 countries
United States188 sites
Albuquerque Clinical Trials, Inc /ID# 154747
Albuquerque, New Mexico, 87102
Bosque Women's Care /ID# 147084
Albuquerque, New Mexico, 87109
Paramount Research Solutions /ID# 145226
Alpharetta, Georgia, 30005
Paramount Research Solutions /ID# 149320
Alpharetta, Georgia, 30005
ClinSite, LLC /ID# 145314
Ann Arbor, Michigan, 48105
Agile Clinical Research Trials /ID# 145494
Atlanta, Georgia, 30328-5532
Atlanta Women's Research Inst /ID# 145543
Atlanta, Georgia, 30342
Lotus Gynecology /ID# 148479
Austin, Texas, 78703-1448
AA (Austin Area) ObGyn PLLC /ID# 205696
Austin, Texas, 78758-5653
Sirius Clinical Research, LLC /ID# 154749
Austin, Texas, 78759
American Health Network of Ind /ID# 167996
Avon, Indiana, 46123-7960
Univ Maryland School Medicine /ID# 151739
Baltimore, Maryland, 21201
Baltimore Suburban Health /ID# 147164
Baltimore, Maryland, 21208
Eastern Maine Medical Center /ID# 161681
Bangor, Maine, 04401
Great Lakes Research Group, Inc. /ID# 145308
Bay City, Michigan, 48602
Gadolin Research, LLC /ID# 201383
Beaumont, Texas, 77702-1100
Clinical Inquest Center Ltd /ID# 147107
Beavercreek, Ohio, 45431-2573
Center for Assisted Reprod. /ID# 154748
Bedford, Texas, 76022
Central Research Associates /ID# 163087
Birmingham, Alabama, 35205
Alabama Clinical Therapeutics, LLC /ID# 145503
Birmingham, Alabama, 35235-3430
Alabama Clinical Therapeutics, LLC /ID# 151468
Birmingham, Alabama, 35235-3430
Helix Biomedics, LLC /ID# 147108
Boynton Beach, Florida, 33436-6634
Gulf Coast Research Group /ID# 162895
Brandon, Florida, 33510
Holston Medical Group /ID# 145449
Bristol, Tennessee, 37620-7346
SUNY Downstate Medical Center /ID# 148749
Brooklyn, New York, 11203
Main Line Fertility Center /ID# 150099
Bryn Mawr, Pennsylvania, 19010
Core Healthcare Group /ID# 149321
Cerritos, California, 90703
Women's Health Practice, LLC /ID# 145517
Champaign, Illinois, 61820
PMG Research of Charlotte /ID# 145432
Charlotte, North Carolina, 28209
DJL Clinical Research, PLLC /ID# 154679
Charlotte, North Carolina, 28210-8508
Chattanooga Medical Research /ID# 145184
Chattanooga, Tennessee, 37404
WR-ClinSearch /ID# 145205
Chattanooga, Tennessee, 37421-1605
CTI Clinical Research Center /ID# 145428
Cincinnati, Ohio, 45212
The Christ Hospital /ID# 149244
Cincinnati, Ohio, 45219
University of Cincinnati /ID# 145496
Cincinnati, Ohio, 45267-0585
Olympian Clinical Research /ID# 148167
Clearwater, Florida, 33756
Univ Hosp Cleveland /ID# 148741
Cleveland, Ohio, 44106
Apogee Women's Health Inc. /ID# 145149
College Park, Georgia, 30349
Vista Clinical Research /ID# 148767
Columbia, South Carolina, 29201
Columbus Regional Research Ins /ID# 159752
Columbus, Georgia, 31904
The Ohio State University /ID# 145444
Columbus, Ohio, 43210-1257
Aventiv Research, Inc. /ID# 145492
Columbus, Ohio, 43213
Aventiv Research, Inc. /ID# 162896
Columbus, Ohio, 43213
Clinical Trials Management, LLC - Covington /ID# 145220
Covington, Louisiana, 70433
Clinical Trials Management, LLC - Covington /ID# 145520
Covington, Louisiana, 70433
Texas Health Presbyterian Hosp /ID# 150098
Dallas, Texas, 75231
UT Southwestern Medical Center /ID# 145201
Dallas, Texas, 75390-7208
Omega Research Maitland, LLC /ID# 145167
DeBary, Florida, 32713-2260
Downtown Womens Health Care /ID# 147955
Denver, Colorado, 80209
Corner Canyon Obstetrics and G /ID# 145519
Draper, Utah, 84020
Carolina Women's Research and Wellness Center /ID# 145356
Durham, North Carolina, 27713
HRC Fertility /ID# 154143
Encino, California, 91436
OB/GYN Associates of Erie /ID# 157935
Erie, Pennsylvania, 16507-1423
Horizon Research Group /ID# 148171
Eunice, Louisiana, 70535
Wright State University & CTRA /ID# 145512
Fairborn, Ohio, 45324
Southern Women's Specialists PC /ID# 148750
Fairhope, Alabama, 36532-3029
NECCR Fall River LLC /ID# 145329
Fall River, Massachusetts, 02720-2972
Genesis Clinical Research - Fall River /ID# 148573
Fall River, Massachusetts, 02723
KO Clinical Research, LLC /ID# 145410
Fort Lauderdale, Florida, 33316
Clinical Physiology Associates /ID# 145237
Fort Myers, Florida, 33912
Women's Health Advantage /ID# 145495
Fort Wayne, Indiana, 46825
Baylor Scott & White /ID# 170430
Fort Worth, Texas, 76104-4110
Signature Gyn Services /ID# 145534
Fort Worth, Texas, 76104
Southampton Women's Health /ID# 151691
Franklin, Virginia, 23851
Willowbend Health and Wellness - Frisco /ID# 145245
Frisco, Texas, 75035
Glendale Adventist Medical Ctr /ID# 160530
Glendale, California, 91206
Unified Women's Clinical Research-Greensboro /ID# 155543
Greensboro, North Carolina, 27408
University Medical Group /ID# 148777
Greenville, South Carolina, 29605
Advanced Women's Health Institute /ID# 145396
Greenwood Village, Colorado, 80111
Penn State University and Milton S. Hershey Medical Center /ID# 145231
Hershey, Pennsylvania, 17033
Pinewest Ob-Gyn, Inc. /ID# 151743
High Point, North Carolina, 27262
Next Innovative Clinical Research /ID# 203863
Houston, Texas, 77004-6031
Advances in Health, Inc. /ID# 145425
Houston, Texas, 77030
Houston Methodist Hospital /ID# 170586
Houston, Texas, 77030
Precision Research Institute - Houston /ID# 154370
Houston, Texas, 77036
The Woman's Hospital of Texas /ID# 145316
Houston, Texas, 77054
Centex Studies, Inc /ID# 148776
Houston, Texas, 77058-2705
HCP Clinical Research LLC /ID# 152045
Huntington Beach, California, 92646
Clinical Research Prime /ID# 161724
Idaho Falls, Idaho, 83404
Womens Healthcare Assoc, DBA /ID# 148744
Idaho Falls, Idaho, 83404
Alliance Research Centers /ID# 151240
Irvine, California, 92612-1245
The Jackson Clinic, PA /ID# 145303
Jackson, Tennessee, 38305
Solutions Through Adv Rch /ID# 148768
Jacksonville, Florida, 32256
Vida Clinical Research /ID# 150282
Kissimmee, Florida, 34741-2345
Red Rocks OB/GYN /ID# 145325
Lakewood, Colorado, 80228-1810
FMC Science /ID# 150981
Lampasas, Texas, 76550
Accent Clinical Trials /ID# 147109
Las Vegas, Nevada, 89106-4017
Office of Edmond E. Pack, MD /ID# 148747
Las Vegas, Nevada, 89113
R. Garn Mabey Jr, MD Chartered /ID# 145361
Las Vegas, Nevada, 89128
Scott Research Inc. /ID# 161704
Laurelton, New York, 11413
Tanner Clinic /ID# 148786
Layton, Utah, 84041
Womens Clinic of Lincoln, P.C. /ID# 145366
Lincoln, Nebraska, 68510
Long Beach Clinical Trial Serv /ID# 152428
Long Beach, California, 90806
Olympia Clinical Trials /ID# 202325
Los Angeles, California, 90036-4667
University of Louisville /ID# 154751
Louisville, Kentucky, 40202
Bluegrass Clinical Research /ID# 151209
Louisville, Kentucky, 40291-1988
Axcess Medical Center /ID# 148169
Loxahatchee Groves, Florida, 33470
Praetorian Pharmaceutical Res /ID# 145405
Marrero, Louisiana, 70072
Research Memphis Associates, LLC /ID# 150100
Memphis, Tennessee, 38119-3895
Advanced Clinical Research /ID# 147086
Meridian, Idaho, 83642
Sonora Clinical Research /ID# 145541
Meridian, Idaho, 83646-1144
Mesa Obstetricians and Gynecologists /ID# 147320
Mesa, Arizona, 85209
Genoma Research Group, Inc /ID# 152558
Miami, Florida, 33165
Vista Health Research LLC - Miami /ID# 151455
Miami, Florida, 33176-1032
Palmetto Professional Research /ID# 153838
Miami, Florida, 33186-1309
Precision Research Organization /ID# 145337
Miami Lakes, Florida, 33016-1501
Ocean Blue Medical Research Center, Inc /ID# 145514
Miami Springs, Florida, 33166
Trinity Health Center Town /ID# 147102
Minot, North Dakota, 58701
Salom Tangir, LLC /ID# 148739
Miramar, Florida, 33027
Women's Health Alliance of Mobile /ID# 150083
Mobile, Alabama, 36604-1410
University of South Alabama /ID# 148774
Mobile, Alabama, 36604-3302
Mobile, Ob-Gyn, P.C. /ID# 145364
Mobile, Alabama, 36608
Venus Gynecology, LLC /ID# 145336
Myrtle Beach, South Carolina, 29572
Asr, Llc /Id# 161680
Nampa, Idaho, 83687
Access Clinical Trials, Inc. /ID# 145224
Nashville, Tennessee, 37203
Jersey Shore University Medical Center /ID# 148756
Neptune City, New Jersey, 07753-4859
Eastern Carolina Women's Centr /ID# 145386
New Bern, North Carolina, 28562
Rutgers Robert Wood Johnson /ID# 152858
New Brunswick, New Jersey, 08901
Ochsner Baptist OB/GYN Clinic /ID# 147144
New Orleans, Louisiana, 70115
Women Under Study, LLC /ID# 151216
New Orleans, Louisiana, 70125-1923
Suncoast Clinical Research /ID# 145484
New Port Richey, Florida, 34652
Manhattan Medical Research /ID# 145175
New York, New York, 10016-6023
Columbia Univ Medical Center /ID# 145334
New York, New York, 10032-3725
Health Research of Hampton Roads, Inc. (HRHR) /ID# 156477
Newport News, Virginia, 23606
James T. Martin, Jr., MD., Obs /ID# 148755
North Charleston, South Carolina, 29406
Clinical Research Partners, LL /ID# 145392
North Chesterfield, Virginia, 23235-4722
Clinical Research Partners, LL /ID# 145416
North Chesterfield, Virginia, 23235-4722
California Medical Research As /ID# 154746
Northridge, California, 91324
Futura Research, Org /ID# 145406
Norwalk, California, 90650
Affinity Clinical Research /ID# 151469
Oak Brook, Illinois, 60523
Hamburg Regional Gynecology Gr /ID# 161705
Orchard Park, New York, 14127
Center for Women's Research, Inc /ID# 145486
Palos Heights, Illinois, 60463-1440
The Advanced Gynecologic Surgery Institute - Park Ridge /ID# 151459
Park Ridge, Illinois, 60068
Huntington Medical Foundation /ID# 154750
Pasadena, California, 91105
University of Pennsylvania /ID# 145470
Philadelphia, Pennsylvania, 19104-5502
Drexel Univ College of Med /ID# 149789
Philadelphia, Pennsylvania, 19129
Revere Health /ID# 145540
Pleasant Grove, Utah, 84062
Oregon Health and Science University /ID# 155705
Portland, Oregon, 97239
Clinical Research Adv, Inc. /ID# 149257
Puyallup, Washington, 98372
Unified Women's Clinical Resea /ID# 145353
Raleigh, North Carolina, 27607
Clinical Trials Virginia, Inc. /ID# 145430
Richmond, Virginia, 23225
Alliance Womens Health /ID# 148770
Richmond, Virginia, 23226-1930
Northern California Research /ID# 159753
Sacramento, California, 95821-2640
Saginaw Valley Med Res Group /ID# 145527
Saginaw, Michigan, 48604
Oncova Clinical Research, Inc. /ID# 148175
Saint Cloud, Florida, 34769
Prism Research /ID# 159751
Saint Paul, Minnesota, 55114
Clinical Trials of Texas, Inc /ID# 147100
San Antonio, Texas, 78229
VIP Trials /ID# 151745
San Antonio, Texas, 78230
Discovery Clinical Trials-San Antonio /ID# 145363
San Antonio, Texas, 78258
Precision Research Institute - San Diego /ID# 152557
San Diego, California, 92114-3643
MD Strategies Research Centers /ID# 152429
San Diego, California, 92119
Physician Care Clin. Res., LLC /ID# 145511
Sarasota, Florida, 34239
Meridian Clinical Research, LLC /ID# 148176
Savannah, Georgia, 31406-2675
Unity Health- Searcy Medical Center /ID# 203674
Searcy, Arkansas, 72143-4802
Virginia Mason Medical Center /ID# 145387
Seattle, Washington, 98101
Seattle Women's Health, Research, Gynecology /ID# 145341
Seattle, Washington, 98105
Womens & Family Care, LLC dba /ID# 145211
Shawnee Mission, Kansas, 66218
Women's Health Clinic /ID# 155707
Shreveport, Louisiana, 71118-3133
Omni Fertility and Laser Insti /ID# 145532
Shreveport, Louisiana, 71118
Alta California Medical Group /ID# 155706
Simi Valley, California, 93065
Frontier Clinical Research /ID# 162091
Smithfield, Pennsylvania, 15478
Wayne State University Physician Group - Southfield /ID# 145431
Southfield, Michigan, 48034
North Spokane Women's Health /ID# 145382
Spokane, Washington, 99207
Meridien Research - St Petersburg /ID# 145345
St. Petersburg, Florida, 33709-3113
Treasure Coast Research /ID# 148174
Stuart, Florida, 34996
Houston Ctr for Clin Research /ID# 148799
Sugar Land, Texas, 77479
Palmetto Clinical Research /ID# 150992
Summerville, South Carolina, 29485-7539
Atlanta Gynecology Research Institute /ID# 149322
Suwanee, Georgia, 30024-7159
Madigan Army Medical Center /ID# 145186
Tacoma, Washington, 98431
University of South Florida /ID# 145424
Tampa, Florida, 33612
Stedman Clinical Trials /ID# 152554
Tampa, Florida, 33613
The Women's Health Group - Thornton /ID# 203707
Thornton, Colorado, 80229-4385
University of Toledo /ID# 145403
Toledo, Ohio, 43614
St. Joseph's Regional Medical /ID# 157759
Totowa, New Jersey, 07512
Continental Clinical Solutions /ID# 152041
Towson, Maryland, 21204
Arizona Research Assoc /ID# 161703
Tucson, Arizona, 85712
Eclipse Clinical Research /ID# 155600
Tucson, Arizona, 85745
Tidewater Clinical Research /ID# 145397
Virginia Beach, Virginia, 23456
James A. Simon, MD, PC /ID# 145480
Washington D.C., District of Columbia, 20036
Brown Clinic, PLLP /ID# 154372
Watertown, South Dakota, 57201
Center of Reproductive Medicin /ID# 145467
Webster, Texas, 77598
Virtus Research Consultants, LLC /ID# 147101
Wellington, Florida, 33414
The Iowa Clinic /ID# 145409
West Des Moines, Iowa, 50266
Comprehensive Clinical Trials /ID# 145148
West Palm Beach, Florida, 33409
OB.GYN Associates of WNY /ID# 161665
West Seneca, New York, 14224
PRN Professional Research Network of Kansas, LLC /ID# 151463
Wichita, Kansas, 67205
Cypress Medical Research Ctr /ID# 147159
Wichita, Kansas, 67226
PMG Research of Wilmington /ID# 152555
Wilmington, North Carolina, 28401-6638
Canada5 sites
Medicor Research Inc /ID# 151453
Greater Sudbury, Ontario, P3E 5M4
The Ottawa Hospital /ID# 148927
Ottawa, Ontario, K1H 8L6
Strand Clinic /ID# 152582
St. John's, Newfoundland and Labrador, A1A 4Y3
Mount Sinai Hosp.-Toronto /ID# 148972
Toronto, Ontario, M5G 1X5
Victory Reproductive Care /ID# 149016
Windsor, Ontario, N8W 5R7
Puerto Rico4 sites
Puerto Rico Medical Research /ID# 152040
Ponce, 00717
Clinical Research Puerto Rico /ID# 149018
San Juan, 00909
Rodriguez-Ginorio, San Juan /ID# 145545
San Juan, 00917
School of Medicine University of Puerto Rico-Medical Science Campus /ID# 145546
San Juan, 00935
About this study
Official title: A Phase 3 Study to Evaluate the Safety and Efficacy of Elagolix in Combination With Estradiol/Norethindrone Acetate in Subjects With Moderate to Severe Endometriosis-Associated Pain
The objective of this study is to evaluate safety and efficacy of elagolix in the management of moderate to severe endometriosis-associated pain in adult premenopausal female participants including the safety and efficacy of elagolix in combination with concomitant hormonal add-back therapy.
- Conditions
- Endometriosis
- Being tested
- Estradiol/Norethindrone Acetate, Placebo for Elagolix, Elagolix, Placebo for E2/NETA
- Keywords
- Elagolix, Endometriosis associated pain, Dysmenorrhea (DYS), Non-menstrual pelvic pain (NMPP), ORILISSA
- Medical subject headings
- Endometriosis, Dysmenorrhea
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Estradiol/Norethindrone AcetateDrug
Also called Activella, E2/NETA
Tablets
Placebo for ElagolixDrug
Tablet
ElagolixDrug
Also called ABT-620, Elagolix Sodium, ORILISSA
Tablet
Placebo for E2/NETADrug
Tablets
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Placebo for elagolix administered twice daily (BID) plus placebo for estradiol/norethindrone acetate (E2/NETA) administered once daily (QD) for the 12-month placebo-controlled Treatment Period, followed by elagolix 200 mg BID plus E2/NETA 1 mg/0.5 mg QD for the remaining 36 months of the Treatment Period. Receives: Drug: Placebo for Elagolix; Drug: Placebo for E2/NETA |
| Elagolix / Elagolix + E2/NETA | Experimental | Elagolix 200 mg BID alone for the first 6 months of the 12-month placebo-controlled Treatment Period and elagolix 200 mg BID+E2/NETA 1 mg/0.5 mg QD for the second 6 months, followed by elagolix 200 mg BID+E2/NETA 1 mg/0.5 mg QD for the remaining 36 months of the Treatment Period. Receives: Drug: Estradiol/Norethindrone Acetate; Drug: Elagolix |
| Elagolix + E2/NETA | Experimental | Elagolix 200 mg BID + E2/NETA 1 mg/0.5 mg QD for the 12-month placebo-controlled Treatment Period, followed by elagolix 200 mg BID plus E2/NETA 1 mg/0.5 mg QD for the remaining 36 months of the Treatment Period. Receives: Drug: Estradiol/Norethindrone Acetate; Drug: Elagolix |
What is being measured
The primary outcome is the main question the study is designed to answer.
Co-Primary Endpoint: Percentage of Participants With a Response for Dysmenorrhea (DYS) at Months 6 and 12 Based on Daily Assessment
Participants recorded rescue analgesic use for endometriosis-associated pain daily and DYS (pain during menstruation ) and its impact on daily activities each day of their period in an electronic diary (e-Diary). DYS was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:
- 0: No discomfort
- 1: Mild discomfort but I was easily able to do the things I usually do
- 2: Moderate discomfort or pain that made it difficult to do some of the things I usually do
- 3: Severe pain that made it difficult to do the things I usually do.
Pain scores and analgesic use were averaged over 35 days prior to each visit.
Response was defined as a reduction of -0.92 or more from baseline in DYS as well as no increase in rescue analgesic use for endometriosis-associated pain (defined as a < 15% increase in average rescue analgesic pill count and no additional analgesic).
Measured: Month 6, Month 12
Co-Primary Endpoint: Percentage of Participants With a Response for Non-menstrual Pelvic Pain (NMPP) at Months 6 and 12 Based on Daily Assessment
Participants recorded rescue analgesic medication for endometriosis-associated pain and assessed NMPP and its impact on their daily activities each day in an e-Diary was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:
- 0: No discomfort
- 1: Mild discomfort but I was easily able to do the things I usually do
- 2: Moderate discomfort or pain that made it difficult to do some of the things I usually do
- 3: Severe pain that made it difficult to do the things I usually do.
Pain scores and analgesic use were averaged over the 35 days prior to each visit.
Response was defined as a reduction of -0.55 or greater from baseline for NMPP as well as no increase in rescue analgesic use for endometriosis-associated pain (defined as a < 15% increase in average pill count of rescue analgesics and no additional analgesics).
Measured: Month 6, Month 12
Secondary outcomes (14)
Change From Baseline in DYS at Month 12 Based on Daily Assessment
Participants assessed DYS (pain during menstruation) and its impact on their daily activities each day of their period in an e-Diary. DYS was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:
- 0: No discomfort
- 1: Mild discomfort but I was easily able to do the things I usually do
- 2: Moderate discomfort or pain that made it difficult to do some of the things I usually do
- 3: Severe pain that made it difficult to do the things I usually do.
Pain scores were averaged over the 35 days prior to each visit.
Measured: Baseline, Month 12
Change From Baseline in DYS at Month 6 Based on Daily Assessment
Participants assessed DYS (pain during menstruation) and its impact on their daily activities each day of their period in an e-Diary. DYS was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:
0: No discomfort
- Mild discomfort but I was easily able to do the things I usually do
- Moderate discomfort or pain that made it difficult to do some of the things I usually do
- Severe pain that made it difficult to do the things I usually do.
Pain scores were averaged over the 35 days prior to each visit.
Measured: Baseline, Month 6
Change From Baseline in DYS at Month 3 Based on Daily Assessment
Participants assessed DYS (pain during menstruation) and its impact on their daily activities each day of their period in an e-Diary. DYS was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:
0: No discomfort
- Mild discomfort but I was easily able to do the things I usually do
- Moderate discomfort or pain that made it difficult to do some of the things I usually do
- Severe pain that made it difficult to do the things I usually do.
Pain scores were averaged over the 35 days prior to each visit.
Measured: Baseline, Month 3
Change From Baseline in Non-menstrual Pelvic Pain (NMPP) at Month 12 Based on Daily Assessment
Participants recorded rescue analgesic medication for endometriosis-associated pain and assessed NMPP and its impact on their daily activities each day in an e-Diary was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:
- 0: No discomfort
- 1: Mild discomfort but I was easily able to do the things I usually do
- 2: Moderate discomfort or pain that made it difficult to do some of the things I usually do
- 3: Severe pain that made it difficult to do the things I usually do.
Pain scores and analgesic use were averaged over the 35 days prior to each visit.
Measured: Baseline, Month 12
Change From Baseline in NMPP at Month 6 Based on Daily Assessment
Participants recorded rescue analgesic medication for endometriosis-associated pain and assessed NMPP and its impact on their daily activities each day in an e-Diary was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:
- 0: No discomfort
- 1: Mild discomfort but I was easily able to do the things I usually do
- 2: Moderate discomfort or pain that made it difficult to do some of the things I usually do
- 3: Severe pain that made it difficult to do the things I usually do.
Pain scores and analgesic use were averaged over the 35 days prior to each visit.
Measured: Baseline, Month 6
Change From Baseline in NMPP at Month 3 Based on Daily Assessment
Participants recorded rescue analgesic medication for endometriosis-associated pain and assessed NMPP and its impact on their daily activities each day in an e-Diary was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:
- 0: No discomfort
- 1: Mild discomfort but I was easily able to do the things I usually do
- 2: Moderate discomfort or pain that made it difficult to do some of the things I usually do
- 3: Severe pain that made it difficult to do the things I usually do.
Pain scores and analgesic use were averaged over the 35 days prior to each visit.
Measured: Baseline, Month 3
Change From Baseline to Month 6 in Patient-Reported Outcome Measurement Information System (PROMIS) Fatigue Short Form 6a T-Score
The PROMIS Fatigue Short Form 6a is self-administered and composed of 6 questions to evaluate fatigue over the past 7 days. All questions employ the following five response options: 1 = Never, 2 = Rarely, 3 = Sometimes, 4 = Often, and 5 = Always. The PROMIS Fatigue 6a score is calculated as a T-score, which is a standardized score with a mean of 50 (based on the average for the United States general population) and a standard deviation (SD) of 10. Higher scores indicate higher levels of fatigue. A decrease in score (negative change from baseline) indicates improvement in fatigue.
Measured: Baseline, Month 6
Change From Baseline in Dyspareunia (DYSP) at Month 12 Based on Daily Assessment
Participants assessed DYSP each day in an e-Diary according to the following response options:
- 0: None; No discomfort during sexual intercourse
- 1: Mild; Able to tolerate the discomfort during sexual intercourse
- 2: Moderate; Intercourse was interrupted due to pain
- 3: Severe; Avoided intercourse because of pain
- Not applicable; I was not sexually active for reasons other than endometriosis or did not have sexual intercourse.
Pain scores were averaged over the 35 days prior to each visit. Responses of "Not Applicable" were excluded.
Measured: Baseline, Month 12
Change From Baseline in DYSP at Month 6 Based on Daily Assessment
Participants assessed DYSP each day in an e-Diary according to the following response options:
- 0: None; No discomfort during sexual intercourse
- 1: Mild; Able to tolerate the discomfort during sexual intercourse
- 2: Moderate; Intercourse was interrupted due to pain
- 3: Severe; Avoided intercourse because of pain
- Not applicable; I was not sexually active for reasons other than endometriosis or did not have sexual intercourse.
Pain scores were averaged over the 35 days prior to each visit. Responses of "Not Applicable" were excluded.
Measured: Baseline, Month 6
Change From Baseline in DYSP at Month 3 Based on Daily Assessment
Participants assessed DYSP each day in an e-Diary according to the following response options:
- 0: None; No discomfort during sexual intercourse
- 1: Mild; Able to tolerate the discomfort during sexual intercourse
- 2: Moderate; Intercourse was interrupted due to pain
- 3: Severe; Avoided intercourse because of pain
- Not applicable; I was not sexually active for reasons other than endometriosis or did not have sexual intercourse.
Pain scores were averaged over the 35 days prior to each visit. Responses of "Not Applicable" were excluded.
Measured: Baseline, Month 3
Change From Baseline to Month 12 in Patient-Reported Outcome Measurement Information System (PROMIS) Fatigue Short Form 6a T-Score
The PROMIS Fatigue Short Form 6a is self-administered and composed of 6 questions to evaluate fatigue over the past 7 days. All questions employ the following five response options: 1 = Never, 2 = Rarely, 3 = Sometimes, 4 = Often, and 5 = Always. The PROMIS Fatigue 6a score is calculated as a T-score, which is a standardized score with a mean of 50 (based on the average for the United States general population) and a standard deviation (SD) of 10. Higher scores indicate higher levels of fatigue. A decrease in score (negative change from baseline) indicates improvement in fatigue.
Measured: Baseline, Month 12
Change From Baseline in Endometriosis-Associated Pain Score at Month 12 Assessed With Numeric Rating Scale (NRS)
The NRS measured endometriosis-associated pain with and without menstruation on an 11-point scale from 0 = no pain to 10 = worst pain ever. Site staff administered the Overall Endometriosis-Associated Pain questionnaire assessing pain over a 7-day recall period, and recorded the participant's response electronically via a tablet at the time of visit. Pain scores were averaged over the 35 days prior to each visit.
Measured: Baseline, Month 12
Change From Baseline in Endometriosis-Associated Pain Score at Month 6 Assessed With NRS
The NRS measured endometriosis-associated pain with and without menstruation on an 11-point scale from 0 = no pain to 10 = worst pain ever. Site staff administered the Overall Endometriosis-Associated Pain questionnaire assessing pain over a 7-day recall period, and recorded the participant's response electronically via a tablet at the time of visit. Pain scores were averaged over the 35 days prior to each visit.
Measured: Baseline, Month 6
Change From Baseline in Endometriosis-Associated Pain Score at Month 3 Assessed With NRS
The NRS measured endometriosis-associated pain with and without menstruation on an 11-point scale from 0 = no pain to 10 = worst pain ever. Site staff administered the Overall Endometriosis-Associated Pain questionnaire assessing pain over a 7-day recall period, and recorded the participant's response electronically via a tablet at the time of visit. Pain scores were averaged over the 35 days prior to each visit.
Measured: Baseline, Month 3
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jul 2017
- Study start7 Jul 2017
- Primary completion27 Mar 2020
- Study completion6 Dec 2023
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.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for EndometriosisStudies of the same condition, open and under way.
- More trials run by AbbVieThe sponsor's other registered studies.
- 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 681 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- AbbVie Inc., Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03213457
- Sponsor's protocol ID
- M14-702
- Status last verified
- Nov 2024
- First submitted
- 7 Jul 2017
- Last updated
- 20 Dec 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- 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
Watts NB, Binkley N, Owens CD, Al-Hendy A, Puscheck EE, Shebley M, Schlaff WD, Simon JA. Bone Mineral Density Changes Associated With Pregnancy, Lactation, and Medical Treatments in Premenopausal Women and Effects Later in Life. J Womens Health (Larchmt). 2021 Oct;30(10):1416-1430. doi: 10.1089/jwh.2020.8989. Epub 2021 Aug 25.
PubMed 34435897
Study at a glance
From the registry record, last updated by the sponsor on 20 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Study to Evaluate the Safety and Efficacy of Elagolix in Combination With Estradiol/Norethindrone Acetate in Subjects With Moderate to Severe Endometriosis-Associated Pain
- ClinicalTrials.gov ID
- NCT03213457
- Acronym / sponsor ID
- M14-702
- Conditions
- Endometriosis
- Keywords
- Elagolix, Endometriosis associated pain, Dysmenorrhea (DYS), Non-menstrual pelvic pain (NMPP), ORILISSA
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 681 participants (actual)
- Lead sponsor
- AbbVieIndustry (pharma, biotech, devices)
- Study start
- 7 Jul 2017 (actual)
- Primary completion
- 27 Mar 2020 (actual)
- Study completion
- 6 Dec 2023 (actual)
- First posted
- 11 Jul 2017 (actual)
- Results
- Posted 20 Apr 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of this study is to evaluate safety and efficacy of elagolix in the management of moderate to severe endometriosis-associated pain in adult premenopausal female participants including the safety and efficacy of elagolix in combination with concomitant hormonal add-back therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: Placebo for Elagolix, Drug: Placebo for E2/NETAPlacebo for elagolix administered twice daily (BID) plus placebo for estradiol/norethindrone acetate (E2/NETA) administered once daily (QD) for the 12-month placebo-controlled Treatment Period, followed by elagolix 200 mg BID plus E2/NETA 1 mg/0.5 mg QD for the remaining 36 months of the Treatment Period. |
| Elagolix / Elagolix + E2/NETA | Experimental | Drug: Estradiol/Norethindrone Acetate, Drug: ElagolixElagolix 200 mg BID alone for the first 6 months of the 12-month placebo-controlled Treatment Period and elagolix 200 mg BID+E2/NETA 1 mg/0.5 mg QD for the second 6 months, followed by elagolix 200 mg BID+E2/NETA 1 mg/0.5 mg QD for the remaining 36 months of the Treatment Period. |
| Elagolix + E2/NETA | Experimental | Drug: Estradiol/Norethindrone Acetate, Drug: ElagolixElagolix 200 mg BID + E2/NETA 1 mg/0.5 mg QD for the 12-month placebo-controlled Treatment Period, followed by elagolix 200 mg BID plus E2/NETA 1 mg/0.5 mg QD for the remaining 36 months of the Treatment Period. |
Who may qualify
- Ages
- 18 to 49 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Participant is a premenopausal female 18 to 49 years of age (inclusive) at the time of Screening.
- Participant has a documented surgical diagnosis (e.g., laparoscopy or laparotomy) of endometriosis established by visualization within 10 years prior to entry into Washout or Screening.
- Participant must agree to use only protocol specified rescue analgesics during the Screening and Treatment Periods for endometriosis-associated pain.
- Participant must have the following documented in the e-Diary during the last 35 days prior to Study Day 1:
Key exclusion criteria (11 listed)
- Participant has chronic pelvic pain that is not caused by endometriosis, that requires chronic analgesic therapy, which would interfere with the assessment of endometriosis-related pain.
- Participant is using any systemic corticosteroids for over 14 days within 3 months prior to Screening or is likely to require treatment with systemic corticosteroids during the course of the study. Over-the-counter and prescription topical, inhaled or intranasal corticosteroids are allowed.
- Participant has a history of any major depression or post-traumatic stress disorder (PTSD) within 2 years of the screening visit or other major psychiatric disorder at any time.
- Participant has a history of suicide attempts or answered "yes" to questions 4 or 5 on the suicidal ideation portion of the Columbia-Suicide Severity Rating Scale (C-SSRS) within the last 1 year at Screening or prior to randomization on Day 1.
- Participant has any history of osteoporosis or other metabolic bone disease or any condition that would interfere with obtaining adequate dual energy x-ray absorptiometry (DXA) measurements
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 |
|---|---|---|
| Estradiol/Norethindrone AcetateAlso: Activella, E2/NETATablets | Drug | Elagolix + E2/NETA, Elagolix / Elagolix + E2/NETA |
| Placebo for ElagolixTablet | Drug | Placebo |
| ElagolixAlso: ABT-620, Elagolix Sodium, ORILISSATablet | Drug | Elagolix + E2/NETA, Elagolix / Elagolix + E2/NETA |
| Placebo for E2/NETATablets | Drug | Placebo |
Primary outcome
Co-Primary Endpoint: Percentage of Participants With a Response for Dysmenorrhea (DYS) at Months 6 and 12 Based on Daily Assessment
Time frame: Month 6, Month 12
Participants recorded rescue analgesic use for endometriosis-associated pain daily and DYS (pain during menstruation ) and its impact on daily activities each day of their period in an electronic diary (e-Diary). DYS was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following: * 0: No discomfort * 1: Mild discomfort but I was easily able to do the things I usually do * 2: Moderate discomfort or pain that made it difficult to do some of the things I usually do * 3: Severe pain that made it difficult to do the things I usually do. Pain scores and analgesic use were averaged over 35 days prior to each visit. Response was defined as a reduction of -0.92 or more from baseline in DYS as well as no increase in rescue analgesic use for endometriosis-associated pain (defined as a < 15% increase in average rescue analgesic pill count and no additional analgesic).
Co-Primary Endpoint: Percentage of Participants With a Response for Non-menstrual Pelvic Pain (NMPP) at Months 6 and 12 Based on Daily Assessment
Time frame: Month 6, Month 12
Participants recorded rescue analgesic medication for endometriosis-associated pain and assessed NMPP and its impact on their daily activities each day in an e-Diary was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following: * 0: No discomfort * 1: Mild discomfort but I was easily able to do the things I usually do * 2: Moderate discomfort or pain that made it difficult to do some of the things I usually do * 3: Severe pain that made it difficult to do the things I usually do. Pain scores and analgesic use were averaged over the 35 days prior to each visit. Response was defined as a reduction of -0.55 or greater from baseline for NMPP as well as no increase in rescue analgesic use for endometriosis-associated pain (defined as a < 15% increase in average pill count of rescue analgesics and no additional analgesics).
14 secondary outcomes
Change From Baseline in DYS at Month 12 Based on Daily Assessment
Time frame: Baseline, Month 12
Change From Baseline in DYS at Month 6 Based on Daily Assessment
Time frame: Baseline, Month 6
Change From Baseline in DYS at Month 3 Based on Daily Assessment
Time frame: Baseline, Month 3
Change From Baseline in Non-menstrual Pelvic Pain (NMPP) at Month 12 Based on Daily Assessment
Time frame: Baseline, Month 12
Change From Baseline in NMPP at Month 6 Based on Daily Assessment
Time frame: Baseline, Month 6
Change From Baseline in NMPP at Month 3 Based on Daily Assessment
Time frame: Baseline, Month 3
Change From Baseline to Month 6 in Patient-Reported Outcome Measurement Information System (PROMIS) Fatigue Short Form 6a T-Score
Time frame: Baseline, Month 6
Change From Baseline in Dyspareunia (DYSP) at Month 12 Based on Daily Assessment
Time frame: Baseline, Month 12
Change From Baseline in DYSP at Month 6 Based on Daily Assessment
Time frame: Baseline, Month 6
Change From Baseline in DYSP at Month 3 Based on Daily Assessment
Time frame: Baseline, Month 3
Change From Baseline to Month 12 in Patient-Reported Outcome Measurement Information System (PROMIS) Fatigue Short Form 6a T-Score
Time frame: Baseline, Month 12
Change From Baseline in Endometriosis-Associated Pain Score at Month 12 Assessed With Numeric Rating Scale (NRS)
Time frame: Baseline, Month 12
Change From Baseline in Endometriosis-Associated Pain Score at Month 6 Assessed With NRS
Time frame: Baseline, Month 6
Change From Baseline in Endometriosis-Associated Pain Score at Month 3 Assessed With NRS
Time frame: Baseline, Month 3
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Dec 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 34435897Watts NB, Binkley N, Owens CD, Al-Hendy A, Puscheck EE, Shebley M, Schlaff WD, Simon JA. Bone Mineral Density Changes Associated With Pregnancy, Lactation, and Medical Treatments in Premenopausal Women and Effects Later in Life. J Womens Health (Larchmt). 2021 Oct;30(10):1416-1430. doi: 10.1089/jwh.2020.8989. Epub 2021 Aug 25.
- Related infoLink provided by the sponsor.
- Individual participant dataSharing planned: 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.
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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.
AbbVie Inc. study director
AbbVie
197 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Estradiol/Norethindrone Acetate and Elagolix in people with Endometriosis, run by AbbVie at 197 sites in 3 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 7 inclusion and 11 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 20 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 197 sites in United States, Canada, Puerto Rico. 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 20 Apr 2021). 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?
Co-Primary Endpoint: Percentage of Participants With a Response for Dysmenorrhea (DYS) at Months 6 and 12 Based on Daily Assessment (time frame: Month 6, Month 12). 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 NCT03213457, 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 20 Dec 2024; AzTrials last refreshed its copy on 3 Nov 2026.