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Postmenopausal SymptomsPhase 1NCT03640754

A Study of the Safety and Effect of Repeated Administration of G-CSF on Hot Flashes in Postmenopausal Women

A Phase 1 study testing G-CSF in people with Postmenopausal Symptoms, run by MenoGeniX, Inc. at 2 sites in United States.

Completed

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

Official record
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Trial summary

The purpose of this study is to assess the efficacy and safety of repeated administration of G-CSF for the treatment of hot flashes and vasomotor symptoms in women with naturally-occurring or surgically induced menopause. Read more about this study

Who is it for?
Ages 40 to 65 years, women only
Conditions the study is for
Postmenopausal Symptoms
What is being tested?
G-CSF
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
61 participants
Where
2 sitesUnited States
Study dates
6 Aug 2018to 22 Feb 2022
Phase
Phase 1
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 40 to 65 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Female, aged 49 to 65 for natural postmenopausal or aged 40 to 65 for surgical postmenopausal
  • Body Mass Index (BMI) 18 to 35
  • At least 7 moderate to severe hot flashes per day on average (or at least 49 moderate to severe hot flashes per week)
  • Naturally postmenopausal or surgically postmenopausal women:
  • Naturally postmenopausal is defined as having no menstrual periods for at least 12 months prior to study entry; with a biochemical criteria of menopause (FSH >40 IU/L)
  • Surgically postmenopausal is defined as at least 3 months after documented bilateral salpingo oophorectomy
  • Normal pelvic exam and pap smear within 2 years
  • Signed informed consent

Who cannot join

  • Radiation or chemotherapy-induced (including gonadotropin-releasing hormone (GnRH) agonist) menopause
  • Prior chemotherapy or radiation therapy for cancer
  • Prior diagnosis of hematologic malignancy
  • Type 1 diabetics or Type 2 diabetics with HbA1c > 7.0%
  • Use of hormone replacement therapy or oral contraceptives within the past three months
  • Use of alternative or complementary medicines or herbs for menopausal symptoms within 30 days (refer to Appendix 2)
Show all 30Show fewer
  • Use of any selective serotonin reuptake inhibitor (SSRI) or serotonin norepinephrine reuptake inhibitor (SNRI) within 30 days
  • Use of selective estrogen receptor modulators within 30 days
  • Use of gabapentin within 30 days
  • Use of clonidine within 30 days
  • Use of megestrol acetate (Megace) within 30 days
  • Use of, prescription corticosteroids within 30 days (nasal or other inhaled corticosteroids and over-the-counter (OTC) hydrocortisone ointment or cream excepted)
  • Current use of lithium therapy (related to possible risk of G-CSF)
  • History (in the past year) or presence of drug or alcohol use which, in the opinion of the Investigator, might compromise the study or confound the study results
  • History of use of any anti-inflammatory biologics
  • History of or current splenomegaly (related to possible risk of G-CSF)
  • History of sickle cell disease (related to possible risk of G-CSF)
  • High risk for medical complications that might affect the subject's ability to complete the trial without a serious co-morbid event, based on medical history, physical examination and laboratory screening evaluation in the opinion of the Investigator
  • Presence of an acute or chronic condition (such as a hematological, rheumatologic auto-immune disease, chronic inflammatory disorder or osteoporosis) based on history, clinical, or laboratory evaluation, which, in the opinion of the Investigator, might compromise the study, confound the study results or place the subject at risk
  • Follicle stimulating hormone (FSH) < 40 IU/L or below the reference range for menopause for the local laboratory used for screening
  • Thyroid stimulating hormone (TSH) outside normal limits at study entry
  • Absolute neutrophil count (ANC) ≤ 1.0 x 109/L
  • Total white blood cell count (WBC) ≤ 3.0 x 109/L
  • Platelet count (PLT) ≤ 150 x 109/L
  • Hemoglobin count (HGB) consistent with anemia
  • Positive urine pregnancy test at Baseline visit
  • Allergy or hypersensitivity to E coli-derived proteins' G-CSF' or any component of the product
  • Mentally or legally incapacitated such that informed consent cannot be obtained
  • Inability or unwillingness to complete daily hot flash diary and study questionnaires appropriately
  • Participation in another investigational trial within the past 30 days

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Site 2

    Aurora, Colorado, 80045

  • Site 1

    Denver, Colorado, 80209

Other trials in United States

About this study

Official title: Study to Assess the Safety and Effect of Repeated Administration of Granulocyte Colony-Stimulating Factor (G-CSF; Filgrastim) on Hot Flashes and Other Vasomotor Symptoms of Menopause in Postmenopausal Women

The purpose of this study is to assess the efficacy and safety of repeated administration of G-CSF for the treatment of hot flashes and vasomotor symptoms in women with naturally-occurring or surgically induced menopause. G-CSF will be administered three times at 28 day intervals to postmenopausal women, ages 40 to 65, suffering at least 49 moderate to severe hot flashes per week.

Read the detailed description

This is a 12-week, multicenter, randomized, double-blind, placebo-controlled study. Eligible subjects will be stratified by natural or surgical menopause and randomized (1:1) to receive 3 single injections, 28-days apart, of either G-CSF or placebo.

This study will consist of a 14-21 day screening period. Subjects enrolled will be given three single 1.0 mL subcutaneous (SC) injections (repeated 28-days apart), in the outer area of either upper arm, of either G-CSF or placebo (sterile physiological saline) at Baseline, Day 28 and Day 56. Subjects will be followed for 12 weeks and will complete hot flash diary entries every day for the duration of treatment. Safety will be assessed by adverse events, clinical laboratory tests (clinical chemistry and complete blood count with differential) and vital signs. A follow-up phone call will occur 60 days after the last dose of study drug.

Eligibility will be assessed via physical examination, clinical laboratory testing, vital signs.

Subjects will receive a diary in which to record daily hot flashes symptoms during the duration of the screening period. Subjects must have at least 14 days of hot flash recordings to participate in the study. The diary will be reviewed by study site staff on Baseline (Day 0) to confirm study eligibility.

During the treatment period, subjects will return to the study site at Days 1, 21, 28, 29, 49, 56, 57, and 84 for assessments.

The follow-up phone call will occur approximately 60 days following the last dose of study drug.

Being tested
G-CSF, Placebo/Saline
Keywords
Hot Flashes, Vasomotor Symptoms, Menopause
Medical subject headings
Hot Flashes

What participants receive

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

  • G-CSFBiological

    Also called Filgrastim

    G-CSF injected subcutaneously 3 times (Days 0, 28, 56)

  • Placebo/SalineOther

    Also called Saline

    Placebo/saline injected subcutaneously 3 times (Days 0, 28, 56)

Study groups in NCT03640754
Study groupRoleWhat they receive
Experimental: G-CSFActive comparatorIntervention: G-CSF given by subcutaneous injection repeated 3 times (Days 0, 28, 56) Other name: Filgrastim
Receives: Biological: G-CSF
Comparator: Placebo/SalinePlacebo comparatorIntervention: Placebo/saline given by subcutaneous injection repeated 3 times (Days 0, 28, 56) Other name: Saline
Receives: Other: Placebo/Saline

What is being measured

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

  1. Number of Participants With Adverse Events

    An adverse event (AE) is any untoward medical occurrence, including the exacerbation of a pre-existing condition, in a subject or clinical investigation subject administered a pharmaceutical product. This does not necessarily have a causal relationship with this treatment. A serious adverse event (SAE) is any experience that suggests a significant hazard, contraindication, side effect, or precaution. This includes any experience that results in death; is acutely life-threatening; requires inpatient hospitalization or prolongs the existing hospitalization; results in persistent or significant incapacity or substantial disruption of ability to conduct normal life functions; is a congenital anomaly/birth defect; or requires medical or surgical intervention to prevent one of the outcomes listed above.

    Measured: From first dose date up to 30 days after last dose (up to 16 weeks)

  2. Change From Baseline in White Blood Cell Counts 24 Hours After Administration of G-CSF or Placebo on Day 0

    Change from baseline in white blood cell counts 24 hours after administration of G-CSF or placebo on day 0. Blood samples were collected 24 hours after adminstration of G-CSF on day 0.

    Measured: Baseline and day 1

  3. Change From Baseline in White Blood Cell Counts 24 Hours After Administration of G-CSF or Placebo on Day 28

    Change from baseline in white blood cell counts 24 hours after administration of G-CSF or placebo on day 28. Blood samples were collected 24 hours after adminstration of G-CSF on day 28.

    Measured: Baseline and day 29

  4. Change From Baseline in White Blood Cell Counts 24 Hours After Administration of G-CSF or Placebo on Day 56.

    Change from baseline in white blood cell counts 24 hours after administration of G-CSF or placebo on day 56. Blood samples were collected 24 hours after adminstration of G-CSF on day 56.

    Measured: Baseline and day 57

  5. Change From Baseline in White Blood Cell Counts on Day 84 (28 Days After Last Administration of G-CSF or Palcebo)

    Change from baseline in white blood cell counts on day 84. Blood samples were collected 24 hours after adminstration of G-CSF on day 84.

    Measured: Baseline and day 84

  6. Change From Baseline in the Mean Frequency of Moderate and Severe (M+S) Hot Flashes at Week 4

    The frequency of moderate to severe hot flashes was the number of moderate to severe hot flashes per 24 hours. A daily frequency per week was derived by taking the mean of the data over 7 days. All subjects who were randomized and received at least one dose of study drug are included in this subset. Subjects are analysed according to the randomized treatment group regardless of treatment received.

    Measured: Baseline and week 4

  7. Change From Baseline in the Mean Frequency of Moderate and Severe (M+S) Hot Flashes at Week 12

    The frequency of moderate to severe hot flashes was the number of moderate to severe hot flashes per 24 hours. A daily frequency per week was derived by taking the mean of the data over 7 days. All subjects who were randomized and received at least one dose of study drug are included in this subset. Subjects are analysed according to the randomized treatment group regardless of treatment received.

    Measured: Baseline and week 12

  8. Change From Baseline in the Mean Composite Daily Severity of Hot Flashes (CDS) at Week 4

    CDS (Composite Daily Hot Flash Severity) was calculated as follows:

    [(number of mild hot flashes per day x 1) + (number of moderate hot flashes per day x 2) + (number of severe hot flashes per day x 3)]. A daily frequency per week was derived by taking the mean of the data over 7 days. All subjects who were randomized and received at least one dose of study drug are included in this subset. Subjects are analysed according to the randomized treatment group regardless of treatment received.

    Measured: Baseline and week 4

  9. Change From Baseline in the Mean Composite Daily Severity of Hot Flashes (CDS) at Week 12

    CDS (Composite Daily Hot Flash Severity) was calculated as follows:

    [(number of mild hot flashes per day x 1) + (number of moderate hot flashes per day x 2) + (number of severe hot flashes per day x 3)]. A daily frequency per week was derived by taking the mean of the data over 7 days. All subjects who were randomized and received at least one dose of study drug are included in this subset. Subjects are analysed according to the randomized treatment group regardless of treatment received.

    Measured: Baseline and week 12

  10. Change From Baseline in the Mean Daily Severity of Hot Flashes (HFSS) at Week 4

    HFSS (Daily Hot Flash Severity Score) was calculated as follows:

    [(number of mild hot flashes per day x 1) + (number of moderate hot flashes per day x 2) + (number of severe hot flashes per day x 3)]/daily total hot flashes), where total hot flashes (THF) = number of daily mild, moderate, and severe hot flashes. A daily severity score per week was derived by taking the mean of the data over 7 days. All subjects who were randomized and received at least one dose of study drug are included in this subset. Subjects are analysed according to the randomized treatment group regardless of treatment received.

    Measured: Baseline and week 4

  11. Change From Baseline in the Mean Daily Severity of Hot Flashes (HFSS) at Week 12

    HFSS (Daily Hot Flash Severity Score) was calculated as follows:

    [(number of mild hot flashes per day x 1) + (number of moderate hot flashes per day x 2) + (number of severe hot flashes per day x 3)]/daily total hot flashes), where total hot flashes (THF) = number of daily mild, moderate, and severe hot flashes. A daily severity score per week was derived by taking the mean of the data over 7 days. All subjects who were randomized and received at least one dose of study drug are included in this subset. Subjects are analysed according to the randomized treatment group regardless of treatment received.

    Measured: Baseline and week 12

Secondary outcomes (9)
  1. Number of Subjects Achieving >50% Reduction in the Mean Frequency of Moderate and Severe (M+S) Hot Flashes up to Week 12

    The frequency of moderate to severe hot flashes was the number of moderate to severe hot flashes per 24 hours. A daily frequency per week was derived by taking the mean of the data over 7 days. All subjects who were randomized and received at least one dose of study drug are included in this subset. Subjects are analysed according to the randomized treatment group regardless of treatment received.

    Measured: Weeks 1-12

  2. Number of Subjects Acheiving >50% Reduction in the Mean Composite Daily Hot Flash Severity (CDS) up to Week 12

    CDS was calculated as follows:

    [(number of mild hot flashes per day x 1) + (number of moderate hot flashes per day x 2) + (number of severe hot flashes per day x 3)]. A daily frequency per week was derived by taking the mean of the data over 7 days. All subjects who were randomized and received at least one dose of study drug are included in this subset. Subjects are analysed according to the randomized treatment group regardless of treatment received.

    Measured: Weeks 1-12

  3. Number of Subjects Acheiving >0.30 Reduction in the Mean Daily Hot Flash Severity Score (HFSS) up to Week 12

    HFSS was calculated as follows:

    [(number of mild hot flashes per day x 1) + (number of moderate hot flashes per day x 2) + (number of severe hot flashes per day x 3)]. HFSS = ((number of daily mild hot flashes x1) + (number of daily moderate hot flashes x2) + (number of severe hot flashes x3))/daily total hot flashes), where total hot flashes (THF) = number of daily mild, moderate, and severe (S) hot flashes. A daily severity score per week was derived by taking the mean of the data over 7 days. All subjects who were randomized and received at least one dose of study drug are included in this subset. Subjects are analysed according to the randomized treatment group regardless of treatment received.

    Severity was zero for participants that had no mild or moderate or severe VMS. Higher scores indicates greater severity.

    Measured: Weeks 1-12

  4. Percent Change in M+S at 12 Weeks in Demographic Subgroups

    The frequency of moderate to severe hot flashes was the number of moderate to severe hot flashes per 24 hours. A daily frequency per week was derived by taking the mean of the data over 7 days. All subjects who were randomized and received at least one dose of study drug are included in this subset. Subjects are analysed according to the randomized treatment group regardless of treatment received.

    Measured: Baseline and Week 12

  5. Net Change in HFSS at 12 Weeks in Demographic Subgroups

    HFSS (Daily Hot Flash Severity Score) was calculated as follows:

    [(number of mild hot flashes per day x 1) + (number of moderate hot flashes per day x 2) + (number of severe hot flashes per day x 3)]. HFSS = ((number of daily mild hot flashes x1) + (number of daily moderate hot flashes x2) + (number of severe hot flashes x3))/daily total hot flashes), where total hot flashes (THF) = number of daily mild, moderate, and severe (S) hot flashes. A daily severity score per week was derived by taking the mean of the data over 7 days. All subjects who were randomized and received at least one dose of study drug are included in this subset. Subjects are analysed according to the randomized treatment group regardless of treatment received

    Measured: Baseline and Week 12

  6. Net Change in MENQOL VMS Score

    Menopause-specific Quality of Life (MENQOL) Questionnaire. The MENQOL is self-administered and consists of a total of 29 items in a Likert-scale format. Each item assesses the impact of one of four domains of menopausal symptoms, as experienced over the last month: vasomotor (items 1-3), psychosocial (items 4-10), physical (items 11-26), and sexual (items 27-29). MENQOL VMS refers to the answers to items 1-3 where 6 = most bothersome and 0 = least bothersome). (Maximum bothersomeness = 18; No bothersomeness = 0)

    Measured: Baseline and week 12

  7. Net Change in HFRDIS Score

    The Hot Flash Related Daily Interference Scale (HFRDIS) measures (as a score of 0 to 10) the effect of hot flashes on overall quality of life and on nine specific activities: work, social activities, leisure activities, sleep, mood, concentration, relations with others, sexuality, and enjoyment of life. The 10 answers are added up to get a total score. HFRDIS Score (Maximum Bothersomness = 100; No Bothersomeness = 0). The higher the score, the more bothersome the symptoms.

    Measured: Baseline and week 12

  8. Net Change in ISI Score at 12 Weeks

    The Insomnia Severity Index has seven questions. For each question, most bothersome = 4; not bothersome = 0. The seven answers are added up to get a total score. Total score categories: 0-7 = No clinically significant insomnia; 8-14 = Subthreshold insomnia; 15-21 = Clinical insomnia (moderate severity); 22-28 = Clinical insomnia (severe)

    Measured: Baseline and week 12

  9. Net Change in FSS Score at 12 Weeks

    Fatigue Severity Scale (FSS) of Sleep Disorders. The Fatigue Severity Scale (FSS) is a method of evaluating the impact of fatigue. The FSS is a short questionnaire (10 questions) that requires the subject to rate level of fatigue. The FSS questionnaire contains nine statements that rate the severity of fatigue symptoms. Each statement is read and the corresponding number from 1 to 7 is circled. A low value (e.g., 1) indicates strong disagreement with the statement, whereas a high value (e.g., 7) indicates strong agreement. (Maximum bother = 70; No bother = 0)

    Measured: Baseline and week 12

Timeline

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

  1. First posted21 Aug 2018
  2. Study start6 Aug 2018
  3. Primary completion21 Jan 2022
  4. Study completion22 Feb 2022

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
61 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03640754
Sponsor's protocol ID
MNGX-102
Other IDs
1R43AG056209-01A1
Status last verified
Nov 2023
First submitted
30 Jul 2018
Last updated
28 Nov 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing G-CSF in people with Postmenopausal Symptoms, run by MenoGeniX, Inc. at 2 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 8 inclusion and 30 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 28 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 28 Nov 2023). 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?

Number of Participants With Adverse Events (time frame: From first dose date up to 30 days after last dose (up to 16 weeks)). The study lists 11 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 28 Nov 2023.

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