Endometriosis-related PainPhase 2RAQUELNCT03692403
Randomized Trial Assessing Quinagolide Vaginal Ring for Endometriosis-related Pain
A Phase 2 study testing Quinagolide 360 µg, Quinagolide 720 µg and Quinagolide 1080 µg in people with Endometriosis-related Pain, run by Ferring Pharmaceuticals at 43 sites in United States.
Trial summary
To evaluate the efficacy of three doses of quinagolide administered as an extended-release vaginal ring compared to placebo on reduction of moderate to severe endometriosis-related pain Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Endometriosis-related Pain
- What is being tested?
- Quinagolide 360 µg, Quinagolide 720 µg and Quinagolide 1080 µg
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 22 participants
- Where
- 43 sitesUnited States
- Study dates
- 26 Dec 2018to 14 Feb 2022
- 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 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Pre-menopausal females aged ≥18 years at time of signing informed consent(s) with regular menstrual cycles.
- Body mass index (BMI) of 18-42 kg/m2 (both inclusive) at screening.
- Initial confirmation of endometriosis by laparoscopy or laparotomy within the last 10 years before the run-in visit or visualization of persistent endometrioma by repeat ultrasound.
- Transvaginal ultrasound documenting a uterus with no clinically significant abnormalities and presence of at least one ovary with no clinically significant abnormalities (with the exception of endometrioma) at the run-in visit.
- Eligible participants experienced moderate to severe endometriosis-related pain, which was defined as at the run-in visit, the participant having an NRS score of ≥5 for the worst endometriosis related pain during the past menstrual cycle and at randomization, the participant having a mean daily NRS score of ≥4 for the worst endometriosis related pain during each run-in menstrual cycle.
Who cannot join
- History of no relief of endometriosis related pain after any medical therapy or surgery. However, history of partial pain relief, discontinuation due to side effects are not exclusionary.
- Known bone diseases (e.g. osteoporosis, Paget's disease and osteomalacia) affecting bone resorption or bone formation markers.
- Any significant abnormal findings of heart examinations before randomization.
- History of mental illness including occurrence of acute psychosis, bipolar disorders and schizophrenia (except for well-controlled anxiety and/or depression with no changes to interventions for 6 months prior to start of run-in)
- History of impulse control disorders including pathological gambling, compulsive buying, hypersexuality, and binge eating or being identified with potential impulse control disorder by the questionnaire for impulsive-compulsive disorders (a score ≥2 for any sub-questions of Question 3 or a score ≥1 for any sub-questions of Question 4) prior to randomization.
- History of orthostatic hypotension or recurrent syncope.
Trial locations and contacts
43 sites in 1 country.
43 sites in 1 country
United States43 sites
The Iowa Clinic
Ankeny, Iowa, 50023
Austin Area Ob, Gyn and Fertility
Austin, Texas, 78758
Johns Hopkins Outpatient Center
Baltimore, Maryland, 21287
SUNY Downstate Medical Center
Brooklyn, New York, 11203
Main Line Fertility Center
Bryn Mawr, Pennsylvania, 19010
Clinical Trials of South Carolina
Charleston, South Carolina, 29406
PMG Research of Charlotte
Charlotte, North Carolina, 28209
Northwestern Memorial Hospital
Chicago, Illinois, 60611
Corpus Christi Women's Clinic
Corpus Christi, Texas, 78412
Omega Research Consultants
DeBary, Florida, 32713
Carolina's Women's Research and Wellness Center
Durham, North Carolina, 27713
UConn Health Lowell P Weicker Jr Clinical Research Center
Farmington, Connecticut, 06030
Rapha Institute For Clinical Research
Fayetteville, North Carolina, 28314
Onyx Clinical Research
Flint, Michigan, 48532
Penn State Health - Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033
Advances in Health, Inc.
Houston, Texas, 77030
Arkansas Primary Care Clinic
Little Rock, Arkansas, 72204
Advance Clinical Research
Meridian, Idaho, 83643
Marchand Institute for Minimally Invasive Surgery
Mesa, Arizona, 85209
Southern Clinical Research Associates
Metairie, Louisiana, 70001
South Florida Research Center
Miami, Florida, 33135
Florida Research Center
Miami, Florida, 33174
Miami Dade Medical Research Institute
Miami, Florida, 33176
Vista Health Research
Miami, Florida, 33176
Yale Fertility Center
New Haven, Connecticut, 06511
Advanced Research Institute
New Port Richey, Florida, 34653
Tidewater Clinical Research, Inc.
Norfolk, Virginia, 23502
OB/GYN Specialists of Richmond
Richmond, Virginia, 23229
Mayo Clinic
Rochester, Minnesota, 55905
Valley OB/GYN Clinic, PC
Saginaw, Michigan, 48602
Wasatch Clinical Research
Salt Lake City, Utah, 84107
Medical Center for Clinical Research
San Diego, California, 92108
Physician Care Clinical Research
Sarasota, Florida, 34239
Omni Fertility Clinical Research LLC
Shreveport, Louisiana, 71118
OB/Gyn Associates
Silver Spring, Maryland, 20910
Southern Illinois University
Springfield, Illinois, 62794-9664
Meridien Research
St. Petersburg, Florida, 33709
Montefiore Medical Center
The Bronx, New York, 10461
Center of Reproductive Medicine LLC
Webster, Texas, 77598
OB•GYN Associates of WNY
West Seneca, New York, 14224
Cypress Medical Research Center
Wichita, Kansas, 67226
Lyndhurst Clinical Research
Winston-Salem, North Carolina, 27103
Unified Women's Clinical Research d/b/a Lyndhurst Clinical Research
Winston-Salem, North Carolina, 27103
About this study
Official title: A Randomized, Double-blind, Placebo-controlled, Phase 2 Trial Assessing the Efficacy, Safety and Dose-response of Quinagolide Extended-release Vaginal Rings Administered Sequentially for 4 Menstrual Cycles in Women With Moderate to Severe Endometriosis-related Pain
To evaluate the efficacy of three doses of quinagolide administered as an extended-release vaginal ring compared to placebo on reduction of moderate to severe endometriosis-related pain
- Conditions
- Endometriosis-related Pain
- Being tested
- Quinagolide 360 µg, Quinagolide 720 µg, Quinagolide 1080 µg, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Quinagolide 360 µgDrug
Also called FE 999051
Vaginal ring containing quinagolide 360 µg for daily releases
Quinagolide 720 µgDrug
Also called FE 999051
Vaginal ring containing quinagolide 720 µg for daily releases
Quinagolide 1080 µgDrug
Also called FE 999051
Vaginal ring containing quinagolide 1080 µg for daily releases
PlaceboDrug
Matching placebo
| Study group | Role | What they receive |
|---|---|---|
| Quinagolide 360 µg | Experimental | Vaginal ring containing Quinagolide 360 μg, with daily target release rate of 4.5 μg Receives: Drug: Quinagolide 360 µg |
| Quinagolide 720 µg | Experimental | Vaginal ring containing Quinagolide 720 μg, with daily target release rate of 9 μg Receives: Drug: Quinagolide 720 µg |
| Quinagolide 1080 µg | Experimental | Vaginal ring containing Quinagolide 1080 μg, with daily target release rate of 13.5 μg Receives: Drug: Quinagolide 1080 µg |
| Placebo | Placebo comparator | Vaginal ring containing matching placebo Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Endometriosis-related Pain.
Assessed daily by participants in an e-Diary. NRS is an 11-point scale, with 0 indicating no pain and 10 indicating the worst imaginable pain.
Changes from baseline to cycle 4.
Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Secondary outcomes (78)
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Endometriosis-related Pain on Days With Menstrual Bleeding and for the Worst Endometriosis-related Pain on Days With no Menstrual Bleeding
Assessed daily by participants in an e-Diary. NRS is an 11-point scale, with 0 indicating no pain and 10 indicating the worst imaginable pain.
Days with menstrual bleeding (dysmenorrhea). No menstrual bleeding (non-menstrual pelvic pain) Changes from baseline to cycle 4
Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Endometriosis-related Pain.
Assessed daily by participants in an e-Diary. NRS is an 11-point scale, with 0 indicating no pain and 10 indicating the worst imaginable pain.
Changes over 4 menstrual cycles
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Dysmenorrhea.
Assessed daily by participants in an e-Diary. NRS is an 11-point scale, with 0 indicating no pain and 10 indicating the worst imaginable pain.
Changes over 4 menstrual cycles
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Non-menstrual Pelvic Pain.
Assessed daily by participants in an e-Diary. NRS is an 11-point scale, with 0 indicating no pain and 10 indicating the worst imaginable pain.
Changes over 4 menstrual cycles
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Dyspareunia on Days With Sexual Intercourse.
Assessed daily by participants in an e-Diary. NRS is an 11-point scale, with 0 indicating no pain and 10 indicating the worst imaginable pain.
Changes over 4 menstrual cycles.
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Frequency of Avoiding Sexual Intercourse Due to Expected Pain
The participants recorded daily if they had sexual intercourse, in an e-diary. For the days when participants did not have intercourse, the participant recorded if the reason for not having intercourse was because they expected pain: "Yes" (I did not have intercourse this day, because I expected pain) or "No" (I did not have intercourse this day, but this was not because I expected pain). The numbers represent the cumulative number of days with no intercourse, summed across all participants.
In some cases, there are missing data as not every participant completed the e-diary for 100% of study days.
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Impact of Endometriosis-related Pain on the Subject's Ability to Function.
Assessed daily by participants in an e-Diary. NRS is an 11-point scale, with 0 indicating no pain and 10 indicating the worst imaginable pain.
Changes over 4 menstrual cycles.
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Weekly Scores of the Endometriosis Health Profile-30 (EHP-30) Pain Impact Domain.
Assessed weekly by participants in an e-Diary. EHP-30 is a quality-of-life questionnaire. Score ranges from 0-100 and lower score denotes improvement.
Changes over 4 menstrual cycles.
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in Vaginal Bleeding Pattern - Number of Days With Bleeding Related to Period
The participants recorded daily if they had any vaginal bleeding during the past 24 hours, in an e-diary. Of the participants who had a bleeding, the participant recorded if this was menstrual bleeding: "Yes" (I had a vaginal bleeding that was menstrual bleeding) or "No" (I had a vaginal bleeding that was not menstrual bleeding). The numbers represent the cumulative number of days with vaginal bleeding, summed across all participants.
In some cases, there are missing data as not every participant completed the e-diary for 100% of study days.
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in Vaginal Bleeding Pattern.
The participants recorded daily if they had any vaginal bleeding during the past 24 hours, in an e-diary. Of the participants who had a bleeding, the participant recorded the assessed bleeding volume as either spotting (tiny amount of blood on underwear or panty liners), light bleeding (requiring 1-3 sanitary pads or tampons per day), moderate bleeding (requiring 4-6 sanitary pads or tampons per day), or heavy bleeding (requiring more than 6 sanitary pads or tampons per day). The numbers represent the cumulative number of days with vaginal bleeding, summed across all participants.
In some cases, there are missing data as not every participant completed the e-diary for 100% of study days.
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Percentage of Days With Mild and/or Strong Rescue Analgesics Used
Assessed daily by participants in an e-Diary
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Total and Average Doses of Mild and/or Strong Rescue Analgesics Used
Assessed daily by participants in an e-Diary
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Responder Rate
Assessed as ≥30%, ≥50% and ≥70% reduction from the baseline in mean daily NRS score for the worst endometriosis-related pain, dysmenorrhea and non-menstrual pelvic pain and for the worst endometriosis-related pain impact
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Individual and Total Symptom and Sign Severity Scores
Assessed by the Biberoglu and Behrman (B\&B) scale which is a 4-point scale with 0=none and 3=severe.
The scores are the mean individual scores.
The B\&B scale consists of two parts. The first part of the B\&B scale evaluates symptoms of endometriosis (i.e. pain). There are 3 subscales: pelvic pain(A, 0=none and 3=severe), dysmenorrhea (B, 0=none and 3=severe), and dyspareunia(C, 0=none and 3=severe). The total pelvic pain score is the sum of the three scores, i.e. A+B+C, which can range from 0 to 9. The second part of the B\&B scale evaluates signs of endometriosis. There are 2 subscales pelvic tenderness (D, 0=none and 3=severe) and induration (E, 0=none and 3=severe) based on findings from a pelvic examination. The total physical pain score is the sum of the two scores, i.e. D+E, which can range from 0 to 6. The total symptom and sign severity score is the sum of all five scores, i.e. A+B+C+D+E, which can range from 0 to 15.
The values are the change from baseline to cycle 4.
Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Endometriosis Health Profile-30 (EHP-30) Scores
Assessed by the EHP-30 quality-of-life questionnaire completed by participants. Score ranges from 0-100 with lower score denoting improvement.
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in Patient Global Impression of Severity (PGIS) Scores
Assessed by the PGIS scale completed by participants. PGIS is a 6-point scale depicting a participant's rating of their current conditions from "good" to "bad".
It ranges from 0 (none) to 5 (very severe).
Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Patient Global Impression of Change (PGIC) Scores
Assessed by the PGIC scale completed by participants. PGIC is a 7-point scale depicting a patient's rating of their overall improvement from "good" to "bad".
Measured: At cycle 4 (around 4 months, each cycle is approximately 28 days)
Plasma Concentration of Quinagolide and Metabolites
Assessed by blood samples collection
Measured: Within 5 days after first ring insertion and at around 1 month, 3 months, 3.5 months and 4 months after baseline (each cycle is approximately 28 days)
Serum Levels of Mid-luteal Phase Progesterone
Assessed by blood samples collection
Measured: At baseline and cycle 4 (around 3.5 months, each cycle is approximately 28 days)
Number of Subjects With Serum Mid-luteal Progesterone Levels ≥25 Nmol/L (7.9 ng/ml)
Assessed by blood samples collection
Measured: At baseline and cycle 4 (around 3.5 months, each cycle is approximately 28 days)
Serum Levels of Estradiol
Assessed by blood samples collection
Measured: At baseline and cycle 4 (around 3.5 months, each cycle is approximately 28 days)
Serum Levels of Prolactin
Assessed by blood samples collection
Measured: At baseline and cycle 4 (around 3.5 months, each cycle is approximately 28 days)
Serum Levels of Thyrotropin (TSH)
Assessed by blood samples collection
Measured: At baseline and cycle 4 (around 3.5 months, each cycle is approximately 28 days)
Serum Levels of Insulin-like Growth Factor-1 (IGF-1)
Assessed by blood samples collection
Measured: At baseline and cycle 4 (around 3.5 months, each cycle is approximately 28 days)
Changes in Bone Turnover Markers, Determined by Bone Resorption Marker Serum C-terminal Crosslinking Telopeptide of Type 1 Collagen (s-CTx)
Assessed by blood samples collection. Changes from baseline to cycle 4
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in Bone Turnover Markers, Determined by Bone Formation Marker Serum Procollagen Type I N Propeptide (s-PINP)
Assessed by blood samples collection. Changes from baseline to cycle 4
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in ECG Parameters Including PR Interval at Cycle 4
Assessed by 12-lead ECG
Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in ECG Parameters Including QRS Duration at Cycle 4
Assessed by 12-lead ECG
Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in ECG Parameters Including QT Interval at Cycle 4
Assessed by 12-lead ECG
Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in ECG Parameters Including QTcF Interval at Cycle 4
Assessed by 12-lead ECG
Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Proportion of Subjects With Abnormal Clinically Significant Echocardiography Findings Indicating Valvular Heart Disease
Assessed by echocardiography.
Each echocardiography was to be assessed as normal or abnormal according to American College of Cardiology/American Heart Association guidelines for valvular heart disease. If abnormal, the level of valvular regurgitation and valvular stenosis was specified as mild, moderate or severe and valvular structure was evaluated as well.
Measured at cycle 4.
Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Proportion of Subjects Identified With Potential Impulse Control Disorders
Assessed by the questionnaire for impulsive-compulsive disorders completed by participants.
Measured at cycle 4.
Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Frequency and Intensity of Adverse Events
Assessed by an Adverse Events Log completed by the Investigator
Measured: From signing informed consent through study completion, around 8 months
Changes in Circulating Levels of Clinical Chemistry Parameters: Albumin
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Alkaline Phosphatase
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Alanine Aminotransferase
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Aspartate Aminotransferase
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Bicarbonate
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Direct Bilirubin
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Bilirubin
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Calcium
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Cholesterol
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Chloride
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Creatinine
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Gamma Glutamyl Transferase
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Glucose
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Potassium
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Lactate Dehydrogenase
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Phosphate
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Protein
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Sodium
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Urate
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Urea Nitrogen
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Basophils Absolute
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Basophils
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Eosinophils Absolute
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Eosinophils
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Hematocrit
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Hemoglobin
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Lymphocytes Absolute
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Lymphocytes
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Ery. Mean Corpuscular Hemoglobin
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Ery. Mean Corpuscular HGB Concentration
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Ery. Mean Corpuscular Volume
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Monocytes Absolute
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Monocytes
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Neutrophils Absolute
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Neutrophils
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Platelets
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Erythrocytes
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Haematology Parameters: Leukocytes
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Urinalysis Parameters (Protein, Glucose, Bilirubin, pH, Nitrite, Ketone, Urobilinogen, Blood, Leukocytes, and Specific Gravity)
Assessed by urine sample collection (dip-stick test). Overall Urinalysis Result.
Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Proportion of Subjects With Markedly Abnormal Changes in Circulating Levels of Clinical Chemistry Parameters
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Proportion of Subjects With Markedly Abnormal Changes in Circulating Levels of Clinical Haematology Parameters
Assessed by blood samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months)
Proportion of Subjects With Markedly Abnormal Changes in Urinalysis Parameters
Assessed by urine samples collection
Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Frequency and Intensity of Ring Acceptability Parameters: Insertion of the Vaginal Ring
Assessed by a questionnaire completed by participants, addressing ring insertion
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Frequency and Intensity of Ring Acceptability Parameters: Removal of the Vaginal Ring
Assessed by a questionnaire completed by participants, addressing ring removal.
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Frequency and Intensity of Ring Acceptability Parameters: Felt the Ring
Assessed by a questionnaire completed by participants, addressing any feeling of the ring while the ring is in the body.
Measured: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Oct 2018
- Study start26 Dec 2018
- Primary completion14 Feb 2022
- Study completion14 Feb 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Endometriosis-related PainStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 22 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ferring Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Global Clinical Compliance, Study director, Ferring Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03692403
- Sponsor's protocol ID
- 000165
- Acronym
- RAQUEL
- Status last verified
- Oct 2022
- First submitted
- 14 Sep 2018
- Last updated
- 18 Aug 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Aug 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Placebo-controlled, Phase 2 Trial Assessing the Efficacy, Safety and Dose-response of Quinagolide Extended-release Vaginal Rings Administered Sequentially for 4 Menstrual Cycles in Women With Moderate to Severe Endometriosis-related Pain
- ClinicalTrials.gov ID
- NCT03692403
- Acronym / sponsor ID
- RAQUEL / 000165
- Conditions
- Endometriosis-related Pain
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 22 participants (actual)
- Lead sponsor
- Ferring PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 26 Dec 2018 (actual)
- Primary completion
- 14 Feb 2022 (actual)
- Study completion
- 14 Feb 2022 (actual)
- First posted
- 2 Oct 2018 (actual)
- Results
- Posted 18 Aug 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the efficacy of three doses of quinagolide administered as an extended-release vaginal ring compared to placebo on reduction of moderate to severe endometriosis-related pain
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Quinagolide 360 µg | Experimental | Drug: Quinagolide 360 µgVaginal ring containing Quinagolide 360 μg, with daily target release rate of 4.5 μg |
| Quinagolide 720 µg | Experimental | Drug: Quinagolide 720 µgVaginal ring containing Quinagolide 720 μg, with daily target release rate of 9 μg |
| Quinagolide 1080 µg | Experimental | Drug: Quinagolide 1080 µgVaginal ring containing Quinagolide 1080 μg, with daily target release rate of 13.5 μg |
| Placebo | Placebo comparator | Drug: PlaceboVaginal ring containing matching placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Pre-menopausal females aged ≥18 years at time of signing informed consent(s) with regular menstrual cycles.
- Body mass index (BMI) of 18-42 kg/m2 (both inclusive) at screening.
- Initial confirmation of endometriosis by laparoscopy or laparotomy within the last 10 years before the run-in visit or visualization of persistent endometrioma by repeat ultrasound.
- Transvaginal ultrasound documenting a uterus with no clinically significant abnormalities and presence of at least one ovary with no clinically significant abnormalities (with the exception of endometrioma) at the run-in visit.
- Eligible participants experienced moderate to severe endometriosis-related pain, which was defined as at the run-in visit, the participant having an NRS score of ≥5 for the worst endometriosis related pain during the past menstrual cycle and at randomization, the participant having a mean daily NRS score of ≥4 for the worst endometriosis related pain during each run-in menstrual cycle.
Key exclusion criteria (6 listed)
- History of no relief of endometriosis related pain after any medical therapy or surgery. However, history of partial pain relief, discontinuation due to side effects are not exclusionary.
- Known bone diseases (e.g. osteoporosis, Paget's disease and osteomalacia) affecting bone resorption or bone formation markers.
- Any significant abnormal findings of heart examinations before randomization.
- History of mental illness including occurrence of acute psychosis, bipolar disorders and schizophrenia (except for well-controlled anxiety and/or depression with no changes to interventions for 6 months prior to start of run-in)
- History of impulse control disorders including pathological gambling, compulsive buying, hypersexuality, and binge eating or being identified with potential impulse control disorder by the questionnaire for impulsive-compulsive disorders (a score ≥2 for any sub-questions of Question 3 or a score ≥1 for any sub-questions of Question 4) prior to randomization.
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 |
|---|---|---|
| Quinagolide 360 µgAlso: FE 999051Vaginal ring containing quinagolide 360 µg for daily releases | Drug | Quinagolide 360 µg |
| Quinagolide 720 µgAlso: FE 999051Vaginal ring containing quinagolide 720 µg for daily releases | Drug | Quinagolide 720 µg |
| Quinagolide 1080 µgAlso: FE 999051Vaginal ring containing quinagolide 1080 µg for daily releases | Drug | Quinagolide 1080 µg |
| PlaceboMatching placebo | Drug | Placebo |
Primary outcome
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Endometriosis-related Pain.
Time frame: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Assessed daily by participants in an e-Diary. NRS is an 11-point scale, with 0 indicating no pain and 10 indicating the worst imaginable pain. Changes from baseline to cycle 4.
78 secondary outcomes
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Endometriosis-related Pain on Days With Menstrual Bleeding and for the Worst Endometriosis-related Pain on Days With no Menstrual Bleeding
Time frame: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Endometriosis-related Pain.
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Dysmenorrhea.
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Non-menstrual Pelvic Pain.
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Dyspareunia on Days With Sexual Intercourse.
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Frequency of Avoiding Sexual Intercourse Due to Expected Pain
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Impact of Endometriosis-related Pain on the Subject's Ability to Function.
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Weekly Scores of the Endometriosis Health Profile-30 (EHP-30) Pain Impact Domain.
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in Vaginal Bleeding Pattern - Number of Days With Bleeding Related to Period
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in Vaginal Bleeding Pattern.
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Percentage of Days With Mild and/or Strong Rescue Analgesics Used
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Total and Average Doses of Mild and/or Strong Rescue Analgesics Used
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Responder Rate
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Mean Individual and Total Symptom and Sign Severity Scores
Time frame: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in the Endometriosis Health Profile-30 (EHP-30) Scores
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in Patient Global Impression of Severity (PGIS) Scores
Time frame: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Patient Global Impression of Change (PGIC) Scores
Time frame: At cycle 4 (around 4 months, each cycle is approximately 28 days)
Plasma Concentration of Quinagolide and Metabolites
Time frame: Within 5 days after first ring insertion and at around 1 month, 3 months, 3.5 months and 4 months after baseline (each cycle is approximately 28 days)
Serum Levels of Mid-luteal Phase Progesterone
Time frame: At baseline and cycle 4 (around 3.5 months, each cycle is approximately 28 days)
Number of Subjects With Serum Mid-luteal Progesterone Levels ≥25 Nmol/L (7.9 ng/ml)
Time frame: At baseline and cycle 4 (around 3.5 months, each cycle is approximately 28 days)
Serum Levels of Estradiol
Time frame: At baseline and cycle 4 (around 3.5 months, each cycle is approximately 28 days)
Serum Levels of Prolactin
Time frame: At baseline and cycle 4 (around 3.5 months, each cycle is approximately 28 days)
Serum Levels of Thyrotropin (TSH)
Time frame: At baseline and cycle 4 (around 3.5 months, each cycle is approximately 28 days)
Serum Levels of Insulin-like Growth Factor-1 (IGF-1)
Time frame: At baseline and cycle 4 (around 3.5 months, each cycle is approximately 28 days)
Changes in Bone Turnover Markers, Determined by Bone Resorption Marker Serum C-terminal Crosslinking Telopeptide of Type 1 Collagen (s-CTx)
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in Bone Turnover Markers, Determined by Bone Formation Marker Serum Procollagen Type I N Propeptide (s-PINP)
Time frame: From baseline to menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in ECG Parameters Including PR Interval at Cycle 4
Time frame: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in ECG Parameters Including QRS Duration at Cycle 4
Time frame: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in ECG Parameters Including QT Interval at Cycle 4
Time frame: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Changes in ECG Parameters Including QTcF Interval at Cycle 4
Time frame: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Proportion of Subjects With Abnormal Clinically Significant Echocardiography Findings Indicating Valvular Heart Disease
Time frame: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Proportion of Subjects Identified With Potential Impulse Control Disorders
Time frame: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)
Frequency and Intensity of Adverse Events
Time frame: From signing informed consent through study completion, around 8 months
Changes in Circulating Levels of Clinical Chemistry Parameters: Albumin
Time frame: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Alkaline Phosphatase
Time frame: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Alanine Aminotransferase
Time frame: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Aspartate Aminotransferase
Time frame: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Bicarbonate
Time frame: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Direct Bilirubin
Time frame: At baseline and at menstrual cycle 4 (around 4 months)
Changes in Circulating Levels of Clinical Chemistry Parameters: Bilirubin
Time frame: At baseline and at menstrual cycle 4 (around 4 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Aug 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: No
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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.
Global Clinical Compliance study director
Ferring Pharmaceuticals
43 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Quinagolide 360 µg, Quinagolide 720 µg and Quinagolide 1080 µg in people with Endometriosis-related Pain, run by Ferring Pharmaceuticals at 43 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 5 inclusion and 6 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 18 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 43 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 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 18 Aug 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?
Changes in the Mean Daily Numerical Rating Scale (NRS) Scores for the Worst Endometriosis-related Pain. (time frame: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)). 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 18 Aug 2023.