Uterine FibroidsPhase 3NCT05862272
A Phase 3B Study to Evaluate Bone Mineral Density With Long-Term Use of Relugolix Combination Tablet in Women With Uterine Fibroids or Endometriosis
A Phase 3 study testing Relugolix Combination Tablet in people with Uterine Fibroids and Endometriosis, run by Sumitomo Pharma Switzerland GmbH at 120 sites in United States.
Trial summary
The purpose of this clinical trial to characterize changes in bone mineral density during continuous treatment with relugolix combination tablet for up to 48 months (4 years) and 1 year of post-treatment follow-up in premenopausal women with heavy menstrual bleeding associated with uterine leiomyomas (fibroids) or… Read more about this study
- Who is it for?
- Ages 18 to 50 years, women only
- Conditions the study is for
- Uterine Fibroids, Endometriosis
- What is being tested?
- Relugolix Combination Tablet
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,000 participants
- Where
- 120 sitesUnited States
- Study dates
- 14 Aug 2023to Sep 2030
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 50 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Is a premenopausal woman, 18 to 50 years of age (inclusive);
- A diagnosis of uterine fibroids confirmed by imaging or review of medical records and reports heavy menstrual bleeding negatively affecting quality of life. or
- A diagnosis of endometriosis that is associated with moderate to severe pain.;
- If at risk of pregnancy is willing to avoid pregnancy for 4 years (the duration of the treatment period) using nonhormonal methods of contraception.
- Has a negative serum pregnancy test at the screening visit and a negative urine pregnancy test at the allocation visit (or Month 12 if entering from MVT-601-050 [NCT04756037; SERENE]);
- In good physical and mental health based on medical, surgical, and gynecological history as well as physical, gynecological, and breast examinations, clinical laboratory test results, and vital sign measurements;
- Has a body mass index ≥ 18 kg/m^2.
Who cannot join
- Has a weight or body habitus that exceeds the limit of the DXA scanner or has a condition that precludes an adequate DXA measurement at the lumbar spine or proximal femur
- Has a DXA result demonstrating the following criteria at any anatomic site (lumbar spine, total hip, femoral neck):
- For patients entering de novo a Z-score ≤ -1.5 or T-score ≤ -2.0 (if ≥ 40 years of age)
- For patients entering from MVT-601-050 (NCT04756037; SERENE) a 12-month on-treatment DXA demonstrating Z-score ≤ -2.0, T-score ≤ -2.5 (if ≥ 40 years of age), or BMD loss ≥ 8% compared with pre-treatment baseline;
- Screening 25-OH vitamin D level < 12 ng/mL (patients with 25-OH vitamin D deficiency with levels ≥ 12 to < 20 ng/mL are permitted if supplementing with vitamin D or if vitamin D supplementation is started in the screening period);
- Has a history of or currently has Cushing's Syndrome, Rheumatoid Arthritis, metabolic bone disease, uncorrected hyperparathyroidism, Paget's disease of the bone, collagen vascular disease, Marfan's syndrome, Ehlers-Danlos syndrome (if confirmed on genetic testing or meets definitive criteria for hypermobility type), chronic kidney disease (CKD) stage 3 or greater with glomerular filtration rate (GFR) < 60 mL/min/m2 using Modification of Diet in Renal Disease (MDRD) method, hyperprolactinemia, known pituitary adenoma, hyperthyroidism, anorexia nervosa, bulimia (within the last year), abnormal bone mineral metabolism (eg, hypophosphatemia). Patients whose hyperparathyroidism or hyperthyroidism has been successfully treated or whose hyperprolactinemia has been successfully treated are allowed;
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- History of low trauma (fragility) fracture.
- Past history of use or current use of medication used to treat bone loss other than calcium and vitamin D preparations;
- Prior use of depot-medroxyprogesterone acetate for a treatment period > 2 years (if treatment occurred within the past 5 years) or prior use of GnRH agonist or antagonist for > 12 months total (unless directly entering from MVT-601-050 [NCT04756037; SERENE]);
- Malabsorptive disease (including, but not limited to, inflammatory bowel disease and gastric bypass surgery);
- Current breast cancer, history of breast cancer or other hormone-sensitive malignancy, at increased risk for hormone-sensitive malignancy, or taking an aromatase inhibitor for breast cancer treatment or prevention
- History of organ transplantation or history of bone marrow
- BIRADS ≥ 3 Mammogram at entry (or within the past 6 months).
- Has a known human immunodeficiency virus (HIV) infection or at high risk of contracting HIV
- Has a current psychiatric disorder that would, in the investigator or medical monitor's opinion, impair the ability of the patient to participate in the study or would impair interpretation of their data.
- Is currently using a hormonal intrauterine device or contraceptive implant, hormonal contraceptive, or other prohibited medication and is unwilling to discontinue this hormonal contraception
Trial locations and contacts
120 sites in 1 country. Contact the study team or a site near you to ask about taking part.
120 sites in 1 country
United States120 sites, 120 recruiting
- Recruiting
Annandale
Annandale, Virginia, 22003-7308
- Recruiting
Arlington
Arlington, Texas, 76012-4705
- Recruiting
Atlanta
Atlanta, Georgia, 30342
- Recruiting
Atlanta
Atlanta, Georgia, 30363
- Recruiting
Aurora
Aurora, Colorado, 80045-2517
- Recruiting
Aventura
Aventura, Florida, 33180
- Recruiting
Baltimore
Baltimore, Maryland, 21205
- Recruiting
Bay City
Bay City, Michigan, 48706
- Recruiting
Bluffton
Bluffton, South Carolina, 29910-4883
- Recruiting
Burbank
Burbank, California, 91506-1773
- Recruiting
Canoga Park
Canoga Park, California, 91303
- Recruiting
Chandler
Chandler, Arizona, 85224
- Recruiting
Chattanooga
Chattanooga, Tennessee, 37404
- Recruiting
Chicago
Chicago, Illinois, 60607-4911
- Recruiting
Chicago
Chicago, Illinois, 60616
- Recruiting
Cincinnati
Cincinnati, Ohio, 45255
- Recruiting
Cleveland
Cleveland, Ohio, 44124
- Recruiting
College Park
College Park, Georgia, 30349-3103
- Recruiting
Columbus
Columbus, Ohio, 43213
- Recruiting
Columbus
Columbus, Ohio, 43231
- Recruiting
Covington
Covington, Louisiana, 70433
- Recruiting
Dallas
Dallas, Texas, 75230-2598
- Recruiting
Dallas
Dallas, Texas, 75230
- Recruiting
Dearborn Heights
Dearborn Heights, Michigan, 48127
- Recruiting
Deland
DeLand, Florida, 32720
- Recruiting
Detroit
Detroit, Michigan, 48201
- Recruiting
Dublin
Dublin, Ohio, 43016
- Recruiting
Durham
Durham, North Carolina, 27713
- Recruiting
Encinitas
Encinitas, California, 92024-1329
- Recruiting
Englewood
Englewood, Ohio, 45322
- Recruiting
Erie
Erie, Pennsylvania, 16507-1423
- Recruiting
Fayetteville
Fayetteville, Georgia, 31204
- Recruiting
Fort Worth
Fort Worth, Texas, 76104-4141
- Recruiting
Galveston
Galveston, Texas, 77555
- Recruiting
Grand Island
Grand Island, Nebraska, 68803-4327
- Recruiting
Greenville
Greenville, South Carolina, 29615-4833
- Recruiting
Greenwood Village
Greenwood Village, Colorado, 80111
- Recruiting
Hialeah
Hialeah, Florida, 33016
- Recruiting
Houston
Houston, Texas, 77021
- Recruiting
Houston
Houston, Texas, 77024
- Recruiting
Houston
Houston, Texas, 77030-4514
- Recruiting
Houston
Houston, Texas, 77054
- Recruiting
Idaho Falls
Idaho Falls, Idaho, 83404-8322
- Recruiting
Idaho Falls
Idaho Falls, Idaho, 83404
- Recruiting
Inglewood
Inglewood, California, 90301
- Recruiting
Jackson
Jackson, Tennessee, 38305
- Recruiting
Kissimmee
Kissimmee, Florida, 34741-2358
- Recruiting
Lake Worth
Lake Worth, Florida, 33461
- Recruiting
Lakewood
Lakewood, Colorado, 80228
- Recruiting
Las Vegas
Las Vegas, Nevada, 89109
- Recruiting
Laurel
Laurel, Maryland, 20707-5203
- Recruiting
League City
League City, Texas, 77573
- Recruiting
Lenexa
Lenexa, Kansas, 66215-2733
- Recruiting
Lomita
Lomita, California, 90717-2101
- Recruiting
Long Beach
Long Beach, California, 90805-4587
- Recruiting
Los Angeles
Los Angeles, California, 90036
- Recruiting
Margate
Margate, Florida, 33063-5715
- Recruiting
Marrero
Marrero, Louisiana, 70072
- Recruiting
Memphis
Memphis, Tennessee, 38119
- Recruiting
Memphis
Memphis, Tennessee, 38120
- Recruiting
Meridian
Meridian, Idaho, 83646
- Recruiting
Mesa
Mesa, Arizona, 85209
- Recruiting
Metairie
Metairie, Louisiana, 70001
- Recruiting
Miami
Miami, Florida, 33126
- Recruiting
Miami
Miami, Florida, 33155
- Recruiting
Miami
Miami, Florida, 33173
- Recruiting
Miami Beach
Miami Beach, Florida, 33140
- Recruiting
Miami Springs
Miami Springs, Florida, 33166
- Recruiting
Middletown
Middletown, Ohio, 45005-2593
- Recruiting
Mobile
Mobile, Alabama, 36604
- Recruiting
New Bern
New Bern, North Carolina, 28562
- Recruiting
New Orleans
New Orleans, Louisiana, 70115-6235
- Recruiting
New Orleans
New Orleans, Louisiana, 70127
- Recruiting
New Port Richey
New Port Richey, Florida, 34652-4020
- Recruiting
New Port Richey
New Port Richey, Florida, 34652
- Recruiting
Newport News
Newport News, Virginia, 23606
- Recruiting
Norcross
Norcross, Georgia, 30093
- Recruiting
Norfolk
Norfolk, Nebraska, 68701
- Recruiting
North Las Vegas
North Las Vegas, Nevada, 89030
- Recruiting
Orlando
Orlando, Florida, 32808
- Recruiting
Orlando
Orlando, Florida, 32819
- Recruiting
Panama City
Panama City, Florida, 32405
- Recruiting
Pearland
Pearland, Texas, 77584
- Recruiting
Peoria
Peoria, Arizona, 85381
- Recruiting
Philadelphia
Philadelphia, Pennsylvania, 19104
- Recruiting
Philadelphia
Philadelphia, Pennsylvania, 19114
- Recruiting
Phoenix
Phoenix, Arizona, 85018
- Recruiting
Pleasant Grove
Pleasant Grove, Utah, 84062-4097
- Recruiting
Raleigh
Raleigh, North Carolina, 27607
- Recruiting
Raleigh
Raleigh, North Carolina, 27612-8104
- Recruiting
Ridgeland
Ridgeland, Mississippi, 39157-5179
- Recruiting
Sacramento
Sacramento, California, 95817-2307
- Recruiting
Salt Lake City
Salt Lake City, Utah, 84107
- Recruiting
San Antonio
San Antonio, Texas, 78230
- Recruiting
San Antonio
San Antonio, Texas, 78258
- Recruiting
San Fernando
San Fernando, California, 91340-4199
- Recruiting
Sarasota
Sarasota, Florida, 34239
- Recruiting
Schaumburg
Schaumburg, Illinois, 60173-5831
- Recruiting
Seattle
Seattle, Washington, 98105-4028
- Recruiting
Slidell
Slidell, Louisiana, 70458-2004
- Recruiting
Saint Louis
St Louis, Missouri, 63108-1495
- Recruiting
St Louis
St Louis, Missouri, 63141
- Recruiting
Stanford
Stanford, California, 94305-2200
- Recruiting
Sugar Land
Sugar Land, Texas, 77479-1001
- Recruiting
Sugar Land
Sugar Land, Texas, 77479
- Recruiting
Summerville
Summerville, South Carolina, 29485-8345
- Recruiting
Tamarac
Tamarac, Florida, 33321
- Recruiting
Tampa
Tampa, Florida, 33614-1874
- Recruiting
Towson
Towson, Maryland, 21204
- Recruiting
Tucson
Tucson, Arizona, 85715-3834
- Recruiting
Valley Village
Valley Village, California, 91607
- Recruiting
Venice
Venice, Florida, 34285
- Recruiting
Virginia Beach
Virginia Beach, Virginia, 23456-8125
- Recruiting
Washington
Washington D.C., District of Columbia, 02011
- Recruiting
Webster
Webster, Texas, 77598-4081
- Recruiting
West Columbia
West Columbia, South Carolina, 29169
- Recruiting
West New York
West New York, New Jersey, 07093-2622
- Recruiting
West Palm Beach
West Palm Beach, Florida, 33409
- Recruiting
Wichita
Wichita, Kansas, 67211
- Recruiting
Winston Salem
Winston-Salem, North Carolina, 27103-1749
About this study
Official title: A Phase 3B, Single-Arm, Open-Label Study to Evaluate Bone Mineral Density With Long-Term Use of Relugolix Combination Tablet in Premenopausal Women With Heavy Menstrual Bleeding Associated With Uterine Fibroids or Moderate to Severe Pain Associated With Endometriosis
The purpose of this clinical trial to characterize changes in bone mineral density during continuous treatment with relugolix combination tablet for up to 48 months (4 years) and 1 year of post-treatment follow-up in premenopausal women with heavy menstrual bleeding associated with uterine leiomyomas (fibroids) or with moderate-to-severe pain associated with endometriosis.
Read the detailed description
A prospective, single-arm, open-label, Phase 3B study to assess the effect of continuous 48 months (4 years) of treatment with relugolix combination tablet (relugolix 40 mg/estradiol [E2] 1 mg/norethindrone acetate [NETA] 0.5 mg) on bone mineral density in premenopausal women with heavy menstrual bleeding associated with uterine leiomyomas (fibroids) and premenopausal women with moderate to severe pain associated with endometriosis.
Approximately 1000 women (500 with heavy menstrual bleeding associated with uterine fibroids and 500 with moderate to severe pain associated with endometriosis) will receive relugolix combination tablet, during which time BMD will be assessed by dual-energy X-ray absorptiometry every 6 months.
A subset of participants will be eligible to enter this study following completion of 1 year of treatment with relugolix combination therapy in MVT-601-050 (NCT04756037; SERENE) and will complete 3 years of treatment under this protocol.
Upon completion of 48 months (4 years) of treatment or after early termination of treatment, participants will enter a 1-year post-treatment follow-up period during which time bone mineral density will be assessed at Month 6 and Month 12 following treatment cessation.
- Conditions
- Uterine Fibroids, Endometriosis
- Being tested
- Relugolix Combination Tablet
- Keywords
- Uterine Leiomyomas, Fibroids, Endometriosis, Bone Mineral Density, Relugolix, Estradiol, Norethindrone acetate
- Medical subject headings
- Leiomyoma, Endometriosis, Myofibroma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Relugolix Combination TabletDrug
Also called TAK-385, T-1331285, RVT-601, MVT-601
A fixed-dose combination tablet containing relugolix 40 mg, estradiol (E2) 1 mg, and norethindrone acetate (NETA) 0.5 mg.
| Study group | Role | What they receive |
|---|---|---|
| Relugolix Combination Tablet | Experimental | Participants will receive relugolix combination therapy orally once daily for 48 months. Receives: Drug: Relugolix Combination Tablet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent change from baseline in BMD (bone mineral density) at Month 48 on-treatment at lumbar spine (L1-L4) in women with uterine fibroids.
Assessed by dual-energy X-ray absorptiometry (DXA) scan.
Measured: Baseline up to Month 48
Percent change from baseline in BMD at Month 48 on-treatment at lumbar spine (L1-L4) in women with endometriosis.
Assessed by dual-energy X-ray absorptiometry (DXA) scan.
Measured: Baseline up to Month 48
Secondary outcomes (15)
Percent change from baseline in BMD at Month 48 on-treatment at total hip and femoral neck in women with uterine fibroids.
Assessed by dual-energy X-ray absorptiometry (DXA) scan.
Measured: Baseline up to Month 48
Percent change from baseline in BMD at Month 48 on-treatment at total hip and femoral neck in women with endometriosis.
Assessed by dual-energy X-ray absorptiometry (DXA) scan.
Measured: Baseline up to Month 48
Percent change from baseline in BMD at Month 6, 12, 18, 24, 30, 36, and 42 on-treatment at the lumbar spine (L1-L4), total hip, and femoral neck in women with uterine fibroids.
Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.
Measured: Baseline up to Month 6, 12, 18, 24, 30, 36, and 42
Percent change from baseline in BMD at Month 6, 12, 18, 24, 30, 36, and 42 on-treatment at the lumbar spine (L1-L4), total hip, and femoral neck in women with endometriosis.
Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.
Measured: Baseline up to Month 6, 12, 18, 24, 30, 36, and 42
Percent change from baseline in BMD at Month 48 on-treatment at lumbar spine (L1-L4) in the overall study population.
Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.
Measured: Baseline up to Month 48
Percent change from baseline in BMD at Month 48 on-treatment at total hip and femoral neck in the overall study population.
Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.
Measured: Baseline up to Month 48
Percent change from baseline in BMD at Month 6, 12, 18, 24, 30, 36, and 42 on-treatment at the lumbar spine (L1-L4), total hip, and femoral neck in the overall study population.
Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.
Measured: Baseline up to Month 6, 12, 18, 24, 30, 36, and 42
Percent change from baseline in BMD at post-treatment follow-up (PTFU) Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in women with uterine fibroids.
Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.
Measured: 6 months and 12 months post treatment
Percent change from baseline in BMD at PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in women with endometriosis.
Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.
Measured: 6 months and 12 months post treatment
Percent change from last on-treatment BMD measurement to PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in women with uterine fibroids.
Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.
Measured: 6 months and 12 months post treatment
Percent change from last on-treatment BMD measurement to PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in women with endometriosis.
Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.
Measured: 6 months and 12 months post treatment
Percent change from baseline in BMD at PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in the overall study population.
Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.
Measured: 6 months and 12 months post treatment
Percent change from last on-treatment BMD measurement to PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in the overall study population.
Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.
Measured: 6 months and 12 months post treatment
Incidence of treatment-emergent serious adverse events, and non-serious adverse events leading to treatment discontinuation or withdrawal from the study during the 48 months of treatment.
Safety analyses will be conducted by each safety population: 1) women with uterine fibroids, 2) women with endometriosis, and 3) overall population. The treatment-emergent period will be defined as the period of time from the date of the first dose of the study drug through 14 days after the last dose of study drug, or the date of initiation of another investigational agent or hormonal therapy affecting the hypothalamic-pituitary gonadal axis or surgical intervention for uterine fibroids or for endometriosis, whichever occurs first.
Measured: Baseline up to Month 48
Incidence and location of fractures during the 48 months on treatment and 12 months PTFU.
Safety analyses will be conducted by each safety population: 1) women with uterine fibroids, 2) women with endometriosis, and 3) overall population. All adverse events will be coded to preferred term and system organ class using Medical Dictionary for Regulatory Activities (MedDRA) version 24.0 or higher. The incidence of fractures will also be summarized by anatomical sites and whether the fracture qualifies as a fragility fracture. A participant reporting the same adverse event more than once is counted once, and at the maximum severity or strongest relationship to study drug treatment when calculating incidence.
Measured: Baseline up to Month 48 and 12 months post treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 May 2023
- Study start14 Aug 2023
- Primary completionJul 2029 (estimated)
- Study completionSep 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Uterine FibroidsStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Sumitomo Pharma Switzerland GmbH
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Myovant Medical Director, Study director, Myovant Sciences GmbH
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05862272
- Sponsor's protocol ID
- MVT-601A-006
- Status last verified
- Jul 2025
- First submitted
- 8 May 2023
- Last updated
- 6 Aug 2025
- Results posted
- No
- Data monitoring committee
- No
- 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 6 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3B, Single-Arm, Open-Label Study to Evaluate Bone Mineral Density With Long-Term Use of Relugolix Combination Tablet in Premenopausal Women With Heavy Menstrual Bleeding Associated With Uterine Fibroids or Moderate to Severe Pain Associated With Endometriosis
- ClinicalTrials.gov ID
- NCT05862272
- Acronym / sponsor ID
- MVT-601A-006
- Conditions
- Uterine Fibroids, Endometriosis
- Keywords
- Uterine Leiomyomas, Fibroids, Endometriosis, Bone Mineral Density, Relugolix, Estradiol, Norethindrone acetate
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 1,000 participants (estimated)
- Lead sponsor
- Sumitomo Pharma Switzerland GmbHIndustry (pharma, biotech, devices)
- Study start
- 14 Aug 2023 (actual)
- Primary completion
- Jul 2029 (estimated)
- Study completion
- Sep 2030 (estimated)
- First posted
- 17 May 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this clinical trial to characterize changes in bone mineral density during continuous treatment with relugolix combination tablet for up to 48 months (4 years) and 1 year of post-treatment follow-up in premenopausal women with heavy menstrual bleeding associated with uterine leiomyomas (fibroids) or with moderate-to-severe pain associated with endometriosis.
Detailed description
A prospective, single-arm, open-label, Phase 3B study to assess the effect of continuous 48 months (4 years) of treatment with relugolix combination tablet (relugolix 40 mg/estradiol [E2] 1 mg/norethindrone acetate [NETA] 0.5 mg) on bone mineral density in premenopausal women with heavy menstrual bleeding associated with uterine leiomyomas (fibroids) and premenopausal women with moderate to severe pain associated with endometriosis.
Approximately 1000 women (500 with heavy menstrual bleeding associated with uterine fibroids and 500 with moderate to severe pain associated with endometriosis) will receive relugolix combination tablet, during which time BMD will be assessed by dual-energy X-ray absorptiometry every 6 months.
A subset of participants will be eligible to enter this study following completion of 1 year of treatment with relugolix combination therapy in MVT-601-050 (NCT04756037; SERENE) and will complete 3 years of treatment under this protocol.
Upon completion of 48 months (4 years) of treatment or after early termination of treatment, participants will enter a 1-year post-treatment follow-up period during which time bone mineral density will be assessed at Month 6 and Month 12 following treatment cessation.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Relugolix Combination Tablet | Experimental | Drug: Relugolix Combination TabletParticipants will receive relugolix combination therapy orally once daily for 48 months. |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Is a premenopausal woman, 18 to 50 years of age (inclusive);
- A diagnosis of uterine fibroids confirmed by imaging or review of medical records and reports heavy menstrual bleeding negatively affecting quality of life. or
- A diagnosis of endometriosis that is associated with moderate to severe pain.;
- If at risk of pregnancy is willing to avoid pregnancy for 4 years (the duration of the treatment period) using nonhormonal methods of contraception.
- Has a negative serum pregnancy test at the screening visit and a negative urine pregnancy test at the allocation visit (or Month 12 if entering from MVT-601-050 [NCT04756037; SERENE]);
Key exclusion criteria (16 listed)
- Has a weight or body habitus that exceeds the limit of the DXA scanner or has a condition that precludes an adequate DXA measurement at the lumbar spine or proximal femur
- Has a DXA result demonstrating the following criteria at any anatomic site (lumbar spine, total hip, femoral neck):
- Screening 25-OH vitamin D level < 12 ng/mL (patients with 25-OH vitamin D deficiency with levels ≥ 12 to < 20 ng/mL are permitted if supplementing with vitamin D or if vitamin D supplementation is started in the screening period);
- Has a history of or currently has Cushing's Syndrome, Rheumatoid Arthritis, metabolic bone disease, uncorrected hyperparathyroidism, Paget's disease of the bone, collagen vascular disease, Marfan's syndrome, Ehlers-Danlos syndrome (if confirmed on genetic testing or meets definitive criteria for hypermobility type), chronic kidney disease (CKD) stage 3 or greater with glomerular filtration rate (GFR) < 60 mL/min/m2 using Modification of Diet in Renal Disease (MDRD) method, hyperprolactinemia, known pituitary adenoma, hyperthyroidism, anorexia nervosa, bulimia (within the last year), abnormal bone mineral metabolism (eg, hypophosphatemia). Patients whose hyperparathyroidism or hyperthyroidism has been successfully treated or whose hyperprolactinemia has been successfully treated are allowed;
- History of low trauma (fragility) fracture.
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 |
|---|---|---|
| Relugolix Combination TabletAlso: TAK-385, T-1331285, RVT-601, MVT-601A fixed-dose combination tablet containing relugolix 40 mg, estradiol (E2) 1 mg, and norethindrone acetate (NETA) 0.5 mg. | Drug | Relugolix Combination Tablet |
Primary outcome
Percent change from baseline in BMD (bone mineral density) at Month 48 on-treatment at lumbar spine (L1-L4) in women with uterine fibroids.
Time frame: Baseline up to Month 48
Assessed by dual-energy X-ray absorptiometry (DXA) scan.
Percent change from baseline in BMD at Month 48 on-treatment at lumbar spine (L1-L4) in women with endometriosis.
Time frame: Baseline up to Month 48
Assessed by dual-energy X-ray absorptiometry (DXA) scan.
15 secondary outcomes
Percent change from baseline in BMD at Month 48 on-treatment at total hip and femoral neck in women with uterine fibroids.
Time frame: Baseline up to Month 48
Percent change from baseline in BMD at Month 48 on-treatment at total hip and femoral neck in women with endometriosis.
Time frame: Baseline up to Month 48
Percent change from baseline in BMD at Month 6, 12, 18, 24, 30, 36, and 42 on-treatment at the lumbar spine (L1-L4), total hip, and femoral neck in women with uterine fibroids.
Time frame: Baseline up to Month 6, 12, 18, 24, 30, 36, and 42
Percent change from baseline in BMD at Month 6, 12, 18, 24, 30, 36, and 42 on-treatment at the lumbar spine (L1-L4), total hip, and femoral neck in women with endometriosis.
Time frame: Baseline up to Month 6, 12, 18, 24, 30, 36, and 42
Percent change from baseline in BMD at Month 48 on-treatment at lumbar spine (L1-L4) in the overall study population.
Time frame: Baseline up to Month 48
Percent change from baseline in BMD at Month 48 on-treatment at total hip and femoral neck in the overall study population.
Time frame: Baseline up to Month 48
Percent change from baseline in BMD at Month 6, 12, 18, 24, 30, 36, and 42 on-treatment at the lumbar spine (L1-L4), total hip, and femoral neck in the overall study population.
Time frame: Baseline up to Month 6, 12, 18, 24, 30, 36, and 42
Percent change from baseline in BMD at post-treatment follow-up (PTFU) Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in women with uterine fibroids.
Time frame: 6 months and 12 months post treatment
Percent change from baseline in BMD at PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in women with endometriosis.
Time frame: 6 months and 12 months post treatment
Percent change from last on-treatment BMD measurement to PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in women with uterine fibroids.
Time frame: 6 months and 12 months post treatment
Percent change from last on-treatment BMD measurement to PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in women with endometriosis.
Time frame: 6 months and 12 months post treatment
Percent change from baseline in BMD at PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in the overall study population.
Time frame: 6 months and 12 months post treatment
Percent change from last on-treatment BMD measurement to PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in the overall study population.
Time frame: 6 months and 12 months post treatment
Incidence of treatment-emergent serious adverse events, and non-serious adverse events leading to treatment discontinuation or withdrawal from the study during the 48 months of treatment.
Time frame: Baseline up to Month 48
Incidence and location of fractures during the 48 months on treatment and 12 months PTFU.
Time frame: Baseline up to Month 48 and 12 months post treatment
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Aug 2025.
- 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.
Myovant Medical Director study director
Myovant Sciences GmbH
120 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Relugolix Combination Tablet in people with Uterine Fibroids and Endometriosis, run by Sumitomo Pharma Switzerland GmbH at 120 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 7 inclusion and 16 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: looking for participants now, as of the sponsor's last update on 6 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 120 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. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Clinical Trials at Myovant (650-278-8743, ClinicalTrials@Myovant.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percent change from baseline in BMD (bone mineral density) at Month 48 on-treatment at lumbar spine (L1-L4) in women with uterine fibroids. (time frame: Baseline up to Month 48). 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?
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 6 Aug 2025.