This study seeks to evaluate the efficacy, safety and tolerability of elagolix alone and in combination with estradiol/norethindrone acetate for the management of heavy menstrual bleeding associated with uterine fibroids in premenopausal women.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
378
Film-coated tablets
Placebo capsules
Commercially-available E2/NETA tablets were over-encapsulated to maintain study blinding.
Percentage of Participants Meeting the Criteria for Responder
Percentage of responders, defined as participants who met the following conditions: * Menstrual blood loss (MBL) volume \< 80 mL during the Final Month (the last 28 days prior to and including the Reference Day, which is defined as the last visit date during the Treatment Period (last treatment visit date) or the last dose date if there are evaluable alkaline hematin data after the last treatment visit date and prior to or on the last dose date), and * ≥ 50% reduction in MBL volume from Baseline to the Final Month. Participants who prematurely discontinued study drug due to "lack of efficacy," "requires surgery or invasive intervention for treatment of uterine fibroids," or "adverse events" were considered non-responders regardless of whether she meets the two aforementioned responder criteria or not.
Time frame: Final Month (the last 28 days prior to and including the Reference Day), up to Month 6
Change From Baseline in MBL Volume to the Final Month
Baseline MBL volume was defined as the mean of total MBL volume from all the qualified menstrual cycles during the Screening Period, in which the total MBL volume is from all validated and non-validated sanitary products and the MBL volume of validated sanitary products only (excluding non-validated sanitary products) was greater than 80 mL. The Reference Day is defined as the last visit date during the Treatment Period (last treatment visit date) or the last dose date if there are evaluable alkaline hematin data after the last treatment visit date and prior to or on the last dose date.
Time frame: Baseline and Final Month (the last 28 days prior to and including the Reference Day), up to Month 6
Percentage of Participants With Suppression of Bleeding at the Final Month
Suppression of bleeding is defined as having 0 days of bleeding (spotting is allowed) during the Final Month with the interval starting from Study Day 11. The Reference Day is defined as the last visit date during the Treatment Period (last treatment visit date) or the last dose date if there are evaluable alkaline hematin data after the last treatment visit date and prior to or on the last dose date.
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Film-coated placebo tablets
Alabama Clinical Therapeutics, LLC /ID# 152258
Birmingham, Alabama, United States
Choice Research, LLC /ID# 150988
Dothan, Alabama, United States
Brown, Pearson, Guepet Gynecology /ID# 151020
Fairhope, Alabama, United States
Mobile, Ob-Gyn, P.C. /ID# 144294
Mobile, Alabama, United States
Mesa Obstetricians and Gynecol /ID# 149139
Mesa, Arizona, United States
Visions Clinical Research-Tucs /ID# 151017
Tucson, Arizona, United States
Core Healthcare Group /ID# 151016
Cerritos, California, United States
Diagnamics Inc. /ID# 152469
Encinitas, California, United States
HCP Clinical Research LLC /ID# 154434
Huntington Beach, California, United States
Alliance Research Centers /ID# 149752
Laguna Hills, California, United States
...and 95 more locations
Time frame: Final Month (the last 28 days prior to and including the Reference Day), up to Month 6
Change From Baseline in MBL Volume to Month 6
Baseline MBL volume was defined as the mean of total MBL volume from all the qualified menstrual cycles during the Screening Period, in which the total MBL volume is from all validated and non-validated sanitary products and the MBL volume of validated sanitary products only (excluding non-validated sanitary products) was greater than 80 mL.
Time frame: Month 0 (Baseline), Month 6
Change From Baseline in MBL Volume to Month 3
Baseline MBL volume was defined as the mean of total MBL volume from all the qualified menstrual cycles during the Screening Period, in which the total MBL volume is from all validated and non-validated sanitary products and the MBL volume of validated sanitary products only (excluding non-validated sanitary products) was greater than 80 mL.
Time frame: Month 0 (Baseline), Month 3
Percentage of Participants With Baseline Hemoglobin <= 10.5 g/dL Who Have an Increase in Hemoglobin > 2 g/dL at Month 6
Time frame: Month 0 (Baseline), Month 6
Change From Baseline in MBL Volume to Month 1
Baseline MBL volume was defined as the mean of total MBL volume from all the qualified menstrual cycles during the Screening Period, in which the total MBL volume is from all validated and non-validated sanitary products and the MBL volume of validated sanitary products only (excluding non-validated sanitary products) was greater than 80 mL.
Time frame: Month 0 (Baseline), Month 1