The primary objective of this study is to describe the efficacy of vilaprisan in subjects with uterine fibroids compared to ulipristal. The secondary objective of this study is to evaluate the efficacy and safety of different treatment regimens of vilaprisan in subjects with uterine fibroids.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
766
Orally, 2 mg, once daily
Amenorrhea (yes/no)
Defined as menstrual blood loss (MBL) \< 2 mL based on the menstrual pictogram (MP) during last 28 days. For the primary analysis of the primary variable, the amenorrhea rates after 12 weeks of treatment in Groups A1, A2 and A3 will be compared to the rate from Group B.
Time frame: At 3 months (at the end of treatment perid 1)
Total volume of menstrual blood loss
Assessed by menstrual pictogram (MP). Volume of menstrual blood loss will be normalized by 28 days.
Time frame: After approximately 1 year in subgroup 1 and after approximately 2 years in subgroup 2
Number of bleeding days
From day 1 of the first treatment period until the day before the next treatment period after the last treatment period would start again normalized to 28 days.
Time frame: After approximately 1 year in subgroup 1 and after approximately 2 years in subgroup 2
Amenorrhea (yes/no)
Defined as menstrual blood loss (MBL) \< 2 mL based on the menstrual pictogram (MP) during last 28 days of the treatment period.
Time frame: At 6 months, at 12 months, at 15 months, at 18 months, at 21 months and at 24 months
Absence of bleeding (spotting allowed)
Absence of bleeding defined as no bleeding (spotting allowed) during the last 28 days of the treatment; based on the UF-DBD (Uterine Fibroid Daily Symptom Diary).
Time frame: Up to 24 months
Time to onset of controlled bleeding
Onset of controlled bleeding is defined by the first day, for which the menstrual blood loss (assessed by MP) for all subsequent 28-day periods up to the end of the treatment period is less than 80.00 mL.
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Paratus Clinical Pty Ltd
Blacktown, New South Wales, Australia
Paratus Clinical Wyong Complex
Kanwal, New South Wales, Australia
Women's Health and Research Institute of Australia-WHRIA
Sydney, New South Wales, Australia
Greenslopes Private Hospital
Greenslopes, Queensland, Australia
Medizinische Universität Graz
Graz, Styria, Austria
Landeskrankenhaus Bregenz
Bregenz, Vorarlberg, Austria
Universitätsklinikum AKH Wien
Vienna, Austria
AZ Jan Palfijn Gent
Ghent, Oost-Vlaanderen, Belgium
CHU Saint-Pierre/UMC Sint-Pieter
Bruxelles - Brussel, Belgium
CU Saint-Luc/UZ St-Luc
Bruxelles - Brussel, Belgium
...and 129 more locations
Time frame: Quarterly up to 24 months
HMB (Heavy Menstrual Bleeding) responder rate
Percentage of subjects with blood loss \< 80.00 mL per 28 days and 50% reduction compared to baseline \[assessed by MP\]
Time frame: By treatment period up to 24 months
Percent change in volume of largest fibroid compared to baseline
Measured by MRI (magnetic resonance imaging).
Time frame: At baseline, at 12 months and at 24 months
Endometrial histology
E.g., benign endometrium, presence or absence of hyperplasia or malignancy
Time frame: Up to 24 months
Endometrial thickness
Time frame: Up to 24 months