Phase 2
N=42
Safety and Efficacy of Telapristone Acetate (Proellex®) Administered Vaginally for the Treatment of Uterine Fibroids
Uterine Fibroids
Bottom Line
View on ClinicalTrials.gov: NCT02323646 ↗Enrolled (actual)
42
Serious AEs
14.3%
Results posted
Jun 2019
Primary outcome: Primary: Percentage of Participants in Amenorrhea at the End of Treatment Course 1 — 0.0; 53.8; 46.7 percentage of participants — p=0.0019
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Placebo (Drug); Telapristone Acetate (Drug)
- Age
- Adult · 18+ yrs
- Sex
- Female
- Sponsor
- Repros Therapeutics Inc.
- Primary completion
- Apr 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Participants in Amenorrhea at the End of Treatment Course 1 |
0.0; 53.8; 46.7 | 0.0019 sig |
| SECONDARY Percentage of Participants in Amenorrhea at the End of Treatment Course 2 |
7.1; 46.2; 46.7 | 0.0237 sig |
| SECONDARY Percentage Change in PBAC Scores From Baseline to the End of Treatment Courses 1 and 2 |
-1.21; -55.43; -43.85; -43.52; -91.02; -77.42 | 0.0145 sig |
| SECONDARY Percentage Change in Transformed Total Uterine Fibroid System Quality of Life Survey System Severity (UFS-SSS) Score From Baseline to the End of Treatment Courses 1 and 2 and the Course 2 Week 24 Follow-up Visit |
-33.54; -49.68; -42.27; -31.11; -43.69; -37.98 | 0.2642 |
| SECONDARY Percentage Change in the Individual UFS-SSS Subscale Score Question 1 From Baseline to the End of Treatment Courses 1 and 2 and the Course 2 Week 24 Follow-up Visit |
-19.58; -52.50; -53.75; -21.00; -55.00; -60.50 | 0.0473 sig |
| SECONDARY Percentage Change in the Individual UFS-SSS Subscale Score Question 2 From Baseline to the End of Treatment Courses 1 and 2 and the Course 2 Week 24 Follow-up Visit |
-34.03; -49.03; -21.81; -30.67; -43.83; -45.00 | 0.1683 |
| SECONDARY Percentage Change in the Individual UFS-SSS Subscale Score Question 3 From Baseline to the End of Treatment Courses 1 and 2 and the Course 2 Week 24 Follow-up Visit |
-16.39; -26.81; 21.94; 38.67; -19.33; -21.67 | 0.6356 |
| SECONDARY Percentage Change in the Individual UFS-SSS Subscale Score Question 4 From Baseline to the End of Treatment Courses 1 and 2 and the Course 2 Week 24 Follow-up Visit |
-29.31; -19.44; 65.28; 10.17; -40.50; 51.67 | 0.8393 |
| SECONDARY Percentage Change in the Individual UFS-SSS Subscale Score Question 5 From Baseline to the End of Treatment Courses 1 and 2 and the Course 2 Week 24 Follow-up Visit |
-33.61; -41.11; -53.33; -33.83; -36.83; -10.67 | 0.7949 |
| SECONDARY Percentage Change in the Individual UFS-SSS Subscale Score Question 6 From Baseline to the End of Treatment Courses 1 and 2 and the Course 2 Week 24 Follow-up Visit |
-19.72; -25.97; -40.28; -30.83; -27.50; -25.67 | 0.9536 |
| SECONDARY Percentage Change in the Individual UFS-SSS Subscale Score Question 7 From Baseline to the End of Treatment Courses 1 and 2 and the Course 2 Week 24 Follow-up Visit |
-30.83; -29.03; -30.69; -31.83; -45.17; -7.67 | 0.8170 |
| SECONDARY Percentage Change in the Individual UFS-SSS Subscale Score Question 8 From Baseline to the End of Treatment Courses 1 and 2 and the Course 2 Week 24 Follow-up Visit |
-30.42; -40.69; -38.33; -28.33; -32.33; -27.50 | 0.3896 |
| SECONDARY Percentage Change in Total Uterine Fibroid Volume From Baseline to the End of Treatment Courses 1 and 2 |
1.41; -28.26; -13.84; -3.72; -36.39; -13.06 | 0.0294 sig |
Summary
The primary objective of this study is to determine the safety and efficacy of two vaginal doses of Proellex® administered for up to 2 courses of treatment (18 weeks each), each separated by an Off-Drug Interval (ODI), to premenopausal women with symptomatic uterine fibroids.
Eligibility Criteria
Inclusion Criteria
- Adult females between 18 and 47 years.
- Have a history of at least 3 regular menstrual cycles in which menorrhagia is due to uterine fibroids.
- Must have uterine fibroids.
- Agreement not to attempt to become pregnant during the trial.
- Agreement to use only sanitary pads provided throughout the course of the study, tampon use is prohibited .
- Ability to complete a daily Participant diary and study procedures in compliance with the protocol.
- Have a negative pregnancy test at the Screening and Baseline visits, and subsequent study visits.
- A Body Mass Index (BMI) between 18 and 45 inclusive.
- Menstrual blood loss > 80 milliliters (mL) by alkaline hematin assay.
Exclusion Criteria
- Post-menopausal woman, defined as either; six (6) months or more (immediately prior to screening visit) without a menstrual period, or prior hysterectomy and/or oophorectomy.
- Pregnant or lactating or is attempting or expecting to become pregnant during the entire study period.
- Received an investigational drug in the 30 days prior to the screening for this study.
- History of Polycystic Ovarian Syndrome (PCOS).
- Concurrent use of any testosterone, progestin, androgen, estrogen, anabolic steroids, Dihydroepiandrosterone (DHEA) or hormonal products for at least 2 weeks prior to screening and during the study.
- Use of oral contraceptives in the preceding 30 days. Use of Depo-Provera® in the preceding 10 months.
- Use of Gonadotropin Releasing Hormone (GnRHas) (e.g. Lupron Depot) within 3 months of the first dose of study drug (Lupron Depot must have a wash-out period of 3 months).
- Has an Intra Uterine device (IUD) in place.
- Known or suspected carcinoma of the breast or reproductive organs.
- Recent history (within past 6 months) of alcoholism or drug abuse.
- Clinically significant abnormal findings on screening examination and laboratory assessments or any condition which in the opinion of the investigator would interfere with the participant's ability to comply with the study instructions or endanger the participant if she took part in the study.
Data sourced from ClinicalTrials.gov (NCT02323646). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.