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Phase 3 N=413 Randomized Quadruple-blind Treatment

Efficacy and Safety of Elagolix in Combination With Estradiol/Norethindrone Acetate for the Management of Heavy Menstrual Bleeding Associated With Uterine Fibroids in Premenopausal Women

Uterine Fibroids · Heavy Menstrual Bleeding

Enrolled (actual)
413
Serious AEs
2.7%
Results posted
Jun 2020
Primary outcome: Primary: Percentage of Participants Meeting the Criteria for Responder — 8.7; 84.1; 68.5 percentage of participants — p=< 0.001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
Elagolix (Drug); Placebo for Estradiol/Norethindrone Acetate (Drug); Estradiol/Norethindrone Acetate (Drug); Placebo for Elagolix (Drug)
Age
Adult · 18+ yrs
Sex
Female
Sponsor
AbbVie
Primary completion
Jan 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants Meeting the Criteria for Responder
8.7; 84.1; 68.5 < 0.001 sig
SECONDARY
Change From Baseline in MBL Volume to the Final Month
0.8; -221.5; -176.7 < 0.001 sig
SECONDARY
Percentage of Participants With Suppression of Bleeding at the Final Month
4.4; 84.0; 56.8 < 0.001 sig
SECONDARY
Change From Baseline in MBL Volume to Month 6
-2.3; -236.2; -194.7 < 0.001 sig
SECONDARY
Change From Baseline in MBL Volume to Month 3
6.1; -234.7; -192.2 < 0.001 sig
SECONDARY
Percentage of Participants With Baseline Hemoglobin <= 10.5 g/dL Who Have an Increase in Hemoglobin > 2 g/dL at Month 6
16.1; 65.9; 61.5 < 0.001 sig
SECONDARY
Change From Baseline in MBL Volume to Month 1
-19.0; -209.0; -135.2 < 0.001 sig

Summary

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.

Eligibility Criteria

Inclusion Criteria

  • Subject is a premenopausal female at the time of Screening.
  • Subject has a diagnosis of uterine fibroids documented by a pelvic ultrasound (transabdominal ultrasound/transvaginal ultrasound).
  • Subject has heavy menstrual bleeding associated with uterine fibroids as evidenced by menstrual blood loss > 80 mL during each of two screening menses as measured by the alkaline hematin method.
  • Subject has negative urine and/or serum pregnancy test in Screening and just prior to first dose.
  • Subject has an adequate endometrial biopsy performed during Screening, the results of which show no clinically significant endometrial pathology.

Exclusion Criteria

  • Subject has screening pelvic ultrasound or saline infusion sonohysterography results that show a clinically significant gynecological disorder.
  • Subject has history of osteoporosis or other metabolic bone disease.
  • Subject has clinically significant abnormalities in clinical chemistry, hematology, or urinalysis.
  • Subject has a history of major depression or post-traumatic stress disorder (PTSD) within 2 years of screening, OR a history of other major psychiatric disorder at any time (e.g., schizophrenia, bipolar disorder).
  • Subject is using any systemic corticosteroids for over 14 days within 3 months prior to Screening or is likely to require treatment with systemic corticosteroids during the course of the study. Over the counter and prescription topical, inhaled, intranasal or injectable (for occasional use) corticosteroids are allowed.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02654054). 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.

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