Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03204318
Other study ID # MVT-601-3101
Secondary ID 2017-001588-19
Status Completed
Phase Phase 3
First received
Last updated
Start date December 7, 2017
Est. completion date April 8, 2021

Study information

Verified date June 2021
Source Myovant Sciences GmbH
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine the benefit and safety of relugolix 40 milligrams (mg) once daily, co-administered with low-dose estradiol (E2) and norethindrone acetate (NETA) compared with placebo for 24 weeks, on dysmenorrhea and on nonmenstrual pelvic pain.


Description:

This study is an international phase 3 randomized, double-blind, placebo-controlled efficacy and safety study to evaluate 24 weeks of oral, once-daily relugolix (40 mg) co-administered with either 12 or 24 weeks of low-dose E2 (1.0 mg) and NETA (0.5 mg), compared with placebo. Approximately 600 women with endometriosis-associated pain will be enrolled and randomized 1:1:1 to Group A - relugolix plus low-dose hormonal add-back therapy, Group B - relugolix monotherapy for 12 weeks followed by co-administration with low-dose hormonal add-back therapy, or Group C - placebo (N = 200 per group). Eligible participants were randomized on Baseline Day 1 to Treatment Group A, B, or C, in the double-blind period. Eligible participants, including those randomized to placebo, were offered the opportunity to enroll in an 80-week open-label extension study where participants received relugolix co-administered with low-dose E2 and NETA. Participants who did not enroll into the extension study had a Follow-Up visit approximately 30 days after the participant's last dose of study drug.


Recruitment information / eligibility

Status Completed
Enrollment 638
Est. completion date April 8, 2021
Est. primary completion date June 9, 2020
Accepts healthy volunteers No
Gender Female
Age group 18 Years to 50 Years
Eligibility Key Inclusion Criteria: 1. Is a premenopausal female aged 18 to 50 years old (inclusive) on the day of signing of the informed consent form. 2. Has agreed to use only study-specified analgesic medications during the study and is not known to be intolerant to these. 3. Has a diagnosis of endometriosis and has had, within 10 years prior to signing the informed consent form, surgical or direct visualization and/or histopathologic confirmation of endometriosis, for example, during a laparoscopy or laparotomy. 4. During the Run-In Period (35 to 70 days prior to treatment period) has a dysmenorrhea NRS score = 4.0 on at least 2 days and 1. Mean NMPP NRS score = 2.5, or 2. Mean NMPP NRS score = 1.25 and NMPP NRS score = 5.0 on = 4 days. Key Exclusion Criteria: 1. Has a history of chronic pelvic pain that is not caused by endometriosis. 2. Has any chronic pain or frequently recurring pain condition, other than endometriosis that is treated with opioids or requires analgesics for = 7 days per month. 3. Has had surgical procedures for treatment of endometriosis within the 3 months prior to the Screening visit. 4. Has a history of or currently has osteoporosis or other metabolic bone disease. 5. Has a clinically significant gynecologic condition, other than endometriosis, identified during Screening or Run-In period transvaginal ultrasound or endometrial biopsy.

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Relugolix
Relugolix 40-mg tablet administered orally once daily.
Estradiol/norethindrone acetate
Capsule containing co-formulated tablet of E2 (1.0 mg)/NETA (0.5 mg) administered orally once daily.
Estradiol/norethindrone acetate placebo
E2 (0 mg)/NETA (0 mg) placebo capsule administered orally once daily and designed to match the E2/NETA capsule in size, shape, color, and odor.
Relugolix placebo
Relugolix (0 mg) placebo tablet administered orally once daily and manufactured to match the relugolix tablet in size, shape, color, and odor.

Locations

Country Name City State
Argentina Ciudad de Buenos Aires Ciudad de Buenos Aires Buenos Aires
Argentina Córdoba Córdoba
Argentina Rosario Rosario Santa Fe
Argentina San Isidro San Isidro Buenos Aires
Belgium Brussels Brussels
Belgium Gent Gent Oost-vlaanderen
Belgium La Louvière La Louvière Hainaut
Belgium Leuven Leuven Flemish Brabant
Bulgaria Blagoevgrad Blagoevgrad
Bulgaria Pleven Pleven
Bulgaria Sofia Sofia
Bulgaria Sofia Sofia
Bulgaria Sofia Sofia Sofiya
Bulgaria Sofia Sofia Sofiya
Bulgaria Sofia Sofia Sofiya
Bulgaria Stara Zagora Stara Zagora
Bulgaria Varna Varna
Canada Red Deer Red Deer Alberta
Canada Victoriaville Victoriaville Quebec
Canada Waterloo Waterloo Ontario
Czechia Nachod Náchod
Czechia Olomouc Olomouc
Czechia Praha 10 Praha 10 Praha
Czechia Praha 8 - Liben Praha 8 - Liben
Czechia Vodnany Vodnany
Czechia Vysoké Mýto Vysoké Mýto
Finland Helsinki Helsinki Southern Finland
Finland Kuopio Kuopio Eastern Finland
Finland Oulu Oulu
Hungary Békéscsaba Békéscsaba Bekes
Hungary Budapest Budapest
Hungary Budapest Budapest
Hungary Budapest Budapest
Hungary Debrecen Debrecen Hajdu-bihar
Hungary Debrecen Debrecen Hajdu-bihar
Hungary Debrecen Debrecen Hajdu-Bihar
Hungary Gyula Gyula Bekes
Hungary Kecskemét Kecskemét Bacs-kiskun
Hungary Nyíregyháza Nyíregyháza Szabolcs-szatmar-bereg
Hungary Pécs Pécs Baranya
Hungary Szeged Szeged Csongrad
Poland Bialystok Bialystok Podlaskie
Poland Katowice Katowice Slaskie
Poland Katowice Katowice Slaskie
Poland Kraków Kraków Malopolskie
Poland Lódz Lódz Lodzkie
Poland Lublin Lublin Lubelskie
Poland Lublin Lublin Lubelskie
Poland Lublin Lublin Lubelskie
Poland Poznan Poznan Wielkopolskie
Poland Skórzewo Skórzewo Wielkopolskie
Poland Szczecin Szczecin Zachodniopomorskie
Poland Warszawa Warszawa Mazowieckie
Poland Warszawa Warszawa Mazowieckie
Portugal Almada Almada Lisboa
Portugal Coimbra Coimbra
Portugal Covilhã Covilhã
Portugal Lisbon Lisbon
Portugal Porto Porto
South Africa Cape Town Cape Town Western Cape
South Africa Centurion Centurion Gauteng
South Africa Durban Durban Kwazulu-natal
South Africa Port Elizabeth Port Elizabeth Eastern Cape
South Africa Roodepoort Roodepoort Gauteng
Spain Madrid Madrid
Spain Valencia Valencia
Ukraine Chernivtsi Chernivtsi
Ukraine Ivano-Frankivsk Ivano-Frankivsk
Ukraine Kharkiv Kharkiv
Ukraine Kiev Kiev
Ukraine Kiev Kiev
Ukraine Kiev Kiev
Ukraine Kyiv Kyiv Kiev City
Ukraine Kyiv Kyiv Kiev City
Ukraine Kyiv Kyiv Kiev
Ukraine Vinnytsya Vinnytsya
Ukraine Zaporizhzhya Zaporizhzhya
Ukraine Zaporizhzhya Zaporizhzhya
Ukraine Zaporizhzhya Zaporizhzhya
Ukraine Zaporizhzhya Zaporizhzhya
United States Atlanta Atlanta Georgia
United States Augusta Augusta Georgia
United States Austin Austin Texas
United States Canoga Park Canoga Park California
United States Dothan Dothan Alabama
United States Durham Durham North Carolina
United States Englewood Englewood Ohio
United States Fort Myers Fort Myers Florida
United States Greenwood Village Greenwood Village Colorado
United States Hershey Hershey Pennsylvania
United States Houston Houston Texas
United States Idaho Falls Idaho Falls Idaho
United States Jefferson City Jefferson City Missouri
United States Las Vegas Las Vegas Nevada
United States Long Beach Long Beach California
United States Loxahatchee Loxahatchee Groves Florida
United States Memphis Memphis Tennessee
United States Mesa Mesa Arizona
United States Miami Miami Florida
United States Miami Miami Florida
United States Murfreesboro Murfreesboro Tennessee
United States New Orleans New Orleans Louisiana
United States Norcross Norcross Georgia
United States Norfolk Norfolk Virginia
United States Oakbrook Oak Brook Illinois
United States Orlando Orlando Florida
United States Oviedo Oviedo Florida
United States Philadelphia Philadelphia Pennsylvania
United States Plantation Plantation Florida
United States Port Jefferson Port Jefferson New York
United States Raleigh Raleigh North Carolina
United States Richmond Richmond Virginia
United States Salt Lake City Salt Lake City Utah
United States Salt Lake City Salt Lake City Utah
United States San Diego San Diego California
United States Sarasota Sarasota Florida
United States Scottsdale Scottsdale Arizona
United States Seattle Seattle Washington
United States Shawnee Shawnee Mission Kansas
United States Tucson Tucson Arizona
United States Tucson Tucson Arizona
United States Webster Webster Texas
United States Winston Salem Winston-Salem North Carolina

Sponsors (1)

Lead Sponsor Collaborator
Myovant Sciences GmbH

Countries where clinical trial is conducted

United States,  Argentina,  Belgium,  Bulgaria,  Canada,  Czechia,  Finland,  Hungary,  Poland,  Portugal,  South Africa,  Spain,  Ukraine, 

Outcome

Type Measure Description Time frame Safety issue
Primary Percentage Of Participants Who Meet The Dysmenorrhea Responder Criteria At Week 24 Or End Of Treatment (EOT) Assessed using a Numerical Rating Scale (NRS) score (11-point scale) for pain recorded daily in an electronic diary (e-Diary). The criteria for a responder was based on a pre-defined threshold and accounted for analgesic use. Week 24 or EOT
Primary Percentage Of Participants Who Meet The Non-Menstrual Pelvic Pain (NMPP) Responder Criteria At Week 24 Or EOT Assessed using an NRS score (11-point scale) for pain recorded daily in an e-Diary. The criteria for a responder was based on a pre-defined threshold and accounted for analgesic use. Week 24 or EOT
Secondary Change From Baseline In The Endometriosis Health Profile (EHP)-30 Pain Score At Week 24 Assessed using the Pain Domain of the EHP-30 questionnaire. Baseline, Week 24
Secondary Change From Baseline In Dysmenorrhea NRS Score At Week 24 Or EOT Assessed using an NRS score (11-point scale) for pain recorded daily in an e-Diary. Baseline, Week 24 or EOT
Secondary Change From Baseline In NMPP NRS Score At Week 24 Or EOT Assessed using an NRS score (11-point scale) for pain recorded daily in an e-Diary. Baseline, Week 24 or EOT
Secondary Change From Baseline In Overall Pelvic Pain NRS Score At Week 24 Or EOT Assessed using an NRS score (11-point scale) for pain recorded daily in an e-Diary. Baseline, Week 24 or EOT
Secondary Percentage Of Participants Who Are Not Using Opioids For Endometriosis-associated Pain At Week 24 Or EOT Assessed based on usage of protocol-specified opioids for endometriosis-associated pain recorded daily in an e-Diary. Week 24 or EOT
Secondary Change From Baseline In Dyspareunia NRS Scores At Week 24 Or EOT Assessed using an NRS score (11-point scale) for dyspareunia recorded daily in an e-Diary. Baseline, Week 24 or EOT
Secondary Change From Baseline In Analgesic Use For Endometriosis-associated Pain Based On Mean Pill Count At Week 24 Or EOT Assessed based on usage of protocol-specified analgesic for endometriosis-associated pain recorded daily in an e-Diary. Baseline, Week 24 or EOT
Secondary Percentage Of Participants Who Have A Reduction Of At Least 20 Points In The EHP-30 Pain Domain From Baseline To Week 24 Assessed using the pain domain of the EHP-30 questionnaire. Baseline to Week 24
Secondary Dysmenorrhea Responder Rate By Month The criteria for a responder was based on a pre-defined threshold and accounted for analgesic use. Baseline to Week 24
Secondary NMPP Responder Rate By Month The criteria for a responder was based on a pre-defined threshold and accounted for analgesic use. Baseline to Week 24
Secondary Change In Dysmenorrhea NRS Score By Month Assessed using an NRS score (11-point scale) for pain recorded daily in an e-Diary. Baseline to Week 24
Secondary Change In NMPP NRS Score By Month Assessed using an NRS score (11-point scale) for pain recorded daily in an e-Diary. Baseline to Week 24
Secondary Change In Overall Pelvic Pain NRS Score By Month Assessed using an NRS score (11-point scale) for pain recorded daily in an e-Diary. Baseline to Week 24
Secondary Change In Dyspareunia NRS Score By Month Assessed using an NRS score (11-point scale) for pain recorded daily in an e-Diary. Baseline to Week 24
Secondary Change From Baseline In Ibuprofen Use At Week 24 Or EOT Assessed using ibuprofen pill counts for endometriosis-associated pain recorded daily in an e-Diary. Baseline, Week 24 or EOT
Secondary Change From Baseline In Opioid Use At Week 24 Or EOT Assessed using opioid pill counts for endometriosis-associated pain recorded daily in an e-Diary. Baseline, Week 24 or EOT
Secondary Change From Baseline In The Mean Dysmenorrhea Functional Impairment At Week 24 Or EOT Assessed using the subject modified Biberoglu and Behrman 5-point scale for dysmenorrhea recorded daily in an e-Diary. Baseline, Week 24 or EOT
Secondary Change From Baseline In The Mean NMPP Functional Impairment At Week 24 Or EOT Assessed using the subject modified Biberoglu and Behrman 4-point scale for pelvic pain recorded daily in an e-Diary. Baseline, Week 24 or EOT
Secondary Change From Baseline In The Mean Dyspareunia Functional Impairment At Week 24 Or EOT Assessed using the subject modified Biberoglu and Behrman 5-point scale for dyspareunia recorded daily in an e-Diary. Baseline, Week 24 or EOT
Secondary Change From Baseline In Patient Global Assessment (PGA) For Dysmenorrhea Symptom Severity At Week 24 The PGA for dysmenorrhea is a 1-item questionnaire designed to assess participants' impression of the severity of pain during their menstrual cycle. Baseline, Week 24
Secondary Percentage Of Participants With Improvement, No Change, Or Worsening From Baseline In PGA For Dysmenorrhea At Week 24 The PGA for dysmenorrhea is a 1-item questionnaire designed to assess participants' impression of the severity of pain during their menstrual cycle. Week 24
Secondary Change From Baseline In PGA For NMPP Symptom Severity At Week 24 The PGA for NMPP is a 1-item questionnaire designed to assess participants' impression of the severity of pain when they are not menstruating. Baseline, Week 24
Secondary Percentage Of Participants With Improvement, No Change, Or Worsening From Baseline In PGA For NMPP At Week 24 The PGA for NMPP is a 1-item questionnaire designed to assess participants' impression of the severity of pain when they are not menstruating. Week 24
Secondary Change From Baseline In PGA For Pain Severity At Week 24 The PGA for pain severity is a 1-item questionnaire designed to assess participants' impression of how their pain affected their usual activities. Baseline, Week 24
Secondary Percentage Of Participants With Improvement, No Change, Or Worsening From Baseline In PGA For Pain Severity At Week 24 The PGA for pain severity is a 1-item questionnaire designed to assess participants' impression of how their pain affected their usual activities. Week 24
Secondary Change From Baseline In PGA For Function At Week 24 The PGA for function is a 1-item questionnaire designed to assess participants' impression of how their pain affected their usual activities. Baseline, Week 24
Secondary Percentage Of Participants With Improvement, No Change, Or Worsening From Baseline In PGA For Function At Week 24 The PGA for function is a 1-item questionnaire designed to assess participants' impression of how their pain affected their usual activities. Week 24
Secondary Percentage Of Participants Who Are "Better" Or "Much Better" On The Patient Global Impression Of Change (PGIC) For Dysmenorrhea At Week 24 The PGIC for dysmenorrhea is a 1-item questionnaire designed to assess participants' impression of change in the severity of pain during their menstrual cycle. Week 24
Secondary Percentage Of Participants Who Are "Better" Or "Much Better" On The PGIC For NMPP At Week 24 The PGIC for NMPP is a 1-item questionnaire designed to assess participants' impression of change in the severity of pain during their menstrual cycle. Week 24
Secondary Percentage Of Participants Who Are "Better" Or "Much Better" On The PGIC For Dyspareunia At Week 24 The PGIC for dyspareunia is a 1-item questionnaire designed to assess participants' impression of change in the severity of pain during sexual intercourse. Week 24
Secondary Change From Baseline In The Non-Pain Of The EHP-30 Domains At Week 24 Assessed using the non-pain domains (Control and Powerlessness, Social Support, Emotional Well-Being, and Self-Image) of the EHP-30 questionnaire. Baseline, Week 24
Secondary Change From Baseline In The EHP-30 Scale Total Score At Week 24 Assessed using the total score of the EHP-30 questionnaire. Baseline, Week 24
Secondary Change From Baseline In The EHP Work Domain Score At Week 24 The EHP Work domain is a 5-item questionnaire that assesses impact of pain on ability to work. Baseline, Week 24
Secondary Categorical Change From Baseline In Quality Of Life Assessed By European Quality Of Life Five Dimension Five Level (EQ-5D-5L) Questionnaire At Week 24 The EQ-5D-5L is a 5-item questionnaire designed to assess quality of life. Baseline, Week 24
Secondary Change From Baseline To Week 24 In EQ-5D-5L Visual Analogue Scale Score At Week 24 The EQ-5D-5L is a 5-item questionnaire designed to assess quality of life. Baseline, Week 24
Secondary Percentage Of Participants Who Meet The Dysmenorrhea Responder Criteria At Week 24 Or EOT For Relugolix Plus Delayed E2/NETA Assessed using an NRS score (11-point scale) for pain recorded daily in an e-Diary. The criteria for a responder was based on a pre-defined threshold and accounted for analgesic use. Week 24 or EOT
Secondary Percentage Of Participants Who Meet The NMPP Responder Criteria At Week 24 Or EOT For Relugolix Plus Delayed E2/NETA Assessed using an NRS score (11-point scale) for pain recorded daily in an e-Diary. The criteria for a responder was based on a pre-defined threshold and accounted for analgesic use. Week 24 or EOT
Secondary Change From Baseline In The EHP-30 Pain Score At Week 24 For Relugolix Plus Delayed E2/NETA Assessed using the Pain Domain of the EHP-30 questionnaire. Baseline, Week 24
Secondary Percentage Of Participants Who Have A Reduction Of At Least 20 Points In The EHP-30 Pain Domain From Baseline To Week 24 For Relugolix Plus Delayed E2/NETA Assessed using the pain domain of the EHP-30 questionnaire. Baseline to Week 24
Secondary Percentage Change From Baseline In Bone Mineral Density At The Lumbar Spine (L1-L4) At Week 12 Assessed by dual-energy X-ray absorptiometry (DXA) scan. Baseline, Week 12
Secondary Percentage Change From Baseline In Bone Mineral Density At Lumbar Spine (L1-L4), Femoral Neck, And Total Hip At Week 24 Assessed by DXA scan. Baseline, Week 24
Secondary Percentage Of Participants Experiencing Vasomotor Symptoms At Week 12 Between Group A And B Week 12
Secondary Change From Baseline In Serum Concentrations Of Luteinizing Hormone, Follicle Stimulating Hormone, Estradiol, And Progesterone Blood samples will be collected from participants for hormonal measurements. Baseline, Week 24
Secondary Pre-dose Relugolix Plasma Concentrations Blood samples will be collected from participants for relugolix measurements. Week 4
Secondary Endometrial Biopsy At Week 24 Primary diagnosis of endometrial biopsy assessment by pathologist. Week 24
See also
  Status Clinical Trial Phase
Completed NCT03204331 - SPIRIT 2: Efficacy and Safety Study of Relugolix in Women With Endometriosis-Associated Pain Phase 3
Completed NCT04454424 - Study on the Safety of BAY1817080, How it is Tolerated and the Way the Body Absorbs, Distributes and Gets Rid of the Study Drug in Participants With Impaired Liver Function or Normal Liver Function Phase 1
Completed NCT04265781 - Study on the Safety of Drug BAY1817080 at Different Doses and the Way the Body Absorbs and Eliminates the Drug in Japanese Healthy Adult Male Participants Phase 1
Completed NCT03779256 - Bowel ENDOmetriosis; Evaluation of Diagnostics and Quality of Life
Completed NCT04487431 - A Trial to Learn How a New Liquid Form of BAY1817080 is Tolerated and Taken up by the Body of Healthy Male Participants (Part A). By Labeling BAY1817080 With a Radioactive Substance (Carbon 14) Researchers Want to Learn How the Study Drug is Processed and Excreted by the Body After Dosing (Part B) Phase 1
Completed NCT04471337 - Study on the Safety of BAY1817080 How it is Tolerated and the Way the Body Absorbs, Distributes and Gets Rid of the Study Drug Given to Participants With Moderate Renal Impairment and End Stage Renal Disease Requiring Dialysis Compared With Matched Participants With Normal Renal Function Phase 1