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The objective of this study is to determine the long-term safety of asoprisnil in women with abnormal uterine bleeding associated with uterine fibroids.
No medical therapy is currently available for the long-term treatment of abnormal uterine bleeding associated with uterine fibroids in women and many women must resort to surgery for relief. The objective of this study is to determine the long-term safety of asoprisnil 10 and 25 mg tablets administered daily for 12 months to women with abnormal uterine bleeding associated with uterine fibroids after an initial 12 months in M01-390 or M01-394. The safety endpoints for this study will be based on assessments of the endometrium, ovarian cysts (if applicable), bone and lipid profiles, adverse events, and changes from baseline laboratory values and vital signs.
Some subjects receiving asoprisnil developed endometrial changes. As a result, dosing was prematurely discontinued for all subjects. To ensure safety, subjects will remain on study and will undergo scheduled study procedures. In most subjects, endometrial changes reversed after asoprisnil discontinuation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
| |
| 2 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Asoprisnil | Drug | 10 mg Tablet, oral Daily for 12 months |
| |
| Asoprisnil |
| Measure | Description | Time Frame |
|---|---|---|
| The percent of subjects who demonstrate a clinically meaningful improvement in bleeding and do not require surgical/invasive intervention. | Month 12 |
| Measure | Description | Time Frame |
|---|---|---|
| The percent of subjects who demonstrate a clinically meaningful improvement in bleeding and do not require surgical/invasive intervention. | Month 6 | |
| Change from baseline in menstrual pictogram bleeding score. | Final Month |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Abbott | Study Chair |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31777761 | Derived | Diamond MP, Stewart EA, Williams ARW, Carr BR, Myers ER, Feldman RA, Elger W, Mattia-Goldberg C, Schwefel BM, Chwalisz K. A 12-month extension study to evaluate the safety and efficacy of asoprisnil in women with heavy menstrual bleeding and uterine fibroids. Hum Reprod Open. 2019 Nov 4;2019(4):hoz027. doi: 10.1093/hropen/hoz027. eCollection 2019. |
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| ID | Term |
|---|---|
| D007889 | Leiomyoma |
| D008595 | Menorrhagia |
| D008796 | Metrorrhagia |
| D014592 | Uterine Hemorrhage |
| ID | Term |
|---|---|
| D009379 | Neoplasms, Muscle Tissue |
| D018204 | Neoplasms, Connective and Soft Tissue |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C488516 | asoprisnil |
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| Drug |
25 mg Tablet, oral Daily for 12 months |
|
| Change from baseline in the number of days with bleeding. | Final Month |
| Change from baseline in hemoglobin concentration. | Final Visit |
| Percent change from baseline in the volume of the largest fibroid. | Final Visit |
| Change from baseline in bloating, pelvic pressure, dysmenorrhea and urinary symptoms. | Final Visit |
| Change from baseline in total symptom severity score and the Uterine Fibroid Symptom-Quality of Life total score. | Final Visit |
| Cumulative percent of subjects who achieve amenorrhea. | Each Month |
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D006470 | Hemorrhage |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D008599 | Menstruation Disturbances |