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| ID | Type | Description | Link |
|---|---|---|---|
| 2009_505 |
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The purpose of this study is to examine the effect of two different dose levels of estrogen or placebo in healthy postmenopausal women by measuring the changes in hormone levels and examining the changes in the uterine lining (endometrium).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 17β-estradiol 2.0 milligrams | Active Comparator | Estrace 2.0 mg tablet |
|
| 17β-estradiol 0.5 milligrams | Active Comparator | Estrace 0.5 mg tablet |
|
| 3 | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Comparator: Estrace 0.5 mg | Drug | 0.5 mg tablet taken once daily for 28 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Immunohistochemistry (IHC) Proliferative Effects Measurement | Ratio of the total number of positively stained cell nuclei to the total number of cell nuclei. Proliferating endometrial cells express the Ki-67 antigen. The ratio was converted to a percent proliferating cells by taking the number of Ki-67 positive stained nuclei in a given field and dividing by the total number of nuclei in that field and multiplying by 100. At least 5 high power fields were scored in this manner and an aggregate percent Ki-67 positive cells was reported. Square root transformation was taken to make it approximately normally distributed for an ANOVA model to apply. | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Gene Expression Intensity After 4 Weeks of Either 0.5 or 2 mg Estrace Compared to Placebo. | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Monitor | Merck Sharp & Dohme LLC | Study Director |
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Major entry criteria - healthy postmenopausal women within 10 years of attaining menopause as determined by follicle-stimulating hormone (FSH) and estradiol levels within range of postmenopause, and other criteria. Normal transvaginal ultrasound at screening with endometrial thickening at < 5.0 mm.
Patients were recruited through advertisement and review of patient databases at Comprehensive Phase I, USA, between December 2008 and April 2009.
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| ID | Title | Description |
|---|---|---|
| FG000 | 17β-estradiol 2.0 Milligrams | Estrace 2.0 mg tablet |
| FG001 | 17β-estradiol 0.5 Milligrams | Estrace 0.5 mg tablet |
| FG002 | Placebo |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | 17β-estradiol 2.0 Milligrams | Estrace 2.0 mg tablet |
| BG001 | 17β-estradiol 0.5 Milligrams | Estrace 0.5 mg tablet |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Immunohistochemistry (IHC) Proliferative Effects Measurement | Ratio of the total number of positively stained cell nuclei to the total number of cell nuclei. Proliferating endometrial cells express the Ki-67 antigen. The ratio was converted to a percent proliferating cells by taking the number of Ki-67 positive stained nuclei in a given field and dividing by the total number of nuclei in that field and multiplying by 100. At least 5 high power fields were scored in this manner and an aggregate percent Ki-67 positive cells was reported. Square root transformation was taken to make it approximately normally distributed for an ANOVA model to apply. | Though 29 subjects were enrolled, only 20 subjects had biopsy samples that were deemed adequate for Ki-67 immunohistochemical analysis at Week 4. | Posted | Least Squares Mean | 95% Confidence Interval | Square root of % positive stained cells | 4 weeks |
|
Reported AE data were collected during the period of the study from date of informed consent to the 14 day follow up period following completion of treatment.
Clinical staff telephoned subjects daily during the study, in between clinic visits and asked the subjects if they had experienced any adverse experiences.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | 17β-estradiol 2.0 Milligrams | Estrace 2.0 mg tablet |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Vision Blurred | Eye disorders | MedDRA (12.0) | Non-systematic Assessment |
The registered secondary outcome: "Mean gene expression intensity after 4 weeks of either 0.5 or 2 mg Estrace compared to placebo" results are not available because of inadequate quantity and quality of tissue samples that were obtained.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Executive Vice President, Clinical and Quantitative Sciences | Merck Sharp & Dohme Corp | 1-800-672-6372 |
| ID | Term |
|---|---|
| D004958 | Estradiol |
| ID | Term |
|---|---|
| D004963 | Estrenes |
| D004962 | Estranes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
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| Comparator: Estrace 2 mg | Drug | 2 mg tablets taken once daily for 28 days. |
|
|
| Comparator: Placebo | Drug | Placebo 0 mg capsule taken once daily for 28 days |
|
| BG002 |
| Placebo |
| BG003 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Number | participants |
|
| Body Mass Index (BMI) | Mean | Standard Deviation | kg/m^2 |
|
Estrace 2.0 mg tablet |
| OG001 | 17β-estradiol 0.5 Milligrams | Estrace 0.5 mg tablet |
| OG002 | Placebo |
|
|
|
| Secondary | Mean Gene Expression Intensity After 4 Weeks of Either 0.5 or 2 mg Estrace Compared to Placebo. | Not Posted | 4 weeks |
| 0 |
| 9 |
| 7 |
| 9 |
| EG001 | 17β-estradiol 0.5 Milligrams | Estrace 0.5 mg tablet | 0 | 11 | 6 | 11 |
| EG002 | Placebo | 0 | 9 | 6 | 9 |
| Abdominal Discomfort | Gastrointestinal disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Abdominal Distension | Gastrointestinal disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Abdominal Pain | Gastrointestinal disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Abdominal Pain Lower | Gastrointestinal disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Frequent Bowel Movements | Gastrointestinal disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Feeling Cold | General disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Pharyngitis | Infections and infestations | MedDRA (12.0) | Non-systematic Assessment |
|
| Viral Upper Respiratory Tract Infection | Infections and infestations | MedDRA (12.0) | Non-systematic Assessment |
|
| Blood Pressure Increased | Investigations | MedDRA (12.0) | Non-systematic Assessment |
|
| Back Pain | Musculoskeletal and connective tissue disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Groin Pain | Musculoskeletal and connective tissue disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Pain In Extremity | Musculoskeletal and connective tissue disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Somnolence | Nervous system disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Pollakiuria | Renal and urinary disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Urinary Retention | Renal and urinary disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Endometrial Hyperplasia | Reproductive system and breast disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Menorrhagia | Reproductive system and breast disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Ovarian Cyst | Reproductive system and breast disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Pelvic Pain | Reproductive system and breast disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Postmenopausal Haemorrhage | Reproductive system and breast disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Vaginal Discharge | Reproductive system and breast disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Vaginal Haemorrhage | Reproductive system and breast disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Vulvovaginal Pruritus | Reproductive system and breast disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (12.0) | Non-systematic Assessment |
|
| Respiratory Tract Congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (12.0) | Non-systematic Assessment |
|
Merck agreements may vary with individual investigators, but will not prohibit any investigator from publishing. Merck supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
| D011083 |
| Polycyclic Compounds |
| D045166 | Estradiol Congeners |
| D012739 | Gonadal Steroid Hormones |
| D042341 | Gonadal Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |