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This study will evaluate the superiority of ulipristal acetate versus placebo for the treatment of abnormal uterine bleeding associated with uterine fibroids
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| UPA 5 mg | Experimental | Ulipristal acetate (UPA) 5 mg tablet plus matching placebo 10 mg tablet, orally, once daily for 12 weeks. |
|
| UPA 10 mg | Experimental | UPA 10 mg tablet plus matching placebo 5 mg tablet, orally, once daily for 12 weeks. |
|
| Placebo | Placebo Comparator | Matching placebo tablets (5 mg and 10 mg), orally, once daily for 12 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ulipristal acetate (UPA) | Drug | UPA tablet |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Absence of Bleeding During the Last 35 Consecutive Days on Treatment | Participants recorded bleeding in a daily diary. Absence of bleeding was defined as no bleeding days (i.e. no entries for bleeding or heavy bleeding; however, spotting was allowed), during the last 35 consecutive days on treatment in the 12-week Treatment Period. | Last 35 consecutive days on treatment in the 12-week Treatment Period |
| Time to Absence of Bleeding on Treatment | Time to absence of bleeding was defined as the duration in days from first dose to the first day in the time interval in which absence of bleeding occurs and persists through the last dose on treatment. The persistence of absence of bleeding occurred for a minimum of 35 consecutive days counting backward from the last dose on treatment in the 12-week Treatment Period. | From first dose up to the end of the 12-week Treatment Period |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Absence of Bleeding From Day 11 Through the End of Treatment | Participants recorded bleeding in a daily diary. Absence of bleeding was defined as no bleeding days (i.e. no entries for bleeding or heavy bleeding; however, spotting was allowed), starting from Day 11 through the end of the 12-week Treatment Period. | Day 11 through the end of the 12-week Treatment Period |
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Inclusion Criteria:
Exclusion Criteria:
Females with abnormal uterine bleeding associated with leiomyomas were treated in this study.
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| Name | Affiliation | Role |
|---|---|---|
| Anna Chan | Allergan | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Watson Investigational Site 125 | Tucson | Arizona | 85710 | United States | ||
| Watson Investigational Site 102 |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31444600 | Derived | Coyne KS, Harrington A, Currie BM, Chen J, Gillard P, Spies JB. Psychometric validation of the 1-month recall Uterine Fibroid Symptom and Health-Related Quality of Life questionnaire (UFS-QOL). J Patient Rep Outcomes. 2019 Aug 23;3(1):57. doi: 10.1186/s41687-019-0146-x. | |
| 30969201 | Derived | Lukes AS, Soper D, Harrington A, Sniukiene V, Mo Y, Gillard P, Shulman L. Health-Related Quality of Life With Ulipristal Acetate for Treatment of Uterine Leiomyomas: A Randomized Controlled Trial. Obstet Gynecol. 2019 May;133(5):869-878. doi: 10.1097/AOG.0000000000003211. |
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | Matching placebo tablet (5 mg and 10 mg), orally, once daily for 12 weeks. |
| FG001 | UPA 5 mg | Ulipristal acetate (UPA) 5 mg tablet plus matching placebo 10 mg tablet, orally, once daily for 12 weeks. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Placebo |
| Drug |
Matching placebo tablet. |
|
| Change From Baseline in Uterine Fibroid Symptom and Health-Related Quality of Life Questionnaire (UFS-QOL) Revised Activities Subscale Score at the End of Treatment Period | The UFS-QOL is a uterine fibroid-specific questionnaire consisting of 37 questions developed to evaluate symptoms of uterine fibroids and their impact on health-related quality of life in women with leiomyomas. The first 8 questions comprise the Symptom Severity subscale to assess symptoms experienced by women with uterine leiomyomas, the remaining 29 questions comprise 6 subscales (Concern, Activities, Energy/mood, Control, Self-consciousness, Sexual Function) which overall deal with women's feelings and experiences regarding impact of uterine leiomyoma symptoms on her life. Each item is scored between 1 and 5, where 1=none of the time or not at all and 5=all of the time or a very great deal. A Revised Activities subscale was created to include the most relevant items pertaining to physical and social activities with a total possible score of 0 to 100. Higher Revised Activities subscale scores indicate less impact on activities. A positive change from Baseline indicates improvement. | Baseline (Day 1-4) to the end of 12-week Treatment Period |
| San Diego |
| California |
| 92103 |
| United States |
| Watson Investigational Site 112 | Denver | Colorado | 80209 | United States |
| Watson Investigational Site 115 | Lakewood | Colorado | 80228 | United States |
| Watson Investigational Site 116 | Milford | Connecticut | 06460 | United States |
| Watson Investigational Site 114 | Washington D.C. | District of Columbia | 20036 | United States |
| Watson Investigational Site 106 | Clearwater | Florida | 33765 | United States |
| Watson Investigational Site 122 | Lake Worth | Florida | 33461 | United States |
| Watson Investigational Site 130 | Miami | Florida | 33176 | United States |
| Watson Investigational Site 105 | New Port Richey | Florida | 34652 | United States |
| Watson Investigational Site 104 | Orlando | Florida | 32806 | United States |
| Watson Investigational Site 120 | Orlando | Florida | 32806 | United States |
| Watson Investigational Site 103 | Atlanta | Georgia | 30338 | United States |
| Watson Investigational Site 123 | Atlanta | Georgia | 30342 | United States |
| Watson Investigational Site 111 | Augusta | Georgia | 30912 | United States |
| Watson Investigational Site 124 | Idaho Falls | Idaho | 83404 | United States |
| Watson Investigational Site 131 | Brownsburg | Indiana | 46112 | United States |
| Watson Investigational Site 129 | Shawnee Mission | Kansas | 66218 | United States |
| Watson Investigational Site 132 | Metairie | Louisiana | 70006 | United States |
| Watson Investigational Site 110 | Norfolk | Nebraska | 68701 | United States |
| Watson Investigational Site 113 | Albuquerque | New Mexico | 87109 | United States |
| Watson Investigational Site 121 | Raleigh | North Carolina | 27607 | United States |
| Watson Investigational Site 109 | Winston-Salem | North Carolina | 27103 | United States |
| Watson Investigational Site 107 | Columbus | Ohio | 43231 | United States |
| Watson Investigational Site 119 | Jenkintown | Pennsylvania | 19046 | United States |
| Watson Investigational Site 108 | Myrtle Beach | South Carolina | 29572 | United States |
| Watson Investigational Site 101 | Chattanooga | Tennessee | 37404 | United States |
| Watson Investigational Site 126 | Memphis | Tennessee | 38119 | United States |
| 29420395 | Derived | Simon JA, Catherino W, Segars JH, Blakesley RE, Chan A, Sniukiene V, Al-Hendy A. Ulipristal Acetate for Treatment of Symptomatic Uterine Leiomyomas: A Randomized Controlled Trial. Obstet Gynecol. 2018 Mar;131(3):431-439. doi: 10.1097/AOG.0000000000002462. |
| FG002 | UPA 10 mg | UPA 10 mg tablet plus matching placebo 5 mg tablet, orally, once daily for 12 weeks. |
| COMPLETED |
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| NOT COMPLETED |
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Safety Population consisted of all randomized participants who received at least one dose of study drug.
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | Matching placebo tablet (5 mg and 10 mg), orally, once daily for 12 weeks. |
| BG001 | UPA 5 mg | UPA 5 mg tablet plus matching placebo 10 mg tablet, orally, once daily for 12 weeks. |
| BG002 | UPA 10 mg | UPA 10 mg tablet plus matching placebo 5 mg tablet, orally, once daily for 12 weeks. |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| 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 | Percentage of Participants With Absence of Bleeding During the Last 35 Consecutive Days on Treatment | Participants recorded bleeding in a daily diary. Absence of bleeding was defined as no bleeding days (i.e. no entries for bleeding or heavy bleeding; however, spotting was allowed), during the last 35 consecutive days on treatment in the 12-week Treatment Period. | Intent-to-Treat (ITT) Population included all randomized participants. Data was summarized as per the treatment assigned. | Posted | Number | 97.5% Confidence Interval | percentage of participants | Last 35 consecutive days on treatment in the 12-week Treatment Period |
|
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| |||||||||||||||||||||||||||||||
| Primary | Time to Absence of Bleeding on Treatment | Time to absence of bleeding was defined as the duration in days from first dose to the first day in the time interval in which absence of bleeding occurs and persists through the last dose on treatment. The persistence of absence of bleeding occurred for a minimum of 35 consecutive days counting backward from the last dose on treatment in the 12-week Treatment Period. | ITT Population included all randomized participants. Data was summarized as per the treatment assigned. | Posted | Median | 97.5% Confidence Interval | days | From first dose up to the end of the 12-week Treatment Period |
|
| ||||||||||||||||||||||||||||||||
| Secondary | Percentage of Participants With Absence of Bleeding From Day 11 Through the End of Treatment | Participants recorded bleeding in a daily diary. Absence of bleeding was defined as no bleeding days (i.e. no entries for bleeding or heavy bleeding; however, spotting was allowed), starting from Day 11 through the end of the 12-week Treatment Period. | ITT Population included all randomized participants. Data was summarized as per the treatment assigned. | Posted | Number | 97.5% Confidence Interval | percentage of participants | Day 11 through the end of the 12-week Treatment Period |
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| Secondary | Change From Baseline in Uterine Fibroid Symptom and Health-Related Quality of Life Questionnaire (UFS-QOL) Revised Activities Subscale Score at the End of Treatment Period | The UFS-QOL is a uterine fibroid-specific questionnaire consisting of 37 questions developed to evaluate symptoms of uterine fibroids and their impact on health-related quality of life in women with leiomyomas. The first 8 questions comprise the Symptom Severity subscale to assess symptoms experienced by women with uterine leiomyomas, the remaining 29 questions comprise 6 subscales (Concern, Activities, Energy/mood, Control, Self-consciousness, Sexual Function) which overall deal with women's feelings and experiences regarding impact of uterine leiomyoma symptoms on her life. Each item is scored between 1 and 5, where 1=none of the time or not at all and 5=all of the time or a very great deal. A Revised Activities subscale was created to include the most relevant items pertaining to physical and social activities with a total possible score of 0 to 100. Higher Revised Activities subscale scores indicate less impact on activities. A positive change from Baseline indicates improvement. | Data was summarized as per treatment assigned and included all participants with data at both Baseline and Week 12. The Baseline row shows the actual scores. The results at Week 12 are the difference in scores from Baseline to Week 12. | Posted | Mean | Standard Deviation | score on a scale | Baseline (Day 1-4) to the end of 12-week Treatment Period |
|
From study drug administration until the end of the 12-week off-treatment follow-up period (Up to 24 weeks)
Safety Population consisted of all randomized participants who received at least one dose of study drug.
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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 | Placebo | Matching placebo tablet (5 mg and 10 mg), orally, once daily for 12 weeks. | 0 | 56 | 1 | 56 | 4 | 56 |
| EG001 | UPA 5 mg | UPA 5 mg tablet plus matching placebo 10 mg tablet, orally, once daily for 12 weeks. | 0 | 53 | 1 | 53 | 8 | 53 |
| EG002 | UPA 10 mg | UPA 10 mg tablet plus matching placebo 5 mg tablet, orally, once daily for 12 weeks. | 0 | 48 | 2 | 48 | 12 | 48 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Haemorrhoids | Gastrointestinal disorders | MedDRA, version 18.0 | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA, version 18.0 | Systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA, version 18.0 | Systematic Assessment |
| |
| Angina pectoris | Cardiac disorders | MedDRA, version 18.0 | Systematic Assessment |
| |
| Anxiety | Psychiatric disorders | MedDRA, version 18.0 | Systematic Assessment |
| |
| Cellulitis | Infections and infestations | MedDRA, version 18.0 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Hypertension | Vascular disorders | MedDRA, version 18.0 | Systematic Assessment |
| |
| Blood creatine phosphokinase increased | Investigations | MedDRA, version 18.0 | Systematic Assessment |
| |
| Hot flush | Vascular disorders | MedDRA, version 18.0 | Systematic Assessment |
| |
| Acne | Skin and subcutaneous tissue disorders | MedDRA, version 18.0 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA, version 18.0 | Systematic Assessment |
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A disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is less than or equal to 90 days from the time submitted to the sponsor for review. The sponsor cannot require changes to the communication and cannot extend the embargo.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Therapeutic Area, Head | Allergan | 714-246-4500 | clinicaltrials@allergan.com |
| ID | Term |
|---|---|
| D007889 | Leiomyoma |
| D014592 | Uterine Hemorrhage |
| ID | Term |
|---|---|
| D009379 | Neoplasms, Muscle Tissue |
| D018204 | Neoplasms, Connective and Soft Tissue |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| 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 |
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| ID | Term |
|---|---|
| C555622 | ulipristal acetate |
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| Male |
|
| Counts |
|---|
| Participants |
|
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| Participants |
|
|
| OG001 |
| UPA 5 mg |
UPA 5 mg tablet plus matching placebo 10 mg tablet, orally, once daily for 12 weeks. |
| OG002 | UPA 10 mg | UPA 10 mg tablet plus matching placebo 5 mg tablet, orally, once daily for 12 weeks. |
|
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