Assess Safety and Efficacy of Vilaprisan in Subjects With... | NCT03400943 | Trialant
NCT03400943
Sponsor
Bayer
Status
Terminated
Last Update Posted
May 3, 2023Actual
Enrollment
93Actual
Phase
Phase 3
Conditions
Uterine Fibroids
Interventions
Vilaprisan (BAY1002670)
Placebo
Countries
United States
Bulgaria
China
Czechia
Israel
Malaysia
New Zealand
Singapore
South Africa
Protocol Section
Identification Module
NCT ID
NCT03400943
Obsolete or Duplicate NCT IDs
Not provided
Organization Study
15787
Secondary IDs
ID
Type
Description
Link
2017-002997-38
EudraCT Number
Brief Title
Assess Safety and Efficacy of Vilaprisan in Subjects With Uterine Fibroids (ASTEROID 3)
Official Title
A Randomized, Parallel-group, Double-blind and Open-label Placebo-controlled, Multicenter Study to Assess the Efficacy and Safety of Vilaprisan in Subjects With Uterine Fibroids
Acronym
Not provided
Organization
BayerINDUSTRY
Status Module
Record Verification Date
Apr 2023
Overall Recruitment Status or Expanded Access Status
Terminated
Last Known Status
Not provided
Delayed Posting
Not provided
Why Stopped
Due to a change in the development program, the study was closed prematurely.
Expanded Access Info
No
Start Date
Jan 17, 2018Actual
Primary Completion Date
Jun 9, 2019Actual
Completion Date
Apr 6, 2022Actual
First Submitted Date
Jan 5, 2018
First Submission Date that Met QC Criteria
Jan 15, 2018
First Posted Date
Jan 17, 2018Actual
Results Waived
Not provided
Results First Submitted Date
Mar 23, 2021
Results First Submitted that Met QC Criteria
Jun 9, 2021
Results First Posted Date
Jun 11, 2021Actual
Certification/Extension (aka Delayed Results) First Submitted Date
Mar 17, 2020
Certification/Extension First Submitted that Passed QC Review
Jun 9, 2021
Certification/Extension First Posted Date
Jun 11, 2021Actual
Last Update Submitted Date
Apr 28, 2023
Last Update Posted Date
May 3, 2023Actual
Sponsor/Collaborators Module
Responsible Party, by Official Title
Sponsor
Lead Sponsor
BayerINDUSTRY
Collaborators
Not provided
Oversight Module
Has Data Monitoring Committee (DMC)
No
Is FDA Regulated Drug
Yes
Is FDA Regulated Device
No
Is Unapproved Device
Not provided
Pediatric Postmarket Surveillance of a Device Product
Not provided
Product Exported from US
Not provided
FDAAA801 Violation
Not provided
Description Module
Brief Summary
The primary objective of this study was to show superiority in the treatment of HMB of vilaprisan in subjects with uterine fibroids compared to placebo.
The secondary objectives of this study were to additionally evaluate the efficacy and safety of vilaprisan in subjects with uterine fibroids.
Detailed Description
Not provided
Conditions Module
Conditions
Uterine Fibroids
Keywords
Heavy menstrual bleeding
Design Module
Study Type
Interventional
Number of References to an Expanded Access Study
Not provided
Expanded Access Types
Not provided
Patient Registry
Not provided
Target Follow-Up Duration
Not provided
Phases
Phase 3
Interventional Study Design
Allocation
Biospecimen
No data available
No data is available for this block.
Enrollment
93Actual
Arms/Interventions Module
Arm Groups
Label
Type
Description
Intervention Names
Vilaprisan (A1)
Experimental
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
Drug: Vilaprisan (BAY1002670)
Drug: Placebo
Vilaprisan (A2)
Experimental
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks without a break.
Drug: Vilaprisan (BAY1002670)
Placebo+Vilaprisan (B1)
Experimental
Placebo in treatment period 1 for 12 weeks, and vilaprisan (2 mg) in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
Drug: Vilaprisan (BAY1002670)
Drug: Placebo
Vilaprisan+Placebo (B2)
Experimental
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and placebo in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
Drug: Vilaprisan (BAY1002670)
Drug: Placebo
Interventions
Name
Type
Description
Arm Group Labels
Other Names
Vilaprisan (BAY1002670)
Drug
2 mg of Vilaprisan once daily up to 2 x 12 weeks
Placebo+Vilaprisan (B1)
Vilaprisan (A1)
Vilaprisan (A2)
Outcomes Module
Primary Outcomes
Measure
Description
Time Frame
Number of Participants With Amenorrhea
Amenorrhea was defined as menstrual blood loss (MBL) <2 mL during the last 28 days of treatment measured by the alkaline hematin (AH) method.
The last 28 days of treatment period 1
Secondary Outcomes
Measure
Description
Time Frame
Number of Participants With Heavy Menstrual Bleeding (HMB) Response
HMB response was defined as MBL <80 mL during the last 28 days of treatment and >50% reduction from baseline based on AH-method.
The last 28 days of treatment period 1 and treatment period 2
Time to Onset of Amenorrhea
Other Outcomes
Not provided
Eligibility Module
Eligibility Criteria
Inclusion Criteria:
Women, 18 years or older in good General health
Diagnosis of uterine fibroid(s) documented by ultrasound at screening with at least 1 fibroid with largest Diameter ≥ 30 mm and < 120 mm
Heavy menstrual bleeding (HMB) in at least 2 bleeding periods during the Screening period each with blood loss volume of >80.00 mL documented by alkaline hematin (AH) method
An endometrial biopsy performed during the Screening period without significant histological disorder such as endometrial hyperplasia (including simple hyperplasia) or other significant endometrial pathology
Use of an acceptable non-hormonal method of contraception (ie, either male condom, cap, diaphragm or sponge, each in combination with spermicide) starting at Visit 1 until the end of the study
Exclusion Criteria:
Pregnancy or lactation (less than 3 month since delivery, abortion, or lactation before start of Treatment)
Hypersensitivity to any ingredient of the study drug
Any condition requiring immediate blood transfusion
Laboratory values outside inclusion range before randomization and considered as clinically relevant.
Any diseases, conditions, or medications that can compromise the function of the body systems and could result in altered absorption, excessive accumulation, impaired metabolism, or altered excretion of the study drug
Any diseases or conditions that might interfere with the conduct of the study or the interpretation of the results
Abuse of alcohol, drugs, or medicines (eg, laxatives)
Use of other treatments that might interfere with the conduct of the study or the interpretation of the results
Al-Hendy A, Zhou YF, Faustmann T, Groettrup-Wolfers E, Laapas K, Parke S, Seitz C. Efficacy and safety of vilaprisan in women with uterine fibroids: data from the ASTEROID 3 randomized controlled trial. F S Sci. 2023 Nov;4(4):317-326. doi: 10.1016/j.xfss.2023.06.003. Epub 2023 Jul 10.
See Also Links
Label
URL
Click here to find information about studies related to Bayer Healthcare products conducted in Europe
Availability of this study's data will later be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014.
Interested researchers can use www.vivli.org to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the member section of the portal.
Types
Not provided
Time Frame
Not provided
Access Criteria
Not provided
URL
Not provided
Results Section
Participant Flow Module
Pre-assignment Details
Overall, 646 participants were screened. Of the 646 screened participants, 553 (85.6%) participants were not randomized to treatment. The majority of these (n=403) were screen failures. Of the 93 participants who were randomized, 79 participants received study treatment.
Recruitment Details
The study was conducted at 104 study centers in 9 countries worldwide between 17-Jan-2018 (first participant first visit) and 06-Apr- 2022 (last participant last visit).
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
FG000
Vilaprisan (A1)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
FG001
Vilaprisan (A2)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks without a break.
Periods
Title
Milestones
Reasons Not Completed
Treatment Period 1
Type
Comment
Milestone Data
STARTED
Randomized
Baseline Characteristics Module
Baseline Analysis Population Description
Outcome Measures Module
Outcome Measures
Adverse Events Module
Frequency Threshold
5
More Info Module
Limitations and Caveats
Not provided
Annotation Section
No data available
No data is available for this block.
Document Section
Large Document Module
Document Has No Statistical Analysis Plan (SAP)
Not provided
Uploaded Document Information
Type
Includes Protocol
Includes SAP
Includes ICF
Document Label
Document Date
Document Uploaded Date
Document File Name
Prot
Yes
No
No
Study Protocol
Feb 17, 2020
Mar 22, 2021
Derived Section
Miscellaneous Info Module
Version Holder
Jul 10, 2026
Removed Countries
Not provided
Submission Tracking
Estimated Results First Submitted Date
Not provided
Condition Browse Module
MeSH Terms
Intervention Browse Module
MeSH Terms
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Not provided
Primary Purpose
Treatment
Observational Model
Not provided
Time Perspective
Not provided
Masking Info
Masking
Quadruple
Masking Description
Blinding will be applied to Treatment Groups A1, B1, and B2; Treatment Group A2 will be open-label
Matching placebo was administered to group B1 and B2.
Placebo+Vilaprisan (B1)
Vilaprisan (A1)
Vilaprisan+Placebo (B2)
Onset of amenorrhea was defined by the first day for which the MBL for all subsequent 28-day periods up to the end of a treatment period was < 2 mL (amenorrhea defined similar to primary endpoint).
In treatment period 1 (12 weeks) and in treatment period 2 (12 weeks)
Time to Onset of Controlled Bleeding
Onset of controlled bleeding was defined by the first day for which the MBL for all subsequent 28-day periods up to the end of a treatment period was <80.00 mL based on AH-method.
In treatment period 1 (12 weeks) and in treatment period 2 (12 weeks)
Number of Participants With Absence of Bleeding (Spotting Allowed)
Absence of bleeding was defined as no scheduled or unscheduled bleeding (spotting allowed) during the last 28 days of a treatment period based on subjects' daily responses to the Uterine Fibroid Daily Bleeding Diary (UF-DBD).
The last 28 days of treatment period 1 and treatment period 2
Number of Participants With Endometrial Histology Findings by Endometrial Biopsy Main Results (Majority Read, Main Diagnosis)
Number of participants with endometrial histology findings, e.g. benign endometrium, Malignant Neoplasm, Hyperplasia WHO 2014, no atypia or Hyperplasia WHO 2014, atypia and Endometrial Polyps.
Up to 2 weeks after end of treatment
Change From Baseline of Endometrial Thickness
Ultrasound examinations were performed. Endometrial thickness was measured in the medio-sagittal section as double-layer in millimeters. Summary statistics for change from baseline in endometrial thickness was provided in below table.
Treatment phase (up to 2 weeks after end of treatment) and follow-up phase (starts on the day after the end of the treatment until the last study visit [up to approximately 2 years])
Arcadia
California
91007
United States
Core Healthcare Group
Cerritos
California
90703
United States
AVIVA Research
Escondido
California
92025
United States
National Research Institute - Los Angeles
Los Angeles
California
90057
United States
Harbor - UCLA Medical Center
Torrance
California
90509-2910
United States
Ideal Clinical Research
Aventura
Florida
33180
United States
South Florida Medical Research
Aventura
Florida
33180
United States
Helix Biomedics, LLC
Boynton Beach
Florida
33435
United States
Dr. Victoria Garcia & Associates, LLC Doral Medical Research
Doral
Florida
33166
United States
Sweet Hope Research Specialty, Inc. - Hialeah
Hialeah
Florida
33016
United States
Clinical Neurosciences Solutions, Inc. DBA CNS Healthcare
Jacksonville
Florida
32256
United States
Altus Research
Lake Worth
Florida
33461
United States
Axcess Medical Research, LLC
Loxahatchee Groves
Florida
33470
United States
Ocean Blue Medical Research Center, Inc.
Miami Springs
Florida
33166
United States
Accelerated Enrollment Solutions a business of PPD
Orlando
Florida
32808
United States
Discovery Clinical Research
Plantation
Florida
33324
United States
ONCOVA Clinical Research, Inc.
Saint Cloud
Florida
34769
United States
Georgia Center For Women
Atlanta
Georgia
30312
United States
Agile Clinical Research Trials, LLC
Atlanta
Georgia
30328
United States
Atlanta Women's Research Institute, Inc. - Alpharetta
Multiprofile Hospital for Active Treatment-Dr. T. Venkova AD
Gabrovo
5300
Bulgaria
Hospital for Active Treatment - Prof.Paraskev Stoyanov AD
Lovech
5500
Bulgaria
MHAT Dr. Bratan Shukerov AD
Smolyan
4700
Bulgaria
MHAT for Women's Health - Nadezhda OOD
Sofia
1330
Bulgaria
900th Hospital of Joint Logistics Support Force
Fuzhou
Fujian
350025
China
Guangzhou Women and Children's Medical Center
Guangzhou
Guangdong
510623
China
The Third Affiliated Hospital, Sun Yat-Sen University
Guangzhou
Guangdong
510630
China
Boai Hospital of Zhongshan
Zhongshan
Guangdong
China
Hainan General Hospital
Haikou
Hainan
570311
China
Wuhan Tongji Reproductive Medicine Hospital
Wuhan
Hubei
430013
China
Nanjing Maternity and Child Health Care Hospital
Nanjing
Jiangsu
210004
China
NJ Drum Tower Hospital, the Affil Hos of NJ Univ Med School
Nanjing
Jiangsu
210008
China
Zhongda Hospital Southeast University
Nanjing
Jiangsu
210009
China
1st Affiliated hospital of Soochow University
Suzhou
Jiangsu
215006
China
Jiangxi Maternal and Child Health Hospital
Nanchang
Jiangxi
330006
China
The Second Affiliated Hospital of Nanchang University
Nanchang
Jiangxi
330006
China
The First Hospital of Jilin University
Changchun
Jilin
130000
China
The First Affiliated Hospital of Dalian Medical University
Dalian
Liaoning
116011
China
Shengjing Hospital of China Medical University
Shenyang
Liaoning
110022
China
General Hospital of Ningxia Medical University
Yinchuan
Ningxia
750004
China
Second Affiliated Hospital of Xi'an Jiaotong University
Xi'an
Shaanxi
710004
China
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an
Shaanxi
710061
China
The Second Affiliated Hospital of Shanxi Medical University
Taiyuan
Shanxi
030001
China
The First Affiliated Hospital of Xinjiang Medical University
Ürümqi
Xinjiang
830054
China
Women's Hospital School of Medicine Zhejiang University
Hangzhou
Zhejiang
310006
China
Sir Run Run Shaw Hospital, Zhejiang University School of Med
Hangzhou
Zhejiang
310016
China
The Second Affliated Hospital of Wenzhou Medicial University
Wenzhou
Zhejiang
325000
China
Beijing Hospital of Traditional Chinese Medicine
Beijing
100010
China
Peking University First Hospital
Beijing
100034
China
Beijing Friendship Hospital, Capital Medical University
Beijing
100050
China
Beijing Tiantan Hospital, Captial Medical University
Beijing
100050
China
Shanghai East Hospital Affiated to Tongji University
Shanghai
200123
China
Tianjin Medical University General Hospital
Tianjin
300052
China
Gynekologie MEDA s.r.o.
Brno
602 00
Czechia
Soukroma gynekologicka ambulance
Fulnek
74245
Czechia
Gynekologie Studentsky dum s.r.o.
Prague
160 00
Czechia
MUDr. Ivana Salamonova s.r.o.
Vysoké Mýto
566 01
Czechia
Clalit Health Services through HaEmek Medical Center
Afula
1834111
Israel
Hillel Yaffe Medical Center
Hadera
3810101
Israel
Lady Davis Carmel Medical Center
Haifa
3436212
Israel
Meir Medical Center
Kfar Saba
4428164
Israel
University Hospital Kebangsaan Malaysia
Kuala Lumpur
56000
Malaysia
Hospital Wanita dan Kanak-Kanak Sabah
Sabak Bernam
88996
Malaysia
Sarawak General Hospital
Sarawak
93400
Malaysia
P3 Research Ltd Hawkes Bay
Hawkes Bay
4130
New Zealand
P3 Research
Tauranga
3110
New Zealand
KK Women's and Children's Hospital
Singapore
229899
Singapore
Dr L Reynders Practice
Lyttelton Manor
Gauteng
0141
South Africa
Wilgeheuwel Hospital
Roodepoort
Gauteng
1724
South Africa
Umhlanga Medical Centre
Durban
KwaZulu-Natal
4319
South Africa
Ethekwini Hospital & Heart Centre
Durban
KwaZulu-Natal
South Africa
FG002
Placebo+Vilaprisan (B1)
Placebo in treatment period 1 for 12 weeks, and vilaprisan (2 mg) in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
FG003
Vilaprisan+Placebo (B2)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and placebo in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
FG00023 subjects
FG00123 subjects
FG00224 subjects
FG00323 subjects
Treated
FG00018 subjects
FG00121 subjects
FG00220 subjects
FG00320 subjects
COMPLETED
FG00018 subjects
FG00121 subjects
FG00218 subjects
FG00318 subjects
NOT COMPLETED
FG0005 subjects
FG0012 subjects
FG0026 subjects
FG0035 subjects
Type
Comment
Reasons
Adverse Event
FG0000 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
Lost to Follow-up
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
Protocol Violation
FG0000 subjects
FG0011 subjects
FG0021 subjects
FG0030 subjects
Study terminated by sponsor
FG0002 subjects
FG0010 subjects
FG0020 subjects
FG0031 subjects
Withdrawal by Subject
FG0000 subjects
FG0010 subjects
FG0023 subjects
FG0031 subjects
Other
FG0002 subjects
FG0011 subjects
FG0022 subjects
FG0032 subjects
Post-treatment Period 1
Type
Comment
Milestone Data
STARTED
FG00018 subjects
FG0010 subjects
FG00218 subjects
FG00318 subjects
COMPLETED
FG0007 subjects
FG0010 subjects
FG0027 subjects
FG0035 subjects
NOT COMPLETED
FG00011 subjects
FG0010 subjects
FG00211 subjects
FG00313 subjects
Type
Comment
Reasons
Adverse Event
FG0002 subjects
FG0010 subjects
FG0020 subjects
FG003
Treatment Period 2
Type
Comment
Milestone Data
STARTED
Treatment started
FG0007 subjects
FG00121 subjects
FG0027 subjects
FG0035 subjects
COMPLETED
FG0006 subjects
FG00113 subjects
FG0027 subjects
FG0035 subjects
NOT COMPLETED
FG0001 subjects
FG0018 subjects
FG0020 subjects
FG0030 subjects
Type
Comment
Reasons
Study terminated by sponsor
FG0000 subjects
FG0011 subjects
FG0020 subjects
FG003
Follow-up Period
Type
Comment
Milestone Data
STARTED
FG0007 subjects
FG00115 subjects
FG0027 subjects
FG0035 subjects
COMPLETED
FG0006 subjects
FG00115 subjects
FG0027 subjects
FG0035 subjects
NOT COMPLETED
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG0030 subjects
Type
Comment
Reasons
Withdrawal by Subject
FG0001 subjects
FG0010 subjects
FG0020 subjects
FG003
SAF consisted of all randomized participants in FAS who took at least 1 dose of study drug. The discrepancy of group B1 and B2 between subject dispostion and baseline characteristics was caused by mistakes in the administration of study drug.
Three participants who were assigned to B1, erroneously received vilaprisan treatment instead of placebo in Treatment Period (TP) 1. Two participants who were assigned to B1, erroneously received placebo instead of vilaprisan in TP2.
Type of Units Analyzed
Not provided
Arm/Group Information
ID
Title
Description
BG000
Vilaprisan (A1)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
BG001
Vilaprisan (A2)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks without a break.
BG002
Placebo+Vilaprisan (B1)
Placebo in treatment period 1 for 12 weeks, and vilaprisan (2 mg) in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
BG003
Vilaprisan+Placebo (B2)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and placebo in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
BG004
Total
Total of all reporting groups
Denominators
Units
Counts
Participants
BG00018
BG00121
BG00217
BG00323
BG00479
Baseline Measures
Title
Description
Population Description
Parameter Type
Dispersion Type
Unit of Measure
Calculate Percentage
Denominator Units Selected
Denominators
Classes
Age, Continuous
Mean
Standard Deviation
Years
Title
Denominators
Categories
ParticipantsBG00018
ParticipantsBG00121
ParticipantsBG00217
ParticipantsBG003
Sex: Female, Male
Count of Participants
Participants
Title
Denominators
Categories
ParticipantsBG00018
ParticipantsBG00121
ParticipantsBG002
Ethnicity (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
ParticipantsBG00018
ParticipantsBG00121
ParticipantsBG002
Race (NIH/OMB)
Count of Participants
Participants
Title
Denominators
Categories
ParticipantsBG00018
ParticipantsBG00121
ParticipantsBG002
Endometrial thickness
Ultrasound examinations were performed. Endometrial thickness was measured in the medio-sagittal section as double-layer in millimeters. Baseline data of endometrial thickness is provided in the table.
Participants in safety analysis set (SAF) with endometrial thickness measured and analyzed.
Mean
Standard Deviation
Millimeters
Title
Denominators
Categories
ParticipantsBG00018
ParticipantsBG00120
ParticipantsBG002
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
Number of Participants With Amenorrhea
Amenorrhea was defined as menstrual blood loss (MBL) <2 mL during the last 28 days of treatment measured by the alkaline hematin (AH) method.
FAS was analysed. FAS consists of all randomized participants, excluding randomized participants who did not start treatment period 1 due to the study being temporarily on hold, including 84 participants. Participants were analyzed as randomized.
Posted
Count of Participants
Participants
The last 28 days of treatment period 1
ID
Title
Description
OG000
Vilaprisan (A1)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
OG001
Vilaprisan (A2)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks without a break.
OG002
Placebo+Vilaprisan (B1)
Placebo in treatment period 1 for 12 weeks, and vilaprisan (2 mg) in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
OG003
Vilaprisan+Placebo (B2)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and placebo in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
Units
Counts
Participants
OG00020
OG00123
OG00220
OG003
Title
Denominators
Categories
Title
Measurements
OG00016
OG00120
OG0024
OG003
Group IDs
Group Description
Statistical Method
Statistical Comment
P-Value
P-Value Comment
Parameter Type
Parameter Value
Dispersion Type
Dispersion Value
Confidence Interval Sides
Confidence Interval %
CI Lower Limit
CI Upper Limit
CI Lower Limit Comment
CI Upper Limit Comment
Estimate Comment
Tested Non-Inferiority
Non-Inferiority Type
Non-Inferiority Comment
Other Analysis Description
OG000
OG002
OG003
Vilaprisan (A1) and Vilaprisan+Placebo (B2) combined vs. Placebo+Vilaprisan (B1) in treatment period 1
Cochran-Mantel-Haenszel
<.0001
Risk Difference (RD)
0.56
2-Sided
95
0.33
0.78
Number of subjects per treatment: 41 (Vilaprisan) / 20 (Placebo).
Superiority
Secondary
Number of Participants With Heavy Menstrual Bleeding (HMB) Response
HMB response was defined as MBL <80 mL during the last 28 days of treatment and >50% reduction from baseline based on AH-method.
FAS population was analysed.
Posted
Count of Participants
Participants
The last 28 days of treatment period 1 and treatment period 2
ID
Title
Description
OG000
Vilaprisan (A1)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
OG001
Vilaprisan (A2)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks without a break.
OG002
Placebo+Vilaprisan (B1)
Placebo in treatment period 1 for 12 weeks, and vilaprisan (2 mg) in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
OG003
Vilaprisan+Placebo (B2)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and placebo in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
Secondary
Time to Onset of Amenorrhea
Onset of amenorrhea was defined by the first day for which the MBL for all subsequent 28-day periods up to the end of a treatment period was < 2 mL (amenorrhea defined similar to primary endpoint).
FAS population was analysed. In treatment period 2, participants who did not start the respective treatment period or had less than 28 days of treatment are included among censored observations.
For treatment arm Vilaprisan (A2), the combined data of treatment period 1 and treatment period 2 were entered.
Posted
Median
Inter-Quartile Range
Days
In treatment period 1 (12 weeks) and in treatment period 2 (12 weeks)
ID
Title
Description
OG000
Vilaprisan (A1)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
OG001
Vilaprisan (A2)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks without a break.
OG002
Placebo+Vilaprisan (B1)
Placebo in treatment period 1 for 12 weeks, and vilaprisan (2 mg) in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
Secondary
Time to Onset of Controlled Bleeding
Onset of controlled bleeding was defined by the first day for which the MBL for all subsequent 28-day periods up to the end of a treatment period was <80.00 mL based on AH-method.
FAS population was analysed. In treatment period 2, participants who did not start the respective treatment period or had less than 28 days of treatment are included among censored observations.
For treatment arm Vilaprisan (A2), the combined data of treatment period 1 and treatment period 2 were entered.
Posted
Median
Inter-Quartile Range
Days
In treatment period 1 (12 weeks) and in treatment period 2 (12 weeks)
ID
Title
Description
OG000
Vilaprisan (A1)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
OG001
Vilaprisan (A2)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks without a break.
OG002
Placebo+Vilaprisan (B1)
Placebo in treatment period 1 for 12 weeks, and vilaprisan (2 mg) in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
Secondary
Number of Participants With Absence of Bleeding (Spotting Allowed)
Absence of bleeding was defined as no scheduled or unscheduled bleeding (spotting allowed) during the last 28 days of a treatment period based on subjects' daily responses to the Uterine Fibroid Daily Bleeding Diary (UF-DBD).
FAS population was analysed.
Posted
Count of Participants
Participants
The last 28 days of treatment period 1 and treatment period 2
ID
Title
Description
OG000
Vilaprisan (A1)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
OG001
Vilaprisan (A2)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks without a break.
OG002
Placebo+Vilaprisan (B1)
Placebo in treatment period 1 for 12 weeks, and vilaprisan (2 mg) in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
OG003
Vilaprisan+Placebo (B2)
Secondary
Number of Participants With Endometrial Histology Findings by Endometrial Biopsy Main Results (Majority Read, Main Diagnosis)
Number of participants with endometrial histology findings, e.g. benign endometrium, Malignant Neoplasm, Hyperplasia WHO 2014, no atypia or Hyperplasia WHO 2014, atypia and Endometrial Polyps.
Participants in safety analysis set with adequate tissue were analyzed.
Posted
Count of Participants
Participants
Up to 2 weeks after end of treatment
ID
Title
Description
OG000
Vilaprisan (A1)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
OG001
Vilaprisan (A2)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks without a break.
OG002
Placebo+Vilaprisan (B1)
Placebo in treatment period 1 for 12 weeks, and vilaprisan (2 mg) in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
OG003
Vilaprisan+Placebo (B2)
Secondary
Change From Baseline of Endometrial Thickness
Ultrasound examinations were performed. Endometrial thickness was measured in the medio-sagittal section as double-layer in millimeters. Summary statistics for change from baseline in endometrial thickness was provided in below table.
Participants in SAF with endometrial thickness measured and analyzed.
Posted
Mean
Standard Deviation
Millimeters
Treatment phase (up to 2 weeks after end of treatment) and follow-up phase (starts on the day after the end of the treatment until the last study visit [up to approximately 2 years])
ID
Title
Description
OG000
Vilaprisan (A1)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
OG001
Vilaprisan (A2)
Vilaprisan (2 mg) in treatment period 1 for 12 weeks and in treatment period 2 for 12 weeks without a break.
OG002
Placebo+Vilaprisan (B1)
Placebo in treatment period 1 for 12 weeks, and vilaprisan (2 mg) in treatment period 2 for 12 weeks, separated by 1 bleeding episode.
OG003
Time Frame
For TEAEs: From the first application of study medication up to 60 calendar days after end of treatment with study medication, an average of 26 weeks. For Post-treatment AEs: All AEs that started from Day 61 after the end of treatment with study medication, up to 73 weeks.
Description
For TEAEs: participant will be counted for both treatment groups if she received different treatments (vilaprisan or placebo) in the two treatment periods. SAF population was used.
For Post-treatment AEs: Mistakes in the administration of study drug might have affected the assignment to treatment. In general, participants who received a different study drug to the one they were randomized to, were assigned to the treatment most often received. SAF population was used.
All-Cause Mortality Comment
Not provided
Arm/Groups
ID
Title
Description
Deaths (Affected)
Deaths (At Risk)
Serious Events (Affected)
Serious Events (At Risk)
Other Events (Affected)
Other Events (At Risk)
EG000
Vilaprisan - Treatment Emergent AEs
Participants who received the treatment of Vilaprisan in the study - Treatment emergent AEs.
0
69
2
69
30
69
EG001
Placebo - Treatment Emergent AEs
Participants who received placebo in the study - Treatment emergent AEs.
0
22
1
22
8
22
EG002
Vilaprisan (A1) - Post Treatment AEs
Vilaprisan (2 mg), 2 treatment periods of 12 weeks, separated by 1 bleeding episode - Post treatment AEs.
0
18
3
18
9
18
EG003
Vilaprisan (A2) - Post Treatment AEs
Vilaprisan (2 mg), 2 treatment periods of 12 weeks without a break - Post treatment AEs.
0
21
6
21
4
21
EG004
Placebo+ Vilaprisan (B1) - Post Treatment AEs
Placebo, 1 treatment period of 12 weeks, and Vilaprisan (2 mg), 1 treatment period of 12 weeks, separated by 1 bleeding episode - Post treatment AEs.
0
17
3
17
6
17
EG005
Vilaprisan+ Placebo (B2) - Post Treatment AEs
Vilaprisan (2 mg), 1 treatment period of 12 weeks, and placebo, 1 treatment period of 12 Weeks, separated by 1 bleeding episode - Post treatment AEs.
0
23
6
23
7
23
Serious Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG0031 events1 affected21 at risk
EG0040 events0 affected17 at risk
EG0050 events0 affected23 at risk
Iron deficiency anaemia
Blood and lymphatic system disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Palpitations
Cardiac disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Adrenal mass
Endocrine disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Chest pain
General disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Cystoscopy
Investigations
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Spinal osteoarthritis
Musculoskeletal and connective tissue disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Breast cancer stage II
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (24.0)
Non-systematic Assessment
EG0001 events1 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Papillary thyroid cancer
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Uterine leiomyoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Renal mass
Renal and urinary disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Dysmenorrhoea
Reproductive system and breast disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0011 events1 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Endometrial hyperplasia
Reproductive system and breast disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Menometrorrhagia
Reproductive system and breast disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Uterine haemorrhage
Reproductive system and breast disorders
MedDRA (24.0)
Non-systematic Assessment
EG0001 events1 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Abnormal uterine bleeding
Reproductive system and breast disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Hysterectomy
Surgical and medical procedures
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Myomectomy
Surgical and medical procedures
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Renal lesion excision
Surgical and medical procedures
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Salpingectomy
Surgical and medical procedures
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Endometrial ablation
Surgical and medical procedures
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Hysterosalpingectomy
Surgical and medical procedures
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Deep vein thrombosis
Vascular disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Other Adverse Events
Term
Organ System
Source Vocabulary
Assessment Type
Notes
Statistical Information
Anaemia
Blood and lymphatic system disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0014 events4 affected22 at risk
EG0024 events4 affected18 at risk
EG0032 events2 affected21 at risk
EG0040 events0 affected17 at risk
EG0053 events3 affected23 at risk
Tachycardia
Cardiac disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Cushing's syndrome
Endocrine disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Eye swelling
Eye disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Abdominal discomfort
Gastrointestinal disorders
MedDRA (24.0)
Non-systematic Assessment
EG0002 events2 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Abdominal pain
Gastrointestinal disorders
MedDRA (24.0)
Non-systematic Assessment
EG0004 events4 affected69 at risk
EG0017 events5 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Abdominal pain lower
Gastrointestinal disorders
MedDRA (24.0)
Non-systematic Assessment
EG0006 events4 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Nausea
Gastrointestinal disorders
MedDRA (24.0)
Non-systematic Assessment
EG00010 events9 affected69 at risk
EG0013 events3 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Chest pain
General disorders
MedDRA (24.0)
Non-systematic Assessment
EG0001 events1 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Fatigue
General disorders
MedDRA (24.0)
Non-systematic Assessment
EG0005 events4 affected69 at risk
EG0013 events3 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Pyrexia
General disorders
MedDRA (24.0)
Non-systematic Assessment
EG0001 events1 affected69 at risk
EG0011 events1 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Nasopharyngitis
Infections and infestations
MedDRA (24.0)
Non-systematic Assessment
EG0005 events4 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Onychomycosis
Infections and infestations
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Pyoderma
Infections and infestations
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Upper respiratory tract infection
Infections and infestations
MedDRA (24.0)
Non-systematic Assessment
EG0006 events5 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Blood pressure increased
Investigations
MedDRA (24.0)
Non-systematic Assessment
EG0001 events1 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Blood testosterone increased
Investigations
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Blood thyroid stimulating hormone increased
Investigations
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Cortisol increased
Investigations
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Vitamin D deficiency
Metabolism and nutrition disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0025 events5 affected18 at risk
EG003
Decreased appetite
Metabolism and nutrition disorders
MedDRA (24.0)
Non-systematic Assessment
EG0001 events1 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Back pain
Musculoskeletal and connective tissue disorders
MedDRA (24.0)
Non-systematic Assessment
EG0004 events4 affected69 at risk
EG0011 events1 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Neck pain
Musculoskeletal and connective tissue disorders
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Pain in extremity
Musculoskeletal and connective tissue disorders
MedDRA (24.0)
Non-systematic Assessment
EG0003 events2 affected69 at risk
EG0010 events0 affected22 at risk
EG0020 events0 affected18 at risk
EG003
Acrochordon
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Seborrhoeic keratosis
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Skin papilloma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
MedDRA (24.0)
Non-systematic Assessment
EG0000 events0 affected69 at risk
EG0010 events0 affected22 at risk
EG0021 events1 affected18 at risk
EG003
Fibrous histiocytoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)