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A Study of Efficacy and Safety of Sepranolone (UC1010) in Patients With Premenstrual Dysphoric Disorder (PMDD)

Phase 2
Completed
Conditions
Premenstrual Dysphoric Disorder
Interventions
Registration Number
NCT03697265
Lead Sponsor
Asarina Pharma
Brief Summary

The objective of this phase IIb study is to evaluate the effect and safety of Sepranolone (UC1010) on premenstrual symptoms in women with Premenstrual Dysphoric Disorder (PMDD). Patients will be taking Sepranolone or Placebo (blinded to patient and study doctor) during the two weeks preceding the menstruation of three menstrual cycles. Effect (change from baseline) will be assessed by comparison of symptoms recorded daily by the patients using a validated rating scale for assessment of PMDD symptoms. Sepranolone is an endogenous steroid.

Detailed Description

The objective of this phase IIb study is to evaluate the effect and safety of two doses of Sepranolone (UC1010) on premenstrual symptoms in women with Premenstrual Dysphoric Disorder (PMDD) in comparison to placebo, administrated during the luteal phase of three consecutive menstrual cycles. Effect will be assessed by comparison of symptoms recorded daily by the patients using a validated rating scale for assessment of PMDD symptoms and impairment of symptoms on daily life of the patients. The scale is Daily Record of Severity of Problems (DRSP). Preceding the treatment period, the diagnosis of PMDD will be established in the study participants by at lest two menstrual cycles of prospective DRSP ratings by the patients. This period will also constitute the baseline data. The effect of study medication will be assessed as the change in symptoms from baseline to during treatment. The Total symptom score of the DRSP will constitute the primary variable and the late luteal phase ratings in the respective menstrual cycles, before and during treatment, will be used.

The study will also include a follow-up (no treatment) cycle before patients final visit.

The study is conducted in four European countries (Sweden, Germany, Poland and United Kingdom) and will include up to 225 patients.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
475
Inclusion Criteria
  • have PMDD according to DSM-5 verified in two menstrual cycles
  • have a regular menstrual cycle of 24-35 days cycle,
  • use double barrier contraception, non-hormonal IUD, be truly sexually abstinent, or subject or her partner has been surgically sterilized,

Main

Exclusion Criteria
  • steroid hormonal treatment or treatment with psychopharmaceuticals during previous three months
  • treatments for premenstrual syndrome (PMS) or PMDD
  • history of or significant medical condition ongoing
  • be pregnant or plan a pregnancy within the study period

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlaceboPlacebo administered subcutaneously (SC) during the luteal phase
Sepranolone (UC1010) high doseSepranolone (UC1010) high doseSepranolone (UC1010) high dose administered subcutaneously (SC) during the luteal phase
Sepranolone (UC1010) low doseSepranolone (UC1010) low doseSepranolone (UC1010) low dose administered subcutaneously (SC) during the luteal phase
Primary Outcome Measures
NameTimeMethod
Effect on DRSP Total symptom scoreBaseline luteal phase score (average from two menstrual cycles) vs. luteal phase score during treatment.

Change in DRSP Total symptom score (Daily Record of Severity of Problems) measured during the luteal phase (i.e. the week before menstruation) before and during treatment

Secondary Outcome Measures
NameTimeMethod
Incidence of Treatment-Emergent Adverse EventsStarting from first dose given until 1 months after treatment stop

Recording of adverse events

Trial Locations

Locations (12)

Medizentrum Essen Borbeck

🇩🇪

Essen, Germany

Emovis

🇩🇪

Berlin, Germany

Zentrum für Klinische Forschnung

🇩🇪

Bad Homburg, Germany

Klinische Forschung Karlsruhe GmbH

🇩🇪

Karlsruhe, Germany

Karolinska University Hospital

🇸🇪

Stockholm, Sweden

Centrum Medyczne Angelius Provita

🇵🇱

Katowice, Poland

ProCreative

🇵🇱

Kraków, Poland

Obstetrics and Gynaecology Keele University School of Medicine and University Hospitals of North Staffordshire

🇬🇧

Stoke-on-Trent, United Kingdom

Centrum Kliniczno-Badawcze

🇵🇱

ElblÄ…g, Poland

Liverpool Women's NHS Foundation Trust

🇬🇧

Liverpool, United Kingdom

Imperial College London

🇬🇧

London, United Kingdom

Praxis Dr. Steinwachs

🇩🇪

Nürnberg, Germany

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