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Extension to Study on Efficacy and Safety of Linzagolix for the Treatment of Endometriosis-associated Pain

Phase 3
Terminated
Conditions
Endometriosis
Interventions
Registration Number
NCT04372121
Lead Sponsor
Kissei Pharmaceutical Co., Ltd.
Brief Summary

The primary objective of this extension study is to assess the maintenance of efficacy of linzagolix administered orally once daily for up to an additional 6 months (for up to 12 months of treatment in total) in women who have already completed 6 months of linzagolix treatment at a dose of 75 mg alone or of 200 mg in combination with ABT (E2 1 mg / NETA 0.5 mg), in the management of moderate to severe endometriosis-associated pain (EAP) in women with surgically confirmed endometriosis.

Detailed Description

This is a prospective, randomized, double-blind study. Subjects who have completed the 6-month Treatment Period in 18-OBE2109-002 - Edelweiss 2 study (herein referred to as main study) will be invited to enter the present extension study. Month 6 visit of the main study is a decision point for Subjects to either end treatment and enter a post-treatment follow up (part of the main study), or to opt for a 6-month treatment extension. All subjects will receive once daily either linzagolix 75 mg alone (with ABT placebo) or 200 mg combined with ABT for 6 months. Subjects who received placebo during the main study will be randomized to either linzagolix 75 mg alone (with ABT placebo) or linzagolix 200 mg with ABT. Subjects who received active treatment during the main study will continue with the same treatment. Double-dummy design will be used in order to maintain the blinding of the study.

After end of treatment in the extension study (6-month treatment period: from Month 6 to Month 12), subjects will enter a post-treatment Follow-Up Period of 6 months with no investigational medicinal product (IMP) or - for subjects willing to continue treatment - a second extension study will be proposed.

Recruitment & Eligibility

Status
TERMINATED
Sex
Female
Target Recruitment
30
Inclusion Criteria

The subject must have:

  • completed the 6-month treatment in the main study
  • agreed to continue to use only the analgesic rescue medication permitted by the protocol during the Treatment and Follow-up Periods
  • agreed to continue to comply with the requirements of the study protocol for the duration of the extension study
Exclusion Criteria

The subject will be excluded if she:

  • is pregnant or breast feeding or is planning a pregnancy within the duration of the of the study (including the Follow-up Period)
  • likely to require treatment during the study with any of the restricted medications
  • has any other clinically significant gynecologic condition identified during the main study on transvaginal ultrasound (TVUS), on endometrial biopsy or at the manual breast examination, which might interfere with the study efficacy and safety objectives
  • meets any of the main study discontinuation criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Linzagolix 75 mg75 mg linzagolix tablet-
Linzagolix 75 mgPlacebo tablet to match 200 mg linzagolix tablet-
Linzagolix 200 mg + Add-back (E2 1 mg / NETA 0.5 mg)Add-back capsule (E2 1 mg / NETA 0.5 mg)-
Linzagolix 75 mgPlacebo capsule to match Add-back capsule-
Linzagolix 200 mg + Add-back (E2 1 mg / NETA 0.5 mg)200 mg linzagolix tablet-
Linzagolix 200 mg + Add-back (E2 1 mg / NETA 0.5 mg)Placebo tablet to match 75 mg linzagolix tablet-
Primary Outcome Measures
NameTimeMethod
Dysmenorrhea6 Months

Monthly Severity Data of dysmenorrhea (DYS) at Month 6 were measured on a 4-point (0: No pain, 1: Mild pain, 2: Moderate pain, 3: Severe pain) Verbal Rating Scale (VRS). The "Mean±SD" of Monthly Severity Data for each treatment arm were calculated and provided as the efficacy data.

Non-menstrual Pelvic Pain6 Months

Monthly Severity Data of non-menstrual pelvic pain (NMPP) at Month 6 were measured on a 4-point (0: No pain, 1: Mild pain, 2: Moderate pain, 3: Severe pain) Verbal Rating Scale (VRS). The "Mean±SD" of Monthly Severity Data for each treatment arm were calculated and provided as the efficacy data.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (25)

Applied Res Center of Ar / Id # 735

🇺🇸

Little Rock, Arkansas, United States

Dr. David I. Lubetkin, LLC / ID # 703

🇺🇸

Boca Raton, Florida, United States

HCWC dba DiscoveryClinical Trials / ID # 771

🇺🇸

Dallas, Texas, United States

Coral Way Research / ID # 799

🇺🇸

Miami, Florida, United States

Onyx Clinical Research / ID # 793

🇺🇸

Flint, Michigan, United States

Hilltop OBGYN / ID # 711

🇺🇸

Franklin, Ohio, United States

La Salud Research Clinic, Inc. / ID # 824

🇺🇸

Miami, Florida, United States

Clinical Research Associates Inc / ID # 802

🇺🇸

Nashville, Tennessee, United States

Adv Womens Health Institute / ID # 761

🇺🇸

Greenwood Village, Colorado, United States

Red Rocks OB/GYN / ID # 732

🇺🇸

Lakewood, Colorado, United States

Futura Research, Inc. / ID # 781

🇺🇸

Norwalk, California, United States

Clinical Associates of Orlando, LLC / ID # 779

🇺🇸

Orlando, Florida, United States

A Premier Medical Research of Florida, LLC / ID # 752

🇺🇸

Orange City, Florida, United States

Providea Health Partners LLC / ID # 734

🇺🇸

Evergreen Park, Illinois, United States

Valley OBGYN / ID # 704

🇺🇸

Saginaw, Michigan, United States

Complete Healthcare for Women / ID # 801

🇺🇸

Columbus, Ohio, United States

Austin Area ObGyn PLLC / ID # 701

🇺🇸

Austin, Texas, United States

OB/GYN North Austin / ID # 764

🇺🇸

Austin, Texas, United States

ClinOhio Res Services, LLC / ID # 722

🇺🇸

Columbus, Ohio, United States

Medical Colleagues of Texas / ID # 819

🇺🇸

Katy, Texas, United States

Signature Gyn Services / ID # 726

🇺🇸

Fort Worth, Texas, United States

Maximos OB/GYN

🇺🇸

League City, Texas, United States

Physicians Research Options / ID # 766

🇺🇸

Draper, Utah, United States

Puerto Rico Medical Res Inc. / ID # 890

🇵🇷

Ponce, Puerto Rico

CARe Clinic / ID # 872

🇨🇦

Red Deer, Alberta, Canada

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