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Extension to Study on Efficacy and Safety of Linzagolix for the Treatment of Endometriosis-associated Pain (EDELWEISS 6)

Phase 3
Completed
Conditions
Endometriosis
Interventions
Registration Number
NCT04335591
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-OBE2109-003 - Edelweiss 3 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
COMPLETED
Sex
Female
Target Recruitment
356
Inclusion Criteria

The subject must have:

  • completed the 6-month treatment in the main study.
  • agree to continue to use only the analgesic rescue medication permitted by the protocol during the Treatment and Follow-up Periods.
  • 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.
  • met 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 75 mgPlacebo capsule to match Add-back capsule-
Linzagolix 200 mg + Add-back (E2 1 mg / NETA 0.5 mg)Add-back capsule (E2 1 mg / NETA 0.5 mg)-
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-month extension study treatment period (from Month 6 to Month 12)

Proportion of subjects with reduction of DYS (Month 3 MCT) and stable or decreased use of analgesics for EAP at Month 12

Non-menstrual Pelvic Pain6-month extension study treatment period (from Month 6 to Month 12)

Proportion of subjects with reduction of NMPP (Month 3 MCT) and stable or decreased use of analgesics for EAP at Month 12

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (47)

Specjalistyczny Gabinet Lekarski Krzysztof Dynowski / ID # 401

🇵🇱

Warsaw, Poland

Universal Axon - Homestead, LLC/ ID # 620

🇺🇸

Homestead, Florida, United States

Stedman Clinical Trials/ ID # 612

🇺🇸

Tampa, Florida, United States

Tanner Clinic/ ID # 624

🇺🇸

Layton, Utah, United States

Kyiv City Center of Reproductive and Perinatal Medicine/ ID # 509

🇺🇦

Kyiv, Ukraine

Kyiv City Maternity Hospital #6/ ID # 504

🇺🇦

Kyiv, Ukraine

Choice Research, LLC/ ID # 609

🇺🇸

Dothan, Alabama, United States

Advanced Specialty Research/ ID # 610

🇺🇸

Nampa, Idaho, United States

Chattanooga Medical Research LLC/ ID# 602

🇺🇸

Chattanooga, Tennessee, United States

Southern Clinical Research / ID # 611

🇺🇸

Metairie, Louisiana, United States

Women's & Family Care, LLC dba GTC Research/ ID # 608

🇺🇸

Shawnee Mission, Kansas, United States

Medical Centre Excelsior /ID # 135

🇧🇬

Sofia, Bulgaria

Multiprofile Hospital for Active Treatment Sliven/ ID # 131

🇧🇬

Sliven, Bulgaria

MHAT Dr. Bratan Shukerov / ID #138

🇧🇬

Smolyan, Bulgaria

Group Practice for Specialized Medical Assistance in GINART/ ID # 132

🇧🇬

Sofia, Bulgaria

Gynekologie MU Dr.Lubomir Mikulasek / ID # 160

🇨🇿

Ujezd nad Lesy, Czechia

Gynekologicko - Porodnicka Ambulance/ ID # 162

🇨🇿

Tábor, Czechia

University Multiprofile Hospital for Active Treatment "Sofiamed"/ ID # 133

🇧🇬

Sofia, Bulgaria

Indywidualna Specjalistyczna Praktyka Lekarska Krzysztof Wilk/ ID # 411

🇵🇱

Katowice, Poland

Prywatna Klinika Ginekologiczno - Położnicza/ ID # 404

🇵🇱

Białystok, Podlaskie, Poland

Clinical Medical Research sp. Z o. O/ ID # 406

🇵🇱

Katowice, Poland

Lubelskie Centrum Diagnostyczne/ ID # 402

🇵🇱

Åšwidnik, Lubelskie, Poland

Clinique Pasteur / ID # 206

🇫🇷

Toulouse, France

Kotarski Jan Specjalistyczny Gabinet Ginekologiczno Polozniczy/ ID # 405

🇵🇱

Lublin, Poland

Centrum Medyczne Chodźki Lublin/ ID # 403

🇵🇱

Lublin, Poland

VITA LONGA Sp. z o.o./ ID # 408

🇵🇱

Lublin, Poland

Centrum Ginekologii Endokrynologii i Medycyny Rozrodu "Artemida"/ ID # 409

🇵🇱

Olsztyn, Poland

Centrul Medical EUROMED/ ID # 351

🇷🇴

Bucuresti, Romania

Spitalul Clinic "Nicolae Malaxa"/ ID # 352

🇷🇴

Bucharest, Romania

Quantum Medical Center SRL/ ID # 353

🇷🇴

Bucharest, Romania

Gine Plus SRL Cluj- Napoca/ ID # 357

🇷🇴

Cluj-Napoca, Romania

Hospital General Universitario Reina Sofia/ ID # 304

🇪🇸

Murcia, Spain

Centrul Medical GALENUS/ ID # 355

🇷🇴

Târgu-Mureş, Romania

Ivano-Frankivsk regional perinatal center, Family planning center/ ID # 506

🇺🇦

Ivano-Frankivs'k, Ukraine

Hospital Regional Universitario de Málaga/ ID # 303

🇪🇸

Málaga, Spain

Institute of Pediatrics Obstetrics and Gynecology/ ID # 508

🇺🇦

Kyiv, Ukraine

Medical center of LLC "Medical Center "Verum"/ ID # 503

🇺🇦

Kyiv, Ukraine

Kyiv City Clinical Hospital #9/ ID # 501

🇺🇦

Kyiv, Ukraine

Maternity Hospital â„– 3/ ID # 507

🇺🇦

Zaporizhzhya, Ukraine

Zaporizhzhya Regional Clinical Hospital/ ID # 505

🇺🇦

Zaporizhzhya, Ukraine

Vinnytsia City Clinical Hospital "Center of Mother and the Child "/ ID # 510

🇺🇦

Vinnytsia, Ukraine

Ternopil' Communal City Hospital#2 / ID # 511

🇺🇦

Ternopil, Ukraine

Wojewodzki Szpital im. Sw. Ojca Pio w Przemyslu/ ID # 410

🇵🇱

Przemyśl, Poland

Salzburger Landeskliniken / ID # 105

🇦🇹

Salzburg, Austria

Niepubliczny Zaklad Opieki Zrowotnej GynCentrum/ ID # 407

🇵🇱

Katowice, Poland

Sp Cl de Obstetrica si Ginecologie "Prof. Dr. Panait Sirbu"/ ID # 354

🇷🇴

Bucuresti, Romania

City clinical maternity hospital â„–1/ ID # 502

🇺🇦

Chernivtsi, Ukraine

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