MedPath

Dehydroepiandrosterone (DHEA) Against Vaginal Atrophy

Phase 3
Completed
Conditions
Vaginal Atrophy
Interventions
Drug: Placebo
Registration Number
NCT01358760
Lead Sponsor
EndoCeutics Inc.
Brief Summary

The purpose of this Phase III trial is to evaluate the efficacy of intravaginal dehydroepiandrosterone (DHEA) in postmenopausal women with vaginal atrophy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
450
Inclusion Criteria
  • Postmenopausal women (non-hysterectomized or hysterectomized)
  • Women between 40 and 75 years of age
  • Willing to participate in the study and sign an informed consent
  • Women who have self-identified symptom(s) of vaginal atrophy
  • For non-hysterectomized women, willing to have endometrial biopsy at baseline and end of study
Exclusion Criteria
  • Undiagnosed abnormal genital bleeding
  • Hypertension equal to or above 140/90 mm Hg
  • The administration of any investigational drug within 30 days of screening visit
  • Endometrial hyperplasia, cancer or endometrial histology showing proliferative, secretory or menstrual type characteristics at histologic evaluation of endometrial biopsy performed at screening

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PlaceboPlacebo-
0.25% DHEADHEA-
0.5% DHEADHEA-
Primary Outcome Measures
NameTimeMethod
Change From Baseline to Week 12 in Percentage of Superficial Cells in the Maturation Index of the Vaginal SmearBaseline and Week 12

The percentage of superficial cells was determined from the vaginal smears collected during the study. A 100-cell count was performed by a central laboratory to classify cells as parabasal (P) (including basal), intermediate (I), and superficial (S) squamous cell types. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

Change From Baseline to Week 12 in Severity of the Most Bothersome Symptom of Vaginal DrynessBaseline and Week 12

The severity of vaginal dryness was evaluated by a questionnaire filled out by women. The severity of dryness recorded as none, mild, moderate or severe was analyzed using the score values of 0, 1, 2 or 3, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

Change From Baseline to Week 12 in Vaginal pHBaseline and Week 12

A pH strip fixed on an Ayre spatula (or equivalent) was applied directly to the lateral wall of the vagina. The change in color of the pH indicator strip was compared to the color chart for pH evaluation. The corresponding pH value (with one decimal) was recorded. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

Change From Baseline to Week 12 in Percentage of Parabasal Cells in the Maturation Index of the Vaginal SmearBaseline and Week 12

The percentage of parabasal cells was determined from the vaginal smears collected during the study. A 100-cell count was performed by a central laboratory to classify cells as parabasal (P) (including basal), intermediate (I), and superficial (S) squamous cell types. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline to Week 12 in Severity of Vaginal Atrophy as Evaluated From Vaginal Epithelial IntegrityBaseline and Week 12

To evaluate the aspect of the mucosa and the local tolerance to prasterone ovules, the vaginal epithelial integrity (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy was analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

Change From Baseline to Week 12 in Severity of Vaginal Atrophy as Evaluated From Vaginal Epithelial Surface ThicknessBaseline and Week 12

To evaluate the aspect of the mucosa and the local tolerance to prasterone ovules, the vaginal epithelial surface thickness (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy was analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

Change From Baseline to Week 12 in Severity of Vaginal Atrophy as Evaluated From Vaginal ColorBaseline and Week 12

To evaluate the aspect of the mucosa and the local tolerance to prasterone ovules, the vaginal color (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy was analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

Change From Baseline to Week 12 in Severity of Vaginal Atrophy as Evaluated From Vaginal SecretionsBaseline and Week 12

To evaluate the aspect of the mucosa and the local tolerance to prasterone ovules, the vaginal secretions (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy were analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

Change From Baseline to Week 12 in Severity of DyspareuniaBaseline and Week 12

The severity of dyspareunia was evaluated by a questionnaire filled out by women. The severity of dyspareunia recorded as none, mild, moderate or severe was analyzed using the score values of 0, 1, 2 or 3, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.

Trial Locations

Locations (42)

EndoCeutics site # 66

🇺🇸

Danbury, Connecticut, United States

EndoCeutics site # 27

🇺🇸

Baltimore, Maryland, United States

EndoCeutics site # 15

🇺🇸

Columbus, Ohio, United States

EndoCeutics site # 09

🇺🇸

West Jordan, Utah, United States

EndoCeutics site # 59

🇨🇦

Toronto, Ontario, Canada

EndoCeutics site # 39

🇺🇸

Montgomery, Alabama, United States

EndoCeutics site # 42

🇺🇸

Milford, Connecticut, United States

EndoCeutics site # 56

🇺🇸

Pinellas Park, Florida, United States

EndoCeutics site # 10

🇺🇸

Meridian, Idaho, United States

EndoCeutics site # 64

🇺🇸

Jackson, Tennessee, United States

EndoCeutics site # 51

🇺🇸

Sandy City, Utah, United States

EndoCeutics site # 08

🇨🇦

Shawinigan, Quebec, Canada

EndoCeutics site # 30

🇺🇸

San Diego, California, United States

EndoCeutics site # 21

🇺🇸

Sacramento, California, United States

EndoCeutics site # 23

🇺🇸

Sandy Springs, Georgia, United States

EndoCeutics site # 05

🇺🇸

Cleveland, Ohio, United States

EndoCeutics site # 47

🇺🇸

Cleveland, Ohio, United States

EndoCeutics site # 62

🇺🇸

Providence, Rhode Island, United States

EndoCeutics site # 53

🇺🇸

San Antonio, Texas, United States

EndoCeutics site # 33

🇺🇸

Beachwood, Ohio, United States

EndoCeutics site # 03

🇺🇸

Norfolk, Virginia, United States

EndoCeutics site # 36

🇺🇸

Denver, Colorado, United States

EndoCeutics site # 55

🇺🇸

Wichita, Kansas, United States

EndoCeutics site # 52

🇺🇸

Denver, Colorado, United States

EndoCeutics site # 06

🇨🇦

Bathurst, New Brunswick, Canada

EndoCeutics site # 61

🇺🇸

Newark, Delaware, United States

EndoCeutics site # 60

🇺🇸

Lake Worth, Florida, United States

EndoCeutics site # 63

🇺🇸

Memphis, Tennessee, United States

EndoCeutics site # 54

🇺🇸

North Miami, Florida, United States

EndoCeutics site # 01

🇨🇦

Quebec City, Quebec, Canada

EndoCeutics site # 13

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Calgary, Alberta, Canada

EndoCeutics site # 12

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Montreal, Quebec, Canada

EndoCeutics site # 57

🇺🇸

West Hartford, Connecticut, United States

EndoCeutics site # 18

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St-Romuald, Quebec, Canada

EndoCeutics site # 14

🇺🇸

Tucson, Arizona, United States

EndoCeutics site # 50

🇺🇸

Neptune City, New Jersey, United States

EndoCeutics site # 11

🇨🇦

Sherbrooke, Quebec, Canada

EndoCeutics site # 02

🇨🇦

Quebec City, Quebec, Canada

EndoCeutics site # 65

🇺🇸

Little Rock, Arkansas, United States

EndoCeutics site # 26

🇺🇸

Jacksonville, Florida, United States

EndoCeutics site # 24

🇺🇸

Omaha, Nebraska, United States

EndoCeutics site # 04

🇨🇦

Drummondville, Quebec, Canada

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