A Multicenter, Randomized, Double-Blind, Placebo-Controlled Phase 3 Trial to Evaluate the Efficacy and Safety of Elagolix in Patients With Moderate to Severe Endometriosis-Associated Pain
Overview
- Phase
- Phase 3
- Intervention
- Elagolix
- Conditions
- Endometriosis
- Sponsor
- Qilu Pharmaceutical (Hainan) Co., Ltd.
- Enrollment
- 336
- Locations
- 1
- Primary Endpoint
- Percentage of Responders of Non-Menstrual Pelvic Pain (NMPP) at week 12
- Status
- Recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
This is a Phase 3, multicenter, double-blind, placebo-controlled, randomized study to assess the safety and efficacy of elagolix versus placebo in premenopausal 18 to 49 year old women with moderate to severe endometriosis-associated pain.
Detailed Description
This is a Phase 3, multicenter, double-blind, placebo-controlled, randomized study to assess the safety and efficacy of elagolix versus placebo in premenopausal 18 to 49 year old women with moderate to severe endometriosis-associated pain. Participants will be randomised in a 1:1 ratio to receive either elagolix ( 200mg )or placebo. Participants will be administered the study drug up to month 6.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Participant understand the study procedures and methods, voluntarily participate in this trial, and sign the informed consent.
- •Participant is premenopausal female, between 18 and 49 years of age (both inclusive), regular menstruation within 3 months before screening.
- •Participant clinical diagnosis of endometriosis (laparoscopy or laparotomy) performed within 10 years of entry into Screening.
- •Participant agrees to use non-hormonal contraception from signing the informed consent through 30 days after last dose of investigational product.
- •Participant cervical smear is normal or abnormal without clinical significance (normal cervical smear within 6 months prior to screening; or participant is virgin and decides not to undergo cervical smear); Atypical Squamous Cells of Undetermined Significance (ASCUS) may be combined with human papillomavirus (HPV) testing. ASCUS participants may be included if they are negative for high-risk HPV.
- •Participant who is 40 years or older in age has a normal or abnormal without clinical significance mammogram at screening or within 6 months prior to screening \[Breast Imaging Reporting Data System (BI-RADS) classification 1-3 or equivalent\].
Exclusion Criteria
- •Participant who has a history of sensitivity to elagolix or excipients.
- •Participant who blood pregnancy test is positive at screening or on the day of randomization.
- •Participant who has an intra-uterine device (IUD) or contraceptive sub-dermal implant (If the IUD or sub-dermal implant is removed at least 30 days, participant may be screened for the study).
- •Participant who has a history of drug or alcohol abuse within 6 months of screening.
- •Participant who is hepatitis B patient \[hepatitis B surface antigen (HbsAg) positive and detection of HBV-DNA suggests viral replication\]; hepatitis C patients \[hepatitis C virus (HCV) antibody positive and detection of HCV-RNA suggests viral replication\]; syphilis screening positive (except for specific antibody detection positive, non-specific antibody detection negative and confirmed as inactive infection in combination with clinical judgment), known history of human immunodeficiency virus (HIV) positive or HIV screening positive;
- •Participant who has used moderate or strong inducers of cytochrome P450 3A or inhibitors of organic anion transporting polypeptide 1B1 (OATP1B1) within 30 days prior to first dose.
- •Participant who has unstable medical diseases in the opinion of the investigator (e.g. uncontrolled diabetes mellitus, uncontrolled hypertension, uncontrolled seizures, angina unstable, inflammatory bowel disease, hyperprolactinemia, malignancy, or significant infection).
- •Participant who has a history of major depression or post-traumatic stress disorder within 2 years of screening or a history of other major psychiatric disorder.
- •Participant who has a history of surgical history of hysterectomy, bilateral oophorectomy, procedure that interferes with gastrointestinal mo
- •Participant who in the opinion of the investigator has a history of previous non-response to gonadotropin-releasing hormone agonists, antagonists. tility, any recent major or minor surgery.
Arms & Interventions
Elagolix
Elagolix 200 mg twice daily (BID) for the 6-month Treatment Period
Intervention: Elagolix
Elagolix placebo
Placebo BID for the 6-month Treatment Period
Intervention: Elagolix placebo
Outcomes
Primary Outcomes
Percentage of Responders of Non-Menstrual Pelvic Pain (NMPP) at week 12
Time Frame: Week12
The criteria for a responder was based on a pre-defined threshold.
Percentage of Responders of Dysmenorrhea (DYS) at week 12
Time Frame: Week12
The criteria for a responder was based on a pre-defined threshold.
Secondary Outcomes
- Change in Dysmenorrhea (DYS) Score at week 24(Week24)
- Change in Non-Menstrual Pelvic Pain (NMPP) Score at week 24(Week24)
- Safety Specifications in the Treatment Period(Baseline, Week24)
- Change in Numeric Rating Scale (NRS) Scores at week 12(Week12)