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Vasomotor SymptomsPhase 3NCT00446199

Low-dose Hormone Therapy for Relief of Vasomotor Symptoms

A Phase 3 study testing 0.5mg DRSP / 0.5mg E2 (BAY86-4891), 0.25mg DRSP / 0.5mg E2 (BAY86-4891) and Estradiol (E2 0.3mg) in people with Vasomotor Symptoms and Hot Flashes, run by Bayer at 76 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study is to determine the lowest effective dose of the study drug for the relief of moderate to severe vasomotor symptoms in postmenopausal women for 12 weeks. Read more about this study

Who is it for?
Ages 40 years and older, women only
Conditions the study is for
Vasomotor Symptoms, Hot Flashes
What is being tested?
0.5mg DRSP / 0.5mg E2 (BAY86-4891), 0.25mg DRSP / 0.5mg E2 (BAY86-4891) and Estradiol (E2 0.3mg)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
735 participants
Where
76 sitesUnited States
Study dates
Mar 2007to Nov 2008
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Postmenopausal women >40 years of age experiencing a minimum of 7 to 8 moderate to severe hot flushes per day or 50 to 60 moderate to severe hot flushes per week

Who cannot join

  • The usual exclusion criteria for hormone therapy apply
  • Intake of medications other than hormones affecting hot flushes

Trial locations and contacts

76 sites in 1 country.

76 sites in 1 country

United States76 sites
  • Study site

    Albuquerque, New Mexico, 87102

  • Study site

    Amite, Louisiana, 70422

  • Study site

    Arlington Heights, Illinois, 60004

  • Study site

    Atlanta, Georgia, 30328

  • Study site

    Atlanta, Georgia, 30342

  • Study site

    Billings, Montana, 59101

  • Study site

    Billings, Montana, 59102

  • Study site

    Boise, Idaho, 83702

  • Study site

    Boynton Beach, Florida, 33437

  • Study site

    Burlington, Vermont, 05401

  • Study site

    Champaign, Illinois, 61820

  • Study site

    Chandler, Arizona, 85225

  • Study site

    Chaska, Minnesota, 55318

  • Study site

    Chattanooga, Tennessee, 37403

  • Study site

    Chattanooga, Tennessee, 37404

  • Study site

    Clearwater, Florida, 33761

  • Study site

    Cleveland, Ohio, 44122

  • Study site

    Colorado Springs, Colorado, 80910

  • Study site

    Columbia, South Carolina, 29201

  • Study site

    Columbus, Ohio, 43213

  • Study site

    Dallas, Texas, 75234

  • Study site

    Daytona Beach, Florida, 32114

  • Study site

    Decatur, Georgia, 30034

  • Study site

    Denver, Colorado, 80218

  • Study site

    Erie, Pennsylvania, 16502

  • Study site

    Fargo, North Dakota, 58105

  • Study site

    Fort Myers, Florida, 33916

  • Study site

    Houston, Texas, 77004

  • Study site

    Houston, Texas, 77030

  • Study site

    Idaho Falls, Idaho, 83404

  • Study site

    Jacksonville, Florida, 32216

  • Study site

    La Grange Park, Illinois, 60526

  • Study site

    Lake Worth, Florida, 33461

  • Study site

    Las Vegas, Nevada, 89104

  • Study site

    Lawrenceville, New Jersey, 08648

  • Study site

    Leesburg, Florida, 34748

  • Study site

    Lexington, Kentucky, 40536

  • Study site

    Lincoln, Nebraska, 68510

  • Study site

    Little Rock, Arkansas, 72205

  • Study site

    Marrero, Louisiana, 70072

  • Study site

    Memphis, Tennessee, 38120

  • Study site

    Miami, Florida, 33169

  • Study site

    Miami, Florida, 33186

  • Study site

    Mobile, Alabama, 36608

  • Study site

    New Britain, Connecticut, 06050

  • Study site

    New Brunswick, New Jersey, 08901

  • Study site

    New Port Richey, Florida, 34655

  • Study site

    Newburgh, Indiana, 47630

  • Study site

    Norfolk, Virginia, 23507

  • Study site

    Oklahoma City, Oklahoma, 73103

  • Study site

    Paramount, California, 90723

  • Study site

    Paw Paw, Michigan, 49079

  • Study site

    Philadelphia, Pennsylvania, 19114

  • Study site

    Phoenix, Arizona, 85031

  • Study site

    Pittsburgh, Pennsylvania, 15206

  • Study site

    Princeton, New Jersey, 08540

  • Study site

    Raleigh, North Carolina, 27612

  • Study site

    Reno, Nevada, 89502

  • Study site

    Renton, Washington, 98055

  • Study site

    Richmond, Virginia, 23294

  • Study site

    San Diego, California, 92103

  • Study site

    San Diego, California, 92108

  • Study site

    San Diego, California, 92121

  • Study site

    San Diego, California, 92123

  • Study site

    Seattle, Washington, 98105

  • Study site

    Sioux Falls, South Dakota, 57105

  • Study site

    Springfield, Missouri, 65802

  • Study site

    Tampa, Florida, 33607

  • Study site

    Tucson, Arizona, 85712

  • Study site

    Tucson, Arizona, 85741

  • Study site

    Tulsa, Oklahoma, 74105

  • Study site

    Valley Village, California, 91607

  • Study site

    Vista, California, 92083

  • Study site

    West Palm Beach, Florida, 33409

  • Study site

    Wexford, Pennsylvania, 15090

  • Study site

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: A Multicenter, Double-Blind, Randomized, Placebo-Controlled Study to Determine the Lowest Effective Dose of Combinations of Oral Drospirenone and 17 Beta-Estradiol for the Relief of Moderate to Severe Vasomotor Symptoms in Postmenopausal Women Over a Treatment Period of 12 Weeks

The purpose of this study is to determine the lowest effective dose of the study drug for the relief of moderate to severe vasomotor symptoms in postmenopausal women for 12 weeks.

Read the detailed description

This study has previously been posted by Berlex, Inc. Berlex, Inc. has been renamed to Bayer HealthCare Pharmaceuticals, Inc.

Bayer HealthCare Pharmaceuticals, Inc. is the sponsor of the trial.

Being tested
0.5mg DRSP / 0.5mg E2 (BAY86-4891), 0.25mg DRSP / 0.5mg E2 (BAY86-4891), Estradiol (E2 0.3mg), Placebo
Keywords
Vasomotor symptom relief, Postmenopausal women, Severe to Moderate Vasomotor symptoms
Medical subject headings
Hot Flashes

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 0.5mg DRSP / 0.5mg E2 (BAY86-4891)Drug

    One tablet [0.5mg drospirenone/0.5mg 17β-estradiol (DRSP/E2)] per day taken orally for 3 cycles (28 days per cycle).

  • 0.25mg DRSP / 0.5mg E2 (BAY86-4891)Drug

    One tablet [0.25mg drospirenone/0.5mg 17β-estradiol (DRSP/E2)] per day taken orally for 3 cycles (28 days per cycle).

  • Estradiol (E2 0.3mg)Drug

    One tablet [17β-estradiol (E2 0.3mg)] per day taken orally for 3 cycles (28 days per cycle).

  • PlaceboDrug

    Matching placebo tablet per day taken orally for 3 cycles (28 days per cycle).

Study groups in NCT00446199
Study groupRoleWhat they receive
0.5mg DRSP / 0.5mg E2 (BAY86-4891)ExperimentalOne tablet [0.5mg drospirenone/0.5mg 17β-estradiol (DRSP/E2)] per day taken orally for 3 cycles (28 days per cycle).
Receives: Drug: 0.5mg DRSP / 0.5mg E2 (BAY86-4891)
0.25mg DRSP / 0.5mg E2 (BAY86-4891)ExperimentalOne tablet [0.25mg drospirenone/0.5mg 17β-estradiol (DRSP/E2)] per day taken orally for 3 cycles (28 days per cycle).
Receives: Drug: 0.25mg DRSP / 0.5mg E2 (BAY86-4891)
Estradiol (E2 0.3mg)ExperimentalOne tablet [17β-estradiol (E2 0.3mg)] per day taken orally for 3 cycles (28 days per cycle).
Receives: Drug: Estradiol (E2 0.3mg)
PlaceboPlacebo comparatorMatching placebo tablet per day taken orally for 3 cycles (28 days per cycle).
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline to Week 12 in Weekly Frequency of Moderate to Severe Hot Flushes (Median Value)

    Subjects record daily on the diary cards the frequency and severity of hot flushes during the treatment period as none, mild, moderate or severe. Absolute change calculated as week 12 number of moderate to severe hot flushes minus baseline number.

    Measured: Baseline until 12 weeks of treatment

  2. Change From Baseline to Week 4 in Weekly Frequency of Moderate to Severe Hot Flushes (Median Value)

    Subjects record daily on the diary cards the frequency and severity of hot flushes during the treatment period as none, mild, moderate or severe. Absolute change calculated as week 4 number of moderate to severe hot flushes minus baseline number.

    Measured: Baseline until 4 weeks of treatment

  3. Change From Baseline to Week 12 in Weekly Mean Daily Severity of Moderate to Severe Hot Flushes (Median Value)

    Subjects record daily on the diary cards the frequency and severity of hot flushes during the treatment period as none, mild, moderate or severe. Daily score is calculated as [(2 x number of moderate hot flushes) + (3 x number of severe hot flushes)] / (total number of moderate to severe hot flushes on that day). Range = 0 (lowest severity) to 3 (highest severity). Absolute change calculated as week 12 severity of moderate to severe hot flushes minus baseline severity.

    Measured: Baseline until 12 weeks of treatment

  4. Change From Baseline to Week 4 in Weekly Mean Daily Severity of Moderate to Severe Hot Flushes (Median Value)

    Subjects record daily on the diary cards the frequency and severity of hot flushes during the treatment period as none, mild, moderate or severe. Daily score is calculated as [(2 x number of moderate hot flushes) + (3 x number of severe hot flushes)] / (total number of moderate to severe hot flushes on that day). Range = 0 (lowest severity) to 3 (highest severity). Absolute change calculated as week 4 severity of moderate to severe hot flushes minus baseline severity.

    Measured: Baseline until 4 weeks of treatment

Secondary outcomes (10)
  1. Change From Baseline to Week 12 in Vaginal pH

    Vaginal pH determined following speculum examination using vaginal pH paper and recorded on case report form (CRF). Absolute change calculated as week 12 pH minus baseline pH.

    Measured: Baseline until 12 weeks of treatment

  2. Change From Baseline to Week 12 in Vaginal Maturation Value

    Calculated as (percentage of superficial cells) + 0.5 * (percentage of intermediate cells). Absolute change calculated as week 12 value minus baseline value.

    Measured: Baseline until 12 weeks of treatment

  3. Symptoms of Vulvar and Vaginal Atrophy: Severity of Symptom 'Vaginal Dryness'

    Subjects self-assessed symptom severity

    Measured: After 12 weeks of treatment

  4. Symptoms of Vulvar and Vaginal Atrophy: Severity of Symptom 'Vaginal and/or Vulvar Irritation/Itching'

    Subjects self-assessed symptom severity

    Measured: After 12 weeks of treatment

  5. Symptoms of Vulvar and Vaginal Atrophy: Severity of Symptom 'Dysuria'

    Subjects self-assessed symptom severity

    Measured: After 12 weeks of treatment

  6. Symptoms of Vulvar and Vaginal Atrophy: Severity of Symptom 'Vaginal Pain Associated With Sexual Activity'

    Subjects self-assessed symptom severity

    Measured: After 12 weeks of treatment

  7. Symptoms of Vulvar and Vaginal Atrophy: Severity of Symptom 'Vaginal Bleeding Associated With Sexual Activity'

    Subjects self-assessed symptom severity

    Measured: After 12 weeks of treatment

  8. Urogenital Symptoms: Number of Participants With Symptom 'Frequent Urination'

    Subjects self-assessed presence or absence of symptom

    Measured: After 12 weeks of treatment

  9. Urogenital Symptoms: Number of Participants With Symptom 'Involuntary Urination When Laughing or Coughing'

    Subjects self-assessed presence or absence of symptom

    Measured: After 12 weeks of treatment

  10. Urogenital Symptoms: Number of Participants With Symptom 'Urination at Night'

    Subjects self-assessed presence or absence of symptom; and if present recorded average number of times per night: 1; 2 to 4; more than 4.

    Measured: After 12 weeks of treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Mar 2007 (estimated)
  2. Study startMar 2007
  3. Primary completionOct 2008
  4. Study completionNov 2008

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
735 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00446199
Sponsor's protocol ID
91493
Other IDs
310184
Status last verified
Apr 2015
First submitted
9 Mar 2007
Last updated
6 May 2015
Data monitoring committee
No

Publications

  • Sutter G, Schmelter T, Gude K, Schaefers M, Gerlinger C, Archer DF. Population pharmacokinetic/pharmacodynamic evaluation of low-dose drospirenone with 17beta-estradiol in postmenopausal women with moderate to severe vasomotor symptoms. Menopause. 2014 Mar;21(3):236-42. doi: 10.1097/GME.0b013e31829c12e8.

    PubMed 23963309
  • Archer DF, Schmelter T, Schaefers M, Gerlinger C, Gude K. A randomized, double-blind, placebo-controlled study of the lowest effective dose of drospirenone with 17beta-estradiol for moderate to severe vasomotor symptoms in postmenopausal women. Menopause. 2014 Mar;21(3):227-35. doi: 10.1097/GME.0b013e31829c1431.

    PubMed 23963307
  • K. Gude; T. Schmelter; M. Schaefers; C. Gerlinger. Efficacy of low dose Angeliq (0.5 mg E2 and 0.25 or 0.5 mg DRSP) compared to Angeliq (1 mg E2 and 1, 2 or 3 mg DRSP) in postmenopausal women with moderate to severe hot flushes. Menopause, Vol. 19, No. 12, 2012 * 2012, P-36, p 1388

  • Gerlinger C, Gude K, Hiemeyer F, Schmelter T, Schafers M. An empirically validated responder definition for the reduction of moderate to severe hot flushes in postmenopausal women. Menopause. 2012 Jul;19(7):799-803. doi: 10.1097/gme.0b013e31823de8ba.

    PubMed 22228322

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing 0.5mg DRSP / 0.5mg E2 (BAY86-4891), 0.25mg DRSP / 0.5mg E2 (BAY86-4891) and Estradiol (E2 0.3mg) in people with Vasomotor Symptoms and Hot Flashes, run by Bayer at 76 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 May 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 76 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 18 Apr 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline to Week 12 in Weekly Frequency of Moderate to Severe Hot Flushes (Median Value) (time frame: Baseline until 12 weeks of treatment). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00446199, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 May 2015.

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