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Vulvovaginal AtrophyPhase 3NCT01845649

Study to Evaluate Safety and Efficacy of WC3011 (Estradiol Vaginal Cream) in Postmenopausal Women With Dyspareunia

A Phase 3 study testing WC3011 Estradiol Vaginal Cream in people with Vulvovaginal Atrophy, run by Warner Chilcott at 57 sites in United States.

Completed

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

Official record
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Trial summary

The purpose of the study is to determine if WC3011 is safe and effective in treating the symptom of painful intercourse secondary to vulvovaginal atrophy as measured by participant self-assessment when compared to vehicle. Read more about this study

Who is it for?
Ages 35 years and older, women only
Conditions the study is for
Vulvovaginal Atrophy
What is being tested?
WC3011 Estradiol Vaginal Cream
Could I receive a placebo?
No, everyone receives an active treatment
How many people
550 participants
Where
57 sitesUnited States
Study dates
12 Apr 2013to 20 Nov 2013
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 35 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Sexually active with self-identified dyspareunia (pain with sexual activity), at least moderate to severe and most bothersome symptom of vulvovaginal atrophy (VVA)
  • Postmenopausal and meets 1 of the following: 12 months spontaneous amenorrhea, 6 months spontaneous amenorrhea with FSH (follicle stimulating hormone) >40 mIU/mL,6 weeks postsurgical bilateral oophorectomy with confirmation by FSH >40 mIU/mL, surgical report or ultrasound, 6 weeks postsurgical hysterectomy with ovary failure confirmed by FSH >40 mIU/mL
  • Age ≥40 years; ≥35 with bilateral oophorectomy
  • Vaginal pH >5.0
  • Less than or equal to 5% superficial cells on vaginal wall cytologic smear
  • Normal clinical breast exam or negative mammogram if ≥ 40 years of age
  • Negative urine pregnancy test (non-hysterectomized and <12 months amenorrhea)

Who cannot join

  • Enrollment in Sponsor's Study PR-04409 or PR-05812
  • Participation in clinical trial or use of investigational drug within 30 days prior to screening
  • Known hypersensitivity to estrogen and/or progestin therapy
  • Known or suspected premalignant or malignant disease or history steroid-dependent malignancy
  • Manifestation or treatment for significant cardiovascular disease (congestive heart failure, stroke or ischemic attack, myocardial infarction, coronary artery bypass, percutaneous angioplasty or >50% angiographic narrowing of coronary artery
  • Thrombophlebitis or thromboembolic disorder or history of
Show all 12Show fewer
  • Insulin-dependent diabetes mellitus
  • Increased frequency or severity of headaches while on hormone or estrogen therapy
  • Currently taking St. John's Wort
  • Drug/alcohol addiction within past 2 years
  • Treatment with anticoagulants (heparin or warfarin)
  • Smoking ≥15 cigarettes/day

Trial locations and contacts

57 sites in 1 country.

57 sites in 1 country

United States57 sites
  • Warner Chilcott Investigational Study Site

    Atlanta, Georgia, 30342

  • Warner Chilcott Investigational Study Site

    Austin, Texas, 78759

  • Warner Chilcott Investigational Study Site

    Birmingham, Alabama, 35211

  • Warner Chilcott Investigational Study Site

    Bluffton, South Carolina, 29910

  • Warner Chilcott Investigational Study Site

    Boynton Beach, Florida, 33472

  • Warner Chilcott Investigational Study Site

    Chandler, Arizona, 85224

  • Warner Chilcott Investigational Study Site

    Chaska, Minnesota, 55318

  • Warner Chilcott Investigational Study Site

    Cincinnati, Ohio, 45249

  • Warner Chilcott Investigational Study Site

    Clearwater, Florida, 33759

  • Warner Chilcott Investigational Study Site

    Cleveland, Ohio, 44122

  • Warner Chilcott Investigational Study Site

    Columbus, Ohio, 43213

  • Warner Chilcott Investigational Study Site

    Dallas, Texas, 75230

  • Warner Chilcott Investigational Study Site

    Dallas, Texas, 75231

  • Warner Chilcott Investigational Study Site

    Dallas, Texas, 75234

  • Warner Chilcott Investigational Study Site

    Granger, Indiana, 46530

  • Warner Chilcott Investigational Study Site

    Greensboro, North Carolina, 27408

  • Warner Chilcott Investigational Study Site

    Greer, South Carolina, 29650

  • Warner Chilcott Investigational Study Site

    Houston, Texas, 77030

  • Warner Chilcott Investigational Study Site

    Jacksonville, Florida, 32216

  • Warner Chilcott Investigational Study Site

    Jenkintown, Pennsylvania, 19046

  • Warner Chilcott Investigational Study Site

    Kalamazoo, Michigan, 49009

  • Warner Chilcott Investigational Study Site

    Las Vegas, Nevada, 89113

  • Warner Chilcott Investigational Study Site

    Las Vegas, Nevada, 89128

  • Warner Chilcott Investigational Study Site

    Lexington, Kentucky, 40509

  • Warner Chilcott Investigational Study Site

    Marrero, Louisiana, 70072

  • Warner Chilcott Investigational Study Site

    Miami, Florida, 33186

  • Warner Chilcott Investigational Study Site

    Mobile, Alabama, 36608

  • Warner Chilcott Investigational Study Site

    Moorestown, New Jersey, 08057

  • Warner Chilcott Investigational Study Site

    New Bern, North Carolina, 28562

  • Warner Chilcott Investigational Study Site

    New London, Connecticut, 06320

  • Warner Chilcott Investigational Study Site

    New Orleans, Louisiana, 70115

  • Warner Chilcott Investigational Study Site

    Norfolk, Virginia, 23507-1627

  • Warner Chilcott Investigational Study Site

    Ormond Beach, Florida, 32174

  • Warner Chilcott Investigational Study Site

    Palm Beach Gardens, Florida, 33410

  • Warner Chilcott Investigational Study Site

    Philadelphia, Pennsylvania, 19114

  • Warner Chilcott Investigational Study Site

    Phoenix, Arizona, 85032

  • Warner Chilcott Investigational Study Site

    Pinellas Park, Florida, 33781

  • Warner Chilcott Investigational Study Site

    Pittsburgh, Pennsylvania, 15206

  • Warner Chilcott Investigational Study Site

    Raleigh, North Carolina, 27607

  • Warner Chilcott Investigational Study Site

    Richmond, Virginia, 23233

  • Warner Chilcott Investigational Study Site

    Roswell, Georgia, 30075

  • Warner Chilcott Investigational Study Site

    Sacramento, California, 95821

  • Warner Chilcott Investigational Study Site

    San Antonio, Texas, 78229

  • Warner Chilcott Investigational Study Site

    San Diego, California, 92103

  • Warner Chilcott Investigational Study Site

    San Diego, California, 92108

  • Warner Chilcott Investigational Study Site

    San Diego, California, 92123

  • Warner Chilcott Investigational Study Site

    Savannah, Georgia, 31406

  • Warner Chilcott Investigational Study Site

    Scottsdale, Arizona, 85251

  • Warner Chilcott Investigational Study Site

    Seattle, Washington, 98105

  • Warner Chilcott Investigational Study Site

    South Jordan, Utah, 84095

  • Warner Chilcott Investigational Study Site

    Spokane, Washington, 99207

  • Warner Chilcott Investigational Study Site

    Tucson, Arizona, 85710

  • Warner Chilcott Investigational Study Site

    Tucson, Arizona, 85712

  • Warner Chilcott Investigational Study Site

    Warwick, Rhode Island, 02886

  • Warner Chilcott Investigational Study Site

    Washington D.C., District of Columbia, 20036

  • Warner Chilcott Investigational Study Site

    West Palm Beach, Florida, 33409

  • Warner Chilcott Investigational Study Site

    Winston-Salem, North Carolina, 27103

Other trials in United States

About this study

Official title: A Randomized, Multicenter, Double-Blind, Vehicle-Controlled Study to Evaluate the Safety and Efficacy of WC3011 in Postmenopausal Women With Dyspareunia

The purpose of the study is to determine if WC3011 is safe and effective in treating the symptom of painful intercourse secondary to vulvovaginal atrophy as measured by participant self-assessment when compared to vehicle.

Being tested
WC3011 Estradiol Vaginal Cream, Vehicle
Keywords
Vulvovaginal Atrophy, Dyspareunia, Postmenopausal
Medical subject headings
Dyspareunia

What participants receive

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

  • WC3011 Estradiol Vaginal CreamDrug

    Also called WC3011

    Daily for 14 days followed by 3 times per week for 10 weeks

  • VehicleDrug

    Daily for 14 days followed by 3 times per week for 10 weeks

Study groups in NCT01845649
Study groupRoleWhat they receive
Vehicle (3 Times/Week)Active comparatorVehicle applied to the vagina daily for 14 days followed by dosing 3 times per week for 10 weeks.
Receives: Drug: Vehicle
WC3011 Estradiol Vaginal Cream (3 Times/Week)ExperimentalWC3011 Estradiol vaginal cream applied daily for 14 days followed by dosing 3 times per week for 10 weeks.
Receives: Drug: WC3011 Estradiol Vaginal Cream

What is being measured

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

  1. Change From Baseline in Participant's Self-Assessment of Symptom of Vulvovaginal Atrophy (VVA): Dyspareunia (Pain Associated With Sexual Activity) to Final Assessment

    Participant's self-assessment of the symptom of VVA (dyspareunia) was scored on a 4-point scale where: 0=none, 1=mild, 2=moderate or 3=severe. Higher score indicates the most bothersome symptoms. A negative change from Baseline indicates improvement. Final Assessment is defined as the last available post-baseline assessment for the given efficacy endpoint.

    Measured: Baseline (Day 0) to final assessment (Up to Week 12)

  2. Change From Baseline in Vaginal pH to Final Assessment

    Vaginal pH was obtained at baseline and final visit of the study. The pH was a numeric value from 0 to 14 expressing the acidity or alkalinity of the vaginal fluids where 7 was neutral, lower values were more acidic (values of 0-6) and higher values more alkaline (values of 8-14). A negative change from Baseline indicates improvement. Final Assessment is defined as the last available post-baseline assessment for the given efficacy endpoint.

    Measured: Baseline (Day 0) to final assessment (Up to Week 12)

  3. Change From Baseline in the Percentage of Vaginal Superficial Cells to Final Assessment

    Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of superficial cells. A positive change from Baseline indicates improvement. Final assessment is defined as the last available postbaseline assessment.

    Measured: Baseline (Day 0) to final assessment (Up to Week 12)

  4. Change From Baseline in the Percentage of Vaginal Parabasal Cells to Final Assessment

    Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of parabasal cells. A negative change from Baseline indicates improvement. Final assessment is defined as the last available postbaseline assessment.

    Measured: Baseline (Day 0) to final assessment (Up to Week 12)

Secondary outcomes (7)
  1. Change From Baseline in Participant's Self-Assessment of the Symptom of VVA: Dyspareunia to Weeks 2, 4, 8, and 12

    Participant's self-assessment of the symptom of VVA (dyspareunia) was scored on a 4-point scale where: 0=none, 1=mild, 2=moderate or 3=severe. Higher score indicates the most bothersome symptoms. A negative change from Baseline indicates improvement.

    Measured: Baseline to Weeks 2, 4, 8 and 12

  2. Change From Baseline in Participant's Self-Assessment of the Other Symptoms of VVA to Weeks 2, 4, 8, 12, and Final Assessment

    Self-Assessment of the symptoms of VVA, other than dyspareunia and vaginal bleeding associated with sexual activity, (vaginal and/or vulvar irritation/itching, dysuria and vaginal dryness) were evaluated by a questionnaire. Each symptom was scored on a 4-point scale where: 0=none, 1=mild, 2=moderate or 3=severe. Higher scores indicate the most bothersome symptoms. A negative change from Baseline indicates improvement. Final Assessment is defined as the last available post-baseline assessment for the given efficacy endpoint.

    Measured: Baseline (Day 0) to Weeks 2, 4, 8, 12, and final assessment (Up to Week 12)

  3. Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity at Each Visit

    Vaginal bleeding associated with sexual activity was assessed by participants as either "present" or "absent". Number of participants with assessment "present" are reported. Final Assessment is defined as the last available post-baseline assessment for the given efficacy endpoint.

    Measured: Baseline (Day 0), Weeks 2, 4, 8, 12 and final assessment (Up to Week 12)

  4. Change From Baseline in the Investigator's Assessment of Each of the Signs of VVA to Week 12 and Final Assessment

    Investigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to the signs of VVA: atrophy, pallor, vaginal dryness, friability, and petechiae each graded on a 4-point scale where: 0=none, 1=mild, 2=moderate or 3=severe. Higher scores are worse. A negative change from Baseline indicates improvement. Final assessment is defined as the last available postbaseline assessment.

    Measured: Baseline (Day 0) to Week 12 and Final assessment (Up to Week 12)

  5. Change From Baseline in Vaginal pH to Week 12

    Vaginal pH was obtained at baseline and final visit of the study. The pH was a numeric value from 0 to 14 expressing the acidity or alkalinity of the vaginal fluids where 7 was neutral, lower values were more acidic (values of 0-6) and higher values more alkaline (values of 8-14). A negative change from Baseline indicates improvement.

    Measured: Baseline to Week 12

  6. Change From Baseline in the Percentage of Vaginal Superficial Cells to Week 12

    Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of superficial cells. A positive change from Baseline indicates improvement.

    Measured: Baseline to Week 12

  7. Change From Baseline in the Percentage of Vaginal Parabasal Cells to Week 12

    Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of parabasal cells. A negative change from Baseline indicates improvement.

    Measured: Baseline to Week 12

Timeline

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

  1. First posted3 May 2013 (estimated)
  2. Study start12 Apr 2013
  3. Primary completion20 Nov 2013
  4. Study completion20 Nov 2013

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
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
550 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01845649
Sponsor's protocol ID
PR-08112
Status last verified
Sep 2021
First submitted
25 Apr 2013
Last updated
9 May 2022
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing WC3011 Estradiol Vaginal Cream in people with Vulvovaginal Atrophy, run by Warner Chilcott at 57 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 7 inclusion and 12 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 9 May 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 57 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. 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 9 May 2022). 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 in Participant's Self-Assessment of Symptom of Vulvovaginal Atrophy (VVA): Dyspareunia (Pain Associated With Sexual Activity) to Final Assessment (time frame: Baseline (Day 0) to final assessment (Up to Week 12)). 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?
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 9 May 2022.

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