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Vaginal AtrophyPhase 3NCT02013544

Intravaginal Prasterone (DHEA) Against Vulvovaginal Atrophy Associated With Menopause

A Phase 3 study testing Prasterone (DHEA) in people with Vaginal Atrophy, run by EndoCeutics Inc. at 38 sites in 2 countries.

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 this study is to confirm the efficacy of intravaginal prasterone (DHEA) on symptoms of vulvovaginal atrophy due to menopause and to collect further data on subjects exposed to intravaginal DHEA in order to meet the ICH E1 guideline requirements. Read more about this study

Who is it for?
Ages 40 to 80 years, women only
Conditions the study is for
Vaginal Atrophy
What is being tested?
Prasterone (DHEA)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
558 participants
Where
38 sitesin 2 countries
Study dates
Feb 2014to Feb 2015
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 to 80 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Main criteria:
  • Postmenopausal women (hysterectomized or not)
  • Women between 40 and 80 years of age
  • Women having ≤5% of superficial cells on vaginal smear at baseline
  • Women having a vaginal pH above 5 at baseline
  • Women who have self-identified moderate or severe symptom(s) of vaginal atrophy
  • Willing to participate in the study and sign an informed consent

Who cannot join

  • Main criteria:
  • Previous enrollment in EndoCeutics studies performed with intravaginal DHEA
  • Previous diagnosis of cancer, except skin cancer (non melanoma)
  • Clinically significant metabolic or endocrine disease (including diabetes mellitus) not controlled by medication
  • The administration of any investigational drug within 30 days of screening visit
  • Clinically significant abnormal serum biochemistry, urinalysis or hematology

Trial locations and contacts

38 sites in 2 countries.

38 sites in 2 countries

United States24 sites
  • EndoCeutics site # 23

    Atlanta, Georgia, 30328

  • EndoCeutics site # 45

    Boynton Beach, Florida, 33472

  • EndoCeutics site # 05

    Cleveland, Ohio, 44122

  • EndoCeutics site # 15

    Columbus, Ohio, 43213

  • EndoCeutics site # 84

    Corpus Christi, Texas, 78414

  • EndoCeutics site # 36

    Denver, Colorado, 80209

  • EndoCeutics site # 52

    Denver, Colorado, 80220

  • EndoCeutics site # 82

    Houston, Texas, 77030

  • EndoCeutics site # 60

    Lake Worth, Florida, 33461

  • EndoCeutics site # 87

    Lawrenceville, New Jersey, 08648

  • EndoCeutics site # 86

    Louisville, Kentucky, 40291

  • EndoCeutics site # 27

    Lutherville, Maryland, 21093

  • EndoCeutics site # 39

    Montgomery, Alabama, 36117

  • EndoCeutics site # 03

    Norfolk, Virginia, 23507

  • EndoCeutics site # 54

    North Miami, Florida, 33161

  • EndoCeutics site # 75

    Philadelphia, Pennsylvania, 19114-1029

  • EndoCeutics site # 81

    Plainsboro, New Jersey, 08536

  • EndoCeutics site # 21

    Sacramento, California, 95821

  • EndoCeutics site # 83

    San Diego, California, 92103

  • EndoCeutics site # 30

    San Diego, California, 92108

  • EndoCeutics site # 76

    Seattle, Washington, 98105

  • EndoCeutics site # 14

    Tucson, Arizona, 85712

  • EndoCeutics site # 80

    West Palm Beach, Florida, 33409

  • EndoCeutics site # 55

    Wichita, Kansas, 67226

Other trials in United States

Canada14 sites
  • EndoCeutics site # 85

    Burlington, Ontario, L7R 4B8

  • EndoCeutics site # 69

    Corunna, Ontario, N0N1G0

  • EndoCeutics site # 04

    Drummondville, Quebec, J2B 7T1

  • EndoCeutics site # 12

    Montreal, Quebec, H4N 3C5

  • EndoCeutics site # 79

    Pointe-Claire, Quebec, H9R 4S3

  • EndoCeutics site # 02

    Québec, Quebec, G1S 2L6

  • EndoCeutics site # 01

    Québec, Quebec, G1V 2L9

  • EndoCeutics site # 77

    Québec, Quebec, G1W 4R4

  • EndoCeutics site # 78

    Québec, Quebec, G3K 2P8

  • EndoCeutics site # 18

    Saint Romuald, Quebec, G6W 5M6

  • EndoCeutics site # 68

    Sarnia, Ontario, N7T 4X3

  • EndoCeutics site # 74

    Sherbrooke, Quebec, J1J 2G2

  • EndoCeutics site # 67

    Victoriaville, Quebec, G6P 6P6

  • EndoCeutics site # 73

    Waterloo, Ontario, N2J 1C4

Other trials in Canada

About this study

The purpose of this study is to confirm the efficacy of intravaginal prasterone (DHEA) on symptoms of vulvovaginal atrophy due to menopause and to collect further data on subjects exposed to intravaginal DHEA in order to meet the ICH E1 guideline requirements.

Conditions
Vaginal Atrophy
Being tested
Placebo, Prasterone (DHEA)
Keywords
Vulvovaginal atrophy (VVA), Vaginal atrophy, Atrophic vaginitis, prasterone, DHEA, Intrarosa
Medical subject headings
Atrophic Vaginitis

What participants receive

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

  • PlaceboDrug

  • Prasterone (DHEA)Drug

Study groups in NCT02013544
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPlacebo vaginal ovule daily for 12 weeks
Receives: Drug: Placebo
PrasteroneExperimentalPrasterone (DHEA) vaginal ovule daily for 12 weeks
Receives: Drug: Prasterone (DHEA)

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 Percentage of Superficial Cells in the Maturation Index of the Vaginal Smear

    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.

    Measured: Baseline and Week 12

  2. Change From Baseline to Week 12 in Percentage of Parabasal Cells in the Maturation Index of the Vaginal Smear

    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.

    Measured: Baseline and Week 12

  3. Change From Baseline to Week 12 in Vaginal pH

    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.

    Measured: Baseline and Week 12

  4. Change From Baseline to Week 12 in Severity of the Most Bothersome Symptom of Dyspareunia

    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.

    Measured: Baseline and Week 12

Secondary outcomes (5)
  1. Change From Baseline to Week 12 in Severity of Vaginal Dryness

    The severity of vaginal dryness was evaluated by a questionnaire filled out by women. The severity of vaginal 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.

    Measured: Baseline and Week 12

  2. Change From Baseline to Week 12 in Severity of Vaginal Atrophy as Evaluated From Vaginal Secretions

    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.

    Measured: Baseline and Week 12

  3. Change From Baseline to Week 12 in Severity of Vaginal Atrophy as Evaluated From Vaginal Epithelial Integrity

    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.

    Measured: Baseline and Week 12

  4. Change From Baseline to Week 12 in Severity of Vaginal Atrophy as Evaluated From Vaginal Epithelial Surface Thickness

    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.

    Measured: Baseline and Week 12

  5. Change From Baseline to Week 12 in Severity of Vaginal Atrophy as Evaluated From Vaginal Color

    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.

    Measured: Baseline and 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 posted17 Dec 2013 (estimated)
  2. Study startFeb 2014
  3. Primary completionJan 2015
  4. Study completionFeb 2015

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
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
558 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02013544
Sponsor's protocol ID
ERC-238
Status last verified
May 2017
First submitted
9 Dec 2013
Last updated
1 Jun 2017
Data monitoring committee
No

Publications

  • Ke Y, Labrie F, Gonthier R, Simard JN, Bergeron D, Martel C, Vaillancourt M, Montesino M, Lavoie L, Archer DF, Balser J, Moyneur E; other participating Members of the Prasterone Clinical Research Group. Serum levels of sex steroids and metabolites following 12 weeks of intravaginal 0.50% DHEA administration. J Steroid Biochem Mol Biol. 2015 Nov;154:186-96. doi: 10.1016/j.jsbmb.2015.08.016. Epub 2015 Aug 17.

    PubMed 26291918
  • Labrie F, Derogatis L, Archer DF, Koltun W, Vachon A, Young D, Frenette L, Portman D, Montesino M, Cote I, Parent J, Lavoie L, Beauregard A, Martel C, Vaillancourt M, Balser J, Moyneur E; Members of the VVA Prasterone Research Group. Effect of Intravaginal Prasterone on Sexual Dysfunction in Postmenopausal Women with Vulvovaginal Atrophy. J Sex Med. 2015 Dec;12(12):2401-12. doi: 10.1111/jsm.13045. Epub 2015 Nov 23.

    PubMed 26597311
  • Labrie F, Montesino M, Archer DF, Lavoie L, Beauregard A, Cote I, Martel C, Vaillancourt M, Balser J, Moyneur E; other participating Members of the Prasterone Clinical Research Group. Influence of treatment of vulvovaginal atrophy with intravaginal prasterone on the male partner. Climacteric. 2015;18(6):817-25. doi: 10.3109/13697137.2015.1077508. Epub 2015 Oct 30.

    PubMed 26517756
  • Labrie F, Archer DF, Koltun W, Vachon A, Young D, Frenette L, Portman D, Montesino M, Cote I, Parent J, Lavoie L, Beauregard A, Martel C, Vaillancourt M, Balser J, Moyneur E; VVA Prasterone Research Group. Efficacy of intravaginal dehydroepiandrosterone (DHEA) on moderate to severe dyspareunia and vaginal dryness, symptoms of vulvovaginal atrophy, and of the genitourinary syndrome of menopause. Menopause. 2016 Mar;23(3):243-56. doi: 10.1097/GME.0000000000000571.

    PubMed 26731686
  • Martel C, Labrie F, Archer DF, Ke Y, Gonthier R, Simard JN, Lavoie L, Vaillancourt M, Montesino M, Balser J, Moyneur E; other participating members of the Prasterone Clinical Research Group. Serum steroid concentrations remain within normal postmenopausal values in women receiving daily 6.5mg intravaginal prasterone for 12 weeks. J Steroid Biochem Mol Biol. 2016 May;159:142-53. doi: 10.1016/j.jsbmb.2016.03.016. Epub 2016 Mar 10.

    PubMed 26972555
  • Montesino M, Labrie F, Archer DF, Zerhouni J, Cote I, Lavoie L, Beauregard A, Martel C, Vaillancourt M, Moyneur E, Balser J. Evaluation of the acceptability of intravaginal prasterone ovule administration using an applicator. Gynecol Endocrinol. 2016;32(3):240-5. doi: 10.3109/09513590.2015.1110140. Epub 2016 Jan 6.

    PubMed 26634942

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Prasterone (DHEA) in people with Vaginal Atrophy, run by EndoCeutics Inc. at 38 sites in 2 countries.

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 6 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 1 Jun 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States, Canada. 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 1 Jun 2017). 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 Percentage of Superficial Cells in the Maturation Index of the Vaginal Smear (time frame: Baseline and 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?

On the ClinicalTrials.gov record for NCT02013544, which also lists 6 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 1 Jun 2017.

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