AzTrials
AzTrials

EndometriosisPhase 2NCT02203331

Bay98-7196, Dose Finding / POC Study

A Phase 2 study testing Levonorgestrel, Anastrozole and Lupron / Leuprolide acetate in people with Endometriosis, run by Bayer at 117 sites in 14 countries.

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

Purpose of the study is to test efficacy and safety of BAY98-7196 intravaginal ring as a new treatment option for patients with endometriosis-associated pelvic pain Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Endometriosis
What is being tested?
Levonorgestrel, Anastrozole and Lupron / Leuprolide acetate
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
319 participants
Where
117 sitesin 14 countries
Study dates
16 Oct 2014to 24 Oct 2016
Phase
Phase 2
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 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Premenopausal women18 years and above at the time of screening.
  • Women with endometriosis confirmed by laparoscopy or laparotomy within the last ten years but not less than 8 weeks before the screening visit In Japan, diagnosis based on imaging (transvaginal ultrasound or MRI) also qualifies for inclusion.
  • Moderate to severe endometriosis-associated pelvic pain (EAPP) of ≥5 in the last 28 days before screening visit 1 measured on the numeric rating scale (NRS; i.e. 4-week recall period).
  • At randomization: Adherence to the study procedures during the screening period, at least 24 diary entries of ESD item 1 during the last 28 consecutive days before the randomization visit, and a sum of the available ESD item 1 ('worst pain' on the daily NRS) entries during this period of at least 98 (corresponding to an average score of ≥ 3.5).
  • Willingness to use only ibuprofen as rescue pain medication for EAPP, if needed according to investigator's instruction.
  • Use of a non-hormonal barrier method (i.e. spermicide-coated condoms) for contraception from screening visit until the end of the study. This is not required if adequate contraception is achieved by vasectomy of the partner

Who cannot join

  • Pregnancy or lactation (less than three months since delivery, abortion, or lactation before start of treatment)
  • Any diseases or conditions that can compromise the function of the body systems and could result in altered absorption, excessive accumulation, impaired metabolism, or altered excretion of the study drug
  • Any diseases or conditions that might interfere with the conduct of the study or the interpretation of the results.
  • Any disease or condition that may worsen under hormonal treatment according to the assessment and opinion of the investigator.
  • Undiagnosed abnormal genital bleeding
  • Wish for pregnancy during the study
  • Regular use of pain medication due to other underlying diseases
  • Non-responsiveness of endometriosis associated pelvic pain (EAPP) to GnRH-a or surgery (partial response is not exclusionary).

Trial locations and contacts

117 sites in 14 countries.

117 sites in 14 countries

United States25 sites
  • Study site

    Atlanta, Georgia, 30338

  • Study site

    Canton, Michigan, 48187

  • Study site

    Chattanooga, Tennessee, 37404

  • Study site

    Chicago, Illinois, 60611

  • Study site

    Columbus, Ohio, 43213

  • Study site

    Dayton, Ohio, 45409

  • Study site

    Detroit, Michigan, 48034

  • Study site

    Durham, North Carolina, 27713

  • Study site

    Gainesville, Florida, 32605

  • Study site

    Greensboro, North Carolina, 27408

  • Study site

    Lincoln, Nebraska, 68510

  • Study site

    Madison, Wisconsin, 53562

  • Study site

    Marrero, Louisiana, 70072

  • Study site

    Neptune City, New Jersey, 07754

  • Study site

    New Port Richey, Florida, 34652

  • Study site

    Palos Heights, Illinois, 60463

  • Study site

    Philadelphia, Pennsylvania, 19104

  • Study site

    Plainsboro, New Jersey, 08536

  • Study site

    Saginaw, Michigan, 48604

  • Study site

    San Diego, California, 92108

  • Study site

    San Francisco, California, 94158-2509

  • Study site

    Sandy Springs, Georgia, 30328

  • Study site

    Seattle, Washington, 98105

  • Study site

    Wichita, Kansas, 67226

  • Study site

    Winston-Salem, North Carolina, 27103

Other trials in United States

Japan16 sites
  • Study site

    Bunkyo-ku, Tokyo, 113-8431

  • Study site

    Hamamatsu, Shizuoka, 430-0929

  • Study site

    Kanazawa, Ishikawa-ken, 920-8530

  • Study site

    Kawanishi, Hyōgo, 666-0125

  • Study site

    Kitakyushu, Fukuoka, 800-0296

  • Study site

    Kumamoto, 861-8520

  • Study site

    Kurashiki, Okayama-ken, 710-0824

  • Study site

    Minatoku, Tokyo, 107-0052

  • Study site

    Nagano, 381-8551

  • Study site

    Osaka, 543-0023

  • Study site

    Sapporo, Hokkaido, 006-8555

  • Study site

    Sapporo, Hokkaido, 060-0031

  • Study site

    Sapporo, Hokkaido, 060-0061

  • Study site

    Sapporo, Hokkaido, 060-0807

  • Study site

    Sayama, Osaka, 589-8511

  • Study site

    Shinagawa-ku, Tokyo, 141-8625

Other trials in Japan

Germany15 sites
  • Study site

    Aachen, North Rhine-Westphalia, 52074

  • Study site

    Berlin, 10787

  • Study site

    Berlin, 12200

  • Study site

    Bernburg, Saxony-Anhalt, 06406

  • Study site

    Blankenburg, Saxony-Anhalt, 38889

  • Study site

    Cologne, North Rhine-Westphalia, 50931

  • Study site

    Dippoldiswalde, Saxony, 01744

  • Study site

    Dresden, Saxony, 01307

  • Study site

    Erlangen, Bavaria, 91054

  • Study site

    Hamburg, 20357

  • Study site

    Hamburg, 22587

  • Study site

    Jena, Thuringia, 07743

  • Study site

    Karlsruhe, Baden-Wurttemberg, 76199

  • Study site

    Mannheim, Baden-Wurttemberg, 68165

  • Study site

    München, Bavaria, 81675

Other trials in Germany

Czechia9 sites
  • Study site

    Brno, 602 00

  • Study site

    Brno, 625 00

  • Study site

    České Budějovice, 37001

  • Study site

    Hradec Králové, 500 03

  • Study site

    Olomouc, 772 00

  • Study site

    Pilsen, 326 00

  • Study site

    Písek, 39701

  • Study site

    Prague

  • Study site

    Tábor, 39003

Other trials in Czechia

Spain9 sites
  • Study site

    Aravaca, Madrid, 28023

  • Study site

    Barcelona, 08003

  • Study site

    Barcelona, 8036

  • Study site

    Collado Villalba, Madrid, 28400

  • Study site

    Pozuelo de Alarcón, Madrid, 28223

  • Study site

    Seville, 41014

  • Study site

    Valencia, 46010

  • Study site

    Valencia, 46014

  • Study site

    Vitoria-Gasteiz, Álava, 01009

Other trials in Spain

Finland7 sites
  • Study site

    Espoo, 02100

  • Study site

    Helsinki, 00510

  • Study site

    Hyvinkää, 05850

  • Study site

    Jyväskylä, 40100

  • Study site

    Kuopio, 70100

  • Study site

    Oulu, 90100

  • Study site

    Turku, 20520

Other trials in Finland

Poland7 sites
  • Study site

    Bialystok, 15- 224

  • Study site

    Katowice, 40-724

  • Study site

    Krakow, 31-121

  • Study site

    Łęczna, 21-010

  • Study site

    Lodz, 90-602

  • Study site

    Lublin, 20-632

  • Study site

    Szczecin, 71-434

Other trials in Poland

Canada5 sites
  • Study site

    Hamilton, Ontario, L8S 4K1

  • Study site

    Montreal, Quebec, H4P 2S4

  • Study site

    Ottawa, Ontario, K1H 7W9

  • Study site

    Québec, G1S 2L6

  • Study site

    Toronto, Ontario, M5C 2T2

Other trials in Canada

Norway5 sites
  • Study site

    Asker, 1383

  • Study site

    Stokmarknes, 8450

  • Study site

    Tønsberg, 3111

  • Study site

    Tromsø, 9019

  • Study site

    Trondheim, 7006

Other trials in Norway

Austria4 sites
  • Study site

    Innsbruck, Tyrol, 6020

  • Study site

    Linz, Upper Austria, 4020

  • Study site

    Vienna, 1090

  • Study site

    Villach, Carinthia, 9500

Other trials in Austria

Belgium4 sites
  • Study site

    Bruxelles - Brussel, 1000

  • Study site

    Bruxelles - Brussel, 1070

  • Study site

    Edegem, 2650

  • Study site

    Ghent, 9000

Other trials in Belgium

Netherlands4 sites
  • Study site

    Almere Stad

  • Study site

    Groningen, 9700 RB

  • Study site

    Nieuwegein, 3435 CM

  • Study site

    Zwolle, 8025 AB

Other trials in Netherlands

Switzerland4 sites
  • Study site

    Bern, 3010

  • Study site

    Frauenklinik

  • Study site

    Lausanne, Canton of Vaud, 1011

  • Study site

    Lucerne, 6000

Other trials in Switzerland

Denmark3 sites
  • Study site

    Aarhus N, 8200

  • Study site

    Copenhagen, 2100

  • Study site

    Odense C, DK-5000

Other trials in Denmark

About this study

Official title: A Randomized, Double-blind, Double-dummy, Parallel- Group, Multi-center Phase IIb Study to Assess the Efficacy and Safety of Different Dose Combinations of an Aromatase Inhibitor and a Progestin in an Intravaginal Ring Versus Placebo and Leuprorelin / Leuprolide Acetate in Women With Symptomatic Endometriosis Over a 12-week Treatment Period

Purpose of the study is to test efficacy and safety of BAY98-7196 intravaginal ring as a new treatment option for patients with endometriosis-associated pelvic pain

Conditions
Endometriosis
Being tested
Placebo, Levonorgestrel, Anastrozole, Lupron / Leuprolide acetate
Medical subject headings
Endometriosis

What participants receive

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

  • PlaceboDrug

    Placebo intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection

  • LevonorgestrelDrug

    Levonorgestrel 40 µg/d intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection

  • AnastrozoleDrug

    Participants received Anastrozole 300 µg/d or 600 µg/d or 1050 µg/d + Levonorgestrel 40 µg/d intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection

  • Lupron / Leuprolide acetateDrug

    Placebo intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Lupron / Leuprolide acetate 11.25 mg 3-months depot intramuscular injection

Study groups in NCT02203331
Study groupRoleWhat they receive
PlaceboPlacebo comparatorPlacebo intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection
Receives: Drug: Placebo
LevonorgestrelExperimentalLevonorgestrel 40 µg/d intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection
Receives: Drug: Placebo; Drug: Levonorgestrel
Anastrozole 300 µg/d + LevonorgestrelExperimentalAnastrozole 300 µg/d + Levonorgestrel 40 µg/d intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection
Receives: Drug: Placebo; Drug: Anastrozole
Anastrozole 600 µg/d + LevonorgestrelExperimentalAnastrozole 600 µg/d + Levonorgestrel 40 µg/d intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection
Receives: Drug: Placebo; Drug: Anastrozole
Anastrozole 1050 µg/d + LevonorgestrelExperimentalAnastrozole 1050 µg/d + Levonorgestrel 40 µg/d intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection
Receives: Drug: Placebo; Drug: Anastrozole
Lupron / Leuprolide acetateActive comparatorPlacebo intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Lupron / Leuprolide acetate 11.25 mg 3-months depot intramuscular injection
Receives: Drug: Placebo; Drug: Lupron / Leuprolide acetate

What is being measured

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

  1. Absolute Change in Mean Pain of the 7 Days With Worst EAPP From Baseline (Last 28 Days Before Randomization) to End of Treatment (Last 28 Days of Treatment Period, Days 57-84) as Measured on NRS by Question 1 of ESD

    Pain intensity was assessed on 11-point (0-10) NRS by question 1. In question 1, participants were asked to rate the pain in the target area during the past 24 hours, where 0= no pain and 10= worst imaginable pain and responses were recorded in ESD. The mean pain of the 7 days with worst EAPP within a 28-day window was calculated as the sum of ESD item 1 on 7 days with worst EAPP within that 28-day window divided by 7.

    Measured: Baseline (last 28 days before randomization), end of treatment (Treatment 3) (last 28 days of the treatment period, Day 57-84)

Secondary outcomes (6)
  1. Absolute Change in Mean Pain of the 7 Days With Worst EAPP From Baseline (Last 28 Days Before Randomization) to First Cycle Under Study Treatment (Day 1-28) and to Second Cycle Under Study Treatment (Day 29-56) as Measured on NRS by Question 1 of ESD

    Pain intensity was assessed on 11-point (0-10) NRS by question 1. In question 1, subjects were asked to rate the pain in the target area during the past 24 hours, where 0= no pain and 10= worst imaginable pain and responses were recorded in ESD. The mean pain of the 7 days with worst EAPP within a 28-day window was calculated as the sum of ESD item 1 on 7 days with worst EAPP within that 28-day window divided by 7.

    Measured: Baseline (last 28 days before randomization), first cycle (Treatment 1) (Day 1-28), second cycle (Treatment 2) (Day 29-56)

  2. Absolute Change in Mean Pain From Baseline (Last 28 Days Before Randomization) to First Cycle Under Study Treatment(Day1-28), Second Cycle Under Study Treatment(Day29-56),Third Cycle Under Study Treatment (Day57-84) as Measured on NRS by Question1 of ESD

    Pain intensity was assessed on 11-point (0-10) NRS by question 1. In question 1, subjects were asked to rate the pain in the target area during the past 24 hours, where 0= no pain and 10= worst imaginable pain and responses were recorded in ESD. The mean pain within a 28-day window was calculated as the sum of ESD item 1 within that 28-day window divided by the number with non-missing days within that 28-day window. Here, number of subjects 'n' signifies evaluable subjects for the respective category.

    Measured: Baseline (last 28 days before randomization), first cycle (Treatment 1) (Day 1-28), second cycle (Treatment 2) (Day 29-56), and third cycle (Treatment 3) (last 28 days of the treatment period, Day 57-84)

  3. Percentage of Days During Baseline (Last 28 Days Before Randomization) and Cycles 1, 2, and 3 With Pain Greater Than or Equal to (>=) 7 as Measured on NRS by Question 1 of ESD as Measured on NRS by Question 1 of ESD

    Pain intensity was assessed on 11-point (0-10) NRS by question 1. In question 1, subjects were asked to rate the pain in the target area during the past 24 hours, where 0= no pain and 10= worst imaginable pain and responses were recorded in ESD. The percentage of days with pain >=7 within a 28-day window was calculated as 100 divided by the number of non-missing days within that 28-day window multiplied by the number of days within that 28-day window where item 1 of the ESD was >=7.

    Measured: Baseline (last 28 days before randomization), Cycle 1 (Treatment 1), Cycle 2 (Treatment 2), and Cycle 3 (Treatment 3)

  4. Change From Baseline (Last 28 Days Before Randomization) to Cycle 1, 2, and 3 in Percentage of Days With Pain >=7 as Measured on NRS by Question 1 of ESD

    Pain intensity was assessed on 11-point (0-10) NRS by question 1. In question 1, subjects were asked to rate the pain in the target area during the past 24 hours, where 0= no pain and 10= worst imaginable pain and responses were recorded in ESD. The percentage of days with pain >=7 within a 28-day window was calculated as 100 divided by the number of non-missing days within that 28-day window multiplied by the number of days within that 28-day window where item 1 of the ESD was >=7. Here, number of subjects 'n' signifies evaluable subjects for the respective category.

    Measured: Baseline (last 28 days before randomization), Cycle 1 (Treatment 1), Cycle 2 (Treatment 2), and Cycle 3 (Treatment 3)

  5. Percentage of Days During Baseline (Last 28 Days Before Randomization) and Cycles 1, 2, and 3 With Pain >=4 as Measured on NRS by Question 1 of ESD

    Pain intensity was assessed on 11-point (0-10) NRS by question 1. In question 1, subjects were asked to rate the pain in the target area during the past 24 hours, where 0= no pain and 10= worst imaginable pain and responses were recorded in ESD. The percentage of days with pain >=4 within a 28-day window was calculated as 100 divided by the number of non-missing days within that 28-day window multiplied by the number of days within that window where Item 1 of the ESD was >=4. Here, number of subjects 'n' signifies evaluable subjects for the respective category.

    Measured: Baseline (last 28 days before randomization), Cycle 1 (Treatment 1), Cycle 2 (Treatment 2), and Cycle 3 (Treatment 3)

  6. Change From Baseline (Last 28 Days Before Randomization) to Cycle 1, 2, and 3 in Percentage of Days With Pain >=4 as Measured on NRS by Question 1 of ESD

    Pain intensity was assessed on 11-point (0-10) NRS by question 1. In question 1, subjects were asked to rate the pain in the target area during the past 24 hours, where 0= no pain and 10= worst imaginable pain and responses were recorded in ESD. The percentage of days with pain >=4 within a 28-day window was calculated as 100 divided by the number of non-missing days within that 28-day window multiplied by the number of days within that window where Item 1 of the ESD was >=4. Here, number of subjects 'n' signifies evaluable subjects for the respective category.

    Measured: Baseline (last 28 days before randomization), Cycle 1 (Treatment 1), Cycle 2 (Treatment 2), and Cycle 3 (Treatment 3)

Timeline

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

  1. First posted29 Jul 2014 (estimated)
  2. Study start16 Oct 2014
  3. Primary completion24 Oct 2016
  4. Study completion24 Oct 2016

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
319 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02203331
Sponsor's protocol ID
15832
Other IDs
2013-005090-53
Status last verified
Nov 2023
First submitted
28 Jul 2014
Last updated
7 Nov 2023
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Levonorgestrel, Anastrozole and Lupron / Leuprolide acetate in people with Endometriosis, run by Bayer at 117 sites in 14 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 6 inclusion and 8 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 7 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 117 sites in United States, Japan, Germany, Czechia, Spain and 9 more countries. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 4 Jan 2018). 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?

Absolute Change in Mean Pain of the 7 Days With Worst EAPP From Baseline (Last 28 Days Before Randomization) to End of Treatment (Last 28 Days of Treatment Period, Days 57-84) as Measured on NRS by Question 1 of ESD (time frame: Baseline (last 28 days before randomization), end of treatment (Treatment 3) (last 28 days of the treatment period, Day 57-84)). 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 7 Nov 2023.

Free account

Keep searching with a free account

You’ve used your 3 free searches for this session. Log in or create a free AzTrials account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in
Bay98-7196, Dose Finding / POC Study (NCT02203331) | AzTrials