LeiomyomaPhase 2ASTEROID 2NCT02465814
Assess Safety and Efficacy of Vilaprisan in Patients With Uterine Fibroids
A Phase 2 study testing Vilaprisan (BAY1002670), Vilaprisan (BAY1002670 and Ulipristal in people with Leiomyoma, run by Bayer at 64 sites in 16 countries.
Trial summary
The study is performed to assess the efficacy of Vilaprisan (BAY1002670) in patients with uterine fibroids compared to placebo and ulipristal. It is also aimed to evaluate the safety of vilaprisan in subjects with uterine fibroids. Read more about this study
- Who is it for?
- Ages 18 to 50 years, women only
- Conditions the study is for
- Leiomyoma
- What is being tested?
- Vilaprisan (BAY1002670), Vilaprisan (BAY1002670 and Ulipristal
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 120 participants
- Where
- 64 sitesin 16 countries
- Study dates
- Jun 2015to Oct 2016
- Phase
- Phase 2
- Are there results?
- None posted in the registry
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 to 50 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Women, 18 to 50 years of age at the time of screening
- Diagnosis of uterine fibroid(s) documented by transvaginal or abdominal ultrasound at screening with at least 1 fibroid with largest diameter >/=3.0 cm
- Heavy menstrual bleeding (HMB) >80 mL documented by menstrual pictogram (MP) in a bleeding episode during the screening period. Women who did not suffer from perceived HMB during the 3 months prior to Visit 1 due to any effective medical treatment, e.g. with a hormonal contraceptive, are not considered appropriate candidates and should not undergo further screening procedures. Women suffering from perceived HMB despite medical treatment, e.g. with a hormonal contraceptive, are appropriate candidates for further screening, if rules on stopping prior medication are followed. Heavy menstrual bleeding /HMB) > 80 mL should be documented within 10 consecutive days.
- Good general health (except for findings related to uterine fibroids) as proven by medical history, physical and gynecological examinations, and laboratory test results
- Normal or clinically insignificant cervical smear not requiring further follow-up. Human papilloma virus (HPV) testing in subjects with atypical squamous cells of undetermined significance (ASCUS) can be used as an adjunctive test. Subjects with ASCUS can be included if they are negative for high-risk HPV strains.
- An endometrial biopsy performed during the screening period, without significant histological disorder such as endometrial hyperplasia (including simple hyperplasia) or other significant endometrial pathology.
- Use of an acceptable nonhormonal method of contraception (i.e. either male condom, cap, diaphragm or sponge, each in combination with spermicide) starting at the bleeding episode following the screening visit 1 (Visit 1) until the end of the study. This is not required if safe contraception is achieved by a permanent method, such as bilateral fallopian tube blockage of the subject or vasectomy of the partner(s).
Who cannot join
- Pregnancy or lactation (less than 3 months since delivery, abortion, or lactation before start of treatment)
- Uterine fibroid with largest diameter >10.0 cm
- Hypersensitivity to any ingredient of the study drugs
- Hemoglobin values </= 6 g/dL or any condition requiring immediate blood transfusion (subjects with hemoglobin values </=10.9 g/dL will be offered iron supplementation).
- 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
Show all 9Show fewer
- Abuse of alcohol, drugs, or medicines (e.g. laxatives)
- Use of other treatments that might interfere with the conduct of the study or the interpretation of the results
- Undiagnosed abnormal genital bleeding.
Trial locations and contacts
64 sites in 16 countries.
64 sites in 16 countries
Czechia9 sites
Study site
Brno, 625 00
Study site
České Budějovice, 37001
Study site
Olomouc, 772 00
Study site
Olomouc, 775 20
Study site
Pilsen, 30708
Study site
Písek, 39701
Study site
Prague, 120 00
Study site
Prague, 13000
Study site
Prague, 180 81
Poland5 sites
Study site
Bialystok, 15- 224
Study site
Lodz, 90-602
Study site
Lublin, 20-093
Study site
Lublin, 20-632
Study site
Warsaw, 02-507
Austria4 sites
Study site
Graz, Styria, 8036
Study site
Innsbruck, Tyrol, 6020
Study site
Vienna, State of Vienna, 1090
Study site
Villach, Carinthia, 9500
Bulgaria4 sites
Study site
Pleven, 5800
Study site
Sofia, 1504
Study site
Sofia, 1606
Study site
Stara Zagora, 6000
Germany4 sites
Study site
Berlin, State of Berlin, 10787
Study site
Bernburg, Saxony-Anhalt, 06406
Study site
Blankenburg, Saxony-Anhalt, 38889
Study site
Dresden, Saxony, 01307
Hungary4 sites
Study site
Budapest, 1036
Study site
Debrecen, 4024
Study site
Debrecen, 4032
Study site
Szentes, H-6600
Netherlands4 sites
Study site
Almere Stad, 1315 RA
Study site
Heerlen, 6419 PC
Study site
Nieuwegein, 3435 CM
Study site
Zwolle, 8025 AB
Norway4 sites
Study site
Fredrikstad, 1605
Study site
Lørenskog, 1478
Study site
Nesttun, 5221
Study site
Stavanger, 4011
Spain4 sites
Study site
Aravaca, Madrid, 28023
Study site
Barcelona, Barcelona, 08003
Study site
Valencia, Valencia, 46010
Study site
Valencia, Valencia, 46026
United Kingdom4 sites
Study site
Harrow, London, HA1 3UJ
Study site
London, N19 5NF
Study site
Nottingham, NG7 2UH
Study site
Portsmouth, PO6 3LY
Belgium3 sites
Study site
Bruxelles - Brussel, 1000
Study site
Edegem, 2650
Study site
Tienen, Vlaams Brabant, 3300
Finland3 sites
Study site
Helsinki, 00610
Study site
Pori, 28500
Study site
Turku, 20100
Italy3 sites
Study site
Cagliari, Sardinia, 09042
Study site
Catania, Sicily, 95123
Study site
Modena, Emilia-Romagna, 41124
Lithuania3 sites
Study site
Vilnius, LT-05263
Study site
Vilnius, LT-08217
Study site
Vilnius, LT-10207
Portugal3 sites
Study site
Coimbra, Coimbra District, 3000-075
Study site
Lisbon, Lisbon District, 1449-005
Study site
Porto, Porto District, 4202-451
Sweden3 sites
Study site
Stockholm, 118 83
Study site
Stockholm, 171 76
Study site
Umeå, 90185
About this study
Official title: A Randomized, Parallel-group, Double-blind Placebo-controlled and Open Label Active Controlled, Multi-center Study to Assess the Efficacy and Safety of Vilaprisan in Patients With Uterine Fibroids
The study is performed to assess the efficacy of Vilaprisan (BAY1002670) in patients with uterine fibroids compared to placebo and ulipristal. It is also aimed to evaluate the safety of vilaprisan in subjects with uterine fibroids. Further, data on population pharmacokinetic (PK)/ pharmacodynamic (PD) relationship for vilaprisan in subjects with uterine fibroids will be supplemented.
- Conditions
- Leiomyoma
- Being tested
- Vilaprisan (BAY1002670), Vilaprisan (BAY1002670, Ulipristal
- Keywords
- Uterine fibroids, Heavy Menstrual Bleeding
- Medical subject headings
- Leiomyoma, Menorrhagia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Vilaprisan (BAY1002670)Drug
Vilaprisan 2 mg (12 weeks), Vilaprisan 2 mg (12 weeks)
Vilaprisan (BAY1002670Drug
Placebo (12 weeks),Vilaprisan (12 weeks)
Vilaprisan (BAY1002670Drug
Vilaprisan 2 mg (12 weeks), treatment break, Vilaprisan 2 mg (12 weeks)
Vilaprisan (BAY1002670)Drug
Placebo (12 weeks), treatment break, Vilaprisan 2 mg (12 weeks)
UlipristalDrug
Ulipristal 5 mg (12 weeks), treatment break, Ulipristal 5 mg (12 weeks)
UlipristalDrug
Placebo (12 weeks), treatment break, Ulipristal 5 mg (12 weeks)
UlipristalDrug
Ulipristal (12 weeks), treatment break, Placebo (12 weeks)
| Study group | Role | What they receive |
|---|---|---|
| Arm 1 - BAY1002670 + BAY1002670 | Experimental | Vilaprisan (BAY1002670) 2 mg once daily (12 weeks), Vilaprisan 2 mg once daily (12 weeks) Receives: Drug: Vilaprisan (BAY1002670) |
| Arm 2 - Placebo + BAY1002670 | Experimental | Placebo once daily (12 weeks), Vilaprisan 2 mg once daily (12 weeks) Receives: Drug: Vilaprisan (BAY1002670 |
| Arm 3 - BAY1002670 + BAY1002670 | Experimental | Vilaprisan 2 mg once daily (12 weeks), treatment break, Vilaprisan 2 mg once daily (12 weeks) Receives: Drug: Vilaprisan (BAY1002670 |
| Arm 4 - Placebo+BAY1002670 | Experimental | Placebo once daily (12 weeks), treatment break, Vilaprisan 2 mg once daily(12 weeks) Receives: Drug: Vilaprisan (BAY1002670) |
| Arm 5 - Ulipristal + Ulipristal | Active comparator | Ulipristal 5 mg once daily (12 weeks), treatment break, Ulipristal 5 mg once daily (12 weeks) Receives: Drug: Ulipristal |
| Arm 6- Placebo + Ulipristal | Active comparator | Placebo once daily (12 weeks), treatment break, Ulipristal 5 mg once daily (12 weeks) Receives: Drug: Ulipristal |
| Arm 7- Ulipristal + Placebo | Active comparator | Ulipristal 5 mg once daily (12 weeks), treatment break, Placebo once daily (12 weeks) Receives: Drug: Ulipristal |
What is being measured
The primary outcome is the main question the study is designed to answer.
Amenorrhea (yes/no)
Defined as no scheduled or unscheduled bleeding/spotting after end of the initial bleeding episode until the end of the respective treatment period.
Measured: From day 7 to day 84 of treatment.
Secondary outcomes (5)
Number of bleeding days
Measured: Up to 32 weeks
Time to onset of controlled bleeding
Measured: Up to 28 weeks
Percent change in volume of largest fibroid from baseline to end of treatment.
Measured: Baseline and up to 28 weeks
Endometrial histology
(Frequency of the following categories: benign endometrium, endometrial hyperplasia, malignant neoplasm)
Measured: Baseline and up to 40 weeks
Endometrial thickness measured by transvaginal ultrasound.
Measured: Baseline and up to 40 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jun 2015 (estimated)
- Study startJun 2015
- Primary completionOct 2016
- Study completionOct 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for LeiomyomaStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 120 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02465814
- Sponsor's protocol ID
- 17541
- Other IDs
- 2014-004221-41, 2014
- Acronym
- ASTEROID 2
- Status last verified
- Nov 2016
- First submitted
- 22 May 2015
- Last updated
- 22 Nov 2016
- Results posted
- No
- Data monitoring committee
- No
Publications
Gemzell-Danielsson K, Heikinheimo O, Zatik J, Poka R, Rechberger T, Hudecek R, Petersdorf K, Ramirez F, Faustmann T, Groettrup-Wolfers E, Seitz C. Efficacy and safety of vilaprisan in women with uterine fibroids: Data from the phase 2b randomized controlled trial ASTEROID 2. Eur J Obstet Gynecol Reprod Biol. 2020 Sep;252:7-14. doi: 10.1016/j.ejogrb.2020.05.043. Epub 2020 May 31.
PubMed 32559602
Study at a glance
From the registry record, last updated by the sponsor on 22 Nov 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Parallel-group, Double-blind Placebo-controlled and Open Label Active Controlled, Multi-center Study to Assess the Efficacy and Safety of Vilaprisan in Patients With Uterine Fibroids
- ClinicalTrials.gov ID
- NCT02465814
- Acronym / sponsor ID
- ASTEROID 2 / 17541
- Conditions
- Leiomyoma
- Keywords
- Uterine fibroids, Heavy Menstrual Bleeding
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 120 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- Jun 2015
- Primary completion
- Oct 2016 (actual)
- Study completion
- Oct 2016 (actual)
- First posted
- 9 Jun 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study is performed to assess the efficacy of Vilaprisan (BAY1002670) in patients with uterine fibroids compared to placebo and ulipristal. It is also aimed to evaluate the safety of vilaprisan in subjects with uterine fibroids. Further, data on population pharmacokinetic (PK)/ pharmacodynamic (PD) relationship for vilaprisan in subjects with uterine fibroids will be supplemented.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Arm 1 - BAY1002670 + BAY1002670 | Experimental | Drug: Vilaprisan (BAY1002670)Vilaprisan (BAY1002670) 2 mg once daily (12 weeks), Vilaprisan 2 mg once daily (12 weeks) |
| Arm 2 - Placebo + BAY1002670 | Experimental | Drug: Vilaprisan (BAY1002670Placebo once daily (12 weeks), Vilaprisan 2 mg once daily (12 weeks) |
| Arm 3 - BAY1002670 + BAY1002670 | Experimental | Drug: Vilaprisan (BAY1002670Vilaprisan 2 mg once daily (12 weeks), treatment break, Vilaprisan 2 mg once daily (12 weeks) |
| Arm 4 - Placebo+BAY1002670 | Experimental | Drug: Vilaprisan (BAY1002670)Placebo once daily (12 weeks), treatment break, Vilaprisan 2 mg once daily(12 weeks) |
| Arm 5 - Ulipristal + Ulipristal | Active comparator | Drug: UlipristalUlipristal 5 mg once daily (12 weeks), treatment break, Ulipristal 5 mg once daily (12 weeks) |
| Arm 6- Placebo + Ulipristal | Active comparator | Drug: UlipristalPlacebo once daily (12 weeks), treatment break, Ulipristal 5 mg once daily (12 weeks) |
| Arm 7- Ulipristal + Placebo | Active comparator | Drug: UlipristalUlipristal 5 mg once daily (12 weeks), treatment break, Placebo once daily (12 weeks) |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (7 listed)
- Women, 18 to 50 years of age at the time of screening
- Diagnosis of uterine fibroid(s) documented by transvaginal or abdominal ultrasound at screening with at least 1 fibroid with largest diameter >/=3.0 cm
- Heavy menstrual bleeding (HMB) >80 mL documented by menstrual pictogram (MP) in a bleeding episode during the screening period. Women who did not suffer from perceived HMB during the 3 months prior to Visit 1 due to any effective medical treatment, e.g. with a hormonal contraceptive, are not considered appropriate candidates and should not undergo further screening procedures. Women suffering from perceived HMB despite medical treatment, e.g. with a hormonal contraceptive, are appropriate candidates for further screening, if rules on stopping prior medication are followed. Heavy menstrual bleeding /HMB) > 80 mL should be documented within 10 consecutive days.
- Good general health (except for findings related to uterine fibroids) as proven by medical history, physical and gynecological examinations, and laboratory test results
- Normal or clinically insignificant cervical smear not requiring further follow-up. Human papilloma virus (HPV) testing in subjects with atypical squamous cells of undetermined significance (ASCUS) can be used as an adjunctive test. Subjects with ASCUS can be included if they are negative for high-risk HPV strains.
Key exclusion criteria (9 listed)
- Pregnancy or lactation (less than 3 months since delivery, abortion, or lactation before start of treatment)
- Uterine fibroid with largest diameter >10.0 cm
- Hypersensitivity to any ingredient of the study drugs
- Hemoglobin values </= 6 g/dL or any condition requiring immediate blood transfusion (subjects with hemoglobin values </=10.9 g/dL will be offered iron supplementation).
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Vilaprisan (BAY1002670)Vilaprisan 2 mg (12 weeks), Vilaprisan 2 mg (12 weeks) | Drug | Arm 1 - BAY1002670 + BAY1002670 |
| Vilaprisan (BAY1002670Placebo (12 weeks),Vilaprisan (12 weeks) | Drug | Arm 2 - Placebo + BAY1002670 |
| Vilaprisan (BAY1002670Vilaprisan 2 mg (12 weeks), treatment break, Vilaprisan 2 mg (12 weeks) | Drug | Arm 3 - BAY1002670 + BAY1002670 |
| Vilaprisan (BAY1002670)Placebo (12 weeks), treatment break, Vilaprisan 2 mg (12 weeks) | Drug | Arm 4 - Placebo+BAY1002670 |
| UlipristalUlipristal 5 mg (12 weeks), treatment break, Ulipristal 5 mg (12 weeks) | Drug | Arm 5 - Ulipristal + Ulipristal |
| UlipristalPlacebo (12 weeks), treatment break, Ulipristal 5 mg (12 weeks) | Drug | Arm 6- Placebo + Ulipristal |
| UlipristalUlipristal (12 weeks), treatment break, Placebo (12 weeks) | Drug | Arm 7- Ulipristal + Placebo |
Primary outcome
Amenorrhea (yes/no)
Time frame: From day 7 to day 84 of treatment.
Defined as no scheduled or unscheduled bleeding/spotting after end of the initial bleeding episode until the end of the respective treatment period.
5 secondary outcomes
Number of bleeding days
Time frame: Up to 32 weeks
Time to onset of controlled bleeding
Time frame: Up to 28 weeks
Percent change in volume of largest fibroid from baseline to end of treatment.
Time frame: Baseline and up to 28 weeks
Endometrial histology
Time frame: Baseline and up to 40 weeks
Endometrial thickness measured by transvaginal ultrasound.
Time frame: Baseline and up to 40 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Nov 2016.
- Derived from this study: PubMed 32559602Gemzell-Danielsson K, Heikinheimo O, Zatik J, Poka R, Rechberger T, Hudecek R, Petersdorf K, Ramirez F, Faustmann T, Groettrup-Wolfers E, Seitz C. Efficacy and safety of vilaprisan in women with uterine fibroids: Data from the phase 2b randomized controlled trial ASTEROID 2. Eur J Obstet Gynecol Reprod Biol. 2020 Sep;252:7-14. doi: 10.1016/j.ejogrb.2020.05.043. Epub 2020 May 31.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
64 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Vilaprisan (BAY1002670), Vilaprisan (BAY1002670 and Ulipristal in people with Leiomyoma, run by Bayer at 64 sites in 16 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 9 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 22 Nov 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 64 sites in Czechia, Poland, Austria, Bulgaria, Germany and 11 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. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Amenorrhea (yes/no) (time frame: From day 7 to day 84 of treatment.). 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 NCT02465814, which also lists 1 linked publication.
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 22 Nov 2016.