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EndometriosisPhase 2QLARITYNCT03749109

Quinagolide Vaginal Ring on Lesion Reduction Assessed by MRI in Women With Endometriosis/Adenomyosis

A Phase 2 study testing Quinagolide 1080 µg in people with Endometriosis, run by Ferring Pharmaceuticals at 11 sites in 4 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

This will be a randomized, double-blind, placebo-controlled, proof-of-mechanism phase 2 trial investigating the effect of quinagolide extended-release vaginal ring on reduction of lesions assessed by high-resolution magnetic resonance imaging in women with endometrioma, deep infiltrating endometriosis, and/or… Read more about this study

Who is it for?
Ages 18 to 45 years, women only
Conditions the study is for
Endometriosis
What is being tested?
Quinagolide 1080 µg
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
67 participants
Where
11 sitesin 4 countries
Study dates
19 Aug 2019to 18 Jul 2021
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 to 45 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Pre-menopausal women between the ages 18-45 years (both inclusive) at the time of signing the informed consent
  • Body mass index (BMI) of 18-35 kg/m2 (both inclusive) at screening
  • Confirmation of deep infiltrating endometriosis (DIE), endometrioma or adenomyosis by high-resolution MRI at screening
  • Transvaginal ultrasound (TVU) documenting a uterus with no abnormalities of endometrium and presence of at least one ovary with no clinically significant abnormalities at screening. Note that presence of uterine fibroids are not exclusionary but presence of any submucosal fibroids or polyps are exclusionary
  • Willing and able to use a non-hormonal single-barrier method (i.e. condom) for contraception from the start of screening to the end-of-treatment. This is not required if adequate contraception is achieved by vasectomy of the male sexual partner, surgical sterilisation (e.g. tubal ligation and blockage methods such as ESSURE) of the subject, or true abstinence of the subject (sporadic sexual intercourse with men requiring condom use)
  • Willing to avoid the use of vaginal douches or any other intravaginally administered medications or devices (except for tampons) from randomization to the end of treatment

Who cannot join

  • Use of depot medroxyprogesterone acetate (MPA) within 10 months prior to the screening visit.
  • Use of gonadotropin-releasing (GnRH) agonists (3-month depot) or dopamine agonists within 6 months prior to the screening visit.
  • Use of GnRH agonists (1-month depot or nasal spray), GnRH antagonists, aromatase inhibitors, danazol, birth control implants (e.g. NEXPLANON), progestogen or levonorgestrel releasing intrauterine device (IUD) within 3 months prior to the screening visit.
  • Use of hormonal contraceptives (including combined oral contraceptive pill, transdermal patch, and contraceptive ring) within 1 menstrual cycle prior to the screening visit.
  • Contraindications to MRI such as having internal/external metallic devices and/or accessories (e.g. cardiac pacemakers and leg braces)

Trial locations and contacts

11 sites in 4 countries.

11 sites in 4 countries

Italy4 sites
  • Azienda Opsedaliera Universitaria Careggi

    Florence

  • Università degli Studi di Roma La Sapienza

    Rome

  • Azienda Ospedaliera Universitaria Senese

    Siena

  • Azienda Ospedaliera Universitaria Integrata Verona

    Verona

Other trials in Italy

Germany3 sites
  • Charité Universitätsmedizin

    Berlin

  • Universitätsklinikum Carl Gustav Carus

    Dresden

  • Universitätsklinikum Münster

    Münster

Other trials in Germany

Poland3 sites
  • Centrum Medyczne PROMED

    Krakow

  • Gabinet Lekarski Specjalistyczny SONUS

    Warsaw

  • Specjalistyczny Gabinet Lekarski

    Warsaw

Other trials in Poland

Denmark1 site
  • Gyneacology Rigshospitalet

    Copenhagen

Other trials in Denmark

About this study

Official title: A Randomised, Double-blind, Placebo-controlled, Proof-of-mechanism Phase 2 Trial Investigating the Effect of Quinagolide Extended-release Vaginal Ring on Reduction of Lesions Assessed by High-resolution Magnetic Resonance Imaging in Women With Endometrioma, Deep Infiltrating Endometriosis, and/or Adenomyosis

This will be a randomized, double-blind, placebo-controlled, proof-of-mechanism phase 2 trial investigating the effect of quinagolide extended-release vaginal ring on reduction of lesions assessed by high-resolution magnetic resonance imaging in women with endometrioma, deep infiltrating endometriosis, and/or adenomyosis.

Conditions
Endometriosis
Being tested
Quinagolide 1080 µg, Placebo
Keywords
Endometrioma, Adenomyosis, Deep infiltrating endometriosis
Medical subject headings
Endometriosis, Adenomyosis

What participants receive

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

  • Quinagolide 1080 µgDrug

    Also called FE 999051

    Vaginal ring containing Quinagolide 1080 µg for daily releases

  • PlaceboDrug

    Matching placebo

Study groups in NCT03749109
Study groupRoleWhat they receive
Quinagolide 1080 µgExperimentalVaginal ring containing Quinagolide 1080 µg, with daily target release rate of 13.5 µg.
Receives: Drug: Quinagolide 1080 µg
PlaceboPlacebo comparatorVaginal ring containing matching placebo
Receives: Drug: Placebo

What is being measured

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

  1. Changes in the Sizes (mm) of Endometrioma, Deep Infiltrating Endometriosis (DIE) and Adenomyosis Lesions Summed by Type on Magnetic Resonance (MR) Images at Cycle 4

    The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.

    At screening, every measurable lesion (defined as ≥10 mm in size) of any type was recorded and was summed up by type for primary analysis.

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Secondary outcomes (45)
  1. Percentage of Changes in the Sizes of Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4

    The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  2. Proportion of Lesions by Type With a Decrease in a Size of ≥5 mm on MR Images at Cycle 4

    The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  3. Proportion of Subjects With a Lesion of Any Type Decreased in a Size of ≥5 mm on MR Images at Cycle 4

    The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  4. Number of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4

    The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  5. Changes in the Volumes (mm3) of Endometrioma and DIE Lesions Summed by Type on MR Images at Cycle 4

    The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  6. Changes in the Sizes of Endometrioma Assessed by Transvaginal Ultrasound (TVU) at Cycle 4

    Transvaginal ultrasound (TVU) will be performed, preferably by the same sonographer, at the screening visit and at end-of-treatment / cycle 4.

    Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)

  7. Changes in the Mean Individual and Total Symptom and Sign Severity of Scores of the Biberoglu and Behrman (B&B) Scale at Cycle 4

    B\&B scale is a used scale for endometriosis that consists of two parts, with the first part evaluating symptoms (i.e. different types of pain) and the second part evaluating physical signs.

    In the first part, the subject was asked to grade her pelvic pain (item A), dysmenorrhea (item B) and dyspareunia (item C) during the last menstrual cycle as none, mild, moderate or severe, corresponding to a score of 0-3.

    In the second part, the investigator graded the subject's pelvic tenderness (item D) and induration (item E) based on findings from a pelvic examination as none, mild, moderate or severe, corresponding to a score of 0-3.

    The total symptom and sign severity score was the sum of all five scores, i.e. A+B+C+D+E.

    The score can be between 0 and 15.

    Measured: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)

  8. Changes in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4

    Assessed by Subjects. NRS is a 11-point scale, with 0 indicating no pain and 10 indicating the worst imaginable pain.

    Subjects were asked to score the worst pain in relation to endometriosis / adenomyosis on the NRS based on a recall of their experiences during the following timeframes:

    • during the last menstrual cycle
    • during the menstrual period of the last menstrual cycle
    • during the non-menstrual period of the last menstrual cycle

    Measured: At baseline and at menstrual cycles 1 (~1 month), 2 (~2 months), 3 (~3 months) and 4 (~4 months)

  9. Changes in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4

    EHP-30 is a quality-of-life questionnaire. Score ranges from 0-100 and lower score denotes improvement.

    It consists of 30 questions measuring the frequency of the endometriosis impact on their quality of life during the past four weeks, with five options of never, rarely, sometimes, often and always.

    Measured: At baseline, at menstrual cycles 2 (~2 months) and 4 (~4 months)

  10. Changes in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)

    Assessed by subject self-reported answers to menstrual bleeding questions. The Menstrual Cycle Duration is shown.

    Measured: At baseline and at menstrual cycles 1 (~1 month), 2 (~2 months), 3 (~3 months) and 4 (~4 months)

  11. Changes in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)

    Assessed by subject self-reported answers to menstrual bleeding questions. The Menstrual Bleeding Duration is shown.

    Measured: At baseline and at menstrual cycles 1 (~1 month), 2 (~2 months), 3 (~3 months) and 4 (~4 months)

  12. Serum Levels of Prolactin During Cycle 1, at Cycles 2 and 4

    Assessed by blood sample collection

    Measured: Within 1-5 days post randomization, and at menstrual cycles 2 (~2 months) and 4 (~4 months)

  13. Serum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4

    Assessed by blood sample collection

    Measured: Within 1-5 days post randomization, and at menstrual cycles 2 (~2 months) and 4 (~4 months)

  14. Serum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4

    Assessed by blood sample collection

    Measured: Within 1-5 days post randomization, and at menstrual cycles 2 (~2 months) and 4 (~4 months)

  15. Plasma Concentrations of Quinagolide and Its Metabolites During Cycles 1 to 4

    Assessed by blood sample collection

    Measured: Within 1-5 days post randomization, within 7-14 days post randomization, and at menstrual cycles 1 (~1 month), 2 (~2 months), 3 (~3 months) and 4 (~4 months)

  16. Changes in Clinical Chemistry and Hematology Parameters: Hematocrit

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  17. Changes in Clinical Chemistry and Hematology Parameters: Hemaglobin

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  18. Changes in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular Hemoglobin

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  19. Changes in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular HGB Concentration

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  20. Changes in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular Volume

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  21. Changes in Clinical Chemistry and Hematology Parameters: Platelets

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  22. Changes in Clinical Chemistry and Hematology Parameters: Erythrocytes

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  23. Changes in Clinical Chemistry and Hematology Parameters: Leukocytes

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  24. Changes in Clinical Chemistry and Hematology Parameters: Alanine Aminotransferase

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  25. Changes in Clinical Chemistry and Hematology Parameters: Albumin

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  26. Changes in Clinical Chemistry and Hematology Parameters: Alkaline Phosphatase

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  27. Changes in Clinical Chemistry and Hematology Parameters: Aspartate Aminotransferase

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  28. Changes in Clinical Chemistry and Hematology Parameters: Bicarbonate

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  29. Changes in Clinical Chemistry and Hematology Parameters: Direct Bilirubin

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  30. Changes in Clinical Chemistry and Hematology Parameters: Bilirubin

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  31. Changes in Clinical Chemistry and Hematology Parameters: Calcium

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  32. Changes in Clinical Chemistry and Hematology Parameters: Chloride

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  33. Changes in Clinical Chemistry and Hematology Parameters: Cholesterol

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  34. Changes in Clinical Chemistry and Hematology Parameters: Creatinine

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  35. Changes in Clinical Chemistry and Hematology Parameters: Gamma Glutamyl Transferase

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  36. Changes in Clinical Chemistry and Hematology Parameters: Glucose

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  37. Changes in Clinical Chemistry and Hematology Parameters: Lactate Dehydrogenase

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  38. Changes in Clinical Chemistry and Hematology Parameters: Phosphate

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  39. Changes in Clinical Chemistry and Hematology Parameters: Potassium

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  40. Changes in Clinical Chemistry and Hematology Parameters: Sodium

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  41. Changes in Clinical Chemistry and Hematology Parameters: Protein

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  42. Changes in Clinical Chemistry and Hematology Parameters: Urate

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  43. Changes in Clinical Chemistry and Hematology Parameters: Urea Nitrogen

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  44. Proportion of Subjects With Markedly Abnormal Changes in Clinical Chemistry and Hematology Parameters

    Assessed by blood sample collection

    Measured: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

  45. Frequency and Intensity of Adverse Events

    Assessed by and Adverse Event Log completed by the Investigator

    Measured: From obtaining the informed consent to end of trial (up to 6 menstrual cycles ~ around 6 months, each cycle is approximately 28 days)

Timeline

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

  1. First posted21 Nov 2018
  2. Study start19 Aug 2019
  3. Primary completion21 Jun 2021
  4. Study completion18 Jul 2021

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
Double blind
Who is masked
Participant, Investigator
Enrolment
67 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03749109
Sponsor's protocol ID
000295
Acronym
QLARITY
Status last verified
Aug 2023
First submitted
19 Nov 2018
Last updated
7 Aug 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Pellicer A, Taylor HS, Alberich-Bayarri A, Liu Y, Gamborg M, Barletta KE, Pinton P, Heiser PW, Bagger YZ. Quinagolide vaginal ring for reduction of endometriotic lesions: Results from the QLARITY trial. Eur J Obstet Gynecol Reprod Biol. 2025 Jun;310:113946. doi: 10.1016/j.ejogrb.2025.113946. Epub 2025 Mar 30.

    PubMed 40188683

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Quinagolide 1080 µg in people with Endometriosis, run by Ferring Pharmaceuticals at 11 sites in 4 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 5 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 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in Italy, Germany, Poland, Denmark. 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 7 Sep 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?

Changes in the Sizes (mm) of Endometrioma, Deep Infiltrating Endometriosis (DIE) and Adenomyosis Lesions Summed by Type on Magnetic Resonance (MR) Images at Cycle 4 (time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)). 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 NCT03749109, 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 7 Aug 2023.

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