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NCT05862272ClinicalTrials.gov

A Phase 3B Study to Evaluate Bone Mineral Density With Long-Term Use of Relugolix Combination Tablet in Women With Uterine Fibroids or Endometriosis

A Phase 3B, Single-Arm, Open-Label Study to Evaluate Bone Mineral Density With Long-Term Use of Relugolix Combination Tablet in Premenopausal Women With Heavy Menstrual Bleeding Associated With Uterine Fibroids or Moderate to Severe Pain Associated With Endometriosis

מגייסמקבל משתתפים כעת, לפי רשומת המרשם.
יצירת קשר עם המחקר

בקצרה

The purpose of this clinical trial to characterize changes in bone mineral density during continuous treatment with relugolix combination tablet for up to 48 months (4 years) and 1 year of post-treatment follow-up in premenopausal women with heavy menstrual bleeding…

שלב 3דרושים 1,000 משתתפים120 אתריםמדינה אחת

קטגוריות

רשום במרשם אחד

מחקר יחיד יכול להיות רשום בכמה מרשמים. אנו מציגים אותו פעם אחת ומקשרים לכל רשומה שברשותנו.

מידע הניסוי מוצג כפי שפורסם על ידי המרשם, בשפת המקור שלו.

מתעניינים במחקר הזה?

התחברות או צרו חשבון כדי לרשום את התעניינותכם ולעקוב אחר המחקר הזה.

How this study is set up

The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.

  • Present: Registered before enrolment beganFirst posted 2023-05-17; recorded start 2023-08-14
  • Present: Has a defined primary outcomeA primary outcome measure is listed in the record
  • Present: The primary outcome states a time frameThe primary outcome measure records a time frame
  • Not stated: Participants are not randomly assignedAllocation is recorded as non-randomised
  • Not stated: A comparison group is not stated in the registry recordThe record describes a single study arm
  • Not stated: Open label (no blinding)Masking is recorded as none (open label)
  • Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
  • Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
  • Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
  • Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
  • Present: Sponsor has 3 other studies in this databaseCounted from the lead sponsor named in the record (Sumitomo Pharma Switzerland GmbH)
  • Not stated: No posted results from this sponsor are in this database yetBased on the sponsor’s studies in this database
  • The record lists 2 conditions.
  • Lead sponsor type recorded as: industry.
  • Intervention regulatory context: investigational, within a phased regulatory pathway.

Trial stature

Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.

Methodological rigourEXPLORATORY

An exploratory-stage design for a phase 3 study, judged from its ClinicalTrials.gov record.

How this score is built
  • Randomised allocation0/20

    Allocation not stated in the record

  • Blinding0/20

    Open-label

  • Control arm0/15

    No comparator arm stated in the record

  • Primary-outcome specificity10/10

    Named primary outcome with a defined time frame

  • Endpoint type3/10

    Surrogate or intermediate endpoint (conservative default)

  • Multi-centre8/8

    Multi-centre: 120 sites

  • Data monitoring committee0/7

    No data monitoring committee stated

  • Prospective registration5/5

    Registered before the study start date

  • Protocol / SAP posted0/5

    No protocol or SAP posted to the registry

ScaleLARGE

A large study: 1,000 participants (target), run at 120 sites.

How this score is built
  • Enrolment30/40

    1,000 participants (target)

  • Site count23/25

    120 sites

  • Country count0/15

    Single country

  • Planned duration10/10

    Planned over about 86 months

  • Sponsor scale2/10

    Sumitomo Pharma Switzerland GmbH has led 4 trials in our corpus

Investigator standingUNKNOWN

We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.

How this score is built
  • Investigator standing0/100

    No investigator recorded in the registry for this trial

These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.

תקציר

The purpose of this clinical trial to characterize changes in bone mineral density during continuous treatment with relugolix combination tablet for up to 48 months (4 years) and 1 year of post-treatment follow-up in premenopausal women with heavy menstrual bleeding associated with uterine leiomyomas (fibroids) or with moderate-to-severe pain associated with endometriosis.

A prospective, single-arm, open-label, Phase 3B study to assess the effect of continuous 48 months (4 years) of treatment with relugolix combination tablet (relugolix 40 mg/estradiol \[E2\] 1 mg/norethindrone acetate \[NETA\] 0.5 mg) on bone mineral density in premenopausal women with heavy menstrual bleeding associated with uterine leiomyomas (fibroids) and premenopausal women with moderate to severe pain associated with endometriosis. Approximately 1000 women (500 with heavy menstrual bleeding associated with uterine fibroids and 500 with moderate to severe pain associated with endometriosis) will receive relugolix combination tablet, during which time BMD will be assessed by dual-energy X-ray absorptiometry every 6 months. A subset of participants will be eligible to enter this study following completion of 1 year of treatment with relugolix combination therapy in MVT-601-050 (NCT04756037; SERENE) and will complete 3 years of treatment under this protocol. Upon completion of 48 months (4 years) of treatment or after early termination of treatment, participants will enter a 1-year post-treatment follow-up period during which time bone mineral density will be assessed at Month 6 and Month 12 following treatment cessation.

מצבים רפואיים

  • Uterine Fibroids
  • Endometriosis

זכאות

זכאות
מיןנקבה
גילאים18 Years50 Years
מתנדבים בריאיםלא

זכאות כפי שנכתבה במרשם

Key Inclusion Criteria: * Is a premenopausal woman, 18 to 50 years of age (inclusive); * A diagnosis of uterine fibroids confirmed by imaging or review of medical records and reports heavy menstrual bleeding negatively affecting quality of life. or * A diagnosis of endometriosis that is associated with moderate to severe pain.; * If at risk of pregnancy is willing to avoid pregnancy for 4 years (the duration of the treatment period) using nonhormonal methods of contraception. * Has a negative serum pregnancy test at the screening visit and a negative urine pregnancy test at the allocation visit (or Month 12 if entering from MVT-601-050 \[NCT04756037; SERENE\]); * In good physical and mental health based on medical, surgical, and gynecological history as well as physical, gynecological, and breast examinations, clinical laboratory test results, and vital sign measurements; * Has a body mass index ≥ 18 kg/m\^2. Key Exclusion Criteria: * Has a weight or body habitus that exceeds the limit of the DXA scanner or has a condition that precludes an adequate DXA measurement at the lumbar spine or proximal femur * Has a DXA result demonstrating the following criteria at any anatomic site (lumbar spine, total hip, femoral neck): 1. For patients entering de novo a Z-score ≤ -1.5 or T-score ≤ -2.0 (if ≥ 40 years of age) 2. For patients entering from MVT-601-050 (NCT04756037; SERENE) a 12-month on-treatment DXA demonstrating Z-score ≤ -2.0, T-score ≤ -2.5 (if ≥ 40 years of age), or BMD loss ≥ 8% compared with pre-treatment baseline; * Screening 25-OH vitamin D level \< 12 ng/mL (patients with 25-OH vitamin D deficiency with levels ≥ 12 to \< 20 ng/mL are permitted if supplementing with vitamin D or if vitamin D supplementation is started in the screening period); * Has a history of or currently has Cushing's Syndrome, Rheumatoid Arthritis, metabolic bone disease, uncorrected hyperparathyroidism, Paget's disease of the bone, collagen vascular disease, Marfan's syndrome, Ehlers-Danlos syndrome (if confirmed on genetic testing or meets definitive criteria for hypermobility type), chronic kidney disease (CKD) stage 3 or greater with glomerular filtration rate (GFR) \< 60 mL/min/m2 using Modification of Diet in Renal Disease (MDRD) method, hyperprolactinemia, known pituitary adenoma, hyperthyroidism, anorexia nervosa, bulimia (within the last year), abnormal bone mineral metabolism (eg, hypophosphatemia). Patients whose hyperparathyroidism or hyperthyroidism has been successfully treated or whose hyperprolactinemia has been successfully treated are allowed; * History of low trauma (fragility) fracture. * Past history of use or current use of medication used to treat bone loss other than calcium and vitamin D preparations; * Prior use of depot-medroxyprogesterone acetate for a treatment period \> 2 years (if treatment occurred within the past 5 years) or prior use of GnRH agonist or antagonist for \> 12 months total (unless directly entering from MVT-601-050 \[NCT04756037; SERENE\]); * Malabsorptive disease (including, but not limited to, inflammatory bowel disease and gastric bypass surgery); * Current breast cancer, history of breast cancer or other hormone-sensitive malignancy, at increased risk for hormone-sensitive malignancy, or taking an aromatase inhibitor for breast cancer treatment or prevention * History of organ transplantation or history of bone marrow * BIRADS ≥ 3 Mammogram at entry (or within the past 6 months). * Has a known human immunodeficiency virus (HIV) infection or at high risk of contracting HIV * Has a current psychiatric disorder that would, in the investigator or medical monitor's opinion, impair the ability of the patient to participate in the study or would impair interpretation of their data. * Is currently using a hormonal intrauterine device or contraceptive implant, hormonal contraceptive, or other prohibited medication and is unwilling to discontinue this hormonal contraception

זכאות במשפטים פשוטים

הקריטריונים של רשומה זו טרם פורקו למשפטים נפרדים. טקסט המרשם שלמעלה שלם והוא הגרסה המחייבת.

תכנון המחקר

תכנון המחקר
סוג המחקרהתערבותי
שלבשלב 3
הקצאהלא רלוונטי
מודל ההתערבותSINGLE_GROUP
מטרה ראשיתTREATMENT
הסתרהNONE (0)
גיוסדרושים 1,000 משתתפים

נותן חסות ושותפים

  • Sumitomo Pharma Switzerland GmbH נותן חסות

זרועות והתערבויות

  • Relugolix Combination TabletEXPERIMENTAL

    Participants will receive relugolix combination therapy orally once daily for 48 months.

התערבויות

  • תרופה Relugolix Combination Tablet

    A fixed-dose combination tablet containing relugolix 40 mg, estradiol (E2) 1 mg, and norethindrone acetate (NETA) 0.5 mg.

מדדי תוצאה

  1. מדד תוצאה ראשוני

    Percent change from baseline in BMD (bone mineral density) at Month 48 on-treatment at lumbar spine (L1-L4) in women with uterine fibroids.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan.

    מסגרת זמן Baseline up to Month 48

  2. מדד תוצאה ראשוני

    Percent change from baseline in BMD at Month 48 on-treatment at lumbar spine (L1-L4) in women with endometriosis.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan.

    מסגרת זמן Baseline up to Month 48

  3. מדד תוצאה משני

    Percent change from baseline in BMD at Month 48 on-treatment at total hip and femoral neck in women with uterine fibroids.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan.

    מסגרת זמן Baseline up to Month 48

  4. מדד תוצאה משני

    Percent change from baseline in BMD at Month 48 on-treatment at total hip and femoral neck in women with endometriosis.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan.

    מסגרת זמן Baseline up to Month 48

  5. מדד תוצאה משני

    Percent change from baseline in BMD at Month 6, 12, 18, 24, 30, 36, and 42 on-treatment at the lumbar spine (L1-L4), total hip, and femoral neck in women with uterine fibroids.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.

    מסגרת זמן Baseline up to Month 6, 12, 18, 24, 30, 36, and 42

  6. מדד תוצאה משני

    Percent change from baseline in BMD at Month 6, 12, 18, 24, 30, 36, and 42 on-treatment at the lumbar spine (L1-L4), total hip, and femoral neck in women with endometriosis.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.

    מסגרת זמן Baseline up to Month 6, 12, 18, 24, 30, 36, and 42

  7. מדד תוצאה משני

    Percent change from baseline in BMD at Month 48 on-treatment at lumbar spine (L1-L4) in the overall study population.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.

    מסגרת זמן Baseline up to Month 48

  8. מדד תוצאה משני

    Percent change from baseline in BMD at Month 48 on-treatment at total hip and femoral neck in the overall study population.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.

    מסגרת זמן Baseline up to Month 48

  9. מדד תוצאה משני

    Percent change from baseline in BMD at Month 6, 12, 18, 24, 30, 36, and 42 on-treatment at the lumbar spine (L1-L4), total hip, and femoral neck in the overall study population.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.

    מסגרת זמן Baseline up to Month 6, 12, 18, 24, 30, 36, and 42

  10. מדד תוצאה משני

    Percent change from baseline in BMD at post-treatment follow-up (PTFU) Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in women with uterine fibroids.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.

    מסגרת זמן 6 months and 12 months post treatment

  11. מדד תוצאה משני

    Percent change from baseline in BMD at PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in women with endometriosis.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.

    מסגרת זמן 6 months and 12 months post treatment

  12. מדד תוצאה משני

    Percent change from last on-treatment BMD measurement to PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in women with uterine fibroids.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.

    מסגרת זמן 6 months and 12 months post treatment

  13. מדד תוצאה משני

    Percent change from last on-treatment BMD measurement to PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in women with endometriosis.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.

    מסגרת זמן 6 months and 12 months post treatment

  14. מדד תוצאה משני

    Percent change from baseline in BMD at PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in the overall study population.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.

    מסגרת זמן 6 months and 12 months post treatment

  15. מדד תוצאה משני

    Percent change from last on-treatment BMD measurement to PTFU Month 6 and PTFU Month 12 at the lumbar spine (L1-L4), total hip, and femoral neck in the overall study population.

    Assessed by dual-energy X-ray absorptiometry (DXA) scan at each designated time points.

    מסגרת זמן 6 months and 12 months post treatment

  16. מדד תוצאה משני

    Incidence of treatment-emergent serious adverse events, and non-serious adverse events leading to treatment discontinuation or withdrawal from the study during the 48 months of treatment.

    Safety analyses will be conducted by each safety population: 1) women with uterine fibroids, 2) women with endometriosis, and 3) overall population. The treatment-emergent period will be defined as the period of time from the date of the first dose of the study drug through 14 days after the last dose of study drug, or the date of initiation of another investigational agent or hormonal therapy affecting the hypothalamic-pituitary gonadal axis or surgical intervention for uterine fibroids or for endometriosis, whichever occurs first.

    מסגרת זמן Baseline up to Month 48

  17. מדד תוצאה משני

    Incidence and location of fractures during the 48 months on treatment and 12 months PTFU.

    Safety analyses will be conducted by each safety population: 1) women with uterine fibroids, 2) women with endometriosis, and 3) overall population. All adverse events will be coded to preferred term and system organ class using Medical Dictionary for Regulatory Activities (MedDRA) version 24.0 or higher. The incidence of fractures will also be summarized by anatomical sites and whether the fracture qualifies as a fragility fracture. A participant reporting the same adverse event more than once is counted once, and at the maximum severity or strongest relationship to study drug treatment when calculating incidence.

    מסגרת זמן Baseline up to Month 48 and 12 months post treatment

תאריכים

תאריכים
תאריך התחלה14 באוגוסט 2023 (בפועל)
סיום ראשוני1 ביולי 2029 (משוער)
סיום1 בספטמבר 2030 (משוער)
פורסם לראשונה17 במאי 2023 (בפועל)
עודכן לאחרונה6 באוגוסט 2025
התוצאות פורסמולא צוין ברשומת המרשם
המצב אומת לאחרונהיולי 2025

בפועל פירושו שהאירוע התרחש. משוער פירושו שנותן החסות צופה אותו. שתי המשמעויות שונות זו מזו.

מיקומים

120 אתרים מגייסים

United States

United States
מתקןעירמדינה או אזורמצב
AnnandaleAnnandaleVirginiaמגייס
ArlingtonArlingtonTexasמגייס
AtlantaAtlantaGeorgiaמגייס
AtlantaAtlantaGeorgiaמגייס
AuroraAuroraColoradoמגייס
AventuraAventuraFloridaמגייס
BaltimoreBaltimoreMarylandמגייס
Bay CityBay CityMichiganמגייס
BlufftonBlufftonSouth Carolinaמגייס
BurbankBurbankCaliforniaמגייס
Canoga ParkCanoga ParkCaliforniaמגייס
ChandlerChandlerArizonaמגייס
ChattanoogaChattanoogaTennesseeמגייס
ChicagoChicagoIllinoisמגייס
ChicagoChicagoIllinoisמגייס
CincinnatiCincinnatiOhioמגייס
ClevelandClevelandOhioמגייס
College ParkCollege ParkGeorgiaמגייס
ColumbusColumbusOhioמגייס
ColumbusColumbusOhioמגייס
CovingtonCovingtonLouisianaמגייס
DallasDallasTexasמגייס
DallasDallasTexasמגייס
DelandDeLandFloridaמגייס
Dearborn HeightsDearborn HeightsMichiganמגייס
DetroitDetroitMichiganמגייס
DublinDublinOhioמגייס
DurhamDurhamNorth Carolinaמגייס
EncinitasEncinitasCaliforniaמגייס
EnglewoodEnglewoodOhioמגייס
ErieEriePennsylvaniaמגייס
FayettevilleFayettevilleGeorgiaמגייס
Fort WorthFort WorthTexasמגייס
GalvestonGalvestonTexasמגייס
Grand IslandGrand IslandNebraskaמגייס
GreenvilleGreenvilleSouth Carolinaמגייס
Greenwood VillageGreenwood VillageColoradoמגייס
HialeahHialeahFloridaמגייס
HoustonHoustonTexasמגייס
HoustonHoustonTexasמגייס
HoustonHoustonTexasמגייס
HoustonHoustonTexasמגייס
Idaho FallsIdaho FallsIdahoמגייס
Idaho FallsIdaho FallsIdahoמגייס
InglewoodInglewoodCaliforniaמגייס
JacksonJacksonTennesseeמגייס
KissimmeeKissimmeeFloridaמגייס
Lake WorthLake WorthFloridaמגייס
LakewoodLakewoodColoradoמגייס
Las VegasLas VegasNevadaמגייס

70 אתרים נוספים מצוינים ברשומת המרשם.

מסמכי המחקר

לא צורפו מסמכים ברשומת מרשם זו.

שינויים לאורך זמן

לא נרשמו שינויים מאז שקלטנו רשומה זו לראשונה.

שינוי נרשם בכל פעם שנותן החסות מעדכן את רשומת המרשם. מצב, תאריכים, גיוס ואתרים מופיעים כאן ככל שהם משתנים.