Back to resultsA Pharmacodynamic Study of Leuprorelin Gelatin-Free Formulation in Female Subjects With Uterine Fibroids.
Primary Purpose
Uterine Fibroids
Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Leuprorelin (GF)
Leuprorelin (GC)
Sponsored by
About this trial
This is an interventional treatment trial for Uterine Fibroids focused on measuring Leiomyoma, Uterine Fibroids, Drug Therapy, Uterine Neoplasms, Fibroid Tumor
Eligibility Criteria
Inclusion Criteria:
- Female patients with measurable uterine fibroids confirmed by vaginal or abdominal ultrasound, deemed otherwise healthy.
- A body mass index in the range 18 to 28.
- Oestradiol, progesterone, luteinizing hormone and follicle stimulating hormone results within the range of normal ovarian function.
- Regular menstruation (except for symptoms of fibroids).
- Females of childbearing potential who are sexually active must agree to use barrier contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study.
Exclusion Criteria:
- Acute pelvioperitonitis, ovarian cysts, persistent corpus luteum.
- History of bilateral oophorectomy, hysterectomy, or hypophysectomy.
- Clinically relevant abnormal history, physical findings, or laboratory values at the pre-study screening assessment that could interfere with the objectives of the study or the safety of the patient.
- Presence of acute or chronic illness or history of chronic illness sufficient to invalidate the patient participation in the study or make it unnecessarily hazardous.
- Impaired endocrine, thyroid, hepatic, respiratory or renal function, diabetes mellitus, coronary heart disease, or history of any psychotic mental illness.
- Presence or history of severe adverse reaction to any drug.
- Participation in other clinical studies of a new chemical entity or a prescription medicine within the previous 3 months.
- Presence or history of drug or alcohol abuse, or smoking of more than 10 cigarettes daily.
- Evidence of drug abuse on urine testing.
- Positive test for hepatitis B, hepatitis C, human immune deficiency virus 1 or human immune deficiency virus 2.
- Severe bleedings from fibroids.
- Anemia (hemoglobin less than 11 g/dL), loss of more than 400 mL blood during the 3 months before the study.
- Use of oral contraceptives or other estrogen containing medication, progestins, danazol, progesterone antagonists, antiandrogens, steroids or gonadotropins which might affect sex steroid production or activity or assay (e.g. norethindrone) within 30 days prior to study enrolment.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Leuprorelin (GF)
Leuprorelin (GC)
Arm Description
Outcomes
Primary Outcome Measures
Percentage of measured E2 (17β-estradiol) Serum Concentrations less than or equal to 30 pg/mL.
Secondary Outcome Measures
Time course of E2 (17β-estradiol) Serum Concentration levels.
Time course of E2 (17β-estradiol) Serum Concentrations less than or equal to 30 pg/mL.
Rate of E2 (17β-estradiol) Serum Concentration levels less than or equal to 50, 40 and 30 ng/dL.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00776074
Brief Title
A Pharmacodynamic Study of Leuprorelin Gelatin-Free Formulation in Female Subjects With Uterine Fibroids.
Official Title
3 Months, Open-Label, Parallel-Group Study of the Pharmacodynamics, Pharmacokinetics and Safety of TAP-144SR 1-month Depot Gelatin-Free vs. Gelatin-Containing Formulation in Female Patients With Uterine Fibroids
Study Type
Interventional
2. Study Status
Record Verification Date
June 2010
Overall Recruitment Status
Completed
Study Start Date
June 2006 (undefined)
Primary Completion Date
July 2007 (Actual)
Study Completion Date
July 2007 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
Takeda
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine the pharmacodynamics of leuprorelin gelatin free formulation (GF) to leuprorelin gelatin containing formulation (GC) in female subjects with uterine fibroids.
Detailed Description
Gonadotropin-releasing hormone, also called luteinizing hormone releasing hormone, is a neuropeptide hormone released from the hypothalamus. Gonadotropin-releasing hormone binds to specific gonadotropin-releasing hormone receptors in the cell membrane of pituitary gland cells, inducing the cells to produce and release the gonadotropins: luteinizing hormone and follicle-stimulating hormone. Luteinizing hormone and follicle-stimulating hormone are released into the general circulation and stimulate the gonads to produce and release the sex steroids: testosterone and estrogen. Follicle-stimulating hormone also controls gametogenesis.
Suppression of gonadotropin secretion is an effective treatment for conditions such as prostate cancer, endometriosis and central precocious puberty, because these conditions respond to manipulation of the sex steroids. Suppression of gonadotropin secretion can be achieved by administration of gonadotropin-releasing hormone agonists that, after an initial transient stimulation of gonadotropin release, reversibly desensitize pituitary gonadotropin-releasing hormone receptors. Desensitization is thought to occur by down-regulation of the numbers of gonadotropin-releasing hormone receptors and uncoupling of the receptors from the biochemical pathway that leads to gonadotropin release. Termination of gonadotropin-releasing hormone agonist administration reverses the desensitization, and gonadotropin and sex hormone levels return to normal.
There are several marketed gonadotropin-releasing hormone agonists, one of which is TAP-144 (leuprorelin), an active synthetic nonapeptide gonadotropin-releasing hormone analogue. In the present study, the existing leuprorelin 1- month sustained release formulation will be compared with a new gelatin-free 1-month sustained release formulation.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Uterine Fibroids
Keywords
Leiomyoma, Uterine Fibroids, Drug Therapy, Uterine Neoplasms, Fibroid Tumor
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
80 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Leuprorelin (GF)
Arm Type
Experimental
Arm Title
Leuprorelin (GC)
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Leuprorelin (GF)
Other Intervention Name(s)
Leuplin, Enantone, Trenantone, TAP-144SR
Intervention Description
Leuprorelin (GF) 3.75 mg injection, subcutaneously, once every 4 weeks for up to 12 weeks.
Intervention Type
Drug
Intervention Name(s)
Leuprorelin (GC)
Other Intervention Name(s)
Leuplin, Enantone, Trenantone, TAP-144SR
Intervention Description
Leuprorelin (GC) 3.75 mg injection, subcutaneously, once every 4 weeks for up to 12 weeks.
Primary Outcome Measure Information:
Title
Percentage of measured E2 (17β-estradiol) Serum Concentrations less than or equal to 30 pg/mL.
Time Frame
Weeks 5 through Final Visit.
Secondary Outcome Measure Information:
Title
Time course of E2 (17β-estradiol) Serum Concentration levels.
Time Frame
At all Visits.
Title
Time course of E2 (17β-estradiol) Serum Concentrations less than or equal to 30 pg/mL.
Time Frame
Week 5 through Final Visit.
Title
Rate of E2 (17β-estradiol) Serum Concentration levels less than or equal to 50, 40 and 30 ng/dL.
Time Frame
At all Visits.
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Female patients with measurable uterine fibroids confirmed by vaginal or abdominal ultrasound, deemed otherwise healthy.
A body mass index in the range 18 to 28.
Oestradiol, progesterone, luteinizing hormone and follicle stimulating hormone results within the range of normal ovarian function.
Regular menstruation (except for symptoms of fibroids).
Females of childbearing potential who are sexually active must agree to use barrier contraception, and can neither be pregnant nor lactating from Screening throughout the duration of the study.
Exclusion Criteria:
Acute pelvioperitonitis, ovarian cysts, persistent corpus luteum.
History of bilateral oophorectomy, hysterectomy, or hypophysectomy.
Clinically relevant abnormal history, physical findings, or laboratory values at the pre-study screening assessment that could interfere with the objectives of the study or the safety of the patient.
Presence of acute or chronic illness or history of chronic illness sufficient to invalidate the patient participation in the study or make it unnecessarily hazardous.
Impaired endocrine, thyroid, hepatic, respiratory or renal function, diabetes mellitus, coronary heart disease, or history of any psychotic mental illness.
Presence or history of severe adverse reaction to any drug.
Participation in other clinical studies of a new chemical entity or a prescription medicine within the previous 3 months.
Presence or history of drug or alcohol abuse, or smoking of more than 10 cigarettes daily.
Evidence of drug abuse on urine testing.
Positive test for hepatitis B, hepatitis C, human immune deficiency virus 1 or human immune deficiency virus 2.
Severe bleedings from fibroids.
Anemia (hemoglobin less than 11 g/dL), loss of more than 400 mL blood during the 3 months before the study.
Use of oral contraceptives or other estrogen containing medication, progestins, danazol, progesterone antagonists, antiandrogens, steroids or gonadotropins which might affect sex steroid production or activity or assay (e.g. norethindrone) within 30 days prior to study enrolment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Takeda Pharma Gmbh, Aachen (Germany)
Official's Role
Study Director
12. IPD Sharing Statement
Learn more about this trial
A Pharmacodynamic Study of Leuprorelin Gelatin-Free Formulation in Female Subjects With Uterine Fibroids.
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