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Long-Term Safety of Ospemifene 60 mg Oral Daily Dose for the Treatment of Vulvar and Vaginal Atrophy (VVA) in Postmenopausal Women Without a Uterus

Primary Purpose

Atrophy, Vaginal Diseases

Status
Completed
Phase
Phase 3
Locations
Study Type
Interventional
Intervention
Ospemifene 60Mg Oral Tablet
Sponsored by
Shionogi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atrophy focused on measuring Menopausal symptoms, Vulvar and vaginal atrophy in menopausal women, Vaginal atrophy, Urogenital atrophy

Eligibility Criteria

40 Years - 80 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Postmenopausal women aged 40 to 80 years with a diagnosis of vulvar and vaginal atrophy (VVA) as assessed by vaginal pH, maturation index of vaginal smear, and self-reported symptoms at Baseline for Protocol 15-50310
  • Did not have a uterus
  • Met the inclusion and exclusion criteria for Protocol 15-50310
  • Had completed Protocol 15-50310 without any clinically significant abnormal findings at the end-of-study visit for Protocol 15-50310
  • Provided written informed consent to participate in the study and agreed to follow dosing instructions and complete all required study visits

Exclusion Criteria:

  • Had clinically significant abnormal findings at the Week 12 End of Study visit for Protocol 15-50310
  • Had any physical or mental condition which, in the opinion of the investigator, may have interfered with the subject's ability to comply with the study procedures

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Ospemifene 60 mg Oral Tablet

    Arm Description

    Participants will take one tablet of ospemifene 60 mg orally, once a day for 12 weeks.

    Outcomes

    Primary Outcome Measures

    Incidence of Adverse Events (AEs)
    Change From Baseline in Serum Lipid Levels at Visit 2
    Change From Baseline in Serum Lipid Levels at Visit 3
    Change From Baseline in Blood Pressure at Visit 2
    Systolic blood pressure (SBP), diastolic blood pressure (DBP)
    Change From Baseline in Pulse Rate at Visit 2
    Change From Baseline in Weight at Visit 2
    Change From Baseline in Body Mass Index (BMI) at Visit 2
    Change From Baseline in Blood Pressure at Visit 3
    Change From Baseline in Pulse Rate at Visit 3
    Change From Baseline in Weight at Visit 3
    Change From Baseline in BMI at Visit 3
    Change From Baseline in Visual Evaluation of Vagina at Visit 2
    Each of the categories in the table was assessed on a 4-point scale (0=None, 1=Mild, 2=Moderate, 3=Severe)
    Change From Baseline in Visual Evaluation of Vagina at Visit 3
    Each of the categories in the table was assessed on a 4-point scale (0=None, 1=Mild, 2=Moderate, 3=Severe)
    Assessment of Cervical Pap Smear Samples (if Cervix is Intact)
    Cervical Pap smear samples are used to evaluate: atypical squamous cells of undetermined significance (ASC-US), squamous intraepithelial lesions (SILs), intraepithelial lesions or malignancy, and reactive endocervical cells and/or metaplastic cells.
    Assessment of Breast Palpation at Visit 2
    Breast palpation was used to assess breast abnormalities.
    Assessment of Breast Palpation at Visit 3
    Breast palpation was used to assess breast abnormalities.
    Change From Baseline in Coagulation Parameters (Antithrombin Antigen, Protein C Antigen, Protein S Antigen) at Visit 2
    Change From Baseline in Activated Partial Thromboplastin Time (Plasma) at Visit 2
    Change From Baseline in Fibrinogen (Plasma) Levels at Visit 2
    Change From Baseline in Coagulation Parameters (Antithrombin Antigen, Protein C Antigen, Protein S Antigen) at Visit 3
    Change From Baseline in Activated Partial Thromboplastin Time (Plasma) at Visit 3
    Change From Baseline in Fibrinogen (Plasma) Levels at Visit 3
    Change From Baseline in Leukocyte, Lymphocyte, Monocyte and Platelet Count Levels at Visit 2
    Change From Baseline in Erythrocyte Levels at Visit 2
    Change From Baseline in Hemoglobin Levels at Visit 2
    Change From Baseline in Hematocrit and Red Blood Cell (RBC) Distribution Width at Visit 2
    Change From Baseline in Mean Corpuscular Volume (MCV) and Mean Platelet Volume (MPV) at Visit 2
    Change From Baseline in Leukocyte, Lymphocyte, Monocyte and Platelet Count Levels at Visit 3
    Change From Baseline in Erythrocyte Levels at Visit 3
    Change From Baseline in Hemoglobin Levels at Visit 3
    Change From Baseline in Hematocrit and RBC Distribution Width at Visit 3
    Change From Baseline in MCV and MPV at Visit 3
    Change From Baseline in Albumin and Total Protein Levels at Visit 2
    Change From Baseline in Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) and Creatine Kinase (CK) Levels at Visit 2
    Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and Blood Urea Nitrogen (BUN) Levels at Visit 2
    Change From Baseline in Albumin and Total Protein Levels at Visit 3
    Change From Baseline in ALT, AST and CK Levels at Visit 3
    Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and BUN Levels at Visit 3
    Change From Baseline in pH of Urine at Visit 2
    Change From Baseline in Specific Gravity of Urine at Visit 2
    Change From Baseline in pH of Urine at Visit 3
    Change From Baseline in Specific Gravity of Urine at Visit 3
    Change From Baseline in Estradiol (E2) Levels at Visit 2
    Change From Baseline in Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH) Levels at Visit 2
    Change From Baseline in Sex Hormone Binding Globulin (SHBG) Levels at Visit 2
    Change From Baseline in Testosterone Levels at Visit 2
    Change From Baseline in E2 Levels at Visit 3
    Change From Baseline in FSH and LH Levels at Visit 3
    Change From Baseline in SHBG Levels at Visit 3
    Change From Baseline in Testosterone Levels at Visit 3

    Secondary Outcome Measures

    Full Information

    First Posted
    April 18, 2012
    Last Updated
    April 19, 2018
    Sponsor
    Shionogi
    Collaborators
    QuatRx Pharmaceuticals
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01586364
    Brief Title
    Long-Term Safety of Ospemifene 60 mg Oral Daily Dose for the Treatment of Vulvar and Vaginal Atrophy (VVA) in Postmenopausal Women Without a Uterus
    Official Title
    Long-Term Safety of Ospemifene 60 mg Oral Daily Dose for the Treatment of Vulvar and Vaginal Atrophy (VVA) in Postmenopausal Women Without a Uterus: A 52-Week Open-Label Follow-Up to Protocol 15-50310
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    April 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    May 8, 2006 (Actual)
    Primary Completion Date
    November 21, 2008 (Actual)
    Study Completion Date
    December 22, 2008 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Shionogi
    Collaborators
    QuatRx Pharmaceuticals

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    The objective of the study was to assess the long-term safety of daily doses of ospemifene 60 mg in the treatment of vulvar and vaginal atrophy (VVA) in postmenopausal women without a uterus.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Atrophy, Vaginal Diseases
    Keywords
    Menopausal symptoms, Vulvar and vaginal atrophy in menopausal women, Vaginal atrophy, Urogenital atrophy

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 3
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    301 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Ospemifene 60 mg Oral Tablet
    Arm Type
    Experimental
    Arm Description
    Participants will take one tablet of ospemifene 60 mg orally, once a day for 12 weeks.
    Intervention Type
    Drug
    Intervention Name(s)
    Ospemifene 60Mg Oral Tablet
    Other Intervention Name(s)
    Osphena®
    Primary Outcome Measure Information:
    Title
    Incidence of Adverse Events (AEs)
    Time Frame
    Week 13 (Phone Contact) to Week 56 (Visit 4)
    Title
    Change From Baseline in Serum Lipid Levels at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Serum Lipid Levels at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Blood Pressure at Visit 2
    Description
    Systolic blood pressure (SBP), diastolic blood pressure (DBP)
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Pulse Rate at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Weight at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Body Mass Index (BMI) at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Blood Pressure at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Pulse Rate at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Weight at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in BMI at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Visual Evaluation of Vagina at Visit 2
    Description
    Each of the categories in the table was assessed on a 4-point scale (0=None, 1=Mild, 2=Moderate, 3=Severe)
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Visual Evaluation of Vagina at Visit 3
    Description
    Each of the categories in the table was assessed on a 4-point scale (0=None, 1=Mild, 2=Moderate, 3=Severe)
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Assessment of Cervical Pap Smear Samples (if Cervix is Intact)
    Description
    Cervical Pap smear samples are used to evaluate: atypical squamous cells of undetermined significance (ASC-US), squamous intraepithelial lesions (SILs), intraepithelial lesions or malignancy, and reactive endocervical cells and/or metaplastic cells.
    Time Frame
    Week 52 (Visit 3)
    Title
    Assessment of Breast Palpation at Visit 2
    Description
    Breast palpation was used to assess breast abnormalities.
    Time Frame
    Week 26 (Visit 2)
    Title
    Assessment of Breast Palpation at Visit 3
    Description
    Breast palpation was used to assess breast abnormalities.
    Time Frame
    Week 52 (Visit 3)
    Title
    Change From Baseline in Coagulation Parameters (Antithrombin Antigen, Protein C Antigen, Protein S Antigen) at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Activated Partial Thromboplastin Time (Plasma) at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Fibrinogen (Plasma) Levels at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Coagulation Parameters (Antithrombin Antigen, Protein C Antigen, Protein S Antigen) at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Activated Partial Thromboplastin Time (Plasma) at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Fibrinogen (Plasma) Levels at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Leukocyte, Lymphocyte, Monocyte and Platelet Count Levels at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Erythrocyte Levels at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Hemoglobin Levels at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Hematocrit and Red Blood Cell (RBC) Distribution Width at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Mean Corpuscular Volume (MCV) and Mean Platelet Volume (MPV) at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Leukocyte, Lymphocyte, Monocyte and Platelet Count Levels at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Erythrocyte Levels at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Hemoglobin Levels at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Hematocrit and RBC Distribution Width at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in MCV and MPV at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Albumin and Total Protein Levels at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) and Creatine Kinase (CK) Levels at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and Blood Urea Nitrogen (BUN) Levels at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Albumin and Total Protein Levels at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in ALT, AST and CK Levels at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and BUN Levels at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in pH of Urine at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Specific Gravity of Urine at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in pH of Urine at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Specific Gravity of Urine at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Estradiol (E2) Levels at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH) Levels at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Sex Hormone Binding Globulin (SHBG) Levels at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in Testosterone Levels at Visit 2
    Time Frame
    Baseline to Week 26 (Visit 2)
    Title
    Change From Baseline in E2 Levels at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in FSH and LH Levels at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in SHBG Levels at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)
    Title
    Change From Baseline in Testosterone Levels at Visit 3
    Time Frame
    Baseline to Week 52 (Visit 3)

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    40 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Postmenopausal women aged 40 to 80 years with a diagnosis of vulvar and vaginal atrophy (VVA) as assessed by vaginal pH, maturation index of vaginal smear, and self-reported symptoms at Baseline for Protocol 15-50310 Did not have a uterus Met the inclusion and exclusion criteria for Protocol 15-50310 Had completed Protocol 15-50310 without any clinically significant abnormal findings at the end-of-study visit for Protocol 15-50310 Provided written informed consent to participate in the study and agreed to follow dosing instructions and complete all required study visits Exclusion Criteria: Had clinically significant abnormal findings at the Week 12 End of Study visit for Protocol 15-50310 Had any physical or mental condition which, in the opinion of the investigator, may have interfered with the subject's ability to comply with the study procedures

    12. IPD Sharing Statement

    Learn more about this trial

    Long-Term Safety of Ospemifene 60 mg Oral Daily Dose for the Treatment of Vulvar and Vaginal Atrophy (VVA) in Postmenopausal Women Without a Uterus

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