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
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
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
NCT ID
NCT01586364
First Posted
April 18, 2012
Last Updated
April 19, 2018
Sponsor
Shionogi
Collaborators
QuatRx Pharmaceuticals
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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