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A Phase II/III Study of Efficacy and Safety of SHR7280 Tablets in Subjects With Menorrhagia With Uterine Fibroids

Primary Purpose

Uterine Fibroids With Menorrhagia

Status
Recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
SHR7280 tablets
SHR7280 tablets
PlaceboSHR7280 tablets blank preparation
Sponsored by
Jiangsu HengRui Medicine Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Uterine Fibroids With Menorrhagia

Eligibility Criteria

18 Years - 49 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. The informed consent has been signed and dated;
  2. Non-menopausal women between the ages of 18 and 49 (including 18 and 49);
  3. Single or multiple uterine fibroids were confirmed by ultrasound examination during screening, and the maximum diameter of at least one fibroid was ≥2 cm;
  4. Blood loss > 80 mL at least twice during screening;
  5. 3 months before screening, the subject's menstrual cycle is 21-38 days, and the period is no more than 14 days;
  6. The pregnancy test was negative on the day of screening visit and randomization;
  7. Human papillomavirus (HPV) testing should be added for subjects who have cervical cytology at the time of screening visit and whose TCT results are atypical squamous cells (ASC-US) of uncertain significance, or who test negative for high-risk HPV.

Exclusion Criteria:

  1. Pregnancy planning from signing informed consent to 6 months after completion of treatment;
  2. Excessive menstrual bleeding caused by other reasons;
  3. A history of depression or clinically significant depression;
  4. Have a history of drug abuse, drug dependence;
  5. History of smoking and alcohol abuse within 3 months prior to screening;
  6. A history of delivery, breastfeeding and miscarriage within 6 months prior to screening;
  7. Patients who received myomectomy, uterine artery embolization, or high intensity focused ultrasound (HIFU) ablation within 6 months before screening;
  8. Patients who underwent endometrial resection within 1 year prior to screening;
  9. Patients with severe infection (one organ or whole body infection caused by pathogenic microorganism, and failure or death of the organ or multiple organs caused by infection), severe trauma (ISS ≥16 points) or major surgery (grade III/IV surgery in Surgical Classification Catalogue) within 6 months prior to screening;
  10. Previous clinical major systemic disease, endocrine or metabolic abnormalities;
  11. Having past or current thromboembolic disease or having a risk factor for thromboembolic disease;
  12. Previous history of malignant tumors such as ovary, breast, uterus, liver, hypothalamus and pituitary gland;Known or suspected sex hormone-dependent malignancies;
  13. Any pre-existing disease or symptom (e.g., chronic intestinal disease, Crohn's disease, ulcerative colitis) that may affect systemic functioning of the body and may affect absorption, excessive accumulation, metabolism, or change the excretion pattern of the test drug;
  14. Persons with prior known serious mental illness or inability to understand the purpose, methods, etc. of the clinical trial, and who did not follow the study procedures;
  15. Live (attenuated) vaccine (other than influenza vaccine) received within 1 month prior to screening or planned during the trial;
  16. A history of Novel coronavirus infection and the subject has persistent symptoms;
  17. Contact with patients with abnormal nucleic acid test of novel Coronavirus within 4 weeks prior to screening;
  18. Other reasons that the investigator considered inappropriate for participation in the study.
  19. Follicle-stimulating hormone (FSH) ≥25U/L during screening;
  20. Hb < 6 g/dL during screening;
  21. Moderate to severe liver impairment during screening, including aspartate aminotransferase (AST), alanine aminotransferase (ALT), or bilirubin (unless Gilbert's diagnosis is known) ≥2.0 times the upper limit of the reference range;
  22. During screening, endometrial biopsy should be performed if endometrial thickness > 18 mm is indicated by gynecological ultrasound or if the investigator deems it necessary. Endometrial histological abnormalities (such as endometrial hyperplasia, endometrial precancerous lesions, etc.) indicated by endometrial biopsy should be performed (only in the first stage).
  23. Active pelvic inflammatory disease (PID) during screening;
  24. QTcF≥450ms during screening;
  25. Infectious disease screening (including hepatitis B virus surface antigen, hepatitis C virus antibody, human immunodeficiency virus antibody, treponema pallidum antibody) results are positive; 26、6 months before enrollment, endometrial biopsy revealed significant endometrial histological abnormalities (such as endometrial hyperplasia, endometrial precancerous lesions, etc.);If the subject has no sexual life history or the investigator determines that it is not necessary, the subject may be exempted (stage 2 only);

27、Two or more blood transfusions within 9 months prior to enrollment, or requiring transfusion therapy within 2 months prior to enrollment, or having any condition requiring immediate transfusion; 28、1 month before admission, she used any drugs that inhibited or induced liver metabolism of drugs (liver drug enzyme inhibitors such as chloramphenicol, allopurinol,ketoconazole, fluoroquinolones, etc., and liver drug enzyme inducers such as carbamazepine, dexamethasone, phenobarbital, phenytoin sodium, rifamequine); 29、Participants in and enrolled in clinical trials of any drug or medical device within 3 months prior to enrollment, or who were still in the follow-up period of a clinical study or within 5 half-lives of the tested drug prior to screening, whichever is longer.

Sites / Locations

  • Peking University First HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Treatment group A: SHR7280 tablets

Treatment group B:SHR7280 tablets

Treatment group C:Intervention: Drug: PlaceboSHR7280 tablets blank preparation

Arm Description

Outcomes

Primary Outcome Measures

Phase one:Percentage of subjects with menstrual bleeding < 80 mL and a reduction of ≥50% from baseline
Phase two:Percentage of subjects with menstrual bleeding < 80 mL and a reduction of ≥50% from baseline

Secondary Outcome Measures

Percentage of subjects with menstrual bleeding < 80 mL and a reduction of ≥50% from baseline(Phase one)
percentage of subjects without menstrual bleeding or spotting (Phase one)
Changes in hemoglobin concentration from baseline(Phase one)
Changes in uterine volume and maximum fibroid volume from baseline(Phase one)
patient global impression of change scale evaluation,The minimum is 1, the maximum is 7, and higher scores mean worse results(Phase one)
Changes in uterine fibroid symptoms from baseline(Phase one)
Changes in health related Quality of Life Questionnaire (UFS-QOL) scores from baseline,The minimum is 37 and the maximum is 185, with higher scores indicating worse results(Phase one)
Number of Participants with Adverse events(Phase one)
The interval between stopping the medication and resuming menstruation(Phase one)
The amount of menstrual bleeding when the medication was stopped until menstruation resumed(Phase one)
Number of days of menstruation from the time of discontinuation of the medication to the time of resumption of menstruation(Phase one)
SHR7280 concentration in plasma(Phase one)
Serum concentrations of estradiol, luteinizing hormone, follicle stimulating hormone and progesterone(Phase one)
Percentage of subjects with menstrual bleeding < 80 mL and a reduction of ≥50% from baseline(Phase two)
Changes in menstrual bleeding from baseline were assessed using the Alkaline hematin method (AH)(Phase two)
percentage of subjects without menstrual bleeding or spotting (Phase two)
change in Hb concentration from baseline (Phase two)
Changes in uterine volume and maximum fibroid volume from baseline(Phase two)
patient global impression of change scale evaluation,The minimum is 1, the maximum is 7, and higher scores mean worse results(Phase two)
Changes in health related Quality of Life Questionnaire (UFS-QOL) scores from baseline,The minimum is 37 and the maximum is 185, with higher scores indicating worse results(Phase two)
Number of Participants with Adverse events(Phase two)
The interval between stopping the medication and resuming menstruation(Phase two)
The amount of menstrual bleeding when the medication was stopped until menstruation resumed(Phase two)
Number of days of menstruation from the time of discontinuation of the medication to the time of resumption of menstruation(Phase two)
plasma SHR7280 concentration data(Phase two)
serum E2, LH, FSH and P concentrations at each point of view(Phase two)

Full Information

First Posted
June 16, 2022
Last Updated
June 30, 2023
Sponsor
Jiangsu HengRui Medicine Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05442827
Brief Title
A Phase II/III Study of Efficacy and Safety of SHR7280 Tablets in Subjects With Menorrhagia With Uterine Fibroids
Official Title
A Multicenter, Randomized, Double-blind, Parallel Group, Placebo-controlled Phase II/III Clinical Study to Explore the Optimal Therapeutic Dose of SHR7280 Tablets and the Efficacy and Safety of SHR7280 Tablets in Subjects With Menorrhagia for Uterine Fibroids
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Recruiting
Study Start Date
September 10, 2022 (Actual)
Primary Completion Date
June 1, 2026 (Anticipated)
Study Completion Date
June 1, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jiangsu HengRui Medicine Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
Phase II:To explore the optimal effective dose of SHR7280 tablets in subjects with menorrhagia with uterine fibroids as a phase III treatment dose. Phase III:To evaluate the efficacy of the selected dose of SHR7280 compared with placebo in reducing menstrual bleeding in subjects with menorrhagic uterine fibroids in phase II studies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Uterine Fibroids With Menorrhagia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Model Description
Phase one:300mg/400mgSHR7280 tablets were compared with placebo Phase two:SHR7280 monotherapy group, SHR7280 reverse therapy group and placebo group were controlled
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
396 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Treatment group A: SHR7280 tablets
Arm Type
Experimental
Arm Title
Treatment group B:SHR7280 tablets
Arm Type
Experimental
Arm Title
Treatment group C:Intervention: Drug: PlaceboSHR7280 tablets blank preparation
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
SHR7280 tablets
Intervention Description
SHR7280 tablets 300mg for 12 weeks
Intervention Type
Drug
Intervention Name(s)
SHR7280 tablets
Intervention Description
SHR7280 tablets 400mg for 12 weeks
Intervention Type
Drug
Intervention Name(s)
PlaceboSHR7280 tablets blank preparation
Intervention Description
Placebo group: SHR7280 tablets blank preparation for 12 weeks
Primary Outcome Measure Information:
Title
Phase one:Percentage of subjects with menstrual bleeding < 80 mL and a reduction of ≥50% from baseline
Time Frame
After treatment at week 12
Title
Phase two:Percentage of subjects with menstrual bleeding < 80 mL and a reduction of ≥50% from baseline
Time Frame
After treatment at week 24
Secondary Outcome Measure Information:
Title
Percentage of subjects with menstrual bleeding < 80 mL and a reduction of ≥50% from baseline(Phase one)
Time Frame
The treatment ended at week 4 and 8
Title
percentage of subjects without menstrual bleeding or spotting (Phase one)
Time Frame
The treatment ended at week 4, 8 and 12
Title
Changes in hemoglobin concentration from baseline(Phase one)
Time Frame
The treatment ended at week 4, 8 and 12
Title
Changes in uterine volume and maximum fibroid volume from baseline(Phase one)
Time Frame
The treatment ended at week 8 and 12
Title
patient global impression of change scale evaluation,The minimum is 1, the maximum is 7, and higher scores mean worse results(Phase one)
Time Frame
The treatment ended at week 12
Title
Changes in uterine fibroid symptoms from baseline(Phase one)
Time Frame
The treatment ended at week 12
Title
Changes in health related Quality of Life Questionnaire (UFS-QOL) scores from baseline,The minimum is 37 and the maximum is 185, with higher scores indicating worse results(Phase one)
Time Frame
The treatment ended at week 12
Title
Number of Participants with Adverse events(Phase one)
Time Frame
Stage ⅱ ended, about 30 weeks
Title
The interval between stopping the medication and resuming menstruation(Phase one)
Time Frame
Stage ⅱ ended, about 30 weeks
Title
The amount of menstrual bleeding when the medication was stopped until menstruation resumed(Phase one)
Time Frame
Stage ⅱ ended, about 30 weeks
Title
Number of days of menstruation from the time of discontinuation of the medication to the time of resumption of menstruation(Phase one)
Time Frame
Stage ⅱ ended, about 30 weeks
Title
SHR7280 concentration in plasma(Phase one)
Time Frame
Before and at week 4, 8 and 12 after administration
Title
Serum concentrations of estradiol, luteinizing hormone, follicle stimulating hormone and progesterone(Phase one)
Time Frame
Before and at week 4, 8 and 12 after administration
Title
Percentage of subjects with menstrual bleeding < 80 mL and a reduction of ≥50% from baseline(Phase two)
Time Frame
At the end of weeks 4,8,12,16,20,28,32,36,40,44,48,52
Title
Changes in menstrual bleeding from baseline were assessed using the Alkaline hematin method (AH)(Phase two)
Time Frame
At the end of weeks 4,8,12,16,20,24,28,32,36,40,44,48,52
Title
percentage of subjects without menstrual bleeding or spotting (Phase two)
Time Frame
Weeks 4,8,12,16,20,24,28,32,36,40,44,48,52
Title
change in Hb concentration from baseline (Phase two)
Time Frame
The treatment ended at 4, 8, 12, 16, 20, 24, 36, 44, 52 weeks
Title
Changes in uterine volume and maximum fibroid volume from baseline(Phase two)
Time Frame
The treatment ended at weeks 12, 24, and 52
Title
patient global impression of change scale evaluation,The minimum is 1, the maximum is 7, and higher scores mean worse results(Phase two)
Time Frame
The treatment ended at weeks 12, 24, and 52
Title
Changes in health related Quality of Life Questionnaire (UFS-QOL) scores from baseline,The minimum is 37 and the maximum is 185, with higher scores indicating worse results(Phase two)
Time Frame
The treatment ended at weeks 12, 24, and 52
Title
Number of Participants with Adverse events(Phase two)
Time Frame
Stage ⅲ ended at about 74 weeks
Title
The interval between stopping the medication and resuming menstruation(Phase two)
Time Frame
Stage ⅲ ended at about 74 weeks
Title
The amount of menstrual bleeding when the medication was stopped until menstruation resumed(Phase two)
Time Frame
Stage ⅲ ended at about 74 weeks
Title
Number of days of menstruation from the time of discontinuation of the medication to the time of resumption of menstruation(Phase two)
Time Frame
Stage ⅲ ended at about 74 weeks
Title
plasma SHR7280 concentration data(Phase two)
Time Frame
Treatment ended at 4, 24, 36, 52 weeks before administration
Title
serum E2, LH, FSH and P concentrations at each point of view(Phase two)
Time Frame
Treatment was completed at 4, 8, 12, 16, 20, 24, 36, 44, 52 weeks before administration

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
49 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The informed consent has been signed and dated; Non-menopausal women between the ages of 18 and 49 (including 18 and 49); Single or multiple uterine fibroids were confirmed by ultrasound examination during screening, and the maximum diameter of at least one fibroid was ≥2 cm; Heavy menstrual bleeding measured by the alkaline hematin method during screening; 3 months before screening, the subject's menstrual cycle is 21-38 days, and the period is no more than 14 days; The pregnancy test was negative on the day of screening visit and randomization; Human papillomavirus (HPV) testing should be added for subjects who have cervical cytology at the time of screening visit and whose TCT results are atypical squamous cells (ASC-US) of uncertain significance, or who test negative for high-risk HPV. Exclusion Criteria: Excessive menstrual bleeding and anemia caused by other reasons; A history of depression or clinically significant depression; Have a history of drug abuse, drug dependence; History of smoking and alcohol abuse within 3 months prior to screening; A history of delivery, breastfeeding and miscarriage within 6 months prior to screening; Patients who received myomectomy within 3 months before screening, and patients who received uterine artery embolization, or high intensity focused ultrasound (HIFU) ablation within 6 months before screening; Patients who underwent endometrial resection within 1 year prior to screening; Patients with severe infection (one organ or whole body infection caused by pathogenic microorganism, and failure or death of the organ or multiple organs caused by infection), severe trauma (ISS ≥16 points) or major surgery (grade III/IV surgery in Surgical Classification Catalogue) within 6 months prior to screening; Previous clinical major systemic disease, endocrine or metabolic abnormalities; Having past or current thromboembolic disease or having a risk factor for thromboembolic disease (stage 2 only); Previous history of malignant tumors such as ovary, breast, uterus, liver, hypothalamus and pituitary gland;Known or suspected sex hormone-dependent malignancies; Any pre-existing disease or symptom (e.g., chronic intestinal disease, Crohn's disease, ulcerative colitis) that may affect systemic functioning of the body and may affect absorption, excessive accumulation, metabolism, or change the excretion pattern of the test drug; Persons with prior known serious mental illness or inability to understand the purpose, methods, etc. of the clinical trial, and who did not follow the study procedures; Live (attenuated) vaccine (other than influenza vaccine) received within 1 month prior to screening or planned during the trial; Other reasons that the investigator considered inappropriate for participation in the study. Follicle-stimulating hormone (FSH) ≥25U/L during screening; Hb < 6 g/dL during screening; Moderate to severe liver impairment during screening, including aspartate aminotransferase (AST), alanine aminotransferase (ALT), or bilirubin (unless Gilbert's diagnosis is known) ≥2.0 times the upper limit of the reference range; During screening, endometrial biopsy should be performed if endometrial thickness > 18 mm is indicated by gynecological ultrasound or if the investigator deems it necessary. Endometrial histological abnormalities indicated by endometrial biopsy should be performed (only in the first stage). Active pelvic inflammatory disease (PID) during screening; QTcF≥450ms during screening; Infectious disease screening resultshave clinical significance; 6 months before enrollment, endometrial biopsy revealed significant endometrial histological abnormalities;If the subject has no sexual life history or the investigator determines that it is not necessary, the subject may be exempted (stage 2 only); Two or more blood transfusions within 9 months prior to enrollment, or requiring transfusion therapy within 2 months prior to enrollment, or having any condition requiring immediate transfusion; 1 month before admission, she used any drugs that inhibited or induced liver metabolism of drugs (liver drug enzyme inhibitors such as chloramphenicol, allopurinol,ketoconazole, fluoroquinolones, etc., and liver drug enzyme inducers such as carbamazepine, dexamethasone, phenobarbital, phenytoin sodium, rifamequine); Participants in and enrolled in clinical trials of any drug or medical device within 3 months prior to enrollment, or who were still in the follow-up period of a clinical study or within 5 half-lives of the tested drug prior to screening, whichever is longer.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Zhenyi Zhu
Phone
0518-82342973
Email
zhenyi.zhu@hengrui.com
Facility Information:
Facility Name
Peking University First Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100034
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yingfang Zhou
First Name & Middle Initial & Last Name & Degree
Chao Peng

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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A Phase II/III Study of Efficacy and Safety of SHR7280 Tablets in Subjects With Menorrhagia With Uterine Fibroids

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