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Assess Safety and Efficacy of Vilaprisan in Patients With Uterine Fibroids (ASTEROID 2)

Primary Purpose

Leiomyoma

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Vilaprisan (BAY1002670)
Vilaprisan (BAY1002670
Vilaprisan (BAY1002670
Vilaprisan (BAY1002670)
Ulipristal
Ulipristal
Ulipristal
Sponsored by
Bayer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Leiomyoma focused on measuring Uterine fibroids, Heavy Menstrual Bleeding

Eligibility Criteria

18 Years - 50 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Women, 18 to 50 years of age at the time of screening
  • Diagnosis of uterine fibroid(s) documented by transvaginal or abdominal ultrasound at screening with at least 1 fibroid with largest diameter >/=3.0 cm
  • Heavy menstrual bleeding (HMB) >80 mL documented by menstrual pictogram (MP) in a bleeding episode during the screening period. Women who did not suffer from perceived HMB during the 3 months prior to Visit 1 due to any effective medical treatment, e.g. with a hormonal contraceptive, are not considered appropriate candidates and should not undergo further screening procedures. Women suffering from perceived HMB despite medical treatment, e.g. with a hormonal contraceptive, are appropriate candidates for further screening, if rules on stopping prior medication are followed. Heavy menstrual bleeding /HMB) > 80 mL should be documented within 10 consecutive days.
  • Good general health (except for findings related to uterine fibroids) as proven by medical history, physical and gynecological examinations, and laboratory test results
  • Normal or clinically insignificant cervical smear not requiring further follow-up. Human papilloma virus (HPV) testing in subjects with atypical squamous cells of undetermined significance (ASCUS) can be used as an adjunctive test. Subjects with ASCUS can be included if they are negative for high-risk HPV strains.
  • An endometrial biopsy performed during the screening period, without significant histological disorder such as endometrial hyperplasia (including simple hyperplasia) or other significant endometrial pathology.
  • Use of an acceptable nonhormonal method of contraception (i.e. either male condom, cap, diaphragm or sponge, each in combination with spermicide) starting at the bleeding episode following the screening visit 1 (Visit 1) until the end of the study. This is not required if safe contraception is achieved by a permanent method, such as bilateral fallopian tube blockage of the subject or vasectomy of the partner(s).

Exclusion Criteria:

  • Pregnancy or lactation (less than 3 months since delivery, abortion, or lactation before start of treatment)
  • Uterine fibroid with largest diameter >10.0 cm
  • Hypersensitivity to any ingredient of the study drugs
  • Hemoglobin values </= 6 g/dL or any condition requiring immediate blood transfusion (subjects with hemoglobin values </=10.9 g/dL will be offered iron supplementation).
  • Any diseases or conditions that can compromise the function of the body systems and could result in altered absorption, excessive accumulation, impaired metabolism, or altered excretion of the study drug
  • Any diseases or conditions that might interfere with the conduct of the study or the interpretation of the results
  • Abuse of alcohol, drugs, or medicines (e.g. laxatives)
  • Use of other treatments that might interfere with the conduct of the study or the interpretation of the results
  • Undiagnosed abnormal genital bleeding.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Active Comparator

Active Comparator

Active Comparator

Arm Label

Arm 1 - BAY1002670 + BAY1002670

Arm 2 - Placebo + BAY1002670

Arm 3 - BAY1002670 + BAY1002670

Arm 4 - Placebo+BAY1002670

Arm 5 - Ulipristal + Ulipristal

Arm 6- Placebo + Ulipristal

Arm 7- Ulipristal + Placebo

Arm Description

Vilaprisan (BAY1002670) 2 mg once daily (12 weeks), Vilaprisan 2 mg once daily (12 weeks)

Placebo once daily (12 weeks), Vilaprisan 2 mg once daily (12 weeks)

Vilaprisan 2 mg once daily (12 weeks), treatment break, Vilaprisan 2 mg once daily (12 weeks)

Placebo once daily (12 weeks), treatment break, Vilaprisan 2 mg once daily(12 weeks)

Ulipristal 5 mg once daily (12 weeks), treatment break, Ulipristal 5 mg once daily (12 weeks)

Placebo once daily (12 weeks), treatment break, Ulipristal 5 mg once daily (12 weeks)

Ulipristal 5 mg once daily (12 weeks), treatment break, Placebo once daily (12 weeks)

Outcomes

Primary Outcome Measures

Amenorrhea (yes/no)
Defined as no scheduled or unscheduled bleeding/spotting after end of the initial bleeding episode until the end of the respective treatment period.

Secondary Outcome Measures

Number of bleeding days
Time to onset of controlled bleeding
Percent change in volume of largest fibroid from baseline to end of treatment.
Endometrial histology
(Frequency of the following categories: benign endometrium, endometrial hyperplasia, malignant neoplasm)
Endometrial thickness measured by transvaginal ultrasound.

Full Information

First Posted
May 22, 2015
Last Updated
November 21, 2016
Sponsor
Bayer
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1. Study Identification

Unique Protocol Identification Number
NCT02465814
Brief Title
Assess Safety and Efficacy of Vilaprisan in Patients With Uterine Fibroids
Acronym
ASTEROID 2
Official Title
A Randomized, Parallel-group, Double-blind Placebo-controlled and Open Label Active Controlled, Multi-center Study to Assess the Efficacy and Safety of Vilaprisan in Patients With Uterine Fibroids
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
June 2015 (undefined)
Primary Completion Date
October 2016 (Actual)
Study Completion Date
October 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bayer

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The study is performed to assess the efficacy of Vilaprisan (BAY1002670) in patients with uterine fibroids compared to placebo and ulipristal. It is also aimed to evaluate the safety of vilaprisan in subjects with uterine fibroids. Further, data on population pharmacokinetic (PK)/ pharmacodynamic (PD) relationship for vilaprisan in subjects with uterine fibroids will be supplemented.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Leiomyoma
Keywords
Uterine fibroids, Heavy Menstrual Bleeding

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
120 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm 1 - BAY1002670 + BAY1002670
Arm Type
Experimental
Arm Description
Vilaprisan (BAY1002670) 2 mg once daily (12 weeks), Vilaprisan 2 mg once daily (12 weeks)
Arm Title
Arm 2 - Placebo + BAY1002670
Arm Type
Experimental
Arm Description
Placebo once daily (12 weeks), Vilaprisan 2 mg once daily (12 weeks)
Arm Title
Arm 3 - BAY1002670 + BAY1002670
Arm Type
Experimental
Arm Description
Vilaprisan 2 mg once daily (12 weeks), treatment break, Vilaprisan 2 mg once daily (12 weeks)
Arm Title
Arm 4 - Placebo+BAY1002670
Arm Type
Experimental
Arm Description
Placebo once daily (12 weeks), treatment break, Vilaprisan 2 mg once daily(12 weeks)
Arm Title
Arm 5 - Ulipristal + Ulipristal
Arm Type
Active Comparator
Arm Description
Ulipristal 5 mg once daily (12 weeks), treatment break, Ulipristal 5 mg once daily (12 weeks)
Arm Title
Arm 6- Placebo + Ulipristal
Arm Type
Active Comparator
Arm Description
Placebo once daily (12 weeks), treatment break, Ulipristal 5 mg once daily (12 weeks)
Arm Title
Arm 7- Ulipristal + Placebo
Arm Type
Active Comparator
Arm Description
Ulipristal 5 mg once daily (12 weeks), treatment break, Placebo once daily (12 weeks)
Intervention Type
Drug
Intervention Name(s)
Vilaprisan (BAY1002670)
Intervention Description
Vilaprisan 2 mg (12 weeks), Vilaprisan 2 mg (12 weeks)
Intervention Type
Drug
Intervention Name(s)
Vilaprisan (BAY1002670
Intervention Description
Placebo (12 weeks),Vilaprisan (12 weeks)
Intervention Type
Drug
Intervention Name(s)
Vilaprisan (BAY1002670
Intervention Description
Vilaprisan 2 mg (12 weeks), treatment break, Vilaprisan 2 mg (12 weeks)
Intervention Type
Drug
Intervention Name(s)
Vilaprisan (BAY1002670)
Intervention Description
Placebo (12 weeks), treatment break, Vilaprisan 2 mg (12 weeks)
Intervention Type
Drug
Intervention Name(s)
Ulipristal
Intervention Description
Ulipristal 5 mg (12 weeks), treatment break, Ulipristal 5 mg (12 weeks)
Intervention Type
Drug
Intervention Name(s)
Ulipristal
Intervention Description
Placebo (12 weeks), treatment break, Ulipristal 5 mg (12 weeks)
Intervention Type
Drug
Intervention Name(s)
Ulipristal
Intervention Description
Ulipristal (12 weeks), treatment break, Placebo (12 weeks)
Primary Outcome Measure Information:
Title
Amenorrhea (yes/no)
Description
Defined as no scheduled or unscheduled bleeding/spotting after end of the initial bleeding episode until the end of the respective treatment period.
Time Frame
From day 7 to day 84 of treatment.
Secondary Outcome Measure Information:
Title
Number of bleeding days
Time Frame
Up to 32 weeks
Title
Time to onset of controlled bleeding
Time Frame
Up to 28 weeks
Title
Percent change in volume of largest fibroid from baseline to end of treatment.
Time Frame
Baseline and up to 28 weeks
Title
Endometrial histology
Description
(Frequency of the following categories: benign endometrium, endometrial hyperplasia, malignant neoplasm)
Time Frame
Baseline and up to 40 weeks
Title
Endometrial thickness measured by transvaginal ultrasound.
Time Frame
Baseline and up to 40 weeks

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Women, 18 to 50 years of age at the time of screening Diagnosis of uterine fibroid(s) documented by transvaginal or abdominal ultrasound at screening with at least 1 fibroid with largest diameter >/=3.0 cm Heavy menstrual bleeding (HMB) >80 mL documented by menstrual pictogram (MP) in a bleeding episode during the screening period. Women who did not suffer from perceived HMB during the 3 months prior to Visit 1 due to any effective medical treatment, e.g. with a hormonal contraceptive, are not considered appropriate candidates and should not undergo further screening procedures. Women suffering from perceived HMB despite medical treatment, e.g. with a hormonal contraceptive, are appropriate candidates for further screening, if rules on stopping prior medication are followed. Heavy menstrual bleeding /HMB) > 80 mL should be documented within 10 consecutive days. Good general health (except for findings related to uterine fibroids) as proven by medical history, physical and gynecological examinations, and laboratory test results Normal or clinically insignificant cervical smear not requiring further follow-up. Human papilloma virus (HPV) testing in subjects with atypical squamous cells of undetermined significance (ASCUS) can be used as an adjunctive test. Subjects with ASCUS can be included if they are negative for high-risk HPV strains. An endometrial biopsy performed during the screening period, without significant histological disorder such as endometrial hyperplasia (including simple hyperplasia) or other significant endometrial pathology. Use of an acceptable nonhormonal method of contraception (i.e. either male condom, cap, diaphragm or sponge, each in combination with spermicide) starting at the bleeding episode following the screening visit 1 (Visit 1) until the end of the study. This is not required if safe contraception is achieved by a permanent method, such as bilateral fallopian tube blockage of the subject or vasectomy of the partner(s). Exclusion Criteria: Pregnancy or lactation (less than 3 months since delivery, abortion, or lactation before start of treatment) Uterine fibroid with largest diameter >10.0 cm Hypersensitivity to any ingredient of the study drugs Hemoglobin values </= 6 g/dL or any condition requiring immediate blood transfusion (subjects with hemoglobin values </=10.9 g/dL will be offered iron supplementation). Any diseases or conditions that can compromise the function of the body systems and could result in altered absorption, excessive accumulation, impaired metabolism, or altered excretion of the study drug Any diseases or conditions that might interfere with the conduct of the study or the interpretation of the results Abuse of alcohol, drugs, or medicines (e.g. laxatives) Use of other treatments that might interfere with the conduct of the study or the interpretation of the results Undiagnosed abnormal genital bleeding.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bayer Study Director
Organizational Affiliation
Bayer
Official's Role
Study Director
Facility Information:
City
Villach
State/Province
Kärnten
ZIP/Postal Code
9500
Country
Austria
City
Graz
State/Province
Steiermark
ZIP/Postal Code
8036
Country
Austria
City
Innsbruck
State/Province
Tirol
ZIP/Postal Code
6020
Country
Austria
City
Wien
ZIP/Postal Code
1090
Country
Austria
City
Tienen
State/Province
Vlaams Brabant
ZIP/Postal Code
3300
Country
Belgium
City
Bruxelles - Brussel
ZIP/Postal Code
1000
Country
Belgium
City
Edegem
ZIP/Postal Code
2650
Country
Belgium
City
Pleven
ZIP/Postal Code
5800
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1504
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1606
Country
Bulgaria
City
Stara Zagora
ZIP/Postal Code
6000
Country
Bulgaria
City
Brno
ZIP/Postal Code
625 00
Country
Czech Republic
City
Ceske Budejovice
ZIP/Postal Code
37001
Country
Czech Republic
City
Olomouc
ZIP/Postal Code
772 00
Country
Czech Republic
City
Olomouc
ZIP/Postal Code
775 20
Country
Czech Republic
City
Pisek
ZIP/Postal Code
39701
Country
Czech Republic
City
Plzen
ZIP/Postal Code
30708
Country
Czech Republic
City
Praha 2
ZIP/Postal Code
120 00
Country
Czech Republic
City
Praha 8
ZIP/Postal Code
180 81
Country
Czech Republic
City
Praha
ZIP/Postal Code
13000
Country
Czech Republic
City
Helsinki
ZIP/Postal Code
00610
Country
Finland
City
Pori
ZIP/Postal Code
28500
Country
Finland
City
Turku
ZIP/Postal Code
20100
Country
Finland
City
Bernburg
State/Province
Sachsen-Anhalt
ZIP/Postal Code
06406
Country
Germany
City
Blankenburg
State/Province
Sachsen-Anhalt
ZIP/Postal Code
38889
Country
Germany
City
Dresden
State/Province
Sachsen
ZIP/Postal Code
01307
Country
Germany
City
Berlin
ZIP/Postal Code
10787
Country
Germany
City
Budapest
ZIP/Postal Code
1036
Country
Hungary
City
Debrecen
ZIP/Postal Code
4024
Country
Hungary
City
Debrecen
ZIP/Postal Code
4032
Country
Hungary
City
Szentes
ZIP/Postal Code
H-6600
Country
Hungary
City
Modena
State/Province
Emilia-Romagna
ZIP/Postal Code
41124
Country
Italy
City
Cagliari
State/Province
Sardegna
ZIP/Postal Code
09042
Country
Italy
City
Catania
State/Province
Sicilia
ZIP/Postal Code
95123
Country
Italy
City
Vilnius
ZIP/Postal Code
LT-05263
Country
Lithuania
City
Vilnius
ZIP/Postal Code
LT-08217
Country
Lithuania
City
Vilnius
ZIP/Postal Code
LT-10207
Country
Lithuania
City
Almere
ZIP/Postal Code
1315 RA
Country
Netherlands
City
Heerlen
ZIP/Postal Code
6419 PC
Country
Netherlands
City
Nieuwegein
ZIP/Postal Code
3435 CM
Country
Netherlands
City
Zwolle
ZIP/Postal Code
8025 AB
Country
Netherlands
City
Fredrikstad
ZIP/Postal Code
1605
Country
Norway
City
Lørenskog
ZIP/Postal Code
1478
Country
Norway
City
Nesttun
ZIP/Postal Code
5221
Country
Norway
City
Stavanger
ZIP/Postal Code
4011
Country
Norway
City
Bialystok
ZIP/Postal Code
15- 224
Country
Poland
City
Lodz
ZIP/Postal Code
90-602
Country
Poland
City
Lublin
ZIP/Postal Code
20-093
Country
Poland
City
Lublin
ZIP/Postal Code
20-632
Country
Poland
City
Warszawa
ZIP/Postal Code
02-507
Country
Poland
City
Coimbra
ZIP/Postal Code
3000-075
Country
Portugal
City
Lisboa
ZIP/Postal Code
1449-005
Country
Portugal
City
Porto
ZIP/Postal Code
4202-451
Country
Portugal
City
Aravaca
State/Province
Madrid
ZIP/Postal Code
28023
Country
Spain
City
Barcelona
ZIP/Postal Code
08003
Country
Spain
City
Valencia
ZIP/Postal Code
46010
Country
Spain
City
Valencia
ZIP/Postal Code
46026
Country
Spain
City
Stockholm
ZIP/Postal Code
118 83
Country
Sweden
City
Stockholm
ZIP/Postal Code
171 76
Country
Sweden
City
Umeå
ZIP/Postal Code
90185
Country
Sweden
City
Harrow
State/Province
London
ZIP/Postal Code
HA1 3UJ
Country
United Kingdom
City
London
ZIP/Postal Code
N19 5NF
Country
United Kingdom
City
Nottingham
ZIP/Postal Code
NG7 2UH
Country
United Kingdom
City
Portsmouth
ZIP/Postal Code
PO6 3LY
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
32559602
Citation
Gemzell-Danielsson K, Heikinheimo O, Zatik J, Poka R, Rechberger T, Hudecek R, Petersdorf K, Ramirez F, Faustmann T, Groettrup-Wolfers E, Seitz C. Efficacy and safety of vilaprisan in women with uterine fibroids: Data from the phase 2b randomized controlled trial ASTEROID 2. Eur J Obstet Gynecol Reprod Biol. 2020 Sep;252:7-14. doi: 10.1016/j.ejogrb.2020.05.043. Epub 2020 May 31.
Results Reference
derived

Learn more about this trial

Assess Safety and Efficacy of Vilaprisan in Patients With Uterine Fibroids

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