ZK283197 for Treatment of Vasomotor Symptoms
A Double-blind, Randomized, Placebo and Active Controlled, Multicenter Study to Investigate Efficacy and Safety After Oral Administration of 2 and 3 mg ZK 283197, 1 mg 17ß-estradiol and Placebo Once Daily for 8 Weeks in Postmenopausal Women With Hot Flushes
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
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Berlin, Germany, 13353
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Berlin, Germany, 10115
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-
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Groningen, Netherlands, 9713 GZ
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Cambridgeshire
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Cambridge, Cambridgeshire, United Kingdom, CB23 2TN
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Women with at least 35 moderate to severe hot flushes in seven consecutive days
- Body mass index (BMI) : 20 - 30 kg/m² (inclusive)
- Postmenopausal status
Exclusion Criteria:
- Contraindication for use for hormonal therapy
- Prior hysterectomy
- Hormonal therapy or intrauterine hormone releasing device within 4 weeks prior to study entry or any long-acting injectable or implant up to 6 months prior to study entry
- Repeated intake of medications affecting study aim
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: ZK 283197, 3 mg
Postmenopausal women with hot flushes received 3 mg (3 x 1 mg tablets) ZK 283197, administered orally once daily over 8 weeks
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3 mg (3 x 1 mg tablet) or 2 mg (2 x 1 mg tablet) ZK 283197 in respective treatment group, once daily p.o. over 8 weeks
|
|
Placebo Comparator: Matching placebo
Postmenopausal women with hot flushes received placebo (3 tablets) orally once daily over 8 weeks
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Placebo, once daily p.o. over 8 weeks
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|
Experimental: ZK 283197, 2 mg
Postmenopausal women with hot flushes received 2 mg (2 x 1 mg tablet) ZK 283197 plus 1 placebo tablet, once daily orally over 8 weeks
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3 mg (3 x 1 mg tablet) or 2 mg (2 x 1 mg tablet) ZK 283197 in respective treatment group, once daily p.o. over 8 weeks
|
|
Active Comparator: 17ß-estradiol
Postmenopausal women with hot flushes received 1 mg (2 x 0.5 mg tablet) 17ß-estradiol plus 1 placebo tablet, once daily orally over 8 weeks
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1 mg (2 x 0.5 mg tablet) 17ß-estradiol, once daily p.o. over 8 weeks
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Relative change in frequency of moderate to severe hot flushes per week between baseline and Week 8 of the treatment phase
Time Frame: Between baseline and Week 8 of the treatment phase
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Between baseline and Week 8 of the treatment phase
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of participants with adverse events
Time Frame: From Week 1 of treatment until end of Follow-up period (approximately 12 weeks)
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From Week 1 of treatment until end of Follow-up period (approximately 12 weeks)
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|
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Exposure-response relationship
Time Frame: At week 8
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A generalized linear model was applied to explore the dependence of the number of hot flushes in Week 8 to (i) the dose of ZK 283197, (ii) the AUC of ZK 283197, (iii) the maximum concentration Cmax of ZK 283197 and (iv) the average concentration Cave of ZK 283197
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At week 8
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Change from baseline to all treatment weeks in frequency and severity of moderate to severe hot flushes
Time Frame: From baseline up to 8 weeks
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From baseline up to 8 weeks
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Change from baseline to all treatment weeks in severity and frequency of all hot flushes
Time Frame: From baseline up to 8 weeks
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From baseline up to 8 weeks
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Trough levels at every visit
Time Frame: Before 1st administration and at Week 1, 2, 4, 6 and 8
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Before 1st administration and at Week 1, 2, 4, 6 and 8
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|
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AUC(0-24h)
Time Frame: Pre-dose and up to 24 h post-dose (measured between Week 4-8)
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Area under the curve from administration to 24 h after administration
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Pre-dose and up to 24 h post-dose (measured between Week 4-8)
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Cmax
Time Frame: Pre-dose and up to 24 h post-dose (measured between Week 4-8)
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Maximum serum concentration
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Pre-dose and up to 24 h post-dose (measured between Week 4-8)
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tmax
Time Frame: Pre-dose and up to 24 h post-dose (measured between Week 4-8)
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Time to reach maximum drug concentration
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Pre-dose and up to 24 h post-dose (measured between Week 4-8)
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Cmin
Time Frame: Pre-dose and up to 24 h post-dose (measured between Week 4-8)
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Minimum serum concentration
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Pre-dose and up to 24 h post-dose (measured between Week 4-8)
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Cave
Time Frame: Pre-dose and up to 24 h post-dose (measured between Week 4-8)
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Average serum concentration
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Pre-dose and up to 24 h post-dose (measured between Week 4-8)
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Vaginal cytology
Time Frame: Between baseline and Week 8
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The epithelial maturation index/value and the karyopycnotic index were assessed
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Between baseline and Week 8
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Endometrial thickness
Time Frame: Fom baseline to Week 8
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Transvaginal ultrasound was performed to demonstrate the absence of relevant endometrium growth
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Fom baseline to Week 8
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Endometrial histology
Time Frame: Between baseline and Week 8
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Between baseline and Week 8
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 91544
- 2007-001791-36 (EudraCT Number)
- 310781 (Other Identifier: Company internal)
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