A Study of the Efficacy and Safety of a 3-month Treatment Course of Ulipristal Acetate for the Treatment of Abnormal Uterine Bleeding Associated With Leiomyomas
A Randomized, Placebo-Controlled, Parallel Group, Multicenter Study to Evaluate the Efficacy and Safety of Ulipristal Acetate for the Treatment of Abnormal Uterine Bleeding Associated With Leiomyomas
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Arizona
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Tucson, Arizona, United States, 85710
- Watson Investigational Site 125
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California
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San Diego, California, United States, 92103
- Watson Investigational Site 102
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Colorado
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Denver, Colorado, United States, 80209
- Watson Investigational Site 112
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Lakewood, Colorado, United States, 80228
- Watson Investigational Site 115
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Connecticut
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Milford, Connecticut, United States, 06460
- Watson Investigational Site 116
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District of Columbia
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Washington, District of Columbia, United States, 20036
- Watson Investigational Site 114
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Florida
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Clearwater, Florida, United States, 33765
- Watson Investigational Site 106
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Lake Worth, Florida, United States, 33461
- Watson Investigational Site 122
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Miami, Florida, United States, 33176
- Watson Investigational Site 130
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New Port Richey, Florida, United States, 34652
- Watson Investigational Site 105
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Orlando, Florida, United States, 32806
- Watson Investigational Site 104
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Orlando, Florida, United States, 32806
- Watson Investigational Site 120
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Georgia
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Atlanta, Georgia, United States, 30338
- Watson Investigational Site 103
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Atlanta, Georgia, United States, 30342
- Watson Investigational Site 123
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Augusta, Georgia, United States, 30912
- Watson Investigational Site 111
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Idaho
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Idaho Falls, Idaho, United States, 83404
- Watson Investigational Site 124
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Indiana
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Brownsburg, Indiana, United States, 46112
- Watson Investigational Site 131
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Kansas
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Shawnee Mission, Kansas, United States, 66218
- Watson Investigational Site 129
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Louisiana
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Metairie, Louisiana, United States, 70006
- Watson Investigational Site 132
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Nebraska
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Norfolk, Nebraska, United States, 68701
- Watson Investigational Site 110
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New Mexico
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Albuquerque, New Mexico, United States, 87109
- Watson Investigational Site 113
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North Carolina
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Raleigh, North Carolina, United States, 27607
- Watson Investigational Site 121
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Winston-Salem, North Carolina, United States, 27103
- Watson Investigational Site 109
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Ohio
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Columbus, Ohio, United States, 43231
- Watson Investigational Site 107
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Pennsylvania
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Jenkintown, Pennsylvania, United States, 19046
- Watson Investigational Site 119
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South Carolina
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Myrtle Beach, South Carolina, United States, 29572
- Watson Investigational Site 108
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Tennessee
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Chattanooga, Tennessee, United States, 37404
- Watson Investigational Site 101
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Memphis, Tennessee, United States, 38119
- Watson Investigational Site 126
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Pre-menopausal women, 18-50 years, inclusive.
- Cyclic abnormal uterine bleeding (heavy or prolonged).
- Menstrual blood loss (MBL) of ≥ 80 mL as measured by the alkaline hematin method in the first 8 days of menses.
- Minimum of one discrete leiomyoma observable by transvaginal ultrasound.
- Endometrial biopsy without evidence of malignancy or atypical or non-atypical hyperplasia
Exclusion Criteria:
- History of uterine surgery that would interfere with the study endpoints.
- Known coagulation disorder including bleeding disorder or clotting disorder.
- History of, or current uterine, cervix, ovarian, or breast cancer.
- Alanine transaminase (ALT), aspartate transaminase (AST), alkaline phosphatase (ALP), or total bilirubin two times or greater than the upper limit of normal rang
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: QUADRUPLE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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EXPERIMENTAL: UPA 5 mg
Ulipristal acetate (UPA) 5 mg tablet plus matching placebo 10 mg tablet, orally, once daily for 12 weeks.
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Matching placebo tablet.
UPA tablet
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EXPERIMENTAL: UPA 10 mg
UPA 10 mg tablet plus matching placebo 5 mg tablet, orally, once daily for 12 weeks.
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Matching placebo tablet.
UPA tablet
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PLACEBO_COMPARATOR: Placebo
Matching placebo tablets (5 mg and 10 mg), orally, once daily for 12 weeks.
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Matching placebo tablet.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With Absence of Bleeding During the Last 35 Consecutive Days on Treatment
Time Frame: Last 35 consecutive days on treatment in the 12-week Treatment Period
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Participants recorded bleeding in a daily diary.
Absence of bleeding was defined as no bleeding days (i.e.
no entries for bleeding or heavy bleeding; however, spotting was allowed), during the last 35 consecutive days on treatment in the 12-week Treatment Period.
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Last 35 consecutive days on treatment in the 12-week Treatment Period
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Time to Absence of Bleeding on Treatment
Time Frame: From first dose up to the end of the 12-week Treatment Period
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Time to absence of bleeding was defined as the duration in days from first dose to the first day in the time interval in which absence of bleeding occurs and persists through the last dose on treatment.
The persistence of absence of bleeding occurred for a minimum of 35 consecutive days counting backward from the last dose on treatment in the 12-week Treatment Period.
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From first dose up to the end of the 12-week Treatment Period
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Percentage of Participants With Absence of Bleeding From Day 11 Through the End of Treatment
Time Frame: Day 11 through the end of the 12-week Treatment Period
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Participants recorded bleeding in a daily diary.
Absence of bleeding was defined as no bleeding days (i.e.
no entries for bleeding or heavy bleeding; however, spotting was allowed), starting from Day 11 through the end of the 12-week Treatment Period.
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Day 11 through the end of the 12-week Treatment Period
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Change From Baseline in Uterine Fibroid Symptom and Health-Related Quality of Life Questionnaire (UFS-QOL) Revised Activities Subscale Score at the End of Treatment Period
Time Frame: Baseline (Day 1-4) to the end of 12-week Treatment Period
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The UFS-QOL is a uterine fibroid-specific questionnaire consisting of 37 questions developed to evaluate symptoms of uterine fibroids and their impact on health-related quality of life in women with leiomyomas.
The first 8 questions comprise the Symptom Severity subscale to assess symptoms experienced by women with uterine leiomyomas, the remaining 29 questions comprise 6 subscales (Concern, Activities, Energy/mood, Control, Self-consciousness, Sexual Function) which overall deal with women's feelings and experiences regarding impact of uterine leiomyoma symptoms on her life.
Each item is scored between 1 and 5, where 1=none of the time or not at all and 5=all of the time or a very great deal.
A Revised Activities subscale was created to include the most relevant items pertaining to physical and social activities with a total possible score of 0 to 100.
Higher Revised Activities subscale scores indicate less impact on activities.
A positive change from Baseline indicates improvement.
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Baseline (Day 1-4) to the end of 12-week Treatment Period
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Coyne KS, Harrington A, Currie BM, Chen J, Gillard P, Spies JB. Psychometric validation of the 1-month recall Uterine Fibroid Symptom and Health-Related Quality of Life questionnaire (UFS-QOL). J Patient Rep Outcomes. 2019 Aug 23;3(1):57. doi: 10.1186/s41687-019-0146-x.
- Lukes AS, Soper D, Harrington A, Sniukiene V, Mo Y, Gillard P, Shulman L. Health-Related Quality of Life With Ulipristal Acetate for Treatment of Uterine Leiomyomas: A Randomized Controlled Trial. Obstet Gynecol. 2019 May;133(5):869-878. doi: 10.1097/AOG.0000000000003211.
- Simon JA, Catherino W, Segars JH, Blakesley RE, Chan A, Sniukiene V, Al-Hendy A. Ulipristal Acetate for Treatment of Symptomatic Uterine Leiomyomas: A Randomized Controlled Trial. Obstet Gynecol. 2018 Mar;131(3):431-439. doi: 10.1097/AOG.0000000000002462.
Study record dates
Study Major Dates
Study Start (ACTUAL)
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 (ACTUAL)
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
- Pathologic Processes
- Neoplasms, Connective and Soft Tissue
- Neoplasms by Histologic Type
- Neoplasms
- Uterine Diseases
- Connective Tissue Diseases
- Neoplasms, Connective Tissue
- Neoplasms, Muscle Tissue
- Hemorrhage
- Leiomyoma
- Myofibroma
- Uterine Hemorrhage
- Physiological Effects of Drugs
- Contraceptive Agents, Hormonal
- Contraceptive Agents
- Reproductive Control Agents
- Contraceptive Agents, Female
- Ulipristal acetate
Other Study ID Numbers
Other Study ID Numbers
- UL1309
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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