A Phase 3 interventional study of DR-2041a and DR-2041b in Menopause, sponsored by Duramed Research. Completed at 97 sites in United States. Open to female participants aged 30 Years to 80 Years. Per ClinicalTrials.gov, last updated 2015-04-20.
Sponsored by Duramed Research · Phase 3, Interventional, and Treatment
This is a four-arm, randomized, double-blind, parallel group, placebo-controlled study to compare the effects of two doses of DR-2041(Synthetic Conjugated Estrogens, A) Vaginal Cream on vulvovaginal atrophy in postmenopausal women with or without a hysterectomy and/or oophorectomy.
The study will include a screening period up to 4 weeks and a 12- week treatment period. The overall study duration for participants will be approximately 16 weeks. Study participants will undergo physical and gynecological exams, and blood tests for clinical laboratory assessments. All patients with a uterus will undergo transvaginal ultrasound.
828 studies on the registry are indexed under Atrophy; 122 are open to participants now.
This study's enrollment of 622 is above the median of 34 across 603 interventional studies indexed under Atrophy.
Browse Atrophy studies →Duramed Research is the lead sponsor of 24 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Drug: DR-2041a
Drug: DR-2041b
Other: Placebo
Other: Placebo
1 gram administered vaginally daily for the 1st 7 days then twice a week thereafter
Also known as: Synthetic conjugated estrogens, A
2 grams administered vaginally daily for the 1st 7 days then twice a week thereafter
Also known as: Synthetic conjugated estrogens, A
1 gram administered vaginally daily for the 1st 7 days then twice a week thereafter
2 grams administered vaginally daily for the 1st 7 days then twice a week thereafter
Mean Change in the Symptom Identified by the Patient to be Most Bothersome
Change= Week 12 score - Baseline Score. The most bothersome symptom was derived from the subject self-assessment of vaginal atrophy, which consisted of 5 questions concerning severity of symptoms graded on a scale of 0-3(none, mild, moderate or severe) or 7 for not applicable.
Time frame: Baseline to Week 12
Mean Change in Vaginal pH
Change= Week 12 vaginal pH - Baseline vaginal pH
Time frame: Baseline to Week 12
Mean Change in Maturation Index
Change= Week 12 maturation index -baseline maturation index. Matuation index was calculated using the following equation: Maturation Index = (% Parabasal cells \* 0) + (% Intermediate Cells \* 0.5) + (% Superficial Cells \* 1.0)
Time frame: Baseline to Week 12
Safety and Tolerability of DR-2041 (Synthetic Conjugated Estrogens, A)
Any adverse event reported from the beginning of the 28-day screening through the subject's last report.
Time frame: Up to Week 12
| Milestone | DR-2041a | DR-2041b | Placebo-a | Placebo-b |
|---|---|---|---|---|
| Started | 150 | 161 | 155 | 156 |
| Completed | 138 | 150 | 137 | 135 |
| Not completed | 12 | 11 | 18 | 21 |
| Withdrew: Protocol violation | 3 | 2 | 4 | 2 |
| Withdrew: Withdrawal by subject | 2 | 1 | 9 | 14 |
| Withdrew: Adverse event | 3 | 5 | 2 | 2 |
| Withdrew: Lost to follow-up | 2 | 3 | 3 | 2 |
| Withdrew: Not specified by investigator | 2 | 0 | 0 | 1 |
Change= Week 12 score - Baseline Score. The most bothersome symptom was derived from the subject self-assessment of vaginal atrophy, which consisted of 5 questions concerning severity of symptoms graded on a scale of 0-3(none, mild, moderate or severe) or 7 for not applicable.
| Scores on a scale | DR-2041a | DR-2041b | Placebo-a | Placebo-b |
|---|---|---|---|---|
| Mean Change in the Symptom Identified by the Patient to be Most Bothersome | -1.71 ± 0.0087 | -1.77 ± 0.085 | -1.11 ± 0.086 | -1.10 ± 0.087 |
Change= Week 12 vaginal pH - Baseline vaginal pH
| pH | DR-2041a | DR-2041b | Placebo-a | Placebo-b |
|---|---|---|---|---|
| Mean Change in Vaginal pH | -1.48 ± 0.073 | -1.44 ± 0.071 | -0.31 ± 0.072 | -0.38 ± 0.073 |
Change= Week 12 maturation index -baseline maturation index. Matuation index was calculated using the following equation: Maturation Index = (% Parabasal cells \* 0) + (% Intermediate Cells \* 0.5) + (% Superficial Cells \* 1.0)
| Index | DR-2041a | DR-2041b | Placebo-a | Placebo-b |
|---|---|---|---|---|
| Mean Change in Maturation Index | 31.46 ± 1.221 | 33.27 ± 1.191 | 5.16 ± 1.205 | 8.91 ± 1.222 |
Any adverse event reported from the beginning of the 28-day screening through the subject's last report.
| Participants | DR-2041a | DR-2041b | Placebo-a | Placebo-b |
|---|---|---|---|---|
| Safety and Tolerability of DR-2041 (Synthetic Conjugated Estrogens, A) | 83 | 87 | 72 | 77 |
Collected over Adverse event reporting began on the first day of signing the informed consent and ended at the end of study drug treatment (approximately 16 weeks).. Non-serious events are listed at a 3% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| DR-2041a | — | 1/150 (0.7%) | 34/150 (22.7%) |
| DR-2041b | — | 1/161 (0.6%) | 36/161 (22.4%) |
| Placebo-a | — | 1/155 (0.6%) | 18/155 (11.6%) |
| Placebo-b | — | 3/156 (1.9%) | 33/156 (21.2%) |
| Event | DR-2041a | DR-2041b | Placebo-a | Placebo-b |
|---|---|---|---|---|
| Ventricular TachycardiaCardiac disorders | 1/150 | 0/161 | 0/155 | 0/156 |
| Hodgkin's DiseaseNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 0/150 | 0/161 | 1/155 | 0/156 |
| Cardiac Chest PainCardiac disorders | 0/150 | 0/161 | 0/155 | 1/156 |
| Deep Vein ThrombosisVascular disorders | 0/150 | 0/161 | 0/155 | 1/156 |
| HyponatraemiaMetabolism and nutrition disorders | 0/150 | 0/161 | 0/155 | 1/156 |
| Pulmonary EmbolismRespiratory, thoracic and mediastinal disorders | 0/150 | 0/161 | 0/155 | 1/156 |
| Chronic SinusitusInfections and infestations | 0/150 | 1/161 | 0/155 | 0/156 |
| Event | DR-2041a | DR-2041b | Placebo-a | Placebo-b |
|---|---|---|---|---|
| Upper Respiratory Tract InfectionInfections and infestations | 7/150 | 6/161 | 7/155 | 6/156 |
| Vulvovaginal Mycotic InfectionInfections and infestations | 7/150 | 3/161 | 5/155 | 2/156 |
| Abdominal painGastrointestinal disorders | 1/150 | 7/161 | 1/155 | 0/156 |
| HeadacheNervous system disorders | 6/150 | 2/161 | 0/155 | 6/156 |
| Urinary Tract InfectionInfections and infestations | 3/150 | 5/161 | 2/155 | 6/156 |
| Back PainMusculoskeletal and connective tissue disorders | 0/150 | 6/161 | 0/155 | 2/156 |
| Hot FlushVascular disorders | 5/150 | 2/161 | 2/155 | 5/156 |
| HypertensionVascular disorders | 1/150 | 0/161 | 1/155 | 5/156 |
| Genital Pruritus FemaleReproductive system and breast disorders | 4/150 | 5/161 | 0/155 | 1/156 |
| Age, Continuous(years) | DR-2041a | DR-2041b | Placebo-a | Placebo-b | Total |
|---|---|---|---|---|---|
| Mean | 60.0 ± 6.48 | 59.3 ± 6.10 | 59.8 ± 6.60 | 58.4 ± 6.28 | 59.4 ± 6.36 |
| Age, Customized(participants) | DR-2041a | DR-2041b | Placebo-a | Placebo-b | Total |
|---|---|---|---|---|---|
| Between 30 and 80 years | 150 | 161 | 155 | 156 | 622.0 |
| Sex: Female, Male(Participants) | DR-2041a | DR-2041b | Placebo-a | Placebo-b | Total |
|---|---|---|---|---|---|
| Female | 150 | 161 | 155 | 156 | 622.0 |
| Male | 0 | 0 | 0 | 0 | 0.0 |
| Region of Enrollment(participants) | DR-2041a | DR-2041b | Placebo-a | Placebo-b | Total |
|---|---|---|---|---|---|
| United States | 150 | 161 | 155 | 156 | 622.0 |
This study is completed, as verified in Mar 2015. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Duramed Research