ClinicalTrials.gg
CompletedNCT00755755PEARLIUpdated Dec 13, 2012Results posted

PGL4001 Versus Placebo in Uterine Myomas

A Phase 3 interventional study of PGL4001 (ulipristal) and iron and PGL4001 matching placebo and iron in Uterine Myomas, sponsored by PregLem SA. Completed at 38 sites in 6 countries. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2012-12-13.

Sponsored by PregLem SA · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
241
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

This trial will assess the efficacy and safety of PGL4001 with concomitant iron administration versus placebo with concomitant iron administration, over a 3-month period for the pre-operative treatment of pre-menopausal women suffering from excessive uterine bleeding due to uterine myoma.

02

Conditions studied

  • Uterine Myomas

Browse trials for

03

In context

Myoma

61 studies on the registry are indexed under Myoma; 10 are open to participants now.

This study's enrollment of 241 is above the median of 80 across 45 interventional studies indexed under Myoma.

Browse Myoma studies →

Lead sponsor

PregLem SA is the lead sponsor of 10 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Be a pre-menopausal woman between 18 and 50 years inclusive.
  • Have excessive uterine bleeding due to myoma.
  • Have a myoma-related anaemia.
  • Have a myomatous uterus with at least one myoma of ≥ 3 cm diameter in size.
  • Be eligible for one surgical procedure: e.g. hysterectomy, myomectomy or others.
  • If of the subject must be practicing a non-hormonal method of .
  • Have a (BMI) ≥ 18 and ≤ 40.

Exclusion criteria

Exclusion Criteria:

  • Has a history of or current uterine, cervical, ovarian or breast cancer.
  • Has a history of or current endometrium atypical hyperplasia.
  • Has a known severe coagulation disorder.
  • Has a history of or current treatment for myoma with a Selective Progesterone Receptor Modulator (SPRM) or a GnRH-agonist.
  • Has abnormal hepatic function at study entry.
  • Has a positive pregnancy test at baseline or is nursing or planning a pregnancy during the course of the study.
  • Has a current (within twelve months) problem with alcohol or drug abuse.
  • Is currently enrolled in an drug or device study or has participated in such a study within the last 30 days.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
241 participants (actual)

Study arms

  • Experimental
    A (PGL4001 5mg)

    PGL4001 5 mg (oral tablets) with concomitant oral administration of 1 tablet containing 80 mg Fe2+

    Drug: PGL4001 (ulipristal) and iron

  • Experimental
    B (PGL4001 10mg)

    PGL4001 10 mg (oral tablets) with concomitant oral administration of 1 tablet containing 80 mg Fe2+

    Drug: PGL4001 (ulipristal) and iron

  • Placebo comparator
    C (placebo)

    PGL4001 matching placebo (oral tablets) with concomitant oral administration of 1 tablet containing 80 mg Fe2+

    Drug: PGL4001 matching placebo and iron

Interventions

  • DrugPGL4001 (ulipristal) and iron

    Drug page: Ulipristal

    tablets

    Also known as: Ulipristal acetate

  • DrugPGL4001 matching placebo and iron

    tablets

    Also known as: Placebo of ulipristal

  • DrugPGL4001 (ulipristal) and iron

    Drug page: Ulipristal

    Tablets

    Also known as: Ulipristal acetate

06

What researchers measure

Primary outcomes

  1. Co-primary Endpoint: Percentage of Subjects With Reduction in Uterine Bleeding Defined as a Pictorial Blood-loss Assessment Chart (PBAC) Score <75 at End-of-treatment Visit (Week 13)

    Uterine bleeding was assessed with the use of the PBAC, a validated self-reporting method to estimate menstrual blood loss. Patients recorded daily the number of tampons and towels used and the degree to which individual items were soiled with blood (plus small or large clots). Monthly scores range from 0 (amenorrhea) to more than 500, with higher numbers indicating more bleeding. A slightly stained tampon/towel scores 1, a partially stained tampon/towel scores 5, a completely saturated tampon scores 10 and a completely saturated towel scores 20. Small clots/flooding (2cm) score 1. Large clots/flooding (3cm) score 5. Menorrhagia is defined as a PBAC \> 100 during one menstrual period which approximates to a blood loss of \> 80 mL. A PBAC of 400 corresponds to a blood loss of around 300 mL or approximately 80 tampons/towels used. The week 13 PBAC score was calculated using the last 28 days of treatment.

    Time frame: Week 13 visit

  2. Co-primary Endpoint: Percent Change in Total Myoma Volume Assessed by Magnetic Resonance Imaging (MRI) From Screening to End of Treatment Visit (Week 13 Visit)

    Percent change in total fibroid volume from screening to end of treatment visit (Week 13 visit) assessed by MRI and read centrally by a radiologist who was unaware of the study-group assignments. The total fibroid volume was the sum of the individual fibroid volumes.

    Time frame: Week 13

07

Results

Posted Nov 16, 2012

Participant flow

Participant flow — Overall Study
MilestoneA (PGL4001 5mg)B (PGL4001 10mg)C (Placebo)
Started959848
Completed899045
Not completed683

Outcome measures

PrimaryCo-primary Endpoint: Percentage of Subjects With Reduction in Uterine Bleeding Defined as a Pictorial Blood-loss Assessment Chart (PBAC) Score <75 at End-of-treatment Visit (Week 13)

Uterine bleeding was assessed with the use of the PBAC, a validated self-reporting method to estimate menstrual blood loss. Patients recorded daily the number of tampons and towels used and the degree to which individual items were soiled with blood (plus small or large clots). Monthly scores range from 0 (amenorrhea) to more than 500, with higher numbers indicating more bleeding. A slightly stained tampon/towel scores 1, a partially stained tampon/towel scores 5, a completely saturated tampon scores 10 and a completely saturated towel scores 20. Small clots/flooding (2cm) score 1. Large clots/flooding (3cm) score 5. Menorrhagia is defined as a PBAC \> 100 during one menstrual period which approximates to a blood loss of \> 80 mL. A PBAC of 400 corresponds to a blood loss of around 300 mL or approximately 80 tampons/towels used. The week 13 PBAC score was calculated using the last 28 days of treatment.

Time frame:
Week 13 visit
Reported as:
Number · percentage of patients
Co-primary Endpoint: Percentage of Subjects With Reduction in Uterine Bleeding Defined as a Pictorial Blood-loss Assessment Chart (PBAC) Score <75 at End-of-treatment Visit (Week 13)
percentage of patientsA (PGL4001 5mg)B (PGL4001 10mg)C (Placebo)
Co-primary Endpoint: Percentage of Subjects With Reduction in Uterine Bleeding Defined as a Pictorial Blood-loss Assessment Chart (PBAC) Score <75 at End-of-treatment Visit (Week 13)91.592.518.8
Statistical analysis
  • A (PGL4001 5mg) vs C (Placebo) · Cochran-Mantel-Haenszel · p = <0.001 (As comparison involved two doses of PGL4001 vs Placebo, Bonferroni correction used with p-values doubled (threshold was 0.05) and confidence intervals adjusted) · Difference in proportions: 72.7 · 95% CI 55.1 to 83.2Confidence intervals with the use of Newcombe-Wilson score method (uncorrected)
  • B (PGL4001 10mg) vs C (Placebo) · Cochran-Mantel-Haenszel · p = <0.001 (As comparison involved two doses of PGL4001 vs Placebo, Bonferroni correction used with p values doubled (threshold was 0.05) and confidence intervals adjusted) · Difference in proportions: 73.7 · 95% CI 56.2 to 84.0Confidence intervals with the use of Newcombe-Wilson score method (uncorrected)
PrimaryCo-primary Endpoint: Percent Change in Total Myoma Volume Assessed by Magnetic Resonance Imaging (MRI) From Screening to End of Treatment Visit (Week 13 Visit)

Percent change in total fibroid volume from screening to end of treatment visit (Week 13 visit) assessed by MRI and read centrally by a radiologist who was unaware of the study-group assignments. The total fibroid volume was the sum of the individual fibroid volumes.

Time frame:
Week 13
Reported as:
Median · percentage of change
Co-primary Endpoint: Percent Change in Total Myoma Volume Assessed by Magnetic Resonance Imaging (MRI) From Screening to End of Treatment Visit (Week 13 Visit)
percentage of changeA (PGL4001 5mg)B (PGL4001 10mg)C (Placebo)
Co-primary Endpoint: Percent Change in Total Myoma Volume Assessed by Magnetic Resonance Imaging (MRI) From Screening to End of Treatment Visit (Week 13 Visit)-21.2 (-100 to 223.4)-12.3 (-100 to 146.6)3 (-100 to 134.8)
Statistical analysis
  • A (PGL4001 5mg) vs C (Placebo) · Wilcoxon (Mann-Whitney) · p = 0.002 (As comparison involved two doses of PGL4001 vs Placebo, Bonferroni correction used with p-values doubled (threshold was 0.05) and confidence intervals adjusted.) · Median difference (final values): -22.6 · 95% CI -36.1 to -8.2Hodges-Lehmann point estimator with corresponding Moses confidence interval.
  • B (PGL4001 10mg) vs C (Placebo) · Wilcoxon (Mann-Whitney) · p = 0.006 (As comparison involved two doses of PGL4001 vs Placebo, Bonferroni correction used with p values doubled (threshold was 0.05) and confidence intervals adjusted.) · Median difference (final values): -18.2 · 95% CI -33.0 to -5.2Hodges-Lehmann point estimator with corresponding Moses confidence interval.

Adverse events

Collected over 3 years 2 months. Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
A (PGL4001 5mg)—2/95 (2.1%)47/95 (49.5%)
B (PGL4001 10mg)—1/98 (1%)52/98 (53.1%)
C (Placebo)—2/48 (4.2%)22/48 (45.8%)
Most frequent serious events
Most frequent serious events
EventA (PGL4001 5mg)B (PGL4001 10mg)C (Placebo)
New uterine leiomyomaReproductive system and breast disorders0/950/981/48
breast cancerReproductive system and breast disorders0/950/981/48
Ovarian hemorrhageReproductive system and breast disorders1/950/980/48
Uterine hemorrhageReproductive system and breast disorders1/951/980/48
Most frequent other events
Showing 10 of 18
Most frequent other events
EventA (PGL4001 5mg)B (PGL4001 10mg)C (Placebo)
Reproductive system and breast disordersReproductive system and breast disorders14/9514/986/48
Infections and infestationsInfections and infestations8/9512/983/48
Nervous system disordersNervous system disorders4/9511/983/48
HeadacheNervous system disorders4/9510/982/48
Gastrointestinal disordersGastrointestinal disorders9/9510/983/48
Endocrine disordersEndocrine disorders5/958/981/48
Metabolism and nutrition disordersMetabolism and nutrition disorders7/954/982/48
Breat pain / tenderness / disconfortReproductive system and breast disorders2/956/980/48
General disorders and administration site conditionsGeneral disorders5/954/982/48
ConstipationGastrointestinal disorders4/950/981/48

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)A (PGL4001 5mg)B (PGL4001 10mg)C (Placebo)Total
<=18 years0000
Between 18 and 65 years959848241
>=65 years0000
Age Continuous
Age Continuous(years)A (PGL4001 5mg)B (PGL4001 10mg)C (Placebo)Total
Mean41.2 ± 5.942.0 ± 5.541.6 ± 5.641.6 ± 5.7
Sex: Female, Male
Sex: Female, Male(Participants)A (PGL4001 5mg)B (PGL4001 10mg)C (Placebo)Total
Female959848241
Male0000
Region of Enrollment
Region of Enrollment(participants)A (PGL4001 5mg)B (PGL4001 10mg)C (Placebo)Total
Czech Republic76316
Hungary711927
India1011728
Romania1717842
Russian Federation28191360
Ukraine2634868
08

Study locations

38 sites
  • Gynekologicko-porodnicka klinika FN Brno
    Brno, 625 00, Czech Republic
  • Mediva
    Praha, 110 00, Czech Republic
  • Gynekologicko-porodnicka klinika 1.LF UK a VFN
    Praha, 128 00, Czech Republic
  • Gynekologicko-porodnicka klinika UK 2.LF a FN
    Praha, 150 06, Czech Republic
  • Rethy-Pal Hospital-Clinic Bekescsaba, Department of Obstetrics and Gynecology
    Bekescsaba, 5600, Hungary
  • Saint Stephen Hospital of Budapest,Department of Obstetrics, Gynecology and Gynecological Oncology
    Budapest, 1096, Hungary
  • Fovarosi Bajcsy-Zsilinszky Hospital, Department of Obstetrics and Gynecology
    Budapest, 1106, Hungary
  • Saint George Hospital of Fejer County, Department of Obstetrics and Gynecology
    Szekesfehervar, 8000, Hungary
  • Dr. Bugyi Istvan Hospital, Department of Obstetrics and Gynecology
    Szentes, 6600, Hungary
  • Saint Borbala Hospital of Komarom-Esztergom County, Department of Obstetrics and Gynecology
    Tatabanya, 2800, Hungary
  • Dr. Jilla Hospital
    Aurangabad, 431001, India
  • M. S. Ramaiah Medical College and Memorial Hospital
    Bangalore, 560054, India
  • Divakars Speciality Hospital
    Bangalore, 560078, India
  • Sri Ramachandra Medical College and Research Institute
    Chennai, 600116, India
  • Om Women's Hospital
    Nagpur, 440010, India
  • Nagpur Test Tube Baby Centre
    Nagpur, 440022, India
  • Central Medical Sanador
    Bucharest, 011026, Romania
  • Departamentul de Obstretica Ginecologie si Nou Nascuti
    Bucharest, 020395, Romania
  • Sectia Obstretica-Ginecologie Spitalul Clinic Dr. Ioan Cantacuzino
    Bucharest, 70266, Romania
  • Centrul Medical Euromed, departementul de Obstetrica/Ginecologie
    Bucuresti, 020762, Romania
  • Spitalul Clinic de Obstetrica Ginecologie Oradea
    Oradea, 410053, Romania
  • Spitalul Clinic Judetean de urgenta, sectia de obstetrica Ginecologie I
    Targu Mures, 540136, Romania
  • Northern State Medical University
    Arkhangelsk, 163001, Russian Federation
  • Kursk State Medical University
    Kursk, 305035, Russian Federation
  • OAO "Medical company IDK"
    Samara, 443067, Russian Federation
  • American Medical Clinic
    St. Petersburg, 190000, Russian Federation
  • Saint-Petersburg City Alexandrovsky Hospital
    St.Petersburg, 193312, Russian Federation
  • Military Medical Academy n.a.S.M Kirov, chair of Obstetrics and Gynecology
    St.Petersburg, 194044, Russian Federation
  • Medical Research Institute (MRI)
    St.Petersburg, 196084, Russian Federation
  • Russian Scientific Research Center of Radiology and Surgical Technologies
    St.Petersburg, 197758, Russian Federation
  • Scientific Research Institute of Obstetrics and Gynecology n.a. D.O.Ott of RAMS
    St.Petersburg, 199034, Russian Federation
  • Donetsk National Medical University, Department of Obstetrics, Gynecology and Perinatology FPE
    Donetsk, Ukraine
  • City Clinical Hospital N9
    Kiev, 04112, Ukraine
  • Institute of Pediatrics, Obstetrics and Gynecology, Department of Endocrine Gynecology
    Kiev, Ukraine
  • Kiev Maternity Hospital No.2
    Kiev, Ukraine
  • State Enterprise "Institute of Pediatrics, Obstetrics and Gynecology of AMS of Ukraine
    Kyiv, Ukraine
  • Lviv National Medical University named after Danylo Halytskyy
    Lviv, 79032, Ukraine
  • Medical Sanitory Centre VAT "Motor Sich" Gynecology department
    Zaporizhzhya, Ukraine
09

References and documents

Publications

  • Donnez J, Tatarchuk TF, Bouchard P, Puscasiu L, Zakharenko NF, Ivanova T, Ugocsai G, Mara M, Jilla MP, Bestel E, Terrill P, Osterloh I, Loumaye E; PEARL I Study Group. Ulipristal acetate versus placebo for fibroid treatment before surgery. N Engl J Med. 2012 Feb 2;366(5):409-20. doi: 10.1056/NEJMoa1103182. PubMed 22296075 ↗
  • Barlow DH, Lumsden MA, Fauser BC, Terrill P, Bestel E. Individualized vaginal bleeding experience of women with uterine fibroids in the PEARL I randomized controlled trial comparing the effects of ulipristal acetate or placebo. Hum Reprod. 2014 Mar;29(3):480-9. doi: 10.1093/humrep/det467. Epub 2014 Jan 23. PubMed 24457604 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Oct 2008, a primary completion of Mar 2010 and a completion of Aug 2010. It does not say whether these dates are actual or estimated.

Results were first posted in Nov 2012, 2 years 8 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 18, 2008
First posted
Sep 19, 2008
Start
Oct 2008
Primary completionActual
Mar 2010
CompletionActual
Aug 2010
Results first posted
Nov 16, 2012
Last update
Dec 13, 2012
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 13, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00755755
Lead sponsor
PregLem SA
Responsible party
Sponsor
First posted
Sep 19, 2008
Start date
Oct 2008
Primary completion
Mar 2010
Completion
Aug 2010
Results posted
Nov 16, 2012
Last update
Dec 13, 2012

Study contacts

Dr Elke Bestel
study director · PregLem SA

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2012. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions 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.

Studies of the drug tested here: Ulipristal

Start the discussion