A Phase 3 interventional study of Placebo and DHEA (0.25%) in Vaginal Atrophy, sponsored by EndoCeutics Inc.. Completed at 8 sites in 2 countries. Open to female participants aged 40 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-08-29.
Sponsored by EndoCeutics Inc. · Phase 3, Interventional, and Treatment
The purpose of this study is to determine the dose-response of vaginal mucosa parameters to the local action of DHEA (Dehydroepiandrosterone) in postmenopausal women suffering from vaginal atrophy.
45 studies on the registry are indexed under Atrophic Vaginitis; 7 are open to participants now.
This study's enrollment of 218 is above the median of 69 across 40 interventional studies indexed under Atrophic Vaginitis.
Browse Atrophic Vaginitis studies →EndoCeutics Inc. is the lead sponsor of 9 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
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.
Exclusion Criteria:
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.
Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
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.
A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.
Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.
Postmenopausal
Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Biopsy and archival tissue
A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.
Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Drug: Placebo
Drug: DHEA (0.25%)
Drug: DHEA (0.5%)
Drug: DHEA (1.0%)
Placebo vaginal suppository containing 0.0% (0 mg) DHEA; daily dosing with one suppository for 12 weeks.
Also known as: Prasterone, Dehydroepiandrosterone
Vaginal suppository containing 0.25% (3.25 mg) DHEA; daily dosing with one suppository for 12 weeks.
Also known as: Prasterone, Dehydroepiandrosterone
Vaginal suppository containing 0.5% (6.5 mg) DHEA; daily dosing with one suppository for 12 weeks.
Also known as: Prasterone, Dehydroepiandrosterone
Vaginal suppository containing 1.0% (13 mg) DHEA; daily dosing with one suppository for 12 weeks.
Also known as: Prasterone, Dehydroepiandrosterone
Co-primary Endpoint: Change From Baseline to Week 12 of Vaginal Cell Maturation (Percentage of Parabasal Cells)
The percentage of parabasal cells was determined from the vaginal smears collected during the study. A 100-cell count was performed by a central laboratory to classify cells as parabasal (P) (including basal), intermediate (I), and superficial (S) squamous cell types. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
Time frame: Baseline and Week 12
Co-primary Endpoint: Change From Baseline to Week 12 of Vaginal Cell Maturation (Percentage of Superficial Cells)
The percentage of superficial cells was determined from the vaginal smears collected during the study. A 100-cell count was performed by a central laboratory to classify cells as parabasal (P) (including basal), intermediate (I), and superficial (S) squamous cell types. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
Time frame: Baseline and Week 12
Co-primary Endpoint: Change From Baseline to Week 12 of Vaginal pH.
A pH strip was applied directly to the lateral wall of the vagina using forceps. The change in color of the pH indicator strip was compared to the color chart for pH evaluation. The corresponding pH value (with one decimal) was recorded. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
Time frame: Baseline and Week 12
Co-primary Endpoint: Change From Baseline to Week 12 of Self-assessment of the Most Bothersome Symptom Dyspareunia
The severity of dyspareunia was evaluated by a questionnaire. The severity of dyspareunia recorded as none, mild, moderate or severe was analyzed using the score values of 0, 1, 2 or 3, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
Time frame: Baseline and Week 12
Change From Baseline to Week 12 of Vaginal Secretions
To evaluate the aspect of the vaginal mucosa and the local tolerance to DHEA suppository, the vaginal secretions (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy were analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
Time frame: Baseline and Week 12
Change From Baseline to Week 12 of Vaginal Epithelial Integrity
To evaluate the aspect of the vaginal mucosa and the local tolerance to DHEA suppository, the vaginal epithelial integrity (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy was analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
Time frame: Baseline and Week 12
Change From Baseline to Week 12 of Vaginal Epithelial Surface Thickness
To evaluate the aspect of the vaginal mucosa and the local tolerance to DHEA suppository, the vaginal epithelial surface thickness(one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy was analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
Time frame: Baseline and Week 12
Change From Baseline to Week 12 of Vaginal Color
To evaluate the aspect of the vaginal mucosa and the local tolerance to DHEA suppository, the vaginal color (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy was analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
Time frame: Baseline and Week 12
A total of 403 subjects were screened at 8 medical/research sites located in the US (2 centers) and Canada (6 centers) and 218 subjects were randomized. The first subject first visit was on 28-JUN-2007 and the last subject last visit was on 23-MAY-2008.
| Milestone | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA |
|---|---|---|---|---|
| Started | 54 | 54 | 56 | 54 |
| Safety population | 54 | 53 | 56 | 54 |
| Itt population | 53 | 53 | 56 | 54 |
| Completed | 48 | 48 | 52 | 51 |
| Not completed | 6 | 6 | 4 | 3 |
| Withdrew: Adverse event | 2 | 4 | 2 | 1 |
| Withdrew: Lost to follow-up | 0 | 0 | 1 | 0 |
| Withdrew: Withdrawal by subject | 3 | 2 | 0 | 1 |
| Withdrew: Left the city/lost medication | 1 | 0 | 1 | 1 |
The percentage of parabasal cells was determined from the vaginal smears collected during the study. A 100-cell count was performed by a central laboratory to classify cells as parabasal (P) (including basal), intermediate (I), and superficial (S) squamous cell types. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
| percentage of parabasal cells | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA |
|---|---|---|---|---|
| Baseline | 46.7 ± 8.64 | 65.5 ± 6.92 | 53.4 ± 7.49 | 61.8 ± 6.88 |
| Week 12 | 47.8 ± 7.52 | 16.9 ± 3.66 | 11.0 ± 3.43 | 6.90 ± 1.77 |
| Change from Baseline | 1.1 ± 3.62 | -48.6 ± 6.78 | -42.4 ± 7.36 | -54.9 ± 6.60 |
The percentage of superficial cells was determined from the vaginal smears collected during the study. A 100-cell count was performed by a central laboratory to classify cells as parabasal (P) (including basal), intermediate (I), and superficial (S) squamous cell types. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
| percentage of superficial cells | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA |
|---|---|---|---|---|
| Baseline | 0.6 ± 0.2 | 0.4 ± 0.15 | 0.4 ± 0.11 | 0.4 ± 0.16 |
| Week 12 | 0.5 ± 0.19 | 5.7 ± 1.33 | 5.2 ± 1.19 | 6.5 ± 1.53 |
| Change from Baseline | -0.1 ± 0.23 | 5.3 ± 1.39 | 4.8 ± 1.20 | 6.1 ± 1.54 |
A pH strip was applied directly to the lateral wall of the vagina using forceps. The change in color of the pH indicator strip was compared to the color chart for pH evaluation. The corresponding pH value (with one decimal) was recorded. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
| pH | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA |
|---|---|---|---|---|
| Baseline | 6.5 ± 0.13 | 6.6 ± 0.10 | 6.6 ± 0.09 | 6.5 ± 0.11 |
| Week 12 | 6.0 ± 0.22 | 5.5 ± 0.19 | 5.2 ± 0.17 | 5.1 ± 0.12 |
| Change from Baseline | -0.5 ± 0.16 | -1.1 ± 0.16 | -1.5 ± 0.18 | -1.4 ± 0.15 |
The severity of dyspareunia was evaluated by a questionnaire. The severity of dyspareunia recorded as none, mild, moderate or severe was analyzed using the score values of 0, 1, 2 or 3, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
| units on a scale | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA |
|---|---|---|---|---|
| Baseline | 2.8 ± 0.08 | 2.8 ± 0.08 | 2.7 ± 0.08 | 2.6 ± 0.09 |
| Week 12 | 2.3 ± 0.18 | 1.4 ± 0.22 | 1.1 ± 0.22 | 1.2 ± 0.20 |
| Change from Baseline | -0.4 ± 0.16 | -1.3 ± 0.20 | -1.6 ± 0.21 | -1.4 ± 0.18 |
To evaluate the aspect of the vaginal mucosa and the local tolerance to DHEA suppository, the vaginal secretions (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy were analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
| units on a scale | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA |
|---|---|---|---|---|
| Baseline | 3.1 ± 0.09 | 3.1 ± 0.09 | 3.2 ± 0.09 | 3.0 ± 0.08 |
| Week 12 | 2.7 ± 0.12 | 1.9 ± 0.10 | 1.8 ± 0.12 | 1.5 ± 0.09 |
| Change from Baseline | -0.4 ± 0.10 | -1.2 ± 0.12 | -1.4 ± 0.13 | -1.4 ± 0.11 |
To evaluate the aspect of the vaginal mucosa and the local tolerance to DHEA suppository, the vaginal epithelial integrity (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy was analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
| units on a scale | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA |
|---|---|---|---|---|
| Baseline | 2.8 ± 0.13 | 2.7 ± 0.12 | 2.8 ± 0.11 | 2.7 ± 0.11 |
| Week 12 | 2.4 ± 0.13 | 1.7 ± 0.11 | 1.5 ± 0.10 | 1.4 ± 0.09 |
| Change from Baseline | -0.4 ± 0.12 | -1.0 ± 0.14 | -1.3 ± 0.12 | -1.3 ± 0.11 |
To evaluate the aspect of the vaginal mucosa and the local tolerance to DHEA suppository, the vaginal epithelial surface thickness(one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy was analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
| units on a scale | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA |
|---|---|---|---|---|
| Baseline | 3.0 ± 0.10 | 2.9 ± 0.08 | 3.1 ± 0.09 | 3.0 ± 0.08 |
| Week 12 | 2.6 ± 0.12 | 1.9 ± 0.11 | 1.8 ± 0.11 | 1.6 ± 0.10 |
| Change from Baseline | -0.4 ± 0.10 | -1.0 ± 0.12 | -1.3 ± 0.12 | -1.4 ± 0.12 |
To evaluate the aspect of the vaginal mucosa and the local tolerance to DHEA suppository, the vaginal color (one of the four main signs of vaginal atrophy) evaluated by the physician/gynecologist as corresponding to none, mild, moderate, or severe atrophy was analyzed using the score values of 1, 2, 3 and 4, respectively. Data obtained at Baseline and Week 12 as well as the change from Baseline to Week 12 are presented.
| units on a scale | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA |
|---|---|---|---|---|
| Baseline | 3.1 ± 0.09 | 3.0 ± 0.10 | 3.1 ± 0.09 | 3.1 ± 0.07 |
| Week 12 | 2.7 ± 0.11 | 2.0 ± 0.12 | 1.8 ± 0.11 | 1.6 ± 0.10 |
| Change from Baseline | -0.5 ± 0.11 | -1.0 ± 0.13 | -1.3 ± 0.14 | -1.5 ± 0.12 |
Collected over From Baseline to Week 12 (+ 30-day follow-up period after last dose). Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Placebo | — | 0/54 (0%) | 34/54 (63%) |
| 0.25% DHEA | — | 1/53 (1.9%) | 32/53 (60.4%) |
| 0.50% DHEA | — | 1/56 (1.8%) | 46/56 (82.1%) |
| 1.00% DHEA | — | 0/54 (0%) | 39/54 (72.2%) |
| Event | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA |
|---|---|---|---|---|
| CholecystectomySurgical and medical procedures | 0/54 | 1/53 | 0/56 | 0/54 |
| AppendicetomySurgical and medical procedures | 0/54 | 0/53 | 1/56 | 0/54 |
| Event | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA |
|---|---|---|---|---|
| CoughRespiratory, thoracic and mediastinal disorders | 2/54 | 2/53 | 7/56 | 1/54 |
| HeadacheNervous system disorders | 3/54 | 6/53 | 6/56 | 4/54 |
| NasopharyngitisInfections and infestations | 5/54 | 6/53 | 4/56 | 4/54 |
| Vaginal dischargeReproductive system and breast disorders | 3/54 | 4/53 | 6/56 | 2/54 |
| Abdominal painGastrointestinal disorders | 4/54 | 2/53 | 3/56 | 5/54 |
| Back painMusculoskeletal and connective tissue disorders | 5/54 | 2/53 | 4/56 | 5/54 |
| FatigueGeneral disorders | 1/54 | 3/53 | 4/56 | 5/54 |
| Vulvovaginal pruritusReproductive system and breast disorders | 3/54 | 4/53 | 5/56 | 5/54 |
| Hot flushReproductive system and breast disorders | 4/54 | 2/53 | 4/56 | 4/54 |
| Vulvovaginal burning sensationReproductive system and breast disorders | 4/54 | 1/53 | 3/56 | 4/54 |
Baseline Analysis Population corresponds to the Safety Population which includes all subjects who received any amount of prasterone or placebo, and who have any safety information available.
| Age, Continuous(years) | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA | Total |
|---|---|---|---|---|---|
| Mean | 59.00 ± 5.40 | 57.68 ± 6.31 | 58.45 ± 5.55 | 59.44 ± 4.63 | 58.65 ± 5.50 |
| Sex/Gender, Customized(Participants) | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA | Total |
|---|---|---|---|---|---|
| Female | 54 | 53 | 56 | 54 | 217 |
| Race/Ethnicity, Customized(Participants) | Placebo | 0.25% DHEA | 0.50% DHEA | 1.00% DHEA | Total |
|---|---|---|---|---|---|
| White Caucasian | 50 | 51 | 54 | 53 | 208 |
| Black or African American | 0 | 0 | 0 | 0 | 0 |
| Asian | 3 | 1 | 1 | 1 | 6 |
| Other | 1 | 1 | 1 | 0 | 3 |
This study is completed, as verified in Jul 2017. You cannot join it, but the record below documents what was studied.
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Studies of the drug tested here: Dehydroepiandrosterone
EndoCeutics Inc.