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CompletedNCT02770365Updated Nov 2, 2021Results posted

Comparative Safety and Efficacy of Two Treatments in the Treatment of Vulvar and Vaginal Atrophy

A Phase 3 interventional study of estrace cream (Perrigo) and estrace cream (Reference) in Atrophy, sponsored by Padagis LLC. Completed at 1 site in United States. Open to female participants aged 30 Years to 75 Years. Per ClinicalTrials.gov, last updated 2021-11-02.

Sponsored by Padagis LLC · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
695
Allocation
Randomized
Ages
30 Years to 75 Years
Sex
Female
01

Study summary

To compare safety and efficacy of Perrigo's drug product compared to an FDA approved drug product in the treatment of vulvar and vaginal atrophy.

02

Conditions studied

  • Atrophy

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03

In context

Atrophy

828 studies on the registry are indexed under Atrophy; 122 are open to participants now.

This study's enrollment of 695 is above the median of 34 across 603 interventional studies indexed under Atrophy.

Browse Atrophy studies →

Lead sponsor

Padagis LLC is the lead sponsor of 36 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 5 (100%) have results posted.

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

04

Who can participate

Ages eligible
30 Years to 75 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • postmenopausal female and otherwise healthy, 30 - 75 years of age.
  • ≤ 5% superficial cells on vaginal smear cytology at Visit 1/Screening.
  • vaginal pH > 5.0 at Visit 1/Screening
  • Have at least one self-assessed moderate to severe symptom of Vulvar and Vaginal Atrophy identified by the subject as being the most bothersome
  • For women with an intact uterus, vaginal ultrasonography confirmation at Visit 1/Screening of an inactive endometrial lining with an endometrial thickness less than 4 mm.
  • Systolic blood pressure no greater than 150 mm Hg and diastolic blood pressure no greater than 90 mm Hg at Visit 1/Screening and at Visit 2/Randomization

Exclusion criteria

Exclusion Criteria:

  • Undiagnosed vaginal bleeding or a history of significant risk factors for endometrial cancer.
  • Known, suspected, or history of cancer of the breast or mammogram indicating any abnormalities or subject has a history of cervical cancer.
  • Vaginal ultrasonography for all women with an intact uterus confirming endometrial thickness of 4mm or more
  • History of hypersensitivity or allergy to estradiol or any of the other study medication ingredients.
  • Known or suspected estrogen-dependent neoplasia.
  • Has deep vein thrombosis, pulmonary embolism or history of these conditions.

    • Subject has active arterial thromboembolic disease (e. g. stroke, myocardial infarction) or history of these conditions.
  • Known acute or chronic hepatic disease or dysfunction
05

Study design

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

Study arms

  • Experimental
    Test Product

    estradiol cream

    Drug: estrace cream (Perrigo)

  • Active comparator
    Reference Product

    estradiol cream

    Drug: estrace cream (Reference)

  • Placebo comparator
    Placebo product

    Placebo cream

    Drug: Placebo cream

Interventions

  • Drugestrace cream (Perrigo)

    Also known as: Perrigo product

  • Drugestrace cream (Reference)

    Also known as: Reference Listed Drug product

  • DrugPlacebo cream
06

What researchers measure

Primary outcomes

  1. Percentage of Subjects Identified as Responders

    A responder is a subject meeting specific vaginal cytology criteria AND a vaginal pH \< 5.0 with a change from Visit 1 of at least 0.5.

    Time frame: Day 8

Secondary outcomes

  1. Most Bothersome Symptom

    Percentage of subjects based on the improvement (change from Visit 2) of the Most Bothersome Symptom at Visit 3.

    Time frame: Day 8

07

Results

Posted Aug 11, 2020

Participant flow

Participant flow — Overall Study
MilestoneTest ProductReference ProductPlacebo Product
Started277279139
Completed272275139
Not completed540

Outcome measures

PrimaryPercentage of Subjects Identified as Responders

A responder is a subject meeting specific vaginal cytology criteria AND a vaginal pH \< 5.0 with a change from Visit 1 of at least 0.5.

Time frame:
Day 8
Reported as:
Number · percentage of responders
Percentage of Subjects Identified as Responders
percentage of respondersTest ProductReference ProductPlacebo Product
Percentage of Subjects Identified as Responders36.832.00.8
Statistical analysis
  • Test Product vs Reference Product · Wald's method · Equivalence ratio: 1.14 · 90% CI -2.92 to 12.53
SecondaryMost Bothersome Symptom

Percentage of subjects based on the improvement (change from Visit 2) of the Most Bothersome Symptom at Visit 3.

Time frame:
Day 8
Reported as:
Count of participants · Participants
Most Bothersome Symptom
ParticipantsTest ProductReference Product
Most Bothersome Symptom116123
Statistical analysis
  • Test Product vs Reference Product · Wald's method · p = 0.05 · Equivalence ratio: 0.94 · 90% CI -12.35 to 4.31

Adverse events

Collected over 8 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Test Product0/277 (0%)0/277 (0%)0/277 (0%)
Reference Product0/279 (0%)0/279 (0%)0/279 (0%)
Placebo Product0/139 (0%)0/139 (0%)0/139 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Test ProductReference ProductPlacebo ProductTotal
Mean60.3 ± 6.3559.9 ± 6.3159.2 ± 6.0659.9 ± 6.28
Sex: Female, Male
Sex: Female, Male(Participants)Test ProductReference ProductPlacebo ProductTotal
Female275277139691
Male0000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Test ProductReference ProductPlacebo ProductTotal
Hispanic or Latino555929143
Not Hispanic or Latino220218110548
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Test ProductReference ProductPlacebo ProductTotal
American Indian or Alaska Native0000
Asian85013
Native Hawaiian or Other Pacific Islander0101
Black or African American33352593
White233235114582
More than one race1001
Unknown or Not Reported0101
08

Study locations

1 site
  • Comprehensive Clinical Trials, LLC
    West Palm Beach, Florida 33409, United States
09

References and documents

Study documents

  • Study protocol · Feb 8, 2016
  • Statistical analysis plan · Feb 8, 2016

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 2, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02770365
Lead sponsor
Padagis LLC
Collaborators
Impax Laboratories, LLC
Responsible party
Sponsor
First posted
May 12, 2016
Start date
May 2016
Primary completion
Nov 2016
Completion
Nov 2016
Results posted
Aug 11, 2020
Last update
Nov 2, 2021

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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