A Phase 3 interventional study of Generic Estradiol Vaginal Cream USP, 0.01% and Estrace® Vaginal Cream USP, 0.01% in Atrophic Vaginitis, sponsored by Actavis Inc.. Completed at 44 sites in United States. Open to female participants aged 30 Years to 75 Years. Per ClinicalTrials.gov, last updated 2019-12-26.
Sponsored by Actavis Inc. (part of Teva Pharmaceutical Industries, Ltd.) · Phase 3, Interventional, and Treatment
Among 23 studies in Atrophic Vaginitis with a site in United States — 2 open to participants now, 2 under way, none of them phase 3. Atrophic Vaginitis · United States.
Among the 23 studies in Atrophic Vaginitis with a site in United States, this one is the 2nd largest by enrollment, is one of 2 that started in 2016, is one of 11 in phase 3, and was the 17th registered.
45 studies on the registry are indexed under Atrophic Vaginitis; 7 are open to participants now.
This study's enrollment of 663 is above the median of 69 across 40 interventional studies indexed under Atrophic Vaginitis.
Browse Atrophic Vaginitis studies →2 of the 23 studies in Atrophic Vaginitis with a site in United States are open now, in 1 country. Each count lists the studies.
Of the 4 Atrophic Vaginitis studies recruiting now, 3 (75%) set no upper age limit and 1 (25%) stop at 75 or younger; 0 take children under 18; 0 take healthy volunteers.
This study: 30 Years to 75 Years · female · no healthy volunteers.
The full table on the hub →23 studies; the count open now beside each. This study's row is marked.
First in 2005; this study’s year is marked. 2 started in 2016.
Median enrollment 69 across the 23 interventional studies. Of the 21 that completed or were terminated, 12 (57%) have results posted.
15 of 23 have an industry lead sponsor. The 10 most frequent:
Actavis Inc. is the lead sponsor of 95 studies on the registry; none are open to participants now.
Of its 11 completed or terminated interventional studies of FDA-regulated products, 10 (91%) have results posted.
Actavis Inc. has 1 study filed under Atrophic Vaginitis — fewer than ten, so there is no comparison to draw.
None of the studies under way reaches primary completion within a year.
Among the 23 studies in Atrophic Vaginitis with a site in United States, from their registry updates:
Nothing recorded among them since 2026-09-25.
The objectives of this study were to evaluate the therapeutic equivalence of the Test formulation, generic Estradiol Vaginal Cream United States Pharmacopoeia (USP), 0.01% (Teva Pharmaceuticals, United States of America) to the marketed product, Estrace® Cream estradiol vaginal cream USP, 0.01% (Warner Chilcott) in participants with atrophic vaginitis; to demonstrate the superiority of the Test and Reference (active) treatments over Placebo (vehicle) cream in participants with atrophic vaginitis; and to compare the safety of Test, Reference, and Placebo treatments in participants with atrophic vaginitis.
Systemic (oral or transdermal patch administration) estrogen therapies have been shown to effectively treat symptoms of atrophic vaginitis but bear undesirable side effects including increased risk of heart attacks, stroke, endometrial cancer, and breast cancer. Topical therapies (creams and transvaginal delivery systems) provide low doses of estrogen to the vaginal mucosa to provide local relief for the symptoms of atrophic vaginitis, while reducing the unwanted side effects associated with systemic delivery systems. Low dose, topical estrogen therapy is considered most appropriate and convenient for the treatment of vaginal symptoms associated with menopause, particularly when other symptoms including bone loss or vasomotor dysfunction do not need to be targeted.
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.
At least 1 of the following participant self-assessed moderate to severe symptoms of vulvar and vaginal atrophy (VVA) from the following list that is identified by the participant as being most bothersome to her:
Exclusion Criteria:
Participants with known concurrent vaginal infections including but not limited to:
Candida albicans, Trichomonas vaginalis, Chlamydia trachomatis, Neisseria gonorrhea, or Gardnerella vaginalis.
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.
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.
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).
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.
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.
Participants were to self-administer 2 grams (g) of generic Estradiol Vaginal Cream USP, 0.01% once daily at approximately the same time of the day for 7 consecutive days.
Drug: Generic Estradiol Vaginal Cream USP, 0.01%
Participants were to self-administer 2 g of Estrace Vaginal Cream USP, 0.01% once daily at approximately the same time of the day for 7 consecutive days.
Drug: Estrace® Vaginal Cream USP, 0.01%
Participants were to self-administer 2 g of vehicle vaginal cream once daily at approximately the same time of the day for 7 consecutive days.
Drug: Vehicle Vaginal Cream
Vaginal cream, generic formulation of the brand product.
Vaginal cream, brand product.
Vaginal cream, placebo. Has no active ingredient
Number of Participants Identified as a Responder After Completing Study Treatment in the Generic Estradiol Vaginal Cream and Estrace Vaginal Cream Groups
Treatment comparison of the number of participants in the PP population that were identified as responders at the end of the treatment period evaluated on Day 8 + 1 is presented. A responder was defined as a participant with at least a 25% reduction from baseline in the sum of percent basal/parabasal + percent intermediate cells on vaginal cytology and vaginal pH ≤5.0 with a change from baseline vaginal pH of at least 0.5. Any participant who withdrew from the study because of lack of efficacy was included as a non-responder.
Time frame: Up to Day 9
Number of Participants Identified as a Responder After Completing Study Treatment in the Generic Estradiol Vaginal Cream, Estrace Vaginal Cream, and Vehicle Vaginal Cream Groups
Treatment comparison of the number of participants in the mITT population that were identified as responders at the end of the treatment period evaluated on Day 8 + 1 is presented. A responder was defined as a participant with at least a 25% reduction from baseline in the sum of percent basal/parabasal + percent intermediate cells on vaginal cytology and vaginal pH ≤5.0 with a change from baseline vaginal pH of at least 0.5.
Time frame: Up to Day 9
Number of Participants Identified as Treatment Success After Completing Study Treatment in the Generic Estradiol Vaginal Cream and Estrace Vaginal Cream Groups
The number of participants in the PP population that are identified as Treatment Success at the end of the treatment period evaluated on Day 8 ± 1 is presented. A Treatment Success is defined as a score of 0 or 1 at Day 8 ± 1 for the symptom identified at baseline as the most bothersome. This evaluation was based on participant self-assessed symptoms of vulvar and vaginal atrophy on a scale of 0 to 3 where 0 = none and 3 = severe. The symptoms that were evaluated were vaginal dryness, vaginal/vulvar irritation/itching, dysuria, vaginal pain associated with sexual activity, and vaginal bleeding. Any participant who withdrew from the study because of lack of efficacy was included as a non-responder.
Time frame: Up to Day 9
Number of Participants Identified as Treatment Success After Completing Study Treatment in the Generic Estradiol Vaginal Cream, Estrace Vaginal Cream, and Vehicle Vaginal Cream Groups
The number of participants in the mITT Population that are identified as Treatment Success at the end of the treatment period evaluated on Day 8 ± 1 is presented. A Treatment Success is defined as a score of 0 or 1 at Day 8 ± 1 for the symptom identified at baseline as the most bothersome. This evaluation is to be based on participant self-assessed symptoms of vulvar and vaginal atrophy on a scale of 0 to 3 where 0 = none and 3 = severe. The symptoms that were evaluated were vaginal dryness, vaginal/vulvar irritation/itching, dysuria, vaginal pain associated with sexual activity, and vaginal bleeding.
Time frame: Up to 9 months
The populations for this study included the Safety Population, the modified Intent-to-Treat (mITT) population, and the Per-Protocol (PP) Population.
| Milestone | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% | Vehicle Vaginal Cream |
|---|---|---|---|
| Started | 268 | 262 | 133 |
| Safety population | 267 | 262 | 132 |
| Mitt population | 267 | 262 | 132 |
| Pp population | 244 | 227 | 126 |
| Completed | 263 | 257 | 131 |
| Not completed | 5 | 5 | 2 |
| Withdrew: Adverse event | 0 | 1 | 1 |
| Withdrew: Lost to follow-up | 1 | 0 | 0 |
| Withdrew: Outside of visit window | 4 | 4 | 1 |
Treatment comparison of the number of participants in the PP population that were identified as responders at the end of the treatment period evaluated on Day 8 + 1 is presented. A responder was defined as a participant with at least a 25% reduction from baseline in the sum of percent basal/parabasal + percent intermediate cells on vaginal cytology and vaginal pH ≤5.0 with a change from baseline vaginal pH of at least 0.5. Any participant who withdrew from the study because of lack of efficacy was included as a non-responder.
| Participants | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% |
|---|---|---|
| Number of Participants Identified as a Responder After Completing Study Treatment in the Generic Estradiol Vaginal Cream and Estrace Vaginal Cream Groups | 49 | 44 |
Treatment comparison of the number of participants in the mITT population that were identified as responders at the end of the treatment period evaluated on Day 8 + 1 is presented. A responder was defined as a participant with at least a 25% reduction from baseline in the sum of percent basal/parabasal + percent intermediate cells on vaginal cytology and vaginal pH ≤5.0 with a change from baseline vaginal pH of at least 0.5.
| Participants | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% | Vehicle Vaginal Cream |
|---|---|---|---|
| Number of Participants Identified as a Responder After Completing Study Treatment in the Generic Estradiol Vaginal Cream, Estrace Vaginal Cream, and Vehicle Vaginal Cream Groups | 53 | 53 | 0 |
The number of participants in the PP population that are identified as Treatment Success at the end of the treatment period evaluated on Day 8 ± 1 is presented. A Treatment Success is defined as a score of 0 or 1 at Day 8 ± 1 for the symptom identified at baseline as the most bothersome. This evaluation was based on participant self-assessed symptoms of vulvar and vaginal atrophy on a scale of 0 to 3 where 0 = none and 3 = severe. The symptoms that were evaluated were vaginal dryness, vaginal/vulvar irritation/itching, dysuria, vaginal pain associated with sexual activity, and vaginal bleeding. Any participant who withdrew from the study because of lack of efficacy was included as a non-responder.
| Participants | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% |
|---|---|---|
| Number of Participants Identified as Treatment Success After Completing Study Treatment in the Generic Estradiol Vaginal Cream and Estrace Vaginal Cream Groups | 161 | 153 |
The number of participants in the mITT Population that are identified as Treatment Success at the end of the treatment period evaluated on Day 8 ± 1 is presented. A Treatment Success is defined as a score of 0 or 1 at Day 8 ± 1 for the symptom identified at baseline as the most bothersome. This evaluation is to be based on participant self-assessed symptoms of vulvar and vaginal atrophy on a scale of 0 to 3 where 0 = none and 3 = severe. The symptoms that were evaluated were vaginal dryness, vaginal/vulvar irritation/itching, dysuria, vaginal pain associated with sexual activity, and vaginal bleeding.
| Participants | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% | Vehicle Vaginal Cream |
|---|---|---|---|
| Number of Participants Identified as Treatment Success After Completing Study Treatment in the Generic Estradiol Vaginal Cream, Estrace Vaginal Cream, and Vehicle Vaginal Cream Groups | 175 | 169 | 80 |
Collected over Baseline up to Day 9. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Generic Estradiol Vaginal Cream USP, 0.01% | 0/267 (0%) | 0/267 (0%) | 63/267 (23.6%) |
| Estrace Vaginal Cream USP, 0.01% | 0/262 (0%) | 1/262 (0.4%) | 74/262 (28.2%) |
| Vehicle Vaginal Cream | 0/132 (0%) | 0/132 (0%) | 25/132 (18.9%) |
| Event | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% | Vehicle Vaginal Cream |
|---|---|---|---|
| Device occlusionGeneral disorders | 0/267 | 1/262 | 0/132 |
| Event | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% | Vehicle Vaginal Cream |
|---|---|---|---|
| Breast tendernessReproductive system and breast disorders | 13/267 | 9/262 | 1/132 |
| Abdominal painGastrointestinal disorders | 9/267 | 10/262 | 3/132 |
| Abdominal distensionGastrointestinal disorders | 3/267 | 8/262 | 0/132 |
| Abdominal pain lowerGastrointestinal disorders | 7/267 | 3/262 | 0/132 |
| HeadacheNervous system disorders | 4/267 | 5/262 | 2/132 |
| Nipple painReproductive system and breast disorders | 2/267 | 4/262 | 0/132 |
| Vulvovaginal discomfortReproductive system and breast disorders | 1/267 | 4/262 | 1/132 |
| DiarrhoeaGastrointestinal disorders | 2/267 | 3/262 | 2/132 |
| PainGeneral disorders | 1/267 | 0/262 | 2/132 |
| Abdominal tendernessGastrointestinal disorders | 4/267 | 3/262 | 0/132 |
All participants who were randomized and administered at least 1 dose of study drug (Safety Population).
| Age, Continuous(Years) | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% | Vehicle Vaginal Cream | Total |
|---|---|---|---|---|
| Mean | 59.5 ± 6.4 | 59.5 ± 6.5 | 60.8 ± 5.6 | 59.9 ± 6.2 |
| Sex: Female, Male(Participants) | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% | Vehicle Vaginal Cream | Total |
|---|---|---|---|---|
| Female | 267 | 262 | 132 | 661 |
| Male | 0 | 0 | 0 | 0 |
| Ethnicity (NIH/OMB)(Participants) | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% | Vehicle Vaginal Cream | Total |
|---|---|---|---|---|
| Hispanic or Latino | 79 | 88 | 42 | 209 |
| Not Hispanic or Latino | 188 | 174 | 90 | 452 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% | Vehicle Vaginal Cream | Total |
|---|---|---|---|---|
| American Indian or Alaska Native | 2 | 1 | 0 | 3 |
| Asian | 5 | 3 | 0 | 8 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Black or African American | 25 | 24 | 10 | 59 |
| White | 235 | 232 | 121 | 588 |
| More than one race | 0 | 2 | 1 | 3 |
| Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Percent of Basal/Parabasal Cells(percent of cells) | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% | Vehicle Vaginal Cream | Total |
|---|---|---|---|---|
| Mean | 34.4 ± 35.1 | 31.5 ± 34.8 | 36.3 ± 34.3 | 34.1 ± 34.7 |
| Percent of Intermediate Cells(percent of cells) | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% | Vehicle Vaginal Cream | Total |
|---|---|---|---|---|
| Mean | 64.7 ± 34.5 | 67.5 ± 34.3 | 62.8 ± 33.9 | 65 ± 34.2 |
| Vaginal pH(pH) | Generic Estradiol Vaginal Cream USP, 0.01% | Estrace Vaginal Cream USP, 0.01% | Vehicle Vaginal Cream | Total |
|---|---|---|---|---|
| Mean | 6.2 ± 0.8 | 6.2 ± 0.8 | 6.1 ± 0.7 | 6.2 ± 0.8 |
PDFs hosted by the registry, ClinicalTrials.gov.
Plan to share: No
Ran from May 2016 to primary completion in Feb 2017, 8 months.
Results were first posted in Dec 2019, 2 years 10 months after primary completion.
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