CClinicalTrials.gg
CompletedNCT03992846Updated Apr 2, 2025Results posted

Efficacy and Safety of Linzagolix for the Treatment of Endometriosis-associated Pain.

A Phase 3 interventional study of 75 mg linzagolix tablet and 200 mg linzagolix tablet in Endometriosis, sponsored by Kissei Pharmaceutical Co., Ltd.. Completed at 71 sites in 10 countries. Open to female participants aged 18 Years to 49 Years. Per ClinicalTrials.gov, last updated 2025-04-02.

Sponsored by Kissei Pharmaceutical Co., Ltd. · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
486
Allocation
Randomized
Ages
18 Years to 49 Years
Sex
Female
01

Study summary

The primary objective of this study is to demonstrate the efficacy and safety of linzagolix administered orally once daily for 3 months at a dose of 75 mg alone or of 200 mg in combination with add-back hormone replacement therapy (ABT: estradiol (E2) 1 mg / norethisterone acetate (NETA) 0.5 mg) versus placebo, in the management of moderate to severe endometriosis-associated pain (EAP).

Read the detailed description

This is a prospective, randomized, double-blind, placebo-controlled study to demonstrate the efficacy and safety of linzagolix administered orally once daily at doses of 75 mg alone and 200 mg in combination with low dose ABT (E2 1 mg/NETA 0.5 mg) versus placebo in the management of moderate to severe EAP in 450 women.

Eligible subjects who have completed the 6-month treatment period may enter a separate extension study for 6 additional months of active treatment (no placebo control). Subjects who do not continue in the extension study will enter a 6 month treatment-free follow-up phase.

02

Conditions studied

  • Endometriosis

Browse trials for

Keywords

  • Dysmenorrhea
  • Dyspareunia
  • Dyschezia
  • Non-menstrual pelvic pain
03

In context

Endometriosis

901 studies on the registry are indexed under Endometriosis; 259 are open to participants now.

This study's enrollment of 486 is above the median of 64 across 525 interventional studies indexed under Endometriosis.

Browse Endometriosis studies →

Lead sponsor

Kissei Pharmaceutical Co., Ltd. is the lead sponsor of 61 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 49 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

The subject must have:

  • Her most recent surgical and - if available - histological diagnosis of pelvic endometriosis up to 10 years before screening.
  • Moderate to severe endometriosis-associated pain during the screening period.
  • Regular menstrual cycles.
  • BMI ≥ 18 kg/m2 at the screening visit. -

Exclusion criteria

Exclusion Criteria:

The subject will be excluded if she:

  • Is pregnant or breast feeding or is planning a pregnancy within the duration of the treatment period of the study.
  • Is less than 6 months postpartum or 3 months postabortion/ miscarriage at the time of entry into the screening period.
  • Has had a surgical history of any major abdominal surgery within 6 months or any interventional surgery for endometriosis performed within a period of 2 months before screening.
  • Did not respond to prior treatment with GnRH agonists or GnRH antagonists for endometriosis.
  • Has a history of, or known, osteoporosis or other metabolic bone disease.
  • Has chronic pelvic pain that is not caused by endometriosis and requires chronic analgesic or other chronic therapy which would interfere with the assessment of endometriosis-associated pain.
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
486 participants (actual)

Study arms

  • Experimental
    Linzagolix 75 mg

    Drug: 75 mg linzagolix tablet · Drug: Placebo tablet to match 200 mg linzagolix tablet · Drug: Placebo capsule to match Add-back capsule

  • Experimental
    Linzagolix 200 mg + Add-back (E2 1 mg / NETA 0.5 mg)

    Drug: 200 mg linzagolix tablet · Drug: Add-back capsule (E2 1 mg / NETA 0.5 mg) · Drug: Placebo tablet to match 75 mg linzagolix tablet

  • Placebo comparator
    Placebo

    Drug: Placebo tablet to match 75 mg linzagolix tablet · Drug: Placebo tablet to match 200 mg linzagolix tablet · Drug: Placebo capsule to match Add-back capsule

Interventions

  • Drug75 mg linzagolix tablet

    For oral administration once daily

  • Drug200 mg linzagolix tablet

    For oral administration once daily

  • DrugAdd-back capsule (E2 1 mg / NETA 0.5 mg)

    For oral administration once daily

  • DrugPlacebo tablet to match 75 mg linzagolix tablet

    For oral administration once daily

  • DrugPlacebo tablet to match 200 mg linzagolix tablet

    For oral administration once daily

  • DrugPlacebo capsule to match Add-back capsule

    For oral administration once daily

06

What researchers measure

Primary outcomes

  1. Reduction of Dysmenorrhea (DYS) at Month 3 - Proportion of Responders

    Percentage of subjects with reduction of 1.1 for DYS in mean pelvic pain score within last 28 days prior to Month 3 or discontinuation, and stable or decreased use of analgesics for Endometriosis-associated pain (=EAP) within the same calendar days.

    Time frame: Baseline to Month 3

  2. Reduction of Non-menstrual Pelvic Pain (NMPP) at Month 3 - Proportion of Responders

    Percentage of subjects with reduction of 0.8 for NMPP in mean pelvic pain score within last 28 days prior to Month 3 or discontinuation, and stable or decreased use of analgesics for Endometriosis-associated pain (=EAP) within the same calendar days.

    Time frame: Baseline to Month 3

07

Results

Posted May 29, 2024

Participant flow

Of the 854 subjects screened, 486 were randomized. Between randomization and Day 1 (i.e., first day of dosing), 2 subjects in the LGX 75 mg group discontinued due to protocol deviation. Thus, 484 randomized subjects were treated and comprised the FAS and SAF.

Participant flow — Overall Study
MilestoneLGX 75 mgLGX 200 mg+ABTPlacebo
Started160162162
Month 3149155149
Month 6140143137
Completed140143137
Not completed201925
Withdrew: Adverse event863
Withdrew: Lost to follow-up011
Withdrew: Pregnancy201
Withdrew: Protocol violation120
Withdrew: Withdrawal by subject81020
Withdrew: Sponsor decided to exclude the patient100

Outcome measures

PrimaryReduction of Dysmenorrhea (DYS) at Month 3 - Proportion of Responders

Percentage of subjects with reduction of 1.1 for DYS in mean pelvic pain score within last 28 days prior to Month 3 or discontinuation, and stable or decreased use of analgesics for Endometriosis-associated pain (=EAP) within the same calendar days.

Time frame:
Baseline to Month 3
Reported as:
Number · Percentage of responders
Reduction of Dysmenorrhea (DYS) at Month 3 - Proportion of Responders
Percentage of respondersLGX 75 mgLGX 200 mg+ABTPlacebo
Reduction of Dysmenorrhea (DYS) at Month 3 - Proportion of Responders44.0 (36.3 to 52.0)72.9 (65.3 to 79.4)23.5 (17.5 to 30.7)
Statistical analysis
  • LGX 75 mg vs Placebo · Bonferroni-corrected p-value · p = <0.001 · Odds ratio (or): 2.56 · 97.5% CI 1.46 to 4.49
  • LGX 200 mg+ABT vs Placebo · Bonferroni-corrected p-value · p = <0.001 · Odds ratio (or): 8.80 · 97.5% CI 4.86 to 15.91
PrimaryReduction of Non-menstrual Pelvic Pain (NMPP) at Month 3 - Proportion of Responders

Percentage of subjects with reduction of 0.8 for NMPP in mean pelvic pain score within last 28 days prior to Month 3 or discontinuation, and stable or decreased use of analgesics for Endometriosis-associated pain (=EAP) within the same calendar days.

Time frame:
Baseline to Month 3
Reported as:
Number · Percentage of responders
Reduction of Non-menstrual Pelvic Pain (NMPP) at Month 3 - Proportion of Responders
Percentage of respondersLGX 75 mgLGX 200 mg+ABTPlacebo
Reduction of Non-menstrual Pelvic Pain (NMPP) at Month 3 - Proportion of Responders38.9 (31.5 to 46.9)47.3 (39.5 to 55.3)30.9 (24.1 to 38.6)
Statistical analysis
  • LGX 75 mg vs Placebo · Bonferroni-corrected p-value · p = 0.279 · Odds ratio (or): 1.43 · 97.5% CI 0.83 to 2.45
  • LGX 200 mg+ABT vs Placebo · Bonferroni-corrected p-value · p = 0.007 · Odds ratio (or): 2.01 · 97.5% CI 1.18 to 3.42

Adverse events

Collected over Day 1 to Month 6 of the treatment period. Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
LGX 75 mg0/160 (0%)1/160 (0.6%)83/160 (51.9%)
LGX 200 mg+ABT0/162 (0%)2/162 (1.2%)94/162 (58%)
Placebo0/162 (0%)0/162 (0%)69/162 (42.6%)
Most frequent serious events
Most frequent serious events
EventLGX 75 mgLGX 200 mg+ABTPlacebo
EndometriosisReproductive system and breast disorders1/1600/1620/162
PeritonitisInfections and infestations1/1600/1620/162
PneumoniaInfections and infestations0/1601/1620/162
Abdominal painGastrointestinal disorders0/1601/1620/162
Most frequent other events
Showing 10 of 15
Most frequent other events
EventLGX 75 mgLGX 200 mg+ABTPlacebo
HeadacheNervous system disorders13/16017/16213/162
Hot flushVascular disorders12/16011/1624/162
FatigueGeneral disorders6/16011/1624/162
AnaemiaBlood and lymphatic system disorders5/1604/16210/162
Mood swingsPsychiatric disorders8/1605/1623/162
ArthralgiaMusculoskeletal and connective tissue disorders8/1603/1622/162
NauseaGastrointestinal disorders6/1606/1627/162
Urinary tract infectionInfections and infestations3/1607/1620/162
Abdominal distensionGastrointestinal disorders4/1606/1623/162
Vaginal haemorrhageReproductive system and breast disorders4/1606/1621/162

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)LGX 75 mgLGX 200 mg+ABTPlaceboTotal
<=18 years0000
Between 18 and 65 years160162162484
>=65 years0000
Age, Continuous
Age, Continuous(Years)LGX 75 mgLGX 200 mg+ABTPlaceboTotal
Mean35.1 ± 6.434.6 ± 6.834.9 ± 6.834.9 ± 6.6
Age, Customized
Age, Customized(Years)LGX 75 mgLGX 200 mg+ABTPlaceboTotal
Median35.5 (31.0 to 40.0)35.0 (30.0 to 40.0)35.0 (31.0 to 40.0)35.0 (30.0 to 40.0)
Sex: Female, Male
Sex: Female, Male(Participants)LGX 75 mgLGX 200 mg+ABTPlaceboTotal
Female160162162484
Male0000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)LGX 75 mgLGX 200 mg+ABTPlaceboTotal
Hispanic or Latino57113
Not Hispanic or Latino155155161471
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)LGX 75 mgLGX 200 mg+ABTPlaceboTotal
American Indian or Alaska Native0101
Asian1001
Native Hawaiian or Other Pacific Islander0000
Black or African American1124
White158159160477
More than one race0101
Unknown or Not Reported0000
Region of Enrollment
Region of Enrollment(Participants)LGX 75 mgLGX 200 mg+ABTPlaceboTotal
Austria0011
Romania18121949
Hungary0022
United States712726
Czechia2316
Ukraine706370203
Poland586457179
Bulgaria45413
France0101
Spain1214
Weight
Weight(kg)LGX 75 mgLGX 200 mg+ABTPlaceboTotal
Mean67.73 ± 14.4565.75 ± 14.7565.81 ± 11.9666.42 ± 13.77

1 further baseline measures are reported on the registry.

08

Study locations

71 sites
  • Achieve Clinical Research/ ID # 601
    Birmingham, Alabama 35218, United States
  • Choice Research, LLC/ ID # 609
    Dothan, Alabama 36303, United States
  • Southeast Clinical Research/ ID # 618
    Chiefland, Florida 32626, United States
  • Universal Axon - Homestead, LLC/ ID # 620
    Homestead, Florida 33030, United States
  • Multi-Specialty Research Associates, Inc./ ID # 625
    Lake City, Florida 32055, United States
  • Wellington Anti-Aging, LLC/ ID # 613
    Loxahatchee Groves, Florida 33470, United States
  • Adventura Clinical Research/ ID # 616
    Miramar, Florida 33012, United States
  • Stedman Clinical Trials/ ID # 612
    Tampa, Florida 33613, United States
  • Advanced Specialty Research/ ID # 610
    Nampa, Idaho 83687, United States
  • Affinity Clinical Research Institute/ ID # 622
    Oak Brook, Illinois 60523, United States
  • Women's & Family Care, LLC dba GTC Research/ ID # 608
    Shawnee Mission, Kansas 66218, United States
  • Southern Clinical Research / ID # 611
    Metairie, Louisiana 70001, United States
  • Quad Clinical Research LLC/ ID # 615
    Saint Louis, Missouri 63109, United States
  • The Center for Women's Health & Wellnes/ ID # 603
    Lawrenceville, New Jersey 08648, United States
  • PMG Research of Wilmington/ ID # 614
    Wilmington, North Carolina 28412, United States
  • UWCR - Lyndhurst Clinical Researc/ ID# 605
    Winston-Salem, North Carolina 27103, United States
  • Obstetrics & Gynecology Associates, Inc./ ID# 606
    Fairfield, Ohio 45014, United States
  • Invocare Medical Research & Healthcare Center/ ID # 607
    West Columbia, South Carolina 29169, United States
  • Chattanooga Medical Research LLC/ ID# 602
    Chattanooga, Tennessee 37404, United States
  • Next Innovative Clinical Research/ ID # 617
    Houston, Texas 77021, United States
  • Storks Research, LLC/ ID # 623
    Sugar Land, Texas 77479, United States
  • Tanner Clinic/ ID # 624
    Layton, Utah 84041, United States
  • Salzburger Landeskliniken / ID # 105
    Salzburg, 5020, Austria
  • AKH Vienna University of Medicine Vienna / ID # 101
    Vienna, 1090, Austria
  • AKH Vienna University of Medicine Vienna/ ID # 103
    Vienna, 1090, Austria
  • Multiprofile Hospital for Active Treatment Sliven/ ID # 131
    Sliven, 8800, Bulgaria
  • MHAT Dr. Bratan Shukerov / ID #138
    Smolyan, Bulgaria
  • Medical Centre Excelsior /ID # 135
    Sofia, 1407, Bulgaria
  • Group Practice for Specialized Medical Assistance in GINART/ ID # 132
    Sofia, 1606, Bulgaria
  • Multiprofile Hospital for Active Treatment St. Sofia/ ID # 137
    Sofia, 1618, Bulgaria
  • University Multiprofile Hospital for Active Treatment "Sofiamed"/ ID # 133
    Sofia, 1797, Bulgaria
  • MUDr Jan Drahonovsky, Ustav pro peci o matku a dite/ ID #163
    Praha 4, 14700, Czechia
  • Gynekologicko - Porodnicka Ambulance/ ID # 162
    Tábor, 39003, Czechia
  • Gynekologie MU Dr.Lubomir Mikulasek / ID # 160
    Ujezd nad Lesy, 19016, Czechia
  • CHRU Besançon Hopital/ ID # 204
    Besançon, 25000, France
  • CHRU Strasbourg - Hopital Hautepierre/ ID # 205
    Strasbourg, 67200, France
  • Clinique Pasteur / ID # 206
    Toulouse, 31076, France
  • Principal SMO Kft/ ID # 250
    Baja, Bacs-Kiskun 6500, Hungary
  • Róbert Károly Magánkórház/ ID # 253
    Budapest, 1135, Hungary
  • Szent Anna Szuleszeti-Nogyogyaszati/ ID # 251
    Debrecen, 4024, Hungary
  • Mediroyal Prevencios Kozpont/ ID # 252
    Kecskemét, 6000, Hungary
  • Lubelskie Centrum Diagnostyczne/ ID # 402
    Świdnik, Lubelskie 21-040, Poland
  • Prywatna Klinika Ginekologiczno - Położnicza/ ID # 404
    Białystok, Podlaskie 15-224, Poland
  • VITA LONGA Sp. z o.o./ ID # 408
    Katowice, 20-093, Poland
  • Clinical Medical Research sp. Z o. O/ ID # 406
    Katowice, 40-001, Poland
  • Indywidualna Specjalistyczna Praktyka Lekarska Krzysztof Wilk/ ID # 411
    Katowice, 40-301, Poland
  • Niepubliczny Zaklad Opieki Zrowotnej GynCentrum/ ID # 407
    Katowice, 40-851, Poland
  • Kotarski Jan Specjalistyczny Gabinet Ginekologiczno Polozniczy/ ID # 405
    Lublin, 20-064, Poland
  • Centrum Medyczne Chodźki Lublin/ ID # 403
    Lublin, 20-093, Poland
  • Centrum Ginekologii Endokrynologii i Medycyny Rozrodu "Artemida"/ ID # 409
    Olsztyn, 10-357, Poland
  • Wojewodzki Szpital im. Sw. Ojca Pio w Przemyslu/ ID # 410
    Przemyśl, 37-700, Poland
  • Specjalistyczny Gabinet Lekarski Krzysztof Dynowski / ID # 401
    Warsaw, 02-929, Poland
  • Quantum Medical Center SRL/ ID # 353
    Bucharest, 12071, Romania
  • Spitalul Clinic "Nicolae Malaxa"/ ID # 352
    Bucharest, 22448, Romania
  • Centrul Medical EUROMED/ ID # 351
    Bucuresti, 20764, Romania
  • Sp Cl de Obstetrica si Ginecologie "Prof. Dr. Panait Sirbu"/ ID # 354
    Bucuresti, 60251, Romania
  • Gine Plus SRL Cluj- Napoca/ ID # 357
    Cluj-Napoca, 400698, Romania
  • Centrul Medical GALENUS/ ID # 355
    Târgu-Mureş, 540236, Romania
  • Hospital General Universitario Reina Sofia/ ID # 304
    Murcia, 30003, Spain
  • Hospital Regional Universitario de Málaga/ ID # 303
    Málaga, 29010, Spain
  • City clinical maternity hospital №1/ ID # 502
    Chernivtsi, 58003, Ukraine
  • Ivano-Frankivsk regional perinatal center, Family planning center/ ID # 506
    Ivano-Frankivs'k, 76018, Ukraine
  • Kyiv City Maternity Hospital #6/ ID # 504
    Kyiv, 02125, Ukraine
  • Medical center of LLC "Medical Center "Verum"/ ID # 503
    Kyiv, 03039, Ukraine
  • Institute of Pediatrics Obstetrics and Gynecology/ ID # 508
    Kyiv, 04050, Ukraine
  • Kyiv City Clinical Hospital #9/ ID # 501
    Kyiv, 04112, Ukraine
  • Kyiv City Center of Reproductive and Perinatal Medicine/ ID # 509
    Kyiv, 04210, Ukraine
  • Ternopil' Communal City Hospital #2/ ID # 511
    Ternopil, 46400, Ukraine
  • Vinnytsia City Clinical Hospital "Center of Mother and the Child "/ ID # 510
    Vinnytsia, 21019, Ukraine
  • Zaporizhzhya Regional Clinical Hospital/ ID # 505
    Zaporizhzhya, 69000, Ukraine
  • Maternity Hospital № 3/ ID # 507
    Zaporizhzhya, 69071, Ukraine
09

References and documents

Study documents

  • Study protocol · Jul 27, 2020
  • Statistical analysis plan · Jun 13, 2022

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 Apr 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03992846
Lead sponsor
Kissei Pharmaceutical Co., Ltd.
Responsible party
Sponsor
First posted
Jun 20, 2019
Start date
Jun 13, 2019
Primary completion
Oct 18, 2021
Completion
Apr 1, 2022
Results posted
May 29, 2024
Last update
Apr 2, 2025

Study contacts

Lecomte
study director · ObsEva SA

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2022. 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.

Start the discussion