Postmenopause
Conditions
Keywords
hormone replacement, vasomotoric symptoms, bleeding pattern
Brief summary
To demonstrate efficacy of continuous combined 0.5 mg estradiol and 2.5 mg dydrogesterone versus placebo in the treatment of vasomotor symptoms after a treatment period of 3 months and to investigate the bleeding pattern over a treatment period of one year
Interventions
0.5 Mg Estradiol and 2.5 Mg Dydrogesterone
Placebo
Sponsors
Study design
Eligibility
Inclusion criteria
* Non-hysterectomised postmenopausal women * Amenorrhoea for \>= 12 months * Serum estradiol and follicle stimulating hormone (FSH) in the postmenopausal range
Exclusion criteria
* Known hypersensitivity to estradiol, dydrogesterone or any of the excipients of the study medication * Baseline endometrial biopsy result other than described in the inclusion criteria (no endometrial tissue for diagnosis, hyperplasia, carcinoma). * Insufficient endometrial tissue for diagnosis obtained at baseline biopsy and endometrial thickness \>= 5 mm (double layer) by transvaginal ultrasound. * The presence of an endometrial polyp at baseline. * Abnormal (un-investigated and/or unexplained) vaginal bleeding in the last 12 months prior to Screening Visit (Visit 1). * Estradiol pellet/implant therapy during the past 6 months. * Previous systemic unopposed estrogen replacement therapy over 6 months or more. * History or presence of malignant neoplasms other than basal or spinal cell carcinoma of the skin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The change in the number of moderate to severe hot flushes from baseline to week 13 | 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Change in the number of hot flushes from baseline to week 13; Change in the number of hot flushes and moderate to severe hot flushes from baseline to weeks 4 and 8; | 12 weeks |
| Change in the Menopause Rating Scale from baseline to weeks 4 and 13; | 52 weeks |
| Number of days with bleeding/spotting; Number of bleeding/spotting episodes; Number of days with a certain bleeding intensity (e.g. bleeding intensity =2); | 52 weeks |
| Length of bleeding free intervals; Amenorrhoea yes/no (absence of spotting and bleeding); Absence of bleeding yes/no; | 52 weeks |
| QualiPause Inventory 7D: weighted sum score of the symptoms | 52 weeks |
Countries
Croatia, France, Poland, Romania, Russia