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A Clinical Study to Evaluate the Efficacy and Safety of Ospemifene in the Treatment of Vulvar and Vaginal Atrophy (VVA) in Postmenopausal Women

Efficacy and Safety of Ospemifene in the Treatment of Vulvar and Vaginal Atrophy (VVA) in Postmenopausal Women: A Phase II Dose Ranging, 12-Week, Randomized , Double-Blind, Placebo-Controlled, Parallel-Group Study Comparing Oral Ospemifene 5 mg, 15 mg and 30 mg Daily Doses With Placebo

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00630539
Enrollment
126
Registered
2008-03-07
Start date
2007-08-31
Completion date
2008-02-29
Last updated
2013-06-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Atrophy, Vaginal Diseases

Keywords

Menopausal symptoms, Urogenital atrophy, Vulvar and vaginal atrophy in postmenopausal women, Vaginal atrophy

Brief summary

The purpose of the study is to assess the efficacy, safety and tolerability of Ospemifene 5 mg, 15 mg, and 30 mg in the treatment of VVA in postmenopausal women to find the minimum effective dose below the lowest dose of 30 mg tested earlier in Phase II.

Interventions

DRUGPlacebo

1 tablet per day, orally, in the morning, with food for 12 weeks - from Visit 2 (Randomization, Day 1) to Visit 4 (End of therapy, Week 12).

DRUGOspemifene 5 mg

1 tablet of ospemifene 5 mg (QD), orally, in the morning, with food for 12 weeks - from Visit 2 (Randomization, Day 1) to Visit 4 (End of therapy, Week 12).

DRUGOspemifene 15 mg

1 tablet of ospemifene 15 mg (QD), orally, in the morning, with food for 12 weeks - from Visit 2 (Randomization, Day 1) to Visit 4 (End of therapy, Week 12).

1 tablet of ospemifene 30 mg (QD), orally, in the morning, with food for 12 weeks - from Visit 2 (Randomization, Day 1) to Visit 4 (End of therapy, Week 12).

Sponsors

Hormos Medical
CollaboratorINDUSTRY
QuatRx Pharmaceuticals
CollaboratorINDUSTRY
Shionogi
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
FEMALE
Age
40 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Naturally or surgically menopausal * Vaginal pH greater than 5.0 * 5% or fewer superficial cells in maturation index of vaginal smear

Exclusion criteria

* Evidence of endometrial hyperplasia, cancer or other pathology * Abnormal PAP smear * Uterine bleeding of unknown origin or uterine polyps * Current vaginal infection requiring medication * Use of hormonal medications * Clinically significant abnormal gynecological findings other than signs of vaginal atrophy

Design outcomes

Primary

MeasureTime frame
Mean Change From Baseline in Percentage of Parabasal Cells in the Maturation Index of the Vaginal Smear12 weeks
Mean Change From Baseline in Percentage of Superficial Cells in Maturation Index of the Vaginal Smear12 weeks
Mean Change From Baseline in Vaginal pH12 weeks

Secondary

MeasureTime frame
Mean Change From Baseline in Estradiol LevelsWeek 12
Mean Change From Baseline in Luteinizing Hormone LevelsWeek 12
Visual Evaluation of Vagina (by Gynecological Examination)Screening & Week 12
Mean Change From Baseline in Sex Hormone Binding Globulin LevelsWeek 12
Mean Change From Baseline in Percentage of Parabasal Cells in the Maturation IndexWeek 4
Mean Change From Baseline in Follicle Stimulating Hormone LevelsWeek 12
Mean Change From Baseline in Vaginal pHWeek 4
Mean Change From Baseline in Percentage of Superficial Cells in the Maturation IndexWeek 4

Participant flow

Recruitment details

The study was conducted at 9 centers in Finland. First patient was enrolled on August 09, 2007 and last patient completed on February 11, 2008

Pre-assignment details

The study population included postmenopausal women 40 to 80 years of age with a diagnosis of vulvar and vaginal atrophy (VVA) assessed by the maturation index (MI) of vaginal smear and vaginal pH at baseline

Participants by arm

ArmCount
Subjects on Placebo
Subjects took 1 placebo tablet daily (in the morning with food) for 12 weeks
34
Subjects on Ospemifene 5 mg/Day
Subjects took 1 ospemifene 5 mg tablet daily (in the morning with food) for 12 weeks
33
Subjects on Ospemifene 15 mg/Day
Subjects took 1 ospemifene 15 mg tablet daily (in the morning with food) for 12 weeks
29
Subjects on Ospemifene 30 mg/Day
Subjects took 1 ospemifene 30 mg tablet daily (in the morning with food) for 12 weeks
30
Total126

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event1312
Overall StudyWithdrawal by Subject0101

Baseline characteristics

CharacteristicSubjects on PlaceboSubjects on Ospemifene 5 mg/DaySubjects on Ospemifene 15 mg/DaySubjects on Ospemifene 30 mg/DayTotal
Age Continuous62.8 years
STANDARD_DEVIATION 6
61.5 years
STANDARD_DEVIATION 5.6
63.4 years
STANDARD_DEVIATION 7.1
62.0 years
STANDARD_DEVIATION 6.8
62.4 years
STANDARD_DEVIATION 6.4
Alcohol0.9 drinks/week
STANDARD_DEVIATION 1.9
1.8 drinks/week
STANDARD_DEVIATION 2.4
1.2 drinks/week
STANDARD_DEVIATION 1.7
1.5 drinks/week
STANDARD_DEVIATION 2.3
1.4 drinks/week
STANDARD_DEVIATION 2.1
BMI26.89 kg/m^2
STANDARD_DEVIATION 3.95
24.78 kg/m^2
STANDARD_DEVIATION 3.44
25.50 kg/m^2
STANDARD_DEVIATION 4.99
25.28 kg/m^2
STANDARD_DEVIATION 3.2
25.61 kg/m^2
STANDARD_DEVIATION 3.9
Height1.609 m
STANDARD_DEVIATION 0.049
1.636 m
STANDARD_DEVIATION 0.051
1.641 m
STANDARD_DEVIATION 0.062
1.617 m
STANDARD_DEVIATION 0.058
1.626 m
STANDARD_DEVIATION 0.055
Race/Ethnicity, Customized
Participants
34 participants33 participants29 participants30 participants126 participants
Sex: Female, Male
Female
34 Participants33 Participants29 Participants30 Participants126 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants0 Participants0 Participants
Weight69.6 kg
STANDARD_DEVIATION 10.1
66.5 kg
STANDARD_DEVIATION 10.6
68.7 kg
STANDARD_DEVIATION 13.5
65.9 kg
STANDARD_DEVIATION 7.4
67.7 kg
STANDARD_DEVIATION 10.4

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
25 / 347 / 3313 / 2916 / 30
serious
Total, serious adverse events
1 / 340 / 330 / 290 / 30

Outcome results

Primary

Mean Change From Baseline in Percentage of Parabasal Cells in the Maturation Index of the Vaginal Smear

Time frame: 12 weeks

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Subjects on PlaceboMean Change From Baseline in Percentage of Parabasal Cells in the Maturation Index of the Vaginal Smear-3.0 percentage of parabasal cellsStandard Deviation 30.2
Subjects on Ospemifene 5 mg/DayMean Change From Baseline in Percentage of Parabasal Cells in the Maturation Index of the Vaginal Smear-2.8 percentage of parabasal cellsStandard Deviation 33.2
Subjects on Ospemifene 15 mg/DayMean Change From Baseline in Percentage of Parabasal Cells in the Maturation Index of the Vaginal Smear-24.1 percentage of parabasal cellsStandard Deviation 36.7
Subjects on Ospemifene 30 mg/DayMean Change From Baseline in Percentage of Parabasal Cells in the Maturation Index of the Vaginal Smear-26.8 percentage of parabasal cellsStandard Deviation 41.1
Primary

Mean Change From Baseline in Percentage of Superficial Cells in Maturation Index of the Vaginal Smear

Time frame: 12 weeks

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Subjects on PlaceboMean Change From Baseline in Percentage of Superficial Cells in Maturation Index of the Vaginal Smear0.2 percentage of superficial cellsStandard Deviation 1.5
Subjects on Ospemifene 5 mg/DayMean Change From Baseline in Percentage of Superficial Cells in Maturation Index of the Vaginal Smear0.9 percentage of superficial cellsStandard Deviation 3.1
Subjects on Ospemifene 15 mg/DayMean Change From Baseline in Percentage of Superficial Cells in Maturation Index of the Vaginal Smear5.0 percentage of superficial cellsStandard Deviation 9.1
Subjects on Ospemifene 30 mg/DayMean Change From Baseline in Percentage of Superficial Cells in Maturation Index of the Vaginal Smear5.6 percentage of superficial cellsStandard Deviation 10.3
Primary

Mean Change From Baseline in Vaginal pH

Time frame: 12 weeks

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Subjects on PlaceboMean Change From Baseline in Vaginal pH-0.07 pHStandard Deviation 0.91
Subjects on Ospemifene 5 mg/DayMean Change From Baseline in Vaginal pH-0.37 pHStandard Deviation 0.83
Subjects on Ospemifene 15 mg/DayMean Change From Baseline in Vaginal pH-0.95 pHStandard Deviation 1.02
Subjects on Ospemifene 30 mg/DayMean Change From Baseline in Vaginal pH-1.11 pHStandard Deviation 1.06
Secondary

Mean Change From Baseline in Estradiol Levels

Time frame: Week 12

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Subjects on PlaceboMean Change From Baseline in Estradiol Levels-0.004 nmol/LStandard Deviation 0.011
Subjects on Ospemifene 5 mg/DayMean Change From Baseline in Estradiol Levels0.004 nmol/LStandard Deviation 0.015
Subjects on Ospemifene 15 mg/DayMean Change From Baseline in Estradiol Levels-0.010 nmol/LStandard Deviation 0.026
Subjects on Ospemifene 30 mg/DayMean Change From Baseline in Estradiol Levels-0.003 nmol/LStandard Deviation 0.008
Secondary

Mean Change From Baseline in Follicle Stimulating Hormone Levels

Time frame: Week 12

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Subjects on PlaceboMean Change From Baseline in Follicle Stimulating Hormone Levels-10.36 U/LStandard Deviation 20.41
Subjects on Ospemifene 5 mg/DayMean Change From Baseline in Follicle Stimulating Hormone Levels-7.04 U/LStandard Deviation 10.8
Subjects on Ospemifene 15 mg/DayMean Change From Baseline in Follicle Stimulating Hormone Levels-5.99 U/LStandard Deviation 23.07
Subjects on Ospemifene 30 mg/DayMean Change From Baseline in Follicle Stimulating Hormone Levels-15.32 U/LStandard Deviation 13.13
Secondary

Mean Change From Baseline in Luteinizing Hormone Levels

Time frame: Week 12

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Subjects on PlaceboMean Change From Baseline in Luteinizing Hormone Levels-1.36 U/LStandard Deviation 4.71
Subjects on Ospemifene 5 mg/DayMean Change From Baseline in Luteinizing Hormone Levels-2.89 U/LStandard Deviation 5.94
Subjects on Ospemifene 15 mg/DayMean Change From Baseline in Luteinizing Hormone Levels-0.34 U/LStandard Deviation 9.23
Subjects on Ospemifene 30 mg/DayMean Change From Baseline in Luteinizing Hormone Levels-3.78 U/LStandard Deviation 7.34
Secondary

Mean Change From Baseline in Percentage of Parabasal Cells in the Maturation Index

Time frame: Week 4

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Subjects on PlaceboMean Change From Baseline in Percentage of Parabasal Cells in the Maturation Index-0.6 percentage of parabasal cellsStandard Deviation 24.1
Subjects on Ospemifene 5 mg/DayMean Change From Baseline in Percentage of Parabasal Cells in the Maturation Index-0.6 percentage of parabasal cellsStandard Deviation 23.8
Subjects on Ospemifene 15 mg/DayMean Change From Baseline in Percentage of Parabasal Cells in the Maturation Index-19.7 percentage of parabasal cellsStandard Deviation 27
Subjects on Ospemifene 30 mg/DayMean Change From Baseline in Percentage of Parabasal Cells in the Maturation Index-22.0 percentage of parabasal cellsStandard Deviation 42.7
Secondary

Mean Change From Baseline in Percentage of Superficial Cells in the Maturation Index

Time frame: Week 4

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Subjects on PlaceboMean Change From Baseline in Percentage of Superficial Cells in the Maturation Index0.6 percentage of superficial cellsStandard Deviation 2.7
Subjects on Ospemifene 5 mg/DayMean Change From Baseline in Percentage of Superficial Cells in the Maturation Index0.6 percentage of superficial cellsStandard Deviation 2.9
Subjects on Ospemifene 15 mg/DayMean Change From Baseline in Percentage of Superficial Cells in the Maturation Index2.5 percentage of superficial cellsStandard Deviation 5.6
Subjects on Ospemifene 30 mg/DayMean Change From Baseline in Percentage of Superficial Cells in the Maturation Index5.0 percentage of superficial cellsStandard Deviation 10.7
Secondary

Mean Change From Baseline in Sex Hormone Binding Globulin Levels

Time frame: Week 12

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Subjects on PlaceboMean Change From Baseline in Sex Hormone Binding Globulin Levels-2.4 nmol/LStandard Deviation 10
Subjects on Ospemifene 5 mg/DayMean Change From Baseline in Sex Hormone Binding Globulin Levels2.9 nmol/LStandard Deviation 12.2
Subjects on Ospemifene 15 mg/DayMean Change From Baseline in Sex Hormone Binding Globulin Levels6.3 nmol/LStandard Deviation 12.5
Subjects on Ospemifene 30 mg/DayMean Change From Baseline in Sex Hormone Binding Globulin Levels18.0 nmol/LStandard Deviation 20.2
Secondary

Mean Change From Baseline in Vaginal pH

Time frame: Week 4

Population: ITT

ArmMeasureValue (MEAN)Dispersion
Subjects on PlaceboMean Change From Baseline in Vaginal pH-0.12 pHStandard Deviation 0.59
Subjects on Ospemifene 5 mg/DayMean Change From Baseline in Vaginal pH-0.26 pHStandard Deviation 0.68
Subjects on Ospemifene 15 mg/DayMean Change From Baseline in Vaginal pH-0.53 pHStandard Deviation 0.83
Subjects on Ospemifene 30 mg/DayMean Change From Baseline in Vaginal pH-0.78 pHStandard Deviation 1
Secondary

Visual Evaluation of Vagina (by Gynecological Examination)

Time frame: Screening & Week 12

Population: ITT

ArmMeasureGroupValue (NUMBER)
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-None8.8 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Moderate41.2 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Mild47.1 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Not done0.0 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Severe5.9 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Not done0.0 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Moderate26.5 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-None14.7 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Severe11.8 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Moderate26.5 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Mild52.9 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Severe11.8 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-None8.8 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Not done0.0 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Not done0.0 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Severe5.9 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Moderate38.2 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Mild47.1 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Pallor-None8.8 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Friability-None8.8 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Friability-Not done0.0 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Friability-Severe11.8 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Mild44.1 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Friability-Moderate38.2 percentage of subjects
Subjects on PlaceboVisual Evaluation of Vagina (by Gynecological Examination)Friability-Mild41.2 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Not done0.0 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Severe2.9 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Moderate35.3 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Mild29.4 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Not done0.0 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Not done0.0 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Severe2.9 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-None23.5 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Not done0.0 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Severe5.9 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Severe11.8 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Moderate32.4 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Moderate26.5 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-None20.6 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Mild41.2 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Moderate26.5 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Moderate41.2 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Mild41.2 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Mild32.4 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-None14.7 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Severe8.8 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-None35.3 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-None20.6 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Mild47.1 percentage of subjects
Subjects on Ospemifene 5 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Not done0.0 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-None6.1 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-None24.2 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Moderate12.1 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Severe21.2 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Not done0.0 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-None6.1 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Mild30.3 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Moderate57.6 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Severe6.1 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Not done0.0 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-None15.2 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Mild27.3 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Moderate36.4 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Severe21.2 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Not done0.0 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Mild21.2 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Moderate63.6 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Severe9.1 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Not done0.0 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-None18.2 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Mild33.3 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Moderate33.3 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Severe15.2 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Not done0.0 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Mild42.4 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Mild36.4 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Not done3.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Severe3.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Moderate6.1 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Severe3.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-None27.3 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Moderate30.3 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Not done3.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-None15.2 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-None36.4 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Not done3.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Mild21.2 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Mild39.4 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-None30.3 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Moderate33.3 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Severe3.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Not done3.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-None39.4 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Severe15.2 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Moderate21.2 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Severe15.2 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Mild30.3 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Mild48.5 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Not done3.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Moderate30.3 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Moderate31.0 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-None17.2 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Mild48.3 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Moderate31.0 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Severe3.4 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Moderate48.3 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-None10.3 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-None10.3 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Severe6.9 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-None13.8 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Moderate31.0 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Not done0.0 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-None10.3 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Severe6.9 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Mild48.3 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Mild41.4 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Not done0.0 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Not done0.0 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Mild55.2 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Moderate37.9 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Mild34.5 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Severe10.3 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Severe3.4 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Not done0.0 percentage of subjects
Subjects on Ospemifene 15 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Not done0.0 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Petechiae-Mild24.1 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Petechiae-Not done3.4 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Mild27.6 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Petechiae-Severe0.0 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Friability-None44.8 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Not done3.4 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Moderate6.9 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Friability-Moderate6.9 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Pallor-Moderate10.3 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Petechiae-Moderate17.2 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Severe0.0 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Petechiae-None55.2 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Friability-Not done3.4 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Pallor-Not done3.4 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Moderate17.2 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-None51.7 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Pallor-Mild48.3 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Pallor-Severe0.0 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-None51.7 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Severe0.0 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Friability-Severe0.0 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Pallor-None37.9 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Friability-Mild44.8 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Mild37.9 percentage of subjects
Subjects on Ospemifine 15 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Not done3.4 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Moderate43.3 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Mild40.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-None16.7 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Mild40.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Moderate23.3 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-None6.7 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Not done0.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Severe20.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-None10.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Not done0.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Mild43.3 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Moderate33.3 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-None10.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Severe13.3 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Severe10.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Not done0.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-None10.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Moderate26.7 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Friability-Not done0.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Mild50.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Moderate23.3 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Severe16.7 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Petechiae-Mild53.3 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Severe10.0 percentage of subjects
Subjects on Ospemifene 30 mg/DayVisual Evaluation of Vagina (by Gynecological Examination)Pallor-Not done0.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Petechiae-Mild30.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-None53.3 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Not done0.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Severe0.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Petechiae-Severe3.3 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Friability-Mild33.3 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Severe3.3 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Friability-None60.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Pallor-Moderate6.7 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Pallor-Mild43.3 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Moderate6.7 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-Mild16.7 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Petechiae-None60.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Petechiae-Not done0.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal dryness in the mucosa-None73.3 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Pallor-Not done0.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Pallor-Severe0.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Not done0.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Friability-Severe0.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Friability-Moderate3.3 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Friability-Not done0.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Mild40.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Pallor-None46.7 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Vaginal redness in the mucosa-Moderate0.0 percentage of subjects
Subjects on Ospemifene 30 mg/Day (Week 12)Visual Evaluation of Vagina (by Gynecological Examination)Petechiae-Moderate3.3 percentage of subjects

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026