Uterine Fibroids
Conditions
Brief summary
This is a multicentre, Phase III, efficacy and safety open-label study with PGL4001 10mg once daily for 3 months, blinded towards the administration of progestin or placebo after end of PGL4001 treatment.
Detailed description
PGL4001 will be administered daily to all subjects in an open-label manner with no control group. The three months open label treatment period will be followed by a ten day double blind treatment with progestin or matching placebo. Subjects will be randomly assigned to progestin or matching placebo arm with a 1:1 ratio.
Interventions
PGL4001 10mg once daily (oral tablets) for 3 months followed by a period of 10 days of placebo (oral tablets).
PGL4001 10mg once daily (oral tablets) for 3 months followed by a period of 10 days of progestin Norethisterone acetate 10mg once daily (oral tablets).
Sponsors
Study design
Eligibility
Inclusion criteria
* Subject is a pre-menopausal woman aged between 18 and 48 years inclusive. * Subject with a Body Mass Index ≥18 and ≤40. * Subject with myomatous uterus size \< 16 weeks. * Subject must have at least one uterine myoma of at least 3 cm diameter in size and no myoma larger than 10 cm diameter diagnosed by ultrasound. * Subject complained of strong uterine bleeding. * Subject is eligible for hysterectomy or myomectomy. * Females of childbearing potential have to practice a non-hormonal method of contraception.
Exclusion criteria
* Subject has a history of or current uterus, cervix, ovarian or breast cancer. * Subject has a history of endometrium hyperplasia or adenocarcinoma in a biopsy performed within the past 6 months or similar lesions in the screening biopsy. * Subject has a known severe coagulation disorder. * Subject has a history of treatment for myoma with a SPRM, including ulipristal acetate. * Subject has abnormal hepatic function at study entry.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy endpoints | From baseline to end of PGL4001 treatment (3months treatment) and to approximately 2 weeks after double blind treatment with progestin/placebo. | Investigate efficacy of PGL4001 on uterine bleeding (% of subjects in amenorrhea at end of PGL4001 treatment), myoma size (transvaginal ultrasound), pain (short Mc Gill questionnaire) and quality of life (specific UFS-QoL questionnaire and general EQ-5D questionnaire). |
| Number and proportion of subjects experiencing open label treatment-emergent adverse events | From baseline to end of PGL4001 treatment (3months treatment) | — |
Countries
Austria, Belgium, Poland, Spain