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Safety & Efficacy WC3011 (Estradiol Vaginal Cream) in the Treatment of Vulvovaginal Atrophy in Postmenopausal Women

A Randomized, Double-Blind, Vehicle-Controlled Study of the Safety and Efficacy of WC3011 (Estradiol Vaginal Cream) in the Treatment of Symptoms of Vulvovaginal Atrophy in Postmenopausal Women

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01400776
Acronym
VENUS
Enrollment
722
Registered
2011-07-22
Start date
2011-06-29
Completion date
2012-02-27
Last updated
2022-05-09

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

Conditions

Postmenopausal Vulvovaginal Atrophy

Keywords

Postmenopausal Women, Vaginal Dryness

Brief summary

Study if WC3011 is effective and safe in the treatment of postmenopausal vaginal dryness due to vulvovaginal atrophy.

Interventions

WC3011 estradiol vaginal cream administered once daily for 2 weeks followed by 2X/week or 3X/week for 10 weeks, total treatment duration 12 weeks

DRUGVehicle

Vehicle administered once daily for 2 weeks followed by 2X/week or 3X/week for 10 weeks, total treatment duration 12 weeks.

Sponsors

Warner Chilcott
Lead SponsorINDUSTRY

Study design

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

Eligibility

Sex/Gender
FEMALE
Age
35 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Postmenopausal females ≥35 years with either or both ovaries removed or naturally menopausal with moderate to severe vaginal dryness

Exclusion criteria

* Hypersensitivity to estrogen and/or progestin therapy * Known or suspected premalignant or malignant disease (except successfully treated skin cancers) * Manifestation of or treatment for significant cardiovascular disease, congestive heart failure, stroke or ischemic attacks * Insulin-dependent diabetes mellitus * Increased frequency or severity of headaches while on hormone or estrogen therapy * Drug or alcohol addiction within last 2 years * Participation in a clinical trial within 30 days * Smoking ≥ 15 cigarettes daily * Uncontrolled hypertension - systolic blood pressure (BP) ≥ 160 mmHg or diastolic BP ≥ 95 mmHg

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Week 12/Final VisitBaseline (Day 0) to Week 12/Final VisitThe severity of vaginal dryness was assessed and recorded on a questionnaire by the participants using the following 4 point scale where, 0=None (The symptom is not present), 1=Mild (The symptom is present but may be intermittent; does not interfere with participants activities or lifestyle), 2=Moderate (The symptom is present. Participant is usually aware of the symptom, but activities and lifestyle are only occasionally affected), and 3=Severe (The symptom is present. Participant is usually aware and bothered by the symptom and have modified participant's activities and/or lifestyle due to the symptom. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.
Change From Baseline in Vaginal pH to Week 12/Final VisitBaseline (Day 0) to Week 12/Final VisitVaginal pH was obtained at final visit of the study. The pH was a numeric value from a scale of 0 to 14 expressing the acidity or alkalinity of the vaginal fluids where 7 was neutral, lower values were more acidic (values of 0-6) and higher values more alkaline (values of 8-14). A negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.
Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12/Final VisitBaseline (Day 0) to Week 12/Final VisitVaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of superficial cells. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.
Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12/Final VisitBaseline (Day 0) to Week 12/Final VisitVaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of parabasal cells. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Secondary

MeasureTime frameDescription
Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final VisitBaseline (Day 0) to Week 12 and Week 12/Final visitInvestigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to petechiae scored on a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.
Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Baseline (Day 0) to Weeks 2, 4, 8 and 12Participant's self-assessment of symptoms of VVA (severity of vaginal dryness) was scored according to a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement.
Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline (Day 0) to Weeks 2, 4, 8, 12 and Week 12/Final visitParticipant's self-assessment of symptoms of VVA (vaginal and/or vulvar irritation/itching) was scored according to a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.
Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline (Day 0) to Weeks 2, 4, 8, 12 and Week 12/Final visitParticipant's self-assessment of symptoms of VVA (dysuria) was scored according to a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.
Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final VisitBaseline (Day 0) to Week 12 and Week 12/Final visitInvestigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to atrophy scored on a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.
Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline (Day 0) and Weeks 2, 4, 8, 12 and Week 12/Final visitVaginal bleeding associated with sexual activity was assessed by participants as either present or absent. Percentage of participants with assessment present are reported. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.
Change From Baseline in Vaginal pH to Week 12Baseline (Day 0) to Week 12Vaginal pH was obtained at final visit of the study. The pH was a numeric value from a scale of 0 to 14 expressing the acidity or alkalinity of the vaginal fluids where 7 was neutral, lower values were more acidic (values of 0-6) and higher values more alkaline (values of 8-14). A negative change from Baseline indicates improvement.
Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12Baseline (Day 0) to Week 12Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of superficial cells.
Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12Baseline (Day 0) to Week 12Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of parabasal cells.
Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline (Day 0) to Weeks 2, 4, 8, 12 and Week 12/Final visitParticipant's self-assessment of symptoms of VVA (dyspareunia) was scored according to a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.
Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final VisitBaseline (Day 0) to Week 12 and Week 12/Final visitInvestigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to pallor scored on a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.
Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final VisitBaseline (Day 0) to Week 12 and Week 12/Final visitInvestigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to vaginal dryness scored on a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.
Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final VisitBaseline (Day 0) to Week 12 and Week 12/Final visitInvestigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to friability scored on a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Countries

United States

Participant flow

Participants by arm

ArmCount
WC3011 Estradiol Vaginal Cream (2 Times/Week)
WC3011 estradiol vaginal cream applied daily for 2 weeks, followed by dosing 2 times a week for 10 weeks.
238
Vehicle (2 Times/Week)
Vehicle applied daily for 2 weeks, followed by dosing 2 times a week for 10 weeks.
124
WC3011 Estradiol Vaginal Cream (3 Times/Week)
WC3011 estradiol vaginal cream applied daily for 2 weeks, followed by dosing 3 times a week for 10 weeks.
237
Vehicle (3 Times/Week)
Vehicle applied daily for 2 weeks, followed by dosing 3 times a week for 10 weeks.
123
Total722

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event7292
Overall StudyLost to Follow-up1041
Overall StudyProtocol Deviation6152
Overall StudyReason not Specified3043
Overall StudyWithdrew Consent4261

Baseline characteristics

CharacteristicWC3011 Estradiol Vaginal Cream (2 Times/Week)Vehicle (2 Times/Week)WC3011 Estradiol Vaginal Cream (3 Times/Week)Vehicle (3 Times/Week)Total
Age, Continuous58.4 years
STANDARD_DEVIATION 6.27
57.8 years
STANDARD_DEVIATION 6.34
58.0 years
STANDARD_DEVIATION 6.03
58.7 years
STANDARD_DEVIATION 6.58
58.2 years
STANDARD_DEVIATION 6.26
Ethnicity (NIH/OMB)
Hispanic or Latino
14 Participants6 Participants15 Participants10 Participants45 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
224 Participants118 Participants222 Participants113 Participants677 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Asian
2 Participants1 Participants2 Participants1 Participants6 Participants
Race (NIH/OMB)
Black or African American
29 Participants18 Participants27 Participants14 Participants88 Participants
Race (NIH/OMB)
More than one race
1 Participants0 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants0 Participants0 Participants1 Participants3 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants0 Participants0 Participants1 Participants2 Participants
Race (NIH/OMB)
White
202 Participants105 Participants208 Participants106 Participants621 Participants
Sex: Female, Male
Female
238 Participants124 Participants237 Participants123 Participants722 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
0 / 2380 / 1240 / 2370 / 123
other
Total, other adverse events
46 / 23820 / 12457 / 23723 / 123
serious
Total, serious adverse events
1 / 2380 / 1240 / 2371 / 123

Outcome results

Primary

Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Week 12/Final Visit

The severity of vaginal dryness was assessed and recorded on a questionnaire by the participants using the following 4 point scale where, 0=None (The symptom is not present), 1=Mild (The symptom is present but may be intermittent; does not interfere with participants activities or lifestyle), 2=Moderate (The symptom is present. Participant is usually aware of the symptom, but activities and lifestyle are only occasionally affected), and 3=Severe (The symptom is present. Participant is usually aware and bothered by the symptom and have modified participant's activities and/or lifestyle due to the symptom. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Time frame: Baseline (Day 0) to Week 12/Final Visit

Population: Modified Intent-to-Treat Population (mITT) included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Week 12/Final VisitBaseline2.49 score on a scaleStandard Deviation 0.5
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Week 12/Final VisitChange from Baseline to Week 12/Final Visit-1.27 score on a scaleStandard Deviation 0.9
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.99 score on a scaleStandard Deviation 0.89
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Week 12/Final VisitBaseline2.46 score on a scaleStandard Deviation 0.52
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Week 12/Final VisitBaseline2.50 score on a scaleStandard Deviation 0.5
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Week 12/Final VisitChange from Baseline to Week 12/Final Visit-1.31 score on a scaleStandard Deviation 0.93
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Week 12/Final VisitBaseline2.50 score on a scaleStandard Deviation 0.5
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Week 12/Final VisitChange from Baseline to Week 12/Final Visit-1.17 score on a scaleStandard Deviation 0.97
Primary

Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12/Final Visit

Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of parabasal cells. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Time frame: Baseline (Day 0) to Week 12/Final Visit

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12/Final VisitChange from Baseline to Week 12/Final Visit41.7 percentage of parabasal cellsStandard Deviation 42.76
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12/Final VisitBaseline48.36 percentage of parabasal cellsStandard Deviation 43.46
Vehicle (2 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12/Final VisitBaseline47.78 percentage of parabasal cellsStandard Deviation 44.51
Vehicle (2 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12/Final VisitChange from Baseline to Week 12/Final Visit-8.20 percentage of parabasal cellsStandard Deviation 29.56
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12/Final VisitBaseline42.56 percentage of parabasal cellsStandard Deviation 41.03
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12/Final VisitChange from Baseline to Week 12/Final Visit-38.5 percentage of parabasal cellsStandard Deviation 39.78
Vehicle (3 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12/Final VisitChange from Baseline to Week 12/Final Visit-16.0 percentage of parabasal cellsStandard Deviation 32.75
Vehicle (3 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12/Final VisitBaseline45.24 percentage of parabasal cellsStandard Deviation 42.47
Primary

Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12/Final Visit

Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of superficial cells. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Time frame: Baseline (Day 0) to Week 12/Final Visit

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12/Final VisitChange from Baseline to Week 12/Final Visit11.44 percentage of superficial cellsStandard Deviation 14.74
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12/Final VisitBaseline0.85 percentage of superficial cellsStandard Deviation 3.76
Vehicle (2 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12/Final VisitBaseline0.66 percentage of superficial cellsStandard Deviation 1.62
Vehicle (2 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12/Final VisitChange from Baseline to Week 12/Final Visit3.05 percentage of superficial cellsStandard Deviation 7.11
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12/Final VisitBaseline0.79 percentage of superficial cellsStandard Deviation 1.63
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12/Final VisitChange from Baseline to Week 12/Final Visit17.30 percentage of superficial cellsStandard Deviation 19.27
Vehicle (3 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12/Final VisitChange from Baseline to Week 12/Final Visit4.02 percentage of superficial cellsStandard Deviation 12.16
Vehicle (3 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12/Final VisitBaseline0.66 percentage of superficial cellsStandard Deviation 1.21
Primary

Change From Baseline in Vaginal pH to Week 12/Final Visit

Vaginal pH was obtained at final visit of the study. The pH was a numeric value from a scale of 0 to 14 expressing the acidity or alkalinity of the vaginal fluids where 7 was neutral, lower values were more acidic (values of 0-6) and higher values more alkaline (values of 8-14). A negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Time frame: Baseline (Day 0) to Week 12/Final Visit

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Vaginal pH to Week 12/Final VisitBaseline6.51 score on a scaleStandard Deviation 0.96
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Vaginal pH to Week 12/Final VisitChange from Baseline to Week 12/Final Visit-1.08 score on a scaleStandard Deviation 1.14
Vehicle (2 Times/Week)Change From Baseline in Vaginal pH to Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.37 score on a scaleStandard Deviation 0.92
Vehicle (2 Times/Week)Change From Baseline in Vaginal pH to Week 12/Final VisitBaseline6.49 score on a scaleStandard Deviation 0.86
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Vaginal pH to Week 12/Final VisitBaseline6.40 score on a scaleStandard Deviation 0.93
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Vaginal pH to Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.99 score on a scaleStandard Deviation 1.05
Vehicle (3 Times/Week)Change From Baseline in Vaginal pH to Week 12/Final VisitBaseline6.40 score on a scaleStandard Deviation 0.86
Vehicle (3 Times/Week)Change From Baseline in Vaginal pH to Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.46 score on a scaleStandard Deviation 0.9
Secondary

Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final Visit

Investigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to atrophy scored on a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Time frame: Baseline (Day 0) to Week 12 and Week 12/Final visit

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final VisitBaseline1.88 score on a scaleStandard Deviation 0.6
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.74 score on a scaleStandard Deviation 0.8
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.77 score on a scaleStandard Deviation 0.8
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final VisitBaseline1.94 score on a scaleStandard Deviation 0.7
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.48 score on a scaleStandard Deviation 0.72
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.47 score on a scaleStandard Deviation 0.71
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.76 score on a scaleStandard Deviation 0.81
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final VisitBaseline1.90 score on a scaleStandard Deviation 0.64
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.75 score on a scaleStandard Deviation 0.81
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final VisitBaseline1.88 score on a scaleStandard Deviation 0.63
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.44 score on a scaleStandard Deviation 0.77
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Atrophy to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.44 score on a scaleStandard Deviation 0.76
Secondary

Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final Visit

Investigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to friability scored on a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Time frame: Baseline (Day 0) to Week 12 and Week 12/Final visit

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.64 score on a scaleStandard Deviation 0.89
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final VisitBaseline1.04 score on a scaleStandard Deviation 0.91
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.66 score on a scaleStandard Deviation 0.9
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.47 score on a scaleStandard Deviation 0.86
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final VisitBaseline1.02 score on a scaleStandard Deviation 0.94
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.48 score on a scaleStandard Deviation 0.86
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.60 score on a scaleStandard Deviation 0.87
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final VisitBaseline0.94 score on a scaleStandard Deviation 0.89
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.61 score on a scaleStandard Deviation 0.86
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final VisitBaseline1.04 score on a scaleStandard Deviation 0.93
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.52 score on a scaleStandard Deviation 0.89
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Friability to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.52 score on a scaleStandard Deviation 0.89
Secondary

Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final Visit

Investigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to pallor scored on a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Time frame: Baseline (Day 0) to Week 12 and Week 12/Final visit

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.73 score on a scaleStandard Deviation 0.81
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.71 score on a scaleStandard Deviation 0.82
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final VisitBaseline1.76 score on a scaleStandard Deviation 0.67
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final VisitBaseline1.72 score on a scaleStandard Deviation 0.76
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.39 score on a scaleStandard Deviation 0.76
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.36 score on a scaleStandard Deviation 0.75
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.78 score on a scaleStandard Deviation 0.79
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final VisitBaseline1.74 score on a scaleStandard Deviation 0.7
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.77 score on a scaleStandard Deviation 0.8
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final VisitBaseline1.83 score on a scaleStandard Deviation 0.67
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.59 score on a scaleStandard Deviation 0.81
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Pallor to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.59 score on a scaleStandard Deviation 0.81
Secondary

Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final Visit

Investigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to petechiae scored on a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Time frame: Baseline (Day 0) to Week 12 and Week 12/Final visit

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final VisitBaseline0.74 score on a scaleStandard Deviation 0.78
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.44 score on a scaleStandard Deviation 0.73
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.47 score on a scaleStandard Deviation 0.74
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final VisitBaseline0.89 score on a scaleStandard Deviation 0.89
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.40 score on a scaleStandard Deviation 0.71
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.38 score on a scaleStandard Deviation 0.72
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.47 score on a scaleStandard Deviation 0.82
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final VisitBaseline0.70 score on a scaleStandard Deviation 0.83
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.46 score on a scaleStandard Deviation 0.82
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final VisitBaseline0.71 score on a scaleStandard Deviation 0.81
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.30 score on a scaleStandard Deviation 0.75
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Petechiae to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.29 score on a scaleStandard Deviation 0.73
Secondary

Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final Visit

Investigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to vaginal dryness scored on a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Time frame: Baseline (Day 0) to Week 12 and Week 12/Final visit

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.94 score on a scaleStandard Deviation 0.88
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final VisitBaseline1.92 score on a scaleStandard Deviation 0.68
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.91 score on a scaleStandard Deviation 0.89
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.53 score on a scaleStandard Deviation 0.82
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.55 score on a scaleStandard Deviation 0.83
Vehicle (2 Times/Week)Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final VisitBaseline1.85 score on a scaleStandard Deviation 0.73
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.89 score on a scaleStandard Deviation 0.9
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.90 score on a scaleStandard Deviation 0.89
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final VisitBaseline1.83 score on a scaleStandard Deviation 0.75
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final VisitBaseline1.87 score on a scaleStandard Deviation 0.76
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final VisitChange from Baseline to Week 12-0.74 score on a scaleStandard Deviation 0.91
Vehicle (3 Times/Week)Change From Baseline in Investigator's Assessment of Vaginal Dryness to Week 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.76 score on a scaleStandard Deviation 0.92
Secondary

Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final Visit

Participant's self-assessment of symptoms of VVA (dyspareunia) was scored according to a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Time frame: Baseline (Day 0) to Weeks 2, 4, 8, 12 and Week 12/Final visit

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline2.29 score on a scaleStandard Deviation 0.93
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 2-0.79 score on a scaleStandard Deviation 1.06
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 4-1.04 score on a scaleStandard Deviation 1.06
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 8-1.08 score on a scaleStandard Deviation 1.01
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12-1.15 score on a scaleStandard Deviation 1.09
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-1.15 score on a scaleStandard Deviation 1.07
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-1.03 score on a scaleStandard Deviation 1
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 8-1.04 score on a scaleStandard Deviation 0.96
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline2.23 score on a scaleStandard Deviation 0.88
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 4-1.03 score on a scaleStandard Deviation 0.9
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 2-0.78 score on a scaleStandard Deviation 1.07
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12-1.06 score on a scaleStandard Deviation 0.96
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 2-0.86 score on a scaleStandard Deviation 1.06
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 4-1.06 score on a scaleStandard Deviation 1.03
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 8-1.36 score on a scaleStandard Deviation 0.97
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-1.35 score on a scaleStandard Deviation 1.02
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12-1.39 score on a scaleStandard Deviation 1.01
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline2.29 score on a scaleStandard Deviation 0.85
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12-1.09 score on a scaleStandard Deviation 1.05
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-1.06 score on a scaleStandard Deviation 1.07
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 2-0.67 score on a scaleStandard Deviation 1.01
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 8-1.07 score on a scaleStandard Deviation 1.09
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline2.38 score on a scaleStandard Deviation 0.86
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dyspareunia (Pain Associated With Sexual Activity) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 4-0.78 score on a scaleStandard Deviation 0.91
Secondary

Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final Visit

Participant's self-assessment of symptoms of VVA (dysuria) was scored according to a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Time frame: Baseline (Day 0) to Weeks 2, 4, 8, 12 and Week 12/Final visit

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline0.38 score on a scaleStandard Deviation 0.7
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 2-0.24 score on a scaleStandard Deviation 0.67
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 4-0.20 score on a scaleStandard Deviation 0.68
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 8-0.20 score on a scaleStandard Deviation 0.75
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12-0.28 score on a scaleStandard Deviation 0.68
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.27 score on a scaleStandard Deviation 0.66
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.27 score on a scaleStandard Deviation 0.64
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 8-0.28 score on a scaleStandard Deviation 0.72
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline0.49 score on a scaleStandard Deviation 0.75
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 4-0.30 score on a scaleStandard Deviation 0.6
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 2-0.22 score on a scaleStandard Deviation 0.71
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12-0.28 score on a scaleStandard Deviation 0.64
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 2-0.28 score on a scaleStandard Deviation 0.74
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 4-0.28 score on a scaleStandard Deviation 0.76
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 8-0.32 score on a scaleStandard Deviation 0.75
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.34 score on a scaleStandard Deviation 0.75
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12-0.36 score on a scaleStandard Deviation 0.72
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline0.45 score on a scaleStandard Deviation 0.75
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12-0.41 score on a scaleStandard Deviation 0.79
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.39 score on a scaleStandard Deviation 0.78
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 2-0.38 score on a scaleStandard Deviation 0.77
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 8-0.34 score on a scaleStandard Deviation 0.85
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline0.53 score on a scaleStandard Deviation 0.8
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Dysuria (Painful or Difficult Urination) to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 4-0.42 score on a scaleStandard Deviation 0.77
Secondary

Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12

Participant's self-assessment of symptoms of VVA (severity of vaginal dryness) was scored according to a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement.

Time frame: Baseline (Day 0) to Weeks 2, 4, 8 and 12

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Baseline2.49 score on a scaleStandard Deviation 0.5
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 8-1.25 score on a scaleStandard Deviation 0.84
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 12-1.30 score on a scaleStandard Deviation 0.91
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 2-0.83 score on a scaleStandard Deviation 0.86
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 4-1.07 score on a scaleStandard Deviation 0.82
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 2-0.79 score on a scaleStandard Deviation 0.88
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 12-0.97 score on a scaleStandard Deviation 0.9
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Baseline2.46 score on a scaleStandard Deviation 0.52
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 4-0.93 score on a scaleStandard Deviation 0.9
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 8-1.02 score on a scaleStandard Deviation 0.9
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Baseline2.50 score on a scaleStandard Deviation 0.5
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 2-0.95 score on a scaleStandard Deviation 0.9
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 4-1.12 score on a scaleStandard Deviation 0.91
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 8-1.43 score on a scaleStandard Deviation 0.9
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 12-1.36 score on a scaleStandard Deviation 0.94
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 2-0.79 score on a scaleStandard Deviation 0.84
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 12-1.20 score on a scaleStandard Deviation 0.98
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Baseline2.50 score on a scaleStandard Deviation 0.5
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 8-1.11 score on a scaleStandard Deviation 0.91
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Severity of Vaginal Dryness to Weeks 2, 4, 8 and 12Change from Baseline to Week 4-0.95 score on a scaleStandard Deviation 0.9
Secondary

Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final Visit

Participant's self-assessment of symptoms of VVA (vaginal and/or vulvar irritation/itching) was scored according to a 4-point scale where: 0= none, 1= mild, 2= moderate, or 3= severe. The negative change from Baseline indicates improvement. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Time frame: Baseline (Day 0) to Weeks 2, 4, 8, 12 and Week 12/Final visit

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 2-0.54 score on a scaleStandard Deviation 1.09
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.74 score on a scaleStandard Deviation 1.01
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 8-0.71 score on a scaleStandard Deviation 1.11
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12-0.75 score on a scaleStandard Deviation 1.03
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline1.26 score on a scaleStandard Deviation 0.96
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 4-0.62 score on a scaleStandard Deviation 1.14
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline1.33 score on a scaleStandard Deviation 1
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 2-0.67 score on a scaleStandard Deviation 0.95
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 4-0.71 score on a scaleStandard Deviation 0.92
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 8-0.82 score on a scaleStandard Deviation 1.03
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12-0.74 score on a scaleStandard Deviation 1.02
Vehicle (2 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.74 score on a scaleStandard Deviation 1.03
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline1.11 score on a scaleStandard Deviation 0.96
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 4-0.48 score on a scaleStandard Deviation 1.08
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.58 score on a scaleStandard Deviation 1.02
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12-0.59 score on a scaleStandard Deviation 1.04
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 2-0.48 score on a scaleStandard Deviation 1.05
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 8-0.57 score on a scaleStandard Deviation 0.97
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 2-0.48 score on a scaleStandard Deviation 1.04
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline1.20 score on a scaleStandard Deviation 0.89
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 4-0.65 score on a scaleStandard Deviation 1.01
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 8-0.58 score on a scaleStandard Deviation 1
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12/Final Visit-0.63 score on a scaleStandard Deviation 0.92
Vehicle (3 Times/Week)Change From Baseline in Participant's Self-Assessment of Vaginal and/or Vulvar Irritation/Itching to Weeks 2, 4, 8, 12 and Week 12/Final VisitChange from Baseline to Week 12-0.70 score on a scaleStandard Deviation 0.86
Secondary

Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12

Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of parabasal cells.

Time frame: Baseline (Day 0) to Week 12

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12Change from Baseline to Week 12-42.3 percentage of parabasal cellsStandard Deviation 42.9
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12Baseline48.36 percentage of parabasal cellsStandard Deviation 43.46
Vehicle (2 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12Change from Baseline to Week 12-8.08 percentage of parabasal cellsStandard Deviation 29.9
Vehicle (2 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12Baseline47.78 percentage of parabasal cellsStandard Deviation 44.51
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12Baseline42.56 percentage of parabasal cellsStandard Deviation 41.03
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12Change from Baseline to Week 12-39.5 percentage of parabasal cellsStandard Deviation 39.46
Vehicle (3 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12Baseline45.24 percentage of parabasal cellsStandard Deviation 42.47
Vehicle (3 Times/Week)Change From Baseline in Percentage of Vaginal Parabasal Cells to Week 12Change from Baseline to Week 12-14.9 percentage of parabasal cellsStandard Deviation 31.93
Secondary

Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12

Vaginal wall smears were collected from each participant. The smears were sent to the central laboratory for analysis to determine the percentage of superficial cells.

Time frame: Baseline (Day 0) to Week 12

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12Baseline0.85 percentage of superficial cellsStandard Deviation 3.76
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12Change from Baseline to Week 1211.66 percentage of superficial cellsStandard Deviation 14.51
Vehicle (2 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12Change from Baseline to Week 123.17 percentage of superficial cellsStandard Deviation 7.02
Vehicle (2 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12Baseline0.66 percentage of superficial cellsStandard Deviation 1.62
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12Baseline0.79 percentage of superficial cellsStandard Deviation 1.63
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12Change from Baseline to Week 1217.66 percentage of superficial cellsStandard Deviation 19.37
Vehicle (3 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12Baseline0.66 percentage of superficial cellsStandard Deviation 1.21
Vehicle (3 Times/Week)Change From Baseline in Percentage of Vaginal Superficial Cells to Week 12Change from Baseline to Week 123.36 percentage of superficial cellsStandard Deviation 10.31
Secondary

Change From Baseline in Vaginal pH to Week 12

Vaginal pH was obtained at final visit of the study. The pH was a numeric value from a scale of 0 to 14 expressing the acidity or alkalinity of the vaginal fluids where 7 was neutral, lower values were more acidic (values of 0-6) and higher values more alkaline (values of 8-14). A negative change from Baseline indicates improvement.

Time frame: Baseline (Day 0) to Week 12

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Vaginal pH to Week 12Baseline6.51 score on a scaleStandard Deviation 0.96
WC3011 Estradiol Vaginal Cream (2 Times/Week)Change From Baseline in Vaginal pH to Week 12Change from Baseline to Week 12-1.10 score on a scaleStandard Deviation 1.15
Vehicle (2 Times/Week)Change From Baseline in Vaginal pH to Week 12Change from Baseline to Week 12-0.34 score on a scaleStandard Deviation 0.89
Vehicle (2 Times/Week)Change From Baseline in Vaginal pH to Week 12Baseline6.49 score on a scaleStandard Deviation 0.86
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Vaginal pH to Week 12Baseline6.40 score on a scaleStandard Deviation 0.93
WC3011 Estradiol Vaginal Cream (3 Times/Week)Change From Baseline in Vaginal pH to Week 12Change from Baseline to Week 12-1.01 score on a scaleStandard Deviation 1.06
Vehicle (3 Times/Week)Change From Baseline in Vaginal pH to Week 12Baseline6.40 score on a scaleStandard Deviation 0.86
Vehicle (3 Times/Week)Change From Baseline in Vaginal pH to Week 12Change from Baseline to Week 12-0.47 score on a scaleStandard Deviation 0.87
Secondary

Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final Visit

Vaginal bleeding associated with sexual activity was assessed by participants as either present or absent. Percentage of participants with assessment present are reported. Week 12/Final Visit is defined as the last available postbaseline assessment up to Week 12.

Time frame: Baseline (Day 0) and Weeks 2, 4, 8, 12 and Week 12/Final visit

Population: mITT Population included all participants in the safety population who had at least one postbaseline primary efficacy result. Number analyzed is the number of participants with evaluable data at the given timepoint.

ArmMeasureGroupValue (NUMBER)
WC3011 Estradiol Vaginal Cream (2 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline15.81 percentage of participants
WC3011 Estradiol Vaginal Cream (2 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 26.55 percentage of participants
WC3011 Estradiol Vaginal Cream (2 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 45.29 percentage of participants
WC3011 Estradiol Vaginal Cream (2 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 84.61 percentage of participants
WC3011 Estradiol Vaginal Cream (2 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 126.94 percentage of participants
WC3011 Estradiol Vaginal Cream (2 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 12/Final Visit6.44 percentage of participants
Vehicle (2 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 12/Final Visit4.88 percentage of participants
Vehicle (2 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 84.96 percentage of participants
Vehicle (2 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline17.89 percentage of participants
Vehicle (2 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 46.50 percentage of participants
Vehicle (2 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 27.32 percentage of participants
Vehicle (2 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 125.04 percentage of participants
WC3011 Estradiol Vaginal Cream (3 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 26.11 percentage of participants
WC3011 Estradiol Vaginal Cream (3 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 42.64 percentage of participants
WC3011 Estradiol Vaginal Cream (3 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 82.74 percentage of participants
WC3011 Estradiol Vaginal Cream (3 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 12/Final Visit3.03 percentage of participants
WC3011 Estradiol Vaginal Cream (3 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 123.35 percentage of participants
WC3011 Estradiol Vaginal Cream (3 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline17.75 percentage of participants
Vehicle (3 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 126.19 percentage of participants
Vehicle (3 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 12/Final Visit5.79 percentage of participants
Vehicle (3 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 29.24 percentage of participants
Vehicle (3 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 86.90 percentage of participants
Vehicle (3 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitBaseline24.79 percentage of participants
Vehicle (3 Times/Week)Percentage of Participants With Vaginal Bleeding Associated With Sexual Activity as Per Participant's Self-Assessment to Weeks 2, 4, 8, 12 and Week 12/Final VisitWeek 45.00 percentage of participants

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