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Evaluate Long-Term Safety and Efficacy WC3011 (Estradiol Vaginal Cream)

A Multicenter, Open-Label Extension Study to Evaluate the Long-Term 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
NCT01455597
Enrollment
309
Registered
2011-10-20
Start date
2011-10-20
Completion date
2012-12-03
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

Vulvovaginal Atrophy

Keywords

Postmenopausal Women, Vaginal Dryness, Postmenopausal Vulvovaginal Atrophy

Brief summary

This is an open-label extension study evaluating the long-term safety and efficacy of WC3011 in non-hysterectomized, healthy, postmenopausal women with vulvovaginal atrophy.

Interventions

WC3011 estradiol vaginal cream, 3 times a week for 40 weeks.

Sponsors

Warner Chilcott
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Completed Study PR-04409.3 (NCT01400776)

Exclusion criteria

Developed any of the following during Study-PR04409.3 or has begun taking hormone therapy other than WC3011: * 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, stroke or ischemic attack * Insulin-dependent diabetes mellitus * Smoking ≥ 15 cigarettes daily * Uncontrolled hypertension - systolic blood pressure (BP) ≥ 160 mmHG or diastolic ≥ 95 mmHg

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Endometrial Biopsy Results at Final VisitFinal Visit (Day closest to Day 281)The endometrial biopsy results was categorized as: normal results categorized as atrophic/inactive or proliferative, unsatisfactory with endometrial thickness ≤4 mm and missing biopsy with endometrial thickness ≤4 mm; abnormal results categorized as polyp, hyperplasia, and carcinoma; unknown result categorized as unsatisfactory with endometrial thickness \>4 mm, missing biopsy with endometrial thickness \>4 mm, unsatisfactory without transvaginal ultrasonography (TVU) result and missing biopsy without TVU result. The duration of estradiol exposure was combination of studies PR-04409.3 and PR-04509.

Secondary

MeasureTime frameDescription
Change From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal CellsBaseline (Baseline/Visit 1 for this study was the same as Final Visit/Visit 5 for completers of PR-04409.3) to Week 40 and Final Visit (Day closest to Day 281)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. Participants at Final visit/Visit 7 included those who were to complete all the evaluations in the study including who prematurely withdrew from the study.
Change From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal CellsBaseline (Baseline/Visit 1 for this study was the same as Final Visit/Visit 5 for completers of PR-04409.3) to Week 40 and Final Visit (Day closest to Day 281)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. Participants at Final visit/Visit 7 included those who were to complete all the evaluations in the study including who prematurely withdrew from the study.
Change From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsBaseline (Baseline/Visit 1 for this study was the same as Final Visit/Visit 5 for completers of PR-04409.3) to Weeks 4, 8, 16, 24, 32, 40 and Final Visit (Day closest to Day 281)Self-Assessment of the symptoms of VVA was evaluated for vaginal dryness, vaginal Itching, dysuria, and dyspareunia by a questionnaire. Questionnaire consisted of 5 questions scaled from 0 to 3 level of intensity, where 0-none indicated symptom not present; 1-mild indicated symptom is present but may be intermittent; does not interfere with your activities or lifestyle; 2-moderate indicated symptom is present, aware of the symptom but activities and lifestyle are only occasionally affected; 3-severe indicated usually aware and bothered by the symptom and have modified your activities and/or lifestyle due to the symptom. Higher score indicated most bothersome symptoms. A negative change from Baseline indicates improvement. Participants at Final visit/Visit 7 included those who were to complete all the evaluations in the study including who prematurely withdrew from the study.
Change From Baseline as Per Investigator's Assessment of Each of the Signs of VVABaseline (Baseline/Visit 1 for this study was the same as Final Visit/Visit 5 for completers of PR-04409.3) to Week 40 and Final Visit (Day closest to Day 281)Investigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to the signs of VVA: atrophy, pallor, vaginal dryness, friability, and petechiae scored on a 4-point scale where: 0=none, 1=mild, 2=moderate, or 3= severe. The negative change from Baseline indicates improvement. Participants at Final visit/Visit 7 included those who were to complete all the evaluations in the study including who prematurely withdrew from the study.
Number of Participants With At Least One Treatment Emergent Adverse Event (TEAE)Up to Week 40An adverse event is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to medicinal (investigational) product. TEAE are defined as those AEs with onset date on or after the first dose date of study drug in Study PR-04509, or adverse events that worsen after the first dose date of study drug in Study PR-04509.
Change From Baseline in Vaginal pHBaseline (Baseline/Visit 1 for this study was the same as Final Visit/Visit 5 for completers of PR-04409.3) to Week 40 and Final Visit (Day closest to Day 281)Vaginal pH was obtained at final visit of the study. The pH was a numeric value from 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. Participants at Final visit/Visit 7 included those who were to complete all the evaluations in the study including who prematurely withdrew from the study.

Countries

United States

Participant flow

Pre-assignment details

Participants who completed study PR-04409.3 (NCT01400776) were enrolled to receive W13011 estradiol vaginal cream three times a week in this study. Participant flow and outcome measures data were summarized as per treatment received in previous study.

Participants by arm

ArmCount
WC3011 Estradiol Vaginal Cream
WC3011 estradiol vaginal cream applied vaginally 3 times a week for up to 40 weeks.
308
Total308

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Overall StudyAdverse Event7051
Overall StudyLack of Efficacy0120
Overall StudyLost to Follow-up3021
Overall StudyReason not Specified1233
Overall StudyWithdrew Consent6585

Baseline characteristics

CharacteristicWC3011 Estradiol Vaginal Cream
Age, Continuous59.0 years
STANDARD_DEVIATION 5.54
Sex: Female, Male
Female
308 Participants
Sex: Female, Male
Male
0 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 308
other
Total, other adverse events
50 / 308
serious
Total, serious adverse events
8 / 308

Outcome results

Primary

Number of Participants With Endometrial Biopsy Results at Final Visit

The endometrial biopsy results was categorized as: normal results categorized as atrophic/inactive or proliferative, unsatisfactory with endometrial thickness ≤4 mm and missing biopsy with endometrial thickness ≤4 mm; abnormal results categorized as polyp, hyperplasia, and carcinoma; unknown result categorized as unsatisfactory with endometrial thickness \>4 mm, missing biopsy with endometrial thickness \>4 mm, unsatisfactory without transvaginal ultrasonography (TVU) result and missing biopsy without TVU result. The duration of estradiol exposure was combination of studies PR-04409.3 and PR-04509.

Time frame: Final Visit (Day closest to Day 281)

Population: All participants who received at least 1 dose of study drug in Study PR-04509. Data is reported as per the duration of exposure of participants receiving study treatment. Overall number analyzed is the number of participants with available data at the given timepoint. Only categories for which there was at least 1 participant are reported.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Unsatisfactory With Endometrial Thickness ≤4 mm0 Participants
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Missing Biopsy Without TVU Result3 Participants
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitAbnormal Biopsy: Polyp0 Participants
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Missing Biopsy With Endometrial Thickness ≤4 mm1 Participants
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Unsatisfactory Without TVU Result0 Participants
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Proliferative0 Participants
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Atrophic3 Participants
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Missing Biopsy With Endometrial Thickness >4 mm0 Participants
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Unsatisfactory With Endometrial Thickness >4 mm0 Participants
WC3011 Estradiol Vaginal Cream: 92-182 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Unsatisfactory Without TVU Result2 Participants
WC3011 Estradiol Vaginal Cream: 92-182 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Atrophic10 Participants
WC3011 Estradiol Vaginal Cream: 92-182 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Proliferative1 Participants
WC3011 Estradiol Vaginal Cream: 92-182 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Unsatisfactory With Endometrial Thickness ≤4 mm3 Participants
WC3011 Estradiol Vaginal Cream: 92-182 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Missing Biopsy With Endometrial Thickness ≤4 mm1 Participants
WC3011 Estradiol Vaginal Cream: 92-182 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitAbnormal Biopsy: Polyp0 Participants
WC3011 Estradiol Vaginal Cream: 92-182 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Unsatisfactory With Endometrial Thickness >4 mm1 Participants
WC3011 Estradiol Vaginal Cream: 92-182 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Missing Biopsy With Endometrial Thickness >4 mm0 Participants
WC3011 Estradiol Vaginal Cream: 92-182 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Missing Biopsy Without TVU Result9 Participants
WC3011 Estradiol Vaginal Cream: 183-273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Unsatisfactory With Endometrial Thickness ≤4 mm4 Participants
WC3011 Estradiol Vaginal Cream: 183-273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitAbnormal Biopsy: Polyp0 Participants
WC3011 Estradiol Vaginal Cream: 183-273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Unsatisfactory With Endometrial Thickness >4 mm0 Participants
WC3011 Estradiol Vaginal Cream: 183-273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Proliferative1 Participants
WC3011 Estradiol Vaginal Cream: 183-273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Missing Biopsy Without TVU Result6 Participants
WC3011 Estradiol Vaginal Cream: 183-273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Missing Biopsy With Endometrial Thickness >4 mm0 Participants
WC3011 Estradiol Vaginal Cream: 183-273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Unsatisfactory Without TVU Result0 Participants
WC3011 Estradiol Vaginal Cream: 183-273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Missing Biopsy With Endometrial Thickness ≤4 mm1 Participants
WC3011 Estradiol Vaginal Cream: 183-273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Atrophic7 Participants
WC3011 Estradiol Vaginal Cream: More Than 273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Unsatisfactory Without TVU Result3 Participants
WC3011 Estradiol Vaginal Cream: More Than 273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Missing Biopsy With Endometrial Thickness >4 mm1 Participants
WC3011 Estradiol Vaginal Cream: More Than 273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitAbnormal Biopsy: Polyp1 Participants
WC3011 Estradiol Vaginal Cream: More Than 273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Proliferative3 Participants
WC3011 Estradiol Vaginal Cream: More Than 273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Missing Biopsy Without TVU Result6 Participants
WC3011 Estradiol Vaginal Cream: More Than 273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Atrophic166 Participants
WC3011 Estradiol Vaginal Cream: More Than 273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitUnknown: Unsatisfactory With Endometrial Thickness >4 mm6 Participants
WC3011 Estradiol Vaginal Cream: More Than 273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Missing Biopsy With Endometrial Thickness ≤4 mm21 Participants
WC3011 Estradiol Vaginal Cream: More Than 273 DaysNumber of Participants With Endometrial Biopsy Results at Final VisitNormal Biopsy: Unsatisfactory With Endometrial Thickness ≤4 mm48 Participants
Secondary

Change From Baseline as Per Investigator's Assessment of Each of the Signs of VVA

Investigator's assessment of vaginal health was performed by visual inspection of the vagina with respect to the signs of VVA: atrophy, pallor, vaginal dryness, friability, and petechiae scored on a 4-point scale where: 0=none, 1=mild, 2=moderate, or 3= severe. The negative change from Baseline indicates improvement. Participants at Final visit/Visit 7 included those who were to complete all the evaluations in the study including who prematurely withdrew from the study.

Time frame: Baseline (Baseline/Visit 1 for this study was the same as Final Visit/Visit 5 for completers of PR-04409.3) to Week 40 and Final Visit (Day closest to Day 281)

Population: All participants who received at least 1 dose of study drug in Study PR-04509. Number analyzed is the number of participants with available data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAAtrophy-Change From Baseline to Week 40-0.3 score on a scaleStandard Deviation 0.79
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVADryness-Change From Baseline to Week 40-0.4 score on a scaleStandard Deviation 0.73
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPallor-Baseline1.1 score on a scaleStandard Deviation 0.78
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAFriability-Change From Baseline to Week 40-0.2 score on a scaleStandard Deviation 0.57
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPallor-Change From Baseline to Final Visit-0.4 score on a scaleStandard Deviation 0.83
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPallor-Change From Baseline to Week 40-0.4 score on a scaleStandard Deviation 0.81
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPetechiae-Change From Baseline at Week 40-0.1 score on a scaleStandard Deviation 0.45
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVADryness-Baseline1.0 score on a scaleStandard Deviation 0.81
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAAtrophy-Baseline1.1 score on a scaleStandard Deviation 0.7
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAAtrophy-Change From Baseline to Final Visit-0.2 score on a scaleStandard Deviation 0.82
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAFriability-Baseline0.4 score on a scaleStandard Deviation 0.67
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPetechiae-Baseline0.3 score on a scaleStandard Deviation 0.63
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPetechiae-Change From Baseline to Final Visit-0.1 score on a scaleStandard Deviation 0.44
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAFriability-Change From Baseline to Final Visit-0.2 score on a scaleStandard Deviation 0.55
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVADryness-Change From Baseline to Final Visit-0.4 score on a scaleStandard Deviation 0.75
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAFriability-Baseline0.6 score on a scaleStandard Deviation 0.82
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAFriability-Change From Baseline to Final Visit-0.4 score on a scaleStandard Deviation 0.88
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPetechiae-Baseline0.6 score on a scaleStandard Deviation 0.8
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAAtrophy-Baseline1.5 score on a scaleStandard Deviation 0.76
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPetechiae-Change From Baseline at Week 40-0.5 score on a scaleStandard Deviation 0.8
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAAtrophy-Change From Baseline to Final Visit-0.6 score on a scaleStandard Deviation 0.8
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPetechiae-Change From Baseline to Final Visit-0.5 score on a scaleStandard Deviation 0.79
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPallor-Baseline1.5 score on a scaleStandard Deviation 0.83
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPallor-Change From Baseline to Week 40-0.8 score on a scaleStandard Deviation 1
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVADryness-Baseline1.4 score on a scaleStandard Deviation 0.89
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVADryness-Change From Baseline to Week 40-1.0 score on a scaleStandard Deviation 0.92
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVADryness-Change From Baseline to Final Visit-0.8 score on a scaleStandard Deviation 0.97
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAAtrophy-Change From Baseline to Week 40-0.7 score on a scaleStandard Deviation 0.82
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPallor-Change From Baseline to Final Visit-0.6 score on a scaleStandard Deviation 0.99
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAFriability-Change From Baseline to Week 40-0.5 score on a scaleStandard Deviation 0.85
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPetechiae-Baseline0.2 score on a scaleStandard Deviation 0.59
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAFriability-Baseline0.3 score on a scaleStandard Deviation 0.59
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVADryness-Change From Baseline to Week 40-0.4 score on a scaleStandard Deviation 0.87
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAAtrophy-Change From Baseline to Final Visit-0.2 score on a scaleStandard Deviation 0.84
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPetechiae-Change From Baseline to Final Visit-0.1 score on a scaleStandard Deviation 0.54
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAAtrophy-Change From Baseline to Week 40-0.3 score on a scaleStandard Deviation 0.81
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVADryness-Change From Baseline to Final Visit-0.3 score on a scaleStandard Deviation 0.92
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAFriability-Change From Baseline to Final Visit-0.1 score on a scaleStandard Deviation 0.73
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPetechiae-Change From Baseline at Week 40-0.1 score on a scaleStandard Deviation 0.56
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPallor-Change From Baseline to Final Visit-0.2 score on a scaleStandard Deviation 0.82
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAAtrophy-Baseline1.1 score on a scaleStandard Deviation 0.69
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPallor-Change From Baseline to Week 40-0.3 score on a scaleStandard Deviation 0.79
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAFriability-Change From Baseline to Week 40-0.2 score on a scaleStandard Deviation 0.67
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVADryness-Baseline1.0 score on a scaleStandard Deviation 0.78
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPallor-Baseline1.0 score on a scaleStandard Deviation 0.74
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPetechiae-Baseline0.4 score on a scaleStandard Deviation 0.75
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPetechiae-Change From Baseline to Final Visit-0.2 score on a scaleStandard Deviation 0.63
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAAtrophy-Baseline1.4 score on a scaleStandard Deviation 0.8
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAAtrophy-Change From Baseline to Week 40-0.5 score on a scaleStandard Deviation 0.77
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAAtrophy-Change From Baseline to Final Visit-0.6 score on a scaleStandard Deviation 0.84
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPallor-Baseline1.3 score on a scaleStandard Deviation 0.77
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPallor-Change From Baseline to Week 40-0.5 score on a scaleStandard Deviation 0.77
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPallor-Change From Baseline to Final Visit-0.6 score on a scaleStandard Deviation 0.77
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVADryness-Baseline1.1 score on a scaleStandard Deviation 1.01
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVADryness-Change From Baseline to Week 40-0.4 score on a scaleStandard Deviation 0.86
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVADryness-Change From Baseline to Final Visit-0.5 score on a scaleStandard Deviation 0.94
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAFriability-Baseline0.5 score on a scaleStandard Deviation 0.75
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAFriability-Change From Baseline to Week 40-0.2 score on a scaleStandard Deviation 0.69
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAFriability-Change From Baseline to Final Visit-0.3 score on a scaleStandard Deviation 0.73
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline as Per Investigator's Assessment of Each of the Signs of VVAPetechiae-Change From Baseline at Week 40-0.1 score on a scaleStandard Deviation 0.65
Secondary

Change From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline Timepoints

Self-Assessment of the symptoms of VVA was evaluated for vaginal dryness, vaginal Itching, dysuria, and dyspareunia by a questionnaire. Questionnaire consisted of 5 questions scaled from 0 to 3 level of intensity, where 0-none indicated symptom not present; 1-mild indicated symptom is present but may be intermittent; does not interfere with your activities or lifestyle; 2-moderate indicated symptom is present, aware of the symptom but activities and lifestyle are only occasionally affected; 3-severe indicated usually aware and bothered by the symptom and have modified your activities and/or lifestyle due to the symptom. Higher score indicated most bothersome symptoms. A negative change from Baseline indicates improvement. Participants at Final visit/Visit 7 included those who were to complete all the evaluations in the study including who prematurely withdrew from the study.

Time frame: Baseline (Baseline/Visit 1 for this study was the same as Final Visit/Visit 5 for completers of PR-04409.3) to Weeks 4, 8, 16, 24, 32, 40 and Final Visit (Day closest to Day 281)

Population: All participants who received at least 1 dose of study drug in Study PR-04509. Number analyzed is the number of participants with available data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Baseline0.1 score on a scaleStandard Deviation 0.42
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Final Visit-0.3 score on a scaleStandard Deviation 0.78
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 40-0.3 score on a scaleStandard Deviation 0.8
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Final Visit-0.4 score on a scaleStandard Deviation 0.89
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 40-0.6 score on a scaleStandard Deviation 0.99
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 32-0.2 score on a scaleStandard Deviation 0.69
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 24-0.3 score on a scaleStandard Deviation 0.74
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Baseline0.6 score on a scaleStandard Deviation 0.73
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 32-0.5 score on a scaleStandard Deviation 0.95
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 16-0.3 score on a scaleStandard Deviation 0.77
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 8-0.2 score on a scaleStandard Deviation 0.74
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 24-0.6 score on a scaleStandard Deviation 0.96
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 4-0.3 score on a scaleStandard Deviation 0.71
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 4-0.3 score on a scaleStandard Deviation 0.63
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 16-0.5 score on a scaleStandard Deviation 0.93
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 8-0.3 score on a scaleStandard Deviation 0.82
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 8-0.4 score on a scaleStandard Deviation 0.81
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 40-0.1 score on a scaleStandard Deviation 0.3
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 4-0.3 score on a scaleStandard Deviation 0.69
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Baseline1.3 score on a scaleStandard Deviation 1.14
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 16-0.5 score on a scaleStandard Deviation 0.75
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Final Visit-0.5 score on a scaleStandard Deviation 0.94
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 32-0.1 score on a scaleStandard Deviation 0.33
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 24-0.6 score on a scaleStandard Deviation 0.8
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Final Visit-0.1 score on a scaleStandard Deviation 0.32
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 24-0.1 score on a scaleStandard Deviation 0.29
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 16-0.1 score on a scaleStandard Deviation 0.41
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 32-0.5 score on a scaleStandard Deviation 0.88
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Baseline1.2 score on a scaleStandard Deviation 0.92
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 8-0.1 score on a scaleStandard Deviation 0.41
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 4-0.1 score on a scaleStandard Deviation 0.37
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 40-0.5 score on a scaleStandard Deviation 0.87
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 40-0.6 score on a scaleStandard Deviation 0.86
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 4-0.5 score on a scaleStandard Deviation 0.69
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 40-0.1 score on a scaleStandard Deviation 0.41
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Baseline1.5 score on a scaleStandard Deviation 0.91
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 4-0.3 score on a scaleStandard Deviation 0.79
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 8-0.5 score on a scaleStandard Deviation 0.8
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 16-0.6 score on a scaleStandard Deviation 0.91
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 24-0.6 score on a scaleStandard Deviation 0.78
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 32-0.7 score on a scaleStandard Deviation 0.75
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Final Visit-0.6 score on a scaleStandard Deviation 0.89
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Baseline0.5 score on a scaleStandard Deviation 0.71
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 4-0.0 score on a scaleStandard Deviation 0.66
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 8-0.1 score on a scaleStandard Deviation 0.64
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 16-0.0 score on a scaleStandard Deviation 0.69
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 24-0.2 score on a scaleStandard Deviation 0.59
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 32-0.2 score on a scaleStandard Deviation 0.64
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 40-0.3 score on a scaleStandard Deviation 0.66
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Final Visit-0.3 score on a scaleStandard Deviation 0.67
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Baseline0.2 score on a scaleStandard Deviation 0.49
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 4-0.0 score on a scaleStandard Deviation 0.5
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 8-0.0 score on a scaleStandard Deviation 0.44
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 16-0.1 score on a scaleStandard Deviation 0.51
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 24-0.2 score on a scaleStandard Deviation 0.47
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 32-0.1 score on a scaleStandard Deviation 0.54
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Final Visit-0.1 score on a scaleStandard Deviation 0.49
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Baseline1.3 score on a scaleStandard Deviation 1.14
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 8-0.5 score on a scaleStandard Deviation 0.77
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 16-0.6 score on a scaleStandard Deviation 0.85
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 24-0.6 score on a scaleStandard Deviation 0.85
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 32-0.7 score on a scaleStandard Deviation 0.94
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 40-0.5 score on a scaleStandard Deviation 0.82
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Final Visit-0.6 score on a scaleStandard Deviation 0.91
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Baseline0.1 score on a scaleStandard Deviation 0.33
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Final Visit-0.3 score on a scaleStandard Deviation 0.71
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Final Visit-0.3 score on a scaleStandard Deviation 0.72
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Baseline1.2 score on a scaleStandard Deviation 1.08
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 8-0.3 score on a scaleStandard Deviation 0.63
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 8-0.4 score on a scaleStandard Deviation 0.65
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 4-0.2 score on a scaleStandard Deviation 0.66
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 16-0.0 score on a scaleStandard Deviation 0.28
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 40-0.4 score on a scaleStandard Deviation 0.78
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 40-0.3 score on a scaleStandard Deviation 0.72
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 8-0.3 score on a scaleStandard Deviation 0.63
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 16-0.4 score on a scaleStandard Deviation 0.72
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 4-0.2 score on a scaleStandard Deviation 0.6
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 24-0.3 score on a scaleStandard Deviation 0.72
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 32-0.4 score on a scaleStandard Deviation 0.78
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 4-0.3 score on a scaleStandard Deviation 0.62
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 24-0.0 score on a scaleStandard Deviation 0.28
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Baseline0.5 score on a scaleStandard Deviation 0.7
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 4-0.0 score on a scaleStandard Deviation 0.25
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 16-0.1 score on a scaleStandard Deviation 0.7
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 24-0.4 score on a scaleStandard Deviation 0.86
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 32-0.3 score on a scaleStandard Deviation 0.68
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 16-0.4 score on a scaleStandard Deviation 0.83
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 24-0.2 score on a scaleStandard Deviation 0.72
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 32-0.0 score on a scaleStandard Deviation 0.29
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Final Visit-0.3 score on a scaleStandard Deviation 0.76
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Baseline1.2 score on a scaleStandard Deviation 0.87
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 400.0 score on a scaleStandard Deviation 0.37
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 80.0 score on a scaleStandard Deviation 0.35
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 32-0.2 score on a scaleStandard Deviation 0.64
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 40-0.3 score on a scaleStandard Deviation 0.71
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Final Visit0.0 score on a scaleStandard Deviation 0.4
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 4-0.2 score on a scaleStandard Deviation 0.61
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Final Visit-0.0 score on a scaleStandard Deviation 0.64
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Baseline0.1 score on a scaleStandard Deviation 0.43
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 32-0.4 score on a scaleStandard Deviation 0.95
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 24-0.6 score on a scaleStandard Deviation 1.01
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 4-0.1 score on a scaleStandard Deviation 0.33
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 8-0.0 score on a scaleStandard Deviation 0.2
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 24-0.3 score on a scaleStandard Deviation 0.85
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Final Visit-0.6 score on a scaleStandard Deviation 1.15
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 160.0 score on a scaleStandard Deviation 0.14
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 240.0 score on a scaleStandard Deviation 0.21
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 16-0.3 score on a scaleStandard Deviation 0.8
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 32-0.6 score on a scaleStandard Deviation 0.93
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 320.0 score on a scaleStandard Deviation 0.22
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Week 400.0 score on a scaleStandard Deviation 0.27
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDysuria-Change From Baseline to Final Visit0.0 score on a scaleStandard Deviation 0.28
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 8-0.4 score on a scaleStandard Deviation 0.64
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Baseline1.6 score on a scaleStandard Deviation 1.24
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 4-0.5 score on a scaleStandard Deviation 0.8
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 8-0.5 score on a scaleStandard Deviation 1.13
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 4-0.0 score on a scaleStandard Deviation 0.8
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Baseline0.5 score on a scaleStandard Deviation 0.67
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 80.0 score on a scaleStandard Deviation 0.68
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 40-0.7 score on a scaleStandard Deviation 1.06
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 160.1 score on a scaleStandard Deviation 0.47
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Final Visit-0.5 score on a scaleStandard Deviation 0.9
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 240.0 score on a scaleStandard Deviation 0.58
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsDyspareunia-Change From Baseline to Week 16-0.5 score on a scaleStandard Deviation 0.88
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 32-0.1 score on a scaleStandard Deviation 0.59
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Change From Baseline to Week 40-0.5 score on a scaleStandard Deviation 0.94
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Dryness-Baseline1.5 score on a scaleStandard Deviation 1.06
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Participants Self-Assessment of the Symptoms of Vulvovaginal Atrophy (VVA) at Each Post-baseline TimepointsVaginal Itching-Change From Baseline to Week 40-0.0 score on a scaleStandard Deviation 0.47
Secondary

Change From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal Cells

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. Participants at Final visit/Visit 7 included those who were to complete all the evaluations in the study including who prematurely withdrew from the study.

Time frame: Baseline (Baseline/Visit 1 for this study was the same as Final Visit/Visit 5 for completers of PR-04409.3) to Week 40 and Final Visit (Day closest to Day 281)

Population: All participants who received at least 1 dose of study drug in Study PR-04509. Number analyzed is the number of participants with available data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal CellsBaseline9.7 percentage of parabasal cellsStandard Deviation 24.34
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal CellsChange From Baseline to Final Visit-0.4 percentage of parabasal cellsStandard Deviation 22.3
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal CellsChange From Baseline to Week 400.0 percentage of parabasal cellsStandard Deviation 20.78
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal CellsChange From Baseline to Week 40-42.2 percentage of parabasal cellsStandard Deviation 42
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal CellsBaseline42.2 percentage of parabasal cellsStandard Deviation 41.46
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal CellsChange From Baseline to Final Visit-36.3 percentage of parabasal cellsStandard Deviation 43.18
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal CellsChange From Baseline to Week 40-1.5 percentage of parabasal cellsStandard Deviation 33.28
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal CellsBaseline12.0 percentage of parabasal cellsStandard Deviation 29.28
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal CellsChange From Baseline to Final Visit1.2 percentage of parabasal cellsStandard Deviation 34.67
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal CellsBaseline34.2 percentage of parabasal cellsStandard Deviation 38.74
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal CellsChange From Baseline to Final Visit-24.0 percentage of parabasal cellsStandard Deviation 36.8
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Vaginal Cytology: Percentage of Parabasal Vaginal CellsChange From Baseline to Week 40-21.2 percentage of parabasal cellsStandard Deviation 36.83
Secondary

Change From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal Cells

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. Participants at Final visit/Visit 7 included those who were to complete all the evaluations in the study including who prematurely withdrew from the study.

Time frame: Baseline (Baseline/Visit 1 for this study was the same as Final Visit/Visit 5 for completers of PR-04409.3) to Week 40 and Final Visit (Day closest to Day 281)

Population: All participants who received at least 1 dose of study drug in Study PR-04509. Number analyzed is the number of participants with available data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal CellsChange From Baseline to Final Visit11.0 percentage of superficial cellsStandard Deviation 20.98
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal CellsChange From Baseline to Week 4012.8 percentage of superficial cellsStandard Deviation 21.26
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal CellsBaseline10.4 percentage of superficial cellsStandard Deviation 11.73
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal CellsChange From Baseline to Week 4017.6 percentage of superficial cellsStandard Deviation 18.21
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal CellsBaseline4.0 percentage of superficial cellsStandard Deviation 7.72
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal CellsChange From Baseline to Final Visit15.9 percentage of superficial cellsStandard Deviation 17.59
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal CellsBaseline16.1 percentage of superficial cellsStandard Deviation 18.77
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal CellsChange From Baseline to Week 400.5 percentage of superficial cellsStandard Deviation 20.69
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal CellsChange From Baseline to Final Visit-0.2 percentage of superficial cellsStandard Deviation 21.79
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal CellsChange From Baseline to Week 4013.9 percentage of superficial cellsStandard Deviation 24.56
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal CellsChange From Baseline to Final Visit13.0 percentage of superficial cellsStandard Deviation 23.02
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Vaginal Cytology: Percentage of Superficial Vaginal CellsBaseline3.1 percentage of superficial cellsStandard Deviation 7.99
Secondary

Change From Baseline in Vaginal pH

Vaginal pH was obtained at final visit of the study. The pH was a numeric value from 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. Participants at Final visit/Visit 7 included those who were to complete all the evaluations in the study including who prematurely withdrew from the study.

Time frame: Baseline (Baseline/Visit 1 for this study was the same as Final Visit/Visit 5 for completers of PR-04409.3) to Week 40 and Final Visit (Day closest to Day 281)

Population: All participants who received at least 1 dose of study drug in Study PR-04509. Number analyzed is the number of participants with available data at the given timepoint.

ArmMeasureGroupValue (MEAN)Dispersion
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Vaginal pHChange From Baseline to Final Visit-0.2 score on a scaleStandard Deviation 1.04
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Vaginal pHBaseline5.5 score on a scaleStandard Deviation 0.81
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysChange From Baseline in Vaginal pHChange From Baseline to Week 40-0.3 score on a scaleStandard Deviation 0.97
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Vaginal pHChange From Baseline to Week 40-1.0 score on a scaleStandard Deviation 1.24
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Vaginal pHBaseline6.2 score on a scaleStandard Deviation 1.06
WC3011 Estradiol Vaginal Cream: 92-182 DaysChange From Baseline in Vaginal pHChange From Baseline to Final Visit-1.0 score on a scaleStandard Deviation 1.19
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Vaginal pHChange From Baseline to Week 40-0.2 score on a scaleStandard Deviation 1.04
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Vaginal pHBaseline5.4 score on a scaleStandard Deviation 0.8
WC3011 Estradiol Vaginal Cream: 183-273 DaysChange From Baseline in Vaginal pHChange From Baseline to Final Visit-0.1 score on a scaleStandard Deviation 1.08
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Vaginal pHBaseline6.1 score on a scaleStandard Deviation 0.99
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Vaginal pHChange From Baseline to Final Visit-1.0 score on a scaleStandard Deviation 1.04
WC3011 Estradiol Vaginal Cream: More Than 273 DaysChange From Baseline in Vaginal pHChange From Baseline to Week 40-0.8 score on a scaleStandard Deviation 0.95
Secondary

Number of Participants With At Least One Treatment Emergent Adverse Event (TEAE)

An adverse event is any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product and which does not necessarily have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with use of a medicinal (investigational) product, whether or not related to medicinal (investigational) product. TEAE are defined as those AEs with onset date on or after the first dose date of study drug in Study PR-04509, or adverse events that worsen after the first dose date of study drug in Study PR-04509.

Time frame: Up to Week 40

Population: All participants who received at least 1 dose of study drug in Study PR-04509.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
WC3011 Estradiol Vaginal Cream: Less Than 92 DaysNumber of Participants With At Least One Treatment Emergent Adverse Event (TEAE)195 Participants

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