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Quinagolide Vaginal Ring on Lesion Reduction Assessed by MRI in Women With Endometriosis/Adenomyosis

A Randomised, Double-blind, Placebo-controlled, Proof-of-mechanism Phase 2 Trial Investigating the Effect of Quinagolide Extended-release Vaginal Ring on Reduction of Lesions Assessed by High-resolution Magnetic Resonance Imaging in Women With Endometrioma, Deep Infiltrating Endometriosis, and/or Adenomyosis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03749109
Acronym
QLARITY
Enrollment
67
Registered
2018-11-21
Start date
2019-08-19
Completion date
2021-07-18
Last updated
2023-08-07

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

Conditions

Endometriosis

Keywords

Endometrioma, Adenomyosis, Deep infiltrating endometriosis

Brief summary

This will be a randomized, double-blind, placebo-controlled, proof-of-mechanism phase 2 trial investigating the effect of quinagolide extended-release vaginal ring on reduction of lesions assessed by high-resolution magnetic resonance imaging in women with endometrioma, deep infiltrating endometriosis, and/or adenomyosis.

Interventions

Vaginal ring containing Quinagolide 1080 µg for daily releases

DRUGPlacebo

Matching placebo

Sponsors

Ferring Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
No

Inclusion criteria

1. Pre-menopausal women between the ages 18-45 years (both inclusive) at the time of signing the informed consent 2. Body mass index (BMI) of 18-35 kg/m2 (both inclusive) at screening 3. Confirmation of deep infiltrating endometriosis (DIE), endometrioma or adenomyosis by high-resolution MRI at screening 4. Transvaginal ultrasound (TVU) documenting a uterus with no abnormalities of endometrium and presence of at least one ovary with no clinically significant abnormalities at screening. Note that presence of uterine fibroids are not exclusionary but presence of any submucosal fibroids or polyps are exclusionary 5. Willing and able to use a non-hormonal single-barrier method (i.e. condom) for contraception from the start of screening to the end-of-treatment. This is not required if adequate contraception is achieved by vasectomy of the male sexual partner, surgical sterilisation (e.g. tubal ligation and blockage methods such as ESSURE) of the subject, or true abstinence of the subject (sporadic sexual intercourse with men requiring condom use) 6. Willing to avoid the use of vaginal douches or any other intravaginally administered medications or devices (except for tampons) from randomization to the end of treatment

Exclusion criteria

1. Use of depot medroxyprogesterone acetate (MPA) within 10 months prior to the screening visit. 2. Use of gonadotropin-releasing (GnRH) agonists (3-month depot) or dopamine agonists within 6 months prior to the screening visit. 3. Use of GnRH agonists (1-month depot or nasal spray), GnRH antagonists, aromatase inhibitors, danazol, birth control implants (e.g. NEXPLANON), progestogen or levonorgestrel releasing intrauterine device (IUD) within 3 months prior to the screening visit. 4. Use of hormonal contraceptives (including combined oral contraceptive pill, transdermal patch, and contraceptive ring) within 1 menstrual cycle prior to the screening visit. 5. Contraindications to MRI such as having internal/external metallic devices and/or accessories (e.g. cardiac pacemakers and leg braces)

Design outcomes

Primary

MeasureTime frameDescription
Changes in the Sizes (mm) of Endometrioma, Deep Infiltrating Endometriosis (DIE) and Adenomyosis Lesions Summed by Type on Magnetic Resonance (MR) Images at Cycle 4At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4. At screening, every measurable lesion (defined as ≥10 mm in size) of any type was recorded and was summed up by type for primary analysis.

Secondary

MeasureTime frameDescription
Proportion of Lesions by Type With a Decrease in a Size of ≥5 mm on MR Images at Cycle 4At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.
Proportion of Subjects With a Lesion of Any Type Decreased in a Size of ≥5 mm on MR Images at Cycle 4At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.
Number of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.
Changes in the Volumes (mm3) of Endometrioma and DIE Lesions Summed by Type on MR Images at Cycle 4At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.
Changes in the Sizes of Endometrioma Assessed by Transvaginal Ultrasound (TVU) at Cycle 4At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)Transvaginal ultrasound (TVU) will be performed, preferably by the same sonographer, at the screening visit and at end-of-treatment / cycle 4.
Changes in the Mean Individual and Total Symptom and Sign Severity of Scores of the Biberoglu and Behrman (B&B) Scale at Cycle 4At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)B&B scale is a used scale for endometriosis that consists of two parts, with the first part evaluating symptoms (i.e. different types of pain) and the second part evaluating physical signs. In the first part, the subject was asked to grade her pelvic pain (item A), dysmenorrhea (item B) and dyspareunia (item C) during the last menstrual cycle as none, mild, moderate or severe, corresponding to a score of 0-3. In the second part, the investigator graded the subject's pelvic tenderness (item D) and induration (item E) based on findings from a pelvic examination as none, mild, moderate or severe, corresponding to a score of 0-3. The total symptom and sign severity score was the sum of all five scores, i.e. A+B+C+D+E. The score can be between 0 and 15.
Changes in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4At baseline and at menstrual cycles 1 (~1 month), 2 (~2 months), 3 (~3 months) and 4 (~4 months)Assessed by Subjects. NRS is a 11-point scale, with 0 indicating no pain and 10 indicating the worst imaginable pain. Subjects were asked to score the worst pain in relation to endometriosis / adenomyosis on the NRS based on a recall of their experiences during the following timeframes: * during the last menstrual cycle * during the menstrual period of the last menstrual cycle * during the non-menstrual period of the last menstrual cycle
Changes in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4At baseline, at menstrual cycles 2 (~2 months) and 4 (~4 months)EHP-30 is a quality-of-life questionnaire. Score ranges from 0-100 and lower score denotes improvement. It consists of 30 questions measuring the frequency of the endometriosis impact on their quality of life during the past four weeks, with five options of never, rarely, sometimes, often and always.
Changes in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)At baseline and at menstrual cycles 1 (~1 month), 2 (~2 months), 3 (~3 months) and 4 (~4 months)Assessed by subject self-reported answers to menstrual bleeding questions. The Menstrual Cycle Duration is shown.
Changes in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)At baseline and at menstrual cycles 1 (~1 month), 2 (~2 months), 3 (~3 months) and 4 (~4 months)Assessed by subject self-reported answers to menstrual bleeding questions. The Menstrual Bleeding Duration is shown.
Serum Levels of Prolactin During Cycle 1, at Cycles 2 and 4Within 1-5 days post randomization, and at menstrual cycles 2 (~2 months) and 4 (~4 months)Assessed by blood sample collection
Serum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4Within 1-5 days post randomization, and at menstrual cycles 2 (~2 months) and 4 (~4 months)Assessed by blood sample collection
Serum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4Within 1-5 days post randomization, and at menstrual cycles 2 (~2 months) and 4 (~4 months)Assessed by blood sample collection
Plasma Concentrations of Quinagolide and Its Metabolites During Cycles 1 to 4Within 1-5 days post randomization, within 7-14 days post randomization, and at menstrual cycles 1 (~1 month), 2 (~2 months), 3 (~3 months) and 4 (~4 months)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: HematocritAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: HemaglobinAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular HemoglobinAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular HGB ConcentrationAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular VolumeAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: PlateletsAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: ErythrocytesAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: LeukocytesAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: Alanine AminotransferaseAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: AlbuminAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: Alkaline PhosphataseAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: Aspartate AminotransferaseAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: BicarbonateAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: Direct BilirubinAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: BilirubinAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: CalciumAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: ChlorideAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: CholesterolAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: CreatinineAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: Gamma Glutamyl TransferaseAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: GlucoseAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: Lactate DehydrogenaseAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: PhosphateAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: PotassiumAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: SodiumAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Percentage of Changes in the Sizes of Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.
Changes in Clinical Chemistry and Hematology Parameters: UrateAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Changes in Clinical Chemistry and Hematology Parameters: Urea NitrogenAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Proportion of Subjects With Markedly Abnormal Changes in Clinical Chemistry and Hematology ParametersAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection
Frequency and Intensity of Adverse EventsFrom obtaining the informed consent to end of trial (up to 6 menstrual cycles ~ around 6 months, each cycle is approximately 28 days)Assessed by and Adverse Event Log completed by the Investigator
Changes in Clinical Chemistry and Hematology Parameters: ProteinAt baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)Assessed by blood sample collection

Countries

Denmark, Germany, Italy, Poland

Participant flow

Recruitment details

The trial was performed in 6 investigational sites in 3 countries between Aug 2019 to Jul 2021.

Pre-assignment details

In total, 147 subjects were screened. Of these, 80 were screening failures and 67 were randomized and exposed to the investigational medicinal product (IMP): 35 to Quinagolide and 32 to Placebo.

Participants by arm

ArmCount
Quinagolide 1080 µg
Vaginal ring containing Quinagolide 1080 µg, with daily target release rate of 13.5 µg. Quinagolide 1080 µg: Vaginal ring containing Quinagolide 1080 µg for daily releases
35
Placebo
Vaginal ring containing matching placebo Placebo: Matching placebo
32
Total67

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event20

Baseline characteristics

CharacteristicQuinagolide 1080 µgPlaceboTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
35 Participants32 Participants67 Participants
Age, Continuous36.9 years
STANDARD_DEVIATION 5.51
35.2 years
STANDARD_DEVIATION 5.96
36.1 years
STANDARD_DEVIATION 5.75
Body Mass Index (BMI)23.91 kg/m^2
STANDARD_DEVIATION 3.86
23.30 kg/m^2
STANDARD_DEVIATION 4.15
23.62 kg/m^2
STANDARD_DEVIATION 3.98
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
35 Participants32 Participants67 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants0 Participants1 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
34 Participants32 Participants66 Participants
Sex: Female, Male
Female
35 Participants32 Participants67 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 350 / 32
other
Total, other adverse events
20 / 3520 / 32
serious
Total, serious adverse events
1 / 350 / 32

Outcome results

Primary

Changes in the Sizes (mm) of Endometrioma, Deep Infiltrating Endometriosis (DIE) and Adenomyosis Lesions Summed by Type on Magnetic Resonance (MR) Images at Cycle 4

The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4. At screening, every measurable lesion (defined as ≥10 mm in size) of any type was recorded and was summed up by type for primary analysis.

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, 45 subjects in the DIE group, and 36 subjects in the adenomyosis group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Quinagolide 1080 µgChanges in the Sizes (mm) of Endometrioma, Deep Infiltrating Endometriosis (DIE) and Adenomyosis Lesions Summed by Type on Magnetic Resonance (MR) Images at Cycle 4Endometrioma-0.20 mmStandard Error 4.34
Quinagolide 1080 µgChanges in the Sizes (mm) of Endometrioma, Deep Infiltrating Endometriosis (DIE) and Adenomyosis Lesions Summed by Type on Magnetic Resonance (MR) Images at Cycle 4DIE2.41 mmStandard Error 2.52
Quinagolide 1080 µgChanges in the Sizes (mm) of Endometrioma, Deep Infiltrating Endometriosis (DIE) and Adenomyosis Lesions Summed by Type on Magnetic Resonance (MR) Images at Cycle 4Adenomyosis-3.10 mmStandard Error 3.75
PlaceboChanges in the Sizes (mm) of Endometrioma, Deep Infiltrating Endometriosis (DIE) and Adenomyosis Lesions Summed by Type on Magnetic Resonance (MR) Images at Cycle 4Endometrioma-1.94 mmStandard Error 4.48
PlaceboChanges in the Sizes (mm) of Endometrioma, Deep Infiltrating Endometriosis (DIE) and Adenomyosis Lesions Summed by Type on Magnetic Resonance (MR) Images at Cycle 4DIE-0.94 mmStandard Error 2.03
PlaceboChanges in the Sizes (mm) of Endometrioma, Deep Infiltrating Endometriosis (DIE) and Adenomyosis Lesions Summed by Type on Magnetic Resonance (MR) Images at Cycle 4Adenomyosis-3.43 mmStandard Error 3.87
Comparison: Endometriomap-value: 0.7895% CI: [-10.45, 13.94]ANCOVA
Comparison: DIEp-value: 0.2995% CI: [-2.89, 9.59]ANCOVA
Comparison: Adenomyosisp-value: 0.9595% CI: [-10.33, 10.99]ANCOVA
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Alanine Aminotransferase

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Alanine Aminotransferase-1.1 U/LStandard Deviation 5.88
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Alanine Aminotransferase-0.2 U/LStandard Deviation 3.86
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Albumin

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Albumin0.0 g/LStandard Deviation 2.28
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Albumin0.7 g/LStandard Deviation 2.84
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Alkaline Phosphatase

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Alkaline Phosphatase3.1 IU/LStandard Deviation 8.18
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Alkaline Phosphatase4.2 IU/LStandard Deviation 6.67
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Aspartate Aminotransferase

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Aspartate Aminotransferase1.0 U/LStandard Deviation 3.72
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Aspartate Aminotransferase0.5 U/LStandard Deviation 3.43
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Bicarbonate

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Bicarbonate-2.7 mmol/LStandard Deviation 2.59
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Bicarbonate-2.9 mmol/LStandard Deviation 2.51
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Bilirubin

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Bilirubin-1.2 umol/LStandard Deviation 2.84
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Bilirubin-0.8 umol/LStandard Deviation 4.57
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Calcium

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Calcium0.009 mmol/LStandard Deviation 0.0896
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Calcium0.012 mmol/LStandard Deviation 0.0773
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Chloride

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Chloride0.2 mmol/LStandard Deviation 2.68
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Chloride-0.5 mmol/LStandard Deviation 2.49
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Cholesterol

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Cholesterol0.045 mmol/LStandard Deviation 0.505
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Cholesterol0.244 mmol/LStandard Deviation 0.5219
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Creatinine

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Creatinine-3.5 umol/LStandard Deviation 8.21
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Creatinine-4.3 umol/LStandard Deviation 7.82
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Direct Bilirubin

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Direct Bilirubin0.0 umol/LStandard Deviation 0.38
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Direct Bilirubin0.0 umol/LStandard Deviation 1.1
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular Hemoglobin

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular Hemoglobin-0.7 pg/cellStandard Deviation 0.71
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular Hemoglobin-0.6 pg/cellStandard Deviation 1.22
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular HGB Concentration

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular HGB Concentration-3.1 g/LStandard Deviation 7.11
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular HGB Concentration-4.3 g/LStandard Deviation 8.76
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular Volume

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular Volume-1.2 fLStandard Deviation 2.11
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Ery. Mean Corpuscular Volume-0.7 fLStandard Deviation 3.1
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Erythrocytes

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Erythrocytes-0.02 10^12 cells/LStandard Deviation 0.192
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Erythrocytes-0.01 10^12 cells/LStandard Deviation 0.228
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Gamma Glutamyl Transferase

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Gamma Glutamyl Transferase-1.1 U/LStandard Deviation 4.77
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Gamma Glutamyl Transferase1.0 U/LStandard Deviation 4.46
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Glucose

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Glucose-0.07 mmol/LStandard Deviation 0.734
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Glucose-0.06 mmol/LStandard Deviation 0.866
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Hemaglobin

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Hemaglobin-3.6 g/LStandard Deviation 5.6
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Hemaglobin-3.2 g/LStandard Deviation 8.69
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Hematocrit

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Hematocrit-0.007 % v/vStandard Deviation 0.0181
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Hematocrit-0.005 % v/vStandard Deviation 0.0259
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Lactate Dehydrogenase

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Lactate Dehydrogenase2.7 U/LStandard Deviation 12.3
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Lactate Dehydrogenase2.8 U/LStandard Deviation 8.42
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Leukocytes

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Leukocytes-0.43 10^9 cells/LStandard Deviation 1.928
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Leukocytes0.18 10^9 cells/LStandard Deviation 2.055
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Phosphate

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Phosphate-0.013 mmol/LStandard Deviation 0.1452
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Phosphate0.048 mmol/LStandard Deviation 0.1885
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Platelets

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Platelets4.9 10^9 cells/LStandard Deviation 33.98
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Platelets11.6 10^9 cells/LStandard Deviation 45.92
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Potassium

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Potassium0.07 mmol/LStandard Deviation 0.333
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Potassium0.06 mmol/LStandard Deviation 0.357
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Protein

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Protein-0.1 g/LStandard Deviation 3.82
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Protein1.4 g/LStandard Deviation 3.19
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Sodium

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Sodium0.7 mmol/LStandard Deviation 2.04
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Sodium0.4 mmol/LStandard Deviation 2.54
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Urate

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Urate10.7 umol/LStandard Deviation 56.36
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Urate1.3 umol/LStandard Deviation 37.59
Secondary

Changes in Clinical Chemistry and Hematology Parameters: Urea Nitrogen

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in Clinical Chemistry and Hematology Parameters: Urea Nitrogen-0.180 mmol/LStandard Deviation 1.0184
PlaceboChanges in Clinical Chemistry and Hematology Parameters: Urea Nitrogen0.148 mmol/LStandard Deviation 1.2286
Secondary

Changes in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4

EHP-30 is a quality-of-life questionnaire. Score ranges from 0-100 and lower score denotes improvement. It consists of 30 questions measuring the frequency of the endometriosis impact on their quality of life during the past four weeks, with five options of never, rarely, sometimes, often and always.

Time frame: At baseline, at menstrual cycles 2 (~2 months) and 4 (~4 months)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, 45 subjects in the DIE group, and 36 subjects in the adenomyosis group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4Endometrioma at cycle 2-46.6 Score on a scaleStandard Deviation 90.49
Quinagolide 1080 µgChanges in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4Endometrioma at cycle 4-56.6 Score on a scaleStandard Deviation 88.84
Quinagolide 1080 µgChanges in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4DIE at cycle 2-55.6 Score on a scaleStandard Deviation 91.14
Quinagolide 1080 µgChanges in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4DIE at cycle 4-54.8 Score on a scaleStandard Deviation 87.29
Quinagolide 1080 µgChanges in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4Adenomyosis at cycle 2-46.3 Score on a scaleStandard Deviation 102.92
Quinagolide 1080 µgChanges in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4Adenomyosis at cycle 4-64.9 Score on a scaleStandard Deviation 105.62
PlaceboChanges in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4Adenomyosis at cycle 2-33.2 Score on a scaleStandard Deviation 52.21
PlaceboChanges in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4Endometrioma at cycle 2-51.0 Score on a scaleStandard Deviation 71.6
PlaceboChanges in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4DIE at cycle 4-85.7 Score on a scaleStandard Deviation 98.96
PlaceboChanges in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4Endometrioma at cycle 4-94.0 Score on a scaleStandard Deviation 85.14
PlaceboChanges in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4Adenomyosis at cycle 4-79.4 Score on a scaleStandard Deviation 90.04
PlaceboChanges in the Endometriosis Health Profile-30 (EHP-30) Scores at Cycles 2 and 4DIE at cycle 2-41.7 Score on a scaleStandard Deviation 86.27
Comparison: Endometrioma at cycle 2p-value: 0.7595% CI: [-53.97, 39.27]ANCOVA
Comparison: Endometrioma at cycle 4p-value: 0.4295% CI: [-25.41, 60.04]ANCOVA
Comparison: DIE at cycle 2p-value: 0.4795% CI: [-66.3, 30.98]ANCOVA
Comparison: DIE at cycle 4p-value: 0.2795% CI: [-21.05, 72.27]ANCOVA
Comparison: Adenomyosis at cycle 2p-value: 0.4195% CI: [-71.83, 29.92]ANCOVA
Comparison: Adenomyosis at cycle 4p-value: 0.9395% CI: [-49.57, 54.06]ANCOVA
Secondary

Changes in the Mean Individual and Total Symptom and Sign Severity of Scores of the Biberoglu and Behrman (B&B) Scale at Cycle 4

B&B scale is a used scale for endometriosis that consists of two parts, with the first part evaluating symptoms (i.e. different types of pain) and the second part evaluating physical signs. In the first part, the subject was asked to grade her pelvic pain (item A), dysmenorrhea (item B) and dyspareunia (item C) during the last menstrual cycle as none, mild, moderate or severe, corresponding to a score of 0-3. In the second part, the investigator graded the subject's pelvic tenderness (item D) and induration (item E) based on findings from a pelvic examination as none, mild, moderate or severe, corresponding to a score of 0-3. The total symptom and sign severity score was the sum of all five scores, i.e. A+B+C+D+E. The score can be between 0 and 15.

Time frame: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, 45 subjects in the DIE group, and 36 subjects in the adenomyosis group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in the Mean Individual and Total Symptom and Sign Severity of Scores of the Biberoglu and Behrman (B&B) Scale at Cycle 4Endometrioma-1.2 score on a scaleStandard Deviation 2.26
Quinagolide 1080 µgChanges in the Mean Individual and Total Symptom and Sign Severity of Scores of the Biberoglu and Behrman (B&B) Scale at Cycle 4DIE-1.3 score on a scaleStandard Deviation 2.16
Quinagolide 1080 µgChanges in the Mean Individual and Total Symptom and Sign Severity of Scores of the Biberoglu and Behrman (B&B) Scale at Cycle 4Adenomyosis-1.5 score on a scaleStandard Deviation 2.33
PlaceboChanges in the Mean Individual and Total Symptom and Sign Severity of Scores of the Biberoglu and Behrman (B&B) Scale at Cycle 4Endometrioma-2.1 score on a scaleStandard Deviation 2.51
PlaceboChanges in the Mean Individual and Total Symptom and Sign Severity of Scores of the Biberoglu and Behrman (B&B) Scale at Cycle 4DIE-1.6 score on a scaleStandard Deviation 2.21
PlaceboChanges in the Mean Individual and Total Symptom and Sign Severity of Scores of the Biberoglu and Behrman (B&B) Scale at Cycle 4Adenomyosis-1.9 score on a scaleStandard Deviation 1.86
Comparison: Endometriomap-value: 0.195% CI: [-0.2, 2.38]ANCOVA
Comparison: DIEp-value: 0.6795% CI: [-1.02, 1.58]ANCOVA
Comparison: Adenomyosisp-value: 0.6495% CI: [-1.06, 1.71]ANCOVA
Secondary

Changes in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)

Assessed by subject self-reported answers to menstrual bleeding questions. The Menstrual Bleeding Duration is shown.

Time frame: At baseline and at menstrual cycles 1 (~1 month), 2 (~2 months), 3 (~3 months) and 4 (~4 months)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, 45 subjects in the DIE group, and 36 subjects in the adenomyosis group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Endometrioma at cycle 45.0 DaysStandard Deviation 1.43
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)DIE at cycle 34.5 DaysStandard Deviation 1.22
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Endometrioma at cycle 15.3 DaysStandard Deviation 1.71
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)DIE at cycle 45.2 DaysStandard Deviation 1.04
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)DIE at baseline4.9 DaysStandard Deviation 0.99
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Adenomyosis at baseline5.2 DaysStandard Deviation 1.2
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Endometrioma at cycle 34.5 DaysStandard Deviation 1.61
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Adenomyosis at cycle 15.0 DaysStandard Deviation 1.75
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)DIE at cycle 15.0 DaysStandard Deviation 1.6
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Adenomyosis at cycle 24.6 DaysStandard Deviation 1.78
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Endometrioma at cycle 25.3 DaysStandard Deviation 1.22
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Adenomyosis at cycle 34.3 DaysStandard Deviation 1.66
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)DIE at cycle 25.0 DaysStandard Deviation 1.82
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Adenomyosis at cycle 45.0 DaysStandard Deviation 0.74
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Endometrioma at baseline5.1 DaysStandard Deviation 1.08
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Adenomyosis at cycle 45.0 DaysStandard Deviation 1.32
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Endometrioma at baseline5.1 DaysStandard Deviation 0.97
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Endometrioma at cycle 14.7 DaysStandard Deviation 0.77
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Endometrioma at cycle 25.1 DaysStandard Deviation 0.87
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Endometrioma at cycle 34.8 DaysStandard Deviation 0.89
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Endometrioma at cycle 44.7 DaysStandard Deviation 1.52
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)DIE at baseline5.3 DaysStandard Deviation 1.01
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)DIE at cycle 14.6 DaysStandard Deviation 0.7
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)DIE at cycle 25.0 DaysStandard Deviation 1.04
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)DIE at cycle 34.9 DaysStandard Deviation 0.93
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)DIE at cycle 44.9 DaysStandard Deviation 1.6
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Adenomyosis at baseline5.4 DaysStandard Deviation 1.15
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Adenomyosis at cycle 14.9 DaysStandard Deviation 0.62
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Adenomyosis at cycle 24.8 DaysStandard Deviation 1.17
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Bleeding Duration)Adenomyosis at cycle 34.7 DaysStandard Deviation 1.05
Secondary

Changes in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)

Assessed by subject self-reported answers to menstrual bleeding questions. The Menstrual Cycle Duration is shown.

Time frame: At baseline and at menstrual cycles 1 (~1 month), 2 (~2 months), 3 (~3 months) and 4 (~4 months)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, 45 subjects in the DIE group, and 36 subjects in the adenomyosis group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Endometrioma at cycle 428.2 DaysStandard Deviation 3.27
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)DIE at cycle 328.2 DaysStandard Deviation 2.86
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Endometrioma at cycle 127.8 DaysStandard Deviation 2.92
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)DIE at cycle 426.9 DaysStandard Deviation 2.23
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)DIE at baseline33.2 DaysStandard Deviation 11.8
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Adenomyosis at baseline33.5 DaysStandard Deviation 11.16
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Endometrioma at cycle 327.7 DaysStandard Deviation 2.12
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Adenomyosis at cycle 127.7 DaysStandard Deviation 2.54
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)DIE at cycle 126.7 DaysStandard Deviation 2.66
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Adenomyosis at cycle 228.3 DaysStandard Deviation 2.23
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Endometrioma at cycle 228.1 DaysStandard Deviation 2.13
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Adenomyosis at cycle 327.8 DaysStandard Deviation 2.52
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)DIE at cycle 227.4 DaysStandard Deviation 1.98
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Adenomyosis at cycle 427.2 DaysStandard Deviation 1.5
Quinagolide 1080 µgChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Endometrioma at baseline31.9 DaysStandard Deviation 10.54
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Adenomyosis at cycle 427.4 DaysStandard Deviation 1.87
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Endometrioma at baseline32.6 DaysStandard Deviation 10.38
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Endometrioma at cycle 126.9 DaysStandard Deviation 2.39
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Endometrioma at cycle 227.4 DaysStandard Deviation 2.5
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Endometrioma at cycle 328.3 DaysStandard Deviation 2.65
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Endometrioma at cycle 426.9 DaysStandard Deviation 2.23
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)DIE at baseline31.4 DaysStandard Deviation 9.45
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)DIE at cycle 127.3 DaysStandard Deviation 2.78
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)DIE at cycle 227.7 DaysStandard Deviation 2.52
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)DIE at cycle 328.5 DaysStandard Deviation 2.29
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)DIE at cycle 427.7 DaysStandard Deviation 2.59
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Adenomyosis at baseline32.4 DaysStandard Deviation 11.49
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Adenomyosis at cycle 126.8 DaysStandard Deviation 2.61
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Adenomyosis at cycle 227.4 DaysStandard Deviation 2.37
PlaceboChanges in the Menstrual Bleeding Pattern Over 4 Cycles (Menstrual Cycle Duration)Adenomyosis at cycle 327.9 DaysStandard Deviation 1.93
Secondary

Changes in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4

Assessed by Subjects. NRS is a 11-point scale, with 0 indicating no pain and 10 indicating the worst imaginable pain. Subjects were asked to score the worst pain in relation to endometriosis / adenomyosis on the NRS based on a recall of their experiences during the following timeframes: * during the last menstrual cycle * during the menstrual period of the last menstrual cycle * during the non-menstrual period of the last menstrual cycle

Time frame: At baseline and at menstrual cycles 1 (~1 month), 2 (~2 months), 3 (~3 months) and 4 (~4 months)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, 45 subjects in the DIE group, and 36 subjects in the adenomyosis group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (MEAN)Dispersion
Quinagolide 1080 µgChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Endometrioma at cycle 1-0.5 score on a scaleStandard Deviation 1.96
Quinagolide 1080 µgChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Endometrioma at cycle 2-0.9 score on a scaleStandard Deviation 2.17
Quinagolide 1080 µgChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Endometrioma at cycle 3-1.7 score on a scaleStandard Deviation 2.73
Quinagolide 1080 µgChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Endometrioma at cycle 4-1.5 score on a scaleStandard Deviation 3.11
Quinagolide 1080 µgChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4DIE at cycle 1-0.6 score on a scaleStandard Deviation 2.14
Quinagolide 1080 µgChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4DIE at cycle 2-1.1 score on a scaleStandard Deviation 2.2
Quinagolide 1080 µgChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4DIE at cycle 3-1.7 score on a scaleStandard Deviation 2.65
Quinagolide 1080 µgChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4DIE at cycle 4-1.2 score on a scaleStandard Deviation 2.27
Quinagolide 1080 µgChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Adenomyosis at cycle 10.3 score on a scaleStandard Deviation 1.84
Quinagolide 1080 µgChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Adenomyosis at cycle 2-0.7 score on a scaleStandard Deviation 2.37
Quinagolide 1080 µgChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Adenomyosis at cycle 3-0.8 score on a scaleStandard Deviation 2.34
Quinagolide 1080 µgChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Adenomyosis at cycle 4-1.6 score on a scaleStandard Deviation 2.91
PlaceboChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Adenomyosis at cycle 3-0.9 score on a scaleStandard Deviation 1.78
PlaceboChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Endometrioma at cycle 1-0.7 score on a scaleStandard Deviation 2.21
PlaceboChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4DIE at cycle 3-1.0 score on a scaleStandard Deviation 1.97
PlaceboChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Endometrioma at cycle 2-1.1 score on a scaleStandard Deviation 2.85
PlaceboChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Adenomyosis at cycle 2-0.9 score on a scaleStandard Deviation 2.13
PlaceboChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Endometrioma at cycle 3-1.1 score on a scaleStandard Deviation 1.67
PlaceboChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4DIE at cycle 4-2.1 score on a scaleStandard Deviation 2.21
PlaceboChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Endometrioma at cycle 4-2.0 score on a scaleStandard Deviation 1.94
PlaceboChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Adenomyosis at cycle 4-1.9 score on a scaleStandard Deviation 2.28
PlaceboChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4DIE at cycle 1-0.7 score on a scaleStandard Deviation 2.19
PlaceboChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4Adenomyosis at cycle 1-0.7 score on a scaleStandard Deviation 2.24
PlaceboChanges in the Numerical Rating Scale (NRS) Pain Scores Per Cycle at Cycles 1, 2, 3 and 4DIE at cycle 2-1.4 score on a scaleStandard Deviation 2.97
Comparison: Endometrioma at cycle 1p-value: 0.7395% CI: [-1.02, 1.44]ANCOVA
Comparison: Endometrioma at cycle 2p-value: 0.5495% CI: [-0.97, 1.82]ANCOVA
Comparison: Endometrioma at cycle 3p-value: 0.4695% CI: [-1.86, 0.85]ANCOVA
Comparison: Endometrioma at cycle 4p-value: 0.4995% CI: [-0.99, 2.05]ANCOVA
Comparison: DIE at cycle 1p-value: 0.9995% CI: [-1.32, 1.3]ANCOVA
Comparison: DIE at cycle 2p-value: 0.8395% CI: [-1.38, 1.71]ANCOVA
Comparison: DIE at cycle 3p-value: 0.2895% CI: [-2.11, 0.63]ANCOVA
Comparison: DIE at cycle 4p-value: 0.2695% CI: [-0.57, 2.07]ANCOVA
Comparison: Adenomyosis at cycle 1p-value: 0.1995% CI: [-0.49, 2.31]ANCOVA
Comparison: Adenomyosis at cycle 2p-value: 0.9395% CI: [-1.45, 1.58]ANCOVA
Comparison: Adenomyosis at cycle 3p-value: 0.8595% CI: [-1.58, 1.32]ANCOVA
Comparison: Adenomyosis at cycle 4p-value: 0.9995% CI: [-1.68, 1.69]ANCOVA
Secondary

Changes in the Sizes of Endometrioma Assessed by Transvaginal Ultrasound (TVU) at Cycle 4

Transvaginal ultrasound (TVU) will be performed, preferably by the same sonographer, at the screening visit and at end-of-treatment / cycle 4.

Time frame: At baseline and at menstrual cycle 4 (around 4 months, each cycle is approximately 28 days)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
Quinagolide 1080 µgChanges in the Sizes of Endometrioma Assessed by Transvaginal Ultrasound (TVU) at Cycle 414.19 mmStandard Error 8.7
PlaceboChanges in the Sizes of Endometrioma Assessed by Transvaginal Ultrasound (TVU) at Cycle 44.06 mmStandard Error 9.02
p-value: 0.4295% CI: [-14.74, 35]ANCOVA
Secondary

Changes in the Volumes (mm3) of Endometrioma and DIE Lesions Summed by Type on MR Images at Cycle 4

The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, and 45 subjects in the DIE group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
Quinagolide 1080 µgChanges in the Volumes (mm3) of Endometrioma and DIE Lesions Summed by Type on MR Images at Cycle 4DIE-0.15 mm^3Standard Error 1.81
Quinagolide 1080 µgChanges in the Volumes (mm3) of Endometrioma and DIE Lesions Summed by Type on MR Images at Cycle 4Endometrioma2.12 mm^3Standard Error 4.62
PlaceboChanges in the Volumes (mm3) of Endometrioma and DIE Lesions Summed by Type on MR Images at Cycle 4Endometrioma1.89 mm^3Standard Error 4.77
PlaceboChanges in the Volumes (mm3) of Endometrioma and DIE Lesions Summed by Type on MR Images at Cycle 4DIE-0.87 mm^3Standard Error 1.25
Comparison: Endometriomap-value: 0.9795% CI: [-12.78, 13.23]ANCOVA
Comparison: DIEp-value: 0.7495% CI: [-3.63, 5.07]ANCOVA
Secondary

Frequency and Intensity of Adverse Events

Assessed by and Adverse Event Log completed by the Investigator

Time frame: From obtaining the informed consent to end of trial (up to 6 menstrual cycles ~ around 6 months, each cycle is approximately 28 days)

ArmMeasureGroupValue (NUMBER)
Quinagolide 1080 µgFrequency and Intensity of Adverse EventsMild adverse events28.6 Percentage of subjects
Quinagolide 1080 µgFrequency and Intensity of Adverse EventsModerate adverse events42.9 Percentage of subjects
Quinagolide 1080 µgFrequency and Intensity of Adverse EventsSevere adverse events2.9 Percentage of subjects
PlaceboFrequency and Intensity of Adverse EventsMild adverse events43.8 Percentage of subjects
PlaceboFrequency and Intensity of Adverse EventsModerate adverse events37.5 Percentage of subjects
PlaceboFrequency and Intensity of Adverse EventsSevere adverse events9.4 Percentage of subjects
Secondary

Number of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4

The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, 45 subjects in the DIE group, and 36 subjects in the adenomyosis group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (NUMBER)
Quinagolide 1080 µgNumber of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4DIE - Disappearing Lesions0 Lesions
Quinagolide 1080 µgNumber of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4Endometrioma - Disappearing Lesions14 Lesions
Quinagolide 1080 µgNumber of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4Adenomyosis - Disappearing Lesions1 Lesions
Quinagolide 1080 µgNumber of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4Endometrioma - New Lesions3 Lesions
Quinagolide 1080 µgNumber of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4DIE - New Lesions0 Lesions
Quinagolide 1080 µgNumber of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4Adenomyosis - New Lesions0 Lesions
PlaceboNumber of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4DIE - New Lesions0 Lesions
PlaceboNumber of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4Endometrioma - New Lesions3 Lesions
PlaceboNumber of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4Endometrioma - Disappearing Lesions5 Lesions
PlaceboNumber of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4DIE - Disappearing Lesions1 Lesions
PlaceboNumber of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4Adenomyosis - New Lesions0 Lesions
PlaceboNumber of New or Disappearing Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4Adenomyosis - Disappearing Lesions2 Lesions
Comparison: Endometrioma - Disappearing Lesionsp-value: 0.1395% CI: [0.76, 8.39]Negative-binomial regression
Comparison: Adenomyosis - Disappearing Lesionsp-value: 0.5695% CI: [0.04, 5.41]Negative-binomial regression
Secondary

Percentage of Changes in the Sizes of Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4

The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, 45 subjects in the DIE group, and 36 subjects in the adenomyosis group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (MEAN)Dispersion
Quinagolide 1080 µgPercentage of Changes in the Sizes of Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4Endometrioma15.64 Percentage of changes in the sizeStandard Deviation 70.12
Quinagolide 1080 µgPercentage of Changes in the Sizes of Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4DIE7.67 Percentage of changes in the sizeStandard Deviation 15.22
Quinagolide 1080 µgPercentage of Changes in the Sizes of Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4Adenomyosis-3.04 Percentage of changes in the sizeStandard Deviation 32.31
PlaceboPercentage of Changes in the Sizes of Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4Endometrioma-6.83 Percentage of changes in the sizeStandard Deviation 44.46
PlaceboPercentage of Changes in the Sizes of Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4DIE5.81 Percentage of changes in the sizeStandard Deviation 37.73
PlaceboPercentage of Changes in the Sizes of Endometrioma, DIE and Adenomyosis Lesions Summed by Type on MR Images at Cycle 4Adenomyosis-6.99 Percentage of changes in the sizeStandard Deviation 25.48
p-value: 0.7495% CI: [-40.94, 29.1]ANCOVA
Comparison: Endometriomap-value: 0.6595% CI: [-36.8, 22.82]ANCOVA
Comparison: DIEp-value: 0.9295% CI: [-22.77, 20.51]ANCOVA
Secondary

Plasma Concentrations of Quinagolide and Its Metabolites During Cycles 1 to 4

Assessed by blood sample collection

Time frame: Within 1-5 days post randomization, within 7-14 days post randomization, and at menstrual cycles 1 (~1 month), 2 (~2 months), 3 (~3 months) and 4 (~4 months)

Population: Subjects analyzed for this endpoint represent subjects who were evaluable for this outcome measure.

ArmMeasureGroupValue (MEAN)Dispersion
Quinagolide 1080 µgPlasma Concentrations of Quinagolide and Its Metabolites During Cycles 1 to 4Within 1-5 days of randomization11.66 pg/mLStandard Deviation 5.23
Quinagolide 1080 µgPlasma Concentrations of Quinagolide and Its Metabolites During Cycles 1 to 4Within 7-14 days of randomization5.50 pg/mLStandard Deviation 2.59
Quinagolide 1080 µgPlasma Concentrations of Quinagolide and Its Metabolites During Cycles 1 to 4Cycle 12.90 pg/mLStandard Deviation 1.33
Quinagolide 1080 µgPlasma Concentrations of Quinagolide and Its Metabolites During Cycles 1 to 4Cycle 22.92 pg/mLStandard Deviation 1.68
Quinagolide 1080 µgPlasma Concentrations of Quinagolide and Its Metabolites During Cycles 1 to 4Cycle 32.78 pg/mLStandard Deviation 1.32
Quinagolide 1080 µgPlasma Concentrations of Quinagolide and Its Metabolites During Cycles 1 to 4Cycle 43.16 pg/mLStandard Deviation 3.03
Secondary

Proportion of Lesions by Type With a Decrease in a Size of ≥5 mm on MR Images at Cycle 4

The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, 45 subjects in the DIE group, and 36 subjects in the adenomyosis group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (NUMBER)
Quinagolide 1080 µgProportion of Lesions by Type With a Decrease in a Size of ≥5 mm on MR Images at Cycle 4Endometrioma18.9 Percentage of lesions
Quinagolide 1080 µgProportion of Lesions by Type With a Decrease in a Size of ≥5 mm on MR Images at Cycle 4DIE0 Percentage of lesions
Quinagolide 1080 µgProportion of Lesions by Type With a Decrease in a Size of ≥5 mm on MR Images at Cycle 4Adenomyosis12.1 Percentage of lesions
PlaceboProportion of Lesions by Type With a Decrease in a Size of ≥5 mm on MR Images at Cycle 4Endometrioma21.7 Percentage of lesions
PlaceboProportion of Lesions by Type With a Decrease in a Size of ≥5 mm on MR Images at Cycle 4DIE12.1 Percentage of lesions
PlaceboProportion of Lesions by Type With a Decrease in a Size of ≥5 mm on MR Images at Cycle 4Adenomyosis24.1 Percentage of lesions
Comparison: Endometriomap-value: 0.9595% CI: [0.38, 2.82]Regression, Logistic
Comparison: Adenomyosisp-value: 0.3995% CI: [0.14, 2.17]Regression, Logistic
Secondary

Proportion of Subjects With a Lesion of Any Type Decreased in a Size of ≥5 mm on MR Images at Cycle 4

The MRI examination was performed on a high resolution 3T machine at screening and at end-of-treatment / cycle 4.

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, 45 subjects in the DIE group, and 36 subjects in the adenomyosis group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (NUMBER)
Quinagolide 1080 µgProportion of Subjects With a Lesion of Any Type Decreased in a Size of ≥5 mm on MR Images at Cycle 4Endometrioma24.0 Percentage of subjects
Quinagolide 1080 µgProportion of Subjects With a Lesion of Any Type Decreased in a Size of ≥5 mm on MR Images at Cycle 4DIE0 Percentage of subjects
Quinagolide 1080 µgProportion of Subjects With a Lesion of Any Type Decreased in a Size of ≥5 mm on MR Images at Cycle 4Adenomyosis15.0 Percentage of subjects
PlaceboProportion of Subjects With a Lesion of Any Type Decreased in a Size of ≥5 mm on MR Images at Cycle 4Endometrioma31.8 Percentage of subjects
PlaceboProportion of Subjects With a Lesion of Any Type Decreased in a Size of ≥5 mm on MR Images at Cycle 4DIE11.5 Percentage of subjects
PlaceboProportion of Subjects With a Lesion of Any Type Decreased in a Size of ≥5 mm on MR Images at Cycle 4Adenomyosis37.5 Percentage of subjects
Comparison: Endometriomap-value: 0.695% CI: [0.19, 2.65]Regression, Logistic
Comparison: Adenomyosisp-value: 0.2195% CI: [0.07, 1.79]Regression, Logistic
Secondary

Proportion of Subjects With Markedly Abnormal Changes in Clinical Chemistry and Hematology Parameters

Assessed by blood sample collection

Time frame: At baseline and at menstrual cycle 4 (around 5 months, each cycle is approximately 28 days)

ArmMeasureValue (NUMBER)
Quinagolide 1080 µgProportion of Subjects With Markedly Abnormal Changes in Clinical Chemistry and Hematology Parameters2.86 Percentage of subjects
PlaceboProportion of Subjects With Markedly Abnormal Changes in Clinical Chemistry and Hematology Parameters0 Percentage of subjects
Secondary

Serum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4

Assessed by blood sample collection

Time frame: Within 1-5 days post randomization, and at menstrual cycles 2 (~2 months) and 4 (~4 months)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, 45 subjects in the DIE group, and 36 subjects in the adenomyosis group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (MEAN)Dispersion
Quinagolide 1080 µgSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 219.9 nmol/LStandard Deviation 6.511
Quinagolide 1080 µgSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4DIE at cycle 420.98 nmol/LStandard Deviation 5.678
Quinagolide 1080 µgSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4DIE at cycle 122.16 nmol/LStandard Deviation 8.099
Quinagolide 1080 µgSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 121.80 nmol/LStandard Deviation 7.763
Quinagolide 1080 µgSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 421.82 nmol/LStandard Deviation 5.45
Quinagolide 1080 µgSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 219.17 nmol/LStandard Deviation 6.497
Quinagolide 1080 µgSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4DIE at cycle 218.01 nmol/LStandard Deviation 5.484
Quinagolide 1080 µgSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 421.19 nmol/LStandard Deviation 6.331
Quinagolide 1080 µgSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 123.90 nmol/LStandard Deviation 8.002
PlaceboSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 418.93 nmol/LStandard Deviation 4.836
PlaceboSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 122.96 nmol/LStandard Deviation 6.721
PlaceboSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 221.81 nmol/LStandard Deviation 5.481
PlaceboSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 420.22 nmol/LStandard Deviation 5.786
PlaceboSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4DIE at cycle 123.68 nmol/LStandard Deviation 6.135
PlaceboSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4DIE at cycle 221.07 nmol/LStandard Deviation 6.526
PlaceboSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4DIE at cycle 420.53 nmol/LStandard Deviation 6.083
PlaceboSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 122.51 nmol/LStandard Deviation 4.58
PlaceboSerum Levels of Insulin-like Growth Factor-1 (IGF-1) During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 219.93 nmol/LStandard Deviation 5.233
Secondary

Serum Levels of Prolactin During Cycle 1, at Cycles 2 and 4

Assessed by blood sample collection

Time frame: Within 1-5 days post randomization, and at menstrual cycles 2 (~2 months) and 4 (~4 months)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, 45 subjects in the DIE group, and 36 subjects in the adenomyosis group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (MEAN)Dispersion
Quinagolide 1080 µgSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 29.30 pg/LStandard Deviation 4.739
Quinagolide 1080 µgSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4DIE at cycle 410.65 pg/LStandard Deviation 4.465
Quinagolide 1080 µgSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4DIE at cycle 15.95 pg/LStandard Deviation 3.258
Quinagolide 1080 µgSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 15.80 pg/LStandard Deviation 4.017
Quinagolide 1080 µgSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 49.47 pg/LStandard Deviation 4.081
Quinagolide 1080 µgSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 27.97 pg/LStandard Deviation 2.608
Quinagolide 1080 µgSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4DIE at cycle 210.36 pg/LStandard Deviation 5.118
Quinagolide 1080 µgSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 49.35 pg/LStandard Deviation 3.418
Quinagolide 1080 µgSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 15.51 pg/LStandard Deviation 3.604
PlaceboSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 411.95 pg/LStandard Deviation 4.395
PlaceboSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 112.68 pg/LStandard Deviation 4.618
PlaceboSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 212.79 pg/LStandard Deviation 4.381
PlaceboSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 412.31 pg/LStandard Deviation 6.648
PlaceboSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4DIE at cycle 110.80 pg/LStandard Deviation 4.201
PlaceboSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4DIE at cycle 211.85 pg/LStandard Deviation 5.029
PlaceboSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4DIE at cycle 412.08 pg/LStandard Deviation 6.739
PlaceboSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 112.13 pg/LStandard Deviation 4.563
PlaceboSerum Levels of Prolactin During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 211.94 pg/LStandard Deviation 4.15
Secondary

Serum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4

Assessed by blood sample collection

Time frame: Within 1-5 days post randomization, and at menstrual cycles 2 (~2 months) and 4 (~4 months)

Population: All analyses for primary and secondary efficacy endpoints are presented by lesion type. This means one subject can be included in multiple lesion groups, depending on the type of lesion(s) with a size of ≥10 mm present at baseline. Thus, the FAS population by lesion type includes 47 subjects in the endometrioma group, 45 subjects in the DIE group, and 36 subjects in the adenomyosis group. The primary and secondary efficacy results are presented for these subjects unless otherwise specified.

ArmMeasureGroupValue (MEAN)Dispersion
Quinagolide 1080 µgSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 21.785 mIU/LStandard Deviation 1.0535
Quinagolide 1080 µgSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4DIE at cycle 41.375 mIU/LStandard Deviation 0.8953
Quinagolide 1080 µgSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4DIE at cycle 11.706 mIU/LStandard Deviation 1.555
Quinagolide 1080 µgSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 12.067 mIU/LStandard Deviation 1.81
Quinagolide 1080 µgSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 41.692 mIU/LStandard Deviation 0.9489
Quinagolide 1080 µgSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 21.722 mIU/LStandard Deviation 1.1557
Quinagolide 1080 µgSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4DIE at cycle 21.726 mIU/LStandard Deviation 1.1633
Quinagolide 1080 µgSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 41.801 mIU/LStandard Deviation 0.9463
Quinagolide 1080 µgSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 11.672 mIU/LStandard Deviation 1.3376
PlaceboSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 41.353 mIU/LStandard Deviation 0.5614
PlaceboSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 11.513 mIU/LStandard Deviation 0.6822
PlaceboSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 21.509 mIU/LStandard Deviation 0.6746
PlaceboSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4Endometrioma at cycle 41.422 mIU/LStandard Deviation 0.6528
PlaceboSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4DIE at cycle 11.394 mIU/LStandard Deviation 0.82
PlaceboSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4DIE at cycle 21.383 mIU/LStandard Deviation 0.6903
PlaceboSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4DIE at cycle 41.299 mIU/LStandard Deviation 0.6571
PlaceboSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 11.325 mIU/LStandard Deviation 0.7248
PlaceboSerum Levels of Thyroid-stimulating Hormone (TSH) During Cycle 1, at Cycles 2 and 4Adenomyosis at cycle 21.311 mIU/LStandard Deviation 0.5664

Source: ClinicalTrials.gov · Data processed: Feb 6, 2026