A Clinical Trial to Assess the Safety of 0.005 % Estriol Vaginal Gel in Hormone Receptor-Positive Postmenopausal Women With Early Stage Breast Cancer in Treatment With Aromatase Inhibitor in the Adjuvant Setting
CompletedPhase 2Results postedLast updated 5 August 2019
What this trial tests
Phase 2 trial testing estriol in Vaginal Atrophy in 61 participants. Completed in 10 February 2017.
Eligibility, female only, with Vaginal Atrophy. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Variation in Serum Levels of Follicle Stimulating Hormone (FSH)Primary· from baseline to 12 weeks of treatment
Change from Baseline (mean screening-baseline) to Week 12 in Serum Levels of Follicle Stimulating Hormone (FSH) compare to natural physiological variability (screening-baseline variation)
Group
Value
95% CI
0.005% Estriol Vaginal Gel
-2.8
-13.1 – 7.4
Placebo Vaginal Gel
1.4
-5.4 – 15.7
Variation in Serum Levels of FSH at Week 1, Week 3 and Week 8Secondary· Change from baseline to week 1, week 3 and week 8
Change from Baseline (mean screening-baseline) to Week 1, Week 3 and Week 8 in Serum Levels of Follicle Stimulating Hormone (FSH) compare to natural physiological variability ( screening-baseline variation)
change from baseline to week 1
Group
Value
95% CI
0.005% Estriol Vaginal Gel
-4.8
-11.6 – 2.6
Placebo Vaginal Gel
4.2
-7.8 – 7.3
change from baseline to week 3
Group
Value
95% CI
0.005% Estriol Vaginal Gel
-4.2
-12.0 – 3.5
Placebo Vaginal Gel
-0.9
-4.0 – 2.3
change from baseline to week 8
Group
Value
95% CI
0.005% Estriol Vaginal Gel
-2.6
-10.1 – 7.9
Placebo Vaginal Gel
5.2
-11.8 – 9
Variation in Serum Levels of Luteinizing Hormone (LH)Secondary· Change from baseline to week 1, week 3, week 8 and week 12
Change from (mean screening-baseline) in plasma levels of LH to Week 1, Week 3, Week 8 and Week 12 in Serum Levels of LH compare to natural physiological variability ( screening-baseline variation)
change from LH baseline to week 1
Group
Value
95% CI
0.005% Estriol Vaginal Gel
-0.6
-3.7 – 2.8
Placebo Vaginal Gel
0.2
-1.8 – 8.1
change from LH baseline to week 3
Group
Value
95% CI
0.005% Estriol Vaginal Gel
-0.5
-4.1 – 3.5
Placebo Vaginal Gel
0.3
-1.8 – 7.7
change from LH baseline to week 8
Group
Value
95% CI
0.005% Estriol Vaginal Gel
-0.3
-4.9 – 3.1
Placebo Vaginal Gel
-1.3
-2.0 – 6.0
change from LH baseline to week 12
Group
Value
95% CI
0.005% Estriol Vaginal Gel
-0.8
-5.3 – 2.9
Placebo Vaginal Gel
1.3
-1.6 – 7.1
Variation in Plasma Levels of EstriolSecondary· Change from baseline to week 1, week 3, week 8 and week 12
Change in plasma levels of estriol at weeks 1, 3, 8 and 12 compared to baseline
Change between baseline and week 1
Group
Value
95% CI
0.005% Estriol Vaginal Gel
-1.7
-10.7 – 0.0
Placebo Vaginal Gel
0.0
0.0 – 0.0
Change between baseline and week 3
Group
Value
95% CI
0.005% Estriol Vaginal Gel
0.0
-3.4 – 0.5
Placebo Vaginal Gel
0.0
0.0 – 0.0
Change between baseline and week 8
Group
Value
95% CI
0.005% Estriol Vaginal Gel
0.0
-5.0 – 0.5
Placebo Vaginal Gel
0.0
0.0 – 0.0
Change between baseline and week 12
Group
Value
95% CI
0.005% Estriol Vaginal Gel
0.0
-6.8 – 0.5
Placebo Vaginal Gel
0.0
0.0 – 0.0
Variation in Plasma Levels of EstradiolSecondary· Change from baseline to week 1, week 3, week 8 and week 12
Change in plasma levels of estradiol at weeks 1, 3, 8 and 12 compared to baseline.
Change between baseline and week 1
Group
Value
95% CI
0.005% Estriol Vaginal Gel
0.0
0.0 – 0.0
Placebo Vaginal Gel
0.0
0.0 – 0.0
Change between baseline and week 3
Group
Value
95% CI
0.005% Estriol Vaginal Gel
0.0
0.0 – 0.0
Placebo Vaginal Gel
0.0
0.0 – 0.0
Change between baseline and week 8
Group
Value
95% CI
0.005% Estriol Vaginal Gel
0.0
0.0 – 0.0
Placebo Vaginal Gel
0.0
0.0 – 0.0
Change between baseline and week 12
Group
Value
95% CI
0.005% Estriol Vaginal Gel
0.0
0.0 – 0.0
Placebo Vaginal Gel
0.0
0.0 – 0.0
Variation in Plasma Levels of EstronaSecondary· Change from baseline to week 1, week 3, week 8 and week 12
Change in plasma levels of estrona at weeks 1, 3, 8 and 12 compared to baseline.
Change from baseline to week 1
Group
Value
95% CI
0.005% Estriol Vaginal Gel
0.0
0.0 – 0.0
Placebo Vaginal Gel
0.0
0.0 – 0.0
Change between baseline and week 3
Group
Value
95% CI
0.005% Estriol Vaginal Gel
0.0
0.0 – 0.0
Placebo Vaginal Gel
0.0
0.0 – 0.0
change from baseline to week 8
Group
Value
95% CI
0.005% Estriol Vaginal Gel
0.0
0.0 – 0.0
Placebo Vaginal Gel
0.0
0.0 – 0.0
Change from baseline to week 12
Group
Value
95% CI
0.005% Estriol Vaginal Gel
0.0
0.0 – 0.0
Placebo Vaginal Gel
0.0
0.0 – 0.0
Changes in Vaginal pH Between Baseline and Week 3 and Week 12Secondary· week 3 and week 12 vs baseline
Measurement of vaginal pH on the vaginal secretion using a reactive strip and compare pH value between baseline and the diferent timepoints
Change from baseline to Week 3
Group
Value
95% CI
0.005% Estriol Vaginal Gel
2.0
0.5 – 2.5
Placebo Vaginal Gel
0.5
-0.5 – 1.0
Change from baseline to Week 12
Group
Value
95% CI
0.005% Estriol Vaginal Gel
1.3
0.5 – 2.5
Placebo Vaginal Gel
0.5
0.0 – 1.5
Changes in DyspareuniaSecondary· week 3 and week 12 vs baseline
Changes in dyspareunia from baseline to week 3 and week 12 Each symptom will be scored in a numeric scale from 0 to 3, as shown 0 Absence. The symptom is not present
1. The symptom is of mild intensity, without interfering in the patient's activity
2. The symptom is of moderate intensity, causing obvious discomfort to the patient
3. The symptom is stated as very irritating and severe in intensity
Change between baseline and week 3
Group
Value
95% CI
0.005% Estriol Vaginal Gel
1.0
1.0 – 2.0
Placebo Vaginal Gel
1.0
0.0 – 1.0
Change between baseline and week 12
Group
Value
95% CI
0.005% Estriol Vaginal Gel
2.0
1.0 – 2.5
Placebo Vaginal Gel
1.0
0.0 – 2.0
Change in Pruritus or Itching From Baseline to Week 3 and Week 12Secondary· Change from baseline to week 3 and week 12
Change in pruritus or itching from baseline to week 3 and week 12
Each symptom will be scored in a numeric scale from 0 to 3, as shown below:
0 Absence. The symptom is not present
1. The symptom is of mild intensity, without interfering in the patient's activity
2. The symptom is of moderate intensity, causing obvious discomfort to the patient
3. The symptom is stated as very irritating and severe in intensity
Changes between baseline and week 3
Group
Value
95% CI
0.005% Estriol Vaginal Gel
0.0
0.0 – 1.0
Placebo Vaginal Gel
0.0
-1.0 – 2.0
Changes between baseline and week 12
Group
Value
95% CI
0.005% Estriol Vaginal Gel
0.0
0.0 – 2.0
Placebo Vaginal Gel
0.0
0.0 – 1.0
Changes in Vaginal DrynessSecondary· week 3 and week 12 vs baseline
Change in vaginal dryness puntuation score from baseline to w3 and w12
Each symptom will be scored in a numeric scale from 0 to 3, as shown below:
0 Absence. The symptom is not present
1. The symptom is of mild intensity, without interfering in the patient's activity
2. The symptom is of moderate intensity, causing obvious discomfort to the patient
3. The symptom is stated as very irritating and severe in intensity
Change between baseline and week 3
Group
Value
95% CI
0.005% Estriol Vaginal Gel
1.0
1.0 – 2.0
Placebo Vaginal Gel
1.0
0.0 – 1.0
Change between baseline and week 12
Group
Value
95% CI
0.005% Estriol Vaginal Gel
2.0
1.0 – 2.0
Placebo Vaginal Gel
1.0
1.0 – 1.0
Changes in Total Score of Symptoms of Vaginal AtrophySecondary· week 3 and week 12 vs baseline
Changes in Symptoms of vaginal atrophy (vaginal dryness, dyspareunia and pruritus) at week 3 and week 12 vs baseline.
Each symptom will be scored in a numeric scale from 0 to 3, as shown below:
0 Absence. The symptom is not present
1. The symptom is of mild intensity, without interfering in the patient's activity
2. The symptom is of moderate intensity, causing obvious discomfort to the patient
3. The symptom is stated as very irritating and severe in intensity A Global Symptoms Score will be calculated by summing the intensities of all the three symptoms of vaginal atrophy in a certain tim
Change between baseline and week 3
Group
Value
95% CI
0.005% Estriol Vaginal Gel
3.0
2.0 – 4.5
Placebo Vaginal Gel
1.0
0.5 – 3.0
Change between baseline and week 12
Group
Value
95% CI
0.005% Estriol Vaginal Gel
4.5
3.0 – 7.0
Placebo Vaginal Gel
2.0
1.5 – 4.0
Changes in Dryness of the MucosaSecondary· week 3 and week 12 vs baseline
It will be scored by the investigator on a numerical scale in accordance with their presence and degree of severity as follows:
0 Absence. The sign is not present.
1. The sign is present and is considered a mild alteration
2. The sign is present and is considered a moderate alteration
3. The sign is present and is considered a severe alteration
Changes between baseline and week 3
Group
Value
95% CI
0.005% Estriol Vaginal Gel
2.0
1.0 – 2.0
Placebo Vaginal Gel
1.0
0.0 – 1.0
Changes between baseline and week 12
Group
Value
95% CI
0.005% Estriol Vaginal Gel
2.0
1.0 – 2.0
Placebo Vaginal Gel
1.0
0.0 – 1.0
Adverse events — posted to ClinicalTrials.gov
Time frame: From baseline to last visit (up to 16 weeks).
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
0.005% Estriol Vaginal Gel
Serious: 1/50 (2%)
Deaths: 0/50
Placebo Vaginal Gel
Serious: 0/11 (0%)
Deaths: 0/11
Serious adverse events (1 terms)
Reaction
System
0.005% Estriol Vaginal Gel
Placebo Vaginal Gel
Lymphoma
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
This is a phase II, prospective, randomized, double-blind, placebo-controlled, international (Spain and Sweden) and multicentre study to explore the safety of 0.005% estriol vaginal gel in women with early stage breast cancer in treatment with Non-Steroidal Aromatase Inhibitors (NSAIs) in the adjuvant setting and symptoms of vaginal atrophy.
Publications & conference data
1 peer-reviewed publication reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by ITF Research Pharma, S.L.U.
Last refreshed: 5 August 2019
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02413008.