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NCT02807363

A Study of Pharmacokinetic/Pharmacodynamic Profile of Orally Administered Leuprolide in Healthy Female Volunteers

Completed Phase 2 Results posted Last updated 11 February 2022
What this trial tests

Phase 2 trial testing Leuprolide Oral Tablet 4-mg QD in Endometriosis in 35 participants. Completed in 27 June 2018.

Timeline
23 August 2017
Primary endpoint
27 June 2018
27 June 2018

Quick facts

Lead sponsorEnteris BioPharma Inc.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment35
Start date23 August 2017
Primary completion27 June 2018
Estimated completion27 June 2018
Sites1 location across Canada

Drugs / interventions tested

Conditions studied

Sponsor

Enteris BioPharma Inc. — full company profile →

Who can join

Adults 18 to 49, female only, with Endometriosis. 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.

Number of Participants With Adequacy of Suppression of Estradiol (E2) as Assessed by Estradiol Level Below 40 pg/mL Primary · Dosing Period: Day 8 to 28, Post-dosing: Day 1 to day 28 of post dosing period; Day 29 is the post dosing day 1

Criterion: E2 level is considered suppressed during the evaluation period if a value below pre-specified threshold was reported at least once during that period. The days in the row title indicate the evaluation interval.

Days 8,15, 22, 28 and 29
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)6
Leuprolide Oral Tablet, 4 mg BID (Treatment B)7
Leuprolide 1 Month Depot (Treatment C)5
Leuprolide Oral Tablet, 10 mg BID (Treatment D)12
Days 15, 22, 28 and 29
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)5
Leuprolide Oral Tablet, 4 mg BID (Treatment B)7
Leuprolide 1 Month Depot (Treatment C)5
Leuprolide Oral Tablet, 10 mg BID (Treatment D)12
Days 22, 28 and 29
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)4
Leuprolide Oral Tablet, 4 mg BID (Treatment B)6
Leuprolide 1 Month Depot (Treatment C)5
Leuprolide Oral Tablet, 10 mg BID (Treatment D)9
Days 22 and 29
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)4
Leuprolide Oral Tablet, 4 mg BID (Treatment B)6
Leuprolide 1 Month Depot (Treatment C)5
Leuprolide Oral Tablet, 10 mg BID (Treatment D)9
Entire 28-day Dosing Period
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)7
Leuprolide Oral Tablet, 4 mg BID (Treatment B)8
Leuprolide 1 Month Depot (Treatment C)5
Leuprolide Oral Tablet, 10 mg BID (Treatment D)12
28-day Post-dosing Period
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)7
Leuprolide Oral Tablet, 4 mg BID (Treatment B)6
Leuprolide 1 Month Depot (Treatment C)5
Leuprolide Oral Tablet, 10 mg BID (Treatment D)9
Ovulation Rate - Measured by Number of Subjects With Progesterone Levels Not Less Than 3000 pg/mL Primary · Dosing period: Day 1 to Day 28 and 28 day Post-Dosing Period; 29 day is post dosing day 1

Progesterone level is considered suppressed during the evaluation period if a value below pre-specified threshold (3000 pg/mL) was reported at least once during that period. The days in row title indicate the evaluation interval.

Days 8, 15, 22, 28 and 29
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)4
Leuprolide Oral Tablet, 4 mg BID (Treatment B)3
Leuprolide 1 Month Depot (Treatment C)3
Leuprolide Oral Tablet, 10 mg BID (Treatment D)10
Days 15, 22, 28 and 29
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)2
Leuprolide Oral Tablet, 4 mg BID (Treatment B)2
Leuprolide 1 Month Depot (Treatment C)0
Leuprolide Oral Tablet, 10 mg BID (Treatment D)0
Days 22, 28 and 29
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)2
Leuprolide Oral Tablet, 4 mg BID (Treatment B)2
Leuprolide 1 Month Depot (Treatment C)0
Leuprolide Oral Tablet, 10 mg BID (Treatment D)0
Days 22 and 29
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)2
Leuprolide Oral Tablet, 4 mg BID (Treatment B)1
Leuprolide 1 Month Depot (Treatment C)0
Leuprolide Oral Tablet, 10 mg BID (Treatment D)0
Entire 28-day Dosing Period
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)8
Leuprolide Oral Tablet, 4 mg BID (Treatment B)5
Leuprolide 1 Month Depot (Treatment C)4
Leuprolide Oral Tablet, 10 mg BID (Treatment D)12
28-day Post-dosing Period
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)9
Leuprolide Oral Tablet, 4 mg BID (Treatment B)7
Leuprolide 1 Month Depot (Treatment C)2
Leuprolide Oral Tablet, 10 mg BID (Treatment D)12
Number of Subjects Who Experienced Treatment Emergent Adverse Events (TEAE) Excluding Menstrual Disorders Primary · Dosing Period: Day 1 to day 28

The participant incidence of TEAEs was generally comparable during the dosing period across the treatment groups. Treatment C is a depot formulation established to release the drug over a period of 1 month. The data for adverse event was collected for day 1 to 28 of the dosing period.

Number of subjects with at least one TEAE
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)7
Leuprolide Oral Tablet, 4 mg BID (Treatment B)9
Leuprolide 1 Month Depot (Treatment C)4
Leuprolide Oral Tablet, 10 mg BID (Treatment D)8
Number of subjects who discontinued due to TEAE
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)0
Leuprolide Oral Tablet, 4 mg BID (Treatment B)1
Leuprolide 1 Month Depot (Treatment C)0
Leuprolide Oral Tablet, 10 mg BID (Treatment D)0
Number of Subjects Who Experienced Treatment-Emergent Adverse Events (TEAEs), Excluding Menstrual Disorders Primary · Post dosing period (starting day 1 to day 28 post dosing period)

Treatment C is a depot formulation established to release the drug over a period of 1 month. The data for post dosing adverse event was collected starting from day 1 to 28 post the 28th day of dosing.

Number of subjects with at least one TEAE
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)1
Leuprolide Oral Tablet, 4 mg BID (Treatment B)2
Leuprolide 1 Month Depot(Treatment C)1
Leuprolide Oral Tablet, 10 mg BID (Treatment D)3
Number of subject who discontinued due to TEAEs
GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)0
Leuprolide Oral Tablet, 4 mg BID (Treatment B)0
Leuprolide 1 Month Depot(Treatment C)0
Leuprolide Oral Tablet, 10 mg BID (Treatment D)0
Steady State Concentration Level, (Css) of Leuprolide Primary · Treatment Day 28 for oral groups; Treatment Days 22-29 for Lupron Depot group

Treatment A and B: Steady state concentration level calculated for oral tablets at the end of the fourth treatment week (Treatment Day 28) as the 24-hour AUCs divided by the duration of the dosing interval i.e. 24 hours. Treatment C: Steady state concentration level calculated for IM injection at the fourth treatment week (a mean of leuprolide levels on Days 22 and 29).

GroupValue95% CI
Leuprolide Oral Tablet, 4 mg QD (Treatment A)357.80± 367.37
Leuprolide Oral Tablet, 4 mg BID (Treatment B)688.27± 258.01
Leuprolide 1 Month Depot (Treatment C)180.95± 101.04

Adverse events — posted to ClinicalTrials.gov

Time frame: Dosing period (day 1 to day 28) and post dosing period (day 1 to day 28). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Leuprolide Oral Tablet, 4 mg QD (Treatment A)
Serious: 0/9 (0%)
Deaths: 0/9
Leuprolide Oral Tablet, 4 mg BID (Treatment B)
Serious: 0/9 (0%)
Deaths: 0/9
Leuprolide 1 Month Depot (Treatment C)
Serious: 0/5 (0%)
Deaths: 0/5
Leuprolide Oral Tablet, 10 mg BID (Treatment D)
Serious: 0/12 (0%)
Deaths: 0/12
Other adverse events (11 terms — click to expand)

ReactionSystemLeuprolide Oral Tablet, 4 …Leuprolide Oral Tablet, 4 …Leuprolide 1 Month Depot (…Leuprolide Oral Tablet, 10…
Headache, disturbance in attention, dizziness, presyncopeNervous system disorders
Nausea, Vomiting, Abdominal pain, abdominal pain upper, dry mouth, faeces softGastrointestinal disorders
Breast tenderness. Metrorrhagia,Reproductive system and breast disorders
hot flushVascular disorders
Nasopharyngitis, gastroenteritis, vaginitis gardnerellaInfections and infestations
Acne, erythemaSkin and subcutaneous tissue disorders
Cough, Oropharyngeal painRespiratory, thoracic and mediastinal disorders
Depressed mood, InsomniaPsychiatric disorders
Axillary painGeneral disorders
Procedural dizzinessInjury, poisoning and procedural complications
MyalgiaMusculoskeletal and connective tissue disorders

Data from ClinicalTrials.gov NCT02807363 adverse events section.

Sponsor's own description

This Phase 2a, pharmacokinetic/pharmacodynamic study will determine the safety and provide evaluation of the PK/PD metrics of three different oral doses selected upon the results of the study LOPDT-PH1-01 - 4 mg oral tablets administered over 28 days as QD and BID regimens and 10 mg oral tablets administered over 28 days as a BID regimen. The PK/PD profiles of the study drug will be compared to the leuprolide formulation approved for the treatment of endometriosis (a monthly intramuscular injection, Lupron Depot 3.75 mg). Major PK (e.g., a total exposure to leuprolide) and PD parameters (e.g., rates of the estradiol suppression and cessation of the menstrual period) will also be evaluated against the Lupron Depot historical data.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Barriers and Strategies for Oral Peptide and Protein Therapeutics Delivery: Update on Clinical Advances.
    Baral KC, Choi KY. · · 2025 · cited 39× · PMID 40284395 · DOI 10.3390/pharmaceutics17040397
  2. The Hallmarks of Endometriosis.
    Psilopatis I, Burghaus S, Au K, Hofbeck L, et al · · 2024 · cited 6× · PMID 38884026 · DOI 10.1055/a-2306-8759
  3. Strategies for overcoming multiple barriers of oral administration of protein and peptide therapeutics.
    Wang X, Wang K, Fang Y, Zhang Y, et al · · 2026 · PMID 41585434 · DOI 10.1016/j.mtbio.2026.102763

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