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NCT03343067

A Study to Evaluate Safety and Efficacy of Elagolix in Participants With Endometriosis With Associated Moderate to Severe Pain

Terminated Phase 3 Results posted Last updated 27 November 2019
What this trial tests

Phase 3 trial testing elagolix in Endometriosis in 11 participants. Terminated before completion.

Timeline
27 December 2017
Primary endpoint
23 October 2018
23 October 2018

Quick facts

Lead sponsorAbbVie
PhasePhase 3
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment11
Start date27 December 2017
Primary completion23 October 2018
Estimated completion23 October 2018
Sites37 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

AbbVie — 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.

Change From Baseline in DYS at Month 6 Secondary · Month 0 (baseline), Month 6

The DYS pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement.

GroupValue95% CI
Group B-0.23± NA
Change From Baseline in NMPP at Month 6 Secondary · Month 0 (baseline), Month 6

The NMPP pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement.

GroupValue95% CI
Group B-0.13± 0.061
Change From Baseline in Dyspareunia at Month 6 Secondary · Month 0 (baseline), Month 6

The dyspareunia pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement.

GroupValue95% CI
Group B0.29± NA
Change From Baseline in Daily Diary Endometriosis-Associated Pain Score Via Numeric Rating Scale (NRS) at Month 6 Secondary · Month 0 (baseline), Month 6

The NRS for overall endometriosis-associated pain ranges from 0 (none) to 10 (worst pain ever), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement.

GroupValue95% CI
Group B-1.36± 0.020
Change From Baseline in Rescue Analgesic Use Across Both Classes of Rescue Analgesics (NSAIDs/Opioids) at Month 6 Secondary · Month 0 (baseline), Month 6

Based on average pill counts and assessed using the daily e-Diary. Permitted non-steroidal anti-inflammatory drugs (NSAIDs) included naproxen, ibuprofen, diclofenac, and celecoxib. Permitted opioids included hydrocodone + acetaminophen and codeine phosphate + acetaminophen.

NSAID: Change at Month 6
GroupValue95% CI
Group B0.63± 0.606
Opioid: Change at Month 6
GroupValue95% CI
Group B0.09± 0.121
NSAID + Opioid: Change at Month 6
GroupValue95% CI
Group B0.71± 0.485
Percentage of Participants With 30% or More Reduction From Baseline Based on the 35 Day Mean of the Daily Diary Endometriosis-Associated Pain Score Via NRS at Month 6 Secondary · Month 6

The NRS for overall endometriosis-associated pain ranges from 0 (none) to 10 (worst pain ever), recorded in a daily eDiary and averaged monthly based on a 35-day window.

GroupValue95% CI
Group B50.0
Change From Baseline Over Time in Monthly Average DYS Pain Score Secondary · Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

The DYS pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. The analysis was based on a 28-day window. If a participant prematurely discontinued during the open-label period, based on the analysis window, some data might fall into Month 4 analysis.

Change at Month 1
GroupValue95% CI
Group A0.05± 0.655
Group B-0.04± NA
Change at Month 2
GroupValue95% CI
Group A-0.18± 0.124
Group B-0.26± NA
Change at Month 3
GroupValue95% CI
Group A-0.50± 0.263
Group B-0.34± NA
Change at Month 4
GroupValue95% CI
Group A-0.69± NA
Group B-0.06± NA
Change at Month 5
GroupValue95% CI
Group B-0.16± 0.141
Change at Month 6
GroupValue95% CI
Group B-0.23± NA
Change From Baseline Over Time in Monthly Average NMPP Pain Score Secondary · Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

The NMPP pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement.

Change at Month 1
GroupValue95% CI
Group A-0.13± 0.252
Group B-0.07± 0.508
Group C0.39± NA
Change at Month 2
GroupValue95% CI
Group A-0.48± 0.394
Group B-0.30± 0.167
Group C0.29± NA
Change at Month 3
GroupValue95% CI
Group A-0.70± 0.828
Group B-0.30± 0.092
Group C0.54± NA
Change at Month 4
GroupValue95% CI
Group A-1.34± NA
Group B-0.34± 0.029
Group C0.46± NA
Change at Month 5
GroupValue95% CI
Group B-0.27± 0.256
Change at Month 6
GroupValue95% CI
Group B-0.13± 0.061
Change From Baseline Over Time in Monthly Average Dyspareunia Pain Score Secondary · Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

The dyspareunia pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement.

Change at Month 1
GroupValue95% CI
Group A-0.50± 0.741
Group B0.30± NA
Group C-0.29± NA
Change at Month 2
GroupValue95% CI
Group A-1.44± 1.071
Group B0.06± NA
Group C-0.37± NA
Change at Month 3
GroupValue95% CI
Group A-2.20± NA
Group B0.07± 0.101
Group C-0.03± NA
Change at Month 4
GroupValue95% CI
Group A-2.23± NA
Group B0.09± 0.040
Group C-0.03± NA
Change at Month 5
GroupValue95% CI
Group B0.09± 0.081
Change at Month 6
GroupValue95% CI
Group B0.29± NA
Change From Baseline Over Time in Monthly Average Daily Diary Endometriosis-Associated Pain Score Via NRS Secondary · Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

The NRS for overall endometriosis-associated pain ranges from 0 (none) to 10 (worst pain ever), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement.

Change at Month 1
GroupValue95% CI
Group A-0.86± 1.975
Group B-0.89± 1.159
Group C-0.84± NA
Change at Month 2
GroupValue95% CI
Group A-2.40± 2.106
Group B-2.02± 0.758
Group C-1.40± NA
Change at Month 3
GroupValue95% CI
Group A-3.70± 3.616
Group B-1.81± 0.430
Group C-1.34± NA
Change at Month 4
GroupValue95% CI
Group A-6.43± NA
Group B-1.43± 1.078
Group C-1.06± NA
Change at Month 5
GroupValue95% CI
Group B-1.40± 0.961
Change at Month 6
GroupValue95% CI
Group B-1.36± 0.020
Percent Change From Baseline to Each Month During the Treatment Period for DYS Secondary · Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

The DYS pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement.

Percent Change at Month 1
GroupValue95% CI
Group A1.67± 109.961
Group B-7.89± NA
Percent Change at Month 2
GroupValue95% CI
Group A-27.45± 17.119
Group B-75.00± NA
Percent Change at Month 3
GroupValue95% CI
Group A-62.92± 24.159
Group B-85.71± NA
Percent Change at Month 4
GroupValue95% CI
Group A-80.00± NA
Group B-16.67± NA
Percent Change at Month 5
GroupValue95% CI
Group B-40.48± 33.672
Percent Change at Month 6
GroupValue95% CI
Group B-57.14± NA
Percent Change From Baseline to Each Month During the Treatment Period for NMPP Secondary · Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

The NMPP pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement.

Percent Change at Month 1
GroupValue95% CI
Group A-11.81± 26.677
Group B4.22± 53.238
Group C16.07± NA
Percent Change at Month 2
GroupValue95% CI
Group A-37.53± 31.150
Group B-34.21± 18.044
Group C11.90± NA
Percent Change at Month 3
GroupValue95% CI
Group A-38.26± 42.319
Group B-38.03± 20.343
Group C22.62± NA
Percent Change at Month 4
GroupValue95% CI
Group A-71.21± NA
Group B-44.49± 20.725
Group C19.05± NA
Percent Change at Month 5
GroupValue95% CI
Group B-28.40± 33.641
Percent Change at Month 6
GroupValue95% CI
Group B-17.23± 16.044

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug up to 6 months, plus 30 days.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Group A
Serious: 0/7 (0%)
Deaths: 0/7
Group B
Serious: 0/3 (0%)
Deaths: 0/3
Group C
Serious: 0/1 (0%)
Deaths: 0/1
Other adverse events (24 terms — click to expand)

ReactionSystemGroup AGroup BGroup C
NAUSEAGastrointestinal disorders
EAR DISCOMFORTEar and labyrinth disorders
ABDOMINAL PAIN UPPERGastrointestinal disorders
DIARRHOEAGastrointestinal disorders
VOMITINGGastrointestinal disorders
CHILLSGeneral disorders
FATIGUEGeneral disorders
ANAPHYLACTIC REACTIONImmune system disorders
DRUG HYPERSENSITIVITYImmune system disorders
GARDNERELLA INFECTIONInfections and infestations
ORAL HERPESInfections and infestations
URINARY TRACT INFECTIONInfections and infestations
VAGINAL INFECTIONInfections and infestations
POLYDIPSIAMetabolism and nutrition disorders
HEADACHENervous system disorders
IRRITABILITYPsychiatric disorders
ADNEXA UTERI PAINReproductive system and breast disorders
DYSMENORRHOEAReproductive system and breast disorders
MENSTRUATION DELAYEDReproductive system and breast disorders
PELVIC PAINReproductive system and breast disorders
THROAT TIGHTNESSRespiratory, thoracic and mediastinal disorders
DERMATITIS ALLERGICSkin and subcutaneous tissue disorders
NIGHT SWEATSSkin and subcutaneous tissue disorders
HOT FLUSHVascular disorders

Data from ClinicalTrials.gov NCT03343067 adverse events section.

Sponsor's own description

This is a Phase 3, dose-escalation study designed to evaluate the safety and efficacy of both elagolix alone and elagolix plus estradiol/norethindrone acetate (E2/NETA) over 24 months in the management of endometriosis with associated moderate to severe pain in premenopausal women.

Publications & conference data

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

  1. Hormonal treatments for endometriosis: The endocrine background.
    Vannuccini S, Clemenza S, Rossi M, Petraglia F. · · 2022 · cited 168× · PMID 34405378 · DOI 10.1007/s11154-021-09666-w
  2. Elagolix: First Global Approval.
    Lamb YN. · · 2018 · cited 53× · PMID 30194661 · DOI 10.1007/s40265-018-0977-4
  3. Endometriosis and pain in the adolescent- striking early to limit suffering: A narrative review.
    Sieberg CB, Lunde CE, Borsook D. · · 2020 · cited 29× · PMID 31862211 · DOI 10.1016/j.neubiorev.2019.12.004
  4. Elagolix in the treatment of endometriosis: impact beyond pain symptoms.
    Archer DF, Soliman AM, Agarwal SK, Taylor HS. · · 2020 · cited 7× · PMID 33294846 · DOI 10.1177/2633494120964517
  5. Molecular Targets for Endometriosis Therapy: Where We Are and Where We Are Going?
    Barra F, Laganà AS, Casarin J, Ghezzi F, et al · · 2019 · cited 5× · PMID 31037916 · DOI 10.22074/ijfs.2019.5736

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Other trials of elagolix

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Trials by the same sponsor.

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Data sources for this page

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/NCT03343067.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing