Extension to Study on Efficacy and Safety of Linzagolix for the Treatment of Endometriosis-associated Pain (EDELWEISS 6)

Sponsor
ObsEva SA (Industry)
Overall Status
Active, not recruiting
CT.gov ID
NCT04335591
Collaborator
(none)
288
47
2
29.9
6.1
0.2

Study Details

Study Description

Brief Summary

The primary objective of this extension study is to assess the maintenance of efficacy of linzagolix administered orally once daily for up to an additional 6 months (for up to 12 months of treatment in total) in women who have already completed 6 months of linzagolix treatment at a dose of 75 mg alone or of 200 mg in combination with ABT (E2 1 mg / NETA 0.5 mg), in the management of moderate to severe endometriosis-associated pain (EAP) in women with surgically confirmed endometriosis.

Condition or Disease Intervention/Treatment Phase
  • Drug: 75 mg linzagolix tablet
  • Drug: 200 mg linzagolix tablet
  • Drug: Placebo tablet to match 75 mg linzagolix tablet
  • Drug: Placebo tablet to match 200 mg linzagolix tablet
  • Drug: Add-back capsule (E2 1 mg / NETA 0.5 mg)
  • Drug: Placebo capsule to match Add-back capsule
Phase 3

Detailed Description

This is a prospective, randomized, double-blind study. Subjects who have completed the 6-month Treatment Period in 18-OBE2109-003 - Edelweiss 3 study (herein referred to as main study) will be invited to enter the present extension study. Month 6 visit of the main study is a decision point for Subjects to either end treatment and enter a post-treatment follow up (part of the main study), or to opt for a 6-month treatment extension.

All subjects will receive once daily either linzagolix 75 mg alone (with ABT placebo) or 200 mg combined with ABT for 6 months. Subjects who received placebo during the main study will be randomized to either linzagolix 75 mg alone (with ABT placebo) or linzagolix 200 mg with ABT. Subjects who received active treatment during the main study will continue with the same treatment. Double-dummy design will be used in order to maintain the blinding of the study.

After end of treatment in the extension study (6-month treatment period: from Month 6 to Month 12), subjects will enter a post-treatment Follow-Up Period of 6 months with no investigational medicinal product (IMP) or - for subjects willing to continue treatment - a second extension study will be proposed.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
288 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Double-blind Randomized Extension Study to Assess the Long-term Efficacy and Safety of Linzagolix in Subjects With Endometriosis-associated Pain
Actual Study Start Date :
Mar 5, 2020
Actual Primary Completion Date :
Apr 7, 2022
Anticipated Study Completion Date :
Sep 1, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: Linzagolix 75 mg

Drug: 75 mg linzagolix tablet
For oral administration once daily

Drug: Placebo tablet to match 200 mg linzagolix tablet
For oral administration once daily

Drug: Placebo capsule to match Add-back capsule
For oral administration once daily

Experimental: Linzagolix 200 mg + Add-back (E2 1 mg / NETA 0.5 mg)

Drug: 200 mg linzagolix tablet
For oral administration once daily

Drug: Placebo tablet to match 75 mg linzagolix tablet
For oral administration once daily

Drug: Add-back capsule (E2 1 mg / NETA 0.5 mg)
For oral administration once daily

Outcome Measures

Primary Outcome Measures

  1. Dysmenorrhea [Baseline to Month 12]

    Change at Month 12 from baseline in the mean daily assessment of dysmenorrhea measured on a 0-3 Verbal Rating Scale (VRS) using an electronic diary. The lower value represents a better outcome.

  2. Non-menstrual pelvic pain [Baseline to Month 12]

    Change at Month 12 from baseline in the mean daily assessment of non-menstrual pelvic pain measured on a 0-3 Verbal Rating Scale (VRS) using an electronic diary. The lower value represents a better outcome.

Secondary Outcome Measures

  1. Dysmenorrhea [Baseline to Month 12]

    Change from baseline to Month 12 in dysmenorrhea measured on a 0-3 Verbal Rating Scale (VRS) using an electronic diary. The lower value represents a better outcome.

  2. Non-menstrual pelvic pain [Baseline to Month 12]

    Change from baseline to Month 12 in non-menstrual pelvic pain measured on a 0-3 Verbal Rating Scale (VRS) using an electronic diary. The lower value represents a better outcome.

  3. Dyschezia [Baseline to Month 12]

    Change from baseline to Month 12 in dyschezia measured on a 0-10 Numeric Rating Scale (NRS) using an electronic diary. The lower value represents a better outcome.

  4. Overall Pelvic Pain [Baseline to Month 12]

    Change from baseline to Month 12 in overall pelvic pain measured on a 0-10 Numeric Rating Scale (NRS) using an electronic diary. The lower value represents a better outcome.

  5. Interference of pain with the ability to perform daily activities [Baseline to Month 12]

    Change from baseline to Month 12 in the interference of pain with the ability to perform daily activities, measured using the pain dimension of the Endometriosis Health Profile-30 (EHP-30) using an electronic diary

  6. Dyspareunia [Baseline to Month 12]

    Change from baseline to Month 12 in dyspareunia measured on a 0-3 Verbal Rating Scale (VRS) using an electronic diary. The lower value represents a better outcome.

  7. No analgesic use for endometriosis associated pain [During the preceding 4-week period at each scheduled assessment]

    Proportion of subjects reporting no analgesic use for endometriosis associated pain, during the preceding 4-week period at each scheduled assessment

  8. No opiate use for endometriosis associated pain [During the preceding 4-week period at each scheduled assessment]

    Proportion of subjects reporting no opiate use for endometriosis associated pain, during the preceding 4-week period at each scheduled assessment

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 50 Years
Sexes Eligible for Study:
Female
Accepts Healthy Volunteers:
No
Inclusion Criteria:
The subject must have:
  • completed the 6-month treatment in the main study.

  • agree to continue to use only the analgesic rescue medication permitted by the protocol during the Treatment and Follow-up Periods.

  • To continue to comply with the requirements of the study protocol for the duration of the extension study.

Exclusion Criteria:
The subject will be excluded if she:
  • Is pregnant or breast feeding or is planning a pregnancy within the duration of the of the study (including the Follow-up Period).

  • likely to require treatment during the study with any of the restricted medications

  • has any other clinically significant gynecologic condition identified during the main study on transvaginal ultrasound (TVUS), on endometrial biopsy or at the manual breast examination, which might interfere with the study efficacy and safety objectives.

  • met any of the main study discontinuation criteria

Contacts and Locations

Locations

Site City State Country Postal Code
1 Choice Research, LLC/ ID # 609 Dothan Alabama United States 36303
2 Universal Axon - Homestead, LLC/ ID # 620 Homestead Florida United States 33030
3 Stedman Clinical Trials/ ID # 612 Tampa Florida United States 33613
4 Advanced Specialty Research/ ID # 610 Nampa Idaho United States 83687
5 Women's & Family Care, LLC dba GTC Research/ ID # 608 Shawnee Mission Kansas United States 66218
6 Southern Clinical Research / ID # 611 Metairie Louisiana United States 70001
7 Chattanooga Medical Research LLC/ ID# 602 Chattanooga Tennessee United States 37404
8 Tanner Clinic/ ID # 624 Layton Utah United States 84041
9 Salzburger Landeskliniken / ID # 105 Salzburg Austria 5020
10 Multiprofile Hospital for Active Treatment Sliven/ ID # 131 Sliven Bulgaria 8800
11 MHAT Dr. Bratan Shukerov / ID #138 Smolyan Bulgaria
12 Medical Centre Excelsior /ID # 135 Sofia Bulgaria 1407
13 Group Practice for Specialized Medical Assistance in GINART/ ID # 132 Sofia Bulgaria 1606
14 University Multiprofile Hospital for Active Treatment "Sofiamed"/ ID # 133 Sofia Bulgaria 1797
15 Gynekologicko - Porodnicka Ambulance/ ID # 162 Tábor Czechia 39003
16 Gynekologie MU Dr.Lubomir Mikulasek / ID # 160 Ujezd nad Lesy Czechia 19016
17 Clinique Pasteur / ID # 206 Toulouse France 31076
18 Lubelskie Centrum Diagnostyczne/ ID # 402 Świdnik Lubelskie Poland 21-040
19 Prywatna Klinika Ginekologiczno - Położnicza/ ID # 404 Białystok Podlaskie Poland 15-224
20 Indywidualna Specjalistyczna Praktyka Lekarska Krzysztof Wilk/ ID # 411 Katowice Poland 40-301
21 Clinical Medical Research sp. Z o. O/ ID # 406 Katowice Poland 40-628
22 Niepubliczny Zaklad Opieki Zrowotnej GynCentrum/ ID # 407 Katowice Poland 40-851
23 Kotarski Jan Specjalistyczny Gabinet Ginekologiczno Polozniczy/ ID # 405 Lublin Poland 20-064
24 Centrum Medyczne Chodźki Lublin/ ID # 403 Lublin Poland 20-093
25 VITA LONGA Sp. z o.o./ ID # 408 Lublin Poland 20-093
26 Centrum Ginekologii Endokrynologii i Medycyny Rozrodu "Artemida"/ ID # 409 Olsztyn Poland 10-357
27 Wojewodzki Szpital im. Sw. Ojca Pio w Przemyslu/ ID # 410 Przemyśl Poland 37-700
28 Specjalistyczny Gabinet Lekarski Krzysztof Dynowski / ID # 401 Warsaw Poland 02-929
29 Quantum Medical Center SRL/ ID # 353 Bucharest Romania 12071
30 Spitalul Clinic "Nicolae Malaxa"/ ID # 352 Bucharest Romania 22448
31 Centrul Medical EUROMED/ ID # 351 Bucuresti Romania 20764
32 Sp Cl de Obstetrica si Ginecologie "Prof. Dr. Panait Sirbu"/ ID # 354 Bucuresti Romania 60251
33 Gine Plus SRL Cluj- Napoca/ ID # 357 Cluj-Napoca Romania 400698
34 Centrul Medical GALENUS/ ID # 355 Târgu-Mureş Romania 540236
35 Hospital General Universitario Reina Sofia/ ID # 304 Murcia Spain 30003
36 Hospital Regional Universitario de Málaga/ ID # 303 Málaga Spain 29010
37 City clinical maternity hospital №1/ ID # 502 Chernivtsi Ukraine 58003
38 Ivano-Frankivsk regional perinatal center, Family planning center/ ID # 506 Ivano-Frankivs'k Ukraine 76018
39 Kyiv City Maternity Hospital #6/ ID # 504 Kyiv Ukraine 02125
40 Medical center of LLC "Medical Center "Verum"/ ID # 503 Kyiv Ukraine 03039
41 Institute of Pediatrics Obstetrics and Gynecology/ ID # 508 Kyiv Ukraine 04050
42 Kyiv City Clinical Hospital #9/ ID # 501 Kyiv Ukraine 04112
43 Kyiv City Center of Reproductive and Perinatal Medicine/ ID # 509 Kyiv Ukraine 04210
44 Ternopil' Communal City Hospital#2 / ID # 511 Ternopil Ukraine 46400
45 Vinnytsia City Clinical Hospital "Center of Mother and the Child "/ ID # 510 Vinnytsia Ukraine 21019
46 Zaporizhzhya Regional Clinical Hospital/ ID # 505 Zaporizhzhya Ukraine 69000
47 Maternity Hospital № 3/ ID # 507 Zaporizhzhya Ukraine 69071

Sponsors and Collaborators

  • ObsEva SA

Investigators

  • Study Director: Lecomte, ObsEva SA

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
ObsEva SA
ClinicalTrials.gov Identifier:
NCT04335591
Other Study ID Numbers:
  • 19-OBE2109-006
First Posted:
Apr 6, 2020
Last Update Posted:
Jun 22, 2022
Last Verified:
Jun 1, 2022
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by ObsEva SA
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jun 22, 2022