Study Evaluating The Effects Of Bazedoxifene/Conjugated Estrogens On Endometrial Safety And Postmenopausal Osteoporosis

Sponsor
Pfizer (Industry)
Overall Status
Completed
CT.gov ID
NCT00808132
Collaborator
(none)
1,886
178
5
25
10.6
0.4

Study Details

Study Description

Brief Summary

The purpose of this research study is to evaluate the safety and effectiveness of this investigational drug for the treatment of menopausal symptoms while protecting the endometrium (uterine lining) and preventing postmenopausal osteoporosis. Subject participation will last approximately 14.5 months.

Condition or Disease Intervention/Treatment Phase
  • Drug: bazedoxifene 20 mg/ conjugated estrogens 0.45 mg
  • Drug: bazedoxifene 20 mg/ conjugated estrogens 0.625 mg
  • Drug: bazedoxifene 20 mg
  • Drug: conjugated estrogens 0.45 mg/ medroxyprogesterone acetate 1.5 mg
  • Drug: Placebo
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
1886 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Double-Blind, Randomized, Placebo And Active- Controlled Efficacy And Safety Study Of The Effects Of Bazedoxifene/Conjugated Estrogens Combinations On Endometrial Hyperplasia And Prevention Of Osteoporosis In Postmenopausal Women
Study Start Date :
Jan 1, 2009
Actual Primary Completion Date :
Feb 1, 2011
Actual Study Completion Date :
Feb 1, 2011

Arms and Interventions

Arm Intervention/Treatment
Experimental: 1

bazedoxifene 20 mg/conjugated estrogens 0.45 mg

Drug: bazedoxifene 20 mg/ conjugated estrogens 0.45 mg
One capsule, bazedoxifene 20 mg/conjugated estrogens 0.45 mg (over-encapsulated), once a day for one year.

Experimental: 2

bazedoxifene 20 mg/conjugated estrogens 0.625 mg

Drug: bazedoxifene 20 mg/ conjugated estrogens 0.625 mg
One capsule, bazedoxifene 20 mg/conjugated estrogens 0.625 mg (over-encapsulated), once a day for one year.

Experimental: 3

bazedoxifene 20 mg

Drug: bazedoxifene 20 mg
One capsule, bazedoxifene 20 mg (over-encapsulated), once a day for one year.

Active Comparator: 4

Prempro

Drug: conjugated estrogens 0.45 mg/ medroxyprogesterone acetate 1.5 mg
One capsule, conjugated estrogens 0.45 mg and medroxyprogesterone 1.5 mg (over-encapsulated), once a day for one year.
Other Names:
  • Prempro
  • Placebo Comparator: 5

    Placebo

    Drug: Placebo
    One capsule, placebo (over-encapsulated), once a day for one year.

    Outcome Measures

    Primary Outcome Measures

    1. Percentage of Participants With Endometrial Hyperplasia at Month 12: Main Study [Month 12]

      Endometrial hyperplasia was assessed by endometrial biopsies. All endometrial biopsies were read centrally by 2 primary pathologists. If both the pathologists disagreed on the presence of hyperplasia, a third pathologist was consulted. Results were summarized for two definitions of hyperplasia (simple hyperplasia with or without atypia or complex hyperplasia with or without atypia); definition 1: participants were considered to have a diagnosis of hyperplasia when the 3 pathologists disagreed but at least 1 pathologist determined hyperplasia; definition 2: participants were considered to have a diagnosis of hyperplasia if at least 2 of the 3 pathologists agreed on the diagnosis.

    2. Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at Month 12: Osteoporosis Sub-Study [Baseline, Month 12]

      BMD measurements of the anteroposterior lumbar spine were acquired by using dual-energy x-ray absorptiometry (DXA) scans, twice at Month 12 for a subset of participants who entered the osteoporosis substudy. The second scan was to be performed on the same day as the first; however, the participant was to be removed completely from the table after the first scan and repositioned for the second scan. Mean percentage change from baseline of the 2 readings were reported.

    Secondary Outcome Measures

    1. Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at Month 6: Osteoporosis Sub-Study [Baseline, Month 6]

      BMD measurements of the anteroposterior lumbar spine were acquired by using DXA scans, twice at Month 6 for a subset of participants who entered the osteoporosis substudy. The second scan was to be performed on the same day as the first; however, the participant was to be removed completely from the table after the first scan and repositioned for the second scan. Mean percentage change from baseline of the 2 readings were reported.

    2. Percent Change From Baseline in Bone Mineral Density (BMD) of Total Hip at Month 6, 12: Osteoporosis Sub-Study [Baseline, Month 6, Month 12]

      BMD measurements of the total hip were acquired by using DXA scans, twice at Month 6 and 12 for a subset of participants who entered the osteoporosis substudy. The second scan was to be performed on the same day as the first; however, the participant was to be removed completely from the table after the first scan and repositioned for the second scan. Mean percentage change from baseline of the 2 readings were reported.

    3. Percentage of Participants With Cumulative Amenorrhea: Main Study [Day 1 up to Day 364]

      Cumulative amenorrhea was defined as the absence of any bleeding or spotting for cumulative 4-week periods throughout 1-year study.

    4. Percent Change From Baseline in Breast Density at Month 12: Breast Density Sub-Study [Baseline, Month 12]

      Breast density was assessed by digitalized mammograms which were centrally read by a single radiologist using specifically-developed software. Breast density was assessed for subset of participants who entered the breast density sub-study

    5. Percent Change From Baseline in Bone Turnover Markers (BTMs) at Month 6 and Month 12: Osteoporosis Sub-Study [Baseline, Month 6, 12]

      Bone turnover is the removal of old bone from the body and its replacement by new bone. Bone turnover markers included serum osteocalcin, C-telopeptide, and procollagen type 1 N-propeptide (P1NP), were measured at Month 6 and Month 12 for a subset of participants who entered the osteoporosis substudy. Blood samples were collected to evaluate bone turnover markers levels.

    6. Medical Outcomes Study (MOS) Sleep Scale at Baseline: Sleep Sub-Study [Baseline]

      Participant-rated questionnaire to assess sleep quality and quantity. Consists of 12-item questionnaires answered on a range of 1 to 6 for questions (Q) 3 to 12, 1 to 5 for Q1 (some questions are reversed so that a high score reflects more of the attributes); and Q2 answered on 0 to 24. Scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. The items contribute to each scale and are averaged to create the 7 scale scores and a sleep quantity scale. Scales with at least one item answered was used to generate a scale score. Scales include; sleep disturbance (SD), snoring, awaken short of breath (ASoB) or with a headache (H), somnolence, sleep adequacy (SA), sleep problem index (SPI) I and II (range: 0-100) and sleep quantity (SQ [range 0 to 24]). Except for sleep quantity, higher scores=greater impairment.

    7. Change From Baseline in Medical Outcomes Study (MOS) Sleep Scale at Month 3: Sleep Sub-Study [Baseline, Month 3]

      Participant-rated questionnaire to assess sleep quality and quantity. Consists of 12-item questionnaires answered on a range of 1 to 6 for questions (Q) 3 to 12, 1 to 5 for Q1 (some questions are reversed so that a high score reflects more of the attributes); and Q2 answered on 0 to 24. Scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. The items contribute to each scale and are averaged to create the 7 scale scores and a sleep quantity scale. Scales with at least one item answered was used to generate a scale score. Scales include; sleep disturbance (SD), snoring, awaken short of breath (ASoB) or with a headache (H), somnolence, sleep adequacy (SA), sleep problem index (SPI) I and II (range: 0-100) and sleep quantity (SQ [range 0 to 24]). Except for sleep quantity, higher scores=greater impairment.

    8. Menopause-Specific Quality of Life (MENQOL) Score at Baseline: Sleep Sub-Study [Baseline]

      MENQOL questionnaire assessed how bothered participants were due to menopause. It consists of 29 items divided into 4 domains: vasomotor function (3 items), psychosocial function (7 items), physical function (16 items), and sexual function (3 items). Each item scores a range from 1 to 8, with 1 indicating that the participant did not experience the symptom or problem, 8 indicating that the participant was extremely bothered by the symptom or problem. The total score for each domain is the average of item scores and ranged from 1 to 8 with higher score indicating worsening of symptoms. The MENQOL total score is the mean of these 4 domain scores and ranged from 1 to 8 with higher score indicating worsening of symptoms.

    9. Change From Baseline in Menopause-Specific Quality of Life (MENQOL) Score at Month 3: Sleep Sub-Study [Baseline, Month 3]

      MENQOL questionnaire assessed how bothered participants were due to menopause. It consists of 29 items divided into 4 domains: vasomotor function (3 items), psychosocial function (7 items), physical function (16 items), and sexual function (3 items). Each item scores a range from 1 to 8, with 1 indicating that the participant did not experience the symptom or problem, 8 indicating that the participant was extremely bothered by the symptom or problem. The total score for each domain is the average of item scores and ranged from 1 to 8 with higher score indicating worsening of symptoms. The MENQOL total score is the mean of these 4 domain scores and ranged from 1 to 8 with higher score indicating worsening of symptoms.

    10. Percentage of Participants With Uterine Bleeding [Week 1-4, 5-8, 9-12, 13-16, 17-20, 21-24, 25-28, 29-32, 33-36, 37-40, 41-44, 45-48, 49-52]

      Percentage of participants with uterine bleeding were calculated for each 4-week period for 1-year on therapy.

    Other Outcome Measures

    1. Percentage of Participants With Breast Tenderness [Screening, Week 1-4, 5-8, 9-12, 13-16, 17-20, 21-24, 25-28, 29-32, 33-36, 37-40, 41-44, 45-48, 49-52]

      Percentage of participants who reported at least 1 day of breast tenderness during each 4-week period for 1-year on therapy was calculated.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    40 Years to 64 Years
    Sexes Eligible for Study:
    Female
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Generally healthy, postmenopausal women, aged 40 to 64 seeking treatment for menopausal symptoms

    • At least 12 months of spontaneous amenorrhea, OR 6 months spontaneous amenorrhea with follicle-stimulating hormone (FSH) levels > 40 mIU/mL

    • Intact Uterus

    Exclusion Criteria:
    • Use of oral estrogen, progestin, androgen, or selective estrogen receptor modulator (SERM) containing drug products within 8 weeks before screening

    • A history or active presence of clinically important medical disease: eg. cardiovascular disease (stroke, heart attack), chronic renal or liver disease, breast cancer, etc.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Pfizer Investigational Site Birmingham Alabama United States 35235
    2 Pfizer Investigational Site Mobile Alabama United States 36608
    3 Pfizer Investigational Site Chandler Arizona United States 85225
    4 Pfizer Investigational Site Glendale Arizona United States 85308
    5 Pfizer Investigational Site Mesa Arizona United States 85206
    6 Pfizer Investigational Site Peoria Arizona United States 85381
    7 Pfizer Investigational Site Phoenix Arizona United States 85032
    8 Pfizer Investigational Site Scottsdale Arizona United States 85251
    9 Pfizer Investigational Site Tucson Arizona United States 85710
    10 Pfizer Investigational Site Tucson Arizona United States 85712
    11 Pfizer Investigational Site Tucson Arizona United States 85715
    12 Pfizer Investigational Site Little Rock Arkansas United States 72223
    13 Pfizer Investigational Site Carmichael California United States 95608
    14 Pfizer Investigational Site Sacramento California United States 95821
    15 Pfizer Investigational Site San Diego California United States 92103
    16 Pfizer Investigational Site San Diego California United States 92108
    17 Pfizer Investigational Site San Diego California United States 92123
    18 Pfizer Investigational Site Upland California United States 91786
    19 Pfizer Investigational Site Vista California United States 92083
    20 Pfizer Investigational Site Walnut Creek California United States 94598
    21 Pfizer Investigational Site Colorado Springs Colorado United States 80907
    22 Pfizer Investigational Site Colorado Springs Colorado United States 80910
    23 Pfizer Investigational Site Denver Colorado United States 80218
    24 Pfizer Investigational Site Denver Colorado United States 80220
    25 Pfizer Investigational Site Lakewood Colorado United States 80228
    26 Pfizer Investigational Site New London Connecticut United States 06320
    27 Pfizer Investigational Site Boynton Beach Florida United States 33472
    28 Pfizer Investigational Site Clearwater Florida United States 33759
    29 Pfizer Investigational Site Crystal River Florida United States 34429
    30 Pfizer Investigational Site Daytona Beach Florida United States 32114
    31 Pfizer Investigational Site Deland Florida United States 32720
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    93 Pfizer Investigational Site Cleveland Ohio United States 44122
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    95 Pfizer Investigational Site Dayton Ohio United States 45439
    96 Pfizer Investigational Site Englewood Ohio United States 45322
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    105 Pfizer Investigational Site Philadelphia Pennsylvania United States 19104
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    107 Pfizer Investigational Site Pittsburgh Pennsylvania United States 15206
    108 Pfizer Investigational Site West Reading Pennsylvania United States 19611
    109 Pfizer Investigational Site Wexford Pennsylvania United States 15090
    110 Pfizer Investigational Site Warwick Rhode Island United States 02886
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    115 Pfizer Investigational Site Sioux Falls South Dakota United States 57105
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    123 Pfizer Investigational Site Corpus Christi Texas United States 78414
    124 Pfizer Investigational Site Dallas Texas United States 75390
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    128 Pfizer Investigational Site Irving Texas United States 75061
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    134 Pfizer Investigational Site Waco Texas United States 76712
    135 Pfizer Investigational Site Pleasant Grove Utah United States 84062
    136 Pfizer Investigational Site Salt Lake City Utah United States 84117
    137 Pfizer Investigational Site Sandy Utah United States 84070
    138 Pfizer Investigational Site Charlottesville Virginia United States 22903
    139 Pfizer Investigational Site Norfolk Virginia United States 23502
    140 Pfizer Investigational Site Norfolk Virginia United States 23507
    141 Pfizer Investigational Site Richmond Virginia United States 23294
    142 Pfizer Investigational Site Seattle Washington United States 98105
    143 Pfizer Investigational Site Tacoma Washington United States 98405
    144 Pfizer Investigational Site Caba Buenos Aires Argentina C1012AAR
    145 Pfizer Investigational Site Caba Buenos Aires Argentina C1425AGC
    146 Pfizer Investigational Site Buenos Aires Argentina C1117ABH
    147 Pfizer Investigational Site Buenos Aires Argentina C1128AAF
    148 Pfizer Investigational Site Randwick New South Wales Australia 2031
    149 Pfizer Investigational Site St Leonards New South Wales Australia 2065
    150 Pfizer Investigational Site Perth Western Australia Australia 6009
    151 Pfizer Investigational Site Santiago RM Chile 8320152
    152 Pfizer Investigational Site Medellin Antioquia Colombia
    153 Pfizer Investigational Site Barranquilla Atlantico Colombia
    154 Pfizer Investigational Site Bogota Cundinamarca Colombia
    155 Pfizer Investigational Site Aalborg Denmark 9000
    156 Pfizer Investigational Site Ballerup Denmark 2750
    157 Pfizer Investigational Site Vejle Denmark 7100
    158 Pfizer Investigational Site Kuopio Finland 70110
    159 Pfizer Investigational Site Oulu Finland 90 100
    160 Pfizer Investigational Site Bekescsaba Hungary H-5600
    161 Pfizer Investigational Site Budapest Hungary 1106
    162 Pfizer Investigational Site Budapest Hungary H-1125
    163 Pfizer Investigational Site Debrecen Hungary H-4012
    164 Pfizer Investigational Site Debrecen Hungary H-4043
    165 Pfizer Investigational Site Kecskemet Hungary 6000
    166 Pfizer Investigational Site Nyiregyhaza Hungary H-4400
    167 Pfizer Investigational Site Tatabanya Hungary H-2800
    168 Pfizer Investigational Site D.F Mexico
    169 Pfizer Investigational Site Dunedin NZ New Zealand
    170 Pfizer Investigational Site Wellington NZ New Zealand
    171 Pfizer Investigational Site Christchurch New Zealand 8014
    172 Pfizer Investigational Site Alesund Norway NO-6003
    173 Pfizer Investigational Site Hamar Norway NO-2317
    174 Pfizer Investigational Site Lublin Poland 20-090
    175 Pfizer Investigational Site Poznan Poland 60-535
    176 Pfizer Investigational Site Warszawa Poland 01-809
    177 Pfizer Investigational Site Warszawa Poland 02-341
    178 Pfizer Investigational Site Wroclaw Poland 50-088

    Sponsors and Collaborators

    • Pfizer

    Investigators

    • Study Director: Pfizer CT.gov Call Center, Pfizer

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT00808132
    Other Study ID Numbers:
    • 3115A1-3307
    • B2311009
    First Posted:
    Dec 15, 2008
    Last Update Posted:
    Apr 8, 2014
    Last Verified:
    Mar 1, 2014

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail This main study also included 3 sub-studies only for the purpose of the assessment of relevant parameters: breast density sub-study, osteoporosis sub-study (OSS), and sleep sub-study. A participant could participate in more than 1 sub-study.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Period Title: Overall Study
    STARTED 455 481 239 228 483
    Treated 445 474 230 220 474
    COMPLETED 357 393 185 159 383
    NOT COMPLETED 98 88 54 69 100

    Baseline Characteristics

    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo Total
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Total of all reporting groups
    Overall Participants 445 474 230 220 474 1843
    Age (Years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [Years]
    54.43
    (4.02)
    53.89
    (4.00)
    54.07
    (4.01)
    54.15
    (4.50)
    54.19
    (4.07)
    54.15
    (4.09)
    Sex: Female, Male (Count of Participants)
    Female
    445
    100%
    474
    100%
    230
    100%
    220
    100%
    474
    100%
    1843
    100%
    Male
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%

    Outcome Measures

    1. Primary Outcome
    Title Percentage of Participants With Endometrial Hyperplasia at Month 12: Main Study
    Description Endometrial hyperplasia was assessed by endometrial biopsies. All endometrial biopsies were read centrally by 2 primary pathologists. If both the pathologists disagreed on the presence of hyperplasia, a third pathologist was consulted. Results were summarized for two definitions of hyperplasia (simple hyperplasia with or without atypia or complex hyperplasia with or without atypia); definition 1: participants were considered to have a diagnosis of hyperplasia when the 3 pathologists disagreed but at least 1 pathologist determined hyperplasia; definition 2: participants were considered to have a diagnosis of hyperplasia if at least 2 of the 3 pathologists agreed on the diagnosis.
    Time Frame Month 12

    Outcome Measure Data

    Analysis Population Description
    Efficacy evaluable (EE) population included all randomized participants who took at least 1 dose of study drug, who had a screening endometrial biopsy with readings by at least 2 blinded central pathologists, had a biopsy during Month 12, or had hyperplasia diagnosed before Month 12 and had no major protocol violations.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Measure Participants 335 368 169 149 354
    Definition 1
    0.30
    0.1%
    0.54
    0.1%
    0.00
    0%
    0.00
    0%
    0.85
    0.2%
    Definition 2
    0.30
    0.1%
    0.27
    0.1%
    0.00
    0%
    0.00
    0%
    0.28
    0.1%
    2. Primary Outcome
    Title Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at Month 12: Osteoporosis Sub-Study
    Description BMD measurements of the anteroposterior lumbar spine were acquired by using dual-energy x-ray absorptiometry (DXA) scans, twice at Month 12 for a subset of participants who entered the osteoporosis substudy. The second scan was to be performed on the same day as the first; however, the participant was to be removed completely from the table after the first scan and repositioned for the second scan. Mean percentage change from baseline of the 2 readings were reported.
    Time Frame Baseline, Month 12

    Outcome Measure Data

    Analysis Population Description
    Modified Intent-to-Treat (MITT) population included all randomized participants who met inclusion criteria for osteoporosis sub-study, who had taken at least 1 dose of the study drug, and had a baseline and at least 1 post baseline value. Last Observation Carried Forward (LOCF) method was used to impute missing values.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Measure Participants 119 139 56 59 139
    Least Squares Mean (Standard Error) [Percent Change]
    0.24
    (0.29)
    0.60
    (0.27)
    0.07
    (0.40)
    1.30
    (0.39)
    -1.28
    (0.28)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Analysis of covariance (ANCOVA) model was used with treatment and region as main effects and baseline BMD and years since menopause as covariates.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter Least Squares (LS) Mean Difference
    Estimated Value 1.51
    Confidence Interval (2-Sided) 95%
    0.822 to 2.201
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments ANCOVA model was used with treatment and region as main effects and baseline BMD and years since menopause as covariates.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 1.87
    Confidence Interval (2-Sided) 95%
    1.209 to 2.533
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    3. Secondary Outcome
    Title Percent Change From Baseline in Bone Mineral Density (BMD) of Lumbar Spine at Month 6: Osteoporosis Sub-Study
    Description BMD measurements of the anteroposterior lumbar spine were acquired by using DXA scans, twice at Month 6 for a subset of participants who entered the osteoporosis substudy. The second scan was to be performed on the same day as the first; however, the participant was to be removed completely from the table after the first scan and repositioned for the second scan. Mean percentage change from baseline of the 2 readings were reported.
    Time Frame Baseline, Month 6

    Outcome Measure Data

    Analysis Population Description
    MITT population included all randomized participants who met inclusion criteria for osteoporosis sub-study, who had taken at least 1 dose of the study drug, and had baseline and at least 1 post baseline value. LOCF method was used to impute missing values. Here "N" signifies participants who were evaluable for this outcome measure.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Measure Participants 115 136 55 58 135
    Least Squares Mean (Standard Error) [Percent Change]
    0.12
    (0.28)
    0.51
    (0.26)
    0.00
    (0.39)
    0.64
    (0.37)
    -0.68
    (0.27)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments ANCOVA model was used with treatment and region as main effects and baseline BMD and years since menopause as covariates.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.017
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 0.80
    Confidence Interval (2-Sided) 95%
    0.139 to 1.470
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments ANCOVA model was used with treatment and region as main effects and baseline BMD and years since menopause as covariates.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 1.19
    Confidence Interval (2-Sided) 95%
    0.556 to 1.830
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    4. Secondary Outcome
    Title Percent Change From Baseline in Bone Mineral Density (BMD) of Total Hip at Month 6, 12: Osteoporosis Sub-Study
    Description BMD measurements of the total hip were acquired by using DXA scans, twice at Month 6 and 12 for a subset of participants who entered the osteoporosis substudy. The second scan was to be performed on the same day as the first; however, the participant was to be removed completely from the table after the first scan and repositioned for the second scan. Mean percentage change from baseline of the 2 readings were reported.
    Time Frame Baseline, Month 6, Month 12

    Outcome Measure Data

    Analysis Population Description
    MITT for osteoporosis sub-study. LOCF method was used to impute missing values. Here "n" signifies participants who were evaluable at specified time points for each arm, respectively.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Measure Participants 119 139 56 59 139
    Change at Month 6 (n=117, 136, 55, 57, 134)
    0.43
    (0.18)
    0.66
    (0.17)
    0.32
    (0.25)
    0.45
    (0.24)
    -0.90
    (0.17)
    Change at Month 12 (n=119, 139, 56, 59, 139)
    0.50
    (0.20)
    0.89
    (0.18)
    0.47
    (0.27)
    0.71
    (0.26)
    -0.72
    (0.18)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Month 6: ANCOVA model was used with treatment and region as main effects and baseline BMD and years since menopause as covariates.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 1.32
    Confidence Interval (2-Sided) 95%
    0.901 to 1.742
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Month 12: ANCOVA model was used with treatment and region as main effects and baseline BMD and years since menopause as covariates.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 1.21
    Confidence Interval (2-Sided) 95%
    0.756 to 1.671
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Month 6: ANCOVA model was used with treatment and region as main effects and baseline BMD and years since menopause as covariates.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 1.56
    Confidence Interval (2-Sided) 95%
    1.152 to 1.962
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Month 12: ANCOVA model was used with treatment and region as main effects and baseline BMD and years since menopause as covariates.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 1.60
    Confidence Interval (2-Sided) 95%
    1.164 to 2.044
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    5. Secondary Outcome
    Title Percentage of Participants With Cumulative Amenorrhea: Main Study
    Description Cumulative amenorrhea was defined as the absence of any bleeding or spotting for cumulative 4-week periods throughout 1-year study.
    Time Frame Day 1 up to Day 364

    Outcome Measure Data

    Analysis Population Description
    MITT population included all randomized participants who received at least 1 dose of the study drug, and had at least 1 day of on-therapy bleeding data. Here "N" signifies participants who were evaluable for this outcome measure.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Measure Participants 355 390 187 158 379
    Number [Percentage of Participants]
    87.89
    19.8%
    84.87
    17.9%
    82.35
    35.8%
    54.43
    24.7%
    83.91
    17.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.138
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.765
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg, Placebo
    Comments
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    6. Secondary Outcome
    Title Percent Change From Baseline in Breast Density at Month 12: Breast Density Sub-Study
    Description Breast density was assessed by digitalized mammograms which were centrally read by a single radiologist using specifically-developed software. Breast density was assessed for subset of participants who entered the breast density sub-study
    Time Frame Baseline, Month 12

    Outcome Measure Data

    Analysis Population Description
    Per-Protocol (PP) population included all randomized participants who met inclusion criteria for breast density sub-study, who had a baseline and at least 1 post-baseline breast density evaluation and did not have substantial protocol violations. Here "N" signifies participants who were evaluable for this outcome measure.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Measure Participants 186 190 97 68 181
    Least Squares Mean (Standard Error) [Percent Change]
    -0.38
    (0.22)
    -0.45
    (0.22)
    -0.25
    (0.30)
    1.60
    (0.35)
    -0.32
    (0.23)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.832
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.06
    Confidence Interval (2-Sided) 95%
    -0.632 to 0.509
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.651
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.13
    Confidence Interval (2-Sided) 95%
    -0.696 to 0.436
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    7. Secondary Outcome
    Title Percent Change From Baseline in Bone Turnover Markers (BTMs) at Month 6 and Month 12: Osteoporosis Sub-Study
    Description Bone turnover is the removal of old bone from the body and its replacement by new bone. Bone turnover markers included serum osteocalcin, C-telopeptide, and procollagen type 1 N-propeptide (P1NP), were measured at Month 6 and Month 12 for a subset of participants who entered the osteoporosis substudy. Blood samples were collected to evaluate bone turnover markers levels.
    Time Frame Baseline, Month 6, 12

    Outcome Measure Data

    Analysis Population Description
    MITT for osteoporosis substudy. Here "N" signifies participants who were evaluable for this outcome measure and "n" signifies participants who were evaluable at specified time points for each arm respectively.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Measure Participants 115 136 57 56 134
    Osteocalcin: Month 6 (n=115, 136, 56, 56, 134)
    -25.21
    -27.79
    -15.60
    -25.34
    -3.19
    Osteocalcin: Month 12 (n=104, 127, 52, 50, 125)
    -30.46
    -37.02
    -16.05
    -32.79
    -5.28
    C-Telopeptide: Month 6 (n=115, 136, 56, 56, 133)
    -34.16
    -41.41
    -29.37
    -54.05
    -10.17
    C-Telopeptide: Month 12 (n=104, 127, 52,50,124)
    -40.86
    -50.06
    -27.39
    -52.56
    -5.52
    P1NP: Month 6 (n=114,135, 57, 56, 133)
    -33.73
    -30.26
    -17.38
    -39.99
    5.99
    P1NP: Month 12 (n=103, 127, 53, 50, 125)
    -42.38
    -43.58
    -23.97
    -50.19
    -11.13
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Osteocalcin: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Bazedoxifene 20 mg
    Comments Osteocalcin: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.0074
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Osteocalcin: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Bazedoxifene 20 mg
    Comments Osteocalcin: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Osteocalcin: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Bazedoxifene 20 mg
    Comments Osteocalcin: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Osteocalcin: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Bazedoxifene 20 mg
    Comments Osteocalcin: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg, Placebo
    Comments Osteocalcin: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg, Placebo
    Comments Osteocalcin: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.0016
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg, Placebo
    Comments Osteocalcin: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg, Placebo
    Comments Osteocalcin: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments C-Telopeptide: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Bazedoxifene 20 mg
    Comments C-Telopeptide: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.1058
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments C-Telopeptide: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Bazedoxifene 20 mg
    Comments C-Telopeptide: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.0024
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments C-Telopeptide: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Bazedoxifene 20 mg
    Comments C-Telopeptide: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments C-Telopeptide: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Bazedoxifene 20 mg
    Comments C-Telopeptide: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg, Placebo
    Comments C-Telopeptide: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 22
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg, Placebo
    Comments C-Telopeptide: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.0012
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 23
    Statistical Analysis Overview Comparison Group Selection Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg, Placebo
    Comments C-Telopeptide: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 24
    Statistical Analysis Overview Comparison Group Selection Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg, Placebo
    Comments C-Telopeptide: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 25
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments P1NP: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 26
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Bazedoxifene 20 mg
    Comments P1NP: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.0029
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 27
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments P1NP: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 28
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Bazedoxifene 20 mg
    Comments P1NP: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.0046
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 29
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments P1NP: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 30
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Bazedoxifene 20 mg
    Comments P1NP: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.0043
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 31
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments P1NP: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 32
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Bazedoxifene 20 mg
    Comments P1NP: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 33
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg, Placebo
    Comments P1NP: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.0016
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 34
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg, Placebo
    Comments P1NP: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 35
    Statistical Analysis Overview Comparison Group Selection Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg, Placebo
    Comments P1NP: Month 6, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 36
    Statistical Analysis Overview Comparison Group Selection Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg, Placebo
    Comments P1NP: Month 12, ANCOVA model was used with treatment and region as factors, and baseline as covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    8. Secondary Outcome
    Title Medical Outcomes Study (MOS) Sleep Scale at Baseline: Sleep Sub-Study
    Description Participant-rated questionnaire to assess sleep quality and quantity. Consists of 12-item questionnaires answered on a range of 1 to 6 for questions (Q) 3 to 12, 1 to 5 for Q1 (some questions are reversed so that a high score reflects more of the attributes); and Q2 answered on 0 to 24. Scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. The items contribute to each scale and are averaged to create the 7 scale scores and a sleep quantity scale. Scales with at least one item answered was used to generate a scale score. Scales include; sleep disturbance (SD), snoring, awaken short of breath (ASoB) or with a headache (H), somnolence, sleep adequacy (SA), sleep problem index (SPI) I and II (range: 0-100) and sleep quantity (SQ [range 0 to 24]). Except for sleep quantity, higher scores=greater impairment.
    Time Frame Baseline

    Outcome Measure Data

    Analysis Population Description
    MITT population included all randomized participants who met inclusion criteria for sleep sub-study and had baseline and at least 1 post-baseline evaluation for the respective endpoint. Here N = maximum number of participants who were evaluable for this outcome and n = participants who were evaluable at specified time points for each arm.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Measure Participants 112 121 47 52 111
    SD (n=112, 121, 47, 52, 111)
    48.9
    (22.9)
    48.2
    (21.7)
    50.5
    (24.4)
    50.4
    (21.1)
    47.8
    (24.6)
    Snoring (n=110, 121, 47, 51, 108)
    32.1
    (30.1)
    27.6
    (26.9)
    37.9
    (30.7)
    33.1
    (29.6)
    34.4
    (30.5)
    ASoB or H (n=112, 121, 47,52,111)
    12.5
    (19.2)
    11.9
    (19.4)
    13.2
    (20.1)
    13.1
    (20.2)
    12.1
    (20.4)
    Somnolence (n=112, 121, 47, 52, 111)
    36.3
    (21.6)
    30.0
    (20.1)
    34.6
    (23.5)
    28.7
    (19.4)
    31.2
    (19.2)
    SA (n=112, 121, 47, 52, 111)
    39.3
    (24.3)
    41.7
    (23.9)
    37.4
    (23.2)
    36.5
    (20.6)
    40.3
    (23.6)
    SPI I (n=112, 121, 47, 52, 111)
    44.5
    (17.3)
    42.0
    (16.7)
    44.7
    (18.2)
    44.9
    (16.0)
    43.4
    (18.1)
    SPI II (n=112, 121, 47, 52, 111)
    45.5
    (17.2)
    43.2
    (16.8)
    46.4
    (18.0)
    45.2
    (16.1)
    43.7
    (18.3)
    SQ (n=111, 121, 47, 52, 111)
    6.2
    (1.1)
    6.1
    (1.1)
    5.9
    (1.1)
    6.2
    (1.3)
    6.2
    (1.1)
    9. Other Pre-specified Outcome
    Title Percentage of Participants With Breast Tenderness
    Description Percentage of participants who reported at least 1 day of breast tenderness during each 4-week period for 1-year on therapy was calculated.
    Time Frame Screening, Week 1-4, 5-8, 9-12, 13-16, 17-20, 21-24, 25-28, 29-32, 33-36, 37-40, 41-44, 45-48, 49-52

    Outcome Measure Data

    Analysis Population Description
    MITT population included all randomized participants who took 1 dose of study drug and had at least 20 days of data available at screening and at least 20 continuous days of data in at least one 4-week interval after baseline.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Measure Participants 429 449 220 206 457
    Screening (n=429, 449, 220, 206, 457)
    6.29
    1.4%
    6.46
    1.4%
    4.55
    2%
    7.28
    3.3%
    6.56
    1.4%
    Week 1-4 (n=426, 449, 220, 205, 457)
    9.39
    2.1%
    9.13
    1.9%
    5.91
    2.6%
    20.49
    9.3%
    8.32
    1.8%
    Week 5-8 (n=423, 447, 216, 202, 456)
    8.04
    1.8%
    6.94
    1.5%
    7.87
    3.4%
    24.26
    11%
    8.55
    1.8%
    Week 9-12 (n=412, 439, 212, 196, 447)
    5.83
    1.3%
    7.97
    1.7%
    6.60
    2.9%
    23.98
    10.9%
    5.37
    1.1%
    Week 13-16 (n=411, 433, 208, 193, 440)
    7.06
    1.6%
    8.31
    1.8%
    8.65
    3.8%
    21.24
    9.7%
    5.91
    1.2%
    Week 17-20 (n=395, 412, 197, 181, 420)
    4.05
    0.9%
    4.37
    0.9%
    6.09
    2.6%
    17.13
    7.8%
    4.29
    0.9%
    Week 21-24 (n=391, 410, 195, 180, 416)
    4.60
    1%
    3.90
    0.8%
    5.64
    2.5%
    15.00
    6.8%
    4.33
    0.9%
    Week 25-28 (n=389, 409, 193, 179, 416)
    3.08
    0.7%
    5.62
    1.2%
    4.15
    1.8%
    15.64
    7.1%
    4.09
    0.9%
    Week 29-32 (n=372, 403, 190, 171, 401)
    4.57
    1%
    3.97
    0.8%
    1.58
    0.7%
    15.20
    6.9%
    2.00
    0.4%
    Week 33-36 (n=369, 401, 188, 168, 395)
    2.98
    0.7%
    3.49
    0.7%
    3.19
    1.4%
    12.50
    5.7%
    2.28
    0.5%
    Week 37-40 (n=369, 399, 187, 166, 390)
    4.07
    0.9%
    4.01
    0.8%
    2.67
    1.2%
    12.05
    5.5%
    3.08
    0.6%
    Week 41-44 (n=359, 384, 184, 159, 382)
    3.62
    0.8%
    2.60
    0.5%
    1.63
    0.7%
    9.43
    4.3%
    2.62
    0.6%
    Week 45-48 (n=354, 382, 184, 157, 379)
    3.67
    0.8%
    3.14
    0.7%
    2.17
    0.9%
    10.83
    4.9%
    3.17
    0.7%
    Week 49-52 (n=353, 380, 183, 156, 376)
    3.12
    0.7%
    2.89
    0.6%
    1.64
    0.7%
    9.62
    4.4%
    2.66
    0.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 1-4: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.546
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 5-8: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.821
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 9-12: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.698
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 13-16: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.446
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 17-20: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.892
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 21-24: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.810
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 25-28: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.473
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 29-32: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.030
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 33-36: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.453
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 37-40: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.391
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 41-44: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.407
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 45-48: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.644
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 49-52: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.666
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 1-4: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.641
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 5-8: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.361
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 9-12: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.100
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 13-16: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.142
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 17-20: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.906
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 21-24: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.798
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 25-28: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.258
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 29-32: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.058
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 22
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 33-36: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.230
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 23
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 37-40: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.360
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 24
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 41-44: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.892
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 25
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 45-48: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.912
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    Statistical Analysis 26
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 49-52: Cochran-Mantel-Haenszel test was stratified by baseline value.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.791
    Comments
    Method Cochran-Mantel-Haenszel
    Comments
    10. Secondary Outcome
    Title Change From Baseline in Medical Outcomes Study (MOS) Sleep Scale at Month 3: Sleep Sub-Study
    Description Participant-rated questionnaire to assess sleep quality and quantity. Consists of 12-item questionnaires answered on a range of 1 to 6 for questions (Q) 3 to 12, 1 to 5 for Q1 (some questions are reversed so that a high score reflects more of the attributes); and Q2 answered on 0 to 24. Scores are transformed (actual raw score minus lowest possible score divided by possible raw score range* 100); total score range: 0 to 100; higher score = greater intensity of attribute. The items contribute to each scale and are averaged to create the 7 scale scores and a sleep quantity scale. Scales with at least one item answered was used to generate a scale score. Scales include; sleep disturbance (SD), snoring, awaken short of breath (ASoB) or with a headache (H), somnolence, sleep adequacy (SA), sleep problem index (SPI) I and II (range: 0-100) and sleep quantity (SQ [range 0 to 24]). Except for sleep quantity, higher scores=greater impairment.
    Time Frame Baseline, Month 3

    Outcome Measure Data

    Analysis Population Description
    MITT population included all randomized participants who met inclusion criteria for sleep sub-study and had baseline and at least 1 post-baseline evaluation for the respective endpoint. Here N = maximum number of participants who were evaluable for this outcome and n = participants who were evaluable at specified time points for each arm.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Measure Participants 112 121 47 52 111
    SD (n=112, 121, 47, 52, 111)
    -17.27
    (2.01)
    -18.18
    (1.94)
    -11.64
    (2.94)
    -18.01
    (2.79)
    -14.34
    (2.01)
    Snoring (n=110, 121, 47, 51, 108)
    -5.86
    (1.83)
    -5.38
    (1.76)
    -2.54
    (2.67)
    -2.90
    (2.55)
    -2.71
    (1.84)
    ASoB or H (n=112,121,47,52,111)
    -4.26
    (1.41)
    -5.81
    (1.35)
    -3.12
    (2.06)
    -3.62
    (1.95)
    -3.63
    (1.40)
    Somnolence (n=112,121,47,52,111)
    -10.54
    (1.53)
    -9.72
    (1.48)
    -6.12
    (2.25)
    -7.36
    (2.14)
    -10.55
    (1.53)
    SA (n=112, 121, 47, 52, 111)
    14.22
    (2.40)
    14.30
    (2.32)
    9.10
    (3.52)
    15.10
    (3.34)
    11.46
    (2.40)
    SPI I (n=112, 121, 47, 52, 111)
    -13.19
    (1.51)
    -13.99
    (1.46)
    -8.92
    (2.21)
    -13.71
    (2.09)
    -11.84
    (1.50)
    SPI II (n=112, 121, 47, 52,111)
    -14.01
    (1.51)
    -14.53
    (1.46)
    -9.64
    (2.21)
    -14.12
    (2.10)
    -12.04
    (1.51)
    SQ (n=111, 121, 47, 52, 111)
    0.28
    (0.10)
    0.44
    (0.09)
    0.32
    (0.14)
    0.41
    (0.13)
    0.36
    (0.10)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Sleep disturbance: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.253
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -2.93
    Confidence Interval (2-Sided) 95%
    -7.96 to 2.10
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Sleep disturbance: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.127
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -3.84
    Confidence Interval (2-Sided) 95%
    -8.78 to 1.10
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Snoring: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.180
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -3.15
    Confidence Interval (2-Sided) 95%
    -7.76 to 1.46
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Snoring: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.247
    Comments
    Method ANOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -2.67
    Confidence Interval (2-Sided) 95%
    -7.19 to 1.85
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments ASoB: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.726
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.63
    Confidence Interval (2-Sided) 95%
    -4.15 to 2.90
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments ASoB: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.218
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -2.17
    Confidence Interval (2-Sided) 95%
    -5.63 to 1.29
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Somnolence: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.996
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 0.01
    Confidence Interval (2-Sided) 95%
    -3.85 to 3.87
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Somnolence: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.665
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean DIfference
    Estimated Value 0.83
    Confidence Interval (2-Sided) 95%
    -2.94 to 4.60
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Sleep adequacy: Month 3, ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.368
    Comments
    Method ANOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 2.76
    Confidence Interval (2-Sided) 95%
    -3.26 to 8.78
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Sleep adequacy: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.345
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 2.84
    Confidence Interval (2-Sided) 95%
    -3.07 to 8.75
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Sleep problem index I: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.482
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -1.35
    Confidence Interval (2-Sided) 95%
    -5.12 to 2.42
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Sleep problem index I: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.254
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean DIfference
    Estimated Value -2.15
    Confidence Interval (2-Sided) 95%
    -5.86 to 1.55
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Sleep problem index II: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.308
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -1.97
    Confidence Interval (2-Sided) 95%
    -5.76 to 1.82
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Sleep problem index II: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.190
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -2.48
    Confidence Interval (2-Sided) 95%
    -6.20 to 1.23
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Sleep quantity: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.550
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value -0.07
    Confidence Interval (2-Sided) 95%
    -0.32 to 0.17
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Sleep quantity: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.477
    Comments
    Method ANCOVA
    Comments
    Method of Estimation Estimation Parameter LS Mean Difference
    Estimated Value 0.09
    Confidence Interval (2-Sided) 95%
    -0.15 to 0.32
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    11. Secondary Outcome
    Title Menopause-Specific Quality of Life (MENQOL) Score at Baseline: Sleep Sub-Study
    Description MENQOL questionnaire assessed how bothered participants were due to menopause. It consists of 29 items divided into 4 domains: vasomotor function (3 items), psychosocial function (7 items), physical function (16 items), and sexual function (3 items). Each item scores a range from 1 to 8, with 1 indicating that the participant did not experience the symptom or problem, 8 indicating that the participant was extremely bothered by the symptom or problem. The total score for each domain is the average of item scores and ranged from 1 to 8 with higher score indicating worsening of symptoms. The MENQOL total score is the mean of these 4 domain scores and ranged from 1 to 8 with higher score indicating worsening of symptoms.
    Time Frame Baseline

    Outcome Measure Data

    Analysis Population Description
    MITT population included all randomized participants who met inclusion criteria for sleep sub-study and had baseline and at least 1 post-baseline evaluation for the respective endpoint. Here N = maximum number of participants who were evaluable for this outcome and n = participants who were evaluable at specified time points for each arm.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Measure Participants 111 121 47 52 112
    Vasomotor function (n=111, 121, 47, 52, 112)
    5.40
    (1.564)
    5.60
    (1.468)
    5.87
    (1.246)
    5.65
    (1.620)
    5.62
    (1.596)
    Psychosocial function (n=111, 121, 47, 52, 112)
    3.46
    (1.716)
    3.41
    (1.628)
    3.49
    (1.663)
    3.48
    (1.793)
    3.22
    (1.522)
    Physical function (n=111, 121, 47, 52, 112)
    3.74
    (1.377)
    3.58
    (1.385)
    3.96
    (1.475)
    3.74
    (1.409)
    3.58
    (1.445)
    Sexual function (n=110, 121, 47, 52, 112)
    3.74
    (2.200)
    3.63
    (2.182)
    4.05
    (2.265)
    3.73
    (2.238)
    3.83
    (2.243)
    MENQOL Total Score (n=110, 121, 47, 52, 112)
    4.07
    (1.227)
    4.05
    (1.246)
    4.34
    (1.156)
    4.15
    (1.314)
    4.06
    (1.155)
    12. Secondary Outcome
    Title Change From Baseline in Menopause-Specific Quality of Life (MENQOL) Score at Month 3: Sleep Sub-Study
    Description MENQOL questionnaire assessed how bothered participants were due to menopause. It consists of 29 items divided into 4 domains: vasomotor function (3 items), psychosocial function (7 items), physical function (16 items), and sexual function (3 items). Each item scores a range from 1 to 8, with 1 indicating that the participant did not experience the symptom or problem, 8 indicating that the participant was extremely bothered by the symptom or problem. The total score for each domain is the average of item scores and ranged from 1 to 8 with higher score indicating worsening of symptoms. The MENQOL total score is the mean of these 4 domain scores and ranged from 1 to 8 with higher score indicating worsening of symptoms.
    Time Frame Baseline, Month 3

    Outcome Measure Data

    Analysis Population Description
    MITT population included all randomized participants who met inclusion criteria for sleep sub-study and had baseline and at least 1 post-baseline evaluation for the respective endpoint. Here "N": maximum number of participants who were evaluable for this outcome and "n": participants who were evaluable at specified time points for each arm.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Measure Participants 111 121 47 52 112
    Vasomotor function (n=111, 121, 47, 52, 112)
    -2.37
    (0.17)
    -2.75
    (0.17)
    -1.25
    (0.25)
    -3.19
    (0.24)
    -1.45
    (0.17)
    Psychosocial function (n=111, 121, 47, 52, 112)
    -0.67
    (0.12)
    -0.84
    (0.12)
    -0.47
    (0.18)
    -0.83
    (0.17)
    -0.74
    (0.12)
    Physical function (n=111, 121, 47, 52, 112)
    -0.92
    (0.10)
    -1.11
    (0.10)
    -0.67
    (0.15)
    -0.76
    (0.14)
    -0.87
    (0.10)
    Sexual function (n=110, 121, 47, 52, 112)
    -1.20
    (0.16)
    -1.40
    (0.15)
    -0.09
    (0.23)
    -0.76
    (0.22)
    -1.04
    (0.16)
    MENQOL Total Score (n=110, 121, 47, 52, 112)
    -1.27
    (0.10)
    -1.53
    (0.10)
    -0.63
    (0.15)
    -1.39
    (0.14)
    -1.03
    (0.10)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Vasomotor function: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Vasomotor function: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Psychosocial function: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.680
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Psychosocial function: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.493
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Physical function: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.698
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Physical function: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.055
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Sexual function: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.428
    Comments
    Method ANCOVA
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Sexual function: ANCOVA model was used with treatment and region as factors and baseline as a covariate.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.071
    Comments
    Method ANCOVA
    Comments
    13. Secondary Outcome
    Title Percentage of Participants With Uterine Bleeding
    Description Percentage of participants with uterine bleeding were calculated for each 4-week period for 1-year on therapy.
    Time Frame Week 1-4, 5-8, 9-12, 13-16, 17-20, 21-24, 25-28, 29-32, 33-36, 37-40, 41-44, 45-48, 49-52

    Outcome Measure Data

    Analysis Population Description
    MITT population included all randomized participants who took at least 1 dose of the study drug, and had at least 1 day of on-therapy bleeding data. Here "N" signifies participants who were evaluable for this outcome measure and "n" signifies participants who were evaluable at specified time points for each arm respectively.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    Measure Participants 440 468 229 216 470
    Week 1-4 (n=440, 468, 229, 216, 470)
    3.86
    0.9%
    6.20
    1.3%
    5.68
    2.5%
    20.83
    9.5%
    4.68
    1%
    Week 5-8 (n=428, 458, 221, 205, 462)
    4.44
    1%
    5.02
    1.1%
    3.62
    1.6%
    24.39
    11.1%
    4.11
    0.9%
    Week 9-12 (n=417, 451, 217, 199, 452)
    2.16
    0.5%
    3.55
    0.7%
    2.76
    1.2%
    25.63
    11.7%
    4.42
    0.9%
    Week 13-16 (n=415, 446, 213, 196, 446)
    2.41
    0.5%
    2.91
    0.6%
    3.29
    1.4%
    24.49
    11.1%
    3.36
    0.7%
    Week 17-20 (n=399,426,201,184,427)
    2.26
    0.5%
    2.58
    0.5%
    2.49
    1.1%
    18.48
    8.4%
    3.51
    0.7%
    Week 21-24 (n=395, 424, 199, 183, 423)
    2.78
    0.6%
    2.12
    0.4%
    2.01
    0.9%
    18.58
    8.4%
    3.31
    0.7%
    Week 25-28 (n=393, 422, 197, 182, 420)
    2.04
    0.5%
    2.13
    0.4%
    1.02
    0.4%
    14.84
    6.7%
    3.33
    0.7%
    Week 29-32 (n=376, 416, 194, 173, 405)
    1.60
    0.4%
    1.68
    0.4%
    1.55
    0.7%
    12.14
    5.5%
    1.73
    0.4%
    Week 33-36 (n=373, 413, 192, 170, 399)
    0.54
    0.1%
    2.91
    0.6%
    2.08
    0.9%
    12.94
    5.9%
    2.26
    0.5%
    Week 37-40 (n=373, 411, 191, 168, 394)
    1.61
    0.4%
    2.92
    0.6%
    1.57
    0.7%
    14.29
    6.5%
    4.82
    1%
    Week 41-44 (n=363, 396, 188, 162, 386)
    1.38
    0.3%
    1.26
    0.3%
    0.00
    0%
    13.58
    6.2%
    1.55
    0.3%
    Week 45-48 (n=358, 394, 188, 160, 383)
    0.84
    0.2%
    2.28
    0.5%
    0.53
    0.2%
    14.38
    6.5%
    2.09
    0.4%
    Week 49-52 (n=357, 392, 187, 159, 380)
    1.68
    0.4%
    1.28
    0.3%
    1.07
    0.5%
    8.81
    4%
    1.58
    0.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 1-4: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.624
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 5-8: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.868
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 9-12: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.087
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 13-16: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.425
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg
    Comments Week 17-20: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.307
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 21-24: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.689
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 25-28: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.285
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 29-32: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 9
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 33-36: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.065
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 10
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 37-40: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.014
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 11
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 41-44: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 12
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 45-48: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.226
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 13
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Placebo
    Comments Week 49-52: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 14
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 1-4: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 15
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 5-8: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 16
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 9-12: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 17
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 13-16: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 18
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 17-20: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 19
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 21-24: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 20
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 25-28: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 21
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 29-32: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 22
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 33-36: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 23
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 37-40: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 24
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 41-44: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 25
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 45-48: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 26
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 49-52: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 27
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 1-4: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.317
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 28
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 5-8: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.531
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 29
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 9-12: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.610
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 30
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 13-16: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.848
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 31
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 17-20: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.551
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 32
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 21-24: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.300
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 33
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 25-28: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.299
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 34
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 29-32: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 35
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 33-36: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.660
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 36
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 37-40: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.199
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 37
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 41-44: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.770
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 38
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 45-48: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 39
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Placebo
    Comments Week 49-52: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value 0.769
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 40
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 1-4: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 41
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 5-8: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 42
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 9-12: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 43
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 13-16: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 44
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 17-20: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 45
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 21-24: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 46
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 25-28: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 47
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 29-32: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 48
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 33-36: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 49
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 37-40: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 50
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 41-44: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 51
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 45-48: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 52
    Statistical Analysis Overview Comparison Group Selection Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg, Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg
    Comments Week 49-52: The Fisher exact test was used for comparisons between groups.
    Type of Statistical Test Superiority or Other
    Comments
    Statistical Test of Hypothesis p-Value < 0.001
    Comments
    Method Fisher Exact
    Comments

    Adverse Events

    Time Frame
    Adverse Event Reporting Description The same event may appear as both an AE and a SAE. However, what is presented are distinct events. An event may be categorized as serious in one subject and as nonserious in another subject, or one subject may have experienced both a serious and nonserious event during the study.
    Arm/Group Title Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Arm/Group Description Bazedoxifene 20 milligram (mg), conjugated estrogens 0.45 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg, conjugated estrogens 0.625 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Bazedoxifene 20 mg tablet-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Conjugated estrogens 0.45 mg, medroxyprogesterone acetate 1.5 mg tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year. Placebo capsule matched to bazedoxifene/conjugated estrogen or bazedoxifene alone or conjugated estrogen/medroxyprogesterone acetate tablets-in-capsule orally once daily at approximately the same time each day continuously for 1 year.
    All Cause Mortality
    Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN) / (NaN) / (NaN) / (NaN)
    Serious Adverse Events
    Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 16/445 (3.6%) 17/474 (3.6%) 5/230 (2.2%) 13/220 (5.9%) 18/474 (3.8%)
    Blood and lymphatic system disorders
    Leukocytosis 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Cardiac disorders
    Angina pectoris 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Arteriosclerosis coronary artery 0/445 (0%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Atrial fibrillation 0/445 (0%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Myocardial infarction 1/445 (0.2%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Congenital, familial and genetic disorders
    Atrial septal defect 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Ear and labyrinth disorders
    Acute vestibular syndrome 1/445 (0.2%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Vertigo 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Vertigo positional 0/445 (0%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Endocrine disorders
    Autoimmune thyroiditis 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Gastrointestinal disorders
    Abdominal pain upper 1/445 (0.2%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Colitis ulcerative 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Duodenitis 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Erosive oesophagitis 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Gastritis 1/445 (0.2%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Gastritis erosive 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Gastrointestinal haemorrhage 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Ileus 0/445 (0%) 0/474 (0%) 1/230 (0.4%) 0/220 (0%) 0/474 (0%)
    General disorders
    Non-cardiac chest pain 1/445 (0.2%) 0/474 (0%) 1/230 (0.4%) 1/220 (0.5%) 1/474 (0.2%)
    Pyrexia 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Hepatobiliary disorders
    Cholecystitis 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Cholecystitis acute 0/445 (0%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Cholelithiasis 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Infections and infestations
    Appendicitis 1/445 (0.2%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Cellulitis 0/445 (0%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Diverticulitis 0/445 (0%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Lyme disease 0/445 (0%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Pneumonia 0/445 (0%) 0/474 (0%) 1/230 (0.4%) 0/220 (0%) 0/474 (0%)
    Pneumonia bacterial 0/445 (0%) 0/474 (0%) 1/230 (0.4%) 0/220 (0%) 0/474 (0%)
    Pyelonephritis 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Injury, poisoning and procedural complications
    Clavicle fracture 0/445 (0%) 0/474 (0%) 1/230 (0.4%) 0/220 (0%) 0/474 (0%)
    Contusion 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Head injury 0/445 (0%) 0/474 (0%) 1/230 (0.4%) 0/220 (0%) 0/474 (0%)
    Humerus fracture 0/445 (0%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Muscle rupture 1/445 (0.2%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Patella fracture 0/445 (0%) 0/474 (0%) 1/230 (0.4%) 0/220 (0%) 1/474 (0.2%)
    Procedural pain 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Road traffic accident 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Thoracic vertebral fracture 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Traumatic lung injury 0/445 (0%) 0/474 (0%) 1/230 (0.4%) 0/220 (0%) 0/474 (0%)
    Investigations
    Alanine aminotransferase increased 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Aspartate aminotransferase increased 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Metabolism and nutrition disorders
    Dehydration 0/445 (0%) 0/474 (0%) 1/230 (0.4%) 0/220 (0%) 0/474 (0%)
    Hypoglycaemia 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Musculoskeletal and connective tissue disorders
    Intervertebral disc protrusion 2/445 (0.4%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Osteosclerosis 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Pain in extremity 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Basal cell carcinoma 2/445 (0.4%) 2/474 (0.4%) 1/230 (0.4%) 3/220 (1.4%) 2/474 (0.4%)
    Benign fallopian tube neoplasm 0/445 (0%) 0/474 (0%) 1/230 (0.4%) 0/220 (0%) 0/474 (0%)
    Breast cancer 1/445 (0.2%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Breast cancer metastatic 1/445 (0.2%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Breast cancer stage II 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Colon cancer stage IV 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Hepatic cancer metastatic 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Hodgkin's disease 0/445 (0%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Lung cancer metastatic 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Malignant melanoma 2/445 (0.4%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Metastases to spine 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Salivary gland adenoma 0/445 (0%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Squamous cell carcinoma 1/445 (0.2%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Squamous cell carcinoma of skin 1/445 (0.2%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Nervous system disorders
    Cerebrovascular accident 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Complex partial seizures 0/445 (0%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Migraine 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Migraine with aura 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Psychiatric disorders
    Anxiety 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Anxiety disorder 0/445 (0%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 1/474 (0.2%)
    Depression 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Renal and urinary disorders
    Nephrolithiasis 0/445 (0%) 1/474 (0.2%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Respiratory, thoracic and mediastinal disorders
    Haemoptysis 1/445 (0.2%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Skin and subcutaneous tissue disorders
    Urticaria 0/445 (0%) 0/474 (0%) 1/230 (0.4%) 0/220 (0%) 0/474 (0%)
    Vascular disorders
    Circulatory collapse 1/445 (0.2%) 0/474 (0%) 0/230 (0%) 0/220 (0%) 0/474 (0%)
    Deep vein thrombosis 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Hypertensive emergency 0/445 (0%) 0/474 (0%) 0/230 (0%) 1/220 (0.5%) 0/474 (0%)
    Other (Not Including Serious) Adverse Events
    Bazedoxifene 20 mg / Conjugated Estrogens 0.45 mg Bazedoxifene 20 mg / Conjugated Estrogens 0.625 mg Bazedoxifene 20 mg Conjugated Estrogens 0.45mg/Medroxyprogesterone Acetate 1.5mg Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 407/445 (91.5%) 426/474 (89.9%) 207/230 (90%) 197/220 (89.5%) 423/474 (89.2%)
    Gastrointestinal disorders
    Abdominal discomfort 11/445 (2.5%) 13/474 (2.7%) 8/230 (3.5%) 6/220 (2.7%) 10/474 (2.1%)
    Abdominal distension 9/445 (2%) 13/474 (2.7%) 4/230 (1.7%) 7/220 (3.2%) 13/474 (2.7%)
    Abdominal pain 23/445 (5.2%) 34/474 (7.2%) 15/230 (6.5%) 13/220 (5.9%) 31/474 (6.5%)
    Abdominal pain lower 5/445 (1.1%) 5/474 (1.1%) 6/230 (2.6%) 8/220 (3.6%) 3/474 (0.6%)
    Abdominal pain upper 21/445 (4.7%) 21/474 (4.4%) 7/230 (3%) 9/220 (4.1%) 17/474 (3.6%)
    Constipation 20/445 (4.5%) 25/474 (5.3%) 14/230 (6.1%) 14/220 (6.4%) 20/474 (4.2%)
    Diarrhoea 33/445 (7.4%) 36/474 (7.6%) 13/230 (5.7%) 13/220 (5.9%) 24/474 (5.1%)
    Dyspepsia 24/445 (5.4%) 13/474 (2.7%) 9/230 (3.9%) 11/220 (5%) 14/474 (3%)
    Flatulence 13/445 (2.9%) 9/474 (1.9%) 2/230 (0.9%) 4/220 (1.8%) 11/474 (2.3%)
    Gastritis 4/445 (0.9%) 2/474 (0.4%) 5/230 (2.2%) 2/220 (0.9%) 3/474 (0.6%)
    Gastrooesophageal reflux disease 4/445 (0.9%) 4/474 (0.8%) 1/230 (0.4%) 0/220 (0%) 12/474 (2.5%)
    Nausea 32/445 (7.2%) 29/474 (6.1%) 8/230 (3.5%) 11/220 (5%) 26/474 (5.5%)
    Toothache 21/445 (4.7%) 20/474 (4.2%) 8/230 (3.5%) 8/220 (3.6%) 17/474 (3.6%)
    Vomiting 14/445 (3.1%) 10/474 (2.1%) 7/230 (3%) 6/220 (2.7%) 12/474 (2.5%)
    General disorders
    Fatigue 12/445 (2.7%) 12/474 (2.5%) 7/230 (3%) 4/220 (1.8%) 12/474 (2.5%)
    Oedema peripheral 10/445 (2.2%) 4/474 (0.8%) 3/230 (1.3%) 4/220 (1.8%) 5/474 (1.1%)
    Pain 20/445 (4.5%) 24/474 (5.1%) 16/230 (7%) 7/220 (3.2%) 22/474 (4.6%)
    Pyrexia 10/445 (2.2%) 10/474 (2.1%) 5/230 (2.2%) 5/220 (2.3%) 6/474 (1.3%)
    Immune system disorders
    Seasonal allergy 14/445 (3.1%) 14/474 (3%) 4/230 (1.7%) 6/220 (2.7%) 9/474 (1.9%)
    Infections and infestations
    Bronchitis 8/445 (1.8%) 14/474 (3%) 8/230 (3.5%) 9/220 (4.1%) 14/474 (3%)
    Cystitis 10/445 (2.2%) 11/474 (2.3%) 8/230 (3.5%) 6/220 (2.7%) 6/474 (1.3%)
    Ear infection 3/445 (0.7%) 6/474 (1.3%) 1/230 (0.4%) 6/220 (2.7%) 4/474 (0.8%)
    Gastroenteritis 3/445 (0.7%) 5/474 (1.1%) 4/230 (1.7%) 5/220 (2.3%) 7/474 (1.5%)
    Influenza 27/445 (6.1%) 30/474 (6.3%) 18/230 (7.8%) 13/220 (5.9%) 23/474 (4.9%)
    Nasopharyngitis 91/445 (20.4%) 72/474 (15.2%) 44/230 (19.1%) 32/220 (14.5%) 65/474 (13.7%)
    Sinusitis 42/445 (9.4%) 37/474 (7.8%) 19/230 (8.3%) 12/220 (5.5%) 33/474 (7%)
    Tooth infection 8/445 (1.8%) 11/474 (2.3%) 6/230 (2.6%) 3/220 (1.4%) 11/474 (2.3%)
    Upper respiratory tract infection 36/445 (8.1%) 38/474 (8%) 9/230 (3.9%) 13/220 (5.9%) 30/474 (6.3%)
    Urinary tract infection 30/445 (6.7%) 20/474 (4.2%) 14/230 (6.1%) 5/220 (2.3%) 33/474 (7%)
    Injury, poisoning and procedural complications
    Contusion 7/445 (1.6%) 3/474 (0.6%) 4/230 (1.7%) 4/220 (1.8%) 15/474 (3.2%)
    Muscle strain 7/445 (1.6%) 9/474 (1.9%) 8/230 (3.5%) 5/220 (2.3%) 16/474 (3.4%)
    Post procedural haemorrhage 9/445 (2%) 8/474 (1.7%) 4/230 (1.7%) 5/220 (2.3%) 13/474 (2.7%)
    Procedural pain 26/445 (5.8%) 36/474 (7.6%) 6/230 (2.6%) 14/220 (6.4%) 30/474 (6.3%)
    Investigations
    Blood cholesterol increased 10/445 (2.2%) 5/474 (1.1%) 7/230 (3%) 1/220 (0.5%) 7/474 (1.5%)
    Gamma-glutamyltransferase increased 10/445 (2.2%) 3/474 (0.6%) 2/230 (0.9%) 2/220 (0.9%) 3/474 (0.6%)
    Low density lipoprotein increased 4/445 (0.9%) 3/474 (0.6%) 5/230 (2.2%) 1/220 (0.5%) 4/474 (0.8%)
    Weight increased 11/445 (2.5%) 13/474 (2.7%) 5/230 (2.2%) 9/220 (4.1%) 22/474 (4.6%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 42/445 (9.4%) 49/474 (10.3%) 22/230 (9.6%) 19/220 (8.6%) 47/474 (9.9%)
    Arthritis 4/445 (0.9%) 2/474 (0.4%) 5/230 (2.2%) 0/220 (0%) 1/474 (0.2%)
    Back pain 52/445 (11.7%) 64/474 (13.5%) 29/230 (12.6%) 25/220 (11.4%) 65/474 (13.7%)
    Muscle spasms 48/445 (10.8%) 45/474 (9.5%) 26/230 (11.3%) 14/220 (6.4%) 33/474 (7%)
    Musculoskeletal pain 31/445 (7%) 34/474 (7.2%) 10/230 (4.3%) 9/220 (4.1%) 31/474 (6.5%)
    Myalgia 32/445 (7.2%) 28/474 (5.9%) 21/230 (9.1%) 13/220 (5.9%) 25/474 (5.3%)
    Neck pain 21/445 (4.7%) 23/474 (4.9%) 9/230 (3.9%) 6/220 (2.7%) 20/474 (4.2%)
    Pain in extremity 45/445 (10.1%) 46/474 (9.7%) 17/230 (7.4%) 31/220 (14.1%) 45/474 (9.5%)
    Nervous system disorders
    Dizziness 17/445 (3.8%) 16/474 (3.4%) 7/230 (3%) 9/220 (4.1%) 11/474 (2.3%)
    Headache 96/445 (21.6%) 109/474 (23%) 48/230 (20.9%) 54/220 (24.5%) 122/474 (25.7%)
    Migraine 7/445 (1.6%) 8/474 (1.7%) 5/230 (2.2%) 3/220 (1.4%) 12/474 (2.5%)
    Sinus headache 12/445 (2.7%) 14/474 (3%) 7/230 (3%) 7/220 (3.2%) 15/474 (3.2%)
    Psychiatric disorders
    Anxiety 9/445 (2%) 16/474 (3.4%) 4/230 (1.7%) 7/220 (3.2%) 9/474 (1.9%)
    Depression 13/445 (2.9%) 9/474 (1.9%) 6/230 (2.6%) 5/220 (2.3%) 9/474 (1.9%)
    Insomnia 27/445 (6.1%) 25/474 (5.3%) 15/230 (6.5%) 12/220 (5.5%) 32/474 (6.8%)
    Renal and urinary disorders
    Haematuria 6/445 (1.3%) 5/474 (1.1%) 7/230 (3%) 1/220 (0.5%) 8/474 (1.7%)
    Reproductive system and breast disorders
    Breast pain 4/445 (0.9%) 11/474 (2.3%) 2/230 (0.9%) 4/220 (1.8%) 2/474 (0.4%)
    Breast tenderness 17/445 (3.8%) 19/474 (4%) 5/230 (2.2%) 26/220 (11.8%) 18/474 (3.8%)
    Metrorrhagia 5/445 (1.1%) 5/474 (1.1%) 2/230 (0.9%) 8/220 (3.6%) 6/474 (1.3%)
    Pelvic pain 6/445 (1.3%) 8/474 (1.7%) 1/230 (0.4%) 6/220 (2.7%) 8/474 (1.7%)
    Uterine haemorrhage 2/445 (0.4%) 5/474 (1.1%) 1/230 (0.4%) 7/220 (3.2%) 5/474 (1.1%)
    Uterine spasm 11/445 (2.5%) 6/474 (1.3%) 6/230 (2.6%) 7/220 (3.2%) 8/474 (1.7%)
    Vaginal discharge 6/445 (1.3%) 7/474 (1.5%) 2/230 (0.9%) 4/220 (1.8%) 11/474 (2.3%)
    Vaginal haemorrhage 30/445 (6.7%) 29/474 (6.1%) 14/230 (6.1%) 37/220 (16.8%) 36/474 (7.6%)
    Respiratory, thoracic and mediastinal disorders
    Cough 24/445 (5.4%) 30/474 (6.3%) 10/230 (4.3%) 11/220 (5%) 30/474 (6.3%)
    Nasal congestion 15/445 (3.4%) 8/474 (1.7%) 9/230 (3.9%) 6/220 (2.7%) 11/474 (2.3%)
    Oropharyngeal pain 25/445 (5.6%) 26/474 (5.5%) 12/230 (5.2%) 22/220 (10%) 16/474 (3.4%)
    Sinus congestion 13/445 (2.9%) 21/474 (4.4%) 4/230 (1.7%) 7/220 (3.2%) 13/474 (2.7%)
    Skin and subcutaneous tissue disorders
    Alopecia 9/445 (2%) 9/474 (1.9%) 3/230 (1.3%) 4/220 (1.8%) 6/474 (1.3%)
    Night sweats 5/445 (1.1%) 12/474 (2.5%) 4/230 (1.7%) 6/220 (2.7%) 12/474 (2.5%)
    Rash 8/445 (1.8%) 15/474 (3.2%) 4/230 (1.7%) 6/220 (2.7%) 5/474 (1.1%)
    Vascular disorders
    Hot flush 27/445 (6.1%) 37/474 (7.8%) 20/230 (8.7%) 11/220 (5%) 40/474 (8.4%)
    Hypertension 15/445 (3.4%) 9/474 (1.9%) 4/230 (1.7%) 6/220 (2.7%) 13/474 (2.7%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.

    Results Point of Contact

    Name/Title Pfizer ClinicalTrials.gov Call Center
    Organization Pfizer, Inc.
    Phone 1-800-718-1021
    Email ClinicalTrials.gov_Inquiries@pfizer.com
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT00808132
    Other Study ID Numbers:
    • 3115A1-3307
    • B2311009
    First Posted:
    Dec 15, 2008
    Last Update Posted:
    Apr 8, 2014
    Last Verified:
    Mar 1, 2014