REPLENISH: A Safety and Efficacy Study of the Combination Estradiol and Progesterone to Treat Vasomotor Symptoms

Sponsor
TherapeuticsMD (Industry)
Overall Status
Completed
CT.gov ID
NCT01942668
Collaborator
(none)
1,845
119
5
38.8
15.5
0.4

Study Details

Study Description

Brief Summary

This study will be a prospective, randomized, double-blind, placebo-controlled, parallel group, multicenter trial of postmenopausal subjects with an intact uterus.

Condition or Disease Intervention/Treatment Phase
Phase 3

Detailed Description

Postmenopausal subjects with an intact uterus who meet the study entry criteria will be randomized to one of five treatment arms (four active and one placebo) and followed for 12 months. During the Screening period all subjects will be provided with a diary to self-assess the frequency and severity of their vasomotor symptoms. Subjects experiencing a minimum daily frequency of ≥7 (or ≥50 per week) moderate to severe hot flushes will participate in a VMS Substudy during the first 12 weeks of treatment. The Substudy subjects will be stratified by treatment arm within the sites, and only Substudy subjects have the possibility of being randomized to placebo. Subjects who qualify for the study except for experiencing a minimum daily frequency of ≥7 (or ≥50 per week) moderate to severe hot flushes will be stratified within sites to one of the four active treatment arms and followed for 12 months, but will not participate in the VMS Substudy. (However, VMS information will be collected from all subjects during the first 12 weeks of treatment.) All Study Subjects: Postmenopausal women with an intact uterus who seek relief from hot flushes and meet all other inclusion/exclusion criteria are eligible for 12 months of study treatment.

VMS Substudy Subjects: A subset of All Study Subjects who have ≥7 per day or ≥50 per week moderate to severe hot flushes (as determined during Screening) are eligible for the 12-week VMS Substudy and for a total of 12 months of study treatment.

Clinical evaluations will be performed at the following time points:
  • Screening Period (Week: - 8.5) (up to -60 Days)

  • Visit 1 Randomization (Week 0) (Day 1)

  • Visit 2 Interim (Week 4)

  • Visit 3 Interim (Week 8)

  • Visit 4 Interim (Week 12)

  • Visit 5 Interim (Month 6)

  • Visit 6 Interim (Month 9)

  • Visit 7 End of Treatment (Month 12)

Study Design

Study Type:
Interventional
Actual Enrollment :
1845 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Triple (Participant, Care Provider, Investigator)
Primary Purpose:
Treatment
Official Title:
A Phase 3 Study Safety and Efficacy Study of the Combination Estradiol and Progesterone to Treat Vasomotor Symptoms in Postmenopausal Women With an Intact Uterus
Actual Study Start Date :
Aug 5, 2013
Actual Primary Completion Date :
Oct 28, 2016
Actual Study Completion Date :
Oct 28, 2016

Arms and Interventions

Arm Intervention/Treatment
Experimental: Treatment 1

Combined Estradiol 1 mg / Progesterone 100 mg softgel capsule formulation and placebo taken orally once a day for twelve months.

Drug: Estradiol
Other Names:
  • 17B-estradiol
  • Estrace
  • Drug: Progesterone
    Other Names:
  • Prometrium
  • Drug: Placebo

    Experimental: Treatment 2

    Combined Estradiol 0.5 mg / Progesterone 100 mg softgel capsule formulation and placebo taken orally once a day for twelve months.

    Drug: Estradiol
    Other Names:
  • 17B-estradiol
  • Estrace
  • Drug: Progesterone
    Other Names:
  • Prometrium
  • Drug: Placebo

    Experimental: Treatment 3

    Combined Estradiol 0.5 mg / Progesterone 50 mg softgel capsule formulation and placebo, taken orally once a day for twelve months.

    Drug: Estradiol
    Other Names:
  • 17B-estradiol
  • Estrace
  • Drug: Progesterone
    Other Names:
  • Prometrium
  • Drug: Placebo

    Experimental: Treatment 4

    Combined Estradiol 0.25 mg / Progesterone 50 mg softgel capsule formulation and placebo, taken orally once a day for twelve months.

    Drug: Estradiol
    Other Names:
  • 17B-estradiol
  • Estrace
  • Drug: Progesterone
    Other Names:
  • Prometrium
  • Drug: Placebo

    Placebo Comparator: Placebo

    Two Placebo softgel capsules taken orally once a day for twelve months.

    Drug: Placebo

    Outcome Measures

    Primary Outcome Measures

    1. Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS) [Baseline and Week 4]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    2. Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS) [Baseline and Week 12]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    3. Co-Primary Efficacy Endpoint: Severity of Moderate to Severe Vasomotor Symptoms (MITT-VMS) [Baseline and Week 4]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    4. Co-Primary Efficacy Endpoint: Severity of Moderate to Severe Vasomotor Symptoms (MITT-VMS) [Baseline and Week 12]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    5. Primary Safety Endpoint: Endometrial Protection - Hyperplasia [Baseline and Month 12]

      Endometrial biopsies centrally evaluated by 2 primary pathologists using criteria from Blaustein's Pathology text. Pathologists classified bx into 1 of following 3 categories: Cat.1: Non-endometrial malignancy/non-hyperplasia; Cat.2: Endometrial hyperplasia; Cat.3: Endometrial malignancy. Consensus reached when 2 primary pathologist agreed on any of above categories; if primary pathologists disagreed on presence of hyperplasia, result of 3rd pathologist was utilized and final decision regarding presence of hyperplasia was based on diagnosis of majority. If all 3 reads disparate, final diagnosis based on most severe dx. Incidence rate calculated as: I=A/B where I=incidence rate at M12 evaluation, A=all new subjects with biopsies positive for endometrial hyperplasia during study but post-Baseline, B=all subjects w/biopsies following M11 meeting criteria specified plus all subjects w/biopsies positive for endometrial hyperplasia by any pathologists before M11.

    Secondary Outcome Measures

    1. Endometrial Protection - Hyperplasia [Baseline and Month 12]

      Endometrial biopsies centrally evaluated by 3 primary pathologists using criteria described in Blaustein's Pathology text. Pathologists classified biopsy into 1 of following 3 categories: Cat.1: Non-endometrial malignancy/non-hyperplasia; Cat.2: Endometrial hyperplasia; Cat.3: Endometrial malignancy. Consensus was reached when the 2 of 3 pathologist readers agreed on any of the above categories; if all three reads were disparate, the final diagnosis was based on the most severe diagnosis. Incidence rate calculated as: I=A/B where I=incidence rate at M12 evaluation, A=all new subjects with biopsies positive for endometrial hyperplasia during study but post-Baseline, B=all subjects with biopsies following M11 meeting the criteria specified plus all subjects with biopsies positive for endometrial hyperplasia by any of the pathologists before M11.

    2. Frequency of Moderate to Severe Vasomotor Symptoms - Week 1 (MITT-VMS) [Baseline and Week 1]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 1. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    3. Frequency of Moderate to Severe Vasomotor Symptoms - Week 2 (MITT-VMS) [Baseline and Week 2]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 2. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    4. Frequency of Moderate to Severe Vasomotor Symptoms - Week 3 (MITT-VMS) [Baseline and Week 3]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 3. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    5. Frequency of Moderate to Severe Vasomotor Symptoms - Week 4 (MITT-VMS) [Baseline and Week 4]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    6. Frequency of Moderate to Severe Vasomotor Symptoms - Week 5 (MITT-VMS) [Baseline and Week 5]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 5. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    7. Frequency of Moderate to Severe Vasomotor Symptoms - Week 6 (MITT-VMS) [Baseline and Week 6]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 6. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    8. Frequency of Moderate to Severe Vasomotor Symptoms - Week 7 (MITT-VMS) [Baseline and Week 7]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 7. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    9. Frequency of Moderate to Severe Vasomotor Symptoms - Week 8 (MITT-VMS) [Baseline and Week 8]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 8. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    10. Frequency of Moderate to Severe Vasomotor Symptoms - Week 9 (MITT-VMS) [Baseline and Week 9]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 9. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    11. Frequency of Moderate to Severe Vasomotor Symptoms - Week 10 (MITT-VMS) [Baseline and Week 10]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 10. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    12. Frequency of Moderate to Severe Vasomotor Symptoms - Week 11 (MITT-VMS) [Baseline and Week 11]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 11. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    13. Frequency of Moderate to Severe Vasomotor Symptoms - Week 12 (MITT-VMS) [Baseline and Week 12]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

    14. Severity of Moderate to Severe Vasomotor Symptoms - Week 1 (MITT-VMS) [Baseline and Week 1]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 1. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    15. Severity of Moderate to Severe Vasomotor Symptoms - Week 2 (MITT-VMS) [Baseline and Week 2]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 2. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    16. Severity of Moderate to Severe Vasomotor Symptoms - Week 3 (MITT-VMS) [Baseline and Week 3]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 3. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    17. Severity of Moderate to Severe Vasomotor Symptoms - Week 4 (MITT-VMS) [Baseline and Week 4]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    18. Severity of Moderate to Severe Vasomotor Symptoms - Week 5 (MITT-VMS) [Baseline and Week 5]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 5. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    19. Severity of Moderate to Severe Vasomotor Symptoms - Week 6 (MITT-VMS) [Baseline and Week 6]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 6. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    20. Severity of Moderate to Severe Vasomotor Symptoms - Week 7 (MITT-VMS) [Baseline and Week 7]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 7. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    21. Severity of Moderate to Severe Vasomotor Symptoms - Week 8 (MITT-VMS) [Baseline and Week 8]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 8. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    22. Severity of Moderate to Severe Vasomotor Symptoms - Week 9 (MITT-VMS) [Baseline and Week 9]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 9. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    23. Severity of Moderate to Severe Vasomotor Symptoms - Week 10 (MITT-VMS) [Baseline and Week 10]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 10. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    24. Severity of Moderate to Severe Vasomotor Symptoms - Week 11 (MITT-VMS) [Baseline and Week 11]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 11. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    25. Severity of Moderate to Severe Vasomotor Symptoms - Week 12 (MITT-VMS) [Baseline and Week 12]

      Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    26. Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 1 (MITT-VMS) [Baseline and Week 1]

      Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 1. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.

    27. Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 2 (MITT-VMS) [Baseline and Week 2]

      Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 2. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.

    28. Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 3 (MITT-VMS) [Baseline and Week 3]

      Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 3. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.

    29. Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 4 (MITT-VMS) [Baseline and Week 4]

      Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.

    30. Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 5 (MITT-VMS) [Baseline and Week 5]

      Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 5. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.

    31. Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 6 (MITT-VMS) [Baseline and Week 6]

      Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 6. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.

    32. Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 7 (MITT-VMS) [Baseline and Week 7]

      Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 7. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.

    33. Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 8 (MITT-VMS) [Baseline and Week 8]

      Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 8. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.

    34. Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 9 (MITT-VMS) [Baseline and Week 9]

      Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 9. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.

    35. Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 10 (MITT-VMS) [Baseline and Week 10]

      Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 10. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.

    36. Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 11 (MITT-VMS) [Baseline and Week 11]

      Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 11. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.

    37. Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 12 (MITT-VMS) [Baseline and Week 12]

      Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.

    38. Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 1 (MITT-VMS) [Baseline and Week 1]

      Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 1. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    39. Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 2 (MITT-VMS) [Baseline and Week 2]

      Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 2. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    40. Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 3 (MITT-VMS) [Baseline and Week 3]

      Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 3. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    41. Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 4 (MITT-VMS) [Baseline and Week 4]

      Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    42. Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 5 (MITT-VMS) [Baseline and Week 5]

      Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 5. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    43. Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 6 (MITT-VMS) [Baseline and Week 6]

      Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 6. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    44. Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 7 (MITT-VMS) [Baseline and Week 7]

      Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 7. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    45. Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 8 (MITT-VMS) [Baseline and Week 8]

      Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 8. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    46. Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 9 (MITT-VMS) [Baseline and Week 9]

      Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 9. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    47. Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 10 (MITT-VMS) [Baseline and Week 10]

      Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 10. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    48. Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 11 (MITT-VMS) [Baseline and Week 11]

      Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 11. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    49. Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 12 (MITT-VMS) [Baseline and Week 12]

      Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).

    50. Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 1 (MITT-VMS) [Baseline and Week 1]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe VMS from Baseline to Week 1.

    51. Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 2 (MITT-VMS) [Baseline and Week 2]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 2.

    52. Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 3 (MITT-VMS) [Baseline and Week 3]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 3.

    53. Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 4 (MITT-VMS) [Baseline and Week 4]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 4.

    54. Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 5 (MITT-VMS) [Baseline and Week 5]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 5.

    55. Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 6 (MITT-VMS) [Baseline and Week 6]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 6.

    56. Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 7 (MITT-VMS) [Baseline and Week 7]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 7.

    57. Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 8 (MITT-VMS) [Baseline and Week 8]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 8.

    58. Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 9 (MITT-VMS) [Baseline and Week 9]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 9.

    59. Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 10 (MITT-VMS) [Baseline and Week 10]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 10.

    60. Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 11 (MITT-VMS) [Baseline and Week 11]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 11.

    61. Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 12 (MITT-VMS) [Baseline and Week 12]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 12.

    62. Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 1 - (MITT-VMS) [Baseline and Week 1]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 1.

    63. Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 2 - (MITT-VMS) [Baseline and Week 2]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 2.

    64. Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 3 - (MITT-VMS) [Baseline and Week 3]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 3.

    65. Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 4 - (MITT-VMS) [Baseline and Week 4]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 4.

    66. Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 5 - (MITT-VMS) [Baseline and Week 5]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 5.

    67. Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 6 - (MITT-VMS) [Baseline and Week 6]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 6.

    68. Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 7 - (MITT-VMS) [Baseline and Week 7]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 7.

    69. Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 8 - (MITT-VMS) [Baseline and Week 8]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 8.

    70. Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 9 - (MITT-VMS) [Baseline and Week 9]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 9.

    71. Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 10 - (MITT-VMS) [Baseline and Week 10]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 10.

    72. Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 11 - (MITT-VMS) [Baseline and Week 11]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 11.

    73. Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 12 - (MITT-VMS) [Baseline and Week 12]

      Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 12.

    74. Clinical Global Impression (CGI) - Week 4 (MITT-VMS) [Baseline and Week 4]

      The number and percentage of subjects for each possible response to the CGI at Week 4. The CGI score is a seven point scale where subjects were asked to rate the total improvement, whether or not in her judgment it was due entirely to drug treatment, compared to her condition at admission to the study. Scale: Very much improved, Much improved, Minimally improved, No change, Minimally worse, Much worse, Very much worse. Results for the top two responses (Very Much Improved and Much Improved) and No Change or Worsening (Minimally worse, Much worse, Very much worse) were combined for each group and active treatment groups compare to placebo.

    75. Mean Change in Frequency of Moderate to Severe VMS for the Respective CGI Category - Week 4 (MITT-VMS) [Baseline and Week 4]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 4 for the respective CGI category. The CGI score is a seven point scale where subjects were asked to rate the total improvement, whether or not in her judgment it was due entirely to drug treatment, compared to her condition at admission to the study. Scale: Very much improved, Much improved, Minimally improved, No change, Minimally worse, Much worse, Very much worse. Results for the top two responses (Very Much Improved and Much Improved) and No Change or Worsening (Minimally worse, Much worse, Very much worse) were combined for each group and active treatment groups compare to placebo.

    76. Clinical Global Impression (CGI) - Week 8 (MITT-VMS) [Baseline and Week 8]

      The number and percentage of subjects for each possible response to the CGI at Week 8. The CGI score is a seven point scale where subjects were asked to rate the total improvement, whether or not in her judgment it was due entirely to drug treatment, compared to her condition at admission to the study. Scale: Very much improved, Much improved, Minimally improved, No change, Minimally worse, Much worse, Very much worse. Results for the top two responses (Very Much Improved and Much Improved) and No Change or Worsening (Minimally worse, Much worse, Very much worse) were combined for each group and active treatment groups compare to placebo.

    77. Mean Change in Frequency of Moderate to Severe VMS for the Respective CGI Category - Week 8 (MITT-VMS) [Baseline and Week 8]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 8 for the respective CGI category. The CGI score is a seven point scale where subjects were asked to rate the total improvement, whether or not in her judgment it was due entirely to drug treatment, compared to her condition at admission to the study. Scale: Very much improved, Much improved, Minimally improved, No change, Minimally worse, Much worse, Very much worse. Results for the top two responses (Very Much Improved and Much Improved) and No Change or Worsening (Minimally worse, Much worse, Very much worse) were combined for each group and active treatment groups compare to placebo.

    78. Clinical Global Impression (CGI) - Week 12 (MITT-VMS) [Baseline and Week 12]

      The number and percentage of subjects for each possible response to the CGI at Week 12. The CGI score is a seven point scale where subjects were asked to rate the total improvement, whether or not in her judgment it was due entirely to drug treatment, compared to her condition at admission to the study. Scale: Very much improved, Much improved, Minimally improved, No change, Minimally worse, Much worse, Very much worse. Results for the top two responses (Very Much Improved and Much Improved) and No Change or Worsening (Minimally worse, Much worse, Very much worse) were combined for each group and active treatment groups compare to placebo.

    79. Mean Change in Frequency of Moderate to Severe VMS for the Respective CGI Category - Week 12 (MITT-VMS) [Baseline and Week 12]

      Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 12 for the respective CGI category. The CGI score is a seven point scale where subjects were asked to rate the total improvement, whether or not in her judgment it was due entirely to drug treatment, compared to her condition at admission to the study. Scale: Very much improved, Much improved, Minimally improved, No change, Minimally worse, Much worse, Very much worse. Results for the top two responses (Very Much Improved and Much Improved) and No Change or Worsening (Minimally worse, Much worse, Very much worse) were combined for each group and active treatment groups compare to placebo.

    80. Number of Subjects Without Bleeding for Consecutive Cycles [Cycle 1 to 13]

      No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.

    81. Number of Subjects Without Bleeding for Consecutive Cycles [Cycle 2 to 13]

      No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.

    82. Number of Subjects Without Bleeding for Consecutive Cycles [Cycle 3 to 13]

      No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.

    83. Number of Subjects Without Bleeding for Consecutive Cycles [Cycle 4 to 13]

      No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.

    84. Number of Subjects Without Bleeding for Consecutive Cycles [Cycle 5 to 13]

      No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.

    85. Number of Subjects Without Bleeding for Consecutive Cycles [Cycle 6 to 13]

      No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.

    86. Number of Subjects Without Bleeding for Consecutive Cycles [Cycle 7 to 13]

      No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.

    87. Number of Subjects Without Bleeding for Consecutive Cycles [Cycle 8 to 13]

      No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.

    88. Number of Subjects Without Bleeding for Consecutive Cycles [Cycle 9 to 13]

      No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.

    89. Number of Subjects Without Bleeding for Consecutive Cycles [Cycle 10 to 13]

      No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.

    90. Number of Subjects Without Bleeding for Consecutive Cycles [Cycle 11 to 13]

      No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.

    91. Number of Subjects Without Bleeding for Consecutive Cycles [Cycle 12 to 13]

      No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.

    92. Number of Subjects Without Bleeding for Consecutive Cycles [The 13th Cycle]

      No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.

    93. Number of Subjects With Cumulative Amenorrhea From Cycle 1 to 13 [Cycle 1 to 13]

      Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 1 to 13 was calculated and compared between active and placebo treatments.

    94. Number of Subjects With Cumulative Amenorrhea From Cycle 2 to 13 [Cycle 2 to 13]

      Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 2 to 13 was calculated and compared between active and placebo treatments.

    95. Number of Subjects With Cumulative Amenorrhea From Cycle 3 to 13 [Cycle 3 to 13]

      Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 3 to 13 was calculated and compared between active and placebo treatments.

    96. Number of Subjects With Cumulative Amenorrhea From Cycle 4 to 13 [Cycle 4 to 13]

      Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 4 to 13 was calculated and compared between active and placebo treatments.

    97. Number of Subjects With Cumulative Amenorrhea From Cycle 5 to 13 [Cycle 5 to 13]

      Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 5 to 13 was calculated and compared between active and placebo treatments.

    98. Number of Subjects With Cumulative Amenorrhea From Cycle 6 to 13 [Cycle 6 to 13]

      Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 6 to 13 was calculated and compared between active and placebo treatments.

    99. Number of Subjects With Cumulative Amenorrhea From Cycle 7 to 13 [Cycle 7 to 13]

      Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 7 to 13 was calculated and compared between active and placebo treatments.

    100. Number of Subjects With Cumulative Amenorrhea From Cycle 8 to 13 [Cycle 8 to 13]

      Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 8 to 13 was calculated and compared between active and placebo treatments.

    101. Number of Subjects With Cumulative Amenorrhea From Cycle 9 to 13 [Cycle 9 to 13]

      Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 9 to 13 was calculated and compared between active and placebo treatments.

    102. Number of Subjects With Cumulative Amenorrhea From Cycle 10 to 13 [Cycle 10 to 13]

      Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 10 to 13 was calculated and compared between active and placebo treatments.

    103. Number of Subjects With Cumulative Amenorrhea From Cycle 11 to 13 [Cycle 11 to 13]

      Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 11 to 13 was calculated and compared between active and placebo treatments.

    104. Number of Subjects With Cumulative Amenorrhea From Cycle 12 to 13 [Cycle 12 to 13]

      Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 12 to 13 was calculated and compared between active and placebo treatments.

    105. Number of Subjects With Cumulative Amenorrhea From the 13th Cycle [The 13th Cycle]

      Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from the 13th Cycle was calculated and compared between active and placebo treatments.

    106. Subject Incidence With Spotting - Trimester 1 (Safety Pop.) [Trimester 1]

      Summary of subject incidence with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    107. Subject Incidence With Spotting - Trimester 2 (Safety Pop.) [Trimester 2]

      Summary of subject incidence with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    108. Subject Incidence With Spotting - Trimester 3 (Safety Pop.) [Trimester 3]

      Summary of subject incidence with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    109. Subject Incidence With Spotting - Trimester 4 (Safety Pop.) [Trimester 4]

      Summary of subject incidence with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    110. Number of Days With Spotting - Trimester 1 (Safety Pop.) [Trimester 1]

      Summary of the number of days with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    111. Number of Days With Spotting - Trimester 2 (Safety Pop.) [Trimester 2]

      Summary of the number of days with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    112. Number of Days With Spotting - Trimester 3 (Safety Pop.) [Trimester 3]

      Summary of the number of days with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    113. Number of Days With Spotting - Trimester 4 (Safety Pop.) [Trimester 4]

      Summary of the number of days with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    114. Subject Incidence With Bleeding - Trimester 1 (Safety Pop.) [Trimester 1]

      Summary of subject incidence with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    115. Subject Incidence With Bleeding - Trimester 2 (Safety Pop.) [Trimester 2]

      Summary of subject incidence with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    116. Subject Incidence With Bleeding - Trimester 3 (Safety Pop.) [Trimester 3]

      Summary of subject incidence with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    117. Subject Incidence With Bleeding - Trimester 4 (Safety Pop.) [Trimester 4]

      Summary of subject incidence with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    118. Number of Days With Bleeding - Trimester 1 (Safety Pop.) [Trimester 1]

      Summary of the number of days with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    119. Number of Days With Bleeding - Trimester 2 (Safety Pop.) [Trimester 2]

      Summary of the number of days with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    120. Number of Days With Bleeding - Trimester 3 (Safety Pop.) [Trimester 3]

      Summary of the number of days with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    121. Number of Days With Bleeding - Trimester 4 (Safety Pop.) [Trimester 4]

      Summary of the number of days with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.

    122. Menopause-specific Quality of Life Questionnaire (MENQOL) - Vasomotor Domain Score - Week 12 (MITT-VMS) [Baseline and Week 12]

      Changes in Vasomotor Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Vasomotor domain score is mean of = Q1,Q2, Q3, with 1 being "not at all bothered" and 8 being "extremely bothered".

    123. Menopause-specific Quality of Life Questionnaire (MENQOL) - Vasomotor Domain Score - Month 6 (MITT-VMS) [Baseline and Month 6]

      Changes in Vasomotor Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Vasomotor domain score is mean of = Q1,Q2, Q3, with 1 being "not at all bothered" and 8 being "extremely bothered".

    124. Menopause-specific Quality of Life Questionnaire (MENQOL) - Vasomotor Domain Score - Month 12 (MITT-VMS) [Baseline and Month 12]

      Changes in Vasomotor Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Vasomotor domain score is mean of = Q1,Q2, Q3, with 1 being "not at all bothered" and 8 being "extremely bothered".

    125. Menopause-specific Quality of Life Questionnaire (MENQOL) - Psychosocial Domain Score - Week 12 (MITT-VMS) [Baseline and Week 12]

      Changes in Psychosocial Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Psychosocial domain score is mean of = Q4 to Q10, with 1 being "not at all bothered" and 8 being "extremely bothered".

    126. Menopause-specific Quality of Life Questionnaire (MENQOL) - Psychosocial Domain Score - Month 6 (MITT-VMS) [Baseline and Month 6]

      Changes in Psychosocial Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Psychosocial domain score is mean of = Q4 to Q10, with 1 being "not at all bothered" and 8 being "extremely bothered".

    127. Menopause-specific Quality of Life Questionnaire (MENQOL) - Psychosocial Domain Score - Month 12 (MITT-VMS) [Baseline and Month 12]

      Changes in Psychosocial Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Psychosocial domain score is mean of = Q4 to Q10, with 1 being "not at all bothered" and 8 being "extremely bothered".

    128. Menopause-specific Quality of Life Questionnaire (MENQOL) - Physical Domain Score - Week 12 (MITT-VMS) [Baseline and Week 12]

      Changes in Physical Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Physical domain score is mean of = Q11 to Q26, with 1 being "not at all bothered" and 8 being "extremely bothered".

    129. Menopause-specific Quality of Life Questionnaire (MENQOL) - Physical Domain Score - Month 6 (MITT-VMS) [Baseline and Month 6]

      Changes in Physical Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Physical domain score is mean of = Q11 to Q26, with 1 being "not at all bothered" and 8 being "extremely bothered".

    130. Menopause-specific Quality of Life Questionnaire (MENQOL) - Physical Domain Score - Month 12 (MITT-VMS) [Baseline and Month 12]

      Changes in Physical Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Physical domain score is mean of = Q11 to Q26, with 1 being "not at all bothered" and 8 being "extremely bothered".

    131. Menopause-specific Quality of Life Questionnaire (MENQOL) - Sexual Domain Score - Week 12 (MITT-VMS) [Baseline and Week 12]

      Changes in Sexual Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Sexual domain score is mean of = Q27 to Q29, with 1 being "not at all bothered" and 8 being "extremely bothered".

    132. Menopause-specific Quality of Life Questionnaire (MENQOL) - Sexual Domain Score - Month 6 (MITT-VMS) [Baseline and Month 6]

      Changes in Sexual Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Sexual domain score is mean of = Q27 to Q29, with 1 being "not at all bothered" and 8 being "extremely bothered".

    133. Menopause-specific Quality of Life Questionnaire (MENQOL) - Sexual Domain Score - Month 12 (MITT-VMS) [Baseline and Month 12]

      Changes in Sexual Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Sexual domain score is mean of = Q27 to Q29, with 1 being "not at all bothered" and 8 being "extremely bothered".

    134. Menopause-specific Quality of Life Questionnaire (MENQOL) - Overall Scores - Week 12 (MITT-VMS) [Baseline and Week 12]

      Changes in Overall Scores from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. The scale contains four domains: vasomotor, psychosocial, physical and sexual. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The Overall Score is the mean of the 4 domain scores with 1 being "not at all bothered" and 8 being "extremely bothered".

    135. Menopause-specific Quality of Life Questionnaire (MENQOL) - Overall Scores - Month 6 (MITT-VMS) [Baseline and Month 6]

      Changes in Overall Scores from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. The scale contains four domains: vasomotor, psychosocial, physical and sexual. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The Overall Score is the mean of the 4 domain scores with 1 being "not at all bothered" and 8 being "extremely bothered".

    136. Menopause-specific Quality of Life Questionnaire (MENQOL) - Overall Scores - Month 12 (MITT-VMS) [Baseline and Month 12]

      Changes in Overall Scores from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. The scale contains four domains: vasomotor, psychosocial, physical and sexual. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The Overall Score is the mean of the 4 domain scores with 1 being "not at all bothered" and 8 being "extremely bothered".

    137. Medical Outcomes Sleep Study (MOS) Sleep Scale - Total Sleep Score - Week 12 (MITT-VMS) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Total Sleep Score as compared w/Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Total score includes items Q1, 3, 4, 5, 6, 7, 8, 9, & 12. Scoring method: Answers to Q3, 5, 6, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q1, 4, & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Total score= average of item scores; ranges =0 to 100, where higher score means worse outcome. If any of individual questions used to obtain total score is missing, total score will be set to missing value.

    138. Medical Outcomes Sleep Study (MOS) Sleep Scale - Total Sleep Score - Month 6 (MITT-VMS) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Total Sleep Score as compared w/Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Total score includes items Q1, 3, 4, 5, 6, 7, 8, 9, & 12. Scoring method: Answers to Q3, 5, 6, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q1, 4, & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Total score= average of item scores; ranges =0 to 100, where higher score means worse outcome. If any of individual questions used to obtain total score is missing, total score will be set to missing value.

    139. Medical Outcomes Sleep Study (MOS) Sleep Scale - Total Sleep Score - Month 12 (MITT-VMS) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Total Sleep Score as compared w/Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Total score includes items Q1, 3, 4, 5, 6, 7, 8, 9, & 12. Scoring method: Answers to Q3, 5, 6, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q1, 4, & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Total score= average of item scores; ranges =0 to 100, where higher score means worse outcome. If any of individual questions used to obtain total score is missing, total score will be set to missing value.

    140. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Disturbance - Week 12 (MITT-VMS) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Sleep Disturbance individual score as compared with Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep disturbance includes items Q1, Q3, Q7, Q8. Scoring method: Answer to Q1 is rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25. Answers to Q3, 7, 8 are reversed & rescaled to realign to be same direction and range(0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Score is average of item scores; score range=0 to 100, where higher score means worse outcome.

    141. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Disturbance - Month 6 - (MITT-VMS) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Sleep Disturbance individual score as compared with Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep disturbance includes items Q1, Q3, Q7, Q8. Scoring method: Answer to Q1 is rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25. Answers to Q3, 7, 8 are reversed & rescaled to realign to be same direction and range(0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Score is average of item scores; score range=0 to 100, where higher score means worse outcome.

    142. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Disturbance - Month 12 - (MITT-VMS) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Sleep Disturbance individual score as compared with Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep disturbance includes items Q1, Q3, Q7, Q8. Scoring method: Answer to Q1 is rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25. Answers to Q3, 7, 8 are reversed & rescaled to realign to be same direction and range(0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Score is average of item scores; score range=0 to 100, where higher score means worse outcome.

    143. Medical Outcomes Sleep Study (MOS) Individual Score for Snoring - Week 12 - (MITT-VMS) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Snoring individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Snoring item is Q10. Scoring method: Answer to Q10 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.

    144. Medical Outcomes Sleep Study (MOS) Individual Score for Snoring - Month 6 - (MITT-VMS) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Snoring individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Snoring item is Q10. Scoring method: Answer to Q10 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.

    145. Medical Outcomes Sleep Study (MOS) Individual Score for Snoring - Month 12 - (MITT-VMS) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Snoring individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Snoring item is Q10. Scoring method: Answer to Q10 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.

    146. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Short of Breath or Headache - Week 12 - (MITT-VMS) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Sleep Short of Breath or Headache(SOBHA) individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. SOBHA item is Q5. Scoring method: Answer to Q5 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.

    147. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Short of Breath or Headache - Month 6 - (MITT-VMS) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Sleep Short of Breath or Headache(SOBHA) individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. SOBHA item is Q5. Scoring method: Answer to Q5 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.

    148. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Short of Breath or Headache - Month 12 - (MITT-VMS) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Sleep Short of Breath or Headache(SOBHA) individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. SOBHA item is Q5. Scoring method: Answer to Q5 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.

    149. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Adequacy - Week 12 - (MITT-VMS) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Sleep Adequacy individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Adequacy includes items Q4, Q12. Scoring method: Answers for Q4 and Q12 are reversed and rescaled to 0-100 as follows: MOS_4_new = (6-MOS_4_old) x 20; MOS_12_new = (6-MOS_12_old) x 20. Score is the average of item scores; score range = 0 to 100, where higher score means better outcome.

    150. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Adequacy - Month 6 - (MITT-VMS) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Sleep Adequacy individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Adequacy includes items Q4, Q12. Scoring method: Answers for Q4 and Q12 are reversed and rescaled to 0-100 as follows: MOS_4_new = (6-MOS_4_old) x 20; MOS_12_new = (6-MOS_12_old) x 20. Score is the average of item scores; score range = 0 to 100, where higher score means better outcome.

    151. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Adequacy - Month 12 - (MITT-VMS) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Sleep Adequacy individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Adequacy includes items Q4, Q12. Scoring method: Answers for Q4 and Q12 are reversed and rescaled to 0-100 as follows: MOS_4_new = (6-MOS_4_old) x 20; MOS_12_new = (6-MOS_12_old) x 20. Score is the average of item scores; score range = 0 to 100, where higher score means better outcome.

    152. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Somnolence - Week 12 - (MITT-VMS) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Sleep Somnolence individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Somnolence items include Q6, Q9, Q11. Scoring method: Answers to Q6, Q 9 and Q11 are reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    153. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Somnolence - Month 6 - (MITT-VMS) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Sleep Somnolence individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Somnolence items include Q6, Q9, Q11. Scoring method: Answers to Q6, Q 9 and Q11 are reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    154. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Somnolence - Month 12 - (MITT-VMS) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Sleep Somnolence individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Somnolence items include Q6, Q9, Q11. Scoring method: Answers to Q6, Q 9 and Q11 are reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    155. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index I - Week 12 - (MITT-VMS) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Sleep Problems Index I individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index I includes items Q4, Q5, Q7, Q8, Q9, Q12. Scoring method: Answers to Q, 5, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q4, & 12 are rescaled to 0-100 as follows: MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    156. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index I - Month 6 - (MITT-VMS) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Sleep Problems Index I individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index I includes items Q4, Q5, Q7, Q8, Q9, Q12. Scoring method: Answers to Q, 5, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q4, & 12 are rescaled to 0-100 as follows: MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    157. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index I - Month 12 - (MITT-VMS) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Sleep Problems Index I individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index I includes items Q4, Q5, Q7, Q8, Q9, Q12. Scoring method: Answers to Q, 5, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q4, & 12 are rescaled to 0-100 as follows: MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    158. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index II - Week 12 - (MITT-VMS) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Sleep Problems Index II individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index II items include Q1, Q3, Q4, Q5, Q6, Q7, Q8, Q9, Q12. Scoring method: Answers to Q3, 5, 6, 7, 8, & 9 are reversed & rescaled to realign to be same direction and range 0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20, for n=Q3, 5, 6, 7, 8, and 9. Answers to Q1, 4 & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    159. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index II - Month 6 - (MITT-VMS) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Sleep Problems Index II individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index II items include Q1, Q3, Q4, Q5, Q6, Q7, Q8, Q9, Q12. Scoring method: Answers to Q3, 5, 6, 7, 8, & 9 are reversed & rescaled to realign to be same direction and range 0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20, for n=Q3, 5, 6, 7, 8, and 9. Answers to Q1, 4 & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    160. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index II - Month 12 - (MITT-VMS) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Sleep Problems Index II individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index II items include Q1, Q3, Q4, Q5, Q6, Q7, Q8, Q9, Q12. Scoring method: Answers to Q3, 5, 6, 7, 8, & 9 are reversed & rescaled to realign to be same direction and range 0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20, for n=Q3, 5, 6, 7, 8, and 9. Answers to Q1, 4 & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    161. Medical Outcomes Sleep Study (MOS) Optimal Sleep - Week 12 - (MITT-VMS) [Baseline and Week 12]

      Change from Baseline (BL) to Week 12 in MOS Optimal Sleep Score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items measuring 6 dimensions of sleep over the past 4 wks. Optimal sleep is based on Q2 (self-reported average hrs sleep per night in past 4 wks). Scoring method: hrs of sleep coded 0 (non-optimal) or 1 (optimal) where 1-6 hrs & 9-23 hrs = 0, 7-8 hrs = 1. Change from BL: subject sleeps 7-8 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = -1; subject sleeps 1-6 or 9-23 hrs at BL & 7-8 hrs at follow-up, change = +1; subject sleeps 1-6 or 9-23 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = 0. Mean change from BL: changes are summed to give the Net Total (equivalent to the number subjects w/ improved sleep hrs minus the number subjects w/ worsened sleep hrs), which is divided by the number of subjects to give the mean proportion of net change, where >0 = overall improvement and <0 = overall worsening in the study arm.

    162. Medical Outcomes Sleep Study (MOS) Optimal Sleep - Month 6 - (MITT-VMS) [Baseline and Month 6]

      Change from Baseline (BL) to Month 6 in MOS Optimal Sleep Score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items measuring 6 dimensions of sleep over the past 4 wks. Optimal sleep is based on Q2 (self-reported average hrs sleep per night in past 4 wks). Scoring method: hrs of sleep coded 0 (non-optimal) or 1 (optimal) where 1-6 hrs & 9-23 hrs = 0, 7-8 hrs = 1. Change from BL: subject sleeps 7-8 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = -1; subject sleeps 1-6 or 9-23 hrs at BL & 7-8 hrs at follow-up, change = +1; subject sleeps 1-6 or 9-23 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = 0. Mean change from BL: changes are summed to give the Net Total (equivalent to the number subjects w/ improved sleep hrs minus the number subjects w/ worsened sleep hrs), which is divided by the number of subjects to give the mean proportion of net change, where >0 = overall improvement and <0 = overall worsening in the study arm.

    163. Medical Outcomes Sleep Study (MOS) Optimal Sleep - Month 12 - (MITT-VMS) [Baseline and Month 12]

      Change from Baseline (BL) to Month 12 in MOS Optimal Sleep Score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items measuring 6 dimensions of sleep over the past 4 wks. Optimal sleep is based on Q2 (self-reported average hrs sleep per night in past 4 wks). Scoring method: hrs of sleep coded 0 (non-optimal) or 1 (optimal) where 1-6 hrs & 9-23 hrs = 0, 7-8 hrs = 1. Change from BL: subject sleeps 7-8 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = -1; subject sleeps 1-6 or 9-23 hrs at BL & 7-8 hrs at follow-up, change = +1; subject sleeps 1-6 or 9-23 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = 0. Mean change from BL: changes are summed to give the Net Total (equivalent to the number subjects w/ improved sleep hrs minus the number subjects w/ worsened sleep hrs), which is divided by the number of subjects to give the mean proportion of net change, where >0 = overall improvement and <0 = overall worsening in the study arm.

    164. Menopause-specific Quality of Life Questionnaire (MENQOL) - Vasomotor Domain Score - Week 12 (MITT) [Baseline and Week 12]

      Changes in Vasomotor Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Vasomotor domain score is mean of = Q1,Q2, Q3, with 1 being "not at all bothered" and 8 being "extremely bothered".

    165. Menopause-specific Quality of Life Questionnaire (MENQOL) - Vasomotor Domain Score - Month 6 (MITT) [Baseline and Month 6]

      Changes in Vasomotor Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Vasomotor domain score is mean of = Q1,Q2, Q3, with 1 being "not at all bothered" and 8 being "extremely bothered".

    166. Menopause-specific Quality of Life Questionnaire (MENQOL) - Vasomotor Domain Score - Month 12 (MITT) [Baseline and Month 12]

      Changes in Vasomotor Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Vasomotor domain score is mean of = Q1,Q2, Q3, with 1 being "not at all bothered" and 8 being "extremely bothered".

    167. Menopause-specific Quality of Life Questionnaire (MENQOL) - Psychosocial Domain Score - Week 12 (MITT) [Baseline and Week 12]

      Changes in Psychosocial Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Psychosocial domain score is mean of = Q4 to Q10, with 1 being "not at all bothered" and 8 being "extremely bothered".

    168. Menopause-specific Quality of Life Questionnaire (MENQOL) - Psychosocial Domain Score - Month 6 (MITT) [Baseline and Month 6]

      Changes in Psychosocial Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Psychosocial domain score is mean of = Q4 to Q10, with 1 being "not at all bothered" and 8 being "extremely bothered".

    169. Menopause-specific Quality of Life Questionnaire (MENQOL) - Psychosocial Domain Score - Month 12 (MITT) [Baseline and Month 12]

      Changes in Psychosocial Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Psychosocial domain score is mean of = Q4 to Q10, with 1 being "not at all bothered" and 8 being "extremely bothered".

    170. Menopause-specific Quality of Life Questionnaire (MENQOL) - Physical Domain Score - Week 12 (MITT) [Baseline and Week 12]

      Changes in Physical Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Physical domain score is mean of = Q11 to Q26, with 1 being "not at all bothered" and 8 being "extremely bothered".

    171. Menopause-specific Quality of Life Questionnaire (MENQOL) - Physical Domain Score - Month 6 (MITT) [Baseline and Month 6]

      Changes in Physical Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Physical domain score is mean of = Q11 to Q26, with 1 being "not at all bothered" and 8 being "extremely bothered".

    172. Menopause-specific Quality of Life Questionnaire (MENQOL) - Physical Domain Score - Month 12 (MITT) [Baseline and Month 12]

      Changes in Physical Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Physical domain score is mean of = Q11 to Q26, with 1 being "not at all bothered" and 8 being "extremely bothered".

    173. Menopause-specific Quality of Life Questionnaire (MENQOL) - Sexual Domain Score - Week 12 (MITT) [Baseline and Week 12]

      Changes in Sexual Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Sexual domain score is mean of = Q27 to Q29, with 1 being "not at all bothered" and 8 being "extremely bothered".

    174. Menopause-specific Quality of Life Questionnaire (MENQOL) - Sexual Domain Score - Month 6 (MITT) [Baseline and Month 6]

      Changes in Sexual Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Sexual domain score is mean of = Q27 to Q29, with 1 being "not at all bothered" and 8 being "extremely bothered".

    175. Menopause-specific Quality of Life Questionnaire (MENQOL) - Sexual Domain Score - Month 12 (MITT) [Baseline and Month 12]

      Changes in Sexual Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Sexual domain score is mean of = Q27 to Q29, with 1 being "not at all bothered" and 8 being "extremely bothered".

    176. Menopause-specific Quality of Life Questionnaire (MENQOL) - Overall Scores - Week 12 (MITT) [Baseline and Week 12]

      Change in Overall Scores from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. The scale contains four domains: vasomotor, psychosocial, physical and sexual. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The Overall Score is the mean of the 4 domain scores with 1 being "not at all bothered" and 8 being "extremely bothered".

    177. Menopause-specific Quality of Life Questionnaire (MENQOL) - Overall Scores - Month 6 (MITT) [Baseline and Month 6]

      Change in Overall Scores from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. The scale contains four domains: vasomotor, psychosocial, physical and sexual. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The Overall Score is the mean of the 4 domain scores with 1 being "not at all bothered" and 8 being "extremely bothered".

    178. Menopause-specific Quality of Life Questionnaire (MENQOL) - Overall Scores - Month 12 (MITT) [Baseline and Month 12]

      Change in Overall Scores from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. The scale contains four domains: vasomotor, psychosocial, physical and sexual. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The Overall Score is the mean of the 4 domain scores with 1 being "not at all bothered" and 8 being "extremely bothered".

    179. Medical Outcomes Sleep Study (MOS) Sleep Scale - Total Sleep Score - Week 12 (MITT) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Total Sleep Score as compared w/Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Total score includes items Q1, 3, 4, 5, 6, 7, 8, 9, & 12. Scoring method: Answers to Q3, 5, 6, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q1, 4, & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Total score= average of item scores; ranges =0 to 100, where higher score means worse outcome. If any of individual questions used to obtain total score is missing, total score will be set to missing value.

    180. Medical Outcomes Sleep Study (MOS) Sleep Scale - Total Sleep Score - Month 6 (MITT) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Total Sleep Score as compared w/Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Total score includes items Q1, 3, 4, 5, 6, 7, 8, 9, & 12. Scoring method: Answers to Q3, 5, 6, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q1, 4, & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Total score= average of item scores; ranges =0 to 100, where higher score means worse outcome. If any of individual questions used to obtain total score is missing, total score will be set to missing value.

    181. Medical Outcomes Sleep Study (MOS) Sleep Scale - Total Sleep Score - Month 12 (MITT) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Total Sleep Score as compared w/Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Total score includes items Q1, 3, 4, 5, 6, 7, 8, 9, & 12. Scoring method: Answers to Q3, 5, 6, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q1, 4, & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Total score= average of item scores; ranges =0 to 100, where higher score means worse outcome. If any of individual questions used to obtain total score is missing, total score will be set to missing value.

    182. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Disturbance - Week 12 - (MITT) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Sleep Disturbance individual score as compared with Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep disturbance includes items Q1, Q3, Q7, Q8. Scoring method: Answer to Q1 is rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25. Answers to Q3, 7, 8 are reversed & rescaled to realign to be same direction and range(0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Score is average of item scores; score range=0 to 100, where higher score means worse outcome.

    183. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Disturbance - Month 6 - (MITT) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Sleep Disturbance individual score as compared with Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep disturbance includes items Q1, Q3, Q7, Q8. Scoring method: Answer to Q1 is rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25. Answers to Q3, 7, 8 are reversed & rescaled to realign to be same direction and range(0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Score is average of item scores; score range=0 to 100, where higher score means worse outcome.

    184. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Disturbance - Month 12 - (MITT) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Sleep Disturbance individual score as compared with Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep disturbance includes items Q1, Q3, Q7, Q8. Scoring method: Answer to Q1 is rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25. Answers to Q3, 7, 8 are reversed & rescaled to realign to be same direction and range(0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Score is average of item scores; score range=0 to 100, where higher score means worse outcome.

    185. Medical Outcomes Sleep Study (MOS) Individual Score for Snoring - Week 12 - (MITT) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Snoring individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Snoring item is Q10. Scoring method: Answer to Q10 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.

    186. Medical Outcomes Sleep Study (MOS) Individual Score for Snoring - Month 6 - (MITT) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Snoring individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Snoring item is Q10. Scoring method: Answer to Q10 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.

    187. Medical Outcomes Sleep Study (MOS) Individual Score for Snoring - Month 12 - (MITT) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Snoring individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Snoring item is Q10. Scoring method: Answer to Q10 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.

    188. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Short of Breath or Headache - Week 12 - (MITT) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Sleep Short of Breath or Headache(SOBHA) individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. SOBHA item is Q5. Scoring method: Answer to Q5 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.

    189. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Short of Breath or Headache - Month 6 - (MITT) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Sleep Short of Breath or Headache(SOBHA) individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. SOBHA item is Q5. Scoring method: Answer to Q5 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.

    190. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Short of Breath or Headache - Month 12 - (MITT) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Sleep Short of Breath or Headache(SOBHA) individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. SOBHA item is Q5. Scoring method: Answer to Q5 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.

    191. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Adequacy - Week 12 - (MITT) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Sleep Adequacy individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Adequacy includes items Q4, Q12. Scoring method: Answers for Q4 and Q12 are reversed and rescaled to 0-100 as follows: MOS_4_new = (6-MOS_4_old) x 20; MOS_12_new = (6-MOS_12_old) x 20. Score is the average of item scores; score range = 0 to 100, where higher score means better outcome.

    192. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Adequacy - Month 6 - (MITT) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Sleep Adequacy individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Adequacy includes items Q4, Q12. Scoring method: Answers for Q4 and Q12 are reversed and rescaled to 0-100 as follows: MOS_4_new = (6-MOS_4_old) x 20; MOS_12_new = (6-MOS_12_old) x 20. Score is the average of item scores; score range = 0 to 100, where higher score means better outcome.

    193. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Adequacy - Month 12 - (MITT) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Sleep Adequacy individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Adequacy includes items Q4, Q12. Scoring method: Answers for Q4 and Q12 are reversed and rescaled to 0-100 as follows: MOS_4_new = (6-MOS_4_old) x 20; MOS_12_new = (6-MOS_12_old) x 20. Score is the average of item scores; score range = 0 to 100, where higher score means better outcome.

    194. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Somnolence - Week 12 - (MITT) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Sleep Somnolence individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Somnolence items include Q6, Q9, Q11. Scoring method: Answers to Q6, Q 9 and Q11 are reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    195. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Somnolence - Month 6 - (MITT) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Sleep Somnolence individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Somnolence items include Q6, Q9, Q11. Scoring method: Answers to Q6, Q 9 and Q11 are reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    196. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Somnolence - Month 12 - (MITT) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Sleep Somnolence individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Somnolence items include Q6, Q9, Q11. Scoring method: Answers to Q6, Q 9 and Q11 are reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    197. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index I - Week 12 - (MITT) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Sleep Problems Index I individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index I includes items Q4, Q5, Q7, Q8, Q9, Q12. Scoring method: Answers to Q, 5, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q4, & 12 are rescaled to 0-100 as follows: MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    198. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index I - Month 6 - (MITT) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Sleep Problems Index I individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index I includes items Q4, Q5, Q7, Q8, Q9, Q12. Scoring method: Answers to Q, 5, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q4, & 12 are rescaled to 0-100 as follows: MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    199. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index I - Month 12 - (MITT) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Sleep Problems Index I individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index I includes items Q4, Q5, Q7, Q8, Q9, Q12. Scoring method: Answers to Q, 5, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q4, & 12 are rescaled to 0-100 as follows: MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    200. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index II - Week 12 - (MITT) [Baseline and Week 12]

      Change from Baseline to Wk 12 in MOS Sleep Problems Index II individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index II items include Q1, Q3, Q4, Q5, Q6, Q7, Q8, Q9, Q12. Scoring method: Answers to Q3, 5, 6, 7, 8, & 9 are reversed & rescaled to realign to be same direction and range 0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20, for n=Q3, 5, 6, 7, 8, and 9. Answers to Q1, 4 & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    201. Medical Outcomes Sleep Study (MOS) Sleep Problems Index II - Month 6 - (MITT) [Baseline and Month 6]

      Change from Baseline to Month 6 in MOS Sleep Problems Index II individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index II items include Q1, Q3, Q4, Q5, Q6, Q7, Q8, Q9, Q12. Scoring method: Answers to Q3, 5, 6, 7, 8, & 9 are reversed & rescaled to realign to be same direction and range 0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20, for n=Q3, 5, 6, 7, 8, and 9. Answers to Q1, 4 & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    202. Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index II - Month 12 - (MITT) [Baseline and Month 12]

      Change from Baseline to Month 12 in MOS Sleep Problems Index II individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index II items include Q1, Q3, Q4, Q5, Q6, Q7, Q8, Q9, Q12. Scoring method: Answers to Q3, 5, 6, 7, 8, & 9 are reversed & rescaled to realign to be same direction and range 0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20, for n=Q3, 5, 6, 7, 8, and 9. Answers to Q1, 4 & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.

    203. Medical Outcomes Sleep Study (MOS) Optimal Sleep - Week 12 - (MITT) [Baseline and Week 12]

      Change from Baseline (BL) to Wk 12 in MOS Optimal Sleep Score as compared with Placebo.The MOS-Sleep Self Report Questionnaire is composed of 12 items measuring 6 dimensions of sleep over the past 4 wks. Optimal sleep is based on Q2 (self-reported average hrs sleep per night in past 4 wks). Scoring method: hrs of sleep coded 0 (non-optimal) or 1 (optimal) where 1-6 hrs & 9-23 hrs = 0, 7-8 hrs = 1. Change from BL: subject sleeps 7-8 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = -1; subject sleeps 1-6 or 9-23 hrs at BL & 7-8 hrs at follow-up, change = +1; subject sleeps 1-6 or 9-23 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = 0. Mean change from BL: changes are summed to give the Net Total (equivalent to the number subjects w/ improved sleep hrs minus the number subjects w/ worsened sleep hrs), which is divided by the number of subjects to give the mean proportion of net change, where >0 = overall improvement and <0 = overall worsening in the study arm.

    204. Medical Outcomes Sleep Study (MOS) Optimal Sleep - Month 6 - (MITT) [Baseline and Month 6]

      Change from Baseline (BL) to Month 6 in MOS Optimal Sleep Score as compared with Placebo.The MOS-Sleep Self Report Questionnaire is composed of 12 items measuring 6 dimensions of sleep over the past 4 wks. Optimal sleep is based on Q2 (self-reported average hrs sleep per night in past 4 wks). Scoring method: hrs of sleep coded 0 (non-optimal) or 1 (optimal) where 1-6 hrs & 9-23 hrs = 0, 7-8 hrs = 1. Change from BL: subject sleeps 7-8 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = -1; subject sleeps 1-6 or 9-23 hrs at BL & 7-8 hrs at follow-up, change = +1; subject sleeps 1-6 or 9-23 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = 0. Mean change from BL: changes are summed to give the Net Total (equivalent to the number subjects w/ improved sleep hrs minus the number subjects w/ worsened sleep hrs), which is divided by the number of subjects to give the mean proportion of net change, where >0 = overall improvement and <0 = overall worsening in the study arm.

    205. Medical Outcomes Sleep Study (MOS) Optimal Sleep - Month 12 - (MITT) [Baseline and Month 12]

      Change from Baseline (BL) to Month 12 in MOS Optimal Sleep Score as compared with Placebo.The MOS-Sleep Self Report Questionnaire is composed of 12 items measuring 6 dimensions of sleep over the past 4 wks. Optimal sleep is based on Q2 (self-reported average hrs sleep per night in past 4 wks). Scoring method: hrs of sleep coded 0 (non-optimal) or 1 (optimal) where 1-6 hrs & 9-23 hrs = 0, 7-8 hrs = 1. Change from BL: subject sleeps 7-8 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = -1; subject sleeps 1-6 or 9-23 hrs at BL & 7-8 hrs at follow-up, change = +1; subject sleeps 1-6 or 9-23 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = 0. Mean change from BL: changes are summed to give the Net Total (equivalent to the number subjects w/ improved sleep hrs minus the number subjects w/ worsened sleep hrs), which is divided by the number of subjects to give the mean proportion of net change, where >0 = overall improvement and <0 = overall worsening in the study arm.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    40 Years to 65 Years
    Sexes Eligible for Study:
    Female
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    1. Be a female between the ages of 40 and 65 years (at the time of randomization) who is willing to participate in the study, as documented by signing the informed consent form.

    2. Be a postmenopausal woman with an intact uterus and a Screening serum estradiol level of ≤50 pg/mL. Postmenopausal is defined herein as:

    3. ≥ 12 months of spontaneous amenorrhea, or

    4. at least 6 months of spontaneous amenorrhea with a Screening serum FSH level of

    40 mIU/ml, or

    1. ≥ 6 weeks postsurgical bilateral oophorectomy.

    2. Be seeking treatment or relief for vasomotor symptoms associated with menopause.

    3. To participate in the VMS Substudy, a subject must also report ≥7 moderate to severe hot flushes per day, or ≥50 per week, at the baseline assessment during Screening (subjects whose hot flushes are less frequent may still participate as non-Substudy subjects.

    Note: A minimum of 14 consecutive days of complete hot flush diary data are required during the baseline assessment at Screening, and these consecutive days must occur within the last 14 days prior to the Randomization visit (not counting the Randomization visit day itself). The most recent 7 consecutive days of data prior to randomization (Day -7 to Day -1) will be used to determine the baseline number of mild, moderate and severe hot flushes for each subject.

    1. Have a Body Mass Index (BMI) less than or equal to 34 kg/mP2P. (BMI values should be rounded to the nearest integer [e.g., 34.4 rounds down to 34, while 26.5 rounds up to 27]).

    2. Be willing to abstain from using products (other than study medication) that contain estrogen, progestin, or progesterone throughout study participation.

    3. Be judged by the principal or sub-investigator physician as being in otherwise generally good health based on a medical evaluation performed during the Screening period prior to the initial dose of study medication. The medical evaluation findings must include:

    4. a normal or non-clinically significant physical examination, including vital signs (sitting blood pressure, heart rate, respiratory rate and temperature). Sitting systolic blood pressure is ≤140 mmHg and diastolic blood pressure ≤90 mmHg at Screening. A subject may be taking up to two antihypertensive medications.

    5. a normal or non-clinically significant pelvic examination.

    6. a mammogram that shows no sign of significant disease (can be performed within previous 6 months prior to initial dose of study medication). Subjects must have a BI-RADS 1 or 2 to enroll in the study. An incomplete mammogram result, i.e. BI-RADS 0, is not acceptable. The site must obtain a copy of the official report for the subject's study file, and it must be verified that the mammogram itself is available if needed for additional assessment.

    7. a normal or non-clinically significant clinical breast examination. An acceptable breast examination is defined as no masses or other findings identified that are suspicious of malignancy.

    8. a normal Screening Papanicolaou ("Pap") smear. (Subjects with findings of atypical glandular cells [AGC], AGUS, ASCUS with high risk HPV type upon reflex testing, LSIL, ASC-H, HSIL, dysplastic cells, or malignant cells must be excluded from randomization.)

    9. an acceptable result from an evaluable Screening endometrial biopsy. The endometrial biopsy reports by the two central pathologists at Screening must each specify one of the following: proliferative endometrium; weakly proliferative endometrium; disordered proliferative pattern; secretory endometrium; endometrial tissue other (including benign, inactive or atrophic fragments of endometrial epithelium, glands, stroma, etc); endometrial tissue insufficient for diagnosis; no endometrium identified; or no tissue identified. However, at least one pathologist must identify sufficient tissue to evaluate the biopsy. Additionally, the endometrial biopsy reports by the two central pathologists of Other Findings at Screening must each specify one of the following: endometrial polyp not present; benign endometrial polyp; or polyp other. (See Exclusion criterion #27)

    10. a normal or non-clinically significant 12-lead ECG.

    Exclusion Criteria:
    • To participate in the study, a subject must NOT:
    1. Be currently hospitalized.

    2. Have a history of thrombosis of deep veins or arteries or a thromboembolic disorder.

    3. Have a history of coronary artery or cerebrovascular disease (e.g., myocardial infarction, angina, stroke, TIA).

    4. Have a history of a chronic liver or kidney dysfunction/disorder (e.g., Hepatitis C or chronic renal failure).

    5. Have a history of a malabsorption disorder (e.g., gastric bypass, Crohn's disease).

    6. Have a history of gallbladder dysfunction/disorders (e.g., cholangitis, cholecystitis), unless gallbladder has been removed.

    7. Have a history of diabetes, thyroid disease or any other endocrinological disease. (Subjects with diet-controlled diabetes or controlled hypothyroid disease at Screening are not excluded.)

    8. Have a history of estrogen-dependent neoplasia.

    9. Have a history of atypical ductal hyperplasia of the breast.

    10. Have a finding of clinically significant uterine fibroids at Screening.

    11. Have had a uterine ablation.

    12. Have a history of undiagnosed vaginal bleeding.

    13. Have any history of endometrial hyperplasia, melanoma, or uterine/endometrial, breast or ovarian cancer.

    14. Have any history of other malignancy within the last 5 years, with the exception of basal cell (excluded if within 1 year) or non-invasive squamous cell (excluded if within 1 year) carcinoma of the skin.

    15. Have a history of any other cardiovascular, hepatic, renal, pulmonary, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, psychological (e.g., bipolar disorder, schizophrenia, major depressive disorder), or musculoskeletal disease or disorder that is clinically significant in the opinion of the Principal Investigator or Medical Sub-Investigator.

    16. Have any of the following clinical laboratory values at Screening:

    17. fasting triglyceride of ≥300 mg/dL and/or total cholesterol of ≥300mg/dL

    18. positive laboratory finding for Factor V Leiden mutation

    19. AST or ALT ≥1.5 times the upper limit of normal (ULN)

    20. fasting glucose >125 mg/dL

    21. Be known to be pregnant or have a positive urine pregnancy test. (Note: A pregnancy test is not required for subjects who have had bilateral tubal ligation, bilateral oophorectomy, or are 55 years old or greater and have experienced cessation of menses for at least 1 year.)

    22. Have contraindication to estrogen and/or progestin therapy or allergy to the use of estradiol and/or progesterone or any components of the investigational drugs.

    23. Use 15 or more cigarettes per day or currently use any electronic cigarettes.

    24. Have a history of drug and/or alcohol abuse within one year of start of study.

    25. Have used, within 28 days prior to the initial dose of study medication at Visit 1, any medication known to induce or inhibit CYP3A4 enzyme activity that may affect estrogen and/or progestin drug metabolism. (See 48TUSection 4.3U48T)

    26. Have used, within 28 days prior to Screening, or plan to use during the study, any prescription or over-the-counter (OTC) medications (including herbal products, such as St. John's Wort) that would be expected to alter progesterone or estrogen activity or is being used to treat vasomotor symptoms. (See Section 4.3U48T)

    27. Have used estrogen alone or estrogen/progestin, SERM (selective estrogen receptor modulator), testosterone, or estrogen/testosterone for any of the following time periods:

    28. Vaginal nonsystemic hormonal products (rings, creams, gels) within 7 days prior to Screening, or vaginal systemic products (e.g., FemRing) within 28 days prior to Screening.

    29. Transdermal estrogen alone or estrogen/progestin products within 8 weeks prior to Screening.

    30. Oral estrogen and/or progestin and/or SERM therapy within 8 weeks prior to Screening.

    31. Progestational implants, estrogen or estrogen/progestational injectable drug therapy within 3 months prior to Screening.

    32. Estrogen pellet therapy or progestational injectable drug therapy within 6 months prior to Screening.

    33. Percutaneous estrogen lotions/gels within 8 weeks prior to Screening.

    34. Oral, topical, vaginal, patch, implantable or injectable androgen therapy within 8 weeks prior to Screening.

    35. Have used an intrauterine device (IUD) within the 12 weeks prior to Screening.

    36. For subjects in the VMS Substudy only: use of medication that may affect the outcome of the vasomotor symptom endpoints within 28 days prior to Screening (e.g. SSRIs [selective serotonin reuptake inhibitors], SNRIs [serotonin and norepinephrine reuptake inhibitors], aldomet, dopaminergic or antidopaminergic drugs, gabapentin, clonidine, or bellergal.)

    37. Have any reason which, in the opinion of the Principal Investigator or Medical Sub-Investigator, would prevent the subject from safely participating in the study or complying with protocol requirements.

    38. Have a Screening endometrial biopsy sample that is found by both primary pathologists to have endometrial tissue insufficient for diagnosis, no endometrium identified, or no tissue identified. (With the approval of the Medical Monitor, the Screening endometrial biopsy may be repeated once.)

    39. Endometrial polyps with atypical nuclei reported by at least 1 central pathologist.

    40. Have contraindication to any planned study assessments (e.g., endometrial biopsy).

    41. Have participated in another clinical trial within 30 days prior to Screening, have received an investigational drug within the three months prior to the initial dose of study medication, or be likely to participate in a clinical trial or receive another investigational medication during the study.

    42. Currently use marijuana.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Simon Williamson Clinic Birmingham Alabama United States 35211
    2 Medical Affiliated Research Center Huntsville Alabama United States 35801
    3 Coastal Clinical Research Mobile Alabama United States 36608
    4 Mobile Ob-Gyn, P.C. Mobile Alabama United States 36608
    5 Montgomery Women's Health Montgomery Alabama United States 36117
    6 Advanced Research Associates Glendale Arizona United States 85308
    7 Cactus Clinical Research Mesa Arizona United States 85209
    8 Precision Trials Phoenix Arizona United States 85032
    9 Radiant Research (Tucson) Tucson Arizona United States 85712
    10 Visions Clinical Research Tucson Tucson Arizona United States 85712
    11 Health Star Research, LLC Hot Springs Arkansas United States 71913
    12 Sutter East Bay Medical Foundation Berkeley California United States 94705
    13 Grossmont Center for Clinical Research La Mesa California United States 91942
    14 Futura Research Norwalk California United States 90650
    15 Medical Center for Clinical Research San Diego California United States 92108
    16 Women's Health Care Research Corp. San Diego California United States 92111
    17 Radiant Research, Inc. Santa Rosa California United States 95405
    18 Diablo Clinical Research Walnut Creek California United States 94598
    19 Downtown Women's Healthcare Denver Colorado United States 80209
    20 Horizon's Clinical Research Center Denver Colorado United States 80220
    21 Red Rocks OB/Gyn Lakewood Colorado United States 80228
    22 Clinical Research Consulting Milford Connecticut United States 06460
    23 Coastal Connecticut Research New London Connecticut United States 06320
    24 South Florida Medical Research Aventura Florida United States 33180
    25 Nature Coast Clinical Research Crystal River Florida United States 34429
    26 Clinical Physiology Associates Fort Myers Florida United States 33916
    27 Southeastern Integrated Medical, PL, d/b/a Florida Medical Research Gainesville Florida United States 32607
    28 UF College of Medicine-Jacksonville, Dept. of Obstetrics and Gynecology Jacksonville Florida United States 32207
    29 Suncoast Research Margate Florida United States 33063
    30 Accelovance Melbourne Florida United States 32934
    31 Suncoast Clinical Research, Inc New Port Richey Florida United States 34652
    32 Ideal Clinical Research North Miami Beach Florida United States 33162
    33 Segal Institute North Miami Florida United States 33161
    34 Compass Research Orlando Florida United States 32806
    35 Radiant Research (St. Petersburg) Pinellas Park Florida United States 33781
    36 All Women's Healthcare of West Broward Discovery Clinical Research Plantation Florida United States 33324
    37 Comprehensive Clinical Trials West Palm Beach Florida United States 33409
    38 Radiant Research (Atlanta) Atlanta Georgia United States 30328
    39 Women's Health Associates Atlanta Georgia United States 30342
    40 Soapstone Center for Clinical Research Decatur Georgia United States 30034
    41 Wake Research - Mount Vernon Clinical Research Sandy Springs Georgia United States 30328
    42 Fellows Research Alliance Savannah Georgia United States 31406
    43 Elite Clinical Trials Blackfoot Idaho United States 83221
    44 Advanced Clinical Research Meridian Idaho United States 83642
    45 Biofortis Addison Illinois United States 60101
    46 Women's Health Practice Champaign Illinois United States 61820
    47 Radiant Research (Chicago) Chicago Illinois United States 60654
    48 The South Bend Clinic Granger Granger Indiana United States 46530
    49 Davis Clinic Indianapolis Indiana United States 46250
    50 Cypress Medical Research Center, LLC Wichita Kansas United States 67226
    51 Central Kentucky Research Associates Lexington Kentucky United States 40509
    52 Bluegrass Clinical Research Louisville Kentucky United States 40291
    53 Horizon Research Group Eunice Louisiana United States 70535
    54 Maryland Center for Sexual Health Lutherville Maryland United States 21093
    55 Quest Research Institute Bingham Farms Michigan United States 48025
    56 Female Pelvic Medicine & Urogynecology Grand Rapids Michigan United States 49503
    57 Beyer Research Kalamazoo Michigan United States 49009
    58 Saginaw Valley Medical Research Group Saginaw Michigan United States 48604
    59 Radiant Research (St. Louis) Saint Louis Missouri United States 63141
    60 Billings Clinical Research Billings Montana United States 59101
    61 Montana Health Billings Montana United States 59102
    62 Women's Clinic of Lincoln Lincoln Nebraska United States 68510
    63 Affiliated Clinical Research INC Las Vegas Nevada United States 89113
    64 Affiliated Clinical Research Las Vegas Nevada United States 89128
    65 Lawrence OB-GYN Clinical Research Lawrenceville New Jersey United States 08648
    66 Albuquerque Clinical Trials, Inc. Albuquerque New Mexico United States 87102
    67 Bosque Women's Care Albuquerque New Mexico United States 87109
    68 Southwest Clinical Research Albuquerque New Mexico United States 87109
    69 Columbia University New York New York United States 10032
    70 Suffolk OB/GYN Port Jefferson New York United States 11777
    71 Upstate Clinical Research Associates Williamsville New York United States 14221
    72 Women's Wellness Clinic Durham North Carolina United States 27713
    73 Carolina Medical Trials High Point North Carolina United States 27262
    74 Centre OBGYN Raleigh North Carolina United States 27607
    75 Wake County Research Raleigh North Carolina United States 27612
    76 Lyndhurst Clinical Research Salem North Carolina United States 27103
    77 Carolina Medical Trials Winston-Salem North Carolina United States 27103
    78 Hawthorne Research Winston-Salem North Carolina United States 27103
    79 Triad Ob-Gyn Winston-Salem North Carolina United States 27103
    80 Lillestol Research Fargo North Dakota United States 58103
    81 Radiant Research (Akron) Akron Ohio United States 44311
    82 University of Cincinnati Physicians Company Cincinnati Ohio United States 45267-0457
    83 Rapid Medical Research Cleveland Ohio United States 44122
    84 Columbus Center for Women's Health Research Columbus Ohio United States 43213
    85 HWC Women's Research Center Englewood Ohio United States 45322
    86 Lynn Health Science Institute Oklahoma City Oklahoma United States 73112
    87 Sunstone Medical Research Medford Oregon United States 97504
    88 The Clinical Trial Center Jenkintown Pennsylvania United States 19046
    89 Clinical Research of Philadelphia Philadelphia Pennsylvania United States 19114
    90 Clinical Trials Research Services, LLC Pittsburgh Pennsylvania United States 15206
    91 Omega Medical Research Warwick Rhode Island United States 02886
    92 Fellows Research Group Bluffton South Carolina United States 29910
    93 Vista Clinical Research Columbia South Carolina United States 29201
    94 Upstate Pharmaceutical Research Greenville South Carolina United States 29615
    95 Coastal Carolina Research Center Mount Pleasant South Carolina United States 29464
    96 Chattanooga Medical Research Chattanooga Tennessee United States 37404
    97 Volunteer Research Group/NOCCR Knoxville Tennessee United States 37920
    98 DiscoveResearch, Inc. Bryan Texas United States 77802
    99 Advanced Research Associates Corpus Christi Texas United States 78414
    100 Research Across America Dallas Texas United States 75234
    101 Brownstone Clinical Trials Fort Worth Texas United States 76104
    102 Advances in Health Houston Texas United States 77030
    103 The Women's Hospital of Texas Houston Texas United States 77054
    104 TMC Life Research Houston Texas United States 77054
    105 Protenium Clinical Research Hurst Texas United States 76054
    106 MacArthur OB/GYN Irving Texas United States 75062
    107 Clinical Trials of Texas San Antonio Texas United States 78229
    108 Stone Oak, LLC dba Discovery Clinical Trials San Antonio Texas United States 78258
    109 NECRSA Schertz Texas United States 78154
    110 PRO/ Salt Lake Women's Center Draper Utah United States 84020
    111 Wasatch Clinical Research, LLC Salt Lake City Utah United States 84107
    112 Jean Brown Research Salt Lake City Utah United States 84124
    113 UVA/Midlife Health at North Ridge Charlottesville Virginia United States 22908
    114 Clinical Research Center Eastern Virginia Medical School Norfolk Virginia United States 23507
    115 Virginia Women's Center Richmond Virginia United States 23233
    116 National Clinical Research-Richmond, Inc Richmond Virginia United States 23294
    117 Tidewater Clinical Research Virginia Beach Virginia United States 23456
    118 Seattle Women's Health Research, Gynecology Seattle Washington United States 98105
    119 North Spokane Women's Health Spokane Washington United States 99027

    Sponsors and Collaborators

    • TherapeuticsMD

    Investigators

    • Study Director: Sebastian Mirkin, MD, TherapeuticsMD

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    Responsible Party:
    TherapeuticsMD
    ClinicalTrials.gov Identifier:
    NCT01942668
    Other Study ID Numbers:
    • TXC12-05
    • REPLENISH Trial
    First Posted:
    Sep 16, 2013
    Last Update Posted:
    May 6, 2019
    Last Verified:
    Apr 1, 2019

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Period Title: Overall Study
    STARTED 418 426 422 427 152
    COMPLETED 284 305 312 281 93
    NOT COMPLETED 134 121 110 146 59

    Baseline Characteristics

    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo Total
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months. Total of all reporting groups
    Overall Participants 415 424 421 424 151 1835
    Age (Count of Participants)
    <=18 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Between 18 and 65 years
    415
    100%
    424
    100%
    421
    100%
    424
    100%
    151
    100%
    1835
    100%
    >=65 years
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    54.7
    (4.37)
    54.5
    (4.52)
    54.9
    (4.27)
    54.4
    (4.04)
    54.5
    (4.32)
    54.6
    (4.31)
    Sex: Female, Male (Count of Participants)
    Female
    415
    100%
    424
    100%
    421
    100%
    424
    100%
    151
    100%
    1835
    100%
    Male
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Region of Enrollment (participants) [Number]
    United States
    415
    100%
    424
    100%
    421
    100%
    424
    100%
    151
    100%
    1835
    100%

    Outcome Measures

    1. Primary Outcome
    Title Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 4

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 134 144 142 152 126
    Mean (Standard Deviation) [weekly hot flushes]
    -40.6
    (30.59)
    -35.1
    (29.14)
    -33.6
    (30.64)
    -38.9
    (31.04)
    -26.4
    (27.05)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -12.81
    Confidence Interval (2-Sided) 95%
    -19.29 to -6.32
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.30
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.013
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -8.07
    Confidence Interval (2-Sided) 95%
    -14.46 to -1.68
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.25
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.141
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.81
    Confidence Interval (2-Sided) 95%
    -11.21 to 1.59
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.26
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -10.40
    Confidence Interval (2-Sided) 95%
    -16.73 to -4.08
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.22
    Estimation Comments Adjusted for baseline using MMRM
    2. Primary Outcome
    Title Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 129 124 135 115
    Mean (Standard Deviation) [weekly hot flushes]
    -55.1
    (31.36)
    -53.7
    (31.93)
    -50.2
    (31.35)
    -52.4
    (33.90)
    -40.2
    (29.79)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -16.58
    Confidence Interval (2-Sided) 95%
    -23.33 to -9.82
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.44
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -15.07
    Confidence Interval (2-Sided) 95%
    -21.72 to -8.42
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.39
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -10.79
    Confidence Interval (2-Sided) 95%
    -17.48 to -4.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.41
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -11.71
    Confidence Interval (2-Sided) 95%
    -18.31 to -5.11
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.36
    Estimation Comments Adjusted for baseline using MMRM
    3. Primary Outcome
    Title Co-Primary Efficacy Endpoint: Severity of Moderate to Severe Vasomotor Symptoms (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 4

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 134 144 142 152 126
    Mean (Standard Deviation) [scores on a scale]
    -0.48
    (0.547)
    -0.51
    (0.563)
    -0.40
    (0.469)
    -0.44
    (0.514)
    -0.34
    (0.386)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.031
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.13
    Confidence Interval (2-Sided) 95%
    -0.25 to -0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.061
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.005
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.17
    Confidence Interval (2-Sided) 95%
    -0.28 to -0.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.060
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.401
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.05
    Confidence Interval (2-Sided) 95%
    -0.17 to 0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.060
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.100
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.10
    Confidence Interval (2-Sided) 95%
    -0.21 to 0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.059
    Estimation Comments Adjusted for baseline using MMRM
    4. Primary Outcome
    Title Co-Primary Efficacy Endpoint: Severity of Moderate to Severe Vasomotor Symptoms (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 129 124 135 115
    Mean (Standard Deviation) [scores on a scale]
    -1.12
    (0.963)
    -0.90
    (0.783)
    -0.76
    (0.744)
    -0.71
    (0.806)
    -0.56
    (0.603)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.57
    Confidence Interval (2-Sided) 95%
    -0.77 to -0.38
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.100
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.39
    Confidence Interval (2-Sided) 95%
    -0.59 to -0.20
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.099
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.018
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.24
    Confidence Interval (2-Sided) 95%
    -0.43 to -0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.100
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.096
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments Each co-primary endpt in each dose group tested at alpha=0.05;multiple dose groups vs. PBO comparisons are conducted using gatekeeping procedure
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.16
    Confidence Interval (2-Sided) 95%
    -0.36 to 0.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.098
    Estimation Comments Adjusted for baseline using MMRM
    5. Primary Outcome
    Title Primary Safety Endpoint: Endometrial Protection - Hyperplasia
    Description Endometrial biopsies centrally evaluated by 2 primary pathologists using criteria from Blaustein's Pathology text. Pathologists classified bx into 1 of following 3 categories: Cat.1: Non-endometrial malignancy/non-hyperplasia; Cat.2: Endometrial hyperplasia; Cat.3: Endometrial malignancy. Consensus reached when 2 primary pathologist agreed on any of above categories; if primary pathologists disagreed on presence of hyperplasia, result of 3rd pathologist was utilized and final decision regarding presence of hyperplasia was based on diagnosis of majority. If all 3 reads disparate, final diagnosis based on most severe dx. Incidence rate calculated as: I=A/B where I=incidence rate at M12 evaluation, A=all new subjects with biopsies positive for endometrial hyperplasia during study but post-Baseline, B=all subjects w/biopsies following M11 meeting criteria specified plus all subjects w/biopsies positive for endometrial hyperplasia by any pathologists before M11.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized subjects who had taken at least 1 capsule, had no major protocol violations, acceptable biopsy at baseline (evaluable tissue, no endometrial hyperplasia, polyp or cancer), had a biopsy at month 12 (on or after Study Day 326) or had a diagnosis of endometrial hyperplasia prior to month 12.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation taken orally once a day for twelve months. Two Placebo capsules taken orally once a day for twelve months.
    Measure Participants 280 303 306 274 92
    Count of Participants [Participants]
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg
    Comments Between group comparison is not intended. The purpose of the analysis is to calculate the incidence rate and the 95% CI of endometrial hyperplasia per FDA published guidance for Combined Estradiol 1 mg / Progesterone 100 mg.
    Type of Statistical Test Other
    Comments Per FDA guidance hyperplasia proportion must be <=1% with an upper bound of the one-sided 95% confidence interval <=4%.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter incidence rate
    Estimated Value 0
    Confidence Interval (1-Sided) 95%
    to 1.06
    Parameter Dispersion Type:
    Value:
    Estimation Comments This calculation is based on a binomial distribution.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg
    Comments Between group comparison is not intended. The purpose of the analysis is to calculate the incidence rate and the 95% CI of endometrial hyperplasia per FDA published guidance for Combined Estradiol 0.5 mg / Progesterone 100 mg.
    Type of Statistical Test Other
    Comments Per FDA guidance hyperplasia proportion must be <=1% with an upper bound of the one-sided 95% confidence interval <=4%.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter incidence rate
    Estimated Value 0
    Confidence Interval (1-Sided) 95%
    to 0.98
    Parameter Dispersion Type:
    Value:
    Estimation Comments This calculation is based on a binomial distribution.
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg
    Comments Between group comparison is not intended. The purpose of the analysis is to calculate the incidence rate and the 95% CI of endometrial hyperplasia per FDA published guidance for Combined Estradiol 0.5 mg / Progesterone 50 mg.
    Type of Statistical Test Other
    Comments Per FDA guidance hyperplasia proportion must be <=1% with an upper bound of the one-sided 95% confidence interval <=4%.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter incidence rate
    Estimated Value 0
    Confidence Interval (1-Sided) 95%
    to 0.97
    Parameter Dispersion Type:
    Value:
    Estimation Comments This calculation is based on a binomial distribution.
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg
    Comments Between group comparison is not intended. The purpose of the analysis is to calculate the incidence rate and the 95% CI of endometrial hyperplasia per FDA published guidance for Combined Estradiol 0.25 mg / Progesterone 50 mg.
    Type of Statistical Test Other
    Comments Per FDA guidance hyperplasia proportion must be <=1% with an upper bound of the one-sided 95% confidence interval <=4%.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter incidence rate
    Estimated Value 0
    Confidence Interval (1-Sided) 95%
    to 1.09
    Parameter Dispersion Type:
    Value:
    Estimation Comments This calculation is based on a binomial distribution.
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Placebo
    Comments Between group comparison is not intended. The purpose of the analysis is to calculate the incidence rate and the 95% CI of endometrial hyperplasia per FDA published guidance for Placebo.
    Type of Statistical Test Other
    Comments Per FDA guidance hyperplasia proportion must be <=1% with an upper bound of the one-sided 95% confidence interval <=4%.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter incidence rate
    Estimated Value 0
    Confidence Interval (1-Sided) 95%
    to 3.20
    Parameter Dispersion Type:
    Value:
    Estimation Comments This calculation is based on a binomial distribution.
    6. Secondary Outcome
    Title Endometrial Protection - Hyperplasia
    Description Endometrial biopsies centrally evaluated by 3 primary pathologists using criteria described in Blaustein's Pathology text. Pathologists classified biopsy into 1 of following 3 categories: Cat.1: Non-endometrial malignancy/non-hyperplasia; Cat.2: Endometrial hyperplasia; Cat.3: Endometrial malignancy. Consensus was reached when the 2 of 3 pathologist readers agreed on any of the above categories; if all three reads were disparate, the final diagnosis was based on the most severe diagnosis. Incidence rate calculated as: I=A/B where I=incidence rate at M12 evaluation, A=all new subjects with biopsies positive for endometrial hyperplasia during study but post-Baseline, B=all subjects with biopsies following M11 meeting the criteria specified plus all subjects with biopsies positive for endometrial hyperplasia by any of the pathologists before M11.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized subjects who had taken at least 1 capsule, had no major protocol violations, acceptable biopsy at baseline (evaluable tissue, no endometrial hyperplasia, polyp or cancer), had a biopsy at month 12 (on or after Study Day 326) or had a diagnosis of endometrial hyperplasia prior to month 12.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 280 303 306 274 92
    Count of Participants [Participants]
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg
    Comments Between group comparison is not intended. The purpose of the analysis is to calculate the incidence rate and the 95% CI of endometrial hyperplasia per FDA published guidance for Combined Estradiol 1 mg / Progesterone 100 mg.
    Type of Statistical Test Other
    Comments Per FDA guidance hyperplasia proportion must be <=1% with an upper bound of the one-sided 95% confidence interval <=4%.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter incidence rate
    Estimated Value 0
    Confidence Interval (1-Sided) 95%
    to 1.06
    Parameter Dispersion Type:
    Value:
    Estimation Comments This calculation is based on a binomial distribution.
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg
    Comments Between group comparison is not intended. The purpose of the analysis is to calculate the incidence rate and the 95% CI of endometrial hyperplasia per FDA published guidance for Combined Estradiol 0.5 mg / Progesterone 100 mg.
    Type of Statistical Test Other
    Comments Per FDA guidance hyperplasia proportion must be <=1% with an upper bound of the one-sided 95% confidence interval <=4%.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter incidence rate
    Estimated Value 0
    Confidence Interval (1-Sided) 95%
    to 0.98
    Parameter Dispersion Type:
    Value:
    Estimation Comments This calculation is based on a binomial distribution.
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg
    Comments Between group comparison is not intended. The purpose of the analysis is to calculate the incidence rate and the 95% CI of endometrial hyperplasia per FDA published guidance for Combined Estradiol 0.5 mg / Progesterone 50 mg.
    Type of Statistical Test Other
    Comments Per FDA guidance hyperplasia proportion must be <=1% with an upper bound of the one-sided 95% confidence interval <=4%.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter incidence rate
    Estimated Value 0
    Confidence Interval (1-Sided) 95%
    to 0.97
    Parameter Dispersion Type:
    Value:
    Estimation Comments This calculation is based on a binomial distribution.
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg
    Comments Between group comparison is not intended. The purpose of the analysis is to calculate the incidence rate and the 95% CI of endometrial hyperplasia per FDA published guidance for Combined Estradiol 0.25 mg / Progesterone 50 mg.
    Type of Statistical Test Other
    Comments Per FDA guidance hyperplasia proportion must be <=1% with an upper bound of the one-sided 95% confidence interval <=4%.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter incidence rate
    Estimated Value 0
    Confidence Interval (1-Sided) 95%
    to 1.09
    Parameter Dispersion Type:
    Value:
    Estimation Comments This calculation is based on a binomial distribution.
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Placebo
    Comments Between group comparison is not intended. The purpose of the analysis is to calculate the incidence rate and the 95% CI of endometrial hyperplasia per FDA published guidance for Placebo.
    Type of Statistical Test Other
    Comments Per FDA guidance hyperplasia proportion must be <=1% with an upper bound of the one-sided 95% confidence interval <=4%.
    Statistical Test of Hypothesis p-Value
    Comments
    Method
    Comments
    Method of Estimation Estimation Parameter incidence rate
    Estimated Value 0
    Confidence Interval (1-Sided) 95%
    to 3.20
    Parameter Dispersion Type:
    Value:
    Estimation Comments This calculation is based on a binomial distribution.
    7. Secondary Outcome
    Title Frequency of Moderate to Severe Vasomotor Symptoms - Week 1 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 1. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 1

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 138 149 145 154 134
    Mean (Standard Deviation) [weekly hot flushes]
    -12.2
    (20.10)
    -11.5
    (20.19)
    -11.0
    (20.94)
    -16.3
    (22.28)
    -13.0
    (21.25)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.588
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.36
    Confidence Interval (2-Sided) 95%
    -3.57 to 6.30
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.51
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.601
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.29
    Confidence Interval (2-Sided) 95%
    -3.56 to 6.15
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.47
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.202
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.17
    Confidence Interval (2-Sided) 95%
    -1.71 to 8.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.49
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.431
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.93
    Confidence Interval (2-Sided) 95%
    -6.76 to 2.89
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.46
    Estimation Comments Adjusted for baseline using MMRM
    8. Secondary Outcome
    Title Frequency of Moderate to Severe Vasomotor Symptoms - Week 2 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 2. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 2

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 134 146 145 153 133
    Mean (Standard Deviation) [weekly hot flushes]
    -26.6
    (27.67)
    -21.2
    (24.79)
    -19.0
    (28.32)
    -25.4
    (26.63)
    -21.3
    (24.75)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.154
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.35
    Confidence Interval (2-Sided) 95%
    -10.34 to 1.64
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.05
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.956
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.17
    Confidence Interval (2-Sided) 95%
    -6.06 to 5.73
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.00
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.240
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.54
    Confidence Interval (2-Sided) 95%
    -2.37 to 9.46
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.01
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.353
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.77
    Confidence Interval (2-Sided) 95%
    -8.62 to 3.08
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.98
    Estimation Comments Adjusted for baseline using MMRM
    9. Secondary Outcome
    Title Frequency of Moderate to Severe Vasomotor Symptoms - Week 3 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 3. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 3

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 136 144 144 153 131
    Mean (Standard Deviation) [weekly hot flushes]
    -34.3
    (29.22)
    -29.0
    (26.73)
    -28.1
    (28.18)
    -33.6
    (27.76)
    -25.1
    (27.26)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.007
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -8.56
    Confidence Interval (2-Sided) 95%
    -14.75 to -2.36
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.16
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.227
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.76
    Confidence Interval (2-Sided) 95%
    -9.86 to 2.35
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.11
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.597
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.65
    Confidence Interval (2-Sided) 95%
    -7.77 to 4.47
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.12
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.019
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.24
    Confidence Interval (2-Sided) 95%
    -13.28 to -1.19
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.08
    Estimation Comments Adjusted for baseline using MMRM
    10. Secondary Outcome
    Title Frequency of Moderate to Severe Vasomotor Symptoms - Week 4 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 4

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 134 144 142 152 126
    Mean (Standard Deviation) [weekly hot flushes]
    -40.6
    (30.59)
    -35.1
    (29.14)
    -33.6
    (30.64)
    -38.9
    (31.04)
    -26.4
    (27.05)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -12.81
    Confidence Interval (2-Sided) 95%
    -19.29 to -6.32
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.30
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.013
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -8.07
    Confidence Interval (2-Sided) 95%
    -14.46 to -1.68
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.25
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.141
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.81
    Confidence Interval (2-Sided) 95%
    -11.21 to 1.59
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.26
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -10.40
    Confidence Interval (2-Sided) 95%
    -16.73 to -4.08
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.22
    Estimation Comments Adjusted for baseline using MMRM
    11. Secondary Outcome
    Title Frequency of Moderate to Severe Vasomotor Symptoms - Week 5 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 5. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 5

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 131 143 139 147 124
    Mean (Standard Deviation) [weekly hot flushes]
    -45.9
    (32.31)
    -39.5
    (28.53)
    -37.1
    (30.64)
    -43.5
    (33.31)
    -31.6
    (28.96)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -15.59
    Confidence Interval (2-Sided) 95%
    -22.16 to -9.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.35
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -9.88
    Confidence Interval (2-Sided) 95%
    -16.34 to -3.41
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.29
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.075
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.90
    Confidence Interval (2-Sided) 95%
    -12.40 to 0.59
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.31
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -12.05
    Confidence Interval (2-Sided) 95%
    -18.47 to -5.64
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.27
    Estimation Comments Adjusted for baseline using MMRM
    12. Secondary Outcome
    Title Frequency of Moderate to Severe Vasomotor Symptoms - Week 6 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 6. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 132 143 139 146 123
    Mean (Standard Deviation) [weekly hot flushes]
    -49.4
    (32.76)
    -41.7
    (29.97)
    -40.1
    (33.62)
    -45.5
    (33.14)
    -32.7
    (28.53)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -17.87
    Confidence Interval (2-Sided) 95%
    -24.57 to -11.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.44
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -11.35
    Confidence Interval (2-Sided) 95%
    -18.00 to -4.70
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.39
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.022
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.82
    Confidence Interval (2-Sided) 95%
    -14.50 to -1.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.40
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -12.51
    Confidence Interval (2-Sided) 95%
    -19.11 to -5.91
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.36
    Estimation Comments Adjusted for baseline using MMRM
    13. Secondary Outcome
    Title Frequency of Moderate to Severe Vasomotor Symptoms - Week 7 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 7. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 7

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 130 142 139 147 120
    Mean (Standard Deviation) [weekly hot flushes]
    -51.5
    (31.51)
    -45.0
    (30.73)
    -43.8
    (33.20)
    -47.7
    (32.18)
    -33.4
    (29.37)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -17.75
    Confidence Interval (2-Sided) 95%
    -24.45 to -11.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.41
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -13.29
    Confidence Interval (2-Sided) 95%
    -19.88 to -6.70
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.36
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -10.22
    Confidence Interval (2-Sided) 95%
    -16.83 to -3.60
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.37
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -13.61
    Confidence Interval (2-Sided) 95%
    -20.15 to -7.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.33
    Estimation Comments Adjusted for baseline using MMRM
    14. Secondary Outcome
    Title Frequency of Moderate to Severe Vasomotor Symptoms - Week 8 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 8. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 8

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 129 140 137 147 120
    Mean (Standard Deviation) [weekly hot flushes]
    -52.3
    (31.63)
    -46.8
    (30.64)
    -45.4
    (32.55)
    -48.4
    (32.82)
    -36.0
    (30.66)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -16.63
    Confidence Interval (2-Sided) 95%
    -23.35 to -9.91
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.42
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -12.97
    Confidence Interval (2-Sided) 95%
    -19.58 to -6.36
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.37
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.005
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -9.63
    Confidence Interval (2-Sided) 95%
    -16.27 to -2.99
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.38
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -11.97
    Confidence Interval (2-Sided) 95%
    -18.53 to -5.41
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.34
    Estimation Comments Adjusted for baseline using MMRM
    15. Secondary Outcome
    Title Frequency of Moderate to Severe Vasomotor Symptoms - Week 9 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 9. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 9

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 137 132 141 119
    Mean (Standard Deviation) [weekly hot flushes]
    -52.6
    (32.57)
    -50.5
    (31.01)
    -47.4
    (30.13)
    -50.1
    (33.92)
    -36.4
    (29.09)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -17.12
    Confidence Interval (2-Sided) 95%
    -23.79 to -10.44
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.40
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -15.58
    Confidence Interval (2-Sided) 95%
    -22.15 to -9.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.34
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -11.05
    Confidence Interval (2-Sided) 95%
    -17.65 to -4.44
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.36
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -13.02
    Confidence Interval (2-Sided) 95%
    -19.54 to -6.50
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.32
    Estimation Comments Adjusted for baseline using MMRM
    16. Secondary Outcome
    Title Frequency of Moderate to Severe Vasomotor Symptoms - Week 10 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 10. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 10

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 126 133 129 140 118
    Mean (Standard Deviation) [weekly hot flushes]
    -53.2
    (32.58)
    -51.9
    (32.79)
    -49.0
    (30.24)
    -50.6
    (33.36)
    -37.1
    (29.74)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -16.80
    Confidence Interval (2-Sided) 95%
    -23.58 to -10.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.45
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -15.66
    Confidence Interval (2-Sided) 95%
    -22.32 to -8.99
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.40
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -11.20
    Confidence Interval (2-Sided) 95%
    -17.90 to -4.49
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.41
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -12.16
    Confidence Interval (2-Sided) 95%
    -18.78 to -5.55
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.37
    Estimation Comments Adjusted for baseline using MMRM
    17. Secondary Outcome
    Title Frequency of Moderate to Severe Vasomotor Symptoms - Week 11 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 11. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 11

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 126 134 129 137 118
    Mean (Standard Deviation) [weekly hot flushes]
    -53.7
    (32.21)
    -52.0
    (31.24)
    -49.4
    (30.71)
    -50.9
    (34.33)
    -36.7
    (30.32)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -18.11
    Confidence Interval (2-Sided) 95%
    -24.92 to -11.29
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.47
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -16.45
    Confidence Interval (2-Sided) 95%
    -23.17 to -9.74
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.42
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -12.41
    Confidence Interval (2-Sided) 95%
    -19.15 to -5.66
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.44
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -13.60
    Confidence Interval (2-Sided) 95%
    -20.26 to -6.93
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.39
    Estimation Comments Adjusted for baseline using MMRM
    18. Secondary Outcome
    Title Frequency of Moderate to Severe Vasomotor Symptoms - Week 12 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 129 124 135 115
    Mean (Standard Deviation) [weekly hot flushes]
    -55.1
    (31.36)
    -53.7
    (31.93)
    -50.2
    (31.35)
    -52.4
    (33.90)
    -40.2
    (29.79)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -16.58
    Confidence Interval (2-Sided) 95%
    -23.33 to -9.82
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.44
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -15.07
    Confidence Interval (2-Sided) 95%
    -21.72 to -8.42
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.39
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -10.79
    Confidence Interval (2-Sided) 95%
    -17.48 to -4.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.41
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -11.71
    Confidence Interval (2-Sided) 95%
    -18.31 to -5.11
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.36
    Estimation Comments Adjusted for baseline using MMRM
    19. Secondary Outcome
    Title Severity of Moderate to Severe Vasomotor Symptoms - Week 1 (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 1. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 1

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 138 149 145 154 134
    Mean (Standard Deviation) [scores on a scale]
    -0.24
    (0.305)
    -0.25
    (0.270)
    -0.23
    (0.264)
    -0.25
    (0.327)
    -0.25
    (0.257)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.801
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.01
    Confidence Interval (2-Sided) 95%
    -0.06 to 0.08
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.034
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.991
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.00
    Confidence Interval (2-Sided) 95%
    -0.07 to 0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.034
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.642
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.02
    Confidence Interval (2-Sided) 95%
    -0.05 to 0.08
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.034
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.928
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.00
    Confidence Interval (2-Sided) 95%
    -0.07 to 0.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.034
    Estimation Comments Adjusted for baseline using MMRM
    20. Secondary Outcome
    Title Severity of Moderate to Severe Vasomotor Symptoms - Week 2 (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 2. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 2

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 134 146 145 153 133
    Mean (Standard Deviation) [scores on a scale]
    -0.34
    (0.411)
    -0.34
    (0.390)
    -0.27
    (0.354)
    -0.29
    (0.314)
    -0.28
    (0.310)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.231
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.05
    Confidence Interval (2-Sided) 95%
    -0.14 to 0.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.043
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.173
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.06
    Confidence Interval (2-Sided) 95%
    -0.14 to 0.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.042
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.717
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.02
    Confidence Interval (2-Sided) 95%
    -0.07 to 0.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.042
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.849
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.01
    Confidence Interval (2-Sided) 95%
    -0.09 to 0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.042
    Estimation Comments Adjusted for baseline using MMRM
    21. Secondary Outcome
    Title Severity of Moderate to Severe Vasomotor Symptoms - Week 3 (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 3. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 3

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 136 144 144 153 131
    Mean (Standard Deviation) [scores on a scale]
    -0.43
    (0.514)
    -0.44
    (0.437)
    -0.32
    (0.410)
    -0.37
    (0.424)
    -0.32
    (0.372)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.039
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.11
    Confidence Interval (2-Sided) 95%
    -0.21 to -0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.052
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.030
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.11
    Confidence Interval (2-Sided) 95%
    -0.21 to -0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.052
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.946
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.00
    Confidence Interval (2-Sided) 95%
    -0.10 to 0.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.052
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.309
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.05
    Confidence Interval (2-Sided) 95%
    -0.15 to 0.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.051
    Estimation Comments Adjusted for baseline using MMRM
    22. Secondary Outcome
    Title Severity of Moderate to Severe Vasomotor Symptoms - Week 4 (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 4

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 134 144 142 152 126
    Mean (Standard Deviation) [scores on a scale]
    -0.48
    (0.547)
    -0.51
    (0.563)
    -0.40
    (0.469)
    -0.44
    (0.514)
    -0.34
    (0.386)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.031
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.13
    Confidence Interval (2-Sided) 95%
    -0.25 to -0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.061
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.005
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.17
    Confidence Interval (2-Sided) 95%
    -0.28 to -0.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.060
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.401
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.05
    Confidence Interval (2-Sided) 95%
    -0.17 to 0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.060
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.100
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.10
    Confidence Interval (2-Sided) 95%
    -0.21 to 0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.059
    Estimation Comments Adjusted for baseline using MMRM
    23. Secondary Outcome
    Title Severity of Moderate to Severe Vasomotor Symptoms - Week 5 (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 5. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 5

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 131 143 139 147 124
    Mean (Standard Deviation) [scores on a scale]
    -0.64
    (0.702)
    -0.56
    (0.558)
    -0.44
    (0.463)
    -0.53
    (0.610)
    -0.42
    (0.551)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.23
    Confidence Interval (2-Sided) 95%
    -0.37 to -0.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.071
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.034
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.15
    Confidence Interval (2-Sided) 95%
    -0.28 to -0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.070
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.790
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.02
    Confidence Interval (2-Sided) 95%
    -0.16 to 0.12
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.070
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.086
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.12
    Confidence Interval (2-Sided) 95%
    -0.25 to 0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.069
    Estimation Comments Adjusted for baseline using MMRM
    24. Secondary Outcome
    Title Severity of Moderate to Severe Vasomotor Symptoms - Week 6 (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 6. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 132 143 139 146 123
    Mean (Standard Deviation) [scores on a scale]
    -0.80
    (0.840)
    -0.61
    (0.640)
    -0.54
    (0.578)
    -0.63
    (0.763)
    -0.45
    (0.573)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.36
    Confidence Interval (2-Sided) 95%
    -0.53 to -0.20
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.084
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.030
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.18
    Confidence Interval (2-Sided) 95%
    -0.34 to -0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.083
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.247
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.10
    Confidence Interval (2-Sided) 95%
    -0.26 to 0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.083
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.022
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.19
    Confidence Interval (2-Sided) 95%
    -0.35 to -0.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.082
    Estimation Comments Adjusted for baseline using MMRM
    25. Secondary Outcome
    Title Severity of Moderate to Severe Vasomotor Symptoms - Week 7 (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 7. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 7

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 130 142 139 147 120
    Mean (Standard Deviation) [scores on a scale]
    -0.81
    (0.793)
    -0.69
    (0.694)
    -0.63
    (0.637)
    -0.64
    (0.764)
    -0.44
    (0.483)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.37
    Confidence Interval (2-Sided) 95%
    -0.54 to -0.20
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.085
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.25
    Confidence Interval (2-Sided) 95%
    -0.42 to -0.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.083
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.031
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.18
    Confidence Interval (2-Sided) 95%
    -0.34 to -0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.084
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.016
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.20
    Confidence Interval (2-Sided) 95%
    -0.36 to -0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.083
    Estimation Comments Adjusted for baseline using MMRM
    26. Secondary Outcome
    Title Severity of Moderate to Severe Vasomotor Symptoms - Week 8 (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 8. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 8

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 129 140 137 147 120
    Mean (Standard Deviation) [scores on a scale]
    -0.88
    (0.854)
    -0.70
    (0.642)
    -0.65
    (0.685)
    -0.64
    (0.745)
    -0.51
    (0.563)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.38
    Confidence Interval (2-Sided) 95%
    -0.55 to -0.21
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.087
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.008
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.23
    Confidence Interval (2-Sided) 95%
    -0.40 to -0.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.086
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.087
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.15
    Confidence Interval (2-Sided) 95%
    -0.32 to 0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.086
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.092
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.14
    Confidence Interval (2-Sided) 95%
    -0.31 to 0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.085
    Estimation Comments Adjusted for baseline using MMRM
    27. Secondary Outcome
    Title Severity of Moderate to Severe Vasomotor Symptoms - Week 9 (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 9. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 9

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 137 132 141 119
    Mean (Standard Deviation) [scores on a scale]
    -0.96
    (0.892)
    -0.74
    (0.699)
    -0.73
    (0.720)
    -0.71
    (0.772)
    -0.48
    (0.536)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.48
    Confidence Interval (2-Sided) 95%
    -0.66 to -0.30
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.092
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.29
    Confidence Interval (2-Sided) 95%
    -0.47 to -0.12
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.090
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.009
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.24
    Confidence Interval (2-Sided) 95%
    -0.42 to -0.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.091
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.007
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.24
    Confidence Interval (2-Sided) 95%
    -0.42 to -0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.090
    Estimation Comments Adjusted for baseline using MMRM
    28. Secondary Outcome
    Title Severity of Moderate to Severe Vasomotor Symptoms - Week 10 (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 10. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 10

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 126 133 129 140 118
    Mean (Standard Deviation) [scores on a scale]
    -1.05
    (0.953)
    -0.77
    (0.727)
    -0.78
    (0.769)
    -0.62
    (0.739)
    -0.53
    (0.575)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.52
    Confidence Interval (2-Sided) 95%
    -0.71 to -0.33
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.096
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.28
    Confidence Interval (2-Sided) 95%
    -0.46 to -0.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.094
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.016
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.23
    Confidence Interval (2-Sided) 95%
    -0.41 to -0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.095
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.310
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.10
    Confidence Interval (2-Sided) 95%
    -0.28 to 0.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.094
    Estimation Comments Adjusted for baseline using MMRM
    29. Secondary Outcome
    Title Severity of Moderate to Severe Vasomotor Symptoms - Week 11 (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 11. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 11

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 126 134 129 137 118
    Mean (Standard Deviation) [scores on a scale]
    -1.04
    (0.931)
    -0.86
    (0.777)
    -0.78
    (0.782)
    -0.68
    (0.767)
    -0.54
    (0.566)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.53
    Confidence Interval (2-Sided) 95%
    -0.72 to -0.34
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.098
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.37
    Confidence Interval (2-Sided) 95%
    -0.56 to -0.19
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.096
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.011
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.25
    Confidence Interval (2-Sided) 95%
    -0.44 to -0.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.097
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.076
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.17
    Confidence Interval (2-Sided) 95%
    -0.36 to 0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.096
    Estimation Comments Adjusted for baseline using MMRM
    30. Secondary Outcome
    Title Severity of Moderate to Severe Vasomotor Symptoms - Week 12 (MITT-VMS)
    Description Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 129 124 135 115
    Mean (Standard Deviation) [scores on a scale]
    -1.12
    (0.963)
    -0.90
    (0.783)
    -0.76
    (0.744)
    -0.71
    (0.806)
    -0.56
    (0.603)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.57
    Confidence Interval (2-Sided) 95%
    -0.77 to -0.38
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.100
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.39
    Confidence Interval (2-Sided) 95%
    -0.59 to -0.20
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.099
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.018
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.24
    Confidence Interval (2-Sided) 95%
    -0.43 to -0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.100
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.096
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.16
    Confidence Interval (2-Sided) 95%
    -0.36 to 0.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.098
    Estimation Comments Adjusted for baseline using MMRM
    31. Secondary Outcome
    Title Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 1 (MITT-VMS)
    Description Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 1. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.
    Time Frame Baseline and Week 1

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 138 149 145 154 134
    Mean (Standard Deviation) [weekly hot flushes]
    -12.9
    (22.12)
    -12.4
    (23.94)
    -12.5
    (24.62)
    -17.7
    (27.78)
    -12.2
    (23.76)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.865
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.49
    Confidence Interval (2-Sided) 95%
    -5.16 to 6.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.88
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.847
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.55
    Confidence Interval (2-Sided) 95%
    -5.01 to 6.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.83
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.463
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2.09
    Confidence Interval (2-Sided) 95%
    -3.50 to 7.68
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.85
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.207
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.55
    Confidence Interval (2-Sided) 95%
    -9.07 to 1.97
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.81
    Estimation Comments Adjusted for baseline using MMRM
    32. Secondary Outcome
    Title Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 2 (MITT-VMS)
    Description Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 2. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.
    Time Frame Baseline and Week 2

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 134 146 145 153 133
    Mean (Standard Deviation) [weekly hot flushes]
    -28.2
    (29.45)
    -22.4
    (30.53)
    -21.8
    (31.66)
    -27.8
    (32.35)
    -21.7
    (27.45)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.140
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.07
    Confidence Interval (2-Sided) 95%
    -11.80 to 1.67
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.43
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.982
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.08
    Confidence Interval (2-Sided) 95%
    -6.70 to 6.55
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.38
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.492
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2.33
    Confidence Interval (2-Sided) 95%
    -4.32 to 8.98
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.39
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.216
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.14
    Confidence Interval (2-Sided) 95%
    -10.72 to 2.43
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.35
    Estimation Comments Adjusted for baseline using MMRM
    33. Secondary Outcome
    Title Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 3 (MITT-VMS)
    Description Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 3. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.
    Time Frame Baseline and Week 3

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 136 144 144 153 131
    Mean (Standard Deviation) [weekly hot flushes]
    -37.4
    (32.33)
    -30.7
    (32.00)
    -31.3
    (30.79)
    -35.6
    (33.52)
    -25.8
    (30.41)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -10.38
    Confidence Interval (2-Sided) 95%
    -17.26 to -3.50
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.50
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.277
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.75
    Confidence Interval (2-Sided) 95%
    -10.53 to 3.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.45
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.394
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.95
    Confidence Interval (2-Sided) 95%
    -9.75 to 3.84
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.46
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.022
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.86
    Confidence Interval (2-Sided) 95%
    -14.58 to -1.15
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.42
    Estimation Comments Adjusted for baseline using MMRM
    34. Secondary Outcome
    Title Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 4 (MITT-VMS)
    Description Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.
    Time Frame Baseline and Week 4

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 134 144 142 152 126
    Mean (Standard Deviation) [weekly hot flushes]
    -44.4
    (34.53)
    -37.7
    (35.38)
    -35.4
    (34.58)
    -41.5
    (37.40)
    -26.8
    (30.52)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -15.32
    Confidence Interval (2-Sided) 95%
    -22.75 to -7.89
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.78
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.017
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -8.92
    Confidence Interval (2-Sided) 95%
    -16.24 to -1.60
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.73
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.223
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.56
    Confidence Interval (2-Sided) 95%
    -11.90 to 2.78
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.74
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -11.32
    Confidence Interval (2-Sided) 95%
    -18.57 to -4.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.69
    Estimation Comments Adjusted for baseline using MMRM
    35. Secondary Outcome
    Title Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 5 (MITT-VMS)
    Description Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 5. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.
    Time Frame Baseline and Week 5

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 131 143 139 147 124
    Mean (Standard Deviation) [weekly hot flushes]
    -49.9
    (33.86)
    -42.3
    (34.15)
    -40.1
    (32.52)
    -46.8
    (39.88)
    -33.3
    (33.49)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -17.47
    Confidence Interval (2-Sided) 95%
    -24.65 to -10.28
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.66
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.005
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -10.26
    Confidence Interval (2-Sided) 95%
    -17.33 to -3.18
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.60
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.087
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.21
    Confidence Interval (2-Sided) 95%
    -13.31 to 0.89
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.62
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -12.66
    Confidence Interval (2-Sided) 95%
    -19.68 to -5.65
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.57
    Estimation Comments Adjusted for baseline using MMRM
    36. Secondary Outcome
    Title Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 6 (MITT-VMS)
    Description Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 6. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.
    Time Frame Baseline and Week 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 132 143 139 146 123
    Mean (Standard Deviation) [weekly hot flushes]
    -53.9
    (35.34)
    -44.9
    (36.12)
    -43.0
    (34.84)
    -49.4
    (40.28)
    -34.1
    (33.32)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -20.32
    Confidence Interval (2-Sided) 95%
    -27.77 to -12.87
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.80
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -12.61
    Confidence Interval (2-Sided) 95%
    -19.95 to -5.28
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.73
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.027
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -8.33
    Confidence Interval (2-Sided) 95%
    -15.70 to -0.96
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.75
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -13.85
    Confidence Interval (2-Sided) 95%
    -21.13 to -6.58
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.71
    Estimation Comments Adjusted for baseline using MMRM
    37. Secondary Outcome
    Title Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 7 (MITT-VMS)
    Description Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 7. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.
    Time Frame Baseline and Week 7

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 130 142 139 147 120
    Mean (Standard Deviation) [weekly hot flushes]
    -56.1
    (34.55)
    -48.8
    (36.92)
    -47.2
    (34.39)
    -51.5
    (39.69)
    -33.4
    (33.71)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -21.45
    Confidence Interval (2-Sided) 95%
    -28.87 to -14.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.78
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -16.10
    Confidence Interval (2-Sided) 95%
    -23.39 to -8.80
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.71
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -12.01
    Confidence Interval (2-Sided) 95%
    -19.34 to -4.68
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.73
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -15.73
    Confidence Interval (2-Sided) 95%
    -22.97 to -8.49
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.69
    Estimation Comments Adjusted for baseline using MMRM
    38. Secondary Outcome
    Title Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 8 (MITT-VMS)
    Description Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 8. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.
    Time Frame Baseline and Week 8

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 129 140 137 147 120
    Mean (Standard Deviation) [weekly hot flushes]
    -57.1
    (35.91)
    -50.6
    (37.73)
    -49.5
    (34.34)
    -52.4
    (40.65)
    -36.9
    (35.53)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -20.52
    Confidence Interval (2-Sided) 95%
    -28.06 to -12.97
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.84
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -15.37
    Confidence Interval (2-Sided) 95%
    -22.80 to -7.95
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.78
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -11.49
    Confidence Interval (2-Sided) 95%
    -18.95 to -4.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.80
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -13.82
    Confidence Interval (2-Sided) 95%
    -21.19 to -6.46
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.75
    Estimation Comments Adjusted for baseline using MMRM
    39. Secondary Outcome
    Title Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 9 (MITT-VMS)
    Description Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 9. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.
    Time Frame Baseline and Week 9

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 137 132 141 119
    Mean (Standard Deviation) [weekly hot flushes]
    -57.6
    (36.43)
    -54.7
    (38.76)
    -52.8
    (33.68)
    -54.5
    (41.89)
    -38.3
    (35.04)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -20.34
    Confidence Interval (2-Sided) 95%
    -27.93 to -12.74
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.87
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -17.92
    Confidence Interval (2-Sided) 95%
    -25.39 to -10.45
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.80
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -12.97
    Confidence Interval (2-Sided) 95%
    -20.49 to -5.46
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.82
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -14.28
    Confidence Interval (2-Sided) 95%
    -21.70 to -6.87
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.78
    Estimation Comments Adjusted for baseline using MMRM
    40. Secondary Outcome
    Title Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 10 (MITT-VMS)
    Description Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 10. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.
    Time Frame Baseline and Week 10

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 126 133 129 140 118
    Mean (Standard Deviation) [weekly hot flushes]
    -58.5
    (36.86)
    -56.1
    (39.97)
    -53.7
    (34.39)
    -55.7
    (41.55)
    -38.3
    (35.52)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -21.01
    Confidence Interval (2-Sided) 95%
    -28.72 to -13.29
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.93
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -18.37
    Confidence Interval (2-Sided) 95%
    -25.96 to -10.78
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.87
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -13.03
    Confidence Interval (2-Sided) 95%
    -20.66 to -5.39
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.89
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -14.65
    Confidence Interval (2-Sided) 95%
    -22.19 to -7.12
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.84
    Estimation Comments Adjusted for baseline using MMRM
    41. Secondary Outcome
    Title Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 11 (MITT-VMS)
    Description Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 11. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.
    Time Frame Baseline and Week 11

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 126 134 129 137 118
    Mean (Standard Deviation) [weekly hot flushes]
    -58.8
    (36.58)
    -57.0
    (38.81)
    -54.2
    (34.38)
    -56.1
    (42.45)
    -38.4
    (35.85)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -21.83
    Confidence Interval (2-Sided) 95%
    -29.57 to -14.08
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.94
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -19.40
    Confidence Interval (2-Sided) 95%
    -27.02 to -11.77
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.88
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -13.98
    Confidence Interval (2-Sided) 95%
    -21.65 to -6.32
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.90
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -15.66
    Confidence Interval (2-Sided) 95%
    -23.23 to -8.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.85
    Estimation Comments Adjusted for baseline using MMRM
    42. Secondary Outcome
    Title Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 12 (MITT-VMS)
    Description Mean change in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of mild, moderate and severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of mild, moderate and severe hot flushes for the subject week.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 129 124 135 115
    Mean (Standard Deviation) [weekly hot flushes]
    -60.3
    (36.42)
    -58.8
    (39.59)
    -54.8
    (34.94)
    -57.0
    (41.71)
    -41.7
    (36.35)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -20.61
    Confidence Interval (2-Sided) 95%
    -28.32 to -12.89
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.93
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -18.24
    Confidence Interval (2-Sided) 95%
    -25.84 to -10.65
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.87
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -12.62
    Confidence Interval (2-Sided) 95%
    -20.26 to -4.98
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.89
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -13.97
    Confidence Interval (2-Sided) 95%
    -21.51 to -6.43
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.84
    Estimation Comments Adjusted for baseline using MMRM
    43. Secondary Outcome
    Title Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 1 (MITT-VMS)
    Description Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 1. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 1

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 138 149 145 154 134
    Mean (Standard Deviation) [scores on a scale]
    -0.06
    (0.211)
    -0.05
    (0.206)
    -0.02
    (0.197)
    -0.08
    (0.305)
    -0.07
    (0.200)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.676
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.01
    Confidence Interval (2-Sided) 95%
    -0.04 to 0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.027
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.436
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.02
    Confidence Interval (2-Sided) 95%
    -0.03 to 0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.027
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.106
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.04
    Confidence Interval (2-Sided) 95%
    -0.01 to 0.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.027
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.752
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 1
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.01
    Confidence Interval (2-Sided) 95%
    -0.06 to 0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.027
    Estimation Comments Adjusted for baseline using MMRM
    44. Secondary Outcome
    Title Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 2 (MITT-VMS)
    Description Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 2. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 2

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 134 146 145 153 133
    Mean (Standard Deviation) [scores on a scale]
    -0.16
    (0.349)
    -0.14
    (0.342)
    -0.06
    (0.309)
    -0.12
    (0.288)
    -0.11
    (0.275)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.193
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.05
    Confidence Interval (2-Sided) 95%
    -0.12 to 0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.038
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.319
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.04
    Confidence Interval (2-Sided) 95%
    -0.11 to 0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.037
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.239
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.04
    Confidence Interval (2-Sided) 95%
    -0.03 to 0.12
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.037
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.720
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 2
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.01
    Confidence Interval (2-Sided) 95%
    -0.09 to 0.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.037
    Estimation Comments Adjusted for baseline using MMRM
    45. Secondary Outcome
    Title Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 3 (MITT-VMS)
    Description Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 3. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 3

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 136 144 144 153 131
    Mean (Standard Deviation) [scores on a scale]
    -0.25
    (0.480)
    -0.24
    (0.402)
    -0.11
    (0.379)
    -0.20
    (0.412)
    -0.15
    (0.350)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.030
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.11
    Confidence Interval (2-Sided) 95%
    -0.20 to -0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.049
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.060
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.09
    Confidence Interval (2-Sided) 95%
    -0.19 to 0.00
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.048
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.506
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.03
    Confidence Interval (2-Sided) 95%
    -0.06 to 0.13
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.048
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.232
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 3
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.06
    Confidence Interval (2-Sided) 95%
    -0.15 to 0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.048
    Estimation Comments Adjusted for baseline using MMRM
    46. Secondary Outcome
    Title Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 4 (MITT-VMS)
    Description Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 4

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 134 144 142 152 126
    Mean (Standard Deviation) [scores on a scale]
    -0.31
    (0.527)
    -0.31
    (0.540)
    -0.19
    (0.434)
    -0.27
    (0.507)
    -0.17
    (0.368)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.027
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.13
    Confidence Interval (2-Sided) 95%
    -0.24 to -0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.058
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.011
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.15
    Confidence Interval (2-Sided) 95%
    -0.26 to -0.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.057
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.710
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.02
    Confidence Interval (2-Sided) 95%
    -0.13 to 0.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.057
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.072
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 4
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.10
    Confidence Interval (2-Sided) 95%
    -0.21 to 0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.057
    Estimation Comments Adjusted for baseline using MMRM
    47. Secondary Outcome
    Title Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 5 (MITT-VMS)
    Description Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 5. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 5

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 131 143 139 147 124
    Mean (Standard Deviation) [scores on a scale]
    -0.46
    (0.680)
    -0.37
    (0.546)
    -0.23
    (0.441)
    -0.36
    (0.619)
    -0.24
    (0.524)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.23
    Confidence Interval (2-Sided) 95%
    -0.36 to -0.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.069
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.062
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.13
    Confidence Interval (2-Sided) 95%
    -0.26 to 0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.068
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.886
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.01
    Confidence Interval (2-Sided) 95%
    -0.12 to 0.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.068
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.067
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 5
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.12
    Confidence Interval (2-Sided) 95%
    -0.26 to 0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.067
    Estimation Comments Adjusted for baseline using MMRM
    48. Secondary Outcome
    Title Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 6 (MITT-VMS)
    Description Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 6. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 132 143 139 146 123
    Mean (Standard Deviation) [scores on a scale]
    -0.62
    (0.835)
    -0.42
    (0.627)
    -0.33
    (0.588)
    -0.46
    (0.775)
    -0.27
    (0.548)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.36
    Confidence Interval (2-Sided) 95%
    -0.53 to -0.20
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.084
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.053
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.16
    Confidence Interval (2-Sided) 95%
    -0.32 to 0.00
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.082
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.413
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.07
    Confidence Interval (2-Sided) 95%
    -0.23 to 0.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.083
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.018
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.19
    Confidence Interval (2-Sided) 95%
    -0.35 to -0.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.082
    Estimation Comments Adjusted for baseline using MMRM
    49. Secondary Outcome
    Title Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 7 (MITT-VMS)
    Description Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 7. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 7

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 130 142 139 147 120
    Mean (Standard Deviation) [scores on a scale]
    -0.65
    (0.798)
    -0.50
    (0.687)
    -0.42
    (0.660)
    -0.47
    (0.773)
    -0.27
    (0.469)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.37
    Confidence Interval (2-Sided) 95%
    -0.54 to -0.20
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.085
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.23
    Confidence Interval (2-Sided) 95%
    -0.40 to -0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.083
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.072
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.15
    Confidence Interval (2-Sided) 95%
    -0.32 to 0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.084
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.014
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 7
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.20
    Confidence Interval (2-Sided) 95%
    -0.37 to -0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.083
    Estimation Comments Adjusted for baseline using MMRM
    50. Secondary Outcome
    Title Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 8 (MITT-VMS)
    Description Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 8. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 8

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 129 140 137 147 120
    Mean (Standard Deviation) [scores on a scale]
    -0.70
    (0.858)
    -0.51
    (0.633)
    -0.44
    (0.701)
    -0.47
    (0.750)
    -0.33
    (0.545)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.38
    Confidence Interval (2-Sided) 95%
    -0.55 to -0.21
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.087
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.016
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.21
    Confidence Interval (2-Sided) 95%
    -0.37 to -0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.085
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.169
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.12
    Confidence Interval (2-Sided) 95%
    -0.29 to 0.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.086
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.081
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 8
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.15
    Confidence Interval (2-Sided) 95%
    -0.31 to 0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.085
    Estimation Comments Adjusted for baseline using MMRM
    51. Secondary Outcome
    Title Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 9 (MITT-VMS)
    Description Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 9. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 9

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 137 132 141 119
    Mean (Standard Deviation) [scores on a scale]
    -0.78
    (0.909)
    -0.55
    (0.708)
    -0.51
    (0.735)
    -0.54
    (0.780)
    -0.31
    (0.515)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.48
    Confidence Interval (2-Sided) 95%
    -0.66 to -0.30
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.092
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.27
    Confidence Interval (2-Sided) 95%
    -0.45 to -0.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.091
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.022
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.21
    Confidence Interval (2-Sided) 95%
    -0.39 to -0.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.091
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 9
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.25
    Confidence Interval (2-Sided) 95%
    -0.43 to -0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.090
    Estimation Comments Adjusted for baseline using MMRM
    52. Secondary Outcome
    Title Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 10 (MITT-VMS)
    Description Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 10. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 10

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 126 133 129 140 118
    Mean (Standard Deviation) [scores on a scale]
    -0.87
    (0.970)
    -0.58
    (0.731)
    -0.57
    (0.785)
    -0.45
    (0.754)
    -0.35
    (0.557)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.52
    Confidence Interval (2-Sided) 95%
    -0.71 to -0.33
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.096
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.007
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.26
    Confidence Interval (2-Sided) 95%
    -0.44 to -0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.095
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.038
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.20
    Confidence Interval (2-Sided) 95%
    -0.39 to -0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.095
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.283
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 10
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.10
    Confidence Interval (2-Sided) 95%
    -0.29 to 0.08
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.094
    Estimation Comments Adjusted for baseline using MMRM
    53. Secondary Outcome
    Title Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 11 (MITT-VMS)
    Description Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 11. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 11

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 126 134 129 137 118
    Mean (Standard Deviation) [scores on a scale]
    -0.86
    (0.950)
    -0.67
    (0.788)
    -0.56
    (0.800)
    -0.50
    (0.776)
    -0.36
    (0.543)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.53
    Confidence Interval (2-Sided) 95%
    -0.72 to -0.34
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.099
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.35
    Confidence Interval (2-Sided) 95%
    -0.54 to -0.16
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.097
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.027
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.22
    Confidence Interval (2-Sided) 95%
    -0.41 to -0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.098
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.071
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 11
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.17
    Confidence Interval (2-Sided) 95%
    -0.36 to 0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.096
    Estimation Comments Adjusted for baseline using MMRM
    54. Secondary Outcome
    Title Severity of Mild, Moderate and Severe Vasomotor Symptoms - Week 12 (MITT-VMS)
    Description Mean change in severity of mild, moderate and severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score =(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days). On Treatment Weekly Severity Score = [(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3] / (total number of mild, moderate and severe hot flushes over 7 days).
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 129 124 135 115
    Mean (Standard Deviation) [scores on a scale]
    -0.94
    (0.986)
    -0.71
    (0.784)
    -0.54
    (0.761)
    -0.54
    (0.824)
    -0.39
    (0.585)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.57
    Confidence Interval (2-Sided) 95%
    -0.77 to -0.37
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.101
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.37
    Confidence Interval (2-Sided) 95%
    -0.57 to -0.18
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.100
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.039
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.21
    Confidence Interval (2-Sided) 95%
    -0.40 to -0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.100
    Estimation Comments Adjusted for baseline using MMRM
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.088
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.17
    Confidence Interval (2-Sided) 95%
    -0.36 to 0.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.099
    Estimation Comments Adjusted for baseline using MMRM
    55. Secondary Outcome
    Title Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 1 (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe VMS from Baseline to Week 1.
    Time Frame Baseline and Week 1

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 137 149 145 154 134
    >=50% Reduction
    15
    3.6%
    17
    4%
    15
    3.6%
    25
    5.9%
    16
    10.6%
    >=75% Reduction
    3
    0.7%
    4
    0.9%
    4
    1%
    5
    1.2%
    1
    0.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.850
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.622
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.374
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.706
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.372
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.316
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.221
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    56. Secondary Outcome
    Title Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 2 (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 2.
    Time Frame Baseline and Week 2

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 133 146 145 153 133
    >=50% Reduction
    44
    10.6%
    35
    8.3%
    34
    8.1%
    49
    11.6%
    35
    23.2%
    >=75% Reduction
    21
    5.1%
    12
    2.8%
    15
    3.6%
    20
    4.7%
    6
    4%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.283
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.680
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.232
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.677
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.073
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.301
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.013
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    57. Secondary Outcome
    Title Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 3 (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 3.
    Time Frame Baseline and Week 3

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 135 144 144 153 131
    >=50% Reduction
    68
    16.4%
    59
    13.9%
    54
    12.8%
    71
    16.7%
    42
    27.8%
    >=75% Reduction
    38
    9.2%
    24
    5.7%
    21
    5%
    29
    6.8%
    15
    9.9%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.135
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.231
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.377
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.478
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.015
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.100
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    58. Secondary Outcome
    Title Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 4 (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 4.
    Time Frame Baseline and Week 4

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 133 144 142 152 126
    >=50% Reduction
    82
    19.8%
    70
    16.5%
    74
    17.6%
    81
    19.1%
    41
    27.2%
    >=75% Reduction
    55
    13.3%
    34
    8%
    32
    7.6%
    45
    10.6%
    15
    9.9%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.009
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.017
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.025
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    59. Secondary Outcome
    Title Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 5 (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 5.
    Time Frame Baseline and Week 5

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 130 143 139 147 124
    >=50% Reduction
    93
    22.4%
    80
    18.9%
    74
    17.6%
    90
    21.2%
    55
    36.4%
    >=75% Reduction
    55
    13.3%
    47
    11.1%
    38
    9%
    54
    12.7%
    27
    17.9%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.066
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.055
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.174
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.319
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.007
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.008
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    60. Secondary Outcome
    Title Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 6 (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 6.
    Time Frame Baseline and Week 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 131 143 139 146 123
    >=50% Reduction
    98
    23.6%
    85
    20%
    82
    19.5%
    95
    22.4%
    55
    36.4%
    >=75% Reduction
    68
    16.4%
    51
    12%
    47
    11.2%
    56
    13.2%
    30
    19.9%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.019
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.061
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.026
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.104
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.018
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    61. Secondary Outcome
    Title Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 7 (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 7.
    Time Frame Baseline and Week 7

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 129 142 139 147 120
    >=50% Reduction
    96
    23.1%
    93
    21.9%
    88
    20.9%
    101
    23.8%
    58
    38.4%
    >=75% Reduction
    71
    17.1%
    63
    14.9%
    56
    13.3%
    58
    13.7%
    32
    21.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.017
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.025
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.037
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    62. Secondary Outcome
    Title Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 8 (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 8.
    Time Frame Baseline and Week 8

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 129 140 137 147 120
    >=50% Reduction
    102
    24.6%
    98
    23.1%
    90
    21.4%
    100
    23.6%
    60
    39.7%
    >=75% Reduction
    78
    18.8%
    64
    15.1%
    59
    14%
    62
    14.6%
    37
    24.5%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.016
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.012
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.053
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.074
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    63. Secondary Outcome
    Title Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 9 (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 9.
    Time Frame Baseline and Week 9

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 137 132 141 119
    >=50% Reduction
    98
    23.6%
    107
    25.2%
    92
    21.9%
    101
    23.8%
    63
    41.7%
    >=75% Reduction
    72
    17.3%
    73
    17.2%
    63
    15%
    63
    14.9%
    35
    23.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.009
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.015
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    64. Secondary Outcome
    Title Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 10 (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 10.
    Time Frame Baseline and Week 10

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 126 133 129 140 118
    >=50% Reduction
    95
    22.9%
    102
    24.1%
    100
    23.8%
    101
    23.8%
    68
    45%
    >=75% Reduction
    78
    18.8%
    69
    16.3%
    62
    14.7%
    64
    15.1%
    37
    24.5%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.009
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.018
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.021
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    65. Secondary Outcome
    Title Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 11 (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 11.
    Time Frame Baseline and Week 11

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 126 134 129 137 118
    >=50% Reduction
    95
    22.9%
    105
    24.8%
    97
    23%
    104
    24.5%
    59
    39.1%
    >=75% Reduction
    79
    19%
    74
    17.5%
    65
    15.4%
    68
    16%
    34
    22.5%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    66. Secondary Outcome
    Title Reduction of Frequency of Moderate to Severe Vasomotor Symptoms - Week 12 (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of moderate to severe vasomotor symptoms from Baseline to Week 12.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 129 124 135 115
    >=50% Reduction
    98
    23.6%
    104
    24.5%
    94
    22.3%
    99
    23.3%
    67
    44.4%
    >=75% Reduction
    84
    20.2%
    75
    17.7%
    66
    15.7%
    68
    16%
    37
    24.5%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.015
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.005
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    67. Secondary Outcome
    Title Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 1 - (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 1.
    Time Frame Baseline and Week 1

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 138 149 145 154 134
    >=50% Reduction
    14
    3.4%
    10
    2.4%
    12
    2.9%
    19
    4.5%
    10
    6.6%
    >=75% Reduction
    2
    0.5%
    2
    0.5%
    1
    0.2%
    4
    0.9%
    1
    0.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.523
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.821
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.828
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.239
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.377
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 1
    Method Fisher Exact
    Comments
    68. Secondary Outcome
    Title Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 2 - (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 2.
    Time Frame Baseline and Week 2

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 134 146 145 153 133
    >=50% Reduction
    36
    8.7%
    24
    5.7%
    30
    7.1%
    39
    9.2%
    21
    13.9%
    >=75% Reduction
    15
    3.6%
    7
    1.7%
    9
    2.1%
    17
    4%
    4
    2.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.036
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.015
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.546
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.352
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.261
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.058
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.011
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 2
    Method Fisher Exact
    Comments
    69. Secondary Outcome
    Title Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 3 - (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 3.
    Time Frame Baseline and Week 3

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 136 144 144 153 131
    >=50% Reduction
    63
    15.2%
    49
    11.6%
    50
    11.9%
    61
    14.4%
    33
    21.9%
    >=75% Reduction
    33
    8%
    14
    3.3%
    15
    3.6%
    22
    5.2%
    6
    4%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.115
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.110
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.089
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.074
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.011
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.008
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 3
    Method Fisher Exact
    Comments
    70. Secondary Outcome
    Title Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 4 - (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 4.
    Time Frame Baseline and Week 4

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 134 144 142 152 126
    >=50% Reduction
    80
    19.3%
    62
    14.6%
    65
    15.4%
    73
    17.2%
    35
    23.2%
    >=75% Reduction
    44
    10.6%
    28
    6.6%
    24
    5.7%
    33
    7.8%
    6
    4%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.011
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    71. Secondary Outcome
    Title Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 5 - (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 5.
    Time Frame Baseline and Week 5

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 131 143 139 147 124
    >=50% Reduction
    86
    20.7%
    72
    17%
    69
    16.4%
    82
    19.3%
    47
    31.1%
    >=75% Reduction
    48
    11.6%
    34
    8%
    27
    6.4%
    37
    8.7%
    13
    8.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.048
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.063
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.058
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 5
    Method Fisher Exact
    Comments
    72. Secondary Outcome
    Title Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 6 - (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 6.
    Time Frame Baseline and Week 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 132 143 139 146 123
    >=50% Reduction
    92
    22.2%
    78
    18.4%
    76
    18.1%
    83
    19.6%
    52
    34.4%
    >=75% Reduction
    61
    14.7%
    39
    9.2%
    39
    9.3%
    43
    10.1%
    16
    10.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.050
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.048
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.020
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 6
    Method Fisher Exact
    Comments
    73. Secondary Outcome
    Title Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 7 - (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 7.
    Time Frame Baseline and Week 7

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 130 142 139 147 120
    >=50% Reduction
    93
    22.4%
    87
    20.5%
    81
    19.2%
    95
    22.4%
    49
    32.5%
    >=75% Reduction
    63
    15.2%
    46
    10.8%
    44
    10.5%
    47
    11.1%
    16
    10.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 7
    Method Fisher Exact
    Comments
    74. Secondary Outcome
    Title Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 8 - (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 8.
    Time Frame Baseline and Week 8

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 129 140 137 147 120
    >=50% Reduction
    98
    23.6%
    85
    20%
    90
    21.4%
    93
    21.9%
    54
    35.8%
    >=75% Reduction
    64
    15.4%
    53
    12.5%
    45
    10.7%
    51
    12%
    20
    13.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.013
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    75. Secondary Outcome
    Title Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 9 - (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 9.
    Time Frame Baseline and Week 9

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 137 132 141 119
    >=50% Reduction
    95
    22.9%
    95
    22.4%
    91
    21.6%
    94
    22.2%
    58
    38.4%
    >=75% Reduction
    69
    16.6%
    63
    14.9%
    54
    12.8%
    56
    13.2%
    22
    14.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 9
    Method Fisher Exact
    Comments
    76. Secondary Outcome
    Title Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 10 - (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 10.
    Time Frame Baseline and Week 10

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 126 133 129 140 118
    >=50% Reduction
    93
    22.4%
    94
    22.2%
    92
    21.9%
    93
    21.9%
    54
    35.8%
    >=75% Reduction
    73
    17.6%
    60
    14.2%
    57
    13.5%
    57
    13.4%
    23
    15.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 10
    Method Fisher Exact
    Comments
    77. Secondary Outcome
    Title Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 11 - (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 11.
    Time Frame Baseline and Week 11

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 126 134 129 137 118
    >=50% Reduction
    94
    22.7%
    97
    22.9%
    94
    22.3%
    95
    22.4%
    55
    36.4%
    >=75% Reduction
    71
    17.1%
    64
    15.1%
    52
    12.4%
    62
    14.6%
    26
    17.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 11
    Method Fisher Exact
    Comments
    78. Secondary Outcome
    Title Reduction of Frequency of Mild, Moderate and Severe Vasomotor Symptoms - Week 12 - (MITT-VMS)
    Description Number of Subjects with >=50%, and separately, >=75% reduction in frequency of mild, moderate and severe vasomotor symptoms from Baseline to Week 12.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 129 124 135 115
    >=50% Reduction
    97
    23.4%
    94
    22.2%
    90
    21.4%
    95
    22.4%
    55
    36.4%
    >=75% Reduction
    73
    17.6%
    64
    15.1%
    50
    11.9%
    58
    13.7%
    32
    21.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 5
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 6
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.056
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 7
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=50% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 8
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments >=75% Reduction
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.017
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    79. Secondary Outcome
    Title Clinical Global Impression (CGI) - Week 4 (MITT-VMS)
    Description The number and percentage of subjects for each possible response to the CGI at Week 4. The CGI score is a seven point scale where subjects were asked to rate the total improvement, whether or not in her judgment it was due entirely to drug treatment, compared to her condition at admission to the study. Scale: Very much improved, Much improved, Minimally improved, No change, Minimally worse, Much worse, Very much worse. Results for the top two responses (Very Much Improved and Much Improved) and No Change or Worsening (Minimally worse, Much worse, Very much worse) were combined for each group and active treatment groups compare to placebo.
    Time Frame Baseline and Week 4

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 136 141 144 148 125
    (Very) Much Improved
    86
    20.7%
    71
    16.7%
    72
    17.1%
    75
    17.7%
    41
    27.2%
    Minimally Improved
    37
    8.9%
    49
    11.6%
    49
    11.6%
    51
    12%
    49
    32.5%
    No Change or Worse
    13
    3.1%
    21
    5%
    23
    5.5%
    22
    5.2%
    35
    23.2%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments P-value is derived from comparing % Very Much Improved+Much Improved between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.005
    Comments P-value is derived from comparing % Very Much Improved+Much Improved between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.007
    Comments P-value is derived from comparing % Very Much Improved+Much Improved between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments P-value is derived from comparing % Very Much Improved+Much Improved between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 4
    Method Fisher Exact
    Comments
    80. Secondary Outcome
    Title Mean Change in Frequency of Moderate to Severe VMS for the Respective CGI Category - Week 4 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 4 for the respective CGI category. The CGI score is a seven point scale where subjects were asked to rate the total improvement, whether or not in her judgment it was due entirely to drug treatment, compared to her condition at admission to the study. Scale: Very much improved, Much improved, Minimally improved, No change, Minimally worse, Much worse, Very much worse. Results for the top two responses (Very Much Improved and Much Improved) and No Change or Worsening (Minimally worse, Much worse, Very much worse) were combined for each group and active treatment groups compare to placebo.
    Time Frame Baseline and Week 4

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 136 141 144 148 125
    (Very) Much Improved
    -52.5
    (27.28)
    -48.6
    (28.87)
    -46.2
    (31.23)
    -55.7
    (25.69)
    -47.0
    (24.17)
    Minimally Improved
    -24.1
    (23.87)
    -25.9
    (21.43)
    -29.2
    (23.26)
    -28.9
    (26.08)
    -26.8
    (17.68)
    No Change or Worse
    -6.5
    (23.08)
    -6.6
    (16.39)
    -2.7
    (16.22)
    -5.3
    (21.97)
    -5.3
    (13.68)
    81. Secondary Outcome
    Title Clinical Global Impression (CGI) - Week 8 (MITT-VMS)
    Description The number and percentage of subjects for each possible response to the CGI at Week 8. The CGI score is a seven point scale where subjects were asked to rate the total improvement, whether or not in her judgment it was due entirely to drug treatment, compared to her condition at admission to the study. Scale: Very much improved, Much improved, Minimally improved, No change, Minimally worse, Much worse, Very much worse. Results for the top two responses (Very Much Improved and Much Improved) and No Change or Worsening (Minimally worse, Much worse, Very much worse) were combined for each group and active treatment groups compare to placebo.
    Time Frame Baseline and Week 8

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 130 139 134 141 117
    (Very) Much Improved
    101
    24.3%
    103
    24.3%
    98
    23.3%
    93
    21.9%
    62
    41.1%
    Minimally Improved
    23
    5.5%
    24
    5.7%
    23
    5.5%
    35
    8.3%
    25
    16.6%
    No Change or Worse
    6
    1.4%
    12
    2.8%
    13
    3.1%
    13
    3.1%
    30
    19.9%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments P-value is derived from comparing % Very Much Improved+Much Improved between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments P-value is derived from comparing % Very Much Improved+Much Improved between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments P-value is derived from comparing % Very Much Improved+Much Improved between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments P-value is derived from comparing % Very Much Improved+Much Improved between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 8
    Method Fisher Exact
    Comments
    82. Secondary Outcome
    Title Mean Change in Frequency of Moderate to Severe VMS for the Respective CGI Category - Week 8 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 8 for the respective CGI category. The CGI score is a seven point scale where subjects were asked to rate the total improvement, whether or not in her judgment it was due entirely to drug treatment, compared to her condition at admission to the study. Scale: Very much improved, Much improved, Minimally improved, No change, Minimally worse, Much worse, Very much worse. Results for the top two responses (Very Much Improved and Much Improved) and No Change or Worsening (Minimally worse, Much worse, Very much worse) were combined for each group and active treatment groups compare to placebo.
    Time Frame Baseline and Week 8

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 130 139 134 141 117
    (Very) Much Improved
    -60.8
    (28.49)
    -55.1
    (29.27)
    -55.4
    (29.06)
    -57.8
    (30.38)
    -52.6
    (24.62)
    Minimally Improved
    -28.7
    (18.93)
    -27.3
    (25.22)
    -27.2
    (22.79)
    -36.8
    (24.81)
    -27.0
    (13.54)
    No Change or Worse
    -0.2
    (28.80)
    -15.2
    (13.41)
    -1.6
    (19.93)
    -7.4
    (21.48)
    -7.1
    (21.46)
    83. Secondary Outcome
    Title Clinical Global Impression (CGI) - Week 12 (MITT-VMS)
    Description The number and percentage of subjects for each possible response to the CGI at Week 12. The CGI score is a seven point scale where subjects were asked to rate the total improvement, whether or not in her judgment it was due entirely to drug treatment, compared to her condition at admission to the study. Scale: Very much improved, Much improved, Minimally improved, No change, Minimally worse, Much worse, Very much worse. Results for the top two responses (Very Much Improved and Much Improved) and No Change or Worsening (Minimally worse, Much worse, Very much worse) were combined for each group and active treatment groups compare to placebo.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 123 133 131 139 116
    (Very) Much Improved
    101
    24.3%
    97
    22.9%
    102
    24.2%
    101
    23.8%
    62
    41.1%
    Minimally Improved
    17
    4.1%
    29
    6.8%
    22
    5.2%
    24
    5.7%
    26
    17.2%
    No Change or Worse
    5
    1.2%
    7
    1.7%
    7
    1.7%
    14
    3.3%
    28
    18.5%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments P-value is derived from comparing % Very Much Improved+Much Improved between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments P-value is derived from comparing % Very Much Improved+Much Improved between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments P-value is derived from comparing % Very Much Improved+Much Improved between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments P-value is derived from comparing % Very Much Improved+Much Improved between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Fisher Exact
    Comments
    84. Secondary Outcome
    Title Mean Change in Frequency of Moderate to Severe VMS for the Respective CGI Category - Week 12 (MITT-VMS)
    Description Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 12 for the respective CGI category. The CGI score is a seven point scale where subjects were asked to rate the total improvement, whether or not in her judgment it was due entirely to drug treatment, compared to her condition at admission to the study. Scale: Very much improved, Much improved, Minimally improved, No change, Minimally worse, Much worse, Very much worse. Results for the top two responses (Very Much Improved and Much Improved) and No Change or Worsening (Minimally worse, Much worse, Very much worse) were combined for each group and active treatment groups compare to placebo.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 123 133 131 139 116
    (Very) Much Improved
    -58.8
    (30.71)
    -60.0
    (28.37)
    -58.2
    (29.42)
    -59.9
    (28.01)
    -56.2
    (26.50)
    Minimally Improved
    -35.9
    (24.78)
    -34.9
    (40.36)
    -28.8
    (21.99)
    -40.6
    (37.36)
    -35.7
    (19.55)
    No Change or Worse
    -30.7
    (32.89)
    -38.8
    (18.99)
    -8.6
    (18.42)
    -8.3
    (31.84)
    -9.2
    (16.77)
    85. Secondary Outcome
    Title Number of Subjects Without Bleeding for Consecutive Cycles
    Description No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.
    Time Frame Cycle 1 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    204
    49.2%
    251
    59.2%
    263
    62.5%
    239
    56.4%
    82
    54.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.000
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.122
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.280
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.692
    Comments
    Method Fisher Exact
    Comments
    86. Secondary Outcome
    Title Number of Subjects Without Bleeding for Consecutive Cycles
    Description No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.
    Time Frame Cycle 2 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    209
    50.4%
    256
    60.4%
    265
    62.9%
    244
    57.5%
    84
    55.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.000
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.069
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.131
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.661
    Comments
    Method Fisher Exact
    Comments
    87. Secondary Outcome
    Title Number of Subjects Without Bleeding for Consecutive Cycles
    Description No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.
    Time Frame Cycle 3 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    214
    51.6%
    258
    60.8%
    267
    63.4%
    246
    58%
    85
    56.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.000
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.040
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.082
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.495
    Comments
    Method Fisher Exact
    Comments
    88. Secondary Outcome
    Title Number of Subjects Without Bleeding for Consecutive Cycles
    Description No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.
    Time Frame Cycle 4 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    217
    52.3%
    261
    61.6%
    273
    64.8%
    253
    59.7%
    86
    57%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.000
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.032
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.137
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.792
    Comments
    Method Fisher Exact
    Comments
    89. Secondary Outcome
    Title Number of Subjects Without Bleeding for Consecutive Cycles
    Description No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.
    Time Frame Cycle 5 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    224
    54%
    265
    62.5%
    278
    66%
    253
    59.7%
    86
    57%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.000
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.067
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.260
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.792
    Comments
    Method Fisher Exact
    Comments
    90. Secondary Outcome
    Title Number of Subjects Without Bleeding for Consecutive Cycles
    Description No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.
    Time Frame Cycle 6 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    227
    54.7%
    268
    63.2%
    280
    66.5%
    256
    60.4%
    86
    57%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.095
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.352
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    91. Secondary Outcome
    Title Number of Subjects Without Bleeding for Consecutive Cycles
    Description No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.
    Time Frame Cycle 7 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    237
    57.1%
    271
    63.9%
    282
    67%
    256
    60.4%
    87
    57.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.075
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.225
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.769
    Comments
    Method Fisher Exact
    Comments
    92. Secondary Outcome
    Title Number of Subjects Without Bleeding for Consecutive Cycles
    Description No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.
    Time Frame Cycle 8 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    242
    58.3%
    276
    65.1%
    285
    67.7%
    258
    60.8%
    88
    58.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.084
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.183
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.738
    Comments
    Method Fisher Exact
    Comments
    93. Secondary Outcome
    Title Number of Subjects Without Bleeding for Consecutive Cycles
    Description No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.
    Time Frame Cycle 9 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    245
    59%
    279
    65.8%
    288
    68.4%
    259
    61.1%
    88
    58.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.125
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.386
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.737
    Comments
    Method Fisher Exact
    Comments
    94. Secondary Outcome
    Title Number of Subjects Without Bleeding for Consecutive Cycles
    Description No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.
    Time Frame Cycle 10 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    248
    59.8%
    281
    66.3%
    292
    69.4%
    261
    61.6%
    88
    58.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.009
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.183
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.745
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    95. Secondary Outcome
    Title Number of Subjects Without Bleeding for Consecutive Cycles
    Description No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.
    Time Frame Cycle 11 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 276 297 302 266 90
    Count of Participants [Participants]
    251
    60.5%
    284
    67%
    294
    69.8%
    261
    61.6%
    88
    58.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.035
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.536
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    96. Secondary Outcome
    Title Number of Subjects Without Bleeding for Consecutive Cycles
    Description No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.
    Time Frame Cycle 12 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 276 297 302 265 90
    Count of Participants [Participants]
    260
    62.7%
    284
    67%
    295
    70.1%
    260
    61.3%
    88
    58.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.261
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.536
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    97. Secondary Outcome
    Title Number of Subjects Without Bleeding for Consecutive Cycles
    Description No bleeding was defined as the absence of bleeding. Cumulative rates for no bleeding was defined as the percentage of women who reported consecutive cycles of no bleeding for a given cycle of time.
    Time Frame The 13th Cycle

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 276 294 302 264 90
    Count of Participants [Participants]
    268
    64.6%
    287
    67.7%
    296
    70.3%
    261
    61.6%
    89
    58.9%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.463
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.687
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    98. Secondary Outcome
    Title Number of Subjects With Cumulative Amenorrhea From Cycle 1 to 13
    Description Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 1 to 13 was calculated and compared between active and placebo treatments.
    Time Frame Cycle 1 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    156
    37.6%
    202
    47.6%
    207
    49.2%
    196
    46.2%
    71
    47%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.048
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.049
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.328
    Comments
    Method Fisher Exact
    Comments
    99. Secondary Outcome
    Title Number of Subjects With Cumulative Amenorrhea From Cycle 2 to 13
    Description Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 2 to 13 was calculated and compared between active and placebo treatments.
    Time Frame Cycle 2 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    166
    40%
    220
    51.9%
    215
    51.1%
    212
    50%
    74
    49%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.123
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.030
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.649
    Comments
    Method Fisher Exact
    Comments
    100. Secondary Outcome
    Title Number of Subjects With Cumulative Amenorrhea From Cycle 3 to 13
    Description Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 3 to 13 was calculated and compared between active and placebo treatments.
    Time Frame Cycle 3 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    174
    41.9%
    227
    53.5%
    225
    53.4%
    218
    51.4%
    77
    51%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.059
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.023
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.426
    Comments
    Method Fisher Exact
    Comments
    101. Secondary Outcome
    Title Number of Subjects With Cumulative Amenorrhea From Cycle 4 to 13
    Description Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 4 to 13 was calculated and compared between active and placebo treatments.
    Time Frame Cycle 4 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    177
    42.7%
    236
    55.7%
    233
    55.3%
    229
    54%
    80
    53%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.044
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.011
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.481
    Comments
    Method Fisher Exact
    Comments
    102. Secondary Outcome
    Title Number of Subjects With Cumulative Amenorrhea From Cycle 5 to 13
    Description Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 5 to 13 was calculated and compared between active and placebo treatments.
    Time Frame Cycle 5 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    183
    44.1%
    244
    57.5%
    240
    57%
    234
    55.2%
    80
    53%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.110
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.045
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.853
    Comments
    Method Fisher Exact
    Comments
    103. Secondary Outcome
    Title Number of Subjects With Cumulative Amenorrhea From Cycle 6 to 13
    Description Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 6 to 13 was calculated and compared between active and placebo treatments.
    Time Frame Cycle 6 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    186
    44.8%
    250
    59%
    249
    59.1%
    236
    55.7%
    80
    53%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.245
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.145
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    104. Secondary Outcome
    Title Number of Subjects With Cumulative Amenorrhea From Cycle 7 to 13
    Description Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 7 to 13 was calculated and compared between active and placebo treatments.
    Time Frame Cycle 7 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    200
    48.2%
    253
    59.7%
    255
    60.6%
    238
    56.1%
    82
    54.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.163
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.091
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.693
    Comments
    Method Fisher Exact
    Comments
    105. Secondary Outcome
    Title Number of Subjects With Cumulative Amenorrhea From Cycle 8 to 13
    Description Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 8 to 13 was calculated and compared between active and placebo treatments.
    Time Frame Cycle 8 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    209
    50.4%
    262
    61.8%
    262
    62.2%
    242
    57.1%
    84
    55.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.178
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.097
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.522
    Comments
    Method Fisher Exact
    Comments
    106. Secondary Outcome
    Title Number of Subjects With Cumulative Amenorrhea From Cycle 9 to 13
    Description Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 9 to 13 was calculated and compared between active and placebo treatments.
    Time Frame Cycle 9 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    214
    51.6%
    267
    63%
    266
    63.2%
    246
    58%
    84
    55.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.315
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.181
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.821
    Comments
    Method Fisher Exact
    Comments
    107. Secondary Outcome
    Title Number of Subjects With Cumulative Amenorrhea From Cycle 10 to 13
    Description Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 10 to 13 was calculated and compared between active and placebo treatments.
    Time Frame Cycle 10 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 278 299 304 268 90
    Count of Participants [Participants]
    222
    53.5%
    271
    63.9%
    273
    64.8%
    248
    58.5%
    85
    56.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.387
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.215
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.639
    Comments
    Method Fisher Exact
    Comments
    108. Secondary Outcome
    Title Number of Subjects With Cumulative Amenorrhea From Cycle 11 to 13
    Description Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 11 to 13 was calculated and compared between active and placebo treatments.
    Time Frame Cycle 11 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 276 297 302 266 90
    Count of Participants [Participants]
    231
    55.7%
    275
    64.9%
    277
    65.8%
    249
    58.7%
    85
    56.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.008
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.643
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.501
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    109. Secondary Outcome
    Title Number of Subjects With Cumulative Amenorrhea From Cycle 12 to 13
    Description Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from Cycle 12 to 13 was calculated and compared between active and placebo treatments.
    Time Frame Cycle 12 to 13

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 276 297 302 265 90
    Count of Participants [Participants]
    238
    57.3%
    278
    65.6%
    278
    66%
    252
    59.4%
    86
    57%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.013
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.616
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.352
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments
    Method Fisher Exact
    Comments
    110. Secondary Outcome
    Title Number of Subjects With Cumulative Amenorrhea From the 13th Cycle
    Description Cumulative amenorrhea is defined as the absence of bleeding or spotting for a cumulative period. Cumulative rates of amenorrhea were defined as the percentage of women who reported consecutive cycles of amenorrhea for a given cycle of time. Within each treatment arm, the percentage of subjects with cumulative amenorrhea from the 13th Cycle was calculated and compared between active and placebo treatments.
    Time Frame The 13th Cycle

    Outcome Measure Data

    Analysis Population Description
    Subjects who received study drug for at least 1 complete 28-day cycle (at least 23 days in length); subjects who reported bleeding days during a partial cycle are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 276 294 302 264 90
    Count of Participants [Participants]
    249
    60%
    282
    66.5%
    283
    67.2%
    254
    59.9%
    88
    58.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.023
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.535
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.183
    Comments
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.738
    Comments
    Method Fisher Exact
    Comments
    111. Secondary Outcome
    Title Subject Incidence With Spotting - Trimester 1 (Safety Pop.)
    Description Summary of subject incidence with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 1

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 1. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 312 329 334 307 103
    Count of Participants [Participants]
    90
    21.7%
    74
    17.5%
    68
    16.2%
    58
    13.7%
    10
    6.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo during Trimester 1
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo during Trimester 1
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.012
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo during Trimester 1
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.032
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo during Trimester 1
    Method Fisher Exact
    Comments
    112. Secondary Outcome
    Title Subject Incidence With Spotting - Trimester 2 (Safety Pop.)
    Description Summary of subject incidence with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 2

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 2. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 309 323 325 302 98
    Count of Participants [Participants]
    76
    18.3%
    40
    9.4%
    48
    11.4%
    24
    5.7%
    4
    2.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo during Trimester 2
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.022
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo during Trimester 2
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo during Trimester 2
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.256
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo during Trimester 2
    Method Fisher Exact
    Comments
    113. Secondary Outcome
    Title Subject Incidence With Spotting - Trimester 3 (Safety Pop.)
    Description Summary of subject incidence with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 3

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 3. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 298 311 320 288 97
    Count of Participants [Participants]
    54
    13%
    33
    7.8%
    29
    6.9%
    18
    4.2%
    2
    1.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo during Trimester 3
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo during Trimester 3
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.025
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo during Trimester 3
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.182
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo during Trimester 3
    Method Fisher Exact
    Comments
    114. Secondary Outcome
    Title Subject Incidence With Spotting - Trimester 4 (Safety Pop.)
    Description Summary of subject incidence with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 4

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 4. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 282 304 308 276 93
    Count of Participants [Participants]
    47
    11.3%
    21
    5%
    27
    6.4%
    18
    4.2%
    4
    2.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo during Trimester 4
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.469
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo during Trimester 4
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.188
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo during Trimester 4
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.613
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo during Trimester 4
    Method Fisher Exact
    Comments
    115. Secondary Outcome
    Title Number of Days With Spotting - Trimester 1 (Safety Pop.)
    Description Summary of the number of days with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 1

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 1. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 312 329 334 307 103
    Mean (Standard Deviation) [Days]
    3.0
    (8.81)
    1.7
    (6.05)
    1.3
    (5.08)
    0.8
    (2.29)
    0.6
    (2.63)
    116. Secondary Outcome
    Title Number of Days With Spotting - Trimester 2 (Safety Pop.)
    Description Summary of the number of days with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 2

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 2. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 309 323 325 302 98
    Mean (Standard Deviation) [Days]
    2.9
    (8.63)
    0.9
    (3.85)
    1.5
    (9.16)
    0.7
    (4.30)
    0.1
    (0.74)
    117. Secondary Outcome
    Title Number of Days With Spotting - Trimester 3 (Safety Pop.)
    Description Summary of the number of days with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 3

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 3. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 298 311 320 288 97
    Mean (Standard Deviation) [Days]
    2.5
    (8.28)
    0.7
    (2.55)
    0.9
    (6.04)
    0.3
    (1.90)
    0.0
    (0.14)
    118. Secondary Outcome
    Title Number of Days With Spotting - Trimester 4 (Safety Pop.)
    Description Summary of the number of days with spotting per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 4

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 4. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 282 304 308 276 93
    Mean (Standard Deviation) [Days]
    1.9
    (7.59)
    0.5
    (3.36)
    0.8
    (5.75)
    0.3
    (1.17)
    0.1
    (0.67)
    119. Secondary Outcome
    Title Subject Incidence With Bleeding - Trimester 1 (Safety Pop.)
    Description Summary of subject incidence with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 1

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 1. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 312 329 334 307 103
    Count of Participants [Participants]
    48
    11.6%
    29
    6.8%
    25
    5.9%
    24
    5.7%
    4
    2.6%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo during Trimester 1
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.135
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo during Trimester 1
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.260
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo during Trimester 1
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.257
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo during Trimester 1
    Method Fisher Exact
    Comments
    120. Secondary Outcome
    Title Subject Incidence With Bleeding - Trimester 2 (Safety Pop.)
    Description Summary of subject incidence with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 2

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 2. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 309 323 325 302 98
    Count of Participants [Participants]
    45
    10.8%
    23
    5.4%
    19
    4.5%
    5
    1.2%
    2
    1.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo during Trimester 2
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.085
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo during Trimester 2
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.184
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo during Trimester 2
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.681
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo during Trimester 2
    Method Fisher Exact
    Comments
    121. Secondary Outcome
    Title Subject Incidence With Bleeding - Trimester 3 (Safety Pop.)
    Description Summary of subject incidence with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 3

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 3. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 298 311 320 288 97
    Count of Participants [Participants]
    25
    6%
    21
    5%
    16
    3.8%
    7
    1.7%
    1
    0.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.008
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo during Trimester 3
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.036
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo during Trimester 3
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.138
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo during Trimester 3
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.685
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo during Trimester 3
    Method Fisher Exact
    Comments
    122. Secondary Outcome
    Title Subject Incidence With Bleeding - Trimester 4 (Safety Pop.)
    Description Summary of subject incidence with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 4

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 4. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 282 304 308 276 93
    Count of Participants [Participants]
    27
    6.5%
    16
    3.8%
    9
    2.1%
    5
    1.2%
    2
    1.3%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.023
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo during Trimester 4
    Method Fisher Exact
    Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.265
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo during Trimester 4
    Method Fisher Exact
    Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo during Trimester 4
    Method Fisher Exact
    Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 1.000
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo during Trimester 4
    Method Fisher Exact
    Comments
    123. Secondary Outcome
    Title Number of Days With Bleeding - Trimester 1 (Safety Pop.)
    Description Summary of the number of days with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 1

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 1. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 312 329 334 307 103
    Mean (Standard Deviation) [Days]
    1.2
    (5.22)
    0.5
    (2.21)
    0.5
    (2.24)
    0.4
    (1.79)
    0.2
    (1.01)
    124. Secondary Outcome
    Title Number of Days With Bleeding - Trimester 2 (Safety Pop.)
    Description Summary of the number of days with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 2

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 2. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 309 323 325 302 98
    Mean (Standard Deviation) [Days]
    0.9
    (3.22)
    0.4
    (1.85)
    0.4
    (2.02)
    0.2
    (1.77)
    0.1
    (0.42)
    125. Secondary Outcome
    Title Number of Days With Bleeding - Trimester 3 (Safety Pop.)
    Description Summary of the number of days with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 3

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 3. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 298 311 320 288 97
    Mean (Standard Deviation) [Days]
    0.5
    (2.32)
    0.5
    (2.29)
    0.2
    (1.43)
    0.1
    (0.67)
    0.0
    (0.10)
    126. Secondary Outcome
    Title Number of Days With Bleeding - Trimester 4 (Safety Pop.)
    Description Summary of the number of days with bleeding per trimester as recorded in a daily diary. A trimester is defined as every 90 days since Day 1.
    Time Frame Trimester 4

    Outcome Measure Data

    Analysis Population Description
    Subjects who had taken at least one dose (2 capsules) of IP and had at least one bleeding/spotting diary entry for Trimester 4. Subjects who reported bleeding/spotting diary only for partial trimester are also included.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 282 304 308 276 93
    Mean (Standard Deviation) [Days]
    0.8
    (3.48)
    0.4
    (2.06)
    0.2
    (1.20)
    0.0
    (0.26)
    0.1
    (0.43)
    127. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Vasomotor Domain Score - Week 12 (MITT-VMS)
    Description Changes in Vasomotor Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Vasomotor domain score is mean of = Q1,Q2, Q3, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 135 132 142 116
    Mean (Standard Deviation) [Score on a Scale]
    -3.8
    (1.98)
    -3.3
    (2.04)
    -3.3
    (1.97)
    -3.2
    (2.13)
    -2.2
    (1.83)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.65
    Confidence Interval (2-Sided) 95%
    -2.13 to -1.17
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.246
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.31
    Confidence Interval (2-Sided) 95%
    -1.79 to -0.84
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.242
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.17
    Confidence Interval (2-Sided) 95%
    -1.64 to -0.69
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.242
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.04
    Confidence Interval (2-Sided) 95%
    -1.51 to -0.58
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.238
    Estimation Comments
    128. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Vasomotor Domain Score - Month 6 (MITT-VMS)
    Description Changes in Vasomotor Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Vasomotor domain score is mean of = Q1,Q2, Q3, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 116 130 118 126 104
    Mean (Standard Deviation) [score on a scale]
    -4.3
    (1.94)
    -4.1
    (1.99)
    -4.0
    (2.12)
    -3.5
    (1.95)
    -3.0
    (2.26)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.40
    Confidence Interval (2-Sided) 95%
    -1.91 to -0.89
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.258
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.32
    Confidence Interval (2-Sided) 95%
    -1.81 to -0.82
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.253
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.12
    Confidence Interval (2-Sided) 95%
    -1.63 to -0.62
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.257
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.007
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.69
    Confidence Interval (2-Sided) 95%
    -1.19 to -0.19
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.254
    Estimation Comments
    129. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Vasomotor Domain Score - Month 12 (MITT-VMS)
    Description Changes in Vasomotor Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Vasomotor domain score is mean of = Q1,Q2, Q3, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 97 118 104 104 93
    Mean (Standard Deviation) [score on a scale]
    -4.0
    (2.15)
    -4.1
    (1.77)
    -4.0
    (2.11)
    -3.4
    (1.75)
    -2.8
    (2.26)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.20
    Confidence Interval (2-Sided) 95%
    -1.75 to -0.66
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.276
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.46
    Confidence Interval (2-Sided) 95%
    -1.98 to -0.94
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.265
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.23
    Confidence Interval (2-Sided) 95%
    -1.76 to -0.69
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.272
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.008
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.72
    Confidence Interval (2-Sided) 95%
    -1.26 to -0.19
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.272
    Estimation Comments
    130. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Psychosocial Domain Score - Week 12 (MITT-VMS)
    Description Changes in Psychosocial Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Psychosocial domain score is mean of = Q4 to Q10, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 135 131 142 116
    Mean (Standard Deviation) [score on a scale]
    -1.1
    (1.42)
    -0.9
    (1.56)
    -1.2
    (1.69)
    -1.1
    (1.36)
    -1.0
    (1.66)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.284
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.17
    Confidence Interval (2-Sided) 95%
    -0.49 to 0.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.161
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.732
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.05
    Confidence Interval (2-Sided) 95%
    -0.36 to 0.26
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.158
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.437
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.12
    Confidence Interval (2-Sided) 95%
    -0.44 to 0.19
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.159
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.439
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.12
    Confidence Interval (2-Sided) 95%
    -0.43 to 0.19
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.156
    Estimation Comments
    131. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Psychosocial Domain Score - Month 6 (MITT-VMS)
    Description Changes in Psychosocial Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Psychosocial domain score is mean of = Q4 to Q10, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 116 130 118 126 104
    Mean (Standard Deviation) [score on a scale]
    -1.3
    (1.64)
    -1.1
    (1.44)
    -1.1
    (1.76)
    -1.0
    (1.57)
    -1.0
    (1.61)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.040
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.35
    Confidence Interval (2-Sided) 95%
    -0.68 to -0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.169
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.066
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.30
    Confidence Interval (2-Sided) 95%
    -0.63 to 0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.165
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.469
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.12
    Confidence Interval (2-Sided) 95%
    -0.45 to 0.21
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.168
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.616
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.08
    Confidence Interval (2-Sided) 95%
    -0.41 to 0.24
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.166
    Estimation Comments
    132. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Psychosocial Domain Score - Month 12 (MITT-VMS)
    Description Changes in Psychosocial Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Psychosocial domain score is mean of = Q4 to Q10, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 97 118 104 104 93
    Mean (Standard Deviation) [score on a scale]
    -1.1
    (1.51)
    -1.3
    (1.61)
    -1.1
    (1.84)
    -1.0
    (1.67)
    -1.0
    (1.61)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.250
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.21
    Confidence Interval (2-Sided) 95%
    -0.57 to 0.15
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.183
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.54
    Confidence Interval (2-Sided) 95%
    -0.88 to -0.20
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.175
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.796
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.05
    Confidence Interval (2-Sided) 95%
    -0.40 to 0.31
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.179
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.955
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.01
    Confidence Interval (2-Sided) 95%
    -0.36 to 0.34
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.179
    Estimation Comments
    133. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Physical Domain Score - Week 12 (MITT-VMS)
    Description Changes in Physical Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Physical domain score is mean of = Q11 to Q26, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 135 131 142 116
    Mean (Standard Deviation) [score on a scale]
    -1.1
    (1.30)
    -1.0
    (1.32)
    -1.5
    (1.50)
    -1.0
    (1.30)
    -1.0
    (1.38)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.474
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.10
    Confidence Interval (2-Sided) 95%
    -0.38 to 0.18
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.143
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.378
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.12
    Confidence Interval (2-Sided) 95%
    -0.40 to 0.15
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.140
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.018
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.33
    Confidence Interval (2-Sided) 95%
    -0.61 to -0.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.141
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.730
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.05
    Confidence Interval (2-Sided) 95%
    -0.32 to 0.22
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.138
    Estimation Comments
    134. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Physical Domain Score - Month 6 (MITT-VMS)
    Description Changes in Physical Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Physical domain score is mean of = Q11 to Q26, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 116 130 118 126 104
    Mean (Standard Deviation) [score on a scale]
    -1.2
    (1.32)
    -1.1
    (1.37)
    -1.5
    (1.61)
    -1.0
    (1.28)
    -1.1
    (1.40)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.197
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.20
    Confidence Interval (2-Sided) 95%
    -0.49 to 0.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.152
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.308
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.15
    Confidence Interval (2-Sided) 95%
    -0.44 to 0.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.148
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.117
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.24
    Confidence Interval (2-Sided) 95%
    -0.54 to 0.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.152
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.739
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.05
    Confidence Interval (2-Sided) 95%
    -0.34 to 0.24
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.149
    Estimation Comments
    135. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Physical Domain Score - Month 12 (MITT-VMS)
    Description Changes in Physical Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Physical domain score is mean of = Q11 to Q26, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 97 118 104 104 93
    Mean (Standard Deviation) [score on a scale]
    -1.0
    (1.57)
    -1.2
    (1.29)
    -1.4
    (1.60)
    -1.1
    (1.44)
    -0.9
    (1.39)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.635
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.08
    Confidence Interval (2-Sided) 95%
    -0.42 to 0.26
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.171
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.010
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.43
    Confidence Interval (2-Sided) 95%
    -0.75 to -0.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.164
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.092
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.28
    Confidence Interval (2-Sided) 95%
    -0.62 to 0.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.169
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.243
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.20
    Confidence Interval (2-Sided) 95%
    -0.53 to 0.13
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.168
    Estimation Comments
    136. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Sexual Domain Score - Week 12 (MITT-VMS)
    Description Changes in Sexual Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Sexual domain score is mean of = Q27 to Q29, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 135 130 141 116
    Mean (Standard Deviation) [score on a scale]
    -1.5
    (2.03)
    -1.1
    (1.98)
    -1.7
    (2.04)
    -1.4
    (2.16)
    -1.3
    (2.22)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.049
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.41
    Confidence Interval (2-Sided) 95%
    -0.83 to -0.00
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.210
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.773
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.06
    Confidence Interval (2-Sided) 95%
    -0.34 to 0.46
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.206
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.081
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.36
    Confidence Interval (2-Sided) 95%
    -0.77 to 0.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.208
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.625
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.10
    Confidence Interval (2-Sided) 95%
    -0.50 to 0.30
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.204
    Estimation Comments
    137. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Sexual Domain Score - Month 6 (MITT-VMS)
    Description Changes in Sexual Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Sexual domain score is mean of = Q27 to Q29, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 115 130 118 125 104
    Mean (Standard Deviation) [score on a scale]
    -1.3
    (2.18)
    -1.2
    (2.03)
    -1.6
    (2.12)
    -1.4
    (2.13)
    -1.3
    (1.93)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.221
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.27
    Confidence Interval (2-Sided) 95%
    -0.70 to 0.16
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.221
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.992
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.00
    Confidence Interval (2-Sided) 95%
    -0.42 to 0.42
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.214
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.181
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.29
    Confidence Interval (2-Sided) 95%
    -0.72 to 0.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.219
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.846
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.04
    Confidence Interval (2-Sided) 95%
    -0.47 to 0.38
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.216
    Estimation Comments
    138. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Sexual Domain Score - Month 12 (MITT-VMS)
    Description Changes in Sexual Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Sexual domain score is mean of = Q27 to Q29, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 96 118 103 104 93
    Mean (Standard Deviation) [score on a scale]
    -1.0
    (2.44)
    -1.5
    (2.20)
    -1.5
    (2.26)
    -1.4
    (2.19)
    -1.1
    (2.29)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.421
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.21
    Confidence Interval (2-Sided) 95%
    -0.71 to 0.30
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.257
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.044
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.49
    Confidence Interval (2-Sided) 95%
    -0.97 to -0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.244
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.093
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.42
    Confidence Interval (2-Sided) 95%
    -0.92 to 0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.252
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.247
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.29
    Confidence Interval (2-Sided) 95%
    -0.79 to 0.20
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.252
    Estimation Comments
    139. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Overall Scores - Week 12 (MITT-VMS)
    Description Changes in Overall Scores from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. The scale contains four domains: vasomotor, psychosocial, physical and sexual. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The Overall Score is the mean of the 4 domain scores with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 135 132 142 116
    Mean (Standard Deviation) [score on a scale]
    -1.9
    (1.20)
    -1.6
    (1.23)
    -1.9
    (1.41)
    -1.7
    (1.31)
    -1.4
    (1.36)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.58
    Confidence Interval (2-Sided) 95%
    -0.87 to -0.29
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.145
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.016
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.34
    Confidence Interval (2-Sided) 95%
    -0.62 to -0.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.143
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.48
    Confidence Interval (2-Sided) 95%
    -0.76 to -0.20
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.143
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.023
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.32
    Confidence Interval (2-Sided) 95%
    -0.60 to -0.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.141
    Estimation Comments
    140. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Overall Scores - Month 6 (MITT-VMS)
    Description Changes in Overall Scores from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. The scale contains four domains: vasomotor, psychosocial, physical and sexual. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The Overall Score is the mean of the 4 domain scores with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 116 130 118 126 104
    Mean (Standard Deviation) [score on a scale]
    -2.0
    (1.22)
    -1.8
    (1.22)
    -2.1
    (1.50)
    -1.7
    (1.24)
    -1.6
    (1.31)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.55
    Confidence Interval (2-Sided) 95%
    -0.84 to -0.25
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.150
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.42
    Confidence Interval (2-Sided) 95%
    -0.71 to -0.13
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.146
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.44
    Confidence Interval (2-Sided) 95%
    -0.73 to -0.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.149
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.179
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.20
    Confidence Interval (2-Sided) 95%
    -0.49 to 0.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.147
    Estimation Comments
    141. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Overall Scores - Month 12 (MITT-VMS)
    Description Changes in Overall Scores from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. The scale contains four domains: vasomotor, psychosocial, physical and sexual. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The Overall Score is the mean of the 4 domain scores with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 97 118 104 104 93
    Mean (Standard Deviation) [score on a scale]
    -1.8
    (1.45)
    -2.0
    (1.27)
    -2.0
    (1.50)
    -1.7
    (1.29)
    -1.5
    (1.50)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.012
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.43
    Confidence Interval (2-Sided) 95%
    -0.76 to -0.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.169
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.73
    Confidence Interval (2-Sided) 95%
    -1.05 to -0.41
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.162
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.49
    Confidence Interval (2-Sided) 95%
    -0.81 to -0.16
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.166
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.070
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.30
    Confidence Interval (2-Sided) 95%
    -0.63 to 0.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.166
    Estimation Comments
    142. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Sleep Scale - Total Sleep Score - Week 12 (MITT-VMS)
    Description Change from Baseline to Wk 12 in MOS Total Sleep Score as compared w/Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Total score includes items Q1, 3, 4, 5, 6, 7, 8, 9, & 12. Scoring method: Answers to Q3, 5, 6, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q1, 4, & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Total score= average of item scores; ranges =0 to 100, where higher score means worse outcome. If any of individual questions used to obtain total score is missing, total score will be set to missing value.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 122 134 131 136 111
    Mean (Standard Deviation) [score on a scale]
    -16.7
    (16.99)
    -13.1
    (16.22)
    -18.5
    (19.41)
    -14.6
    (18.80)
    -11.5
    (19.67)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.033
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.39
    Confidence Interval (2-Sided) 95%
    -8.44 to -0.35
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.059
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.207
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.54
    Confidence Interval (2-Sided) 95%
    -6.50 to 1.41
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.015
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.024
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.60
    Confidence Interval (2-Sided) 95%
    -8.58 to -0.61
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.030
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.207
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.53
    Confidence Interval (2-Sided) 95%
    -6.47 to 1.41
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.007
    Estimation Comments
    143. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Sleep Scale - Total Sleep Score - Month 6 (MITT-VMS)
    Description Change from Baseline to Month 6 in MOS Total Sleep Score as compared w/Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Total score includes items Q1, 3, 4, 5, 6, 7, 8, 9, & 12. Scoring method: Answers to Q3, 5, 6, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q1, 4, & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Total score= average of item scores; ranges =0 to 100, where higher score means worse outcome. If any of individual questions used to obtain total score is missing, total score will be set to missing value.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 113 124 118 123 101
    Mean (Standard Deviation) [score on a scale]
    -17.8
    (17.28)
    -16.0
    (16.60)
    -19.8
    (21.18)
    -16.6
    (19.01)
    -11.7
    (19.40)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.011
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.48
    Confidence Interval (2-Sided) 95%
    -9.68 to -1.28
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.138
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.012
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.25
    Confidence Interval (2-Sided) 95%
    -9.36 to -1.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.093
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.009
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.58
    Confidence Interval (2-Sided) 95%
    -9.75 to -1.41
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.122
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.018
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.99
    Confidence Interval (2-Sided) 95%
    -9.11 to -0.87
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.096
    Estimation Comments
    144. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Sleep Scale - Total Sleep Score - Month 12 (MITT-VMS)
    Description Change from Baseline to Month 12 in MOS Total Sleep Score as compared w/Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Total score includes items Q1, 3, 4, 5, 6, 7, 8, 9, & 12. Scoring method: Answers to Q3, 5, 6, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q1, 4, & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Total score= average of item scores; ranges =0 to 100, where higher score means worse outcome. If any of individual questions used to obtain total score is missing, total score will be set to missing value.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 96 117 102 100 92
    Mean (Standard Deviation) [score on a scale]
    -14.9
    (21.09)
    -15.8
    (17.72)
    -20.6
    (21.58)
    -17.6
    (18.81)
    -10.3
    (21.78)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.058
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.61
    Confidence Interval (2-Sided) 95%
    -9.38 to 0.16
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.427
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.48
    Confidence Interval (2-Sided) 95%
    -12.04 to -2.92
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.322
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.96
    Confidence Interval (2-Sided) 95%
    -12.67 to -3.25
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.397
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.005
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.78
    Confidence Interval (2-Sided) 95%
    -11.50 to -2.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.404
    Estimation Comments
    145. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Disturbance - Week 12 (MITT-VMS)
    Description Change from Baseline to Wk 12 in MOS Sleep Disturbance individual score as compared with Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep disturbance includes items Q1, Q3, Q7, Q8. Scoring method: Answer to Q1 is rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25. Answers to Q3, 7, 8 are reversed & rescaled to realign to be same direction and range(0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Score is average of item scores; score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 135 132 142 116
    Mean (Standard Deviation) [score on a scale]
    -22.3
    (23.72)
    -17.7
    (24.75)
    -23.6
    (25.07)
    -19.3
    (26.31)
    -15.1
    (26.65)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.020
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.48
    Confidence Interval (2-Sided) 95%
    -11.92 to -1.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.770
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.216
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.36
    Confidence Interval (2-Sided) 95%
    -8.69 to 1.97
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.715
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.033
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.85
    Confidence Interval (2-Sided) 95%
    -11.22 to -0.48
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.734
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.265
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.99
    Confidence Interval (2-Sided) 95%
    -8.27 to 2.28
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.685
    Estimation Comments
    146. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Disturbance - Month 6 - (MITT-VMS)
    Description Change from Baseline to Month 6 in MOS Sleep Disturbance individual score as compared with Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep disturbance includes items Q1, Q3, Q7, Q8. Scoring method: Answer to Q1 is rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25. Answers to Q3, 7, 8 are reversed & rescaled to realign to be same direction and range(0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Score is average of item scores; score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 116 130 118 126 104
    Mean (Standard Deviation) [score on a scale]
    -23.5
    (25.99)
    -21.3
    (24.42)
    -26.9
    (26.91)
    -22.4
    (26.76)
    -15.4
    (27.57)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.008
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.54
    Confidence Interval (2-Sided) 95%
    -13.14 to -1.93
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.854
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.016
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.72
    Confidence Interval (2-Sided) 95%
    -12.18 to -1.26
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.781
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -8.69
    Confidence Interval (2-Sided) 95%
    -14.28 to -3.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.847
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.028
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.18
    Confidence Interval (2-Sided) 95%
    -11.68 to -0.68
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.800
    Estimation Comments
    147. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Disturbance - Month 12 - (MITT-VMS)
    Description Change from Baseline to Month 12 in MOS Sleep Disturbance individual score as compared with Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep disturbance includes items Q1, Q3, Q7, Q8. Scoring method: Answer to Q1 is rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25. Answers to Q3, 7, 8 are reversed & rescaled to realign to be same direction and range(0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Score is average of item scores; score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 97 118 104 104 93
    Mean (Standard Deviation) [score on a scale]
    -20.0
    (28.25)
    -22.3
    (24.84)
    -26.1
    (27.21)
    -26.1
    (25.32)
    -14.1
    (28.67)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.040
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.56
    Confidence Interval (2-Sided) 95%
    -12.80 to -0.31
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.180
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -10.02
    Confidence Interval (2-Sided) 95%
    -15.99 to -4.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.040
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -9.96
    Confidence Interval (2-Sided) 95%
    -16.11 to -3.81
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.129
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.029
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.85
    Confidence Interval (2-Sided) 95%
    -12.99 to -0.70
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.127
    Estimation Comments
    148. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Snoring - Week 12 - (MITT-VMS)
    Description Change from Baseline to Wk 12 in MOS Snoring individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Snoring item is Q10. Scoring method: Answer to Q10 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 121 135 130 141 116
    Mean (Standard Deviation) [score on a scale]
    -0.5
    (23.73)
    -3.6
    (25.84)
    -7.1
    (28.49)
    -5.7
    (24.65)
    -5.7
    (25.13)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.294
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.15
    Confidence Interval (2-Sided) 95%
    -2.75 to 9.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.003
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.327
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2.86
    Confidence Interval (2-Sided) 95%
    -2.87 to 8.60
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.922
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.637
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.39
    Confidence Interval (2-Sided) 95%
    -7.18 to 4.39
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.947
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.952
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.17
    Confidence Interval (2-Sided) 95%
    -5.51 to 5.86
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.893
    Estimation Comments
    149. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Snoring - Month 6 - (MITT-VMS)
    Description Change from Baseline to Month 6 in MOS Snoring individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Snoring item is Q10. Scoring method: Answer to Q10 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 112 130 118 125 104
    Mean (Standard Deviation) [score on a scale]
    0.7
    (26.29)
    -5.5
    (26.24)
    -8.8
    (24.47)
    -6.1
    (30.29)
    -3.5
    (27.08)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.573
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.82
    Confidence Interval (2-Sided) 95%
    -4.51 to 8.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.219
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.769
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.91
    Confidence Interval (2-Sided) 95%
    -7.01 to 5.19
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.107
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.047
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.33
    Confidence Interval (2-Sided) 95%
    -12.56 to -0.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.176
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.409
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.59
    Confidence Interval (2-Sided) 95%
    -8.74 to 3.56
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.133
    Estimation Comments
    150. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Snoring - Month 12 - (MITT-VMS)
    Description Change from Baseline to Month 12 in MOS Snoring individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Snoring item is Q10. Scoring method: Answer to Q10 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 95 118 104 103 93
    Mean (Standard Deviation) [score on a scale]
    -1.1
    (28.04)
    -10.5
    (29.43)
    -6.2
    (27.03)
    -8.0
    (26.77)
    -4.5
    (26.23)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.579
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.91
    Confidence Interval (2-Sided) 95%
    -4.85 to 8.67
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.443
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.223
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.99
    Confidence Interval (2-Sided) 95%
    -10.43 to 2.44
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.275
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.542
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.05
    Confidence Interval (2-Sided) 95%
    -8.67 to 4.56
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.367
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.476
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.41
    Confidence Interval (2-Sided) 95%
    -9.04 to 4.23
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.376
    Estimation Comments
    151. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Short of Breath or Headache - Week 12 - (MITT-VMS)
    Description Change from Baseline to Wk 12 in MOS Sleep Short of Breath or Headache(SOBHA) individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. SOBHA item is Q5. Scoring method: Answer to Q5 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 135 132 142 116
    Mean (Standard Deviation) [score on a scale]
    -7.7
    (26.83)
    -4.3
    (22.18)
    -12.3
    (29.62)
    -7.9
    (27.67)
    -3.6
    (25.52)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.631
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.25
    Confidence Interval (2-Sided) 95%
    -6.34 to 3.84
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.593
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.651
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.15
    Confidence Interval (2-Sided) 95%
    -3.84 to 6.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.540
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.813
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.61
    Confidence Interval (2-Sided) 95%
    -5.67 to 4.45
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.578
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.869
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.42
    Confidence Interval (2-Sided) 95%
    -5.35 to 4.52
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.515
    Estimation Comments
    152. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Short of Breath or Headache - Month 6 - (MITT-VMS)
    Description Change from Baseline to Month 6 in MOS Sleep Short of Breath or Headache(SOBHA) individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. SOBHA item is Q5. Scoring method: Answer to Q5 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 116 129 118 126 104
    Mean (Standard Deviation) [score on a scale]
    -9.7
    (27.72)
    -5.0
    (27.50)
    -11.0
    (33.55)
    -7.3
    (26.96)
    -2.1
    (23.47)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.074
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.00
    Confidence Interval (2-Sided) 95%
    -10.48 to 0.48
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.790
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.748
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.87
    Confidence Interval (2-Sided) 95%
    -6.22 to 4.47
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.722
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.987
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.05
    Confidence Interval (2-Sided) 95%
    -5.46 to 5.56
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.805
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.709
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.02
    Confidence Interval (2-Sided) 95%
    -6.41 to 4.36
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.741
    Estimation Comments
    153. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Short of Breath or Headache - Month 12 - (MITT-VMS)
    Description Change from Baseline to Month 12 in MOS Sleep Short of Breath or Headache(SOBHA) individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. SOBHA item is Q5. Scoring method: Answer to Q5 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 97 118 103 104 93
    Mean (Standard Deviation) [score on a scale]
    -8.9
    (30.41)
    -7.1
    (24.60)
    -12.4
    (34.65)
    -10.8
    (27.15)
    -2.8
    (27.60)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.379
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.61
    Confidence Interval (2-Sided) 95%
    -8.44 to 3.22
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.968
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.279
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.07
    Confidence Interval (2-Sided) 95%
    -8.64 to 2.49
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.832
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.894
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.39
    Confidence Interval (2-Sided) 95%
    -6.19 to 5.40
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.949
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.308
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.98
    Confidence Interval (2-Sided) 95%
    -8.72 to 2.76
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.923
    Estimation Comments
    154. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Adequacy - Week 12 - (MITT-VMS)
    Description Change from Baseline to Wk 12 in MOS Sleep Adequacy individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Adequacy includes items Q4, Q12. Scoring method: Answers for Q4 and Q12 are reversed and rescaled to 0-100 as follows: MOS_4_new = (6-MOS_4_old) x 20; MOS_12_new = (6-MOS_12_old) x 20. Score is the average of item scores; score range = 0 to 100, where higher score means better outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 135 132 142 116
    Mean (Standard Deviation) [score on a scale]
    12.8
    (28.30)
    11.0
    (26.57)
    17.3
    (30.06)
    10.7
    (28.33)
    11.3
    (26.09)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.558
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.81
    Confidence Interval (2-Sided) 95%
    -4.24 to 7.86
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.081
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.233
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.61
    Confidence Interval (2-Sided) 95%
    -2.34 to 9.57
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.031
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.043
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 6.16
    Confidence Interval (2-Sided) 95%
    0.20 to 12.13
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.036
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.488
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2.07
    Confidence Interval (2-Sided) 95%
    -3.80 to 7.95
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.990
    Estimation Comments
    155. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Adequacy - Month 6 - (MITT-VMS)
    Description Change from Baseline to Month 6 in MOS Sleep Adequacy individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Adequacy includes items Q4, Q12. Scoring method: Answers for Q4 and Q12 are reversed and rescaled to 0-100 as follows: MOS_4_new = (6-MOS_4_old) x 20; MOS_12_new = (6-MOS_12_old) x 20. Score is the average of item scores; score range = 0 to 100, where higher score means better outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 116 130 118 126 104
    Mean (Standard Deviation) [score on a scale]
    13.2
    (28.61)
    15.2
    (26.89)
    14.7
    (30.12)
    15.2
    (28.75)
    9.5
    (27.36)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.205
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4.07
    Confidence Interval (2-Sided) 95%
    -2.23 to 10.37
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.206
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 9.58
    Confidence Interval (2-Sided) 95%
    3.43 to 15.74
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.133
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.115
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.04
    Confidence Interval (2-Sided) 95%
    -1.23 to 11.32
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.193
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.005
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 8.94
    Confidence Interval (2-Sided) 95%
    2.75 to 15.13
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.152
    Estimation Comments
    156. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Adequacy - Month 12 - (MITT-VMS)
    Description Change from Baseline to Month 12 in MOS Sleep Adequacy individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Adequacy includes items Q4, Q12. Scoring method: Answers for Q4 and Q12 are reversed and rescaled to 0-100 as follows: MOS_4_new = (6-MOS_4_old) x 20; MOS_12_new = (6-MOS_12_old) x 20. Score is the average of item scores; score range = 0 to 100, where higher score means better outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 97 118 104 104 93
    Mean (Standard Deviation) [score on a scale]
    10.4
    (28.43)
    10.5
    (31.07)
    17.6
    (31.61)
    13.7
    (27.70)
    10.0
    (31.76)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.796
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.96
    Confidence Interval (2-Sided) 95%
    -6.34 to 8.27
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.719
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.150
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.14
    Confidence Interval (2-Sided) 95%
    -1.87 to 12.15
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.568
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.019
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 8.58
    Confidence Interval (2-Sided) 95%
    1.39 to 15.77
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.657
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.041
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 7.51
    Confidence Interval (2-Sided) 95%
    0.30 to 14.71
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 3.667
    Estimation Comments
    157. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Somnolence - Week 12 - (MITT-VMS)
    Description Change from Baseline to Wk 12 in MOS Sleep Somnolence individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Somnolence items include Q6, Q9, Q11. Scoring method: Answers to Q6, Q 9 and Q11 are reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 135 132 142 116
    Mean (Standard Deviation) [score on a scale]
    -11.3
    (20.70)
    -9.2
    (17.82)
    -10.4
    (22.61)
    -10.8
    (21.78)
    -8.7
    (20.62)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.221
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.69
    Confidence Interval (2-Sided) 95%
    -7.00 to 1.62
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.197
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.511
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.42
    Confidence Interval (2-Sided) 95%
    -5.65 to 2.81
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.154
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.761
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.66
    Confidence Interval (2-Sided) 95%
    -3.60 to 4.92
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.168
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.332
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.07
    Confidence Interval (2-Sided) 95%
    -6.25 to 2.11
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.128
    Estimation Comments
    158. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Somnolence - Month 6 - (MITT-VMS)
    Description Change from Baseline to Month 6 in MOS Sleep Somnolence individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Somnolence items include Q6, Q9, Q11. Scoring method: Answers to Q6, Q 9 and Q11 are reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 116 130 118 126 104
    Mean (Standard Deviation) [score on a scale]
    -10.1
    (21.60)
    -10.8
    (21.46)
    -12.4
    (22.98)
    -10.5
    (23.69)
    -9.6
    (21.64)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.687
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.00
    Confidence Interval (2-Sided) 95%
    -5.86 to 3.86
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.474
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.373
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.15
    Confidence Interval (2-Sided) 95%
    -6.88 to 2.58
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.411
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.714
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.91
    Confidence Interval (2-Sided) 95%
    -5.75 to 3.94
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.466
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.711
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.90
    Confidence Interval (2-Sided) 95%
    -5.67 to 3.87
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.427
    Estimation Comments
    159. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Somnolence - Month 12 - (MITT-VMS)
    Description Change from Baseline to Month 12 in MOS Sleep Somnolence individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Somnolence items include Q6, Q9, Q11. Scoring method: Answers to Q6, Q 9 and Q11 are reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 97 118 104 104 93
    Mean (Standard Deviation) [score on a scale]
    -8.0
    (22.93)
    -11.1
    (21.51)
    -13.1
    (20.03)
    -13.4
    (23.82)
    -6.7
    (25.95)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.415
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.19
    Confidence Interval (2-Sided) 95%
    -7.46 to 3.08
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.682
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.019
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.01
    Confidence Interval (2-Sided) 95%
    -11.04 to -0.97
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.564
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.074
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.72
    Confidence Interval (2-Sided) 95%
    -9.90 to 0.46
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.639
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.030
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.75
    Confidence Interval (2-Sided) 95%
    -10.94 to -0.57
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.637
    Estimation Comments
    160. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index I - Week 12 - (MITT-VMS)
    Description Change from Baseline to Wk 12 in MOS Sleep Problems Index I individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index I includes items Q4, Q5, Q7, Q8, Q9, Q12. Scoring method: Answers to Q, 5, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q4, & 12 are rescaled to 0-100 as follows: MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 135 132 142 116
    Mean (Standard Deviation) [score on a scale]
    -15.2
    (17.45)
    -11.3
    (17.04)
    -17.7
    (19.47)
    -13.5
    (19.65)
    -9.9
    (20.50)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.059
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.99
    Confidence Interval (2-Sided) 95%
    -8.13 to 0.16
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.109
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.215
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.57
    Confidence Interval (2-Sided) 95%
    -6.63 to 1.49
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.067
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.015
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.10
    Confidence Interval (2-Sided) 95%
    -9.19 to -1.00
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.084
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.122
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.16
    Confidence Interval (2-Sided) 95%
    -7.17 to 0.85
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.042
    Estimation Comments
    161. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index I - Month 6 - (MITT-VMS)
    Description Change from Baseline to Month 6 in MOS Sleep Problems Index I individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index I includes items Q4, Q5, Q7, Q8, Q9, Q12. Scoring method: Answers to Q, 5, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q4, & 12 are rescaled to 0-100 as follows: MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 116 130 118 126 104
    Mean (Standard Deviation) [score on a scale]
    -16.1
    (16.64)
    -14.3
    (16.56)
    -18.0
    (20.71)
    -15.7
    (19.34)
    -9.8
    (20.37)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.013
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.32
    Confidence Interval (2-Sided) 95%
    -9.52 to -1.13
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.135
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.76
    Confidence Interval (2-Sided) 95%
    -9.85 to -1.68
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.080
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.009
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.59
    Confidence Interval (2-Sided) 95%
    -9.77 to -1.40
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.132
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.007
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.68
    Confidence Interval (2-Sided) 95%
    -9.79 to -1.57
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.093
    Estimation Comments
    162. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index I - Month 12 - (MITT-VMS)
    Description Change from Baseline to Month 12 in MOS Sleep Problems Index I individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index I includes items Q4, Q5, Q7, Q8, Q9, Q12. Scoring method: Answers to Q, 5, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q4, & 12 are rescaled to 0-100 as follows: MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 97 118 104 104 93
    Mean (Standard Deviation) [score on a scale]
    -13.3
    (20.52)
    -13.5
    (18.04)
    -18.9
    (21.49)
    -16.1
    (20.01)
    -9.1
    (22.62)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.171
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.39
    Confidence Interval (2-Sided) 95%
    -8.24 to 1.47
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.470
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.49
    Confidence Interval (2-Sided) 95%
    -11.14 to -1.85
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.364
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.39
    Confidence Interval (2-Sided) 95%
    -12.17 to -2.61
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.434
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.69
    Confidence Interval (2-Sided) 95%
    -11.46 to -1.92
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.429
    Estimation Comments
    163. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index II - Week 12 - (MITT-VMS)
    Description Change from Baseline to Wk 12 in MOS Sleep Problems Index II individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index II items include Q1, Q3, Q4, Q5, Q6, Q7, Q8, Q9, Q12. Scoring method: Answers to Q3, 5, 6, 7, 8, & 9 are reversed & rescaled to realign to be same direction and range 0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20, for n=Q3, 5, 6, 7, 8, and 9. Answers to Q1, 4 & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 124 135 132 142 116
    Mean (Standard Deviation) [score on a scale]
    -16.8
    (17.14)
    -13.1
    (16.16)
    -18.5
    (19.34)
    -14.4
    (19.19)
    -11.8
    (19.56)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.039
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.21
    Confidence Interval (2-Sided) 95%
    -8.21 to -0.21
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.037
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.232
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.39
    Confidence Interval (2-Sided) 95%
    -6.31 to 1.53
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.997
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.030
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.37
    Confidence Interval (2-Sided) 95%
    -8.32 to -0.42
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.012
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.262
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.22
    Confidence Interval (2-Sided) 95%
    -6.09 to 1.66
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.973
    Estimation Comments
    164. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index II - Month 6 - (MITT-VMS)
    Description Change from Baseline to Month 6 in MOS Sleep Problems Index II individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index II items include Q1, Q3, Q4, Q5, Q6, Q7, Q8, Q9, Q12. Scoring method: Answers to Q3, 5, 6, 7, 8, & 9 are reversed & rescaled to realign to be same direction and range 0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20, for n=Q3, 5, 6, 7, 8, and 9. Answers to Q1, 4 & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 116 130 118 126 104
    Mean (Standard Deviation) [score on a scale]
    -17.5
    (17.40)
    -16.0
    (16.69)
    -19.8
    (21.18)
    -17.0
    (19.02)
    -11.6
    (19.31)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.011
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.41
    Confidence Interval (2-Sided) 95%
    -9.57 to -1.25
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.119
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.008
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.54
    Confidence Interval (2-Sided) 95%
    -9.60 to -1.48
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.065
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.007
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.74
    Confidence Interval (2-Sided) 95%
    -9.90 to -1.59
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.115
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.011
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.32
    Confidence Interval (2-Sided) 95%
    -9.40 to -1.24
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.078
    Estimation Comments
    165. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index II - Month 12 - (MITT-VMS)
    Description Change from Baseline to Month 12 in MOS Sleep Problems Index II individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index II items include Q1, Q3, Q4, Q5, Q6, Q7, Q8, Q9, Q12. Scoring method: Answers to Q3, 5, 6, 7, 8, & 9 are reversed & rescaled to realign to be same direction and range 0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20, for n=Q3, 5, 6, 7, 8, and 9. Answers to Q1, 4 & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 97 118 104 104 93
    Mean (Standard Deviation) [score on a scale]
    -14.7
    (21.13)
    -15.7
    (17.65)
    -20.5
    (21.49)
    -17.4
    (19.48)
    -10.5
    (21.71)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.083
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.21
    Confidence Interval (2-Sided) 95%
    -8.96 to 0.55
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.421
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.36
    Confidence Interval (2-Sided) 95%
    -11.91 to -2.81
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.317
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.92
    Confidence Interval (2-Sided) 95%
    -12.60 to -3.23
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.384
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.005
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.78
    Confidence Interval (2-Sided) 95%
    -11.46 to -2.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.381
    Estimation Comments
    166. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Optimal Sleep - Week 12 - (MITT-VMS)
    Description Change from Baseline (BL) to Week 12 in MOS Optimal Sleep Score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items measuring 6 dimensions of sleep over the past 4 wks. Optimal sleep is based on Q2 (self-reported average hrs sleep per night in past 4 wks). Scoring method: hrs of sleep coded 0 (non-optimal) or 1 (optimal) where 1-6 hrs & 9-23 hrs = 0, 7-8 hrs = 1. Change from BL: subject sleeps 7-8 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = -1; subject sleeps 1-6 or 9-23 hrs at BL & 7-8 hrs at follow-up, change = +1; subject sleeps 1-6 or 9-23 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = 0. Mean change from BL: changes are summed to give the Net Total (equivalent to the number subjects w/ improved sleep hrs minus the number subjects w/ worsened sleep hrs), which is divided by the number of subjects to give the mean proportion of net change, where >0 = overall improvement and <0 = overall worsening in the study arm.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 123 134 132 142 115
    Mean (Standard Deviation) [Proportion of Net Change]
    0.2
    (0.55)
    0.2
    (0.54)
    0.2
    (0.45)
    0.2
    (0.53)
    0.2
    (0.58)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.938
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.00
    Confidence Interval (2-Sided) 95%
    -0.12 to 0.11
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.060
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.779
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.02
    Confidence Interval (2-Sided) 95%
    -0.10 to 0.13
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.059
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.646
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.03
    Confidence Interval (2-Sided) 95%
    -0.14 to 0.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.059
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.421
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.05
    Confidence Interval (2-Sided) 95%
    -0.07 to 0.16
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.058
    Estimation Comments
    167. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Optimal Sleep - Month 6 - (MITT-VMS)
    Description Change from Baseline (BL) to Month 6 in MOS Optimal Sleep Score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items measuring 6 dimensions of sleep over the past 4 wks. Optimal sleep is based on Q2 (self-reported average hrs sleep per night in past 4 wks). Scoring method: hrs of sleep coded 0 (non-optimal) or 1 (optimal) where 1-6 hrs & 9-23 hrs = 0, 7-8 hrs = 1. Change from BL: subject sleeps 7-8 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = -1; subject sleeps 1-6 or 9-23 hrs at BL & 7-8 hrs at follow-up, change = +1; subject sleeps 1-6 or 9-23 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = 0. Mean change from BL: changes are summed to give the Net Total (equivalent to the number subjects w/ improved sleep hrs minus the number subjects w/ worsened sleep hrs), which is divided by the number of subjects to give the mean proportion of net change, where >0 = overall improvement and <0 = overall worsening in the study arm.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 115 129 118 125 104
    Mean (Standard Deviation) [Proportion of Net Change]
    0.3
    (0.52)
    0.2
    (0.52)
    0.2
    (0.57)
    0.1
    (0.57)
    0.2
    (0.52)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.075
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.11
    Confidence Interval (2-Sided) 95%
    -0.01 to 0.24
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.063
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.074
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.11
    Confidence Interval (2-Sided) 95%
    -0.01 to 0.23
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.062
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.370
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.06
    Confidence Interval (2-Sided) 95%
    -0.07 to 0.18
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.063
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.851
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.01
    Confidence Interval (2-Sided) 95%
    -0.11 to 0.13
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.062
    Estimation Comments
    168. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Optimal Sleep - Month 12 - (MITT-VMS)
    Description Change from Baseline (BL) to Month 12 in MOS Optimal Sleep Score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items measuring 6 dimensions of sleep over the past 4 wks. Optimal sleep is based on Q2 (self-reported average hrs sleep per night in past 4 wks). Scoring method: hrs of sleep coded 0 (non-optimal) or 1 (optimal) where 1-6 hrs & 9-23 hrs = 0, 7-8 hrs = 1. Change from BL: subject sleeps 7-8 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = -1; subject sleeps 1-6 or 9-23 hrs at BL & 7-8 hrs at follow-up, change = +1; subject sleeps 1-6 or 9-23 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = 0. Mean change from BL: changes are summed to give the Net Total (equivalent to the number subjects w/ improved sleep hrs minus the number subjects w/ worsened sleep hrs), which is divided by the number of subjects to give the mean proportion of net change, where >0 = overall improvement and <0 = overall worsening in the study arm.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. & severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. & severity of hot flushes following initiation of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 96 117 104 104 93
    Mean (Standard Deviation) [Proportion of Net Change]
    0.2
    (0.47)
    0.3
    (0.58)
    0.1
    (0.57)
    0.1
    (0.51)
    0.2
    (0.47)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.452
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.05
    Confidence Interval (2-Sided) 95%
    -0.18 to 0.08
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.067
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.244
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.07
    Confidence Interval (2-Sided) 95%
    -0.05 to 0.20
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.064
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.354
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.06
    Confidence Interval (2-Sided) 95%
    -0.19 to 0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.065
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.527
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.04
    Confidence Interval (2-Sided) 95%
    -0.17 to 0.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.065
    Estimation Comments
    169. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Vasomotor Domain Score - Week 12 (MITT)
    Description Changes in Vasomotor Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Vasomotor domain score is mean of = Q1,Q2, Q3, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 354 364 375 376 117
    Mean (Standard Deviation) [score on a scale]
    -3.5
    (2.02)
    -3.1
    (2.00)
    -3.1
    (2.01)
    -2.9
    (1.94)
    -2.2
    (1.84)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.92
    Confidence Interval (2-Sided) 95%
    -2.29 to -1.55
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.190
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.44
    Confidence Interval (2-Sided) 95%
    -1.81 to -1.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.189
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.44
    Confidence Interval (2-Sided) 95%
    -1.81 to -1.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.189
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.25
    Confidence Interval (2-Sided) 95%
    -1.62 to -0.88
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.188
    Estimation Comments
    170. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Vasomotor Domain Score - Month 6 (MITT)
    Description Changes in Vasomotor Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Vasomotor domain score is mean of = Q1,Q2, Q3, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 316 333 342 324 104
    Mean (Standard Deviation) [score on a scale]
    -4.0
    (1.95)
    -3.7
    (2.02)
    -3.5
    (2.15)
    -3.3
    (1.94)
    -3.0
    (2.26)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.73
    Confidence Interval (2-Sided) 95%
    -2.12 to -1.34
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.199
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.29
    Confidence Interval (2-Sided) 95%
    -1.68 to -0.91
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.197
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.20
    Confidence Interval (2-Sided) 95%
    -1.58 to -0.81
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.197
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.96
    Confidence Interval (2-Sided) 95%
    -1.34 to -0.57
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.198
    Estimation Comments
    171. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Vasomotor Domain Score - Month 12 (MITT)
    Description Changes in Vasomotor Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Vasomotor domain score is mean of = Q1,Q2, Q3, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 283 304 312 280 93
    Mean (Standard Deviation) [score on a scale]
    -3.8
    (2.05)
    -3.7
    (1.89)
    -3.4
    (2.06)
    -3.3
    (1.80)
    -2.8
    (2.26)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.65
    Confidence Interval (2-Sided) 95%
    -2.06 to -1.25
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.207
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.47
    Confidence Interval (2-Sided) 95%
    -1.87 to -1.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.204
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.30
    Confidence Interval (2-Sided) 95%
    -1.70 to -0.90
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.205
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.08
    Confidence Interval (2-Sided) 95%
    -1.48 to -0.67
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.207
    Estimation Comments
    172. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Psychosocial Domain Score - Week 12 (MITT)
    Description Changes in Psychosocial Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Psychosocial domain score is mean of = Q4 to Q10, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 354 363 373 376 117
    Mean (Standard Deviation) [score on a scale]
    -1.1
    (1.52)
    -1.0
    (1.66)
    -1.1
    (1.58)
    -1.0
    (1.49)
    -1.0
    (1.68)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.126
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.20
    Confidence Interval (2-Sided) 95%
    -0.46 to 0.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.131
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.200
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.17
    Confidence Interval (2-Sided) 95%
    -0.42 to 0.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.130
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.222
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.16
    Confidence Interval (2-Sided) 95%
    -0.41 to 0.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.130
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.358
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.12
    Confidence Interval (2-Sided) 95%
    -0.37 to 0.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.130
    Estimation Comments
    173. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Psychosocial Domain Score - Month 6 (MITT)
    Description Changes in Psychosocial Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Psychosocial domain score is mean of = Q4 to Q10, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 316 330 343 324 104
    Mean (Standard Deviation) [score on a scale]
    -1.3
    (1.68)
    -1.1
    (1.65)
    -1.1
    (1.65)
    -1.0
    (1.55)
    -1.0
    (1.61)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.023
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.31
    Confidence Interval (2-Sided) 95%
    -0.59 to -0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.138
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.045
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.28
    Confidence Interval (2-Sided) 95%
    -0.55 to -0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.138
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.384
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.12
    Confidence Interval (2-Sided) 95%
    -0.39 to 0.15
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.137
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.424
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.11
    Confidence Interval (2-Sided) 95%
    -0.38 to 0.16
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.138
    Estimation Comments
    174. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Psychosocial Domain Score - Month 12 (MITT)
    Description Changes in Psychosocial Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Psychosocial domain score is mean of = Q4 to Q10, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 282 303 312 280 93
    Mean (Standard Deviation) [score on a scale]
    -1.1
    (1.65)
    -1.1
    (1.74)
    -1.1
    (1.66)
    -1.0
    (1.64)
    -1.0
    (1.61)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.153
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.22
    Confidence Interval (2-Sided) 95%
    -0.52 to 0.08
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.152
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.058
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.29
    Confidence Interval (2-Sided) 95%
    -0.58 to 0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.151
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.550
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.09
    Confidence Interval (2-Sided) 95%
    -0.39 to 0.21
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.151
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.854
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.03
    Confidence Interval (2-Sided) 95%
    -0.33 to 0.27
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.153
    Estimation Comments
    175. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Physical Domain Score - Week 12 (MITT)
    Description Changes in Physical Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Physical domain score is mean of = Q11 to Q26, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 354 364 374 376 117
    Mean (Standard Deviation) [score on a scale]
    -1.1
    (1.41)
    -1.1
    (1.44)
    -1.3
    (1.40)
    -1.1
    (1.39)
    -1.0
    (1.38)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.181
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.16
    Confidence Interval (2-Sided) 95%
    -0.38 to 0.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.116
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.108
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.19
    Confidence Interval (2-Sided) 95%
    -0.41 to 0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.116
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.014
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.28
    Confidence Interval (2-Sided) 95%
    -0.51 to -0.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.115
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.323
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.11
    Confidence Interval (2-Sided) 95%
    -0.34 to 0.11
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.115
    Estimation Comments
    176. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Physical Domain Score - Month 6 (MITT)
    Description Changes in Physical Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Physical domain score is mean of = Q11 to Q26, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 316 332 343 324 104
    Mean (Standard Deviation) [score on a scale]
    -1.2
    (1.42)
    -1.1
    (1.46)
    -1.2
    (1.46)
    -1.0
    (1.39)
    -1.1
    (1.40)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.056
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.24
    Confidence Interval (2-Sided) 95%
    -0.48 to 0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.124
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.279
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.13
    Confidence Interval (2-Sided) 95%
    -0.38 to 0.11
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.124
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.435
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.10
    Confidence Interval (2-Sided) 95%
    -0.34 to 0.15
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.123
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.607
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.06
    Confidence Interval (2-Sided) 95%
    -0.31 to 0.18
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.124
    Estimation Comments
    177. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Physical Domain Score - Month 12 (MITT)
    Description Changes in Physical Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Physical domain score is mean of = Q11 to Q26, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 282 304 312 280 93
    Mean (Standard Deviation) [score on a scale]
    -1.1
    (1.52)
    -1.1
    (1.48)
    -1.2
    (1.43)
    -1.1
    (1.50)
    -0.9
    (1.39)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.060
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.26
    Confidence Interval (2-Sided) 95%
    -0.53 to 0.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.138
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.026
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.30
    Confidence Interval (2-Sided) 95%
    -0.57 to -0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.137
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.097
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.23
    Confidence Interval (2-Sided) 95%
    -0.49 to 0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.136
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.230
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.17
    Confidence Interval (2-Sided) 95%
    -0.44 to 0.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.138
    Estimation Comments
    178. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Sexual Domain Score - Week 12 (MITT)
    Description Changes in Sexual Domain Score from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Sexual domain score is mean of = Q27 to Q29, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 352 364 371 375 117
    Mean (Standard Deviation) [score on a scale]
    -1.4
    (2.06)
    -1.3
    (2.21)
    -1.5
    (2.02)
    -1.5
    (2.15)
    -1.3
    (2.21)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.107
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.27
    Confidence Interval (2-Sided) 95%
    -0.61 to 0.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.170
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.302
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.17
    Confidence Interval (2-Sided) 95%
    -0.51 to 0.16
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.169
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.106
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.27
    Confidence Interval (2-Sided) 95%
    -0.60 to 0.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.169
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.156
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.24
    Confidence Interval (2-Sided) 95%
    -0.57 to 0.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.169
    Estimation Comments
    179. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Sexual Domain Score - Month 6 (MITT)
    Description Changes in Sexual Domain Score from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Sexual domain score is mean of = Q27 to Q29, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 315 332 342 322 104
    Mean (Standard Deviation) [score on a scale]
    -1.4
    (2.11)
    -1.4
    (2.12)
    -1.4
    (2.05)
    -1.3
    (2.10)
    -1.3
    (1.93)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.081
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.31
    Confidence Interval (2-Sided) 95%
    -0.65 to 0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.177
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.212
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.22
    Confidence Interval (2-Sided) 95%
    -0.56 to 0.12
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.175
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.345
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.17
    Confidence Interval (2-Sided) 95%
    -0.51 to 0.18
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.175
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.829
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.04
    Confidence Interval (2-Sided) 95%
    -0.38 to 0.31
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.176
    Estimation Comments
    180. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Sexual Domain Score - Month 12 (MITT)
    Description Changes in Sexual Domain Score from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The scale contains four domains: vasomotor, psychosocial, physical and sexual. Each domain is scored separately. Sexual domain score is mean of = Q27 to Q29, with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 281 304 310 278 93
    Mean (Standard Deviation) [score on a scale]
    -1.3
    (2.26)
    -1.4
    (2.32)
    -1.3
    (2.10)
    -1.2
    (2.25)
    -1.1
    (2.29)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.029
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.44
    Confidence Interval (2-Sided) 95%
    -0.84 to -0.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.201
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.026
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.45
    Confidence Interval (2-Sided) 95%
    -0.84 to -0.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.199
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.093
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.33
    Confidence Interval (2-Sided) 95%
    -0.72 to 0.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.199
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.223
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.25
    Confidence Interval (2-Sided) 95%
    -0.64 to 0.15
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.202
    Estimation Comments
    181. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Overall Scores - Week 12 (MITT)
    Description Change in Overall Scores from Baseline to Week 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. The scale contains four domains: vasomotor, psychosocial, physical and sexual. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The Overall Score is the mean of the 4 domain scores with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 354 364 375 376 117
    Mean (Standard Deviation) [score on a scale]
    -1.8
    (1.31)
    -1.6
    (1.38)
    -1.7
    (1.35)
    -1.6
    (1.35)
    -1.4
    (1.36)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.62
    Confidence Interval (2-Sided) 95%
    -0.85 to -0.40
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.49
    Confidence Interval (2-Sided) 95%
    -0.71 to -0.26
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.11
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.52
    Confidence Interval (2-Sided) 95%
    -0.75 to -0.30
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.11
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.42
    Confidence Interval (2-Sided) 95%
    -0.64 to -0.20
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.11
    Estimation Comments
    182. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Overall Scores - Month 6 (MITT)
    Description Change in Overall Scores from Baseline to Month 6. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. The scale contains four domains: vasomotor, psychosocial, physical and sexual. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The Overall Score is the mean of the 4 domain scores with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 316 333 343 324 104
    Mean (Standard Deviation) [score on a scale]
    -2.0
    (1.32)
    -1.8
    (1.38)
    -1.8
    (1.39)
    -1.7
    (1.29)
    -1.6
    (1.31)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.61
    Confidence Interval (2-Sided) 95%
    -0.85 to -0.38
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.45
    Confidence Interval (2-Sided) 95%
    -0.69 to -0.22
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.36
    Confidence Interval (2-Sided) 95%
    -0.59 to -0.12
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.030
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.26
    Confidence Interval (2-Sided) 95%
    -0.50 to -0.03
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.12
    Estimation Comments
    183. Secondary Outcome
    Title Menopause-specific Quality of Life Questionnaire (MENQOL) - Overall Scores - Month 12 (MITT)
    Description Change in Overall Scores from Baseline to Month 12. The MENQOL is self-administered questionnaire which assessed changes in quality of life over a one-month period. It is composed of 29 questions indicating if subject experienced the problem (Yes/No) and if Yes, rating scale ranged from 0=Not bothered at all to 6=Extremely bothered. The scale contains four domains: vasomotor, psychosocial, physical and sexual. For analysis, the original scores were converted to the analysis score ranging from 1-8 where No=1, 0=2, 1=3...and 6=8. The Overall Score is the mean of the 4 domain scores with 1 being "not at all bothered" and 8 being "extremely bothered".
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 283 304 312 280 93
    Mean (Standard Deviation) [score on a scale]
    -1.8
    (1.43)
    -1.8
    (1.45)
    -1.7
    (1.38)
    -1.6
    (1.38)
    -1.5
    (1.50)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.62
    Confidence Interval (2-Sided) 95%
    -0.89 to -0.36
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.13
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.62
    Confidence Interval (2-Sided) 95%
    -0.88 to -0.36
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.13
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.47
    Confidence Interval (2-Sided) 95%
    -0.73 to -0.21
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.13
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.37
    Confidence Interval (2-Sided) 95%
    -0.63 to -0.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.13
    Estimation Comments
    184. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Sleep Scale - Total Sleep Score - Week 12 (MITT)
    Description Change from Baseline to Wk 12 in MOS Total Sleep Score as compared w/Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Total score includes items Q1, 3, 4, 5, 6, 7, 8, 9, & 12. Scoring method: Answers to Q3, 5, 6, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q1, 4, & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Total score= average of item scores; ranges =0 to 100, where higher score means worse outcome. If any of individual questions used to obtain total score is missing, total score will be set to missing value.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 350 358 370 365 112
    Mean (Standard Deviation) [score on a scale]
    -15.1
    (17.64)
    -13.0
    (17.42)
    -13.9
    (17.40)
    -13.3
    (18.22)
    -11.5
    (19.60)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.88
    Confidence Interval (2-Sided) 95%
    -8.08 to -1.69
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.629
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.027
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.61
    Confidence Interval (2-Sided) 95%
    -6.80 to -0.42
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.626
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.034
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.44
    Confidence Interval (2-Sided) 95%
    -6.61 to -0.26
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.618
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.119
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.53
    Confidence Interval (2-Sided) 95%
    -5.71 to 0.65
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.621
    Estimation Comments
    185. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Sleep Scale - Total Sleep Score - Month 6 (MITT)
    Description Change from Baseline to Month 6 in MOS Total Sleep Score as compared w/Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Total score includes items Q1, 3, 4, 5, 6, 7, 8, 9, & 12. Scoring method: Answers to Q3, 5, 6, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q1, 4, & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Total score= average of item scores; ranges =0 to 100, where higher score means worse outcome. If any of individual questions used to obtain total score is missing, total score will be set to missing value.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 313 321 339 317 101
    Mean (Standard Deviation) [score on a scale]
    -15.6
    (18.13)
    -14.8
    (16.10)
    -14.7
    (18.95)
    -14.6
    (18.93)
    -11.7
    (19.40)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.39
    Confidence Interval (2-Sided) 95%
    -8.73 to -2.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.700
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.39
    Confidence Interval (2-Sided) 95%
    -8.72 to -2.06
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.696
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.88
    Confidence Interval (2-Sided) 95%
    -8.19 to -1.58
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.685
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.009
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.42
    Confidence Interval (2-Sided) 95%
    -7.75 to -1.09
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.698
    Estimation Comments
    186. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Sleep Scale - Total Sleep Score - Month 12 (MITT)
    Description Change from Baseline to Month 12 in MOS Total Sleep Score as compared w/Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Total score includes items Q1, 3, 4, 5, 6, 7, 8, 9, & 12. Scoring method: Answers to Q3, 5, 6, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q1, 4, & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Total score= average of item scores; ranges =0 to 100, where higher score means worse outcome. If any of individual questions used to obtain total score is missing, total score will be set to missing value.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 281 300 308 270 92
    Mean (Standard Deviation) [score on a scale]
    -14.4
    (18.36)
    -14.5
    (17.85)
    -15.3
    (18.78)
    -15.3
    (19.28)
    -10.3
    (21.78)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.54
    Confidence Interval (2-Sided) 95%
    -10.18 to -2.90
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.855
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.61
    Confidence Interval (2-Sided) 95%
    -11.23 to -4.00
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.843
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.44
    Confidence Interval (2-Sided) 95%
    -11.04 to -3.84
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.835
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.76
    Confidence Interval (2-Sided) 95%
    -10.41 to -3.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.863
    Estimation Comments
    187. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Disturbance - Week 12 - (MITT)
    Description Change from Baseline to Wk 12 in MOS Sleep Disturbance individual score as compared with Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep disturbance includes items Q1, Q3, Q7, Q8. Scoring method: Answer to Q1 is rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25. Answers to Q3, 7, 8 are reversed & rescaled to realign to be same direction and range(0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Score is average of item scores; score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 354 365 374 376 117
    Mean (Standard Deviation) [score on a scale]
    -21.0
    (23.74)
    -18.1
    (24.62)
    -18.7
    (23.11)
    -17.3
    (24.88)
    -14.9
    (26.57)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.34
    Confidence Interval (2-Sided) 95%
    -11.55 to -3.13
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.146
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.009
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.60
    Confidence Interval (2-Sided) 95%
    -9.80 to -1.40
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.139
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.016
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.13
    Confidence Interval (2-Sided) 95%
    -9.31 to -0.95
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.132
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.154
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.04
    Confidence Interval (2-Sided) 95%
    -7.22 to 1.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.130
    Estimation Comments
    188. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Disturbance - Month 6 - (MITT)
    Description Change from Baseline to Month 6 in MOS Sleep Disturbance individual score as compared with Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep disturbance includes items Q1, Q3, Q7, Q8. Scoring method: Answer to Q1 is rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25. Answers to Q3, 7, 8 are reversed & rescaled to realign to be same direction and range(0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Score is average of item scores; score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 317 333 343 324 104
    Mean (Standard Deviation) [score on a scale]
    -22.3
    (25.24)
    -20.2
    (22.46)
    -20.1
    (25.12)
    -19.4
    (24.85)
    -15.4
    (27.57)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -8.38
    Confidence Interval (2-Sided) 95%
    -12.72 to -4.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.213
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.52
    Confidence Interval (2-Sided) 95%
    -11.83 to -3.20
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.201
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.32
    Confidence Interval (2-Sided) 95%
    -11.63 to -3.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.193
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.011
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.60
    Confidence Interval (2-Sided) 95%
    -9.93 to -1.27
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.207
    Estimation Comments
    189. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Disturbance - Month 12 - (MITT)
    Description Change from Baseline to Month 12 in MOS Sleep Disturbance individual score as compared with Placebo. MOS-Sleep Self Report Questionnaire is 12 items that measure 6 dimensions of sleep over past 4 wks. Q1 scored on scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 self-reported hrs of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep disturbance includes items Q1, Q3, Q7, Q8. Scoring method: Answer to Q1 is rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25. Answers to Q3, 7, 8 are reversed & rescaled to realign to be same direction and range(0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Score is average of item scores; score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 283 305 312 280 93
    Mean (Standard Deviation) [score on a scale]
    -20.2
    (25.27)
    -19.9
    (24.90)
    -19.9
    (25.01)
    -19.7
    (24.13)
    -14.1
    (28.67)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -8.97
    Confidence Interval (2-Sided) 95%
    -13.76 to -4.19
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.439
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -9.60
    Confidence Interval (2-Sided) 95%
    -14.34 to -4.85
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.420
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -9.30
    Confidence Interval (2-Sided) 95%
    -14.03 to -4.56
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.412
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.72
    Confidence Interval (2-Sided) 95%
    -12.51 to -2.93
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.442
    Estimation Comments
    190. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Snoring - Week 12 - (MITT)
    Description Change from Baseline to Wk 12 in MOS Snoring individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Snoring item is Q10. Scoring method: Answer to Q10 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 351 364 371 375 117
    Mean (Standard Deviation) [score on a scale]
    -2.6
    (25.30)
    -4.7
    (26.08)
    -4.5
    (28.93)
    -3.4
    (26.94)
    -5.6
    (25.03)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.434
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2.02
    Confidence Interval (2-Sided) 95%
    -3.03 to 7.07
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.576
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.442
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.97
    Confidence Interval (2-Sided) 95%
    -3.06 to 7.00
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.564
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.558
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.50
    Confidence Interval (2-Sided) 95%
    -3.52 to 6.51
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.558
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.534
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.59
    Confidence Interval (2-Sided) 95%
    -3.42 to 6.60
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.555
    Estimation Comments
    191. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Snoring - Month 6 - (MITT)
    Description Change from Baseline to Month 6 in MOS Snoring individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Snoring item is Q10. Scoring method: Answer to Q10 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 312 332 340 323 104
    Mean (Standard Deviation) [score on a scale]
    -2.4
    (28.00)
    -6.0
    (25.73)
    -6.8
    (27.32)
    -3.7
    (28.98)
    -3.5
    (27.08)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.927
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.25
    Confidence Interval (2-Sided) 95%
    -5.08 to 5.58
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.719
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.541
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.65
    Confidence Interval (2-Sided) 95%
    -6.95 to 3.64
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.699
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.171
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.68
    Confidence Interval (2-Sided) 95%
    -8.96 to 1.60
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.691
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.667
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.17
    Confidence Interval (2-Sided) 95%
    -6.48 to 4.15
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.708
    Estimation Comments
    192. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Snoring - Month 12 - (MITT)
    Description Change from Baseline to Month 12 in MOS Snoring individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Snoring item is Q10. Scoring method: Answer to Q10 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 280 305 311 277 93
    Mean (Standard Deviation) [score on a scale]
    -3.4
    (29.62)
    -7.5
    (27.71)
    -5.0
    (28.57)
    -4.5
    (24.79)
    -4.5
    (26.23)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.662
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 1.25
    Confidence Interval (2-Sided) 95%
    -4.36 to 6.87
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.863
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.635
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.35
    Confidence Interval (2-Sided) 95%
    -6.91 to 4.21
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.834
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.877
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.44
    Confidence Interval (2-Sided) 95%
    -5.98 to 5.11
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.827
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.893
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.39
    Confidence Interval (2-Sided) 95%
    -6.01 to 5.24
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.867
    Estimation Comments
    193. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Short of Breath or Headache - Week 12 - (MITT)
    Description Change from Baseline to Wk 12 in MOS Sleep Short of Breath or Headache(SOBHA) individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. SOBHA item is Q5. Scoring method: Answer to Q5 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 354 364 374 376 117
    Mean (Standard Deviation) [score on a scale]
    -6.0
    (24.56)
    -6.0
    (23.67)
    -7.1
    (27.97)
    -6.3
    (27.03)
    -3.4
    (25.50)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.830
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.44
    Confidence Interval (2-Sided) 95%
    -4.48 to 3.59
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.058
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.755
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.64
    Confidence Interval (2-Sided) 95%
    -4.66 to 3.38
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.050
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.802
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.51
    Confidence Interval (2-Sided) 95%
    -3.50 to 4.53
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.046
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.823
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.46
    Confidence Interval (2-Sided) 95%
    -4.46 to 3.55
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.043
    Estimation Comments
    194. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Short of Breath or Headache - Month 6 - (MITT)
    Description Change from Baseline to Month 6 in MOS Sleep Short of Breath or Headache(SOBHA) individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. SOBHA item is Q5. Scoring method: Answer to Q5 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 317 332 343 324 104
    Mean (Standard Deviation) [score on a scale]
    -6.2
    (28.14)
    -5.9
    (24.36)
    -7.5
    (27.19)
    -5.7
    (26.34)
    -2.1
    (23.47)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.255
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.46
    Confidence Interval (2-Sided) 95%
    -6.71 to 1.78
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.166
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.293
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.27
    Confidence Interval (2-Sided) 95%
    -6.49 to 1.96
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.154
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.502
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.44
    Confidence Interval (2-Sided) 95%
    -5.66 to 2.77
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.148
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.495
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.47
    Confidence Interval (2-Sided) 95%
    -5.71 to 2.76
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.161
    Estimation Comments
    195. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Short of Breath or Headache - Month 12 - (MITT)
    Description Change from Baseline to Month 12 in MOS Sleep Short of Breath or Headache(SOBHA) individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. SOBHA item is Q5. Scoring method: Answer to Q5 is reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 283 305 311 280 93
    Mean (Standard Deviation) [score on a scale]
    -6.6
    (27.64)
    -6.4
    (23.58)
    -7.9
    (28.34)
    -6.5
    (28.07)
    -2.8
    (27.60)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.389
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.96
    Confidence Interval (2-Sided) 95%
    -6.42 to 2.50
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.274
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.281
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.43
    Confidence Interval (2-Sided) 95%
    -6.85 to 1.99
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.253
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.504
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.51
    Confidence Interval (2-Sided) 95%
    -5.92 to 2.91
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.250
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.460
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.68
    Confidence Interval (2-Sided) 95%
    -6.15 to 2.78
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.277
    Estimation Comments
    196. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Adequacy - Week 12 - (MITT)
    Description Change from Baseline to Wk 12 in MOS Sleep Adequacy individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Adequacy includes items Q4, Q12. Scoring method: Answers for Q4 and Q12 are reversed and rescaled to 0-100 as follows: MOS_4_new = (6-MOS_4_old) x 20; MOS_12_new = (6-MOS_12_old) x 20. Score is the average of item scores; score range = 0 to 100, where higher score means better outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 354 365 374 376 117
    Mean (Standard Deviation) [score on a scale]
    11.9
    (29.12)
    9.0
    (27.40)
    11.4
    (27.54)
    11.9
    (27.30)
    11.3
    (25.98)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.084
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 4.35
    Confidence Interval (2-Sided) 95%
    -0.58 to 9.28
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.513
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.298
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 2.61
    Confidence Interval (2-Sided) 95%
    -2.30 to 7.53
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.506
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.136
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.72
    Confidence Interval (2-Sided) 95%
    -1.17 to 8.62
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.496
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.163
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 3.48
    Confidence Interval (2-Sided) 95%
    -1.41 to 8.37
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.492
    Estimation Comments
    197. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Adequacy - Month 6 - (MITT)
    Description Change from Baseline to Month 6 in MOS Sleep Adequacy individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Adequacy includes items Q4, Q12. Scoring method: Answers for Q4 and Q12 are reversed and rescaled to 0-100 as follows: MOS_4_new = (6-MOS_4_old) x 20; MOS_12_new = (6-MOS_12_old) x 20. Score is the average of item scores; score range = 0 to 100, where higher score means better outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 317 333 343 324 104
    Mean (Standard Deviation) [score on a scale]
    10.5
    (26.86)
    11.7
    (28.11)
    11.0
    (28.85)
    14.5
    (27.92)
    9.5
    (27.36)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.054
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.11
    Confidence Interval (2-Sided) 95%
    -0.08 to 10.31
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.647
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.007
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 7.10
    Confidence Interval (2-Sided) 95%
    1.93 to 12.26
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.634
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.025
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.90
    Confidence Interval (2-Sided) 95%
    0.75 to 11.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.623
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 8.38
    Confidence Interval (2-Sided) 95%
    3.20 to 13.55
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.638
    Estimation Comments
    198. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Adequacy - Month 12 - (MITT)
    Description Change from Baseline to Month 12 in MOS Sleep Adequacy individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Adequacy includes items Q4, Q12. Scoring method: Answers for Q4 and Q12 are reversed and rescaled to 0-100 as follows: MOS_4_new = (6-MOS_4_old) x 20; MOS_12_new = (6-MOS_12_old) x 20. Score is the average of item scores; score range = 0 to 100, where higher score means better outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 283 305 312 280 93
    Mean (Standard Deviation) [score on a scale]
    9.8
    (27.33)
    12.0
    (29.86)
    12.6
    (27.71)
    14.1
    (28.81)
    10.0
    (31.76)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.089
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 5.02
    Confidence Interval (2-Sided) 95%
    -0.76 to 10.80
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.945
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.010
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 7.56
    Confidence Interval (2-Sided) 95%
    1.83 to 13.29
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.920
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.009
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 7.65
    Confidence Interval (2-Sided) 95%
    1.94 to 13.36
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.911
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.007
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 7.89
    Confidence Interval (2-Sided) 95%
    2.11 to 13.67
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.944
    Estimation Comments
    199. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Somnolence - Week 12 - (MITT)
    Description Change from Baseline to Wk 12 in MOS Sleep Somnolence individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Somnolence items include Q6, Q9, Q11. Scoring method: Answers to Q6, Q 9 and Q11 are reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 354 365 374 376 117
    Mean (Standard Deviation) [score on a scale]
    -9.2
    (20.49)
    -8.1
    (18.67)
    -7.6
    (19.57)
    -8.9
    (21.09)
    -8.7
    (20.54)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.349
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.64
    Confidence Interval (2-Sided) 95%
    -5.07 to 1.79
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.749
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.499
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.18
    Confidence Interval (2-Sided) 95%
    -4.60 to 2.24
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.743
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.936
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.14
    Confidence Interval (2-Sided) 95%
    -3.27 to 3.55
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.737
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.696
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.68
    Confidence Interval (2-Sided) 95%
    -4.08 to 2.72
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.736
    Estimation Comments
    200. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Somnolence - Month 6 - (MITT)
    Description Change from Baseline to Month 6 in MOS Sleep Somnolence individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Somnolence items include Q6, Q9, Q11. Scoring method: Answers to Q6, Q 9 and Q11 are reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 317 333 343 324 104
    Mean (Standard Deviation) [score on a scale]
    -9.4
    (22.40)
    -8.4
    (19.88)
    -9.6
    (20.04)
    -8.7
    (21.65)
    -9.6
    (21.64)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.572
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.09
    Confidence Interval (2-Sided) 95%
    -4.86 to 2.69
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.924
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.553
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.14
    Confidence Interval (2-Sided) 95%
    -4.89 to 2.62
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.914
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.456
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -1.42
    Confidence Interval (2-Sided) 95%
    -5.16 to 2.32
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.907
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.949
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.12
    Confidence Interval (2-Sided) 95%
    -3.89 to 3.64
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.919
    Estimation Comments
    201. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Somnolence - Month 12 - (MITT)
    Description Change from Baseline to Month 12 in MOS Sleep Somnolence individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-Q12 are scored 1-6 ranging from 1=All of the time to 6=None of the time. Sleep Somnolence items include Q6, Q9, Q11. Scoring method: Answers to Q6, Q 9 and Q11 are reversed & rescaled to 0 to 100 such that 0="best possible" & 100="worst possible". MOS_n_new <- (6-MOS_n_old) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 283 305 312 280 93
    Mean (Standard Deviation) [score on a scale]
    -8.5
    (22.79)
    -9.2
    (19.17)
    -9.9
    (19.33)
    -9.4
    (23.06)
    -6.7
    (25.95)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.097
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.36
    Confidence Interval (2-Sided) 95%
    -7.34 to 0.61
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.026
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.008
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.34
    Confidence Interval (2-Sided) 95%
    -9.28 to -1.40
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.010
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.014
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.94
    Confidence Interval (2-Sided) 95%
    -8.87 to -1.01
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.003
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.056
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.88
    Confidence Interval (2-Sided) 95%
    -7.86 to 0.10
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 2.029
    Estimation Comments
    202. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index I - Week 12 - (MITT)
    Description Change from Baseline to Wk 12 in MOS Sleep Problems Index I individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index I includes items Q4, Q5, Q7, Q8, Q9, Q12. Scoring method: Answers to Q, 5, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q4, & 12 are rescaled to 0-100 as follows: MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 354 365 374 376 117
    Mean (Standard Deviation) [score on a scale]
    -13.5
    (17.90)
    -11.4
    (18.02)
    -12.2
    (18.29)
    -12.8
    (19.33)
    -9.8
    (20.47)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.92
    Confidence Interval (2-Sided) 95%
    -8.18 to -1.65
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.665
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.023
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.79
    Confidence Interval (2-Sided) 95%
    -7.05 to -0.53
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.660
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.047
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.28
    Confidence Interval (2-Sided) 95%
    -6.52 to -0.04
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.653
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.039
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.41
    Confidence Interval (2-Sided) 95%
    -6.65 to -0.17
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.652
    Estimation Comments
    203. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index I - Month 6 - (MITT)
    Description Change from Baseline to Month 6 in MOS Sleep Problems Index I individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index I includes items Q4, Q5, Q7, Q8, Q9, Q12. Scoring method: Answers to Q, 5, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q4, & 12 are rescaled to 0-100 as follows: MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 317 333 343 324 104
    Mean (Standard Deviation) [score on a scale]
    -14.0
    (17.60)
    -12.9
    (16.76)
    -13.2
    (19.16)
    -13.8
    (19.77)
    -9.8
    (20.37)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.69
    Confidence Interval (2-Sided) 95%
    -9.05 to -2.33
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.713
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.58
    Confidence Interval (2-Sided) 95%
    -8.93 to -2.24
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.704
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.12
    Confidence Interval (2-Sided) 95%
    -8.45 to -1.79
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.697
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.003
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.11
    Confidence Interval (2-Sided) 95%
    -8.46 to -1.76
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.708
    Estimation Comments
    204. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index I - Month 12 - (MITT)
    Description Change from Baseline to Month 12 in MOS Sleep Problems Index I individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self-reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index I includes items Q4, Q5, Q7, Q8, Q9, Q12. Scoring method: Answers to Q, 5, 7, 8, 9 are reversed & rescaled to realign to be same direction and range (0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20. Answers to Q4, & 12 are rescaled to 0-100 as follows: MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 283 305 312 280 93
    Mean (Standard Deviation) [score on a scale]
    -12.8
    (18.19)
    -13.0
    (18.36)
    -13.7
    (19.02)
    -14.0
    (20.14)
    -9.1
    (22.62)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.01
    Confidence Interval (2-Sided) 95%
    -9.71 to -2.32
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.885
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.22
    Confidence Interval (2-Sided) 95%
    -10.89 to -3.55
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.871
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.92
    Confidence Interval (2-Sided) 95%
    -10.58 to -3.27
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.863
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.42
    Confidence Interval (2-Sided) 95%
    -10.12 to -2.72
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.886
    Estimation Comments
    205. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index II - Week 12 - (MITT)
    Description Change from Baseline to Wk 12 in MOS Sleep Problems Index II individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index II items include Q1, Q3, Q4, Q5, Q6, Q7, Q8, Q9, Q12. Scoring method: Answers to Q3, 5, 6, 7, 8, & 9 are reversed & rescaled to realign to be same direction and range 0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20, for n=Q3, 5, 6, 7, 8, and 9. Answers to Q1, 4 & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 354 365 374 376 117
    Mean (Standard Deviation) [score on a scale]
    -15.1
    (17.64)
    -13.0
    (17.38)
    -13.9
    (17.40)
    -13.4
    (18.47)
    -11.8
    (19.48)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.004
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.60
    Confidence Interval (2-Sided) 95%
    -7.75 to -1.44
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.609
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.030
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.49
    Confidence Interval (2-Sided) 95%
    -6.64 to -0.34
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.605
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.049
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -3.15
    Confidence Interval (2-Sided) 95%
    -6.29 to -0.02
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.598
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.121
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -2.48
    Confidence Interval (2-Sided) 95%
    -5.61 to 0.65
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.597
    Estimation Comments
    206. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Sleep Problems Index II - Month 6 - (MITT)
    Description Change from Baseline to Month 6 in MOS Sleep Problems Index II individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index II items include Q1, Q3, Q4, Q5, Q6, Q7, Q8, Q9, Q12. Scoring method: Answers to Q3, 5, 6, 7, 8, & 9 are reversed & rescaled to realign to be same direction and range 0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20, for n=Q3, 5, 6, 7, 8, and 9. Answers to Q1, 4 & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 317 333 343 324 104
    Mean (Standard Deviation) [score on a scale]
    -15.5
    (18.15)
    -14.6
    (16.41)
    -14.9
    (18.95)
    -14.8
    (18.87)
    -11.6
    (19.31)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.44
    Confidence Interval (2-Sided) 95%
    -8.74 to -2.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.682
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.53
    Confidence Interval (2-Sided) 95%
    -8.81 to -2.25
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.674
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.002
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -5.12
    Confidence Interval (2-Sided) 95%
    -8.39 to -1.85
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.667
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.006
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -4.64
    Confidence Interval (2-Sided) 95%
    -7.93 to -1.35
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.677
    Estimation Comments
    207. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Individual Score for Sleep Problems Index II - Month 12 - (MITT)
    Description Change from Baseline to Month 12 in MOS Sleep Problems Index II individual score as compared with Placebo. The MOS-Sleep Self Report Questionnaire is composed of 12 items that measure 6 dimensions of sleep over the past 4 weeks. Q1 is scored on a scale 1-5: 1=0-15 min, 2=16-30 min...5=>60 mins. Q2 is self reported hours of sleep per night. Q3-12 scored 1-6 where 1=All of the time to 6=None of the time. Sleep Problems Index II items include Q1, Q3, Q4, Q5, Q6, Q7, Q8, Q9, Q12. Scoring method: Answers to Q3, 5, 6, 7, 8, & 9 are reversed & rescaled to realign to be same direction and range 0 to 100 with 0="best possible" & 100="worst possible" as follows: MOS_n_new = (6-MOS_n_old) x 20, for n=Q3, 5, 6, 7, 8, and 9. Answers to Q1, 4 & 12 are rescaled to 0-100 as follows: MOS_1_new =(MOS_1_old - 1) x 25; MOS_4_new =(MOS_4_old - 1) x 20; MOS_12_new=(MOS_12_old - 1) x 20. Score is the average of item scores; score range range=0 to 100, where higher score means worse outcome.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 283 305 312 280 93
    Mean (Standard Deviation) [score on a scale]
    -14.3
    (18.35)
    -14.6
    (17.95)
    -15.4
    (18.74)
    -15.1
    (19.43)
    -10.5
    (21.71)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.28
    Confidence Interval (2-Sided) 95%
    -9.91 to -2.65
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.849
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.58
    Confidence Interval (2-Sided) 95%
    -11.18 to -3.98
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.835
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -7.43
    Confidence Interval (2-Sided) 95%
    -11.02 to -3.84
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.828
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value <0.001
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -6.54
    Confidence Interval (2-Sided) 95%
    -10.17 to -2.91
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 1.851
    Estimation Comments
    208. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Optimal Sleep - Week 12 - (MITT)
    Description Change from Baseline (BL) to Wk 12 in MOS Optimal Sleep Score as compared with Placebo.The MOS-Sleep Self Report Questionnaire is composed of 12 items measuring 6 dimensions of sleep over the past 4 wks. Optimal sleep is based on Q2 (self-reported average hrs sleep per night in past 4 wks). Scoring method: hrs of sleep coded 0 (non-optimal) or 1 (optimal) where 1-6 hrs & 9-23 hrs = 0, 7-8 hrs = 1. Change from BL: subject sleeps 7-8 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = -1; subject sleeps 1-6 or 9-23 hrs at BL & 7-8 hrs at follow-up, change = +1; subject sleeps 1-6 or 9-23 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = 0. Mean change from BL: changes are summed to give the Net Total (equivalent to the number subjects w/ improved sleep hrs minus the number subjects w/ worsened sleep hrs), which is divided by the number of subjects to give the mean proportion of net change, where >0 = overall improvement and <0 = overall worsening in the study arm.
    Time Frame Baseline and Week 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 353 364 372 376 116
    Mean (Standard Deviation) [Proportion of Net Change]
    0.2
    (0.53)
    0.1
    (0.56)
    0.2
    (0.49)
    0.1
    (0.52)
    0.2
    (0.59)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.225
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.06
    Confidence Interval (2-Sided) 95%
    -0.04 to 0.16
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.049
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.741
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.02
    Confidence Interval (2-Sided) 95%
    -0.08 to 0.11
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.049
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.414
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.04
    Confidence Interval (2-Sided) 95%
    -0.06 to 0.14
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.049
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.690
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Week 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.02
    Confidence Interval (2-Sided) 95%
    -0.11 to 0.08
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.049
    Estimation Comments
    209. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Optimal Sleep - Month 6 - (MITT)
    Description Change from Baseline (BL) to Month 6 in MOS Optimal Sleep Score as compared with Placebo.The MOS-Sleep Self Report Questionnaire is composed of 12 items measuring 6 dimensions of sleep over the past 4 wks. Optimal sleep is based on Q2 (self-reported average hrs sleep per night in past 4 wks). Scoring method: hrs of sleep coded 0 (non-optimal) or 1 (optimal) where 1-6 hrs & 9-23 hrs = 0, 7-8 hrs = 1. Change from BL: subject sleeps 7-8 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = -1; subject sleeps 1-6 or 9-23 hrs at BL & 7-8 hrs at follow-up, change = +1; subject sleeps 1-6 or 9-23 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = 0. Mean change from BL: changes are summed to give the Net Total (equivalent to the number subjects w/ improved sleep hrs minus the number subjects w/ worsened sleep hrs), which is divided by the number of subjects to give the mean proportion of net change, where >0 = overall improvement and <0 = overall worsening in the study arm.
    Time Frame Baseline and Month 6

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 316 331 339 323 104
    Mean (Standard Deviation) [Proportion of Net Change]
    0.2
    (0.56)
    0.2
    (0.55)
    0.2
    (0.53)
    0.1
    (0.56)
    0.2
    (0.52)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.045
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.11
    Confidence Interval (2-Sided) 95%
    0.00 to 0.21
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.052
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.069
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.09
    Confidence Interval (2-Sided) 95%
    -0.01 to 0.20
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.052
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.126
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.08
    Confidence Interval (2-Sided) 95%
    -0.02 to 0.18
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.052
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.907
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 6
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.01
    Confidence Interval (2-Sided) 95%
    -0.10 to 0.11
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.052
    Estimation Comments
    210. Secondary Outcome
    Title Medical Outcomes Sleep Study (MOS) Optimal Sleep - Month 12 - (MITT)
    Description Change from Baseline (BL) to Month 12 in MOS Optimal Sleep Score as compared with Placebo.The MOS-Sleep Self Report Questionnaire is composed of 12 items measuring 6 dimensions of sleep over the past 4 wks. Optimal sleep is based on Q2 (self-reported average hrs sleep per night in past 4 wks). Scoring method: hrs of sleep coded 0 (non-optimal) or 1 (optimal) where 1-6 hrs & 9-23 hrs = 0, 7-8 hrs = 1. Change from BL: subject sleeps 7-8 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = -1; subject sleeps 1-6 or 9-23 hrs at BL & 7-8 hrs at follow-up, change = +1; subject sleeps 1-6 or 9-23 hrs at BL & 1-6 or 9-23 hrs at follow-up, change = 0. Mean change from BL: changes are summed to give the Net Total (equivalent to the number subjects w/ improved sleep hrs minus the number subjects w/ worsened sleep hrs), which is divided by the number of subjects to give the mean proportion of net change, where >0 = overall improvement and <0 = overall worsening in the study arm.
    Time Frame Baseline and Month 12

    Outcome Measure Data

    Analysis Population Description
    All randomized subjects who took at least one dose (2 capsules) of IP.
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    Measure Participants 282 303 311 280 93
    Mean (Standard Deviation) [Proportion of Net Change]
    0.1
    (0.51)
    0.2
    (0.56)
    0.1
    (0.55)
    0.1
    (0.52)
    0.2
    (0.47)
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 1 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.992
    Comments p-value is derived from comparison between Combined Estradiol 1 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.00
    Confidence Interval (2-Sided) 95%
    -0.11 to 0.11
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.055
    Estimation Comments
    Statistical Analysis 2
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 100 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.450
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 100 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value 0.04
    Confidence Interval (2-Sided) 95%
    -0.07 to 0.15
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.054
    Estimation Comments
    Statistical Analysis 3
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.5 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.663
    Comments p-value is derived from comparison between Combined Estradiol 0.5 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.02
    Confidence Interval (2-Sided) 95%
    -0.13 to 0.08
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.054
    Estimation Comments
    Statistical Analysis 4
    Statistical Analysis Overview Comparison Group Selection Combined Estradiol 0.25 mg / Progesterone 50 mg, Placebo
    Comments
    Type of Statistical Test Superiority
    Comments
    Statistical Test of Hypothesis p-Value 0.309
    Comments p-value is derived from comparison between Combined Estradiol 0.25 mg / Progesterone 50 mg against Placebo at Month 12
    Method Mixed Models Analysis
    Comments
    Method of Estimation Estimation Parameter Mean Difference (Final Values)
    Estimated Value -0.06
    Confidence Interval (2-Sided) 95%
    -0.16 to 0.05
    Parameter Dispersion Type: Standard Error of the Mean
    Value: 0.055
    Estimation Comments

    Adverse Events

    Time Frame Adverse Event data were collected on or after the subject signed Informed Consent through fifteen days following the last dose of Investigational Product. Treatment Emergent Adverse Event data were collected on or after the first dose of IP through fifteen days following the last dose of IP.
    Adverse Event Reporting Description
    Arm/Group Title Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Arm/Group Description Combined Estradiol 1 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 100 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.5 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Combined Estradiol 0.25 mg / Progesterone 50 mg formulation and placebo softgel capsules taken orally once a day for twelve months. Two Placebo softgel capsules taken orally once a day for twelve months.
    All Cause Mortality
    Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Serious Adverse Events
    Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 9/415 (2.2%) 15/424 (3.5%) 9/421 (2.1%) 11/424 (2.6%) 2/151 (1.3%)
    Cardiac disorders
    Cardiac Tamponade 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Coronary Artery Disease 1/415 (0.2%) 0/424 (0%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Stress Cardiomyopothy 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Gastrointestinal disorders
    Colitis Ischaemic 1/415 (0.2%) 0/424 (0%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Colitis Ulcerative 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Gastroduodenal Haemorrhage 0/415 (0%) 0/424 (0%) 0/421 (0%) 1/424 (0.2%) 0/151 (0%)
    Gastroduodenitis 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Pancreatitis 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Pancreatitis Acute 1/415 (0.2%) 0/424 (0%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Small Intestinal Obstruction 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    General disorders
    Non-Cardiac Chest Pain 0/415 (0%) 0/424 (0%) 0/421 (0%) 1/424 (0.2%) 0/151 (0%)
    Hepatobiliary disorders
    Hepatic Steatosis 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Immune system disorders
    Angioedema 0/415 (0%) 0/424 (0%) 0/421 (0%) 1/424 (0.2%) 0/151 (0%)
    Infections and infestations
    Bronchitis 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Cholecystitis Infective 0/415 (0%) 0/424 (0%) 0/421 (0%) 0/424 (0%) 1/151 (0.7%)
    Clostridium Difficile Colitis 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Diverticulitis 2/415 (0.5%) 0/424 (0%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Gastroenteritis Viral 1/415 (0.2%) 0/424 (0%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Infectious Mononucleosis 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Pneumonia 0/415 (0%) 2/424 (0.5%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Urosepsis 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Injury, poisoning and procedural complications
    Ankle Fracture 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Foot Fracture 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Humerus Fracture 0/415 (0%) 0/424 (0%) 0/421 (0%) 1/424 (0.2%) 0/151 (0%)
    Incisional Hernia 1/415 (0.2%) 0/424 (0%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Jaw Fracture 0/415 (0%) 0/424 (0%) 0/421 (0%) 1/424 (0.2%) 0/151 (0%)
    Tibia Fracture 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Musculoskeletal and connective tissue disorders
    Chondrocalcinosis Pyrophosphate 0/415 (0%) 0/424 (0%) 0/421 (0%) 1/424 (0.2%) 0/151 (0%)
    Intervertebral Disc Protrusion 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Osteoarthritis 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Breast Cancer Female 2/415 (0.5%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Invasive Ductal Breast Carcinoma 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 1/424 (0.2%) 0/151 (0%)
    Lung Cancer Metastatic 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Myelodysplastic Syndrome 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Non-Small Cell Lung Cancer Stage IV 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Nervous system disorders
    Balance Disorder 0/415 (0%) 0/424 (0%) 0/421 (0%) 1/424 (0.2%) 0/151 (0%)
    Cerebellar Infarction 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Cerebrovascular Accident 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Seizure 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Subarachnoid Haemorrhage 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Psychiatric disorders
    Psychotic Disorder 1/415 (0.2%) 0/424 (0%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Reproductive system and breast disorders
    Uterine Leiomyoma 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Uterine Prolapse 0/415 (0%) 0/424 (0%) 0/421 (0%) 0/424 (0%) 1/151 (0.7%)
    Respiratory, thoracic and mediastinal disorders
    Acute Respiratory Failure 0/415 (0%) 0/424 (0%) 0/421 (0%) 1/424 (0.2%) 0/151 (0%)
    Chronic Obstructive Pulmonary Disease 0/415 (0%) 0/424 (0%) 0/421 (0%) 2/424 (0.5%) 0/151 (0%)
    Pleural Effusion 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Pneumonia Aspiration 0/415 (0%) 0/424 (0%) 0/421 (0%) 1/424 (0.2%) 0/151 (0%)
    Vascular disorders
    Aortic Aneurysm 1/415 (0.2%) 0/424 (0%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Aortic Thrombosis 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Deep Vein Thrombosis 0/415 (0%) 0/424 (0%) 1/421 (0.2%) 0/424 (0%) 0/151 (0%)
    Peripheral Arterial Occlusive Disease 0/415 (0%) 1/424 (0.2%) 0/421 (0%) 0/424 (0%) 0/151 (0%)
    Other (Not Including Serious) Adverse Events
    Combined Estradiol 1 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 100 mg Combined Estradiol 0.5 mg / Progesterone 50 mg Combined Estradiol 0.25 mg / Progesterone 50 mg Placebo
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 324/415 (78.1%) 277/424 (65.3%) 291/421 (69.1%) 232/424 (54.7%) 41/151 (27.2%)
    Gastrointestinal disorders
    Nausea 20/415 (4.8%) 25/424 (5.9%) 19/421 (4.5%) 16/424 (3.8%) 2/151 (1.3%)
    Abdominal Pain 22/415 (5.3%) 10/424 (2.4%) 14/421 (3.3%) 15/424 (3.5%) 4/151 (2.6%)
    Diarrhoea 13/415 (3.1%) 13/424 (3.1%) 11/421 (2.6%) 11/424 (2.6%) 2/151 (1.3%)
    Abdominal Distension 15/415 (3.6%) 6/424 (1.4%) 11/421 (2.6%) 11/424 (2.6%) 1/151 (0.7%)
    Infections and infestations
    Nasopharyngitis 25/415 (6%) 41/424 (9.7%) 37/421 (8.8%) 24/424 (5.7%) 4/151 (2.6%)
    Upper Respiratory Tract Infection 22/415 (5.3%) 26/424 (6.1%) 34/421 (8.1%) 15/424 (3.5%) 6/151 (4%)
    Sinusitis 20/415 (4.8%) 15/424 (3.5%) 13/421 (3.1%) 13/424 (3.1%) 3/151 (2%)
    Vulvovaginal Mycotic Infection 14/415 (3.4%) 15/424 (3.5%) 14/421 (3.3%) 5/424 (1.2%) 4/151 (2.6%)
    Influenza 4/415 (1%) 6/424 (1.4%) 14/421 (3.3%) 12/424 (2.8%) 2/151 (1.3%)
    Musculoskeletal and connective tissue disorders
    Back Pain 22/415 (5.3%) 11/424 (2.6%) 15/421 (3.6%) 15/424 (3.5%) 1/151 (0.7%)
    Nervous system disorders
    Headache 31/415 (7.5%) 24/424 (5.7%) 45/421 (10.7%) 43/424 (10.1%) 4/151 (2.6%)
    Dizziness 17/415 (4.1%) 15/424 (3.5%) 10/421 (2.4%) 8/424 (1.9%) 3/151 (2%)
    Reproductive system and breast disorders
    Breast Tenderness 45/415 (10.8%) 19/424 (4.5%) 25/421 (5.9%) 10/424 (2.4%) 1/151 (0.7%)
    Pelvic Pain 17/415 (4.1%) 15/424 (3.5%) 10/421 (2.4%) 7/424 (1.7%) 0/151 (0%)
    Vaginal Discharge 16/415 (3.9%) 13/424 (3.1%) 7/421 (1.7%) 7/424 (1.7%) 1/151 (0.7%)
    Vaginal Haemorrhage 14/415 (3.4%) 10/424 (2.4%) 3/421 (0.7%) 8/424 (1.9%) 1/151 (0.7%)
    Vascular disorders
    Hypertension 7/415 (1.7%) 13/424 (3.1%) 9/421 (2.1%) 12/424 (2.8%) 2/151 (1.3%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

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

    The only disclosure restriction on the PI is that the sponsor can review results communications prior to public release and can embargo communications regarding trial results for a period that is more than 60 days but less than or equal to 180 days. The sponsor cannot require changes to the communication and cannot extend the embargo.

    Results Point of Contact

    Name/Title Sebastian Mirkin, MD, Chief Medical Officer
    Organization TherapeuticsMD
    Phone 561-961-1900 ext 1952
    Email smirkin@therapeuticsmd.com
    Responsible Party:
    TherapeuticsMD
    ClinicalTrials.gov Identifier:
    NCT01942668
    Other Study ID Numbers:
    • TXC12-05
    • REPLENISH Trial
    First Posted:
    Sep 16, 2013
    Last Update Posted:
    May 6, 2019
    Last Verified:
    Apr 1, 2019