LIBERTY 2: Efficacy & Safety Study of Relugolix in Women With Heavy Menstrual Bleeding Associated With Uterine Fibroids

Last updated: March 23, 2022
Sponsor: Myovant Sciences GmbH
Overall Status: Completed

Phase

3

Condition

Hemorrhage

Menstrual Disorders

Uterina Myoma

Treatment

N/A

Clinical Study ID

NCT03103087
MVT-601-3002
2016-005113-50
  • Ages 18-50
  • Female

Study Summary

The purpose of this study is to determine the benefit of relugolix 40 milligrams (mg) once a day co-administered with estradiol (E2) 1 mg and norethindrone acetate (NETA) 0.5 mg compared with placebo for 24 weeks on heavy menstrual bleeding associated with uterine fibroids.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Premenopausal female aged 18 to 50 years old (inclusive) on the day of signing anddating the informed consent form.
  2. Has regularly occurring menstrual periods of ≤ 14 days duration with a cycle of 21 to 38 days from the start of 1 menstrual period until the start of the next, byparticipant history for at least 3 months prior to the first screening visit.
  3. Has a diagnosis of uterine fibroids that is confirmed by a transvaginal and/ortransabdominal ultrasound performed during the screening period.
  4. Has heavy menstrual bleeding associated with uterine fibroids as evidenced by an MBLof ≥ 160 milliliter (mL) during 1 cycle or ≥ 80 mL per cycle for 2 menstrual cycles asmeasured by the alkaline hematin method during the screening period.

Exclusion

Key Exclusion Criteria:

  1. Has transvaginal and/or transabdominal ultrasound during the screening perioddemonstrating pathology other than uterine fibroids that could be responsible for orcontributing to the participant's heavy menstrual bleeding.
  2. Has known rapidly enlarging uterine fibroids in the opinion of the investigator.
  3. Has a weight that exceeds the weight limit of the DXA scanner or has a condition thatprecludes an adequate DXA measurement at the lumbar spine and proximal femur.
  4. Has a history of or currently has osteoporosis, or other metabolic bone disease,hyperparathyroidism, hyperprolactinemia, hyperthyroidism, anorexia nervosa, or lowtraumatic (from the standing position) or atraumatic fracture (toe, finger, skull,face and ankle fractures are allowed). A history of successfully treatedhyperparathyroidism, hyperprolactinemia, or hyperthyroidism is allowed if theparticipant's bone mineral density is within normal limits.
  5. Has a history of the use of bisphosphonates, calcitonin, calcitriol, ipriflavone,teriparatide, denosumab, or any medication other than calcium and vitamin Dpreparations to treat bone mineral density loss.
  6. Has been a participant in an investigational drug or device study within the 1 monthprior to the first screening visit.

Study Design

Total Participants: 382
Study Start date:
June 14, 2017
Estimated Completion Date:
September 16, 2020

Study Description

This study is an international phase 3 randomized, double-blind, placebo-controlled efficacy and safety study to evaluate 24 weeks of oral daily relugolix 40 mg co-administered with low-dose E2 and NETA (Group A) and 12 weeks of daily oral relugolix 40 mg alone followed by 12 weeks of daily oral relugolix 40 mg co-administered with low-dose E2 and NETA (Group B) compared with 24 weeks of placebo (Group C).

All participants completing the Week 24 visit, including participants randomized to placebo, were offered the opportunity to enroll in an open-label extension study in which all eligible participants will receive relugolix co-administered with low-dose E2 and NETA. Participants who did not enroll into the extension study had a follow-up visit approximately 30 days after the end of treatment (that is, after the participant's last dose of study medication).

Safety will be assessed throughout the study by monitoring adverse events, vital signs, physical examinations, clinical laboratory tests, 12-lead electrocardiograms, and assessments of bone mineral density.

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    Brussels, 1200
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    Ghent, 9000
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    Jette, 1090
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    Botucatu, 18618-686
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    Porto Alegre, 90035-903
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