Study to Determine Efficacy & Safety of a Low Concentration Estriol (0.005%) in Postmenopausal Vaginal Atrophy.

Last updated: November 17, 2020
Sponsor: Italfarmaco S.A
Overall Status: Completed

Phase

3

Condition

Vaginitis

Vaginal Atrophy

Treatment

N/A

Clinical Study ID

NCT04574999
ITFE-2026C2
  • Female

Study Summary

Randomized, double-blind, placebo-controlled multicentre study, with parallel groups, to determine the efficacy and safety of a new low-concentration estriol formulation (ITFE-2026 0.005%) for application by vaginal route in the treatment of postmenopausal vaginal atrophy.

Primary objective:

• To evaluate the efficacy of 0.005% Estriol vaginal gel by evaluation of the change in the maturation value of the vaginal epithelium (MV) after 12 weeks of treatment.

Secondary objectives:

  • To determine the variation of the vaginal pH, as well as symptoms and signs suggestive of vaginal atrophy after 12 weeks of treatment.

  • To study the variation of the MV, pH and symptoms and signs suggestive of vaginal atrophy after an initial observation period of 3 weeks.

  • To evaluate the safety of 0.005% Estriol vaginal gel

  • To evaluate the acceptability of 0.005% Estriol vaginal gel

Eligibility Criteria

Inclusion

Main Inclusion Criteria:

  • Women of any age.
  • Menopause with amenorrhea time ≥ 2 years, either due to natural or surgical menopause (bilateral oophorectomy).
  • Presence of symptoms and signs of atrophy of the vaginal mucosa including at minimumvaginal dryness as a symptom stated by the patient, together with at least one sign ofthe disease verified by the investigator.
  • As symptoms the patient could state vaginal dryness, pruritus, burning,dyspareunia, dysuria or any other symptom that the investigator consideredrelated to the presence of vaginal atrophy.
  • As signs the investigator assessed in the gynaecological examination with aspeculum, a thinned vaginal mucosa or with flattening of folds, a dry, fragileand pale vaginal mucosa, the presence of petechiae or any other sign that theinvestigator considered indicative of the existence of vaginal atrophy
  • Patients with mammography carried out in the period of one year prior to inclusion inthe study.
  • Patients able to understand the nature and purpose of the study, to cooperate with theinvestigator and meet the study requirements.
  • Patients who gave written informed consent to participate in the study.

Exclusion

Exclusion Criteria:

  • Patients with contraindications for hormone therapy with estrogens because they had ahistory of:
  • Malignant or premalignant lesions of the breasts or endometrium.
  • Pathology of malignant colon tumour.
  • Malignant melanoma
  • Hepatic tumour pathology
  • Venous thromboembolic conditions (deep vein thrombosis, pulmonary embolism) orarterial thromboembolic conditions (angor pectoris, myocardial infarction,cerebrovascular accident), peripheral arterial disease, mesenteric arterythrombosis, renal artery thrombosis
  • Coagulopathies
  • Vaginal bleeding of unknown etiology
  • Patients who had abnormal laboratory values at the start of the study that theinvestigator considered clinically relevant for the purposes of the present study.
  • Patients with signs and symptoms suggestive of infection of the genital or urinarytract at the start of the study.
  • Patients with any medical-surgical pathology, which was uncontrolled at the time ofinclusion in the study.
  • Patients with any acute process whose handling or evolution the investigatorconsidered could interfere in the development of the study.
  • Patients with endometrial thickness equal to or greater than 4 mm measured bytransvaginal ultrasound.
  • Patients with grade II or higher uterovaginal prolapse.
  • Patients who had received any type of vulvovaginal treatment in the 15 days prior tothe start of the study.
  • Patients who had received phytoestrogens in the period of one month prior to the startof the study, including administration by vaginal route.
  • Patients who had received hormone therapy in the period of 3 months prior to the startof the study, including the administration of estrogens by vaginal route.
  • Patients on treatment with drugs described in section 7.3 of the protocol
  • Patients with a history of allergy to any of the components of the medication understudy (see the composition in section 3.3. of the protocol).
  • Patients who had participated in the experimental evaluation of any drug during the 8weeks before the start of the present study.

Study Design

Total Participants: 167
Study Start date:
January 25, 2008
Estimated Completion Date:
February 23, 2009

Study Description

This is a randomized, double-blind, placebo-controlled multicentre study, with parallel groups, to determine the efficacy and safety of a new low-concentration estriol formulation (ITFE-2026 0.005%) for application by vaginal route in the treatment of postmenopausal vaginal atrophy.

Eligible patients were randomised in a ratio of 2:1 to 0.005% Estriol vaginal gel : placebo. Each patient was treated for 12 weeks followed by a one-month observational period. The patients attended the study centre at baseline and at 3, 8 and 12 weeks after start of treatment. Vaginal cytology was performed at baseline and at weeks 3 and 12; the vaginal pH and the signs and symptoms of vaginal atrophy were recorded at baseline and after 3 and 12 weeks of treatment. Vital signs, gynaecological exploration and changes in health and concomitant medication were documented at each visit. Transvaginal ultrasound was performed at screening and week 12. The investigators telephoned the patient approximately one month after the final visit to check if the patient had experienced any adverse events since the final visit. Two independent cytopathologists assessed the maturation value of each cytology sample at the end of the study.

Connect with a study center

  • Hospital Sierrallana

    Torrelavega, Cantabria 39300
    Spain

    Site Not Available

  • Hospital Ruber Internacional

    Madrid, Castiglia 28034
    Spain

    Site Not Available

  • Centre Mèdic Teknon S.L.

    Barcelona, Catalogna 08022
    Spain

    Site Not Available

  • Fundació de Gestió Sanitària de l'Hospital de la Santa. Creu i Sant Pau

    Barcelona, Catalogna 08025
    Spain

    Site Not Available

  • Complejo Hospitalario Virgen de las Nieves

    Granada, 18014
    Spain

    Site Not Available

  • Complejo Universitario La Paz

    Madrid, 28046
    Spain

    Site Not Available

  • Fundación Jiménez Díaz

    Madrid, 28040
    Spain

    Site Not Available

  • Hospital Universitario Virgen de la Arrixaca

    Murcia, 30120
    Spain

    Site Not Available

  • Hospital Universitario Central de Asturias

    Oviedo, 33006
    Spain

    Site Not Available

  • Hospital Clínico Universitario de Valencia

    Valencia, 46010
    Spain

    Site Not Available

  • Hospital la Ribera de Alzira

    Valencia, 46600
    Spain

    Site Not Available

  • Hospital do Meixoeiro

    Vigo, 36200
    Spain

    Site Not Available

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