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

Last updated: July 29, 2025
Sponsor: Qilu Pharmaceutical Co., Ltd.
Overall Status: Active - Recruiting

Phase

3

Condition

Sarcoma (Pediatric)

Uterine Fibroids

Menstrual Disorders

Treatment

Relugolix

Relugolix placebo

Clinical Study ID

NCT06671548
QLG1079-301
  • Ages 18-50
  • Female

Study Summary

The goal of this clinical trial is to determine the benefit of relugolix 40 milligrams (mg) once a day compared with placebo in heavy menstrual bleeding associated with uterine fibroids. The main question[s] it aims to answer are:

  • the benefit of relugolix 40 mg once daily in women with heavy menstrual bleeding associated with uterine fibroids

  • the safety of relugolix 40 mg once daily in women with heavy menstrual bleeding associated with uterine fibroids

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Premenopausal female aged 18 to 50 years old (inclusive)

  • Diagnosis of uterine fibroids confirmed by transvaginal ultrasound during thescreening period

  • Heavy menstrual bleeding caused by uterine fibroids

  • Breast ultrasound results during the screening period meet the BI-RADSclassification of 1 to 3

  • Able to understand and comply with the study procedures and methods, voluntarilyparticipate in this trial, and sign the informed consent form in writing

Exclusion

Exclusion Criteria:

  • History of bilateral oophorectomy, or planned to undergo hysterectomy, bilateraloophorectomy, or other surgical procedures during the study period.

  • Previous treatment with gonadotropin-releasing hormone (GnRH) agonists or GnRHantagonists for uterine fibroids has failed.

  • History of or current osteoporosis or other metabolic bone disease.

  • History of malignant tumor within 5 years prior to screening, except for cured skincancer, basal cell carcinoma, and other localized malignant tumors.

  • History of drug abuse, alcohol abuse, or drug dependence within 2 years prior toscreening.

  • Presence of an in situ copper intrauterine device (IUD) or a progestin-containingIUD implant/subdermal contraceptive implant during the screening period; subjectswho can remove the IUD/subdermal contraceptive implant at least 1 month beforeenrollment may be allowed to participate.

  • Baseline bone mineral density Z-score of < -2.0 at the lumbar spine, total hip, orfemoral neck during the screening period.

  • Any other factors that the investigator deems unsuitable for participation in thistrial.

Study Design

Total Participants: 120
Treatment Group(s): 2
Primary Treatment: Relugolix
Phase: 3
Study Start date:
February 28, 2025
Estimated Completion Date:
February 28, 2027

Study Description

This study is a phase 3 multicenter, randomized, double-blind, placebo-controlled, parallel-designed efficacy and safety study to evaluate 12 weeks of oral daily relugolix 40 mg co-administered with megestrol acetate 1 mg and medroxyprogesterone acetate 2 mg (the treatment group) or 12 weeks of daily oral relugolix 40 mg placebo (the placebo group) followed by 12 weeks of daily oral relugolix 40 mg co-administered with megestrol acetate 1 mg and medroxyprogesterone acetate 2 mg.

Approximately 120 women with heavy menstrual bleeding associated with uterine fibroids will be enrolled and randomized 2:1 to the treatment group (N=80) or placebo group (N=40).

Stratification variables will include mean screening menstrual blood loss volume (< 225 mL versus ≥ 225 mL) by the alkaline hematin method.

The study consists of a screening period (up to ~13 weeks), a double-blind treatment period (12 weeks), an open-label treatment period (12 weeks) and a follow-up period (4w).

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.

Connect with a study center

  • Peking Union Medical College Hospital

    Beijing,
    China

    Active - Recruiting

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