Trial Outcomes & Findings for An Efficacy and Safety Study of Elagolix (NBI-56418) in Women With Endometriosis (NCT NCT00619866)

NCT ID: NCT00619866

Last Updated: 2018-09-07

Results Overview

The NRS is an 11-point scale used to measure endometriosis pain and was completed at approximately the same time each day using an electronic diary (e-Diary). Participants were instructed to select a single number between 0 (No pain) and 10 (Worst pain ever) that best described their endometriosis pain at its worst over the past day. The monthly mean NRS is the average of the daily values reported during the 4 weeks prior to each visit.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

155 participants

Primary outcome timeframe

Baseline and week 12

Results posted on

2018-09-07

Participant Flow

The study was conducted at 50 centers in the United States from February 2008 to August 2009.

Patients were randomized equally to oral elagolix 150 mg or 250 mg once daily, or placebo for 12 weeks. Thereafter, patients originally randomized to placebo were re-randomized to one of the two elagolix doses and patients originally randomized to elagolix continued their assigned dose for an additional 12 weeks.

Participant milestones

Participant milestones
Measure
Placebo
Participants received placebo tablets once a day (QD) for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 150 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 150 mg for 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Weeks 1 - 12
STARTED
52
51
52
0
0
Weeks 1 - 12
COMPLETED
38
45
42
0
0
Weeks 1 - 12
NOT COMPLETED
14
6
10
0
0
Weeks 13 - 24
STARTED
0
45
42
18
20
Weeks 13 - 24
COMPLETED
0
38
37
14
18
Weeks 13 - 24
NOT COMPLETED
0
7
5
4
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Placebo
Participants received placebo tablets once a day (QD) for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 150 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 150 mg for 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Weeks 1 - 12
Lost to Follow-up
4
0
2
0
0
Weeks 1 - 12
Sponsor Decision
0
1
0
0
0
Weeks 13 - 24
Adverse Event
0
0
2
1
0
Weeks 13 - 24
Protocol Deviation
0
0
0
1
0
Weeks 1 - 12
Adverse Event
0
1
2
0
0
Weeks 1 - 12
Non-compliance
0
0
1
0
0
Weeks 1 - 12
Withdrawal by Subject
7
2
4
0
0
Weeks 1 - 12
Lack of Efficacy
3
2
1
0
0
Weeks 13 - 24
Withdrawal by Subject
0
3
2
2
2
Weeks 13 - 24
Non-compliance
0
1
1
0
0
Weeks 13 - 24
Lost to Follow-up
0
3
0
0
0

Baseline Characteristics

An Efficacy and Safety Study of Elagolix (NBI-56418) in Women With Endometriosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=52 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Total
n=155 Participants
Total of all reporting groups
Age, Continuous
31.2 years
STANDARD_DEVIATION 1.0 • n=5 Participants
30.9 years
STANDARD_DEVIATION 1.0 • n=7 Participants
31.0 years
STANDARD_DEVIATION 1.0 • n=5 Participants
31.0 years
STANDARD_DEVIATION 0.5 • n=4 Participants
Sex: Female, Male
Female
52 Participants
n=5 Participants
51 Participants
n=7 Participants
52 Participants
n=5 Participants
155 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race/Ethnicity, Customized
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
Race/Ethnicity, Customized
Black
4 Participants
n=5 Participants
4 Participants
n=7 Participants
3 Participants
n=5 Participants
11 Participants
n=4 Participants
Race/Ethnicity, Customized
White
43 Participants
n=5 Participants
42 Participants
n=7 Participants
41 Participants
n=5 Participants
126 Participants
n=4 Participants
Race/Ethnicity, Customized
Hispanic
3 Participants
n=5 Participants
4 Participants
n=7 Participants
6 Participants
n=5 Participants
13 Participants
n=4 Participants
Race/Ethnicity, Customized
Other
2 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
3 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline and week 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The NRS is an 11-point scale used to measure endometriosis pain and was completed at approximately the same time each day using an electronic diary (e-Diary). Participants were instructed to select a single number between 0 (No pain) and 10 (Worst pain ever) that best described their endometriosis pain at its worst over the past day. The monthly mean NRS is the average of the daily values reported during the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=38 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=44 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=45 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Change From Baseline in the Monthly Mean Numerical Rating Score (NRS) for Endometriosis Pain at Week 12
-0.88 units on a scale
Standard Error 0.18
-1.19 units on a scale
Standard Error 0.18
-1.25 units on a scale
Standard Error 0.18

SECONDARY outcome

Timeframe: Baseline and weeks 4 and 8

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The NRS is an 11-point scale used to measure endometriosis pain and was completed at approximately the same time each day using an electronic diary (e-Diary). Participants were instructed to select a single number between 0 (No pain) and 10 (Worst pain ever) that best described their endometriosis pain at its worst over the past day. The monthly mean NRS is the average of the daily values reported during the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Change From Baseline in the Monthly Mean Numerical Rating Score (NRS) for Endometriosis Pain
Week 4
-0.60 units on a scale
Standard Error 0.17
-0.90 units on a scale
Standard Error 0.17
-0.83 units on a scale
Standard Error 0.17
Change From Baseline in the Monthly Mean Numerical Rating Score (NRS) for Endometriosis Pain
Week 8
-0.71 units on a scale
Standard Error 0.18
-1.23 units on a scale
Standard Error 0.17
-0.94 units on a scale
Standard Error 0.17

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The NRS is an 11-point scale used to measure endometriosis pain and was completed at approximately the same time each day using an electronic diary (e-Diary). Participants were instructed to select a single number between 0 (No pain) and 10 (Worst pain ever) that best described their endometriosis pain at its worst over the past day. The monthly peak NRS is the maximum of the daily values reported during the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Change From Baseline in the Monthly Peak Numerical Rating Score (NRS) for Endometriosis Pain
Week 12
-1.30 units on a scale
Standard Error 0.36
-2.45 units on a scale
Standard Error 0.34
-2.74 units on a scale
Standard Error 0.34
Change From Baseline in the Monthly Peak Numerical Rating Score (NRS) for Endometriosis Pain
Week 4
-1.27 units on a scale
Standard Error 0.32
-1.39 units on a scale
Standard Error 0.32
-1.58 units on a scale
Standard Error 0.32
Change From Baseline in the Monthly Peak Numerical Rating Score (NRS) for Endometriosis Pain
Week 8
-1.25 units on a scale
Standard Error 0.34
-1.94 units on a scale
Standard Error 0.33
-2.41 units on a scale
Standard Error 0.33

SECONDARY outcome

Timeframe: Baseline and weeks 4, 8, and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

Participants assessed their pelvic pain not related to menses and its impact on their daily activities at approximately the same time every day in an e-Diary according to the following response options: * 0 = No pelvic pain * 1 = Mild pelvic pain; subject could not do some of the things she usually does * 2 = Moderate pelvic pain; subject could not do many of the things she usually does * 3 = Severe pelvic pain; subject could not do most or all of the things she usually does. The monthly mean non-menstrual pelvic pain score is the average of the daily values reported during the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Change From Baseline in the Monthly Mean Non-menstrual Pelvic Pain Score
Week 4
-0.14 units on a scale
Standard Error 0.05
-0.18 units on a scale
Standard Error 0.05
-0.16 units on a scale
Standard Error 0.05
Change From Baseline in the Monthly Mean Non-menstrual Pelvic Pain Score
Week 8
-0.12 units on a scale
Standard Error 0.05
-0.30 units on a scale
Standard Error 0.05
-0.17 units on a scale
Standard Error 0.05
Change From Baseline in the Monthly Mean Non-menstrual Pelvic Pain Score
Week 12
-0.22 units on a scale
Standard Error 0.06
-0.27 units on a scale
Standard Error 0.05
-0.25 units on a scale
Standard Error 0.05

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

Participants assessed dysmenorrhea (pain during menstruation) and its impact on their daily activities at approximately the same time each day in an e-Diary according to the following response options: * Subject is not having her period * 0 = No pain related to period * 1 = Mild pain related to period; subject could not do some of the things she usually does * 2 = Moderate pain related to period; subject could not do many of the things she usually does * 3 = Severe pain related to period; subject could not do most of or all of the things she usually does. The monthly mean dysmenorrhea score is the average of the daily values reported during the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Change From Baseline in the Monthly Mean Dysmenorrhea Score
Week 4
-0.20 units on a scale
Standard Error 0.09
-0.49 units on a scale
Standard Error 0.09
-0.40 units on a scale
Standard Error 0.09
Change From Baseline in the Monthly Mean Dysmenorrhea Score
Week 8
-0.29 units on a scale
Standard Error 0.10
-0.71 units on a scale
Standard Error 0.09
-0.79 units on a scale
Standard Error 0.09
Change From Baseline in the Monthly Mean Dysmenorrhea Score
Week 12
-0.24 units on a scale
Standard Error 0.10
-0.68 units on a scale
Standard Error 0.10
-0.76 units on a scale
Standard Error 0.10

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

Participants assessed dysmenorrhea and pelvic pain not related to menses and their impact on daily activities at approximately the same time every day on a 4-point scale (0 = none, 1 = mild, 2 = moderate, and 3 = severe) in an e-Diary. The sum of the dysmenorrhea and non-menstrual pelvic pain scores on each day were calculated to create a daily total score. On days the participant was not having her period, the dysmenorrhea score was not defined; hence, the total score was equal to the non-menstrual pelvic pain score (range 0 to 3). On days where the participant recorded menstruation the total score ranged from 0 to 6, where higher scores indicate more severe pain. The monthly mean sum of dysmenorrhea and non-menstrual pelvic pain scores is the average of the daily values reported during the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Change From Baseline in the Monthly Mean Total of Dysmenorrhea and Non-menstrual Pelvic Pain Scores
Week 4
-0.18 units on a scale
Standard Error 0.06
-0.34 units on a scale
Standard Error 0.06
-0.29 units on a scale
Standard Error 0.06
Change From Baseline in the Monthly Mean Total of Dysmenorrhea and Non-menstrual Pelvic Pain Scores
Week 8
-0.18 units on a scale
Standard Error 0.06
-0.48 units on a scale
Standard Error 0.06
-0.33 units on a scale
Standard Error 0.06
Change From Baseline in the Monthly Mean Total of Dysmenorrhea and Non-menstrual Pelvic Pain Scores
Week 12
-0.27 units on a scale
Standard Error 0.07
-0.44 units on a scale
Standard Error 0.06
-0.41 units on a scale
Standard Error 0.06

SECONDARY outcome

Timeframe: Baseline and weeks 4, 8 and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The NRS is an 11-point scale used to measure endometriosis pain and was completed at approximately the same time each day using an electronic diary (e-Diary). Participants were instructed to select a single number between 0 (No pain) and 10 (Worst pain ever) that best described their endometriosis pain at its worst over the past day. The percentage of days a participant reported a value of zero (or "no pain") for the NRS was calculated for the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percentage of Days With No Pain Based on NRS
Week 12
47.431 percentage of days
Standard Error 4.955
44.841 percentage of days
Standard Error 5.857
41.760 percentage of days
Standard Error 5.796
Percentage of Days With No Pain Based on NRS
Baseline
27.600 percentage of days
Standard Error 3.588
25.380 percentage of days
Standard Error 3.564
25.515 percentage of days
Standard Error 3.493
Percentage of Days With No Pain Based on NRS
Week 4
35.252 percentage of days
Standard Error 4.118
36.401 percentage of days
Standard Error 4.606
32.355 percentage of days
Standard Error 4.604
Percentage of Days With No Pain Based on NRS
Week 8
40.861 percentage of days
Standard Error 4.671
43.780 percentage of days
Standard Error 5.114
36.737 percentage of days
Standard Error 5.467

SECONDARY outcome

Timeframe: Baseline and weeks 4, 8 and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

Participants assessed their pelvic pain not related to menses and its impact on their daily activities at approximately the same time every day in an e-Diary according to the following response options: * 0 = No pelvic pain * 1 = Mild pelvic pain; subject could not do some of the things she usually does * 2 = Moderate pelvic pain; subject could not do many of the things she usually does * 3 = Severe pelvic pain; subject could not do most or all of the things she usually does. The percentage of days a participant reported a value of zero ("no pain") for non-menstrual pelvic pain was calculated for the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percentage of Days With No Pain Based Based on Non-menstrual Pelvic Pain Daily Assessment
Baseline
34.939 percentage of days
Standard Error 3.831
36.821 percentage of days
Standard Error 4.041
38.530 percentage of days
Standard Error 4.065
Percentage of Days With No Pain Based Based on Non-menstrual Pelvic Pain Daily Assessment
Week 4
42.986 percentage of days
Standard Error 4.229
45.469 percentage of days
Standard Error 4.968
44.443 percentage of days
Standard Error 4.905
Percentage of Days With No Pain Based Based on Non-menstrual Pelvic Pain Daily Assessment
Week 8
46.228 percentage of days
Standard Error 4.777
54.967 percentage of days
Standard Error 5.291
47.524 percentage of days
Standard Error 5.367
Percentage of Days With No Pain Based Based on Non-menstrual Pelvic Pain Daily Assessment
Week 12
54.270 percentage of days
Standard Error 4.768
53.836 percentage of days
Standard Error 6.077
50.061 percentage of days
Standard Error 5.496

SECONDARY outcome

Timeframe: Baseline and weeks 4, 8 and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

Participants assessed dysmenorrhea (pain during menstruation) and its impact on their daily activities at approximately the same time each day in an e-Diary according to the following response options: * Subject is not having her period * 0 = No pain related to period * 1 = Mild pain related to period; subject could not do some of the things she usually does * 2 = Moderate pain related to period; subject could not do many of the things she usually does * = Severe pain related to period; subject could not do most of or all of the things she usually does. The percentage of days a participant reported a value of zero ("no pain") for dysmenorrhea was calculated for the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percentage of Days With No Pain Based Based on Dysmenorrhea Daily Assessment
Week 4
30.513 percentage of days
Standard Error 4.435
43.411 percentage of days
Standard Error 5.775
39.475 percentage of days
Standard Error 5.509
Percentage of Days With No Pain Based Based on Dysmenorrhea Daily Assessment
Week 8
35.057 percentage of days
Standard Error 5.135
56.952 percentage of days
Standard Error 6.016
67.411 percentage of days
Standard Error 6.190
Percentage of Days With No Pain Based Based on Dysmenorrhea Daily Assessment
Week 12
34.439 percentage of days
Standard Error 5.000
61.658 percentage of days
Standard Error 6.717
66.186 percentage of days
Standard Error 6.336
Percentage of Days With No Pain Based Based on Dysmenorrhea Daily Assessment
Baseline
26.350 percentage of days
Standard Error 3.710
14.340 percentage of days
Standard Error 2.154
21.086 percentage of days
Standard Error 3.210

SECONDARY outcome

Timeframe: Baseline and weeks 4, 8 and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

Participants assessed dysmenorrhea and pelvic pain not related to menses and their impact on daily activities at approximately the same time every day in an e-Diary on a 4-point scale (0 = none, 1 = mild, 2 = moderate, and 3 = severe). The sum of the dysmenorrhea and non-menstrual pelvic pain scores on each day were calculated to create a daily total score. On days the participant was not having her period, the dysmenorrhea score was not defined; hence, the total score was equal to the non-menstrual pelvic pain score (range 0 to 3). On days where the participant recorded menstruation the total score ranged from 0 to 6, where higher scores indicate more severe pain. The percentage of days a participant reported a value of zero ("no pain") for the non-menstrual pelvic pain and dysmenorrhea total score was calculated for the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percentage of Days With No Pain Based Based on Total Score of Non-menstrual Pelvic Pain and Dysmenorrhea Daily Assessment
Week 4
39.586 percentage of days
Standard Error 4.058
44.020 percentage of days
Standard Error 4.825
43.230 percentage of days
Standard Error 4.844
Percentage of Days With No Pain Based Based on Total Score of Non-menstrual Pelvic Pain and Dysmenorrhea Daily Assessment
Week 8
43.961 percentage of days
Standard Error 4.607
53.526 percentage of days
Standard Error 5.200
47.108 percentage of days
Standard Error 5.380
Percentage of Days With No Pain Based Based on Total Score of Non-menstrual Pelvic Pain and Dysmenorrhea Daily Assessment
Week 12
50.340 percentage of days
Standard Error 4.552
52.584 percentage of days
Standard Error 5.999
49.409 percentage of days
Standard Error 5.494
Percentage of Days With No Pain Based Based on Total Score of Non-menstrual Pelvic Pain and Dysmenorrhea Daily Assessment
Baseline
33.009 percentage of days
Standard Error 3.690
32.940 percentage of days
Standard Error 3.649
35.967 percentage of days
Standard Error 3.815

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The daily use of endometriosis analgesics was reported by participants daily using the e-Diary. Participants reported whether the medication was over-the-counter (OTC) or prescription, and, if prescription, whether the medication was a narcotic. The percentage of days of any analgesic use is defined as the number of days in the 4 weeks prior to each study visit that the participant reported the use of an analgesic, divided by the number of study days in the interval that the participant provided an e-Diary report regarding the use of endometriosis analgesics (including a response of "none").

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Change From Baseline in the Percentage of Days of Any Analgesic Use
Week 4
-4.8 percentage of days
Standard Error 2.3
-8.7 percentage of days
Standard Error 2.3
-6.8 percentage of days
Standard Error 2.3
Change From Baseline in the Percentage of Days of Any Analgesic Use
Week 8
-5.8 percentage of days
Standard Error 2.4
-12.6 percentage of days
Standard Error 2.4
-10.4 percentage of days
Standard Error 2.4
Change From Baseline in the Percentage of Days of Any Analgesic Use
Week 12
-6.1 percentage of days
Standard Error 2.5
-10.5 percentage of days
Standard Error 2.4
-13.9 percentage of days
Standard Error 2.4

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The daily use of endometriosis analgesics was reported by participants daily using the e-Diary. Participants reported whether the medication was over-the-counter (OTC) or prescription, and, if prescription, whether the medication was a narcotic. The percentage of days of prescription analgesic use is defined as the number of days in the 4 weeks prior to each study visit that the participant reported the use of a prescription analgesic, divided by the number of study days in the interval that the participant provided an e-Diary report regarding the use of endometriosis analgesics (including a response of "none").

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Change From Baseline in the Percentage of Days of Prescription Analgesic Use
Week 4
-1.0 percentage of days
Standard Error 1.2
-4.0 percentage of days
Standard Error 1.2
-2.3 percentage of days
Standard Error 1.2
Change From Baseline in the Percentage of Days of Prescription Analgesic Use
Week 8
-0.8 percentage of days
Standard Error 1.4
-3.2 percentage of days
Standard Error 1.3
-3.2 percentage of days
Standard Error 1.4
Change From Baseline in the Percentage of Days of Prescription Analgesic Use
Week 12
-2.1 percentage of days
Standard Error 1.6
-2.6 percentage of days
Standard Error 1.6
-3.3 percentage of days
Standard Error 1.6

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The daily use of endometriosis analgesics was reported by participants daily using the e-Diary. Participants reported whether the medication was over-the-counter (OTC) or prescription, and, if prescription, whether the medication was a narcotic. The percentage of days of narcotic analgesic use is defined as the number of days in the 4 weeks prior to each study visit that the participant reported the use of a narcotic analgesic, divided by the number of study days in the interval that the participant provided an e-Diary report regarding the use of endometriosis analgesics (including a response of "none").

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Change From Baseline in the Percentage of Days of Narcotic Analgesic Use
Week 4
-0.8 percentage of days
Standard Error 1.1
-2.5 percentage of days
Standard Error 1.2
-2.1 percentage of days
Standard Error 1.2
Change From Baseline in the Percentage of Days of Narcotic Analgesic Use
Week 8
-0.8 percentage of days
Standard Error 1.2
-1.8 percentage of days
Standard Error 1.2
-3.0 percentage of days
Standard Error 1.2
Change From Baseline in the Percentage of Days of Narcotic Analgesic Use
Week 12
-1.7 percentage of days
Standard Error 1.3
-1.3 percentage of days
Standard Error 1.3
-3.6 percentage of days
Standard Error 1.3

SECONDARY outcome

Timeframe: Baseline and weeks 4, 8 and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The NRS is an 11-point scale used to measure endometriosis pain and was completed at approximately the same time each day using an electronic diary (e-Diary). Participants were instructed to select a single number between 0 (No pain) and 10 (Worst pain ever) that best described their endometriosis pain at its worst over the past day. The monthly mean NRS is the average of the daily values reported during the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percentage of Participants With 30% Decrease From Baseline in Monthly Mean NRS
Week 4
38.5 percentage of participants
Interval 25.2 to 51.7
43.1 percentage of participants
Interval 29.5 to 56.7
47.1 percentage of participants
Interval 33.4 to 60.8
Percentage of Participants With 30% Decrease From Baseline in Monthly Mean NRS
Week 12
60.5 percentage of participants
Interval 45.0 to 76.1
63.6 percentage of participants
Interval 49.4 to 77.9
60.0 percentage of participants
Interval 45.7 to 74.3
Percentage of Participants With 30% Decrease From Baseline in Monthly Mean NRS
Week 8
54.5 percentage of participants
Interval 39.8 to 69.3
60.4 percentage of participants
Interval 46.6 to 74.3
51.1 percentage of participants
Interval 36.8 to 65.4

SECONDARY outcome

Timeframe: Baseline and weeks 4, 8 and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The NRS is an 11-point scale used to measure endometriosis pain and was completed at approximately the same time each day using an electronic diary (e-Diary). Participants were instructed to select a single number between 0 (No pain) and 10 (Worst pain ever) that best described their endometriosis pain at its worst over the past day. The monthly peak NRS is the maximum of the daily values reported during the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percentage of Participants With 30% Decrease From Baseline in Monthly Peak NRS
Week 4
30.8 percentage of participants
Interval 18.2 to 43.3
35.3 percentage of participants
Interval 22.2 to 48.4
31.4 percentage of participants
Interval 18.6 to 44.1
Percentage of Participants With 30% Decrease From Baseline in Monthly Peak NRS
Week 8
38.6 percentage of participants
Interval 24.2 to 53.0
43.8 percentage of participants
Interval 29.7 to 57.8
48.9 percentage of participants
Interval 34.6 to 63.2
Percentage of Participants With 30% Decrease From Baseline in Monthly Peak NRS
Week 12
36.8 percentage of participants
Interval 21.5 to 52.2
47.7 percentage of participants
Interval 33.3 to 62.5
57.8 percentage of participants
Interval 43.3 to 72.2

SECONDARY outcome

Timeframe: Baseline and weeks 4, 8 and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The NRS is an 11-point scale used to measure endometriosis pain and was completed at approximately the same time each day using an electronic diary (e-Diary). Participants were instructed to select a single number between 0 (No pain) and 10 (Worst pain ever) that best described their endometriosis pain at its worst over the past day. The monthly mean NRS is the average of the daily values reported during the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percentage of Participants With 50% Decrease From Baseline in Monthly Mean NRS
Week 4
21.2 percentage of participants
Interval 10.1 to 32.3
37.3 percentage of participants
Interval 24.0 to 50.5
25.5 percentage of participants
Interval 13.5 to 37.5
Percentage of Participants With 50% Decrease From Baseline in Monthly Mean NRS
Week 8
36.4 percentage of participants
Interval 22.1 to 50.6
45.8 percentage of participants
Interval 31.7 to 59.9
38.3 percentage of participants
Interval 24.4 to 52.2
Percentage of Participants With 50% Decrease From Baseline in Monthly Mean NRS
Week 12
36.8 percentage of participants
Interval 21.5 to 52.2
45.5 percentage of participants
Interval 30.7 to 60.2
44.4 percentage of participants
Interval 29.9 to 59.0

SECONDARY outcome

Timeframe: Baseline and weeks 4, 8 and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The NRS is an 11-point scale used to measure endometriosis pain and was completed at approximately the same time each day using an electronic diary (e-Diary). Participants were instructed to select a single number between 0 (No pain) and 10 (Worst pain ever) that best described their endometriosis pain at its worst over the past day. The monthly peak NRS is the maximum of the daily values reported during the 4 weeks prior to each visit.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percentage of Participants With 50% Decrease From Baseline in Monthly Peak NRS
Week 4
11.5 percentage of participants
Interval 2.9 to 20.2
17.6 percentage of participants
Interval 7.2 to 28.1
19.6 percentage of participants
Interval 8.7 to 30.5
Percentage of Participants With 50% Decrease From Baseline in Monthly Peak NRS
Week 8
11.4 percentage of participants
Interval 2.0 to 20.7
25.0 percentage of participants
Interval 12.8 to 37.2
36.2 percentage of participants
Interval 22.4 to 49.9
Percentage of Participants With 50% Decrease From Baseline in Monthly Peak NRS
Week 12
23.7 percentage of participants
Interval 10.2 to 37.2
34.1 percentage of participants
Interval 20.1 to 48.1
42.2 percentage of participants
Interval 27.8 to 56.7

SECONDARY outcome

Timeframe: Baseline and Weeks 4, 8, and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The CPSSS consists of 5 components that address dysmenorrhea, dyspareunia, non-menstrual pelvic pain, pelvic tenderness, and pelvic induration. To assess dyspareunia (painful intercourse) participants were asked to select the best description of pain during sexual intercourse over the past 28 days using the following response categories: * 0 = Absent; No discomfort during sexual intercourse. * 1 = Mild; I can tolerate the discomfort during sexual intercourse. * 2 = Moderate; Intercourse is sometime interrupted due to pain. * 3 = Severe; I prefer to avoid intercourse because of pain. * Not applicable. I am not sexually active for reasons other than my endometriosis symptoms.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Change From Baseline in Dyspareunia Component of the Composite Pelvic Signs and Symptoms Score (CPSSS)
Week 4
-0.19 units on a scale
Standard Error 0.12
-0.21 units on a scale
Standard Error 0.12
-0.56 units on a scale
Standard Error 0.13
Change From Baseline in Dyspareunia Component of the Composite Pelvic Signs and Symptoms Score (CPSSS)
Week 8
-0.15 units on a scale
Standard Error 0.12
-0.68 units on a scale
Standard Error 0.12
-0.66 units on a scale
Standard Error 0.14
Change From Baseline in Dyspareunia Component of the Composite Pelvic Signs and Symptoms Score (CPSSS)
Week 12
-0.29 units on a scale
Standard Error 0.13
-0.67 units on a scale
Standard Error 0.12
-0.49 units on a scale
Standard Error 0.14

SECONDARY outcome

Timeframe: Weeks 4, 8, and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The Patient Global Impression of Change (PGIC) is a questionnaire-based assessment of the change in endometriosis pain since the initiation of study drug. The participant was asked to select from one of seven response categories: 1. Very Much Improved 2. Much Improved 3. Minimally Improved 4. Not Changed 5. Minimally Worse 6. Much Worse 7. Very Much Worse

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Patient Global Impression of Change at Weeks 4, 8 and 12
Week 4
3.4 units on a scale
Standard Error 0.2
3.0 units on a scale
Standard Error 0.2
2.8 units on a scale
Standard Error 0.2
Patient Global Impression of Change at Weeks 4, 8 and 12
Week 8
3.0 units on a scale
Standard Error 0.2
2.3 units on a scale
Standard Error 0.1
2.4 units on a scale
Standard Error 0.2
Patient Global Impression of Change at Weeks 4, 8 and 12
Week 12
3.2 units on a scale
Standard Error 0.2
2.2 units on a scale
Standard Error 0.2
2.2 units on a scale
Standard Error 0.2

SECONDARY outcome

Timeframe: Weeks 4, 8, and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The Patient Global Impression of Change (PGIC) is a questionnaire-based assessment of the change in endometriosis pain since the initiation of study drug. The participant was asked to select from one of seven response categories: 1. Very Much Improved 2. Much Improved 3. Minimally Improved 4. Not Changed 5. Minimally Worse 6. Much Worse 7. Very Much Worse

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percentage of Participants With a PGIC Response of Minimally Improved, Much Improved, or Very Much Improved
Week 4
54.2 percentage of participants
Interval 40.1 to 68.3
62.0 percentage of participants
Interval 48.5 to 75.5
80.0 percentage of participants
Interval 68.9 to 91.1
Percentage of Participants With a PGIC Response of Minimally Improved, Much Improved, or Very Much Improved
Week 8
67.4 percentage of participants
Interval 53.8 to 80.9
91.7 percentage of participants
Interval 83.8 to 99.5
84.4 percentage of participants
Interval 73.9 to 95.0
Percentage of Participants With a PGIC Response of Minimally Improved, Much Improved, or Very Much Improved
Week 12
60.0 percentage of participants
Interval 44.8 to 75.2
88.9 percentage of participants
Interval 79.7 to 98.1
82.2 percentage of participants
Interval 71.1 to 93.4

SECONDARY outcome

Timeframe: Weeks 4, 8, and 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The Patient Global Impression of Change (PGIC) is a questionnaire-based assessment of the change in endometriosis pain since the initiation of study drug. The participant was asked to select from one of seven response categories: 1. Very Much Improved 2. Much Improved 3. Minimally Improved 4. Not Changed 5. Minimally Worse 6. Much Worse 7. Very Much Worse

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percentage of Participants With a PGIC Response of Much Improved or Very Much Improved
Week 12
32.5 percentage of participants
Interval 18.0 to 47.0
66.7 percentage of participants
Interval 52.9 to 80.4
62.2 percentage of participants
Interval 48.1 to 76.4
Percentage of Participants With a PGIC Response of Much Improved or Very Much Improved
Week 4
12.5 percentage of participants
Interval 3.1 to 21.9
34.0 percentage of participants
Interval 20.9 to 47.1
38.0 percentage of participants
Interval 24.5 to 51.5
Percentage of Participants With a PGIC Response of Much Improved or Very Much Improved
Week 8
37.0 percentage of participants
Interval 23.0 to 50.9
58.3 percentage of participants
Interval 44.4 to 72.3
60.0 percentage of participants
Interval 45.7 to 74.3

SECONDARY outcome

Timeframe: Baseline and week 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and reported at least 10 e-Diary NRS values during the initial 12 week treatment period. The analysis includes participants with non-missing data at each time point.

The EHP-5 is an instrument to measure health-related quality of life in women with endometriosis. The EHP-5 consists of two parts: * A core questionnaire consisting of five questions that measure the areas of pain, control and powerlessness, emotional well-being, social support, and self-image with five response categories for each item (Never, Rarely, Sometimes, Often, Always) * A supplemental questionnaire consisting of six additional questions which assess the areas of work, relationship with children, sexual intercourse, feelings about the medical profession, treatment, and infertility with the same five response categories plus an additional response category of Not Relevant which was not scored. The scores associated with each possible outcome category are as follows: never (0), rarely (25), sometimes (50), often (75), and always (100). A negative change from baseline score indicates improvement in quality of life.

Outcome measures

Outcome measures
Measure
Placebo
n=52 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=51 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=51 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Change From Baseline in Endometriosis Health Profile-5 (EHP-5) at Week 12
Pain
-11.8 units on a scale
Standard Error 3.6
-25.0 units on a scale
Standard Error 3.3
-17.3 units on a scale
Standard Error 4.0
Change From Baseline in Endometriosis Health Profile-5 (EHP-5) at Week 12
Emotional Wellbeing
-6.6 units on a scale
Standard Error 4.0
-17.2 units on a scale
Standard Error 3.5
-9.5 units on a scale
Standard Error 4.8
Change From Baseline in Endometriosis Health Profile-5 (EHP-5) at Week 12
Self-image
-9.9 units on a scale
Standard Error 3.1
-18.9 units on a scale
Standard Error 3.7
-10.7 units on a scale
Standard Error 4.0
Change From Baseline in Endometriosis Health Profile-5 (EHP-5) at Week 12
Sexual Intercourse
-9.8 units on a scale
Standard Error 4.6
-23.1 units on a scale
Standard Error 3.9
-19.6 units on a scale
Standard Error 5.5
Change From Baseline in Endometriosis Health Profile-5 (EHP-5) at Week 12
Medical Profession
0.0 units on a scale
Standard Error 3.7
-17.5 units on a scale
Standard Error 3.9
-14.0 units on a scale
Standard Error 4.2
Change From Baseline in Endometriosis Health Profile-5 (EHP-5) at Week 12
Frustration with Treatment
-8.6 units on a scale
Standard Error 4.7
-26.2 units on a scale
Standard Error 4.2
-23.2 units on a scale
Standard Error 5.4
Change From Baseline in Endometriosis Health Profile-5 (EHP-5) at Week 12
Concerns with Infertility
-9.8 units on a scale
Standard Error 4.1
-5.1 units on a scale
Standard Error 4.1
-9.1 units on a scale
Standard Error 4.0
Change From Baseline in Endometriosis Health Profile-5 (EHP-5) at Week 12
Control and Powerlessness
-10.5 units on a scale
Standard Error 4.7
-25.6 units on a scale
Standard Error 3.4
-22.6 units on a scale
Standard Error 4.8
Change From Baseline in Endometriosis Health Profile-5 (EHP-5) at Week 12
Social Support
-18.4 units on a scale
Standard Error 4.2
-25.0 units on a scale
Standard Error 4.1
-15.5 units on a scale
Standard Error 4.8
Change From Baseline in Endometriosis Health Profile-5 (EHP-5) at Week 12
Work
-6.9 units on a scale
Standard Error 4.2
-28.8 units on a scale
Standard Error 3.9
-22.1 units on a scale
Standard Error 3.2
Change From Baseline in Endometriosis Health Profile-5 (EHP-5) at Week 12
Relationship with Children
-7.0 units on a scale
Standard Error 5.3
-25.0 units on a scale
Standard Error 4.4
-20.3 units on a scale
Standard Error 5.2

SECONDARY outcome

Timeframe: Baseline and week 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and with available BMD data at baseline and week 12.

Bone mineral density (BMD) of the femur (total hip) was measured by dual-energy X-ray absorptiometry (DXA).

Outcome measures

Outcome measures
Measure
Placebo
n=37 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=42 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=43 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percent Change From Baseline in Bone Mineral Density of the Femur at Week 12
-0.283 percent change
Standard Deviation 1.851
-0.294 percent change
Standard Deviation 1.762
-0.382 percent change
Standard Deviation 1.338

SECONDARY outcome

Timeframe: Baseline and Week 24

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and with available BMD data at baseline and week 24.

Bone mineral density (BMD) of the femur (total hip) was measured by dual-energy X-ray absorptiometry (DXA).

Outcome measures

Outcome measures
Measure
Placebo
n=37 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=37 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=13 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
n=17 Participants
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percent Change From Baseline in Bone Mineral Density of the Femur at Week 24
-0.743 percent change
Standard Deviation 1.877
-1.024 percent change
Standard Deviation 1.759
-0.924 percent change
Standard Deviation 1.198
-0.076 percent change
Standard Deviation 2.362

SECONDARY outcome

Timeframe: Baseline and week 12

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and with available BMD data at baseline and week 12.

Bone mineral density (BMD) of the spine was measured by dual-energy X-ray absorptiometry (DXA).

Outcome measures

Outcome measures
Measure
Placebo
n=36 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=43 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=42 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percent Change From Baseline in Bone Mineral Density of the Spine at Week 12
0.375 percent change
Standard Deviation 2.091
-0.045 percent change
Standard Deviation 2.088
-0.937 percent change
Standard Deviation 2.747

SECONDARY outcome

Timeframe: Baseline and Week 24

Population: All randomized participants who received at least one dose of randomized, double-blind study drug and with available BMD data at baseline and week 24.

Bone mineral density (BMD) of the spine was measured by dual-energy X-ray absorptiometry (DXA).

Outcome measures

Outcome measures
Measure
Placebo
n=38 Participants
Participants received placebo tablets once a day for 12 weeks. At the end of 12 weeks participants were re-randomized to receive one of the two doses of elagolix (150 mg or 250 mg) QD for 12 weeks.
Elagolix 150 mg
n=37 Participants
Participants received elagolix 150 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg QD for an additional 12 weeks.
Elagolix 250 mg
n=14 Participants
Participants received elagolix 250 mg tablets once a day for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks.
Placebo / Elagolix 250 mg
n=15 Participants
Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Percent Change From Baseline in Bone Mineral Density of the Spine at Week 24
-1.032 percent change
Standard Deviation 1.983
-1.631 percent change
Standard Deviation 2.874
-0.692 percent change
Standard Deviation 1.724
0.681 percent change
Standard Deviation 2.720

Adverse Events

Placebo

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Elagolix 150 mg

Serious events: 0 serious events
Other events: 31 other events
Deaths: 0 deaths

Elagolix 250 mg

Serious events: 1 serious events
Other events: 33 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Placebo
n=52 participants at risk
Participants received elagolix 150 mg tablets once a day for 12 weeks.
Elagolix 150 mg
n=69 participants at risk
Participants initially randomized to elagolix 150 mg received elagolix 150 mg tablets once a day and placebo intramuscular injection once a month for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg for an additional 12 weeks. Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 150 mg for 12 weeks.
Elagolix 250 mg
n=72 participants at risk
Participants initially randomized to elagolix 250 mg received elagolix 250 mg tablets once a day and placebo intramuscular injection once a month for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks. Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Pregnancy, puerperium and perinatal conditions
ABORTION SPONTANEOUS
0.00%
0/52 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
0.00%
0/69 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
1.4%
1/72 • Number of events 1 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.

Other adverse events

Other adverse events
Measure
Placebo
n=52 participants at risk
Participants received elagolix 150 mg tablets once a day for 12 weeks.
Elagolix 150 mg
n=69 participants at risk
Participants initially randomized to elagolix 150 mg received elagolix 150 mg tablets once a day and placebo intramuscular injection once a month for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 150 mg for an additional 12 weeks. Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 150 mg for 12 weeks.
Elagolix 250 mg
n=72 participants at risk
Participants initially randomized to elagolix 250 mg received elagolix 250 mg tablets once a day and placebo intramuscular injection once a month for 12 weeks. At the end of 12 weeks participants continued to receive elagolix 250 mg for an additional 12 weeks. Participants initially randomized to placebo were re-randomized at week 12 to receive elagolix 250 mg for 12 weeks.
Gastrointestinal disorders
NAUSEA
1.9%
1/52 • Number of events 1 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
8.7%
6/69 • Number of events 7 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
8.3%
6/72 • Number of events 6 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
Infections and infestations
NASOPHARYNGITIS
5.8%
3/52 • Number of events 3 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
2.9%
2/69 • Number of events 4 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
4.2%
3/72 • Number of events 4 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
Infections and infestations
SINUSITIS
3.8%
2/52 • Number of events 2 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
8.7%
6/69 • Number of events 6 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
2.8%
2/72 • Number of events 2 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
Infections and infestations
UPPER RESPIRATORY TRACT INFECTION
5.8%
3/52 • Number of events 3 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
8.7%
6/69 • Number of events 6 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
5.6%
4/72 • Number of events 4 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
Infections and infestations
URINARY TRACT INFECTION
3.8%
2/52 • Number of events 2 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
7.2%
5/69 • Number of events 5 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
5.6%
4/72 • Number of events 4 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
Infections and infestations
VAGINAL MYCOSIS
5.8%
3/52 • Number of events 3 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
1.4%
1/69 • Number of events 1 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
8.3%
6/72 • Number of events 8 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
Investigations
BLOOD CHOLESTEROL INCREASED
0.00%
0/52 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
5.8%
4/69 • Number of events 4 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
0.00%
0/72 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
Musculoskeletal and connective tissue disorders
ARTHRALGIA
7.7%
4/52 • Number of events 5 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
4.3%
3/69 • Number of events 3 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
6.9%
5/72 • Number of events 5 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
Musculoskeletal and connective tissue disorders
BACK PAIN
3.8%
2/52 • Number of events 2 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
5.8%
4/69 • Number of events 4 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
2.8%
2/72 • Number of events 2 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
Nervous system disorders
HEADACHE
1.9%
1/52 • Number of events 1 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
8.7%
6/69 • Number of events 9 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
5.6%
4/72 • Number of events 12 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
Nervous system disorders
MIGRAINE
0.00%
0/52 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
4.3%
3/69 • Number of events 3 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
5.6%
4/72 • Number of events 4 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
Skin and subcutaneous tissue disorders
ACNE
1.9%
1/52 • Number of events 1 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
0.00%
0/69 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.
8.3%
6/72 • Number of events 6 • From the first dose of any study drug through week 24. The Placebo treatment group includes data for the initial 12-week treatment phase. The Elagolix treatment groups include data for the total 24-week treatment period for participants initially randomized to elagolix, and 12-week treatment period for participants initially randomized to placebo and re-randomized at week 12.

Additional Information

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