Trial Outcomes & Findings for Long-Term Safety of Ospemifene 60 mg Oral Daily Dose for the Treatment of Vulvar and Vaginal Atrophy (VVA) in Postmenopausal Women Without a Uterus (NCT NCT01586364)

NCT ID: NCT01586364

Last Updated: 2018-05-21

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

301 participants

Primary outcome timeframe

Week 13 (Phone Contact) to Week 56 (Visit 4)

Results posted on

2018-05-21

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment Arm = 60 mg Ospemifene
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Overall Study
STARTED
301
Overall Study
COMPLETED
184
Overall Study
NOT COMPLETED
117

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment Arm = 60 mg Ospemifene
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Overall Study
Withdrawal by Subject
40
Overall Study
Adverse Event
37
Overall Study
Lost to Follow-up
17
Overall Study
Protocol Violation
16
Overall Study
Lack of Efficacy
1
Overall Study
Other-Did not feel better post-treatment
1
Overall Study
Other-Subject wasn't getting much relief
1
Overall Study
Other-Site closure due to PI illness
1
Overall Study
Other-PI discretion, site closing
2
Overall Study
Other-Not specified
1

Baseline Characteristics

Long-Term Safety of Ospemifene 60 mg Oral Daily Dose for the Treatment of Vulvar and Vaginal Atrophy (VVA) in Postmenopausal Women Without a Uterus

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment Arm = 60 mg Ospemifene
n=301 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Age, Continuous
59.4 Years
STANDARD_DEVIATION 6.74 • n=5 Participants
Sex: Female, Male
Female
301 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
21 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
280 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race/Ethnicity, Customized
White
278 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
11 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
6 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
3 Participants
n=5 Participants
Height
161.90 cm
STANDARD_DEVIATION 6.026 • n=5 Participants
Weight
70.54 kg
STANDARD_DEVIATION 13.024 • n=5 Participants
Body mass index (BMI)
26.865 kg/m^2
STANDARD_DEVIATION 4.4106 • n=5 Participants

PRIMARY outcome

Timeframe: Week 13 (Phone Contact) to Week 56 (Visit 4)

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=301 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Incidence of Adverse Events (AEs)
Treatment-Emergent AE
220 Participants
Incidence of Adverse Events (AEs)
Related AE (Possibly/Probably/Definitely Related)
67 Participants
Incidence of Adverse Events (AEs)
AE Causing Study Drug Discontinuation
34 Participants
Incidence of Adverse Events (AEs)
Serious AE
13 Participants
Incidence of Adverse Events (AEs)
Severe AE
38 Participants

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, 241 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=241 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Serum Lipid Levels at Visit 2
Total Cholesterol
1.59 percent change
Standard Deviation 17.772
Change From Baseline in Serum Lipid Levels at Visit 2
Low-density lipoprotein cholesterol (LDL-C)
2.83 percent change
Standard Deviation 29.420
Change From Baseline in Serum Lipid Levels at Visit 2
High-density lipoprotein cholesterol (HDL-C)
2.81 percent change
Standard Deviation 16.009
Change From Baseline in Serum Lipid Levels at Visit 2
Triglycerides
11.51 percent change
Standard Deviation 43.422

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, 195 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=195 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Serum Lipid Levels at Visit 3
Total Cholesterol
-0.02 percent change
Standard Deviation 16.025
Change From Baseline in Serum Lipid Levels at Visit 3
LDL-C
-0.54 percent change
Standard Deviation 22.932
Change From Baseline in Serum Lipid Levels at Visit 3
HDL-C
2.74 percent change
Standard Deviation 15.226
Change From Baseline in Serum Lipid Levels at Visit 3
Triglycerides
13.07 percent change
Standard Deviation 43.877

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 244 out of 301 subjects were analyzed.

Systolic blood pressure (SBP), diastolic blood pressure (DBP)

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=244 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Blood Pressure at Visit 2
SBP
-1.2 mmHg
Standard Deviation 15.91
Change From Baseline in Blood Pressure at Visit 2
DBP
-0.7 mmHg
Standard Deviation 9.32

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 244 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=244 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Pulse Rate at Visit 2
2.1 bpm
Standard Deviation 10.22

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 244 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=244 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Weight at Visit 2
0.798 kg
Standard Deviation 3.6022

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 244 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=244 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Body Mass Index (BMI) at Visit 2
0.309 kg/m^2
Standard Deviation 1.3628

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 199 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=199 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Blood Pressure at Visit 3
SBP
-1.2 mmHg
Standard Deviation 16.35
Change From Baseline in Blood Pressure at Visit 3
DBP
-1.0 mmHg
Standard Deviation 9.88

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 199 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=199 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Pulse Rate at Visit 3
3.3 bpm
Standard Deviation 9.43

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 199 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=199 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Weight at Visit 3
1.122 kg
Standard Deviation 8.2464

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 199 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=199 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in BMI at Visit 3
0.439 kg/m^2
Standard Deviation 3.2779

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 243 out of 301 subjects were analyzed.

Each of the categories in the table was assessed on a 4-point scale (0=None, 1=Mild, 2=Moderate, 3=Severe)

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=243 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Visual Evaluation of Vagina at Visit 2
Petechiae
-0.6 units on a scale
Standard Deviation 0.86
Change From Baseline in Visual Evaluation of Vagina at Visit 2
Pallor
-1.0 units on a scale
Standard Deviation 0.95
Change From Baseline in Visual Evaluation of Vagina at Visit 2
Friability
-0.8 units on a scale
Standard Deviation 0.89
Change From Baseline in Visual Evaluation of Vagina at Visit 2
Vaginal Dryness in Mucosa
-1.4 units on a scale
Standard Deviation 0.87
Change From Baseline in Visual Evaluation of Vagina at Visit 2
Vaginal Redness in Mucosa
-0.6 units on a scale
Standard Deviation 0.92

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 198 out of 301 subjects were analyzed.

Each of the categories in the table was assessed on a 4-point scale (0=None, 1=Mild, 2=Moderate, 3=Severe)

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=198 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Visual Evaluation of Vagina at Visit 3
Petechiae
-0.6 units on a scale
Standard Deviation 0.90
Change From Baseline in Visual Evaluation of Vagina at Visit 3
Pallor
-1.2 units on a scale
Standard Deviation 0.95
Change From Baseline in Visual Evaluation of Vagina at Visit 3
Friability
-0.8 units on a scale
Standard Deviation 0.91
Change From Baseline in Visual Evaluation of Vagina at Visit 3
Vaginal Dryness in Mucosa
-1.5 units on a scale
Standard Deviation 0.88
Change From Baseline in Visual Evaluation of Vagina at Visit 3
Vaginal Redness in Mucosa
-0.8 units on a scale
Standard Deviation 0.89

PRIMARY outcome

Timeframe: Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 16 out of 301 subjects were analyzed.

Cervical Pap smear samples are used to evaluate: atypical squamous cells of undetermined significance (ASC-US), squamous intraepithelial lesions (SILs), intraepithelial lesions or malignancy, and reactive endocervical cells and/or metaplastic cells.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=16 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Assessment of Cervical Pap Smear Samples (if Cervix is Intact)
Atypical Squamous Cells-Undetermined Significance
1 Participants
Assessment of Cervical Pap Smear Samples (if Cervix is Intact)
Negative for Intraepithelial Lesion or Malignancy
15 Participants

PRIMARY outcome

Timeframe: Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 243 out of 301 subjects were analyzed.

Breast palpation was used to assess breast abnormalities.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=243 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Assessment of Breast Palpation at Visit 2
Normal
243 Participants
Assessment of Breast Palpation at Visit 2
Abnormal
0 Participants

PRIMARY outcome

Timeframe: Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 199 out of 301 subjects were analyzed.

Breast palpation was used to assess breast abnormalities.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=199 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Assessment of Breast Palpation at Visit 3
Normal
198 Participants
Assessment of Breast Palpation at Visit 3
Abnormal
1 Participants

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 242 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=242 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Coagulation Parameters (Antithrombin Antigen, Protein C Antigen, Protein S Antigen) at Visit 2
Antithrombin Antigen, Plasma
0.4 percent change
Standard Deviation 10.70
Change From Baseline in Coagulation Parameters (Antithrombin Antigen, Protein C Antigen, Protein S Antigen) at Visit 2
Protein C Antigen, Plasma
-1.3 percent change
Standard Deviation 21.62
Change From Baseline in Coagulation Parameters (Antithrombin Antigen, Protein C Antigen, Protein S Antigen) at Visit 2
Protein S Antigen, Free, Plasma
9.6 percent change
Standard Deviation 15.19

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 242 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=242 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Activated Partial Thromboplastin Time (Plasma) at Visit 2
-1.5 s
Standard Deviation 14.36

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 242 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=242 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Fibrinogen (Plasma) Levels at Visit 2
-25.4 mg/dL
Standard Deviation 80.30

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 194 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=194 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Coagulation Parameters (Antithrombin Antigen, Protein C Antigen, Protein S Antigen) at Visit 3
Antithrombin Antigen, Plasma
2.4 percent change
Standard Deviation 10.80
Change From Baseline in Coagulation Parameters (Antithrombin Antigen, Protein C Antigen, Protein S Antigen) at Visit 3
Protein C Antigen, Plasma
4.3 percent change
Standard Deviation 22.57
Change From Baseline in Coagulation Parameters (Antithrombin Antigen, Protein C Antigen, Protein S Antigen) at Visit 3
Protein S Antigen, Free, Plasma
12.9 percent change
Standard Deviation 20.40

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 194 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=194 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Activated Partial Thromboplastin Time (Plasma) at Visit 3
-0.7 s
Standard Deviation 17.24

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 194 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=194 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Fibrinogen (Plasma) Levels at Visit 3
-29.9 mg/dL
Standard Deviation 77.19

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 240 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=240 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Leukocyte, Lymphocyte, Monocyte and Platelet Count Levels at Visit 2
Leukocytes
-0.17 (x10(9)/L)
Standard Deviation 1.201
Change From Baseline in Leukocyte, Lymphocyte, Monocyte and Platelet Count Levels at Visit 2
Lymphocytes
-0.058 (x10(9)/L)
Standard Deviation 0.4025
Change From Baseline in Leukocyte, Lymphocyte, Monocyte and Platelet Count Levels at Visit 2
Monocytes
-0.012 (x10(9)/L)
Standard Deviation 0.1557
Change From Baseline in Leukocyte, Lymphocyte, Monocyte and Platelet Count Levels at Visit 2
Platelet Count
-6.2 (x10(9)/L)
Standard Deviation 41.68

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 240 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=240 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Erythrocyte Levels at Visit 2
-0.098 (x10(12)/L)
Standard Deviation 0.2454

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 240 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=240 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Hemoglobin Levels at Visit 2
-0.29 g/dL
Standard Deviation 0.705

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 240 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=240 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Hematocrit and Red Blood Cell (RBC) Distribution Width at Visit 2
Hematocrit
-0.86 percent change
Standard Deviation 2.151
Change From Baseline in Hematocrit and Red Blood Cell (RBC) Distribution Width at Visit 2
RBC distribution width
0.07 percent change
Standard Deviation 0.776

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 240 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=240 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Mean Corpuscular Volume (MCV) and Mean Platelet Volume (MPV) at Visit 2
MCV, free
0.02 fL
Standard Deviation 1.732
Change From Baseline in Mean Corpuscular Volume (MCV) and Mean Platelet Volume (MPV) at Visit 2
MPV
0.01 fL
Standard Deviation 0.521

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 196 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=196 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Leukocyte, Lymphocyte, Monocyte and Platelet Count Levels at Visit 3
Leukocytes
-0.05 (x10(9)/L)
Standard Deviation 1.270
Change From Baseline in Leukocyte, Lymphocyte, Monocyte and Platelet Count Levels at Visit 3
Lymphocytes
-0.010 (x10(9)/L)
Standard Deviation 0.4410
Change From Baseline in Leukocyte, Lymphocyte, Monocyte and Platelet Count Levels at Visit 3
Monocytes
-0.021 (x10(9)/L)
Standard Deviation 0.1619
Change From Baseline in Leukocyte, Lymphocyte, Monocyte and Platelet Count Levels at Visit 3
Platelet Count
-13.5 (x10(9)/L)
Standard Deviation 36.92

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 196 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=196 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Erythrocyte Levels at Visit 3
-0.108 (x10(12)/L)
Standard Deviation 0.2745

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 196 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=196 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Hemoglobin Levels at Visit 3
-0.35 g/dL
Standard Deviation 0.840

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 196 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=196 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Hematocrit and RBC Distribution Width at Visit 3
Hematocrit
-0.97 percent change
Standard Deviation 2.490
Change From Baseline in Hematocrit and RBC Distribution Width at Visit 3
RBC distribution width
0.14 percent change
Standard Deviation 0.834

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 196 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=196 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in MCV and MPV at Visit 3
MCV, free
0.01 fL
Standard Deviation 2.081
Change From Baseline in MCV and MPV at Visit 3
MPV
-0.03 fL
Standard Deviation 0.512

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 243 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=243 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Albumin and Total Protein Levels at Visit 2
Albumin, Serum
-0.10 g/dL
Standard Deviation 0.248
Change From Baseline in Albumin and Total Protein Levels at Visit 2
Total Protein, Serum
-0.14 g/dL
Standard Deviation 0.399

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 243 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=243 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) and Creatine Kinase (CK) Levels at Visit 2
ALT, Serum
-3.7 U/L
Standard Deviation 10.93
Change From Baseline in Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) and Creatine Kinase (CK) Levels at Visit 2
AST, Serum
-0.1 U/L
Standard Deviation 5.62
Change From Baseline in Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) and Creatine Kinase (CK) Levels at Visit 2
CK, Serum
-6.7 U/L
Standard Deviation 46.23

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 243 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=243 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and Blood Urea Nitrogen (BUN) Levels at Visit 2
Bilirubin Total, Serum
-0.08 mg/dL
Standard Deviation 0.144
Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and Blood Urea Nitrogen (BUN) Levels at Visit 2
Creatinine, Plasma/Serum
-0.06 mg/dL
Standard Deviation 0.125
Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and Blood Urea Nitrogen (BUN) Levels at Visit 2
Glucose, Plasma/Serum
3.2 mg/dL
Standard Deviation 17.75
Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and Blood Urea Nitrogen (BUN) Levels at Visit 2
Uric Acid, Serum
-0.02 mg/dL
Standard Deviation 0.786
Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and Blood Urea Nitrogen (BUN) Levels at Visit 2
BUN
0.5 mg/dL
Standard Deviation 3.86

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 197 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=197 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Albumin and Total Protein Levels at Visit 3
Albumin, Serum
-0.08 g/dL
Standard Deviation 0.232
Change From Baseline in Albumin and Total Protein Levels at Visit 3
Total Protein, Serum
-0.19 g/dL
Standard Deviation 0.376

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 197 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=197 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in ALT, AST and CK Levels at Visit 3
ALT, Serum
-4.1 U/L
Standard Deviation 11.81
Change From Baseline in ALT, AST and CK Levels at Visit 3
AST, Serum
0.2 U/L
Standard Deviation 7.06
Change From Baseline in ALT, AST and CK Levels at Visit 3
CK, Serum
2.6 U/L
Standard Deviation 109.35

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 197 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=197 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and BUN Levels at Visit 3
Bilirubin Total, Serum
-0.08 mg/dL
Standard Deviation 0.151
Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and BUN Levels at Visit 3
Creatinine, Plasma/Serum
-0.04 mg/dL
Standard Deviation 0.125
Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and BUN Levels at Visit 3
Glucose, Plasma/Serum
3.6 mg/dL
Standard Deviation 16.47
Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and BUN Levels at Visit 3
Uric Acid, Serum
0.03 mg/dL
Standard Deviation 0.792
Change From Baseline in Bilirubin, Creatinine, Glucose, Uric Acid and BUN Levels at Visit 3
BUN
0.7 mg/dL
Standard Deviation 4.15

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 239 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=239 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in pH of Urine at Visit 2
-0.11 pH
Standard Deviation 1.065

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 239 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=239 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Specific Gravity of Urine at Visit 2
0.0003 units
Standard Deviation 0.00672

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 195 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=195 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in pH of Urine at Visit 3
-0.09 pH
Standard Deviation 1.118

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 195 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=195 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Specific Gravity of Urine at Visit 3
-0.0010 units
Standard Deviation 0.00695

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 243 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=243 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Estradiol (E2) Levels at Visit 2
0.5 pg/mL
Standard Deviation 4.71

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 243 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=243 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH) Levels at Visit 2
FSH
-10.3 IU/L
Standard Deviation 14.13
Change From Baseline in Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH) Levels at Visit 2
LH
-2.2 IU/L
Standard Deviation 6.86

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 243 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=243 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Sex Hormone Binding Globulin (SHBG) Levels at Visit 2
19.5 nmol/L
Standard Deviation 22.67

PRIMARY outcome

Timeframe: Baseline to Week 26 (Visit 2)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 26, 243 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=243 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Testosterone Levels at Visit 2
Testosterone, Free
-0.03 ng/dL
Standard Deviation 0.125
Change From Baseline in Testosterone Levels at Visit 2
Testosterone, Total
1.45 ng/dL
Standard Deviation 5.108

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 196 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=196 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in E2 Levels at Visit 3
0.4 pg/mL
Standard Deviation 10.28

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 196 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=196 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in FSH and LH Levels at Visit 3
FSH
-15.9 IU/L
Standard Deviation 13.57
Change From Baseline in FSH and LH Levels at Visit 3
LH
-1.7 IU/L
Standard Deviation 6.70

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 196 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=196 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in SHBG Levels at Visit 3
20.1 nmol/L
Standard Deviation 23.19

PRIMARY outcome

Timeframe: Baseline to Week 52 (Visit 3)

Population: The ITT population was used for the analysis. For this particular outcome measure, at week 52, 196 out of 301 subjects were analyzed.

Outcome measures

Outcome measures
Measure
Treatment Arm = 60 mg Ospemifene
n=196 Participants
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Change From Baseline in Testosterone Levels at Visit 3
Testosterone, Free
0.00 ng/dL
Standard Deviation 0.124
Change From Baseline in Testosterone Levels at Visit 3
Testosterone, Total
2.23 ng/dL
Standard Deviation 5.177

Adverse Events

Treatment Arm = 60 mg Ospemifene

Serious events: 13 serious events
Other events: 74 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment Arm = 60 mg Ospemifene
n=301 participants at risk
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Cardiac disorders
Acute Myocardial Infarction
0.33%
1/301 • 56 weeks
General disorders
Non-Cardiac Chest Pain
0.33%
1/301 • 56 weeks
Infections and infestations
Diverticulitis
0.33%
1/301 • 56 weeks
Injury, poisoning and procedural complications
Intentional Overdose
0.33%
1/301 • 56 weeks
Injury, poisoning and procedural complications
Overdose
0.33%
1/301 • 56 weeks
Musculoskeletal and connective tissue disorders
Intervertebral Disc Protrusion
0.33%
1/301 • 56 weeks
Musculoskeletal and connective tissue disorders
Lumbar Spinal Stenosis
0.33%
1/301 • 56 weeks
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.33%
1/301 • 56 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Anal Cancer
0.33%
1/301 • 56 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Spinal Meningioma Benign
0.33%
1/301 • 56 weeks
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Transitional Cell Carcinoma
0.33%
1/301 • 56 weeks
Nervous system disorders
Haemorrahagic Stroke
0.33%
1/301 • 56 weeks
Nervous system disorders
Hypoaesthesia
0.33%
1/301 • 56 weeks
Nervous system disorders
Syncope
0.33%
1/301 • 56 weeks
Psychiatric disorders
Anxiety Disorder
0.33%
1/301 • 56 weeks
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.33%
1/301 • 56 weeks
Vascular disorders
Thrombophlebitis Superficial
0.33%
1/301 • 56 weeks

Other adverse events

Other adverse events
Measure
Treatment Arm = 60 mg Ospemifene
n=301 participants at risk
Subjects took an oral dose of Ospemifene 60 mg tablet each morning with food for 52 weeks
Infections and infestations
Sinusitis
8.0%
24/301 • 56 weeks
Infections and infestations
Urinary Tract Infection
8.6%
26/301 • 56 weeks
Vascular disorders
Hot Flush
10.3%
31/301 • 56 weeks

Additional Information

Shionogi Clinical Trials Administrator

Shionogi Inc.

Phone: 800-849-9707

Results disclosure agreements

  • Principal investigator is a sponsor employee The sponsor can embargo results from a PI's center until the combined results from the completed study have been published in full or the sponsor confirms there will be no multicenter study publication. Results communications must be provided to the sponsor for review at least 60 days before submission for publication. By written request, the sponsor can extend the embargo up to an additional 60 days. The sponsor cannot require changes to scientific content and cannot further extend the embargo.
  • Publication restrictions are in place

Restriction type: OTHER