Topical DHEA Against Vaginal Atrophy

NCT ID: NCT01846442

Last Updated: 2017-08-29

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

218 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-06-30

Study Completion Date

2008-10-31

Brief Summary

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The purpose of this study is to determine the dose-response of vaginal mucosa parameters to the local action of DHEA (Dehydroepiandrosterone) in postmenopausal women suffering from vaginal atrophy.

Detailed Description

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Conditions

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Vaginal Atrophy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo vaginal suppository containing 0.0% (0 mg) DHEA; daily dosing with one suppository for 12 weeks.

0.25% DHEA

Group Type EXPERIMENTAL

DHEA (0.25%)

Intervention Type DRUG

Vaginal suppository containing 0.25% (3.25 mg) DHEA; daily dosing with one suppository for 12 weeks.

0.5% DHEA

Group Type EXPERIMENTAL

DHEA (0.5%)

Intervention Type DRUG

Vaginal suppository containing 0.5% (6.5 mg) DHEA; daily dosing with one suppository for 12 weeks.

1.0% DHEA

Group Type EXPERIMENTAL

DHEA (1.0%)

Intervention Type DRUG

Vaginal suppository containing 1.0% (13 mg) DHEA; daily dosing with one suppository for 12 weeks.

Interventions

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Placebo

Placebo vaginal suppository containing 0.0% (0 mg) DHEA; daily dosing with one suppository for 12 weeks.

Intervention Type DRUG

DHEA (0.25%)

Vaginal suppository containing 0.25% (3.25 mg) DHEA; daily dosing with one suppository for 12 weeks.

Intervention Type DRUG

DHEA (0.5%)

Vaginal suppository containing 0.5% (6.5 mg) DHEA; daily dosing with one suppository for 12 weeks.

Intervention Type DRUG

DHEA (1.0%)

Vaginal suppository containing 1.0% (13 mg) DHEA; daily dosing with one suppository for 12 weeks.

Intervention Type DRUG

Other Intervention Names

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Prasterone, Dehydroepiandrosterone Prasterone, Dehydroepiandrosterone Prasterone, Dehydroepiandrosterone Prasterone, Dehydroepiandrosterone

Eligibility Criteria

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Inclusion Criteria

* Postmenopausal women (non hysterectomized or hysterectomized)
* Women between 40 and 75 years of age
* Willing to participate in the study and sign an informed consent
* Women having a low maturation index (no greater part of guidance than 5% of superficial cells on vaginal smear)
* Women having a vaginal pH above 5
* Women who have self-identified at least one moderate to severe symptoms of vulvovaginal atrophy

Exclusion Criteria

* Undiagnosed abnormal genital bleeding
* Hypertension equal to or above 160/95 mm Hg or not controlled by standard therapy
* The administration of any investigational drug within 30 days of screening visit
* Endometrial hyperplasia at biopsy performed at screening or endometrial cancer
* Use of estrogens/progestins products (vaginal, oral, pellet, transdermal, etc) in the 4 weeks to 6 months (depending on the product used) prior study entry
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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EndoCeutics Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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David F Archer, MD

Role: PRINCIPAL_INVESTIGATOR

Clinical Research Center, Eastern Virginia Medical Scholl, Norfolk, VA

Locations

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EndoCeutics site # 05

Cleveland, Ohio, United States

Site Status

EndoCeutics site # 03

Norfolk, Virginia, United States

Site Status

EndoCeutics site # 10

Montreal, Quebec, Canada

Site Status

EndoCeutics site # 09

Montreal, Quebec, Canada

Site Status

EndoCeutics site # 08

Shawinigan, Quebec, Canada

Site Status

EndoCeutics site # 11

Sherbrooke, Quebec, Canada

Site Status

EndoCeutics site # 02

Québec, , Canada

Site Status

EndoCeutics site # 01

Québec, , Canada

Site Status

Countries

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United States Canada

References

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Labrie F, Archer D, Bouchard C, Fortier M, Cusan L, Gomez JL, Girard G, Baron M, Ayotte N, Moreau M, Dube R, Cote I, Labrie C, Lavoie L, Berube R, Belanger P, Berger L, Gilbert L, Martel C, Balser J. Serum steroid levels during 12-week intravaginal dehydroepiandrosterone administration. Menopause. 2009 Sep-Oct;16(5):897-906. doi: 10.1097/gme.0b013e31819e8930.

Reference Type RESULT
PMID: 19436226 (View on PubMed)

Labrie F, Archer D, Bouchard C, Fortier M, Cusan L, Gomez JL, Girard G, Baron M, Ayotte N, Moreau M, Dube R, Cote I, Labrie C, Lavoie L, Berger L, Gilbert L, Martel C, Balser J. Intravaginal dehydroepiandrosterone (Prasterone), a physiological and highly efficient treatment of vaginal atrophy. Menopause. 2009 Sep-Oct;16(5):907-22. doi: 10.1097/gme.0b013e31819e8e2d.

Reference Type RESULT
PMID: 19436225 (View on PubMed)

Labrie F, Archer D, Bouchard C, Fortier M, Cusan L, Gomez JL, Girard G, Baron M, Ayotte N, Moreau M, Dube R, Cote I, Labrie C, Lavoie L, Berger L, Gilbert L, Martel C, Balser J. Effect of intravaginal dehydroepiandrosterone (Prasterone) on libido and sexual dysfunction in postmenopausal women. Menopause. 2009 Sep-Oct;16(5):923-31. doi: 10.1097/gme.0b013e31819e85c6.

Reference Type RESULT
PMID: 19424093 (View on PubMed)

Labrie F, Archer D, Bouchard C, Fortier M, Cusan L, Gomez JL, Girard G, Baron M, Ayotte N, Moreau M, Dube R, Cote I, Labrie C, Lavoie L, Berger L, Martel C, Balser J. High internal consistency and efficacy of intravaginal DHEA for vaginal atrophy. Gynecol Endocrinol. 2010 Jul;26(7):524-32. doi: 10.3109/09513590903511547.

Reference Type RESULT
PMID: 20459349 (View on PubMed)

Labrie F, Archer DF, Bouchard C, Fortier M, Cusan L, Gomez JL, Girard G, Baron M, Ayotte N, Moreau M, Dube R, Cote I, Labrie C, Lavoie L, Berger L, Gilbert L, Martel C, Balser J. Intravaginal dehydroepiandrosterone (prasterone), a highly efficient treatment of dyspareunia. Climacteric. 2011 Apr;14(2):282-8. doi: 10.3109/13697137.2010.535226. Epub 2011 Jan 18.

Reference Type RESULT
PMID: 21244215 (View on PubMed)

Labrie F, Archer D, Bouchard C, Fortier M, Cusan L, Gomez JL, Girard G, Baron M, Ayotte N, Moreau M, Dube R, Cote I, Labrie C, Lavoie L, Gilbert L, Martel C, Balser J. Lack of influence of dyspareunia on the beneficial effect of intravaginal prasterone (dehydroepiandrosterone, DHEA) on sexual dysfunction in postmenopausal women. J Sex Med. 2014 Jul;11(7):1766-85. doi: 10.1111/jsm.12517. Epub 2014 Apr 28.

Reference Type RESULT
PMID: 24774442 (View on PubMed)

Portman DJ, Labrie F, Archer DF, Bouchard C, Cusan L, Girard G, Ayotte N, Koltun W, Blouin F, Young D, Wade A, Martel C, Dube R; other participating members of VVA Prasterone Group. Lack of effect of intravaginal dehydroepiandrosterone (DHEA, prasterone) on the endometrium in postmenopausal women. Menopause. 2015 Dec;22(12):1289-95. doi: 10.1097/GME.0000000000000470.

Reference Type RESULT
PMID: 25968836 (View on PubMed)

Labrie F. Intravaginal DHEA, by a strictly local action, exerts beneficial effects on both vaginal atrophy symptoms and sexual dysfunction. Horm Mol Biol Clin Investig. 2010 Dec 1;4(1):499-507. doi: 10.1515/HMBCI.2010.064.

Reference Type RESULT
PMID: 25961226 (View on PubMed)

Martel C, Labrie F, Archer DF, Ke Y, Gonthier R, Simard JN, Lavoie L, Vaillancourt M, Montesino M, Balser J, Moyneur E; other participating members of the Prasterone Clinical Research Group. Serum steroid concentrations remain within normal postmenopausal values in women receiving daily 6.5mg intravaginal prasterone for 12 weeks. J Steroid Biochem Mol Biol. 2016 May;159:142-53. doi: 10.1016/j.jsbmb.2016.03.016. Epub 2016 Mar 10.

Reference Type RESULT
PMID: 26972555 (View on PubMed)

Other Identifiers

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ERC-210

Identifier Type: -

Identifier Source: org_study_id

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