Long-Term Safety Study of Elagolix in Combination With Estradiol/Norethindrone Acetate for the Management of Heavy Menstrual Bleeding Associated With Uterine Fibroids in Premenopausal Women

NCT ID: NCT03271489

Last Updated: 2025-07-22

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

478 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-13

Study Completion Date

2024-06-28

Brief Summary

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This randomized multicenter phase 3b study seeks to evaluate the safety of elagolix in combination with estradiol/norethindrone acetate for the management of heavy menstrual bleeding associated with uterine fibroids in premenopausal women. This study was double-blind (DB) during the first 12 months and open-label (OL) for the next 36 months.

Detailed Description

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478 participants were randomly assigned at a ratio of 2:1 to the following treatment groups:

1. Elagolix 300 mg twice daily (BID) plus estradiol 1.0 mg/norethindrone acetate 0.5 mg (E2/NETA) once daily (QD) for 48 months, followed by 12 months PTFU
2. Placebo for 12 months, followed by elagolix 300 mg BID plus E2/NETA QD for 36 months, followed by 12 months PTFU

This study was double-blinded during the first 12 months and open-label for the next 36 months. Participants entered up to 12 months of PTFU after completing treatment Month 48 (or at any time a participant prematurely discontinued treatment).

Conditions

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Heavy Menstrual Bleeding Uterine Fibroids

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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Elagolix plus estradiol (E2)/norethindrone acetate (NETA)

Group Type EXPERIMENTAL

Elagolix

Intervention Type DRUG

Film-coated 300 mg tablets

Estradiol /norethindrone acetate (E2/NETA)

Intervention Type DRUG

Estradiol 1 mg/norethindrone acetate 0.5 mg capsules

Placebo

Group Type PLACEBO_COMPARATOR

E2/NETA Placebo

Intervention Type OTHER

Placebo capsules

Elagolix Placebo

Intervention Type OTHER

Film-coated placebo tablets

Interventions

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Elagolix

Film-coated 300 mg tablets

Intervention Type DRUG

Estradiol /norethindrone acetate (E2/NETA)

Estradiol 1 mg/norethindrone acetate 0.5 mg capsules

Intervention Type DRUG

E2/NETA Placebo

Placebo capsules

Intervention Type OTHER

Elagolix Placebo

Film-coated placebo tablets

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Participant is a premenopausal female at the time of Screening.
* Participant has a diagnosis of uterine fibroids documented by a Pelvic Ultrasound \[Transabdominal ultrasound (TAU) or transvaginal ultrasound (TVU)\].
* Participant has Heavy Menstrual Bleeding (HMB) associated with uterine fibroids as evidenced by Menstrual Blood Loss (MBL) \> 80 mL during each of two screening menses as measured by the alkaline hematin method.
* Participant has negative urine and/or serum pregnancy test during Washout (if applicable) and/or Screening and just prior to first dose.
* Participant has an adequate endometrial biopsy performed during Screening, the results of which show no clinical significant endometrial pathology.

Exclusion Criteria

* Participant has screening pelvic ultrasound or Saline Infusion Sonohysterography (SIS) results that show a clinically significant gynecological disorder.
* Participant has history of osteoporosis or other metabolic bone disease.
* Participant has clinically significant abnormalities in clinical chemistry, hematology, or urinalysis.
* Participant has a history of major depression or post-traumatic stress disorder (PTSD) episode within 2 years of screening, OR a history of other major psychiatric disorder at any time (e.g., schizophrenia, bipolar disorder).
* Participant is using any systemic corticosteroids for over 14 days within 3 months prior to Screening or is likely to require treatment with systemic corticosteroids during the course of the study. Over the counter and prescription topical, inhaled, intranasal or intra-articular injectable (for occasional use) corticosteroids are allowed.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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AbbVie

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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ABBVIE INC.

Role: STUDY_DIRECTOR

AbbVie

Locations

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Alabama Clinical Therapeutics /ID# 160835

Birmingham, Alabama, United States

Site Status

Alabama Clinical Therapeutics /ID# 160927

Birmingham, Alabama, United States

Site Status

Choice Research, LLC /ID# 161498

Dothan, Alabama, United States

Site Status

Southern Women's Specialists PC /ID# 161531

Fairhope, Alabama, United States

Site Status

E Squared Research /ID# 163645

Huntsville, Alabama, United States

Site Status

Women's Health Alliance of Mobile /ID# 161443

Mobile, Alabama, United States

Site Status

Mobile, OBGYN P.C. /ID# 161530

Mobile, Alabama, United States

Site Status

Mesa Obstetricians and Gynecologists /ID# 160955

Mesa, Arizona, United States

Site Status

Noble Clinical Research /ID# 166949

Tucson, Arizona, United States

Site Status

Vision's Clinical Research-Tucson /ID# 161508

Tucson, Arizona, United States

Site Status

Eclipse Clinical Research /ID# 161516

Tucson, Arizona, United States

Site Status

Duplicate_Core Healthcare Group /ID# 160858

Cerritos, California, United States

Site Status

Diagnamics Inc. /ID# 160950

Encinitas, California, United States

Site Status

HRC Fertility /ID# 161493

Encino, California, United States

Site Status

SC Clinical Research /ID# 164395

Garden Grove, California, United States

Site Status

Duplicate_Duplicate_Marvel Clinical Research /ID# 167297

Huntington Beach, California, United States

Site Status

Grossmont Ctr Clin Research /ID# 165120

La Mesa, California, United States

Site Status

Olympia Clinical Trials /ID# 201562

Los Angeles, California, United States

Site Status

National Research Institute /ID# 160952

Los Angeles, California, United States

Site Status

Futura Research, Org /ID# 160924

Montebello, California, United States

Site Status

California Medical Research Associates /ID# 161481

Northridge, California, United States

Site Status

Northern California Research /ID# 161561

Sacramento, California, United States

Site Status

Precision Research Institute - San Diego /ID# 163069

San Diego, California, United States

Site Status

MD Strategies Research Centers /ID# 161544

San Diego, California, United States

Site Status

Health care Affiliates Medical Group /ID# 163324

Santa Ana, California, United States

Site Status

Alta California Medical Group /ID# 163564

Simi Valley, California, United States

Site Status

Upland Clinical Research /ID# 164528

Upland, California, United States

Site Status

Bayview Research Group LLC /ID# 161484

Valley Village, California, United States

Site Status

Advanced RX Clinical Research /ID# 161599

Westminster, California, United States

Site Status

Emerson Clinical Research Inst /ID# 162181

Washington D.C., District of Columbia, United States

Site Status

James A. Simon, MD, PC /ID# 160931

Washington D.C., District of Columbia, United States

Site Status

Women's Health Partners /ID# 203577

Boca Raton, Florida, United States

Site Status

David Lubetkin MD LLC /ID# 203578

Boca Raton, Florida, United States

Site Status

Brandon Premier Health Care, PA/Gulf Coast Research Group, LLC /ID# 160910

Brandon, Florida, United States

Site Status

Omega Research Maitland, LLC /ID# 160857

DeBary, Florida, United States

Site Status

Midland Florida Clinical Research Center /ID# 161487

DeLand, Florida, United States

Site Status

KO Clinical Research, LLC /ID# 160928

Fort Lauderdale, Florida, United States

Site Status

Sweet Hope Research Specialty Inc /ID# 163522

Hialeah, Florida, United States

Site Status

Solutions Through Adv Rch /ID# 160935

Jacksonville, Florida, United States

Site Status

Altus Research, Inc /ID# 160912

Lake Worth, Florida, United States

Site Status

Wellington Anti-Aging Centre /ID# 203540

Loxahatchee Groves, Florida, United States

Site Status

South Florida Wellness & Clinic /ID# 161535

Margate, Florida, United States

Site Status

Invictus Clinical Research Group,LLC /ID# 160925

Miami, Florida, United States

Site Status

Healthcare Clinical Data, Inc /ID# 160888

Miami, Florida, United States

Site Status

Palmetto Professional Research /ID# 161442

Miami, Florida, United States

Site Status

Vista Health Research, LLC /ID# 163044

Miami, Florida, United States

Site Status

Duplicate_Precision Research Organization /ID# 161522

Miami Lakes, Florida, United States

Site Status

Ocean Blue Medical Research Center, Inc /ID# 161549

Miami Springs, Florida, United States

Site Status

Salom Tangir, LLC /ID# 162542

Miramar, Florida, United States

Site Status

Advanced Research Institute, Inc /ID# 163748

New Port Richey, Florida, United States

Site Status

A Premier Medical Research of FL /ID# 201882

Orange City, Florida, United States

Site Status

Clinical Associates of Orlando /ID# 160889

Orlando, Florida, United States

Site Status

Oncova Clinical Research, Inc. /ID# 160937

Saint Cloud, Florida, United States

Site Status

Physician Care Clin. Res., LLC /ID# 161547

Sarasota, Florida, United States

Site Status

Accel Research Sites - St Petersburg Clinical Research Unit /ID# 160913

St. Petersburg, Florida, United States

Site Status

Treasure Coast Research /ID# 161824

Stuart, Florida, United States

Site Status

Discovery Clinical Research /ID# 160891

Sunrise, Florida, United States

Site Status

Precision Clinical Research /ID# 165377

Sunrise, Florida, United States

Site Status

GCP Clinical Research, LLC /ID# 164593

Tampa, Florida, United States

Site Status

University of South Florida- Neuroscience Institute /ID# 160960

Tampa, Florida, United States

Site Status

Jedidiah Clinical Research /ID# 167114

Tampa, Florida, United States

Site Status

Virtus Research Consultants, LLC /ID# 160855

Wellington, Florida, United States

Site Status

Comprehensive Clinical Trials LLC /ID# 161479

West Palm Beach, Florida, United States

Site Status

Journey Medical Research Insti /ID# 160958

Alpharetta, Georgia, United States

Site Status

Paramount Research Solutions /ID# 161557

Alpharetta, Georgia, United States

Site Status

AGILE Clinical Research Trials /ID# 160941

Atlanta, Georgia, United States

Site Status

Mount Vernon Clinical Res, LLC /ID# 161491

Atlanta, Georgia, United States

Site Status

Atlanta Women's Research Institute /ID# 160844

Atlanta, Georgia, United States

Site Status

Medisense Inc /ID# 161494

Atlanta, Georgia, United States

Site Status

Duplicate_Atlanta Gynecology Research Institute /ID# 160851

Suwanee, Georgia, United States

Site Status

Bingham Memorial Hospital /ID# 201130

Blackfoot, Idaho, United States

Site Status

Leavitt Womens Healthcare /ID# 163419

Idaho Falls, Idaho, United States

Site Status

Womens Healthcare Assoc, DBA /ID# 160933

Idaho Falls, Idaho, United States

Site Status

Sonora Clinical Research /ID# 167610

Meridian, Idaho, United States

Site Status

Asr, Llc /Id# 162179

Nampa, Idaho, United States

Site Status

Women's Health Practice, LLC /ID# 161553

Champaign, Illinois, United States

Site Status

Moore for Women Healthcare and Wellness Institute, LLC /ID# 167118

Chicago, Illinois, United States

Site Status

Duplicate_University of Chicago /ID# 162667

Chicago, Illinois, United States

Site Status

Alliance for Multispecialty Research, LLC /ID# 160932

Oak Brook, Illinois, United States

Site Status

Women's Health Advantage /ID# 161537

Fort Wayne, Indiana, United States

Site Status

Womens & Family Care, LLC dba /ID# 160890

Shawnee Mission, Kansas, United States

Site Status

Bluegrass Clinical Research /ID# 163485

Louisville, Kentucky, United States

Site Status

Clinical Trials Management, LLC - Covington /ID# 160838

Covington, Louisiana, United States

Site Status

Clinical Trials Management, LLC - Covington /ID# 160893

Covington, Louisiana, United States

Site Status

Praetorian Pharmaceutical Research /ID# 161532

Marrero, Louisiana, United States

Site Status

Ochsner Baptist Medical Centre /ID# 161507

New Orleans, Louisiana, United States

Site Status

Women Under Study, LLC /ID# 163990

New Orleans, Louisiana, United States

Site Status

Willis-Knighton Pediatric GI S /ID# 161534

Shreveport, Louisiana, United States

Site Status

Exordia Medical Research, Inc /ID# 160853

Fall River, Massachusetts, United States

Site Status

Duplicate_Great Lakes Research Group, Inc. /ID# 161511

Bay City, Michigan, United States

Site Status

Wayne State University /ID# 160944

Detroit, Michigan, United States

Site Status

Valley OB-Gyn Clinic - Saginaw /ID# 203579

Saginaw, Michigan, United States

Site Status

Saginaw Valley Med Res Group /ID# 160840

Saginaw, Michigan, United States

Site Status

Quad Clinical Research, LLC /ID# 200943

St Louis, Missouri, United States

Site Status

Excel Clinical Research /ID# 165588

Las Vegas, Nevada, United States

Site Status

Office of Edmond E. Pack, MD /ID# 162604

Las Vegas, Nevada, United States

Site Status

Private practice: Dr. Rex G. Mabey JR /ID# 160915

Las Vegas, Nevada, United States

Site Status

Jersey Shore University Medical Center /ID# 160916

Neptune City, New Jersey, United States

Site Status

Lovelace Scientific Resources /ID# 163644

Albuquerque, New Mexico, United States

Site Status

Bosque Women's Care /ID# 162606

Albuquerque, New Mexico, United States

Site Status

SUNY Downstate Medical Center /ID# 160922

Brooklyn, New York, United States

Site Status

Duplicate_Northwell Health System - Manhasset /ID# 201058

Manhasset, New York, United States

Site Status

Columbia Univ Medical Center /ID# 161519

New York, New York, United States

Site Status

Hamburg Regional Gynecology Gr /ID# 161427

Orchard Park, New York, United States

Site Status

DJL Clinical Research, PLLC /ID# 161548

Charlotte, North Carolina, United States

Site Status

Carolina Women's Research and Wellness Center /ID# 160914

Durham, North Carolina, United States

Site Status

Unified Women's Clinical Resea /ID# 163014

Raleigh, North Carolina, United States

Site Status

Wake Radiology UNC REX Healthcare - Raleigh Office /ID# 161490

Raleigh, North Carolina, United States

Site Status

Unified Women's Clinical Resea /ID# 160957

Winston-Salem, North Carolina, United States

Site Status

Clinical Inquest Center Ltd /ID# 160892

Beavercreek, Ohio, United States

Site Status

Duplicate_CTI Clinical Research Center /ID# 160942

Cincinnati, Ohio, United States

Site Status

Univ Hosp Cleveland /ID# 160953

Cleveland, Ohio, United States

Site Status

Central Ohio Clinical Research /ID# 201162

Columbus, Ohio, United States

Site Status

Duplicate_Optimed Research /ID# 165600

Columbus, Ohio, United States

Site Status

Hilltop Obstetrics & Gynecology /ID# 203576

Middletown, Ohio, United States

Site Status

University of Toledo /ID# 160923

Toledo, Ohio, United States

Site Status

Oregon Medical Research Center /ID# 161514

Portland, Oregon, United States

Site Status

OB/GYN Associates of Erie /ID# 161541

Erie, Pennsylvania, United States

Site Status

Penn State University and Milton S. Hershey Medical Center /ID# 160896

Hershey, Pennsylvania, United States

Site Status

University of Pennsylvania /ID# 160936

Philadelphia, Pennsylvania, United States

Site Status

DUP_Thomas Jefferson University /ID# 200304

Philadelphia, Pennsylvania, United States

Site Status

Vista Clinical Research /ID# 160946

Columbia, South Carolina, United States

Site Status

VitaLink Research-Spartanburg /ID# 164592

Spartanburg, South Carolina, United States

Site Status

Duplicate_Chattanooga Medical Research /ID# 160885

Chattanooga, Tennessee, United States

Site Status

WR-ClinSearch /ID# 160887

Chattanooga, Tennessee, United States

Site Status

The Jackson Clinic, PA /ID# 162496

Jackson, Tennessee, United States

Site Status

Research Memphis Associates, LLC /ID# 160939

Memphis, Tennessee, United States

Site Status

OBGYN North /ID# 203580

Austin, Texas, United States

Site Status

Austin Area Obstetrics, Gynecology, and Fertility /Id# 203542

Austin, Texas, United States

Site Status

Discovery Clinical Trials -HCWC /ID# 161543

Dallas, Texas, United States

Site Status

Duplicate_The University of Texas Southwestern Medical Center /ID# 161496

Dallas, Texas, United States

Site Status

Baylor Scott & White /ID# 161515

Fort Worth, Texas, United States

Site Status

Willowbend Health and Wellness - Frisco /ID# 160954

Frisco, Texas, United States

Site Status

The Ob/Gyn Center /ID# 165928

Houston, Texas, United States

Site Status

Precision Research Institute, LLC /ID# 161554

Houston, Texas, United States

Site Status

The Woman's Hospital of Texas /ID# 160959

Houston, Texas, United States

Site Status

Centex Studies, Inc /ID# 163858

Houston, Texas, United States

Site Status

Centex Studies, Inc. - Houston /ID# 160917

Houston, Texas, United States

Site Status

UAG Innovation Women Research, /ID# 167415

Houston, Texas, United States

Site Status

America's Adv. Wellness Center /ID# 167548

Houston, Texas, United States

Site Status

FMC Science /ID# 160886

Lampasas, Texas, United States

Site Status

Advances in Health, Inc. /ID# 160930

Pearland, Texas, United States

Site Status

ClinRx Research, LLC /ID# 201170

Plano, Texas, United States

Site Status

Clinical Trials of Texas, Inc /ID# 161510

San Antonio, Texas, United States

Site Status

VIP Trials /ID# 161546

San Antonio, Texas, United States

Site Status

Houston Ctr for Clin Research /ID# 160837

Sugar Land, Texas, United States

Site Status

The Univ Texas HSC at Tyler /ID# 161533

Tyler, Texas, United States

Site Status

Center of Reproductive Medicine /ID# 162498

Webster, Texas, United States

Site Status

Univ of Virgnia Medical center /ID# 166283

Charlottesville, Virginia, United States

Site Status

Eastern Virginia Med School /ID# 160856

Norfolk, Virginia, United States

Site Status

Clinical Research Partners /ID# 160929

North Chesterfield, Virginia, United States

Site Status

Clinical Research Partners /ID# 160948

North Chesterfield, Virginia, United States

Site Status

Clinical Trials Virginia, Inc. /ID# 160943

Richmond, Virginia, United States

Site Status

Specialists for Women /ID# 201129

Suffolk, Virginia, United States

Site Status

Tidewater Clinical Research /ID# 160949

Virginia Beach, Virginia, United States

Site Status

Henry A. Rodriguez Ginorio, MD /ID# 160861

San Juan, , Puerto Rico

Site Status

School of Medicine University of Puerto Rico-Medical Science Campus /ID# 160862

San Juan, , Puerto Rico

Site Status

Countries

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United States Puerto Rico

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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M16-283

Identifier Type: -

Identifier Source: org_study_id

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