A Study to Evaluate the Efficacy and Safety of Gefapixant (MK-7264) in Women With Endometriosis-Related Pain (MK-7264-034)

NCT ID: NCT03654326

Last Updated: 2024-11-04

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

187 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-11

Study Completion Date

2020-06-30

Brief Summary

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The purpose of this study is to evaluate the efficacy, safety, and tolerability of gefapixant (MK-7264) in premenopausal female participants with moderate to severe endometriosis-related pain. The primary hypothesis: gefapixant is superior to placebo in reducing the average daily pelvic pain score (cyclic and non-cyclic, combined) during Treatment Cycle 2.

Detailed Description

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Conditions

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Endometriosis-related Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Gefapixant

Participants will receive a gefapixant 45 mg tablet twice a day for approximately 8 weeks (2 menstrual cycles). Naproxen sodium 275 mg tablets will also be provided to participants for use as rescue medication for endometriosis-related pain.

Group Type EXPERIMENTAL

Gefapixant

Intervention Type DRUG

Gefapixant tablet 45 mg taken orally

Placebo

Intervention Type DRUG

Placebo matching gefapixant tablet taken orally

Naproxen

Intervention Type DRUG

Naproxen sodium 275 mg tablets taken orally as needed, at dose prescribed by sites' principal investigator

Placebo

Participants will receive a placebo matching gefapixant tablet twice a day for approximately 8 weeks (2 menstrual cycles). Naproxen sodium 275 mg tablets will also be provided to participants for use as rescue medication for endometriosis-related pain.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo matching gefapixant tablet taken orally

Naproxen

Intervention Type DRUG

Naproxen sodium 275 mg tablets taken orally as needed, at dose prescribed by sites' principal investigator

Interventions

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Gefapixant

Gefapixant tablet 45 mg taken orally

Intervention Type DRUG

Placebo

Placebo matching gefapixant tablet taken orally

Intervention Type DRUG

Naproxen

Naproxen sodium 275 mg tablets taken orally as needed, at dose prescribed by sites' principal investigator

Intervention Type DRUG

Other Intervention Names

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MK-7264

Eligibility Criteria

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Inclusion Criteria

* has been surgically (laparoscopy or laparotomy) diagnosed with endometriosis.
* has cyclic AND non-cyclic, moderate to severe endometriosis-related pelvic pain (overall pelvic pain score ≥5 using a 0-10 NRS, with 0 representing no pain and 10 representing extremely severe pain).
* has had spontaneous menstrual cycles before Visit 1.
* has body mass index (BMI) between 18 kg/m\^2 to 40 kg/m\^2 at Visit 1.
* is not pregnant, not breastfeeding, and agrees to follow the contraceptive guidance.
* must agree to switch from her usual analgesic medication to only that which is permitted in the study.

Exclusion Criteria

* history of hysterectomy and/or bilateral oophorectomy.
* has undiagnosed vaginal bleeding.
* has chronic, non-pelvic pain not caused by endometriosis that requires chronic analgesic.
* has a clinically significant gynecologic condition identified in the screening evaluation.
* has a history of anaphylaxis or cutaneous adverse drug reaction (with or without systemic symptoms) to sulfonamide antibiotics or other sulfonamide-containing drugs.
* has a known allergy/sensitivity or contraindication to gefapixant or its excipients.
* has an allergy/sensitivity/intolerance to naproxen sodium (rescue medication) or any contraindication to its use, or has experienced asthma, urticaria, or allergic-type reactions after taking aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs).
* has a history of endometriosis-related pain that was non-responsive to treatment with combined hormonal contraceptives (CHCs), gonadotropin-releasing hormone (GnRH) antagonists, GnRH agonists, progestins, or aromatase inhibitors.
* has a positive urine pregnancy test at any time before randomization.
* has required more than 2 weeks of continuous use of narcotics for treatment of endometriosis-related pain within 6 months of Visit 1.
Minimum Eligible Age

18 Years

Maximum Eligible Age

49 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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Cahaba Medical Care ( Site 0750)

Birmingham, Alabama, United States

Site Status

Synexus US Phoenix Southeast ( Site 0729)

Chandler, Arizona, United States

Site Status

Synexus ( Site 0734)

Scottsdale, Arizona, United States

Site Status

Lynn Institute of the Ozarks ( Site 0720)

Little Rock, Arkansas, United States

Site Status

California Center for Clinical Research ( Site 0741)

Arcadia, California, United States

Site Status

Artemis Institute for Clinical Research ( Site 0716)

San Diego, California, United States

Site Status

Alta California Medical Group ( Site 0721)

Simi Valley, California, United States

Site Status

Thameside OBGYN Center ( Site 0747)

Groton, Connecticut, United States

Site Status

WHUSA Fine and Gillette ( Site 0751)

Hamden, Connecticut, United States

Site Status

Florida Fertility Institute ( Site 0737)

Clearwater, Florida, United States

Site Status

Advanced Pharma Research ( Site 0719)

Cutler Bay, Florida, United States

Site Status

Doral Medical Research, LLC ( Site 0706)

Doral, Florida, United States

Site Status

KO Clinical Research, LLC ( Site 0723)

Fort Lauderdale, Florida, United States

Site Status

Well Pharma Medical Research, Corp. ( Site 0703)

Miami, Florida, United States

Site Status

L&C Professional Medical Research Institute ( Site 0709)

Miami, Florida, United States

Site Status

New Horizon Research Center ( Site 0717)

Miami, Florida, United States

Site Status

Inpatient Research Clinic, LLC ( Site 0725)

Miami Lakes, Florida, United States

Site Status

QPS Miami Research Associates ( Site 0735)

South Miami, Florida, United States

Site Status

Lenus Research & Medical Group Llc ( Site 0702)

Sweetwater, Florida, United States

Site Status

Southern Clinical Research Associates ( Site 0701)

Metairie, Louisiana, United States

Site Status

Tufts Medical Center ( Site 0742)

Boston, Massachusetts, United States

Site Status

Carolina Women's Research and Wellness Center ( Site 0715)

Durham, North Carolina, United States

Site Status

Palmetto Clinical Research ( Site 0707)

Summerville, South Carolina, United States

Site Status

Chattanooga Medical Research ( Site 0743)

Chattanooga, Tennessee, United States

Site Status

Women Partners in Health ( Site 0745)

Austin, Texas, United States

Site Status

Corpus Christi Clinic ( Site 0744)

Corpus Christi, Texas, United States

Site Status

HD Research Corp ( Site 0738)

Houston, Texas, United States

Site Status

PI-Coor Clinical Research, LLC ( Site 0710)

Reston, Virginia, United States

Site Status

Clinical Research Partners, LLC. ( Site 0704)

Richmond, Virginia, United States

Site Status

Seattle Women's: Health, Research, Gynecology ( Site 0714)

Seattle, Washington, United States

Site Status

Paratus Clinical Kanwal ( Site 0004)

Kanwal, New South Wales, Australia

Site Status

Royal Hospital for Women ( Site 0008)

Randwick, New South Wales, Australia

Site Status

Holdsworth House Medical Practice ( Site 0009)

Sydney, New South Wales, Australia

Site Status

Royal Adelaide Hospital ( Site 0007)

Adelaide, South Australia, Australia

Site Status

Keogh Institute for Medical Research ( Site 0002)

Nedlands, Western Australia, Australia

Site Status

Hospital San Juan de Dios de La Serena ( Site 0110)

La Serena, Coquimbo Region, Chile

Site Status

Hospital San Borja Arriaran ( Site 0103)

Santiago, Santiago Metropolitan, Chile

Site Status

Clinica Indisa [Santiago, Chile] ( Site 0101)

Santiago, , Chile

Site Status

Clinica Las Condes ( Site 0109)

Santiago, , Chile

Site Status

Clinica Alemana de Santiago ( Site 0107)

Santiago, , Chile

Site Status

Southern Clinical Trials - Waitemata ( Site 0200)

Auckland, , New Zealand

Site Status

Southern Clinical Trials Ltd ( Site 0201)

Christchurch, , New Zealand

Site Status

Prywatna Klinika Polozniczo - Ginekologiczna ( Site 0300)

Bialystok, , Poland

Site Status

Indywidualna Specjalistyczna Praktyka Lekarska Krzysztof Wilk ( Site 0316)

Katowice, , Poland

Site Status

SPL Chorob Kobiecych i Połoznictwa dr L. Kobielska ( Site 0339)

Katowice, , Poland

Site Status

Clinical Medical Research Sp. z o.o. ( Site 0343)

Katowice, , Poland

Site Status

Osrodek Badan Klinicznych Gyncentrum ( Site 0330)

Katowice, , Poland

Site Status

LIFTMED ( Site 0325)

Rybnik, , Poland

Site Status

Examen Sp. z o.o. ( Site 0318)

Skorzewo, , Poland

Site Status

Clinical Best Solutions ( Site 0338)

Warsaw, , Poland

Site Status

Marek Elias Gabinety Ginekologiczne ( Site 0331)

Wroclaw, , Poland

Site Status

Cooperativa de Facultad Medica Sanacoop ( Site 0805)

Bayamón, , Puerto Rico

Site Status

Ponce Health Sciences University ( Site 0804)

Ponce, , Puerto Rico

Site Status

Gynecology & Endometriosis Center LLC ( Site 0806)

San Juan, , Puerto Rico

Site Status

Henry A. Rodriguez-Ginorio Private Practice ( Site 0800)

San Juan, , Puerto Rico

Site Status

Genes Fertility Institute Inc. ( Site 0803)

San Juan, , Puerto Rico

Site Status

Kazan State Medical University ( Site 0404)

Kazan', , Russia

Site Status

Clinical Hospital #2 of Kazan city ( Site 0406)

Kazan', , Russia

Site Status

LLC Scientific Research Medical Complex Your Health. ( Site 0405)

Kazan', , Russia

Site Status

Moscow Regional Research Institute of Tocology and Gynecolog ( Site 0411)

Moscow, , Russia

Site Status

State Institution of Healthcare Moscow City Clinical Hospital 13 ( Site 0408)

Moscow, , Russia

Site Status

Women clinic 22 ( Site 0400)

Saint Petersburg, , Russia

Site Status

NII of Obstetrics, Gynecology and Reproductology n.a. D.O. Ott ( Site 0401)

Saint Petersburg, , Russia

Site Status

Uromed LLC ( Site 0410)

Smolensk, , Russia

Site Status

Siberian State Medical University ( Site 0402)

Tomsk, , Russia

Site Status

Hospital Sanitas La Zarzuela ( Site 0502)

Aravaca, Madrid, Spain

Site Status

Instituto de Ciencias Medicas.ICM ( Site 0500)

Alicante, , Spain

Site Status

Hospital Clinic i Provincial de Barcelona ( Site 0501)

Barcelona, , Spain

Site Status

Hospital Sanitas La Moraleja ( Site 0504)

Madrid, , Spain

Site Status

Iv-Fr Reg Perinatal center State higher Educa inst Iv-Fr Nat Med University ( Site 0910)

Ivano-Frankivsk, , Ukraine

Site Status

Medical Center Verum ( Site 0900)

Kyiv, , Ukraine

Site Status

GI Institute of POG of NAMS of Ukraine ( Site 0905)

Kyiv, , Ukraine

Site Status

City Clinical Hospital No. 9 ( Site 0901)

Kyiv, , Ukraine

Site Status

Multiprofile medical center on the base of Odessa National Medical University ( Site 0908)

Odesa, , Ukraine

Site Status

Communal not commercial institution. Ternopil City Community Hospital 2 ( Site 0903)

Ternopil, , Ukraine

Site Status

Communal Nonprofit Enterprize Maternity Hospital 4 ( Site 0904)

Zaporizhzhya, , Ukraine

Site Status

Communal Institution Maternity Hospital 3 ( Site 0909)

Zaporizhzhya, , Ukraine

Site Status

Municipal Institution Zaporizhzhya Regional Clinical Hospital ( Site 0906)

Zaporizhzhya, , Ukraine

Site Status

Countries

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United States Australia Chile New Zealand Poland Puerto Rico Russia Spain Ukraine

References

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Arbelaez F, Joeng HK, Hussain A, Sunga S, Guan Y, Chawla A, Carmona F, Lines C, Mendizabal G. Randomized, controlled, proof-of-concept trial of gefapixant for endometriosis-related pain. Fertil Steril. 2025 Feb;123(2):280-288. doi: 10.1016/j.fertnstert.2024.09.013. Epub 2024 Sep 12.

Reference Type RESULT
PMID: 39260540 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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MK-7264-034

Identifier Type: OTHER

Identifier Source: secondary_id

2018-001098-26

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

7264-034

Identifier Type: -

Identifier Source: org_study_id

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