Page last updated: 2024-12-05

norethindrone acetate

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Description

norethisterone acetate : A 3-oxo Delta(4)-steroid that is norethisterone in which the hydroxy group has been converted to its acetate ester. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID5832
CHEMBL ID1201146
CHEBI ID7628
SCHEMBL ID37530
MeSH IDM0082292

Synonyms (139)

Synonym
19-nor-17.alpha.-pregn-4-en-20-yn-3-one, acetate
nsc22844
17.alpha.-ethynyl-17-hydroxyestr-4-en-3-one acetate
17.alpha.-ethinyl-19-nortestosterone-17.beta.-acetate
sh 420
19-norethynyltestosterone acetate
nsc-22844
primolut-nor
norethynyltestosterone acetate
norethysterone acetate
wln: l e5 b666 ov mutj e fov1 f1uu1 -b&ef
norethindrone 17-acetate
enta
orlutate
19-norethisterone acetate
norethisteron acetate
17.alpha.-ethynyl-19-nortestosterone acetate
17.alpha.-ethynyl-17.beta.-acetoxy-19-norandrost-4-en-3-one
norlutin acetate
nsc 22844
monogest
norethindrone acetate [usp]
17-acetyloxy(17-alpha)-19-norpregn-4-estren-17-beta-ol-acetate-3-one
aygestin
17beta-hydroxy-19-nor-17alpha-pregn-4-en-20-yn-3-one acetate
19-nor-17-alpha-pregn-4-en-20-yn-3-one, 17-acetoxy-
17-alpha-ethinyl-19-nortestosterone acetate
einecs 200-132-0
ccris 485
estr-4-en-3-one, 17alpha-ethynyl-17-hydroxy-, acetate
19-nor-17alpha-pregn-4-en-20-yn-3-one, 17-acetoxy-
17beta-acetoxy-19-nor-17alpha-pregn-4-en-20-yn-3-one
19-nor-17alpha-pregn-4-en-20-yn-3-one, 17-hydroxy-, acetate
17-alpha-ethinyl-19-nortestosterone-17-beta-acetate
17alpha-ethynyl-17beta-acetoxy-19-norandrost-4-en-3-one
milligynon
17alpha-ethinyl-19-nortestosterone-17beta-acetate
17alpha-ethinyl-19-nortestosterone 17beta-acetate
17-hydroxy-19-nor-17alpha-pregn-4-en-20-yn-3-one acetate
norlutine acetate
17-alpha-ethynyl-17-beta-acetoxy-19-norandrost-4-en-3-one
gestakadin
brn 2064104
(17-alpha)-norethindrone acetate
17-hydroxy-19-nor-17-alpha-pregn-4-en-20-yn-3-one acetate
progylut
miniphase
17-alpha-ethynyl-19-nortestosterone acetate
17-acetoxy-19-nor-17alpha-pregn-4-en-20-yn-3-one
17-acetoxy-19-nor-17-alpha-pregn-4-en-20-yn-3-one
19-norpregn-4-en-20-yn-3-one, 17-(acetyloxy)-, (17alpha)
(17-alpha)-17-(acetyloxy)-19-norpregn-4-en-20-yn-3-one
milli-anovlar
norlutin a
17-alpha-ethynyl-17-hydroxyestr-4-en-3-one acetate
17alpha-ethynyl-17-hydroxyestr-4-en-3-one acetate
ethinyl-nortestosterone acetate
17alpha-ethynyl-19-nortestosterone acetate
51-98-9
norethindrone acetate ,
norethisterone acetate
C08152
19-norethindrone acetate
NCGC00159500-02
aygestin (tn)
norethindrone acetate (usp)
D00953
norethisterone acetate (jan)
sh-420
CHEMBL1201146
norethynyltestosterone
norethisteroni acetas
norethisterone 17-acetate
chebi:7628 ,
19-nor-17alpha-ethynyltestosterone acetate
N0450
[(8r,9s,10r,13s,14s,17r)-17-ethynyl-13-methyl-3-oxo-1,2,6,7,8,9,10,11,12,14,15,16-dodecahydrocyclopenta[a]phenanthren-17-yl] acetate
cpd001906776
HMS3259A16
9s44lic7oj ,
unii-9s44lic7oj
(1s,11s,15s,2r,10r,14r)-14-ethynyl-15-methyl-5-oxotetracyclo[8.7.0.0<2,7>.0<11 ,15>]heptadec-6-en-14-yl acetate
tox21_113371
dtxsid4023381 ,
cas-51-98-9
dtxcid601071
AKOS016010517
(17alpha)-3-oxo-19-norpregn-4-en-20-yn-17-yl acetate
S5785
BRD-K96037667-001-01-4
norethindrone acetate [mi]
norethindrone acetate component of femhrt
activella component norethindrone acetate
tri-legest fe component norethindrone acetate
norethindrone acetate [vandf]
estrostep fe component norethindrone acetate
norethindrone acetate [orange book]
norethindrone acetate [usp-rs]
norethisterone acetate [ep monograph]
oriahnn component norethindrone acetate
norethindrone acetate component of estrostep fe
myfembree component norethindrone acetate
norethindrone acetate component of myfembree
norethisterone acetate [who-dd]
norethisterone acetate [who-ip]
norethisterone acetate [jan]
norethindrone acetate component of combipatch
norethindrone acetate component of oriahnn
norethindrone acetate [usp monograph]
norethindrone acetate component of lo loestrin fe
lo loestrin fe component norethindrone acetate
norethindrone acetate component of tri-legest fe
combipatch component norethindrone acetate
norethisteroni acetas [who-ip latin]
norethindrone acetate component of activella
femhrt component norethindrone acetate
norethisterone acetate [mart.]
NC00575
SCHEMBL37530
IMONTRJLAWHYGT-ZCPXKWAGSA-N
CS-7730
19-norethindrone acetate, vetranal(tm), analytical standard
norethindrone acetate, united states pharmacopeia (usp) reference standard
norethisterone acetate, european pharmacopoeia (ep) reference standard
norethisterone acetate for system suitability, european pharmacopoeia (ep) reference standard
norethisterone acetate (norethindrone acetate)
HY-B1710
Q47495694
AS-13383
BCP11908
17a-ethynyl-19-nortestosterone 17b-acetate
norethindrone-acetate
NCGC00183366-07
T72561
norethindrone acetate (usp-rs)
norethisterone acetate (mart.)
norethisterone acetate (ep monograph)
ortho micronor
norethindrone acetate (usp monograph)

Research Excerpts

Overview

Norethindrone acetate (NETA) is a unique progestin that has both estrogenic and androgenic properties. It is effective as an add-back regimen without estrogen supplementation.

ExcerptReferenceRelevance
"Norethindrone acetate (NETA) is a fatty acid ester of norethindrone (NET) that can convert to its more active parent compound NET when orally administered. "( Probing the binding of two 19-nortestosterone derivatives to human serum albumin: insights into the interactions of steroid hormone drugs with functional biomacromolecule.
He, J; Li, H; Li, S; Ma, X; Wang, Q; Xu, K; Yang, H, 2016
)
1.88
"Norethindrone acetate (NETA) is a unique progestin that has both estrogenic and androgenic properties and is effective as an add-back regimen without estrogen supplementation."( The hormonal profile of norethindrone acetate: rationale for add-back therapy with gonadotropin-releasing hormone agonists in women with endometriosis.
Chwalisz, K; Stanczyk, FZ; Surrey, E, 2012
)
1.41

Toxicity

ExcerptReferenceRelevance
"Our goal was to determine if the addition of norethindrone acetate (NETA) to leuprolide acetate (LA) has an adverse effect on controlled ovarian stimulation (COH) during in vitro fertilization (IVF)."( The addition of norethindrone acetate to leuprolide acetate for ovarian suppression has no adverse effect on ovarian stimulation.
Ditkoff, EC; Lindheim, S; Prosser, R; Sauer, MV; Zimmermann, RC, 1997
)
0.9
"No adverse effect on ovarian stimulation was evident on the addition of NETA to LA."( The addition of norethindrone acetate to leuprolide acetate for ovarian suppression has no adverse effect on ovarian stimulation.
Ditkoff, EC; Lindheim, S; Prosser, R; Sauer, MV; Zimmermann, RC, 1997
)
0.64
" Overnight soaking of the ring before first use has the potential to reduce the side effect of transient nausea, presumed attributable to the accumulation of ethinyl estradiol on the ring surface during storage."( Effect of different insertion regimens on side effects with a combination contraceptive vaginal ring.
Fraser, IS; Jackanicz, T; Lacarra, M; Mishell, DR; Weisberg, E, 1997
)
0.3
" With further investigation, such regimens may allow safe prolongation of GnRH analogue use without sacrificing efficacy in those endometriosis patients with severe pelvic pain."( Add-back therapy: extending safety and efficacy of GnRH analogues in the gynecologic patient.
Surrey, ES, 1998
)
0.3
" This study indicates that use of a single CVR releasing EE and NET-Ac over a period of 12 months constitutes an acceptable, safe and effective contraceptive method."( Efficacy, bleeding patterns, and side effects of a 1-year contraceptive vaginal ring.
Alvarez, F; Brache, V; Fraser, IS; Lacarra, M; Mishell, DR; Nash, HA; Weisberg, E, 1999
)
0.3
" No adverse drug reactions specific to E2V/MPA triphasic were observed."( Endometrial safety and tolerability of triphasic sequential hormone replacement estradiol valerate/medroxyprogesterone acetate therapy regimen.
Engelstein, M; Kuhl, H; Mäenpää, J; Mattila, L; Mustonen, M; Rees, MC, 2004
)
0.32
" Both treatments were generally well tolerated, with most adverse events (>90%) being mild to moderate, although minor differences in the tolerability profile were observed between treatments."( Endometrial safety, overall safety and tolerability of transdermal continuous combined hormone replacement therapy over 96 weeks: a randomized open-label study.
Arguinzoniz, M; Boschitsch, E; Concin, H; De Geyter, C; Ehrenborg, A; Heikkinen, J; Hobson, R; Ibarra de Palacios, P; Samsioe, G; Scheurer, C; Schmidt, G, 2006
)
0.33
"New low-dose formulations of combination oral contraceptives (COCs) are safe and effective, but they may be associated with an increased risk of breakthrough bleeding."( Efficacy and safety of a new 24-day oral contraceptive regimen of norethindrone acetate 1 mg/ethinyl estradiol 20 micro g (Loestrin 24 Fe).
Archer, DF; Ellman, H; Nakajima, ST, 2007
)
0.58
" Adverse events occurring from the first trial-related activity, whether related or not related to the study medication, were recorded for the entire population (n = 575) of the trial."( Optimal tolerability of ultra-low-dose continuous combined 17beta-estradiol and norethisterone acetate: laboratory and safety results.
Hruska, J; Samsioe, G, 2010
)
0.36
" The incidence of serious adverse events was only 1% in respective treatment groups."( Optimal tolerability of ultra-low-dose continuous combined 17beta-estradiol and norethisterone acetate: laboratory and safety results.
Hruska, J; Samsioe, G, 2010
)
0.36

Pharmacokinetics

ExcerptReferenceRelevance
" Areas covered: This review aims to offer the reader a complete overview of pharmacokinetic (PK) and clinical efficacy of progestins for the treatment of endometriosis."( Current understanding on pharmacokinetics, clinical efficacy and safety of progestins for treating pain associated to endometriosis.
Barra, F; Ferrero, S; Scala, C, 2018
)
0.48

Compound-Compound Interactions

ExcerptReferenceRelevance
"25 micrograms, oestrogens/gestagen alone or combined with 1,25(OH)2D3, and placebo."( Effect of 1,25-dihydroxy-vitamin D3 in itself or combined with hormone treatment in preventing postmenopausal osteoporosis.
Christensen, MS; Christiansen, C; Hagen, C; Rødbro, P; Transbøl, I, 1981
)
0.26
"To assess prospectively the effect on bleeding patterns, transformation of the endometrium, and rate of endometrial hyperplasia of transdermal norethisterone acetate when administered sequentially in combination with transdermal estradiol (E2), and to compare it to a regimen using oral medroxyprogesterone acetate."( Comparison of transdermal and oral sequential gestagen in combination with transdermal estradiol: effects on bleeding patterns and endometrial histology.
Boyd, ME; Colgan, TJ; Ferenczy, A; Fugere, P; Lorrain, J; Ross, AH, 1993
)
0.29
" We thus performed a randomized, double-blind, placebo-controlled intervention study to prospectively investigate the effect of a low dose of fluoride, in combination with HRT, on BMD and biochemical markers of bone turnover."( Monofluorophosphate combined with hormone replacement therapy induces a synergistic effect on bone mass by dissociating bone formation and resorption in postmenopausal women: a randomized study.
Alexandersen, P; Christiansen, C; Riis, BJ, 1999
)
0.3
"5 mg), administered alone or in combination with estradiol (E2; 1 mg), both after a single oral dose."( Bioavailability of norethisterone acetate alone and in combination with estradiol administered in single or multiple oral doses to postmenopausal women.
Aedo, AR; Cekan, SZ; Landgren, BM; Mattsson, LA; Stadberg, E; Westlund, P, 1999
)
0.3
"In the first, single-dose trial, pharmacokinetic parameters of NET were similar for NETA administered alone and its combination with E2."( Bioavailability of norethisterone acetate alone and in combination with estradiol administered in single or multiple oral doses to postmenopausal women.
Aedo, AR; Cekan, SZ; Landgren, BM; Mattsson, LA; Stadberg, E; Westlund, P, 1999
)
0.3
"The bioavailability of NET was not influenced by its combination with 1 mg E2."( Bioavailability of norethisterone acetate alone and in combination with estradiol administered in single or multiple oral doses to postmenopausal women.
Aedo, AR; Cekan, SZ; Landgren, BM; Mattsson, LA; Stadberg, E; Westlund, P, 1999
)
0.3
"Overall, the results of this study suggest that the use of trimegestone in combination with estradiol may be preferable to norethisterone acetate because of the more favorable HDL and apo AI profile."( Randomized trial of effects of estradiol in combination with either norethisterone acetate or trimegestone on lipids and lipoproteins in postmenopausal women.
Al-Azzawi, F; Proudler, AJ; Sami, S; Stevenson, J; Thompson, J; Wahab, M, 2004
)
0.32
"To evaluate the pulse-wave velocity (PWV) and indirectly the arterial stiffness in hypertensive postmenopausal women submitted to hormone therapy with estradiol alone or combined with norethisterone acetate."( Effects of estradiol alone and combined with norethisterone acetate on pulse-wave velocity in hypertensive postmenopausal women.
Aldrighi, JM; Alecrin, IN; Arruda, CG; Bortolotto, LA; Ramires, JA, 2006
)
0.33
"PWV and arterial stiffness in postmenopausal hypertensive women did not reduce over a 12-week treatment with estradiol alone compared with the same period of treatment with estradiol combined with norethisterone acetate."( Effects of estradiol alone and combined with norethisterone acetate on pulse-wave velocity in hypertensive postmenopausal women.
Aldrighi, JM; Alecrin, IN; Arruda, CG; Bortolotto, LA; Ramires, JA, 2006
)
0.33
" We compared the efficacy and tolerability of the aromatase inhibitor letrozole combined with norethisterone acetate versus norethisterone acetate alone in treating pain symptoms."( Letrozole combined with norethisterone acetate compared with norethisterone acetate alone in the treatment of pain symptoms caused by endometriosis.
Camerini, G; Ferrero, S; Ragni, N; Remorgida, V; Seracchioli, R; Venturini, PL, 2009
)
0.35
"To compare the efficacy of norethisterone acetate (NETA; group N) or letrozole combined with NETA (group L) in treating endometriotic ovarian cysts."( Norethisterone acetate versus norethisterone acetate combined with letrozole for the treatment of ovarian endometriotic cysts: a patient preference study.
Ferrero, S; Leone Roberti Maggiore, U; Remorgida, V; Venturini, PL, 2014
)
0.4
"Letrozole combined with NETA is more efficacious than NETA alone in reducing the volume of endometriotic cysts but in none of the 40 patients included in the study did the endometriomas disappear."( Norethisterone acetate versus norethisterone acetate combined with letrozole for the treatment of ovarian endometriotic cysts: a patient preference study.
Ferrero, S; Leone Roberti Maggiore, U; Remorgida, V; Venturini, PL, 2014
)
0.4
" Treatment with GnRHa combined with add-back therapy led to improved QOL, with no worsening of mood or menopausal side effects."( The Effects of Gonadotropin-Releasing Hormone Agonist Combined with Add-Back Therapy on Quality of Life for Adolescents with Endometriosis: A Randomized Controlled Trial.
DiVasta, AD; Feldman, HA; Gordon, CM; Hornstein, MD; Laufer, MR; Sadler Gallagher, J; Stokes, NA, 2017
)
0.46
"There are no previous data on the influence of drospirenone (DRSP) in combination with estradiol (E2) on the breast in postmenopausal women."( Effects of drospirenone and norethisterone acetate combined with estradiol on mammographic density and proliferation of breast epithelial cells-A prospective randomized trial.
Brismar, K; Hirschberg, AL; Lundström, E; Tani, E, 2019
)
0.51
"5 mg of NETA in continuous combination with 1 mg of oral E2."( Effects of drospirenone and norethisterone acetate combined with estradiol on mammographic density and proliferation of breast epithelial cells-A prospective randomized trial.
Brismar, K; Hirschberg, AL; Lundström, E; Tani, E, 2019
)
0.51
"No change in norethindrone maximum plasma concentration or area under the concentration-time curve was observed when oral E2/NETA was administered with elagolix."( Drug-Drug Interaction Studies of Elagolix with Oral and Transdermal Low-Dose Hormonal Add-Back Therapy.
Ali, F; Mostafa, NM; Nader, A; Shebley, M, 2021
)
0.62
" Consequently, to clarify this issue, we conducted a systematic review and meta-analysis of RCTs that evaluated the impact of transdermal 17β-estradiol combined with norethisterone acetate treatment on the concentrations of serum lipids in postmenopausal women."( The effect of transdermal 17β-estradiol combined with norethisterone acetate treatment on the lipid profile in postmenopausal women: A meta-analysis and systematic review of randomized controlled trials.
Al Masri, MK; Baradwan, S; Cai, X; Găman, MA; Mao, P; Prabahar, K; Tao, W, 2022
)
0.72

Bioavailability

ExcerptReferenceRelevance
" WHO is conducting dose reduction trials and studies of bioavailability in various national populations."( Long-acting hormonal contraceptives for women.
Garza-Flores, J; Hall, PE; Perez-Palacios, G, 1991
)
0.28
"The bioavailability of contraceptive steroids was studied in 12 women who were given an antacid and a contraceptive pill simultaneously."( Antacid does not reduce the bioavailability of oral contraceptive steroids in women.
Joshi, JV; Joshi, UM; Sankolli, GM; Shah, RS, 1986
)
0.27
" Apparently, self-dosing with this antacid will not affect bioavailability of oral contraceptive steroids."( Antacid does not reduce the bioavailability of oral contraceptive steroids in women.
Joshi, JV; Joshi, UM; Sankolli, GM; Shah, RS, 1986
)
0.27
" The pharmacokinetics and bioavailability of NET remain unchanged during early pregnancy."( Norethisterone acetate and ethinylestradiol in early human pregnancy.
Düsterberg, B; Hasan, H; Kivikoski, A; Laajoki, V; Pulkkinen, MO, 1984
)
0.27
" Chronic treatment with dapsone does not appear to reduce the bioavailability of NET or EE."( Norethisterone and ethinyl estradiol kinetics during dapsone therapy.
Bhatki, S; Joshi, JV; Joshi, UM; Maitra, A; Sankolli, G, 1984
)
0.27
"The bioavailability of NET was not influenced by its combination with 1 mg E2."( Bioavailability of norethisterone acetate alone and in combination with estradiol administered in single or multiple oral doses to postmenopausal women.
Aedo, AR; Cekan, SZ; Landgren, BM; Mattsson, LA; Stadberg, E; Westlund, P, 1999
)
0.3
" This delivery system provides many advantages over oral contraceptives (OCs), including avoidance of the first-pass effect through the liver, constant serum steroid levels, longer duration of use, and greater bioavailability of the hormones."( Contraceptive vaginal rings.
Harwood, B; Mishell, DR, 2001
)
0.31
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51
" Out of the covariates tested on elagolix apparent clearance, apparent volume of distribution, and/or relative bioavailability, only organic anion transporting polypeptide 1B1 genotype status and body weight had a statistically significant but no clinically meaningful effect on elagolix relative bioavailability and apparent volume of distribution, respectively."( Population Pharmacokinetics of Elagolix in Combination with Low-Dose Estradiol/Norethindrone Acetate in Women with Uterine Fibroids.
Beck, D; Degner, J; Liu, M; Mostafa, NM; Noertersheuser, P; Shebley, M; Winzenborg, I, 2022
)
0.95

Dosage Studied

In a blinded, prospective, dose-response pilot study of continuous estrogen-progestin replacement therapy, 77 thin, nonsmoking, white women were randomly assigned to receive one of five dose combinations of daily ethinyl estradiol and norethindrone acetate. Elagolix population pharmacokinetics modeling did not reveal any patient-related factors or clinical parameters that would require dose adjustments.

ExcerptRelevanceReference
" This study shows that estrogen/progestogen treatment in standard contraceptive dosage usually leads to only moderate and non-progressive stimulation of pituitary activity in women with hyperprolactinemic amenorrhea, but occasional excessive growth of a prolactinoma can occur and treatment needs to be monitored."( The effect of combined estrogen/progestogen treatment in women with hyperprolactinemic amenorrhea.
Fahy, UM; Foster, PA; Hartog, M; Hull, MG; Torode, HW, 1992
)
0.28
" Studies of the oral contraceptives in current use show that the coagulation effects depend on the dosage of estrogen and the type of progestogen used in combination."( Coagulation effects of oral contraception.
Bonnar, J, 1987
)
0.27
" A characteristic feature of cultured interstitial cells is the bell-shaped profile of the dose-response curve for gonadotropin stimulated androgen production."( Androgen and progestogen production in cultured interstitial cells derived from immature rat testis.
De Moor, P; Koninckx, P; Verhoeven, G, 1982
)
0.26
"In order to study dose-response relationships of estrogen in normal postmenopausal women, 100 volunteers were randomized to 12 months' treatment with placebo or one of three different doses (high, medium, or low) of natural estrogens (17 beta-estradiol and estriol), sequentially combined with norethisterone acetate for 10 of the 28 cycle days."( Dose-response evaluation of cyclic estrogen/gestagen in postmenopausal women: placebo-controlled trial of its gynecologic and metabolic actions.
Christensen, MS; Christiansen, C; Hagen, C; Transbøl, I, 1982
)
0.26
" Since both estrogen and progestogen seem to be responsible in the etiology of hypertension the lowest possible dosage of OC should be chosen."( Oestrogens and hypertension.
Roberts, JM, 1981
)
0.26
" Conversely, evidence of lupus exacerbation did not develop in any of 11 patients who received pure progestogen oral contraceptive therapy with either continuous low-dose norsteroids (6 patients) or discontinuous progestogens at normal dosage (5 patients)."( Influence of oral contraceptive therapy on the activity of systemic lupus erythematosus.
Bach, JF; Dougados, M; Jungers, P; Kuttenn, F; Lesavre, P; Pélissier, C; Tron, F, 1982
)
0.26
" Women who developed this tumor on sequential therapy in general received less than the recommended guidelines for daily dosage and monthly duration of progestin."( Development of endometrial cancer in women on estrogen and progestin hormone replacement therapy.
Barbuto, DA; Judd, HL; Karlan, BY; Lagasse, LD; Leuchter, RS; McGonigle, KF, 1994
)
0.29
" One month after ovariectomy, the rats were dosed once daily for 6 months with either a low dose of growth hormone (GH) (0."( Growth hormone normalizes vertebral strength in ovariectomized rats.
Andreassen, TT; Eschen, C, 1995
)
0.29
" No differences were observed for days of stimulation, peak oestradiol attained, total dosage of exogenous gonadotrophins, or number of aspirated oocytes."( A combination of norethindrone acetate and leuprolide acetate blocks the gonadotrophin-releasing hormone agonistic response and minimizes cyst formation during ovarian stimulation.
Ditkoff, EC; Sauer, MV, 1996
)
0.63
" No differences were noted in days of stimulation, peak estradiol (E2) level attained, peak E2-to-oocyte ratio, dosage of exogenous gonadotropins, number of aspirated oocytes, fertilization rate, or oocyte and preembryo quality."( The addition of norethindrone acetate to leuprolide acetate for ovarian suppression has no adverse effect on ovarian stimulation.
Ditkoff, EC; Lindheim, S; Prosser, R; Sauer, MV; Zimmermann, RC, 1997
)
0.64
" Continuous combined transdermal delivery systems provide increased dosing flexibility and might improve convenience and compliance with hormone replacement therapy."( A randomized comparison of continuous combined transdermal delivery of estradiol-norethindrone acetate and estradiol alone for menopause. CombiPatch Study Group.
Archer, DF; Dain, MP; Furst, K; Tipping, D; Vandepol, C, 1999
)
0.53
" The multiple dosage in the second trial did not cause any major changes in the pharmacokinetic parameters of NET, except for the AUC0-24 and AUC0-infinity values which were significantly higher than those seen in the first trial."( Bioavailability of norethisterone acetate alone and in combination with estradiol administered in single or multiple oral doses to postmenopausal women.
Aedo, AR; Cekan, SZ; Landgren, BM; Mattsson, LA; Stadberg, E; Westlund, P, 1999
)
0.3
" Women were randomly assigned to wear transdermal placebo patches or a transdermal patch releasing 50 microg/d 17beta-estradiol alone (Vivelle) for days 1 to 14 of each cycle and a combination patch releasing 50 microg/d 17beta-estradiol plus 1 of 3 dosage levels (140, 250, or 400 microg/d) of norethindrone acetate (CombiPatch) for days 15 through 28."( Efficacy of continuous sequential transdermal estradiol and norethindrone acetate in relieving vasomotor symptoms associated with menopause.
Cassel, D; Dain, MP; Furst, KW; Hille, D; Notelovitz, M; Skarinsky, D; VandePol, C, 2000
)
0.72
" Serum CrossLaps decreased by about 50% in the levormeloxifene groups, with no dose-response effect."( Efficacy of levormeloxifene in the prevention of postmenopausal bone loss and on the lipid profile compared to low dose hormone replacement therapy.
Alexandersen, P; Christiansen, C; Delmas, PD; Riis, BJ; Stakkestad, JA, 2001
)
0.31
" Parameters like age of the patients, body mass index (BMI), dosage of the estrogen during pretreatment did not influence the results considerably."( [Amenorrhea rate after switch from sequential hormone replacement therapy to continuous combined administration of low dose estradiol and norethisterone acetate].
Kretschmar, S; Rakov, V; Von Holst, T, 2002
)
0.31
"d(-1) of estradiol decreased mammary size to control levels (inverted-U-shaped dose-response curve)."( Sensitivity and specificity of bioassay of estrogenicity on mammary gland and uterus of female mice.
Skarda, J, 2002
)
0.31
" We have compared the effects of estrogen, tibolone, and raloxifene on relevant markers of coagulation activation and investigated whether there is a dose-response relationship of oral HT."( Conventional-dose hormone therapy (HT) and tibolone, but not low-dose HT and raloxifene, increase markers of activated coagulation.
Andersen, TO; Eilertsen, AL; Qvigstad, E; Sandset, PM; Sandvik, L, 2006
)
0.33
" The aims of the present study were to evaluate a possible dose-response relationship and differential effects of different HT regimens on functionality of the APC system."( Differential impact of conventional and low-dose oral hormone therapy (HT), tibolone and raloxifene on functionality of the activated protein C system.
Eilertsen, AL; Hemker, HC; Liestøl, S; Mowinckel, MC; Sandset, PM, 2007
)
0.34
"To compare the effects of the abrupt discontinuation of postmenopausal hormone therapy (HT) and reduction of the daily dosage of the hormone on climacteric symptoms."( Effect of abrupt discontinuation versus gradual dose reduction of postmenopausal hormone therapy on hot flushes.
Azevedo, LH; Cunha, EP; Fernandes, CE; Ferreira, JA; Peixoto, S; Pompei, LM; Steiner, ML; Strufaldi, R, 2010
)
0.36
"The study group consisted of 92 postmenopausal women: 1) group G1 (n=30), treated with transdermal HT (17β-estradiol 50 μg/day plus NETA 170 μg/day); 2) group G2 (n=31), treated with the above transdermal HT and low dosage of acetylsalicylic acid (ASA); 3) control group P (n=31)."( Effect of transdermal hormone therapy on platelet haemostasis in menopausal women.
Pertyńska-Marczewska, M; Pertyński, T; Stachowiak, G, 2015
)
0.42
" The non-linear dose-response meta-analysis revealed a negative correlation between HDL-C levels and increased treatment periods (P ˂ 0."( The effect of 17β-estradiol plus norethisterone acetate treatment on the lipid profile in women: a dose-response meta-analysis of randomized controlled trials.
Abu-Zaid, A; Al-Badawi, IA; Al-Ghrairi, AKM; Albazee, E; Alomar, O; Alras, KA; Bajaman, JS; Baradwan, S; Gaman, MA; Ilesanmi-Oyelere, BL; Jamilian, P; Kutbi, E; Sadulah, DDS; Salem, H, 2022
)
0.72
" norethindrone acetate in adolescents, as optimal dosing is unknown."( Norethindrone dosing for adequate menstrual suppression in adolescents.
Compton, SD; Rager, TL; Rosen, MW; Winfrey, OK, 2023
)
1.82
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (2)

RoleDescription
synthetic oral contraceptiveAn oral contraceptive which owes its effectiveness to synthetic preparation.
progestinA synthetic progestogen.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (3)

ClassDescription
3-oxo-Delta(4) steroidA 3-oxo steroid conjugated to a C=C double bond at the alpha,beta position.
terminal acetylenic compoundAn acetylenic compound which a carbon of the C#C moiety is attached to a hydrogen atom.
acetate esterAny carboxylic ester where the carboxylic acid component is acetic acid.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (20)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Chain A, Ferritin light chainEquus caballus (horse)Potency35.48135.623417.292931.6228AID485281
TDP1 proteinHomo sapiens (human)Potency10.15000.000811.382244.6684AID686978; AID686979
Microtubule-associated protein tauHomo sapiens (human)Potency25.11890.180013.557439.8107AID1460
AR proteinHomo sapiens (human)Potency11.40810.000221.22318,912.5098AID743035; AID743036; AID743040; AID743053; AID743063
glucocorticoid receptor [Homo sapiens]Homo sapiens (human)Potency2.13140.000214.376460.0339AID720692
estrogen nuclear receptor alphaHomo sapiens (human)Potency6.92240.000229.305416,493.5996AID743069; AID743075; AID743077; AID743079
cytochrome P450, family 19, subfamily A, polypeptide 1, isoform CRA_aHomo sapiens (human)Potency26.60320.001723.839378.1014AID743083
vitamin D3 receptor isoform VDRAHomo sapiens (human)Potency79.43280.354828.065989.1251AID504847
thyroid hormone receptor beta isoform 2Rattus norvegicus (Norway rat)Potency9.81570.000323.4451159.6830AID743065; AID743067
nuclear receptor ROR-gamma isoform 1Mus musculus (house mouse)Potency7.94330.00798.23321,122.0200AID2551
Spike glycoproteinSevere acute respiratory syndrome-related coronavirusPotency39.81070.009610.525035.4813AID1479145
ATPase family AAA domain-containing protein 5Homo sapiens (human)Potency18.83360.011917.942071.5630AID651632
Ataxin-2Homo sapiens (human)Potency18.83360.011912.222168.7989AID651632
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Glucocorticoid receptorHomo sapiens (human)IC50 (µMol)0.64600.00000.495310.0000AID625263
Glucocorticoid receptorHomo sapiens (human)Ki0.29300.00010.38637.0010AID625263
Glycine receptor subunit alpha-1Rattus norvegicus (Norway rat)IC50 (µMol)0.64600.00150.76005.0740AID625263
Glycine receptor subunit alpha-1Rattus norvegicus (Norway rat)Ki0.29300.00070.76537.0010AID625263
Androgen receptorRattus norvegicus (Norway rat)IC50 (µMol)0.10600.00101.979414.1600AID625228
Androgen receptorRattus norvegicus (Norway rat)Ki0.07100.00031.21858.9270AID625228
Glycine receptor subunit betaRattus norvegicus (Norway rat)IC50 (µMol)0.64600.00150.76005.0740AID625263
Glycine receptor subunit betaRattus norvegicus (Norway rat)Ki0.29300.00070.78467.0010AID625263
Glycine receptor subunit alpha-2Rattus norvegicus (Norway rat)IC50 (µMol)0.64600.00150.80445.0740AID625263
Glycine receptor subunit alpha-2Rattus norvegicus (Norway rat)Ki0.29300.00070.78467.0010AID625263
Glycine receptor subunit alpha-3Rattus norvegicus (Norway rat)IC50 (µMol)0.64600.00150.76005.0740AID625263
Glycine receptor subunit alpha-3Rattus norvegicus (Norway rat)Ki0.29300.00070.78467.0010AID625263
Cytochrome P450 2C19Homo sapiens (human)IC50 (µMol)0.80000.00002.398310.0000AID625247
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (56)

Processvia Protein(s)Taxonomy
negative regulation of transcription by RNA polymerase IIGlucocorticoid receptorHomo sapiens (human)
regulation of gluconeogenesisGlucocorticoid receptorHomo sapiens (human)
chromatin organizationGlucocorticoid receptorHomo sapiens (human)
regulation of DNA-templated transcriptionGlucocorticoid receptorHomo sapiens (human)
apoptotic processGlucocorticoid receptorHomo sapiens (human)
chromosome segregationGlucocorticoid receptorHomo sapiens (human)
signal transductionGlucocorticoid receptorHomo sapiens (human)
glucocorticoid metabolic processGlucocorticoid receptorHomo sapiens (human)
gene expressionGlucocorticoid receptorHomo sapiens (human)
microglia differentiationGlucocorticoid receptorHomo sapiens (human)
adrenal gland developmentGlucocorticoid receptorHomo sapiens (human)
regulation of glucocorticoid biosynthetic processGlucocorticoid receptorHomo sapiens (human)
synaptic transmission, glutamatergicGlucocorticoid receptorHomo sapiens (human)
maternal behaviorGlucocorticoid receptorHomo sapiens (human)
intracellular glucocorticoid receptor signaling pathwayGlucocorticoid receptorHomo sapiens (human)
glucocorticoid mediated signaling pathwayGlucocorticoid receptorHomo sapiens (human)
positive regulation of neuron apoptotic processGlucocorticoid receptorHomo sapiens (human)
negative regulation of DNA-templated transcriptionGlucocorticoid receptorHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIGlucocorticoid receptorHomo sapiens (human)
astrocyte differentiationGlucocorticoid receptorHomo sapiens (human)
cell divisionGlucocorticoid receptorHomo sapiens (human)
mammary gland duct morphogenesisGlucocorticoid receptorHomo sapiens (human)
motor behaviorGlucocorticoid receptorHomo sapiens (human)
cellular response to steroid hormone stimulusGlucocorticoid receptorHomo sapiens (human)
cellular response to glucocorticoid stimulusGlucocorticoid receptorHomo sapiens (human)
cellular response to dexamethasone stimulusGlucocorticoid receptorHomo sapiens (human)
cellular response to transforming growth factor beta stimulusGlucocorticoid receptorHomo sapiens (human)
neuroinflammatory responseGlucocorticoid receptorHomo sapiens (human)
positive regulation of miRNA transcriptionGlucocorticoid receptorHomo sapiens (human)
intracellular steroid hormone receptor signaling pathwayGlucocorticoid receptorHomo sapiens (human)
regulation of transcription by RNA polymerase IIGlucocorticoid receptorHomo sapiens (human)
long-chain fatty acid metabolic processCytochrome P450 2C19Homo sapiens (human)
xenobiotic metabolic processCytochrome P450 2C19Homo sapiens (human)
steroid metabolic processCytochrome P450 2C19Homo sapiens (human)
monoterpenoid metabolic processCytochrome P450 2C19Homo sapiens (human)
epoxygenase P450 pathwayCytochrome P450 2C19Homo sapiens (human)
xenobiotic catabolic processCytochrome P450 2C19Homo sapiens (human)
omega-hydroxylase P450 pathwayCytochrome P450 2C19Homo sapiens (human)
cell population proliferationATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of B cell proliferationATPase family AAA domain-containing protein 5Homo sapiens (human)
nuclear DNA replicationATPase family AAA domain-containing protein 5Homo sapiens (human)
signal transduction in response to DNA damageATPase family AAA domain-containing protein 5Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorATPase family AAA domain-containing protein 5Homo sapiens (human)
isotype switchingATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of DNA replicationATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of isotype switching to IgG isotypesATPase family AAA domain-containing protein 5Homo sapiens (human)
DNA clamp unloadingATPase family AAA domain-containing protein 5Homo sapiens (human)
regulation of mitotic cell cycle phase transitionATPase family AAA domain-containing protein 5Homo sapiens (human)
negative regulation of intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of cell cycle G2/M phase transitionATPase family AAA domain-containing protein 5Homo sapiens (human)
negative regulation of receptor internalizationAtaxin-2Homo sapiens (human)
regulation of translationAtaxin-2Homo sapiens (human)
RNA metabolic processAtaxin-2Homo sapiens (human)
P-body assemblyAtaxin-2Homo sapiens (human)
stress granule assemblyAtaxin-2Homo sapiens (human)
RNA transportAtaxin-2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (40)

Processvia Protein(s)Taxonomy
RNA polymerase II transcription regulatory region sequence-specific DNA bindingGlucocorticoid receptorHomo sapiens (human)
RNA polymerase II cis-regulatory region sequence-specific DNA bindingGlucocorticoid receptorHomo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificGlucocorticoid receptorHomo sapiens (human)
core promoter sequence-specific DNA bindingGlucocorticoid receptorHomo sapiens (human)
DNA-binding transcription repressor activity, RNA polymerase II-specificGlucocorticoid receptorHomo sapiens (human)
DNA-binding transcription activator activity, RNA polymerase II-specificGlucocorticoid receptorHomo sapiens (human)
DNA-binding transcription factor activityGlucocorticoid receptorHomo sapiens (human)
RNA bindingGlucocorticoid receptorHomo sapiens (human)
nuclear receptor activityGlucocorticoid receptorHomo sapiens (human)
nuclear glucocorticoid receptor activityGlucocorticoid receptorHomo sapiens (human)
steroid bindingGlucocorticoid receptorHomo sapiens (human)
protein bindingGlucocorticoid receptorHomo sapiens (human)
zinc ion bindingGlucocorticoid receptorHomo sapiens (human)
TBP-class protein bindingGlucocorticoid receptorHomo sapiens (human)
protein kinase bindingGlucocorticoid receptorHomo sapiens (human)
identical protein bindingGlucocorticoid receptorHomo sapiens (human)
Hsp90 protein bindingGlucocorticoid receptorHomo sapiens (human)
steroid hormone bindingGlucocorticoid receptorHomo sapiens (human)
sequence-specific double-stranded DNA bindingGlucocorticoid receptorHomo sapiens (human)
estrogen response element bindingGlucocorticoid receptorHomo sapiens (human)
monooxygenase activityCytochrome P450 2C19Homo sapiens (human)
iron ion bindingCytochrome P450 2C19Homo sapiens (human)
steroid hydroxylase activityCytochrome P450 2C19Homo sapiens (human)
oxidoreductase activityCytochrome P450 2C19Homo sapiens (human)
(S)-limonene 6-monooxygenase activityCytochrome P450 2C19Homo sapiens (human)
(S)-limonene 7-monooxygenase activityCytochrome P450 2C19Homo sapiens (human)
oxygen bindingCytochrome P450 2C19Homo sapiens (human)
enzyme bindingCytochrome P450 2C19Homo sapiens (human)
heme bindingCytochrome P450 2C19Homo sapiens (human)
(R)-limonene 6-monooxygenase activityCytochrome P450 2C19Homo sapiens (human)
aromatase activityCytochrome P450 2C19Homo sapiens (human)
long-chain fatty acid omega-1 hydroxylase activityCytochrome P450 2C19Homo sapiens (human)
arachidonic acid epoxygenase activityCytochrome P450 2C19Homo sapiens (human)
oxidoreductase activity, acting on paired donors, with incorporation or reduction of molecular oxygen, reduced flavin or flavoprotein as one donor, and incorporation of one atom of oxygenCytochrome P450 2C19Homo sapiens (human)
protein bindingATPase family AAA domain-containing protein 5Homo sapiens (human)
ATP bindingATPase family AAA domain-containing protein 5Homo sapiens (human)
ATP hydrolysis activityATPase family AAA domain-containing protein 5Homo sapiens (human)
DNA clamp unloader activityATPase family AAA domain-containing protein 5Homo sapiens (human)
DNA bindingATPase family AAA domain-containing protein 5Homo sapiens (human)
RNA bindingAtaxin-2Homo sapiens (human)
epidermal growth factor receptor bindingAtaxin-2Homo sapiens (human)
protein bindingAtaxin-2Homo sapiens (human)
mRNA bindingAtaxin-2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (22)

Processvia Protein(s)Taxonomy
nucleusGlucocorticoid receptorHomo sapiens (human)
nucleusGlucocorticoid receptorHomo sapiens (human)
nucleoplasmGlucocorticoid receptorHomo sapiens (human)
cytoplasmGlucocorticoid receptorHomo sapiens (human)
mitochondrial matrixGlucocorticoid receptorHomo sapiens (human)
centrosomeGlucocorticoid receptorHomo sapiens (human)
spindleGlucocorticoid receptorHomo sapiens (human)
cytosolGlucocorticoid receptorHomo sapiens (human)
membraneGlucocorticoid receptorHomo sapiens (human)
nuclear speckGlucocorticoid receptorHomo sapiens (human)
synapseGlucocorticoid receptorHomo sapiens (human)
chromatinGlucocorticoid receptorHomo sapiens (human)
protein-containing complexGlucocorticoid receptorHomo sapiens (human)
plasma membraneGlycine receptor subunit betaRattus norvegicus (Norway rat)
endoplasmic reticulum membraneCytochrome P450 2C19Homo sapiens (human)
plasma membraneCytochrome P450 2C19Homo sapiens (human)
intracellular membrane-bounded organelleCytochrome P450 2C19Homo sapiens (human)
intracellular membrane-bounded organelleCytochrome P450 2C19Homo sapiens (human)
cytoplasmCytochrome P450 2C19Homo sapiens (human)
virion membraneSpike glycoproteinSevere acute respiratory syndrome-related coronavirus
Elg1 RFC-like complexATPase family AAA domain-containing protein 5Homo sapiens (human)
nucleusATPase family AAA domain-containing protein 5Homo sapiens (human)
cytoplasmAtaxin-2Homo sapiens (human)
Golgi apparatusAtaxin-2Homo sapiens (human)
trans-Golgi networkAtaxin-2Homo sapiens (human)
cytosolAtaxin-2Homo sapiens (human)
cytoplasmic stress granuleAtaxin-2Homo sapiens (human)
membraneAtaxin-2Homo sapiens (human)
perinuclear region of cytoplasmAtaxin-2Homo sapiens (human)
ribonucleoprotein complexAtaxin-2Homo sapiens (human)
cytoplasmic stress granuleAtaxin-2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (19)

Assay IDTitleYearJournalArticle
AID977602Inhibition of sodium fluorescein uptake in OATP1B3-transfected CHO cells at an equimolar substrate-inhibitor concentration of 10 uM2013Molecular pharmacology, Jun, Volume: 83, Issue:6
Structure-based identification of OATP1B1/3 inhibitors.
AID547804Selectivity window, ratio of EC50 for BESM cells to EC50 for Trypanosoma cruzi amastigotes infected in BESM cells2010Antimicrobial agents and chemotherapy, Aug, Volume: 54, Issue:8
Image-based high-throughput drug screening targeting the intracellular stage of Trypanosoma cruzi, the agent of Chagas' disease.
AID588213Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in non-rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1150124Relative binding affinity to guinea pig progesterone receptor1977Journal of medicinal chemistry, Sep, Volume: 20, Issue:9
Quantitative relationships between steroid structure and binding to putative progesterone receptors.
AID588211Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in humans2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID588212Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID977599Inhibition of sodium fluorescein uptake in OATP1B1-transfected CHO cells at an equimolar substrate-inhibitor concentration of 10 uM2013Molecular pharmacology, Jun, Volume: 83, Issue:6
Structure-based identification of OATP1B1/3 inhibitors.
AID547621Cytotoxicity against BESM cells after 88 hrs by HTS assay2010Antimicrobial agents and chemotherapy, Aug, Volume: 54, Issue:8
Image-based high-throughput drug screening targeting the intracellular stage of Trypanosoma cruzi, the agent of Chagas' disease.
AID1150122Relative binding affinity to sheep progesterone receptor1977Journal of medicinal chemistry, Sep, Volume: 20, Issue:9
Quantitative relationships between steroid structure and binding to putative progesterone receptors.
AID588220Literature-mined public compounds from Kruhlak et al phospholipidosis modelling dataset2008Toxicology mechanisms and methods, , Volume: 18, Issue:2-3
Development of a phospholipidosis database and predictive quantitative structure-activity relationship (QSAR) models.
AID1150121Relative binding affinity to human progesterone receptor1977Journal of medicinal chemistry, Sep, Volume: 20, Issue:9
Quantitative relationships between steroid structure and binding to putative progesterone receptors.
AID1150123Relative binding affinity to rabbit progesterone receptor1977Journal of medicinal chemistry, Sep, Volume: 20, Issue:9
Quantitative relationships between steroid structure and binding to putative progesterone receptors.
AID547622Antitrypanosomal activity against Trypanosoma cruzi amastigotes infected in BESM cells measured after 88 hrs postinfection by HTS assay2010Antimicrobial agents and chemotherapy, Aug, Volume: 54, Issue:8
Image-based high-throughput drug screening targeting the intracellular stage of Trypanosoma cruzi, the agent of Chagas' disease.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID651635Viability Counterscreen for Primary qHTS for Inhibitors of ATXN expression
AID1159550Human Phosphogluconate dehydrogenase (6PGD) Inhibitor Screening2015Nature cell biology, Nov, Volume: 17, Issue:11
6-Phosphogluconate dehydrogenase links oxidative PPP, lipogenesis and tumour growth by inhibiting LKB1-AMPK signalling.
AID1159607Screen for inhibitors of RMI FANCM (MM2) intereaction2016Journal of biomolecular screening, Jul, Volume: 21, Issue:6
A High-Throughput Screening Strategy to Identify Protein-Protein Interaction Inhibitors That Block the Fanconi Anemia DNA Repair Pathway.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (659)

TimeframeStudies, This Drug (%)All Drugs %
pre-1990172 (26.10)18.7374
1990's135 (20.49)18.2507
2000's228 (34.60)29.6817
2010's93 (14.11)24.3611
2020's31 (4.70)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 48.93

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index48.93 (24.57)
Research Supply Index6.93 (2.92)
Research Growth Index4.51 (4.65)
Search Engine Demand Index133.05 (26.88)
Search Engine Supply Index3.28 (0.95)

This Compound (48.93)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials318 (45.49%)5.53%
Reviews38 (5.44%)6.00%
Case Studies20 (2.86%)4.05%
Observational2 (0.29%)0.25%
Other321 (45.92%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (85)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Multicenter, Randomized, Double-Blind, Double Dummy Trial to Compare the Effects Tibolone and Transdermal Continuous Combined Estradiol/Norethisterone on Sexual Desire and Arousal in Postmenopausal Women With Sexual Dysfunction [NCT00413764]Phase 3358 participants (Actual)Interventional2004-03-23Completed
Norethindrone Versus Combined Oral Contraceptive Pills for the Delay of Menstruation [NCT03594604]Phase 417 participants (Actual)Interventional2007-06-15Completed
Combined Contraceptive Vaginal Ring or Norethisterone for Treatment of Idiopathic Menorrhagia [NCT01266759]95 participants (Actual)Interventional2008-07-31Completed
Extension Study to Evaluate the Efficacy and Safety of Elagolix in Premenopausal Women With Heavy Menstrual Bleeding Associated With Uterine Fibroids [NCT02925494]Phase 3433 participants (Actual)Interventional2016-09-14Completed
Heart Failure Prevention for Women: Preservation of Cardiac Function in the Peri-Menopausal Woman Through Hormone Therapy [NCT02693002]Phase 44 participants (Actual)Interventional2016-02-29Terminated(stopped due to Enrollment goals not being met)
A Study to Evaluate Safety and Efficacy of Elagolix Alone or Elagolix With Hormonal Add-Back in Subjects With Endometriosis With Associated Moderate to Severe Pain [NCT03343067]Phase 311 participants (Actual)Interventional2017-12-27Terminated(stopped due to The study was terminated early for business reasons, not for safety concerns.)
A 12 Month Non-interventional (Observational), International, Multi-centre, Prospective Study to Evaluate the Bleeding Pattern of Ultra-low Dose Continuous Combined Hormone Replacement Therapy Containing 0.5 mg Estradiol and 0.1 mg Norethisterone Acetate [NCT01076621]176 participants (Actual)Observational2010-05-31Completed
LIBERTY 2: An International Phase 3 Randomized, Double-Blind, Placebo-Controlled Efficacy and Safety Study to Evaluate Relugolix Co-Administered With and Without Low-Dose Estradiol and Norethindrone Acetate in Women With Heavy Menstrual Bleeding Associate [NCT03103087]Phase 3382 participants (Actual)Interventional2017-06-14Completed
Management of Uterine Leiomyomata and Adenomyosis : Role of Hysteroscopy in Diagnosis and Norethisterone in the Treatment [NCT05153928]100 participants (Anticipated)Observational2021-04-10Recruiting
A Phase 3 Study to Evaluate the Efficacy and Safety of Elagolix in Combination With Estradiol/Norethindrone Acetate for the Management of Heavy Menstrual Bleeding Associated With Uterine Fibroids in Premenopausal Women [NCT02691494]Phase 3378 participants (Actual)Interventional2016-02-03Completed
Use of Norethindrone Acetate for Management of Bleeding Associated With the Etonogestrel Contraceptive Implant [NCT02353247]88 participants (Actual)Interventional2015-08-31Completed
LIBERTY 1: An International Phase 3 Randomized, Double-Blind, Placebo-Controlled Efficacy and Safety Study to Evaluate Relugolix Co-Administered With and Without Low-Dose Estradiol and Norethindrone Acetate in Women With Heavy Menstrual Bleeding Associate [NCT03049735]Phase 3388 participants (Actual)Interventional2017-04-26Completed
A Study to Evaluate the Relative Bioavailability of Norethindrone/Ethinyl Estradiol 0.4 mg/0.035 mg Chewable Tablets (Teva Pharmaceuticals, USA) Compared to FEMCON® Fe (Norethindrone/Ethinyl Estradiol) 0.4 mg/0.035 mg Chewable Tablets (Warner Chilcott) in [NCT01344369]Phase 136 participants (Actual)Interventional2008-08-31Completed
The Effect of Dienogest vs. Norethindrone Acetate Treatment in Endometriosis [NCT05476172]70 participants (Actual)Interventional2021-04-01Completed
Effectiveness of Hormonal Intrauterine Device in Treating Pelvic Congestion Syndrome Compared to Oral Progestin [NCT05050357]104 participants (Actual)Interventional2021-12-01Completed
LIBERTY EXTENSION: An International Phase 3 Open-Label, Single-Arm, Long-Term Efficacy and Safety Extension Study to Evaluate Relugolix Co-Administered With Low-Dose Estradiol and Norethindrone Acetate in Women With Heavy Menstrual Bleeding Associated Wit [NCT03412890]Phase 3477 participants (Actual)Interventional2017-10-19Completed
SPIRIT EXTENSION: An International Phase 3 Open-Label, Single-Arm, Safety and Efficacy Extension Study to Evaluate Relugolix Co-Administered With Low-Dose Estradiol and Norethindrone Acetate in Women With Endometriosis-Associated Pain [NCT03654274]Phase 3802 participants (Actual)Interventional2018-05-22Completed
A Prospective Open Randomized Trial on the Efficacy of Gonadotropin-releasing Hormone Agonist Depot-Triptorelin- to Prevent Chemotherapy Induced Premature Ovarian Failure in Lymphoma Patients. [NCT01160315]Phase 2/Phase 3118 participants (Actual)Interventional2002-07-31Completed
Effect of Tranexemic Acid and Norethisterone Acetate on Endometrial Vasculature in Women With Dysfunctional Uterine Bleeding. [NCT04290013]Phase 3120 participants (Anticipated)Interventional2020-04-22Not yet recruiting
An Open Label Study to Evaluate the Contraceptive Efficacy and Safety of Norethindrone Acetate Transdermal Delivery System [NCT01140217]Phase 31,659 participants (Actual)Interventional2010-05-31Completed
A Phase 3 Study to Evaluate the Efficacy and Safety of Elagolix in Combination With Estradiol/Norethindrone Acetate for the Management of Heavy Menstrual Bleeding Associated With Uterine Fibroids in Premenopausal Women [NCT02654054]Phase 3413 participants (Actual)Interventional2015-12-22Completed
Safety of Oral Micronized Progesterone Versus Norethisterone Acetate in Continuous Combination With Oral Estrogen as Menopausal Hormone Therapy - a Double-blind Randomized Study- PROBES Study (Progesterone Breast Endometrial Safety Study) [NCT05586724]Phase 3390 participants (Anticipated)Interventional2022-02-25Recruiting
MYFEMBREE®: A Retrospective Cohort Study Using an Administrative Healthcare Database to Assess Pregnancy Outcomes in Women Treated With Relugolix Combination Therapy [NCT05739136]530 participants (Anticipated)Observational2025-01-31Not yet recruiting
Gender Disparity and Hormones in Cystic Fibrosis [NCT02036879]Early Phase 155 participants (Actual)Interventional2014-02-28Completed
Effect of a Combination of Daclatasvir, Asunaprevir, and BMS-791325 on the Pharmacokinetics of a Combined Oral Contraceptive Containing Ethinyl Estradiol and Norethindrone Acetate in Healthy Female Subjects [NCT02103569]Phase 120 participants (Actual)Interventional2014-04-30Completed
A Phase 1, Open-label Study in Healthy Female Subjects to Investigate the Effect of JNJ-63623872 at Steady-state on the Steady-state Pharmacokinetics of Ethinylestradiol and Norethindrone [NCT02652650]Phase 118 participants (Actual)Interventional2015-12-31Completed
Pilot Study Examining the Pharmacokinetics of 0.35mg Norethindrone vs 5mg Norethindrone Acetate [NCT05294341]Phase 46 participants (Actual)Interventional2022-07-22Completed
Comparison of Standard and Physiologic Sex Steroid Replacement Regimens in Women With Premature Ovarian Failure and the Assessment of Skeletal, Cardiovascular and Reproductive Parameters [NCT00732693]Phase 442 participants (Actual)Interventional2002-02-28Completed
A Phase Ib, Open-Label, Pharmacokinetic Drug Interaction Study of the Hedgehog Pathway Inhibitor GDC-0449 in Combination With Rosiglitazone or Combined Oral Contraceptive in Patients With Locally Advanced or Metastatic Solid Tumors That Are Refractory to [NCT01209143]Phase 152 participants (Actual)Interventional2010-11-30Completed
A Two-Way Crossover, Open-Label, Single-Dose, Fed, Bioequivalence Study of Estradiol/Norethindrone Acetate Tablets, 1 mg/0.5 mg Versus Activella® (1 mg Estradiol/0.5 mg Norethindrone Acetate) Tablets in Normal, Healthy, Post-Menopausal Female Subjects. [NCT01181726]Phase 140 participants (Actual)Interventional2007-01-31Completed
Open-Label Study of the Safety and Efficacy of a Low Dose Oral Contraceptive Containing Norethindrone Acetate and Ethinyl Estradiol [NCT00391807]Phase 31,683 participants (Actual)Interventional2006-11-30Completed
Pretreatment With Norethindrone Acetate Prior to Levonorgestrel IUS Insertion for Heavy Menstrual Bleeding [NCT01391052]Phase 480 participants (Anticipated)Interventional2011-01-31Recruiting
PROMES: PROspective, Non-Interventional, Observational, Longitudinal Study to Describe the Safety Profile of MESIGYNA® (Norethisterone Enantate 50 mg and Estradiol Valerate 5 mg) as a Contraceptive Method for Women in Reproductive Age at the Outpatient Cl [NCT03901131]296 participants (Actual)Observational2019-08-26Completed
Post Operative Continuous Active Combination Sex Steroids for the Prevention of Recurrent Endometrioma Formation [NCT00999479]0 participants (Actual)Interventional2009-10-31Withdrawn(stopped due to Poor enrollment)
A Phase 3 Study to Evaluate the Safety and Efficacy of Elagolix in Combination With Estradiol/Norethindrone Acetate in Subjects With Moderate to Severe Endometriosis-Associated Pain [NCT03213457]Phase 3681 participants (Actual)Interventional2017-07-07Completed
[NCT00006133]970 participants Interventional2000-06-30Completed
A Two-Way Crossover, Open-Label, Single-Dose, Fasting, Bioequivalence Study of Estradiol/Norethindrone Acetate Tablets, 1 mg/0.5 mg Versus Activella® (1 mg Estradiol/0.5 mg Norethindrone Acetate) Tablets in Normal, Healthy, Post-Menopausal Female Subjects [NCT01157182]Phase 136 participants (Actual)Interventional2007-02-28Completed
An Open Label Study of the Contraceptive Efficacy of Norethindrone and Ethinyl Estradiol. [NCT00477633]Phase 31,700 participants (Actual)Interventional2007-06-30Completed
The Effect of Oral Norethindrone on Coagulation Parameters in Women at Increased Risk for Venous Thromboembolic Events [NCT00580424]20 participants (Anticipated)Interventional2007-12-31Terminated
A Relative Bioavailability Study of 0.4 mg/35 Mcg Norethindrone and Ethinyl Estradiol Chewable Tablets Under Fasting Conditions [NCT01340625]Phase 136 participants (Actual)Interventional2006-12-31Completed
A Phase I, Open Label, Fixed Sequence, Single-Center Study to Evaluate the Effect of Multiple Dose Administration of VI-0521 on the Pharmacokinetics of a Single Dose of Oral Contraceptive in Healthy Female Subjects [NCT00821496]Phase 120 participants (Actual)Interventional2009-01-31Completed
A Randomized Double-Blind Placebo-Controlled Trial to Assess the Effectiveness of Low-Dose Naltrexone in Combination With Standard Treatment in Women With Chronic Pelvic Pain Secondary to Endometriosis [NCT03970330]Phase 39 participants (Actual)Interventional2020-01-16Terminated(stopped due to Original PI left institution, lack of funding to continue)
Phase3,Open-label,Long-term,NSAID-Add-on,Clinical Trial of Mono-phase Low-dose Oral Contraceptive Pill for Treatment of Dysmenorrhea Associated With Endometriosis. [NCT00212277]Phase 30 participants Interventional2005-02-28Completed
A Phase I, Open-Label Study to Determine the Effect of Repeat Dosing of Trametinib on the Pharmacokinetics of a Combined Oral Contraceptive (Norethindrone Plus Ethinyl Estradiol) in Female Patients With Solid Tumors [NCT02705963]Phase 119 participants (Actual)Interventional2016-10-20Completed
Effect of Genistein on Endometrial Hyperplasia [NCT00453960]Phase 259 participants (Actual)Interventional2007-01-31Completed
Hormonal Contraception and Bacterial Vaginosis (HCBV): The Effect of Norethisterone Enanthate on Recurrent Bacterial Vaginosis Among Women at High Risk for HIV Infection in Kampala, Uganda [NCT02905890]Phase 4250 participants (Actual)Interventional2017-10-02Completed
Effects of a Progestin on Frequent and/or Prolonged Bleeding With Nexplanon™; a Randomized Double-Blinded Placebo-Controlled Trial [NCT04676061]Phase 4124 participants (Anticipated)Interventional2021-02-11Recruiting
A Randomized Controlled Pilot Study of the Use of Cannabidiol in the Management of Endometriosis Pain [NCT04527003]Phase 336 participants (Anticipated)Interventional2020-12-04Recruiting
Single Dose, Three-way, Cross-over, Relative Bioavailability Study With 3 Oral Formulations for Hormone Replacement Therapy in Postmenopausal Women: 0.5 mg Estradiol + 0.1 mg Norethisterone Acetate, 0.5 mg Estradiol + 0.25 mg Norethisterone Acetate, and 1 [NCT01477632]Phase 124 participants (Actual)Interventional2005-03-31Completed
Oral Contraceptives Versus Depot-Leuprolide Taken After Surgery for Endometriosis-Associated Pelvic Pain [NCT00229996]Phase 3194 participants (Anticipated)Interventional2004-07-31Completed
Treatment of Endometriosis With Norethindrone Acetate ( NA) VS. Gonadotropin- Releasing Hormone (GnRH) Agonist (Lupron Depot 11.25 mg) [NCT00458458]Phase 3112 participants (Anticipated)Interventional2004-08-31Active, not recruiting
Phase 3,Placebo Controlled,Randomized,Double-Blinded,NSAID-Add-on,Clinical Trial of Mono-phase Low Dose Oral Contraceptive Pill for Treatment of Dysmenorrhea Associated With Endometriosis. [NCT00212342]Phase 3100 participants (Actual)Interventional2004-12-31Completed
A Pharmacokinetic Study to Evaluate the Effect of Colchicine on the Pharmacokinetic Profile of an Oral Contraceptive Containing Ethinyl Estradiol and Norethindrone in Healthy Women [NCT01040845]Phase 130 participants (Actual)Interventional2007-08-31Completed
A Double-Blind, Placebo Controlled Trial of Estriol Treatment in Women With Multiple Sclerosis: Effect on Cognition. [NCT01466114]Phase 264 participants (Anticipated)Interventional2011-10-31Recruiting
A Six Month Double-blind, Randomised, Parallel-group, Placebo-controlled, Multi-centre Trial to Investigate the Efficacy and Safety of Two Ultra-low Dose Combinations With 0.5 mg Estradiol and 0.1 mg or 0.25 mg Norethisterone Acetate (Activelle Low Dose 0 [NCT00184795]Phase 3576 participants (Actual)Interventional2004-05-28Completed
The Effect of Hormonal Add-Back Therapy in Adolescents Treated With a GnRH Agonist for Endometriosis: A Randomized Trial [NCT00474851]Phase 253 participants (Actual)Interventional2007-08-31Completed
Effects of One-to-one Service on the Continuation and Satisfaction of Combined Injectable Contraceptive Use. [NCT05362019]400 participants (Anticipated)Interventional2022-05-31Not yet recruiting
Dopamine Receptor Agonist Therapy for Pain Relief in Women Suffering From Endometriosis: A Pilot Study [NCT02542410]Phase 210 participants (Actual)Interventional2016-05-31Completed
A Three-Part Phase 1 Study to Evaluate the Potential Drug Interaction Between ACH-0144471 and Warfarin, Bupropion, and Ethinyl Estradiol and Norethindrone (Oral Contraceptive) in Healthy Adult Subjects [NCT04709094]Phase 152 participants (Actual)Interventional2019-07-28Completed
Open-Label Study of Cycle Control With Extended Administration of Norethindrone Acetate 1 mg / Ethinyl Estradiol 20 Mcg Oral Tablets [NCT00338052]Phase 2207 participants (Actual)Interventional2006-06-30Completed
LNG-IUS or Norethisterone Acetate for Treatment of Non-atypical Endometrial Hyperplasia in Perimenopausal Women [NCT01499602]120 participants (Actual)Interventional2009-05-31Completed
[NCT00004763]Phase 245 participants Interventional1993-01-31Completed
Randomized Control Trial Between Norethisterone Acetate and Expectant Management in Treatment of Simple Ovarian Cysts [NCT05293574]Phase 466 participants (Anticipated)Interventional2022-10-01Not yet recruiting
Bleeding Profile With Continuous Hormone Replacement Therapy in Postmenopausal Women: A Prospective, Open, Multicenter Trial of Activelle® Treatment Following Switch From Trisekvens® [NCT01705249]Phase 4191 participants (Actual)Interventional2001-08-14Completed
Treatment of Prolonged Uterine Bleeding of Etonogestrel (ENG)-Releasing Implant Using Norethisterone (NET)-Only Pill: a Randomized Controlled Trial [NCT04047875]Phase 4120 participants (Anticipated)Interventional2020-09-15Recruiting
The Effect of Protease Inhibitors on the Pharmacokinetics of Oral Norethindrone Contraception [NCT01667978]35 participants (Actual)Interventional2012-06-30Completed
Open Label, Randomized, Comparator-Controlled Study of the Contraceptive Efficacy of Norethindrone Acetate (NA) and Ethinyl Estradiol (EE) [NCT00932321]Phase 3938 participants (Actual)Interventional2004-01-31Completed
An International Phase 3 Double-Blind, Placebo-Controlled, Randomized Withdrawal Study of Relugolix With Estradiol and Norethindrone Acetate in Women With Heavy Menstrual Bleeding Associated With Uterine Fibroids [NCT03751124]Phase 3229 participants (Actual)Interventional2018-10-16Completed
Single Dose, Double-blind, Two-way Cross-over Bioequivalence Trial With 2 Different Oral Formulations of Estradiol and Norethisterone [NCT01596010]Phase 144 participants (Actual)Interventional2007-10-31Completed
A Phase 1, Open Label Study to Evaluate the Effect of Multiple Doses of Isavuconazole on the Pharmacokinetics of a Single Dose Oral Contraceptive Containing Ethinyl Estradiol and Norethindrone [NCT01597986]Phase 124 participants (Actual)Interventional2012-04-30Completed
Ovulation Incidence in Oral Contraceptive Users [NCT03106454]Phase 358 participants (Anticipated)Interventional2014-08-31Suspended(stopped due to Investigator leave of absence)
Pharmacodynamics of NPC-01( 1mg Norethisterone and 0.02mg Ethinyl Estradiol) and IKH-01( 1mg Norethisterone and 0.035mg Ethinyl Estradiol); Effect of NPC-01 and IKH-01 on Serum Concentrations of Estradiol, Progesterone, FSH and LH. [NCT01253824]Phase 314 participants (Actual)Interventional2011-01-31Completed
Efficacy of the Levonorgestrel Intrauterine Device With Norethindrone Acetate for Treatment of Endometriosis in Adolescents and Young Adults [NCT04948489]Phase 280 participants (Anticipated)Interventional2024-01-01Not yet recruiting
Protocol for Randomized Clinical Study Concerning Hormonal Replacement Therapy (HRT) After Previous Radical Breast Cancer Treatment [NCT00003771]Phase 31,300 participants (Anticipated)Interventional1997-09-30Completed
SPIRIT 2: An International Phase 3 Randomized, Double-Blind, Placebo-Controlled Efficacy and Safety Study to Evaluate Relugolix Administered With and Without Low-Dose Estradiol and Norethindrone Acetate in Women With Endometriosis-Associated Pain [NCT03204331]Phase 3623 participants (Actual)Interventional2017-11-01Completed
The Effect of BMS-986165 on the Pharmacokinetics of a Combined Oral Contraceptive (Ethinyl Estradiol/Norethindrone) in Healthy Female Subjects [NCT03262727]Phase 149 participants (Actual)Interventional2017-09-01Completed
Oral Contraceptive Ethinyl Estradiol Dose Effect on Postpartum Depression and Sexual Functioning Scales [NCT02210702]Phase 433 participants (Anticipated)Interventional2014-07-31Recruiting
Heavy Menstrual Bleeding Progestin Treatment in Bleeding Disorders Study [NCT05916469]300 participants (Anticipated)Observational [Patient Registry]2024-07-31Not yet recruiting
Phase 2a Proof Of Concept Study to Evaluate the Safety and Efficacy of Elagolix in Pre-Menopausal Women With Heavy Uterine Bleeding and Uterine Fibroids [NCT01441635]Phase 2271 participants (Actual)Interventional2011-09-08Completed
A Single Centre, Open-label, Randomized, Parallel Group, Multiple Dose Comparison of the Effect of TPV 750 mg and RTV 200 mg or TPV 500 mg and RTV 100 mg, Administered Twice Daily, on the Pharmacokinetic Characteristics of Norethindrone-Ethinyl Estradiol [NCT02245438]Phase 152 participants (Actual)Interventional2002-05-31Terminated
The Effect of BMS-986195 on the Pharmacokinetics of a Combined Oral Contraceptive (Ethinyl Estradiol/Norethindrone) in Healthy Female Subjects [NCT03262740]Phase 158 participants (Actual)Interventional2017-09-11Completed
Open-label, Randomized, Fixed Sequence Cross-over Study With Five Parallel Treatment Arms and Three Treatment Periods to Quantify the Drug-drug Interactions of Two Rifampicin Dose Strengths on Four Progestins and a Fixed Progestin-ethinylestradiol Combina [NCT03353857]Phase 168 participants (Actual)Interventional2017-11-29Completed
The Association of Hormonal Intake and Demographic Factors With Breast Cancer Risk. An Egyptian Case-controlled Study [NCT05135013]200 participants (Anticipated)Observational2021-11-16Not yet recruiting
SPIRIT 1: An International Phase 3 Randomized, Double-Blind, Placebo-Controlled Efficacy and Safety Study to Evaluate Relugolix Administered With and Without Low-Dose Estradiol and Norethindrone Acetate in Women With Endometriosis-Associated Pain [NCT03204318]Phase 3638 participants (Actual)Interventional2017-12-07Completed
A Phase 2b Study to Evaluate the Safety and Efficacy of Elagolix in Premenopausal Women With Heavy Menstrual Bleeding Associated With Uterine Fibroids [NCT01817530]Phase 2571 participants (Actual)Interventional2013-04-08Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00391807 (17) [back to overview]Median Duration of Withdrawal Bleeding, Cycle 12, MITT Population
NCT00391807 (17) [back to overview]Percentage of Subjects With Amenorrhea, Cycle 13, MITT Population
NCT00391807 (17) [back to overview]Percentage of Subjects With Amenorrhea, Cycle 2, MITT Population
NCT00391807 (17) [back to overview]Percentage of Subjects With Amenorrhea, Cycle 6, MITT Population
NCT00391807 (17) [back to overview]Percentage of Subjects With Withdrawal Bleeding (%), Cycle 13, MITT Population
NCT00391807 (17) [back to overview]Percentage of Subjects With Withdrawal Bleeding (%), Cycle 2, MITT Population
NCT00391807 (17) [back to overview]Percentage of Subjects With Withdrawal Bleeding (%), Cycle 6, MITT Population
NCT00391807 (17) [back to overview]Pregnancy Rate (Expressed as Pearl Index) in Women Aged 18 to 35, MITT Population,
NCT00391807 (17) [back to overview]Median Duration of Withdrawal Bleeding, Cycle 6, MITT Population
NCT00391807 (17) [back to overview]Number of Intracyclic Bleeding (IB)/Spotting Days Cycle 13, MITT Population
NCT00391807 (17) [back to overview]Number of Intracyclic Bleeding (IB)/Spotting Days Cycle 6, MITT Population
NCT00391807 (17) [back to overview]Total Number of Bleeding Days Per Cycle, Cycle 6, MITT Population
NCT00391807 (17) [back to overview]Number of Intracyclic Bleeding (IB)/Spotting Days Cycle 2, MITT Population
NCT00391807 (17) [back to overview]Total Number of Bleeding Days Per Cycle, Cycle 2, MITT Population
NCT00391807 (17) [back to overview]Pregnancy Rate (Expressed as Pearl Index) in Women Aged 18-45, MITT Population
NCT00391807 (17) [back to overview]Total Number of Bleeding Days Per Cycle, Cycle 13, MITT Population
NCT00391807 (17) [back to overview]Median Duration of Withdrawal Bleeding, Cycle 2, MITT Population
NCT00474851 (2) [back to overview]Bone Mineral Density
NCT00474851 (2) [back to overview]Total Body Bone Mineral Content (BMC)
NCT00477633 (3) [back to overview]Pearl Index, 18-35 Years, MITT Population
NCT00477633 (3) [back to overview]Mean Number of Days of Intracyclic Bleeding & Spotting, Cycles 2-13, MITT Population
NCT00477633 (3) [back to overview]Mean Median Duration (Days) of Intracyclic Bleeding & Spotting, Cycles 2-13, MITT Population
NCT00932321 (2) [back to overview]Pregnancy Rate (Expressed as Pearl Index) for Women 18 to 45 Years Old, MITT Population
NCT00932321 (2) [back to overview]Mean Number of Intracyclic Bleeding (IB)/Spotting Days in Cycles 2-6, MITT Population
NCT01040845 (10) [back to overview]Maximum Plasma Concentration of Norethindrone With Colchicine at Steady State (Cmax, ss)
NCT01040845 (10) [back to overview]Maximum Plasma Concentration of Ethinyl Estradiol With Placebo at Steady State (Cmax, ss)
NCT01040845 (10) [back to overview]Maximum Plasma Concentration of Ethinyl Estradiol With Colchicine at Steady State (Cmax, ss)
NCT01040845 (10) [back to overview]Maximum Plasma Concentration of Colchicine With Norethindrone/Ethinyl Estradiol at Steady State (Cmax, ss)
NCT01040845 (10) [back to overview]Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] for Norethindrone With Placebo
NCT01040845 (10) [back to overview]Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] for Norethindrone With Colchicine
NCT01040845 (10) [back to overview]Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] for Ethinyl Estradiol With Placebo
NCT01040845 (10) [back to overview]Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] for Colchicine With Norethindrone/Ethinyl Estradiol
NCT01040845 (10) [back to overview]Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] Ethinyl Estradiol With Colchicine
NCT01040845 (10) [back to overview]Maximum Plasma Concentration of Norethindrone With Placebo at Steady State (Cmax, ss)
NCT01157182 (21) [back to overview]AUC0-t for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01157182 (21) [back to overview]AUC0-t for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01157182 (21) [back to overview]AUC0-t for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01157182 (21) [back to overview]AUC0-t for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01157182 (21) [back to overview]AUC0-t for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01157182 (21) [back to overview]AUC0-inf for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01157182 (21) [back to overview]AUC0-t for Corrected Unconjugated Estradiol.(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01157182 (21) [back to overview]AUC0-t for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01157182 (21) [back to overview]AUC0-inf for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01157182 (21) [back to overview]AUC0-inf for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01157182 (21) [back to overview]AUC0-inf for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01157182 (21) [back to overview]AUC0-inf for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01157182 (21) [back to overview]AUC0-inf for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01157182 (21) [back to overview]AUC0-inf for Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01157182 (21) [back to overview]Cmax for Corrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)
NCT01157182 (21) [back to overview]Cmax for Uncorrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)
NCT01157182 (21) [back to overview]Cmax for Uncorrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)
NCT01157182 (21) [back to overview]Cmax for Uncorrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)
NCT01157182 (21) [back to overview]Cmax for Norethindrone(Maximum Observed Concentration of Drug Substance in Plasma)
NCT01157182 (21) [back to overview]Cmax for Corrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)
NCT01157182 (21) [back to overview]Cmax for Corrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)
NCT01181726 (21) [back to overview]AUC0-t of Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01181726 (21) [back to overview]AUC0-t of Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01181726 (21) [back to overview]AUC0-t of Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01181726 (21) [back to overview]AUC0-inf of Norethindrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01181726 (21) [back to overview]AUC0-t of Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01181726 (21) [back to overview]AUC0-inf of Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01181726 (21) [back to overview]AUC0-inf of Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01181726 (21) [back to overview]AUC0-inf of Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01181726 (21) [back to overview]AUC0-t of Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01181726 (21) [back to overview]AUC0-t of Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01181726 (21) [back to overview]Cmax of Uncorrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)
NCT01181726 (21) [back to overview]Cmax of Uncorrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)
NCT01181726 (21) [back to overview]Cmax of Uncorrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)
NCT01181726 (21) [back to overview]Cmax of Norethindrone (Maximum Observed Concentration of Drug Substance in Plasma)
NCT01181726 (21) [back to overview]Cmax of Corrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)
NCT01181726 (21) [back to overview]Cmax of Corrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)
NCT01181726 (21) [back to overview]Cmax of Corrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)
NCT01181726 (21) [back to overview]AUC0-inf of Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01181726 (21) [back to overview]AUC0-inf of Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01181726 (21) [back to overview]AUC0-inf of Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)
NCT01181726 (21) [back to overview]AUC0-t of Norethindrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)
NCT01209143 (4) [back to overview]Geometric Mean Ratio of the Maximum Plasma Concentration (Cmax) of Ethinyl Estradiol and Norethindrone
NCT01209143 (4) [back to overview]Geometric Mean Ratio of the Area Under the Plasma Concentration-time Curve From 0 to Infinity (AUC[0-inf]) of Ethinyl Estradiol and Norethindrone
NCT01209143 (4) [back to overview]Geometric Mean Ratio of the Maximum Plasma Concentration (Cmax) of Rosiglitazone
NCT01209143 (4) [back to overview]Geometric Mean Ratio of the Area Under the Plasma Concentration-time Curve From 0 to Infinity (AUC[0-inf]) of Rosiglitazone
NCT01253824 (4) [back to overview]Comparing FSH AUC of Menstrual Period During Study Drug Administration With Pre and Post Study Drug Administration (Baseline(BL)-Study Drug Administration(SDA), Follow up(FU)-Study Drug Administration(ADA))
NCT01253824 (4) [back to overview]Comparing LH AUC of Menstrual Period During Study Drug Administration With Pre and Post Study Drug Administration (Baseline(BL)-Study Drug Administration(SDA), Follow up(FU)-Study Drug Administration(ADA))
NCT01253824 (4) [back to overview]Comparing Progesterone AUC of Menstrual Period During Study Drug Administration With Pre and Post Study Drug Administration (Baseline(BL)-Study Drug Administration(SDA), Follow up(FU)-Study Drug Administration(ADA))
NCT01253824 (4) [back to overview]Comparing Estradiol AUC of Menstrual Period During Study Drug Administration With Pre and Post Study Drug Administration (Baseline(BL)-Study Drug Administration(SDA), Follow up(FU)-Study Drug Administration(ADA))
NCT01340625 (6) [back to overview]Cmax of Ethinyl Estradiol
NCT01340625 (6) [back to overview]Cmax of Norethindrone
NCT01340625 (6) [back to overview]AUC0-inf of Ethinyl Estradiol
NCT01340625 (6) [back to overview]AUC0-inf of Norethindrone
NCT01340625 (6) [back to overview]AUC0-t of Ethinyl Estradiol
NCT01340625 (6) [back to overview]AUC0-t of Norethindrone
NCT01344369 (6) [back to overview]Cmax of Norethindrone
NCT01344369 (6) [back to overview]AUC0-inf of Norethindrone
NCT01344369 (6) [back to overview]AUC0-t of Ethinyl Estradiol
NCT01344369 (6) [back to overview]AUC0-t of Norethindrone
NCT01344369 (6) [back to overview]Cmax of Ethinyl Estradiol
NCT01344369 (6) [back to overview]AUC0-inf of Ethinyl Estradiol
NCT01441635 (20) [back to overview]Change From Baseline to Month 3 in Percentage of Days With Moderate to Very Heavy Bleeding
NCT01441635 (20) [back to overview]Change From Baseline to Month 3 in Percentage of Days With Any Uterine Bleeding
NCT01441635 (20) [back to overview]Percentage of Participants With ≥ 25% Reduction in Volume of Largest Fibroid at Month 3 / Final Visit
NCT01441635 (20) [back to overview]Percentage of Participants With Suppression of Bleeding (Spotting Allowed) or Amenorrhea During the Last 56 Days of Treatment
NCT01441635 (20) [back to overview]Percentage of Participants With No Change, Decrease From Baseline, or Increase From Baseline in Hemoglobin at Month 3
NCT01441635 (20) [back to overview]Percentage of Participants With Any Uterine Bleeding or Moderate to Very Heavy Uterine Bleeding at Month 3
NCT01441635 (20) [back to overview]Mean Change From Baseline to the Last 28 Days of Treatment in Menstrual Blood Loss (MBL)
NCT01441635 (20) [back to overview]Change From Baseline to Month 3 in the Uterine Fibroids Daily Symptom Scale Scores
NCT01441635 (20) [back to overview]Change From Baseline to Month 3 in the Uterine Fibroid Symptom Quality of Life Questionnaire (UFS-QoL)
NCT01441635 (20) [back to overview]Change From Baseline to Month 3 in the Subject Surgery Intention Questionnaire (SSIQ) Version 2.0
NCT01441635 (20) [back to overview]Change From Baseline to Month 3 in the Physician Surgery Intention Questionnaire (PSIQ) Version 2.0
NCT01441635 (20) [back to overview]Percentage of Participants With MBL < 80 mL During the Last 28 Days of Treatment
NCT01441635 (20) [back to overview]Percentage of Participants With MBL < 80 mL and With a ≥ 50% Reduction From Baseline in MBL During the Last 28 Days of Treatment
NCT01441635 (20) [back to overview]Percentage of Participants With a ≥ 50% Reduction From Baseline in MBL During the Last 28 Days of Treatment
NCT01441635 (20) [back to overview]Percentage of Participants With ≥ 25% Reduction in Uterine Volume at Month 3 / Final Visit
NCT01441635 (20) [back to overview]Percent Change From Baseline to the Last 28 Days of Treatment in Menstrual Blood Loss (MBL)
NCT01441635 (20) [back to overview]Percent Change From Baseline to Month 3 in Volume of the Largest Fibroid
NCT01441635 (20) [back to overview]Percent Change From Baseline to Month 3 in Uterine Volume
NCT01441635 (20) [back to overview]Change in Hemoglobin Concentration From Baseline to Month 3
NCT01441635 (20) [back to overview]Change From Baseline to Month 3 in Uterine Bleeding Score
NCT01667978 (1) [back to overview]AUC Norethindrone
NCT01817530 (18) [back to overview]Percentage of Participants With a Menstrual Blood Loss (MBL) Volume of < 80 mL at the Final Month and a ≥ 50% Reduction in MBL Volume From Baseline to the Final Month
NCT01817530 (18) [back to overview]Percentage of Participants With a MBL Volume < 80 mL and a ≥ 50% Reduction in MBL Volume From Baseline During the Last 84 to 57 Days of Treatment
NCT01817530 (18) [back to overview]Percentage of Participants With ≥ 25% Reduction From Baseline in Uterine Volume at Month 3, Month 6, and Final Visit
NCT01817530 (18) [back to overview]Percentage of Participants With a MBL Volume < 80 mL and a ≥ 50% Reduction in MBL Volume From Baseline During the Last 56 to 29 Days of Treatment
NCT01817530 (18) [back to overview]Change in Bleeding Severity Scores From Baseline at the Final Month
NCT01817530 (18) [back to overview]Mean Change in Hemoglobin Concentration From Baseline to Final Visit
NCT01817530 (18) [back to overview]Mean Change in the Number of Bleeding Days From Baseline to Month 6
NCT01817530 (18) [back to overview]Percentage of Participants With a ≥ 50% Reduction in MBL Volume From Baseline to the Final Month
NCT01817530 (18) [back to overview]Percentage of Participants Who Achieved Suppression of Bleeding During the Last 56 Days of Treatment
NCT01817530 (18) [back to overview]Percentage of Participants Who Achieved an MBL Volume of < 80 mL at the Final Month
NCT01817530 (18) [back to overview]Percentage of Participants Who Achieved Amenorrhea During the Last 56 Days of Treatment
NCT01817530 (18) [back to overview]Mean Change in the Number of Heavy Bleeding Days From Baseline to Month 6
NCT01817530 (18) [back to overview]Change From Baseline to Each Month in Non-Bleeding Uterine Fibroids Symptom (NBUFSQ) Questionnaire
NCT01817530 (18) [back to overview]Mean Percentage Change From Baseline in Primary Fibroid Volume at Month 3, Month 6, and Final Visit
NCT01817530 (18) [back to overview]Mean Percentage Change From Baseline in Total Fibroid Volume at Month 3, Month 6, and Final Visit
NCT01817530 (18) [back to overview]Mean Percentage Change From Baseline in Uterine Volume at Month 3, Month 6, and Final Visit
NCT01817530 (18) [back to overview]Percentage of Participants With ≥ 25% Reduction From Baseline in Primary Fibroid Volume at Month 3, Month 6, and Final Visit
NCT01817530 (18) [back to overview]Percentage of Participants With ≥ 25% Reduction From Baseline in Total Fibroid Volume at Month 3, Month 6, and Final Visit
NCT02353247 (1) [back to overview]Impact of Aygestin (and Dose of Aygestin) on the Management of Bothersome Bleeding Associated With the Etonogestrel Contraceptive Implant
NCT02542410 (2) [back to overview]Change in Score in Worst Pain Over the Last Month
NCT02542410 (2) [back to overview]Changes in Pain Interference Scores
NCT02654054 (7) [back to overview]Change From Baseline in MBL Volume to Month 1
NCT02654054 (7) [back to overview]Change From Baseline in MBL Volume to the Final Month
NCT02654054 (7) [back to overview]Percentage of Participants With Suppression of Bleeding at the Final Month
NCT02654054 (7) [back to overview]Percentage of Participants With Baseline Hemoglobin <= 10.5 g/dL Who Have an Increase in Hemoglobin > 2 g/dL at Month 6
NCT02654054 (7) [back to overview]Percentage of Participants Meeting the Criteria for Responder
NCT02654054 (7) [back to overview]Change From Baseline in MBL Volume to Month 6
NCT02654054 (7) [back to overview]Change From Baseline in MBL Volume to Month 3
NCT02691494 (7) [back to overview]Percentage of Participants With Suppression of Bleeding at the Final Month
NCT02691494 (7) [back to overview]Change From Baseline in MBL Volume to the Final Month
NCT02691494 (7) [back to overview]Change From Baseline in MBL Volume to Month 6
NCT02691494 (7) [back to overview]Percentage of Participants Meeting the Criteria for Responder
NCT02691494 (7) [back to overview]Change From Baseline in MBL Volume to Month 3
NCT02691494 (7) [back to overview]Change From Baseline in MBL Volume to Month 1
NCT02691494 (7) [back to overview]Percentage of Participants With Baseline Hemoglobin <= 10.5 g/dL Who Have an Increase in Hemoglobin > 2 g/dL at Month 6
NCT02925494 (5) [back to overview]Change From Baseline in MBL Volume For Each 28-Day Interval and Final Month of the Treatment Period
NCT02925494 (5) [back to overview]Percent Change From Baseline in MBL Volume For Each 28-Day Interval and Final Month of the Treatment Period
NCT02925494 (5) [back to overview]Percentage of Participants Meeting the Criteria for Responder
NCT02925494 (5) [back to overview]Percentage of Participants With Baseline Hemoglobin Concentration ≤ 10.5 g/dL and an Increase From Baseline > 2 g/dL at Month 6 During the Treatment Period
NCT02925494 (5) [back to overview]Percentage of Participants With Suppression of Bleeding at the Final Month
NCT03049735 (44) [back to overview]Change From Baseline In Progesterone Serum Concentration At Week 24
NCT03049735 (44) [back to overview]Change From Baseline In UFS-QoL Bleeding And Pelvic Discomfort Scale Score
NCT03049735 (44) [back to overview]Change From Baseline In UFS-QoL Score By Health-Related Quality Of Life Total Score
NCT03049735 (44) [back to overview]Number Of Participants Who Achieved A Maximum NRS Score ≤ 1 For Uterine Fibroid-associated Pain Over The Last 35 Days Of Treatment Who Had Maximum Pain Scores ≥ 4 During The 35 Days Prior To Randomization
NCT03049735 (44) [back to overview]Number Of Participants With A ≥ 30% Reduction in NRS Score From Baseline to Last 35 Days of Treatment Who Had Maximum Pain Scores ≥ 4 At Baseline
NCT03049735 (44) [back to overview]Number Of Participants With Hemoglobin Increase Of ≥ 1 g/dL From Baseline To Week 24 Among Those With Below Lower Limit Of Normal
NCT03049735 (44) [back to overview]Number Of Responders With At Least 20 Points Decrease In UFS-QoL Bleeding And Pelvic Discomfort Scale Score
NCT03049735 (44) [back to overview]Number Of Responders With At Least 20 Points Increase From Baseline At Week 24 In UFS-QoL Revised Activities Scale Score
NCT03049735 (44) [back to overview]Percent Change From Baseline At Week 12 In Bone Mineral Density At The Lumbar Spine (L1 To L4), As Assessed By DXA
NCT03049735 (44) [back to overview]Percent Change From Baseline At Week 24 In MBL Volume
NCT03049735 (44) [back to overview]Percent Change From Baseline At Week 24 In Primary Uterine Fibroid Volume
NCT03049735 (44) [back to overview]Percent Change From Baseline At Week 24 In Uterine Volume
NCT03049735 (44) [back to overview]Percent Change From Baseline In Hemoglobin For Women With a Hemoglobin ≤ 10.5 g/dL At Baseline
NCT03049735 (44) [back to overview]Percentage Of Participants Experiencing Vasomotor Symptoms Through Week 12
NCT03049735 (44) [back to overview]Percentage Of Participants Experiencing Vasomotor Symptoms Through Week 24
NCT03049735 (44) [back to overview]Percentage Of Participants Who Achieved A Menstrual Blood Loss (MBL) Volume Of < 80 mL And A ≥ 50% Reduction From Baseline MBL Volume With Relugolix Plus E2/NETA
NCT03049735 (44) [back to overview]Percentage Of Participants With A Hemoglobin Level ≤ 10.5 g/dL At Baseline Who Achieved An Increase Of > 2 g/dL From Baseline At Week 24
NCT03049735 (44) [back to overview]Percentage Of Participants With A Maximum NRS Score ≤ 1 For Uterine Fibroid-Associated Pain Over The Last 35 Days Of Treatment
NCT03049735 (44) [back to overview]Percentage Of Participants With Amenorrhea Over The Last 35 Days Of Treatment
NCT03049735 (44) [back to overview]Predose Trough Concentrations Of E2 In The Relugolix Plus E2/NETA Group At Week 24
NCT03049735 (44) [back to overview]Sustained Amenorrhea Rate (No Or Negligible Bleeding)
NCT03049735 (44) [back to overview]Time To Achieving Amenorrhea (No Or Negligible Bleeding)
NCT03049735 (44) [back to overview]Time To Achieving Sustained Amenorrhea (No Or Negligible Bleeding)
NCT03049735 (44) [back to overview]Time To MBL Response
NCT03049735 (44) [back to overview]Participants Achieving Improvement From Baseline In The PGA Questionnaire For Symptoms From Baseline At Week 24
NCT03049735 (44) [back to overview]Participants Achieving Improvement From Baseline In The PGA Questionnaire For Uterine Fibroid-related Function From Baseline At Week 24
NCT03049735 (44) [back to overview]Percent Change From Baseline At Week 24 In Bone Mineral Density At The Lumbar Spine (L1 To L4), Total Hip, And Femoral Neck
NCT03049735 (44) [back to overview]Predose Trough Concentrations Of Relugolix And Norethindrone (NET) In The Relugolix Plus E2/NETA Group At Week 24
NCT03049735 (44) [back to overview]Number Of Participants With Hemoglobin ≤ 10.5 g/dL At Baseline And Achieved An Increase Of > 2 g/dL At Week 24
NCT03049735 (44) [back to overview]Change From Baseline At Week 24 In Embarrassment Caused By Uterine Fibroids Based On UFS-QoL Question 29
NCT03049735 (44) [back to overview]Change From Baseline At Week 24 In Function Assessed Using The PGA Questionnaire
NCT03049735 (44) [back to overview]Change From Baseline At Week 24 In Predose Concentrations Of Estradiol In The Relugolix Plus E2/NETA Group
NCT03049735 (44) [back to overview]Change From Baseline At Week 24 In Symptoms Assessed Using The Patient Global Assessment (PGA) Questionnaire
NCT03049735 (44) [back to overview]Change From Baseline At Week 24 In The Interference Of Uterine Fibroids With Physical Activities Based On UFS-QoL Question 11
NCT03049735 (44) [back to overview]Change From Baseline At Week 24 In The Interference Of Uterine Fibroids With Social Activities Based On UFS-QoL Question 20
NCT03049735 (44) [back to overview]Change From Baseline At Week 24 In The Menorrhagia Impact Questionnaire Score For Physical Activities
NCT03049735 (44) [back to overview]Change From Baseline At Week 24 In The Menorrhagia Impact Questionnaire Score For Social Activities
NCT03049735 (44) [back to overview]Change From Baseline At Week 24 In The UFS-QoL Activities Scale Score
NCT03049735 (44) [back to overview]Change From Baseline At Week 24 In The UFS-QoL Revised Activities Scale Score
NCT03049735 (44) [back to overview]Change From Baseline At Week 24 In The UFS-QoL Symptom Severity Scale Score
NCT03049735 (44) [back to overview]Change From Baseline At Week 24 In UFS-QoL Bleeding And Pelvic Discomfort Scale Score As Measured By The UFS-QoL (Q1, Q2, Q5)
NCT03049735 (44) [back to overview]Change From Baseline In E2 Serum Concentration At Week 24
NCT03049735 (44) [back to overview]Change From Baseline In Follicle Stimulating Serum Concentration At Week 24
NCT03049735 (44) [back to overview]Change From Baseline In Luteinizing Serum Concentration At Week 24
NCT03103087 (44) [back to overview]Percent Change From Baseline At Week 24 In Primary Uterine Fibroid Volume
NCT03103087 (44) [back to overview]Change From Baseline At Week 24 In Function Assessed Using The PGA Questionnaire
NCT03103087 (44) [back to overview]Percent Change From Baseline At Week 12 In Bone Mineral Density At The Lumbar Spine (L1 to L4) As Assessed By DXA
NCT03103087 (44) [back to overview]Number Of Responders With At Least 20 Points Increase From Baseline At Week 24 In UFS-QoL Revised Activities Scale Score
NCT03103087 (44) [back to overview]Number Of Responders With At Least 20 Points Decrease in UFS-QoL Bleeding And Pelvic Discomfort Scale Score
NCT03103087 (44) [back to overview]Change From Baseline At Week 24 In Embarrassment Caused By Uterine Fibroids Based On UFS-QoL Question 29
NCT03103087 (44) [back to overview]Number Of Participants With Hemoglobin Increase Of ≥ 1 g/dL From Baseline To Week 24 Among Those With Below Lower Limit Of Normal
NCT03103087 (44) [back to overview]Change From Baseline At Week 24 In Predose Concentrations Of E2 In The Relugolix Plus E2/NETA Group
NCT03103087 (44) [back to overview]Number Of Participants With Hemoglobin ≤ 10.5 g/dL At Baseline And Achieved An Increase Of > 2 g/dL At Week 24
NCT03103087 (44) [back to overview]Number Of Participants With A ≥ 30% Reduction in NRS Score From Baseline to Last 35 Days of Treatment Who Had Maximum Pain Scores ≥ 4 At Baseline
NCT03103087 (44) [back to overview]Number Of Participants Who Achieved A Maximum NRS Score ≤ 1 For Uterine Fibroid-associated Pain Over The Last 35 Days Of Treatment Who Had Maximum Pain Scores ≥ 4 During The 35 Days Prior To Randomization
NCT03103087 (44) [back to overview]Change From Baseline in UFS-QoL Bleeding and Pelvic Discomfort Scale Score
NCT03103087 (44) [back to overview]Change From Baseline In Progesterone Serum Concentration At Week 24
NCT03103087 (44) [back to overview]Change From Baseline In Luteinizing Serum Concentration At Week 24
NCT03103087 (44) [back to overview]Change From Baseline In Follicle Stimulating Serum Concentration At Week 24
NCT03103087 (44) [back to overview]Change From Baseline At Week 24 In UFS-QoL Bleeding And Pelvic Discomfort Scale Score As Measured By The UFS-QoL (Q1, Q2, Q5)
NCT03103087 (44) [back to overview]Change From Baseline At Week 24 In The UFS-QoL Symptom Severity Scale Score
NCT03103087 (44) [back to overview]Change From Baseline At Week 24 In The UFS-QoL Revised Activities Scale Score
NCT03103087 (44) [back to overview]Change From Baseline At Week 24 In The UFS-QoL Activities Scale Score
NCT03103087 (44) [back to overview]Change From Baseline At Week 24 In The Menorrhagia Impact Questionnaire Score For Social Activities
NCT03103087 (44) [back to overview]Change From Baseline At Week 24 In The Menorrhagia Impact Questionnaire Score For Physical Activities
NCT03103087 (44) [back to overview]Change From Baseline In E2 Serum Concentration At Week 24
NCT03103087 (44) [back to overview]Change From Baseline At Week 24 In The Interference Of Uterine Fibroids With Social Activities Based On UFS-QoL Question 20
NCT03103087 (44) [back to overview]Change From Baseline At Week 24 In The Interference Of Uterine Fibroids With Physical Activities Based On UFS-QoL Question 11
NCT03103087 (44) [back to overview]Change From Baseline At Week 24 In Symptoms Assessed Using The Patient Global Assessment (PGA) Questionnaire
NCT03103087 (44) [back to overview]Predose Trough Concentrations Of Relugolix And NET In The Relugolix Plus E2/NETA Group At Week 24
NCT03103087 (44) [back to overview]Percent Change From Baseline At Week 24 In Bone Mineral Density At The Lumbar Spine (L1 To L4), Total Hip, And Femoral Neck As Assessed By DXA
NCT03103087 (44) [back to overview]Participants Achieving Improvement From Baseline In PGA Questionnaire For Symptoms From Baseline At Week 24
NCT03103087 (44) [back to overview]Participants Achieving Improvement From Baseline In PGA For Uterine Fibroid-related Function From Baseline At Week 24
NCT03103087 (44) [back to overview]Time To MBL Response
NCT03103087 (44) [back to overview]Change From Baseline In UFS-QoL Score by Health-Related Quality of Life Total Score
NCT03103087 (44) [back to overview]Time To Achieving Sustained Amenorrhea (No Or Negligible Bleeding)
NCT03103087 (44) [back to overview]Time To Achieving Amenorrhea (No Or Negligible Bleeding)
NCT03103087 (44) [back to overview]Sustained Amenorrhea Rate (No Or Negligible Bleeding)
NCT03103087 (44) [back to overview]Predose Trough Concentrations Of E2 In The Relugolix Plus E2/NETA Group At Week 24
NCT03103087 (44) [back to overview]Percentage Of Participants With Amenorrhea Over The Last 35 Days Of Treatment
NCT03103087 (44) [back to overview]Percentage Of Participants With A Maximum Numerical Rating Scale (NRS) Score ≤ 1 For Uterine Fibroid-Associated Pain Over The Last 35 Days Of Treatment
NCT03103087 (44) [back to overview]Percentage Of Participants With A Hemoglobin Level ≤ 10.5 g/dL At Baseline Who Achieved An Increase Of > 2 g/dL From Baseline At Week 24
NCT03103087 (44) [back to overview]Percentage Of Participants Who Achieved A Menstrual Blood Loss (MBL) Volume Of < 80 mL And A ≥ 50% Reduction From Baseline MBL Volume With Relugolix Plus E2/NETA
NCT03103087 (44) [back to overview]Percentage Of Participants Experiencing Vasomotor Symptoms Through Week 24
NCT03103087 (44) [back to overview]Percentage Of Participants Experiencing Vasomotor Symptoms Through Week 12
NCT03103087 (44) [back to overview]Percent Change From Baseline At Week 24 In Uterine Volume
NCT03103087 (44) [back to overview]Percent Change From Baseline At Week 24 In Hemoglobin For Women With A Hemoglobin Concentration ≤ 10.5 g/dL At Baseline
NCT03103087 (44) [back to overview]Percent Change From Baseline At Week 24 In MBL Volume
NCT03213457 (16) [back to overview]Change From Baseline in DYS at Month 6 Based on Daily Assessment
NCT03213457 (16) [back to overview]Change From Baseline in DYSP at Month 3 Based on Daily Assessment
NCT03213457 (16) [back to overview]Change From Baseline in DYSP at Month 6 Based on Daily Assessment
NCT03213457 (16) [back to overview]Change From Baseline in Dyspareunia (DYSP) at Month 12 Based on Daily Assessment
NCT03213457 (16) [back to overview]Change From Baseline in Endometriosis-Associated Pain Score at Month 3 Assessed With NRS
NCT03213457 (16) [back to overview]Change From Baseline in NMPP at Month 3 Based on Daily Assessment
NCT03213457 (16) [back to overview]Change From Baseline in NMPP at Month 6 Based on Daily Assessment
NCT03213457 (16) [back to overview]Change From Baseline in Non-menstrual Pelvic Pain (NMPP) at Month 12 Based on Daily Assessment
NCT03213457 (16) [back to overview]Change From Baseline to Month 12 in Patient-Reported Outcome Measurement Information System (PROMIS) Fatigue Short Form 6a T-Score
NCT03213457 (16) [back to overview]Change From Baseline to Month 6 in Patient-Reported Outcome Measurement Information System (PROMIS) Fatigue Short Form 6a T-Score
NCT03213457 (16) [back to overview]Co-Primary Endpoint: Percentage of Participants With a Response for Dysmenorrhea (DYS) at Months 6 and 12 Based on Daily Assessment
NCT03213457 (16) [back to overview]Co-Primary Endpoint: Percentage of Participants With a Response for Non-menstrual Pelvic Pain (NMPP) at Months 6 and 12 Based on Daily Assessment
NCT03213457 (16) [back to overview]Change From Baseline in Endometriosis-Associated Pain Score at Month 12 Assessed With Numeric Rating Scale (NRS)
NCT03213457 (16) [back to overview]Change From Baseline in Endometriosis-Associated Pain Score at Month 6 Assessed With NRS
NCT03213457 (16) [back to overview]Change From Baseline in DYS at Month 12 Based on Daily Assessment
NCT03213457 (16) [back to overview]Change From Baseline in DYS at Month 3 Based on Daily Assessment
NCT03343067 (62) [back to overview]EHP-30 Scores Over Time: Social Support
NCT03343067 (62) [back to overview]EHP-30 Scores Over Time: Sexual Intercourse
NCT03343067 (62) [back to overview]EHP-30 Scores Over Time: Sexual Intercourse
NCT03343067 (62) [back to overview]EHP-30 Scores Over Time: Self-Image
NCT03343067 (62) [back to overview]EHP-30 Scores Over Time: Self-Image
NCT03343067 (62) [back to overview]EHP-30 Scores Over Time: Emotional Well-Being
NCT03343067 (62) [back to overview]EHP-30 Scores Over Time: Emotional Well-Being
NCT03343067 (62) [back to overview]EHP-30 Scores Over Time: Control and Powerlessness
NCT03343067 (62) [back to overview]EHP-30 Scores Over Time: Control and Powerlessness
NCT03343067 (62) [back to overview]Change From Baseline Over Time in Monthly Average NMPP Pain Score
NCT03343067 (62) [back to overview]Change From Baseline Over Time in Monthly Average NMPP Pain Score
NCT03343067 (62) [back to overview]Change From Baseline Over Time in Monthly Average Dyspareunia Pain Score
NCT03343067 (62) [back to overview]Change From Baseline Over Time in Monthly Average Dyspareunia Pain Score
NCT03343067 (62) [back to overview]Change From Baseline Over Time in Monthly Average DYS Pain Score
NCT03343067 (62) [back to overview]Change From Baseline Over Time in Monthly Average DYS Pain Score
NCT03343067 (62) [back to overview]Change From Baseline Over Time in Monthly Average Daily Diary Endometriosis-Associated Pain Score Via NRS
NCT03343067 (62) [back to overview]Change From Baseline Over Time in Monthly Average Daily Diary Endometriosis-Associated Pain Score Via NRS
NCT03343067 (62) [back to overview]Change From Baseline Over Time in Daily Rescue Analgesic Use Across Both Classes of Rescue Analgesics
NCT03343067 (62) [back to overview]Change From Baseline in Rescue Analgesic Use Across Both Classes of Rescue Analgesics (NSAIDs/Opioids) at Month 6
NCT03343067 (62) [back to overview]Percentage of Participants With 30% or More Reduction From Baseline Based on the 35 Day Mean of the Daily Diary Endometriosis-Associated Pain Score Via NRS at Month 6
NCT03343067 (62) [back to overview]Change From Baseline in NMPP at Month 6
NCT03343067 (62) [back to overview]Change From Baseline in Dyspareunia at Month 6
NCT03343067 (62) [back to overview]Change From Baseline in DYS at Month 6
NCT03343067 (62) [back to overview]Change From Baseline in Daily Diary Endometriosis-Associated Pain Score Via Numeric Rating Scale (NRS) at Month 6
NCT03343067 (62) [back to overview]Health Endometriosis Treatment Satisfaction Questionnaire (ETSQ) Scores Over Time
NCT03343067 (62) [back to overview]Change From Baseline Over Time in Daily Rescue Analgesic Use Across Both Classes of Rescue Analgesics
NCT03343067 (62) [back to overview]WPAI:SHP Scores Over Time: Percent Overall Work Impairment Due to Problem
NCT03343067 (62) [back to overview]WPAI:SHP Scores Over Time: Percent Impairment While Working Due to Problem
NCT03343067 (62) [back to overview]WPAI:SHP Scores Over Time: Percent Activity Impairment Due to Problem
NCT03343067 (62) [back to overview]Work Productivity and Activity Impairment Questionnaire: Specific Health Problem (WPAI:SHP) Scores Over Time: Percent Work Missed Due to Problem
NCT03343067 (62) [back to overview]PROMIS Fatigue Short Form 6a Scores Over Time
NCT03343067 (62) [back to overview]Percent Change From Baseline to Each Month During the Treatment Period for NMPP
NCT03343067 (62) [back to overview]Percent Change From Baseline to Each Month During the Treatment Period for NMPP
NCT03343067 (62) [back to overview]Percent Change From Baseline to Each Month During the Treatment Period for Dyspareunia
NCT03343067 (62) [back to overview]Percent Change From Baseline to Each Month During the Treatment Period for Dyspareunia
NCT03343067 (62) [back to overview]Percent Change From Baseline to Each Month During the Treatment Period for DYS
NCT03343067 (62) [back to overview]Percent Change From Baseline to Each Month During the Treatment Period for DYS
NCT03343067 (62) [back to overview]Percent Change From Baseline to Each Month During the Treatment Period for Daily Diary Endometriosis-Associated Pain Score Via NRS
NCT03343067 (62) [back to overview]Percent Change From Baseline to Each Month During the Treatment Period for Daily Diary Endometriosis-Associated Pain Score Via NRS
NCT03343067 (62) [back to overview]Patient Global Impression of Change (PGIC) Scores Over Time
NCT03343067 (62) [back to overview]Patient Global Impression of Change (PGIC) Scores Over Time
NCT03343067 (62) [back to overview]Patient Global Impression of Change (PGIC) Scores Over Time
NCT03343067 (62) [back to overview]Overall Endometriosis-Associated Pain Via NRS (7-Day Recall) Scores Over Time
NCT03343067 (62) [back to overview]Overall Endometriosis-Associated Pain Via NRS (7-Day Recall) Scores Over Time
NCT03343067 (62) [back to overview]Overall Endometriosis-Associated Pain Via NRS (7-Day Recall) Scores Over Time
NCT03343067 (62) [back to overview]Number of Analgesic Use Responders and Non-Responders Over Time
NCT03343067 (62) [back to overview]Health Endometriosis Treatment Satisfaction Questionnaire (ETSQ) Scores Over Time
NCT03343067 (62) [back to overview]EuroQol-5D 5 Level (EQ-5D-5L) Scores Over Time: Mobility
NCT03343067 (62) [back to overview]EuroQol-5D 5 Level (EQ-5D-5L) Scores Over Time: Mobility
NCT03343067 (62) [back to overview]EQ-5D-5L VAS Scores Over Time: Health Today
NCT03343067 (62) [back to overview]EQ-5D-5L VAS Scores Over Time: Health Today
NCT03343067 (62) [back to overview]EQ-5D-5L Scores Over Time: Usual Activities
NCT03343067 (62) [back to overview]EQ-5D-5L Scores Over Time: Usual Activities
NCT03343067 (62) [back to overview]EQ-5D-5L Scores Over Time: Self-Care
NCT03343067 (62) [back to overview]EQ-5D-5L Scores Over Time: Self-Care
NCT03343067 (62) [back to overview]EQ-5D-5L Scores Over Time: Pain/Discomfort
NCT03343067 (62) [back to overview]EQ-5D-5L Scores Over Time: Pain/Discomfort
NCT03343067 (62) [back to overview]EQ-5D-5L Scores Over Time: Anxiety/Depression
NCT03343067 (62) [back to overview]EQ-5D-5L Scores Over Time: Anxiety/Depression
NCT03343067 (62) [back to overview]Endometriosis Health Profile-30 (EHP-30) Scores Over Time: Pain
NCT03343067 (62) [back to overview]Endometriosis Health Profile-30 (EHP-30) Scores Over Time: Pain
NCT03343067 (62) [back to overview]EHP-30 Scores Over Time: Social Support
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In Each Of The Non-Pain EHP-30 Domains At Week 104
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In Each Of The Non-Pain EHP-30 Domains At Week 52
NCT03654274 (41) [back to overview]Percent Change From The Pivotal Phase 3 Study Baseline In BMD At Lumbar Spine (L1-L4), Femoral Neck, And Total Hip At Week 104
NCT03654274 (41) [back to overview]Percent Change From The Pivotal Phase 3 Study Baseline In BMD At Lumbar Spine (L1-L4), Femoral Neck, And Total Hip At Week 52
NCT03654274 (41) [back to overview]Percentage Of Participants With Improvement, No Change, Or Worsening From Baseline In PGA Score For Function At Week 104
NCT03654274 (41) [back to overview]Percentage Of Participants With Improvement, No Change, Or Worsening From Baseline In PGA Score For Function At Week 52
NCT03654274 (41) [back to overview]Percentage Of Participants With Improvement, No Change, Or Worsening From Baseline In PGA Score For Overall Pelvic Pain At Week 104
NCT03654274 (41) [back to overview]Percentage Of Participants With Improvement, No Change, Or Worsening From Baseline In PGA Score For Overall Pelvic Pain At Week 52
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In The Mean Dysmenorrhea NRS Score At Week 104
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In The Endometriosis Health Profile (EHP)-30 Pain Domain Scores At Week 52
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In The Endometriosis Health Profile (EHP)-30 Pain Domain Scores At Week 104
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In Severity Scores On The Patient Global Assessment (PGA) For Overall Pelvic Pain At Week 52
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In Severity Scores On The Patient Global Assessment (PGA) For Overall Pelvic Pain At Week 104
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In Function Impairment On The PGA For Function At Week 52
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In Function Impairment On The PGA For Function At Week 104
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In Dysmenorrhea Functional Impairment Score At Week 52
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In Dysmenorrhea Functional Impairment Score At Week 104
NCT03654274 (41) [back to overview]Change From Pivotal Phase 3 Study Baseline In Predose Serum Concentrations Of Estradiol At Week 52
NCT03654274 (41) [back to overview]Change From Pivotal Phase 3 Study Baseline In Predose Serum Concentrations Of Estradiol At Week 104
NCT03654274 (41) [back to overview]Change From Pivotal Phase 3 Study Baseline In NMPP Functional Impairment Score At Week 52
NCT03654274 (41) [back to overview]"Percentage Of Participants Who Are Better Or Much Better On The PGIC For NMPP At Week 52"
NCT03654274 (41) [back to overview]"Percentage Of Participants Who Are Better Or Much Better On The PGIC For Dyspareunia At Week 52"
NCT03654274 (41) [back to overview]"Percentage Of Participants Who Are Better Or Much Better On The Patient Global Impression Of Change (PGIC) For Dysmenorrhea At Week 52"
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In The Mean Dysmenorrhea NRS Score At Week 52
NCT03654274 (41) [back to overview]Percentage Of Participants Not Using Analgesics For Endometriosis-associated Pain At Week 104
NCT03654274 (41) [back to overview]Change From Pivotal Phase 3 Study Baseline In NMPP Functional Impairment Score At Week 104
NCT03654274 (41) [back to overview]Percentage Of Participants Who Meet The NMPP Responder Criteria At Week 52
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In The Mean Dyspareunia Functional Impairment At Week 104
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In The Mean Dyspareunia Functional Impairment At Week 52
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In The Mean Dyspareunia NRS Scores At Week 104
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In The Mean Dyspareunia NRS Scores At Week 52
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In The Mean NMPP NRS Score At Week 104
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In The Mean NMPP NRS Score At Week 52
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In The Mean Overall Pelvic Pain NRS Score At Week 104
NCT03654274 (41) [back to overview]Change From The Pivotal Phase 3 Study Baseline In The Mean Overall Pelvic Pain NRS Score At Week 52
NCT03654274 (41) [back to overview]Percentage Of Participants Not Using Opioids For Endometriosis-associated Pain At Week 104
NCT03654274 (41) [back to overview]Percentage Of Participants Who Have A Reduction Of At Least 20 Points In The EHP-30 Pain Domain Scores From The Pivotal Phase 3 Study Baseline At Week 104
NCT03654274 (41) [back to overview]Percentage Of Participants Who Have A Reduction Of At Least 20 Points In The EHP-30 Pain Domain Scores From The Pivotal Phase 3 Study Baseline At Week 52
NCT03654274 (41) [back to overview]Percentage Of Participants Who Meet The Dysmenorrhea Responder Criteria At Week 104
NCT03654274 (41) [back to overview]Percentage Of Participants Who Meet The Dysmenorrhea Responder Criteria At Week 52
NCT03654274 (41) [back to overview]Percentage Of Participants Who Meet The NMPP Responder Criteria At Week 104
NCT03970330 (7) [back to overview]PGIC Score (Dyspareunia)
NCT03970330 (7) [back to overview]Ibuprofen Use
NCT03970330 (7) [back to overview]Oxycodone Use
NCT03970330 (7) [back to overview]Pain Score Area Under the Curve (AUC)
NCT03970330 (7) [back to overview]EHP-30 Score
NCT03970330 (7) [back to overview]PGIC Score (Nonmenstrual Pelvic Pain)
NCT03970330 (7) [back to overview]PGIC Score (Painful Periods)

Median Duration of Withdrawal Bleeding, Cycle 12, MITT Population

(NCT00391807)
Timeframe: 12 cycles, 28 days each (336 days)

InterventionDays (Median)
Norethindrone/Ethinyl Estradiol3.85

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Percentage of Subjects With Amenorrhea, Cycle 13, MITT Population

(NCT00391807)
Timeframe: 13 cycles, 28 days each (1 year)

InterventionPercentage of Participants (Number)
Norethindrone/Ethinyl Estradiol49.1

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Percentage of Subjects With Amenorrhea, Cycle 2, MITT Population

(NCT00391807)
Timeframe: 2 cycles, 28 days each (56 days)

InterventionPercentage of Participants (Number)
Norethindrone/Ethinyl Estradiol30.7

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Percentage of Subjects With Amenorrhea, Cycle 6, MITT Population

(NCT00391807)
Timeframe: 6 cycles, 28 days each (168 days)

InterventionPercentage of Participants (Number)
Norethindrone/Ethinyl Estradiol42.9

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Percentage of Subjects With Withdrawal Bleeding (%), Cycle 13, MITT Population

(NCT00391807)
Timeframe: 13 cycles, 28 days each (1 year)

InterventionPercentage of Participants (Number)
Norethindrone/Ethinyl Estradiol22.4

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Percentage of Subjects With Withdrawal Bleeding (%), Cycle 2, MITT Population

(NCT00391807)
Timeframe: 2 cycles, 28 days each (56 days)

InterventionPercentage of Participants (Number)
Norethindrone/Ethinyl Estradiol34.8

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Percentage of Subjects With Withdrawal Bleeding (%), Cycle 6, MITT Population

(NCT00391807)
Timeframe: 6 cycles, 28 days each (168 days)

InterventionPercentage of Participants (Number)
Norethindrone/Ethinyl Estradiol25.0

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Pregnancy Rate (Expressed as Pearl Index) in Women Aged 18 to 35, MITT Population,

(NCT00391807)
Timeframe: 13 cycles, 28 days each (1 year)

InterventionPregnancy Rate (Number)
Norethindrone/Ethinyl Estradiol2.554

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Median Duration of Withdrawal Bleeding, Cycle 6, MITT Population

(NCT00391807)
Timeframe: 6 cycles, 28 days each (168 days)

InterventionDays (Median)
Norethindrone/Ethinyl Estradiol3.99

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Number of Intracyclic Bleeding (IB)/Spotting Days Cycle 13, MITT Population

MITT Population (NCT00391807)
Timeframe: 13 cycles, 28 days each (1 year)

InterventionBleeding/Spotting Days (Mean)
Norethindrone/Ethinyl Estradiol1.81

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Number of Intracyclic Bleeding (IB)/Spotting Days Cycle 6, MITT Population

MITT Population (NCT00391807)
Timeframe: 6 cycles, 28 days each (168 days)

InterventionBleeding/Spotting Days (Mean)
Norethindrone/Ethinyl Estradiol2.00

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Total Number of Bleeding Days Per Cycle, Cycle 6, MITT Population

(NCT00391807)
Timeframe: 6 cycles, 28 days each (168 days)

InterventionDays (Mean)
Norethindrone/Ethinyl Estradiol3.00

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Number of Intracyclic Bleeding (IB)/Spotting Days Cycle 2, MITT Population

MITT Population (NCT00391807)
Timeframe: 2 Cycles, 28 days each (56 days)

InterventionBleeding/Spotting Days (Mean)
Norethindrone/Ethinyl Estradiol3.21

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Total Number of Bleeding Days Per Cycle, Cycle 2, MITT Population

(NCT00391807)
Timeframe: 2 cycles, 28 days each (56 days)

InterventionDays (Mean)
Norethindrone/Ethinyl Estradiol4.57

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Pregnancy Rate (Expressed as Pearl Index) in Women Aged 18-45, MITT Population

(NCT00391807)
Timeframe: 13 Cycles, 28 days each (1 year)

InterventionPregnancy Rate (Number)
Norethindrone/Ethinyl Estradiol2.167

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Total Number of Bleeding Days Per Cycle, Cycle 13, MITT Population

(NCT00391807)
Timeframe: 13 cycles, 28 days each (1 year)

InterventionDays (Mean)
Norethindrone/Ethinyl Estradiol3.36

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Median Duration of Withdrawal Bleeding, Cycle 2, MITT Population

(NCT00391807)
Timeframe: 2 cycles, 28 days each (56 days)

InterventionDays (Median)
Norethindrone/Ethinyl Estradiol3.93

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Bone Mineral Density

Adjusted mean change in total body areal bone mineral density (aBMD) over the 12 month trial (NCT00474851)
Timeframe: Baseline to 12 months

Interventiong/cm^2 (Mean)
Intervention Group0.01
Placebo Group-0.11

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Total Body Bone Mineral Content (BMC)

(NCT00474851)
Timeframe: Baseline to 12 months

Interventiong (Mean)
Intervention Group37
Placebo Group15

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Pearl Index, 18-35 Years, MITT Population

Pregnancy rate in women 18-35 years old, Pearl Index - number of pregnancies per 100 women-years of treatment (NCT00477633)
Timeframe: 13 cycles (28 days each), approximately 364 days

InterventionPearl Index (Number)
Norethindrone/Ethinyl Estradiol Tablets1.903

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Mean Number of Days of Intracyclic Bleeding & Spotting, Cycles 2-13, MITT Population

(NCT00477633)
Timeframe: 12 cycles (28 days each), approximately 336 days

InterventionDays (Mean)
Norethindrone/Ethinyl Estradiol Tablets1.19

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Mean Median Duration (Days) of Intracyclic Bleeding & Spotting, Cycles 2-13, MITT Population

"Each IB episode has a unique duration, with 0, 1, 2, 3 or more episodes per cycle. To obtain mean median duration of episodes during a cycle, take the median duration of all episodes in each cycle. If there are no episodes in the cycle, then median duration is undefined/missing for that cycle. 1 episode - median duration = duration of that episode, 2 episodes - median duration = average of 2 durations, more than 2 episodes, calculated in usual way for median of an ordered set of numbers. Once median determined for each cycle/subject, the mean & SD of those quantities calculated." (NCT00477633)
Timeframe: 12 cycles (28 days each), approximately 336 days

InterventionDays (Mean)
Norethindrone/Ethinyl Estradiol Tablets3.52

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Pregnancy Rate (Expressed as Pearl Index) for Women 18 to 45 Years Old, MITT Population

Pearl Index = 1300 * number of pregnancies/number of women-cycles of treatment (NCT00932321)
Timeframe: 5.6 months (6 - 28 day cycles)

InterventionPearl Index (Number)
24 Day NA/EE1.823
21 Day NA/EE2.978

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Mean Number of Intracyclic Bleeding (IB)/Spotting Days in Cycles 2-6, MITT Population

Self-reported via patient completed diary (none - no vaginal bleeding, light - less than normal menstruation, normal - like normal menstruation, heavy - more than normal menstruation) along with daily use of sanitary protection (other than panty liners). Light bleeding requiring no more than single pad or tampon will be spotting. (NCT00932321)
Timeframe: 5.6 months (6 - 28 day cycles)

InterventionDays (Mean)
24 Day NA/EE6.31
21 Day NA/EE7.31

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Maximum Plasma Concentration of Norethindrone With Colchicine at Steady State (Cmax, ss)

The maximum or peak concentration that Norethindrone with Colchicine reaches in the plasma at steady state. Steady state refers to the point that constant concentration of drug is achieved subsequent to administration of constant doses of that drug given at constant intervals. (NCT01040845)
Timeframe: Day 21 of each cycle - plasma concentrations were drawn prior to the morning dose (0 hour) and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 (prior to pm colchicine/placebo dose), and 24 hours post-dose.

Interventionng/mL (Mean)
Norethindrone With Colchicine24.17

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Maximum Plasma Concentration of Ethinyl Estradiol With Placebo at Steady State (Cmax, ss)

The maximum or peak concentration that Ethinyl Estradiol with Placebo reaches in the plasma at steady state. Steady state refers to the point that constant concentration of drug is achieved subsequent to administration of constant doses of that drug given at constant intervals. (NCT01040845)
Timeframe: Day 21 of each cycle - plasma concentrations were drawn prior to the morning dose (0 hour) and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 (prior to pm colchicine/placebo dose), and 24 hours post-dose.

Interventionng/mL (Mean)
Ethinyl Estradiol With Placebo0.15

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Maximum Plasma Concentration of Ethinyl Estradiol With Colchicine at Steady State (Cmax, ss)

The maximum or peak concentration that Ethinyl Estradiol with Colchicine reaches in the plasma at steady state. Steady state refers to the point that constant concentration of drug is achieved subsequent to administration of constant doses of that drug given at constant intervals. (NCT01040845)
Timeframe: Day 21 of each cycle - plasma concentrations were drawn prior to the morning dose (0 hour) and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 (prior to pm colchicine/placebo dose), and 24 hours post-dose.

Interventionng/mL (Mean)
Ethinyl Estradiol With Colchicine0.14

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Maximum Plasma Concentration of Colchicine With Norethindrone/Ethinyl Estradiol at Steady State (Cmax, ss)

The maximum or peak concentration that Colchicine with Norethindrone/Ethinyl Estradiol reaches in the plasma at steady state. Steady state refers to the point that constant concentration of drug is achieved subsequent to administration of constant doses of that drug given at constant intervals (NCT01040845)
Timeframe: Day 21 of each cycle - plasma concentrations were drawn prior to the morning dose (0 hour) and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 (prior to pm colchicine/placebo dose), and 24 hours post-dose

Interventionng/mL (Mean)
Colchicine With Norethindrone/Ethinyl Estradiol3.11

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Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] for Norethindrone With Placebo

The area under the plasma concentration versus time curve, from time 0 to the time of the last measurable concentration (t), as calculated by the linear trapezoidal rule. (NCT01040845)
Timeframe: Day 21 of each cycle - plasma concentrations were drawn prior to the morning dose (0 hour) and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 (prior to pm colchicine/placebo dose), and 24 hours post-dose.

Interventionng/mL (Mean)
Norethindrone With Placebo178.08

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Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] for Norethindrone With Colchicine

The area under the plasma concentration versus time curve, from time 0 to the time of the last measurable concentration (t), as calculated by the linear trapezoidal rule. (NCT01040845)
Timeframe: Day 21 of each cycle - plasma concentrations were drawn prior to the morning dose (0 hour) and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 (prior to pm colchicine/placebo dose), and 24 hours post-dose.

Interventionng-hr/mL (Mean)
Norethindrone With Colchicine175.57

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Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] for Ethinyl Estradiol With Placebo

The area under the plasma concentration versus time curve, from time 0 to the time of the last measurable concentration (t), as calculated by the linear trapezoidal rule. (NCT01040845)
Timeframe: Day 21 of each cycle - plasma concentrations were drawn prior to the morning dose (0 hour) and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 (prior to pm colchicine/placebo dose), and 24 hours post-dose.

Interventionng/mL (Mean)
Ethinyl Estradiol With Placebo1.29

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Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] for Colchicine With Norethindrone/Ethinyl Estradiol

The area under the plasma concentration versus time curve, from time 0 to the time of the last measurable concentration (t), as calculated by the linear trapezoidal rule. (NCT01040845)
Timeframe: Day 21 of each cycle - plasma concentrations were drawn prior to the morning dose (0 hour) and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 (prior to pm colchicine/placebo dose), and 24 hours post-dose

Interventionng/mL (Mean)
Colchicine With Norethindrone/Ethinyl Estradiol18.40

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Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] Ethinyl Estradiol With Colchicine

The area under the plasma concentration versus time curve, from time 0 to the time of the last measurable concentration (t), as calculated by the linear trapezoidal rule. (NCT01040845)
Timeframe: serial pharmacokinetic plasma concentrations were drawn prior to dose administration (0 hour) and at 0.33, 0.67, 1, 1.33, 1.67, 2, 2.33, 2.67, 3, 3.33, 3.67, 4, 4.5, 5, 5.5, 6, 7, 8, 10, 14, 18, 24, 36, and 48 hours after drug administration.

Interventionng/mL (Mean)
Ethinyl Estradiol With Colchicine1.24

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Maximum Plasma Concentration of Norethindrone With Placebo at Steady State (Cmax, ss)

The maximum or peak concentration that Norethindrone with Placebo reaches in the plasma at steady state. Steady state refers to the point that constant concentration of drug is achieved subsequent to administration of constant doses of that drug given at constant intervals. (NCT01040845)
Timeframe: Day 21 of each cycle - plasma concentrations were drawn prior to the morning dose (0 hour) and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12 (prior to pm colchicine/placebo dose), and 24 hours post-dose.

Interventionng/mL (Mean)
Norethindrone With Placebo24.42

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AUC0-t for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Informational comparison of AUC0-t values for Uncorrected Unconjugated Estrone. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)10870.03
Activella® (Reference)11252.64

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AUC0-t for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Informational comparison of AUC0-t values for Uncorrected Unconjugated Estradiol. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)1575.01
Activella® (Reference)1656.16

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AUC0-t for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Informational comparison of AUC0-t values for Uncorrected Total Estrone. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)372088.37
Activella® (Reference)385829.05

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AUC0-t for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Bioequivalence based on Norethindrone AUC0-t. (NCT01157182)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)36.59
Activella® (Reference)37.05

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AUC0-t for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Informational comparison of AUC0-t values for Corrected Unconjugated Estrone. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)9409.59
Activella® (Reference)9762.49

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AUC0-inf for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

Bioequivalence based on Corrected Total Estrone AUC0-inf. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)375439.71
Activella® (Reference)384535.16

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AUC0-t for Corrected Unconjugated Estradiol.(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Informational comparison of AUC0-t values for Corrected Unconjugated Estradiol. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)1267.50
Activella® (Reference)1323.70

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AUC0-t for Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Bioequivalence based on Corrected Total Estrone AUC0-t. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)365242.88
Activella® (Reference)374730.12

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AUC0-inf for Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

Informational comparison of AUC0-inf values for Uncorrected Unconjugated Estrone. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)12387.14
Activella® (Reference)12646.49

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AUC0-inf for Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)

Informational comparison of AUC0-inf values for Uncorrected Unconjugated Estradiol. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)1739.31
Activella® (Reference)1905.28

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AUC0-inf for Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

Informational comparison of AUC0-inf values for Uncorrected Total Estrone. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)387085.29
Activella® (Reference)400726.94

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AUC0-inf for Norethindrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

Bioequivalence based on Norethindrone AUC0-inf. (NCT01157182)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)39.94
Activella® (Reference)40.40

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AUC0-inf for Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

Informational comparison of AUC0-inf values for Corrected Unconjugated Estrone. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)10267.03
Activella® (Reference)10214.23

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AUC0-inf for Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)

Informational comparison of AUC0-inf values for Corrected Unconjugated Estradiol. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)1359.50
Activella® (Reference)1410.51

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Cmax for Corrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Corrected Unconjugated Estradiol. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Estradiol/Norethindrone Acetate (Test)47.80
Activella® (Reference)51.59

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Cmax for Uncorrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Uncorrected Unconjugated Estrone. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Estradiol/Norethindrone Acetate (Test)475.44
Activella® (Reference)502.24

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Cmax for Uncorrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Uncorrected Unconjugated Estradiol. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Estradiol/Norethindrone Acetate (Test)52.09
Activella® (Reference)56.26

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Cmax for Uncorrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Uncorrected Total Estrone. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Estradiol/Norethindrone Acetate (Test)43723.53
Activella® (Reference)47170.59

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Cmax for Norethindrone(Maximum Observed Concentration of Drug Substance in Plasma)

Bioequivalence based on Norethindrone Cmax. (NCT01157182)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng/mL (Mean)
Estradiol/Norethindrone Acetate (Test)10.08
Activella® (Reference)9.90

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Cmax for Corrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Corrected Unconjugated Estrone. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Estradiol/Norethindrone Acetate (Test)455.16
Activella® (Reference)481.46

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Cmax for Corrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)

Bioequivalence based on Corrected Total Estrone Cmax. (NCT01157182)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Estradiol/Norethindrone Acetate (Test)43997.17
Activella® (Reference)47015.47

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AUC0-t of Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Informational comparison of AUC0-t values for Corrected Unconjugated Estrone. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)10952.25
Activella® (Reference)11369.60

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AUC0-t of Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Informational comparison of AUC0-t values for Uncorrected Unconjugated Estrone. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)12444.22
Activella® (Reference)12977.00

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AUC0-t of Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Informational comparison of AUC0-t values for Uncorrected Unconjugated Estradiol. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)2016.26
Activella® (Reference)2086.39

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AUC0-inf of Norethindrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

Bioequivalence based on Norethindrone AUC0-inf. (NCT01181726)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)49.55
Activella® (Reference)50.68

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AUC0-t of Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Informational comparison of AUC0-t values for Uncorrected Total Estrone. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)397537.88
Activella® (Reference)420763.02

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AUC0-inf of Uncorrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

Informational comparison of AUC0-inf values for Uncorrected Total Estrone. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)398139.63
Activella® (Reference)425739.45

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AUC0-inf of Uncorrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)

Informational comparison of AUC0-inf values for Uncorrected Unconjugated Estradiol. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)2301.59
Activella® (Reference)2274.04

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AUC0-inf of Uncorrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

Informational comparison of AUC0-inf values for Uncorrected Unconjugated Estrone. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)13592.44
Activella® (Reference)14155.46

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AUC0-t of Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Bioequivalence based on Corrected Total Estrone AUC0-t. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)384547.68
Activella® (Reference)407028.98

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AUC0-t of Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Informational comparison of AUC0-t values for Corrected Unconjugated Estradiol. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)1723.44
Activella® (Reference)1793.04

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Cmax of Uncorrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Uncorrected Unconjugated Estrone. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Estradiol/Norethindrone Acetate (Test)513.56
Activella® (Reference)529.23

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Cmax of Uncorrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Uncorrected Unconjugated Estradiol. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Estradiol/Norethindrone Acetate (Test)59.24
Activella® (Reference)60.33

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Cmax of Uncorrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Uncorrected Total Estrone. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Estradiol/Norethindrone Acetate (Test)27256.41
Activella® (Reference)27430.77

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Cmax of Norethindrone (Maximum Observed Concentration of Drug Substance in Plasma)

Bioequivalence based on Norethindrone Cmax. (NCT01181726)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng/mL (Mean)
Estradiol/Norethindrone Acetate (Test)6.54
Activella® (Reference)6.06

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Cmax of Corrected Unconjugated Estrone(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Corrected Unconjugated Estrone. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Estradiol/Norethindrone Acetate (Test)492.81
Activella® (Reference)509.81

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Cmax of Corrected Unconjugated Estradiol(Maximum Observed Concentration of Drug Substance in Plasma)

Informational comparison of Cmax values for Corrected Unconjugated Estradiol. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Estradiol/Norethindrone Acetate (Test)55.18
Activella® (Reference)56.24

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Cmax of Corrected Total Estrone(Maximum Observed Concentration of Drug Substance in Plasma)

Bioequivalence based on Corrected Total Estrone Cmax. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg/mL (Mean)
Estradiol/Norethindrone Acetate (Test)27076.08
Activella® (Reference)27240.03

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AUC0-inf of Corrected Unconjugated Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

Informational comparison of AUC0-inf values for Corrected Unconjugated Estrone. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)11293.21
Activella® (Reference)11747.97

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AUC0-inf of Corrected Unconjugated Estradiol(Area Under the Concentration-time Curve From Time Zero to Infinity)

Informational comparison of AUC0-inf values for Corrected Unconjugated Estradiol. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)1823.43
Activella® (Reference)1871.56

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AUC0-inf of Corrected Total Estrone(Area Under the Concentration-time Curve From Time Zero to Infinity)

Bioequivalence based on Corrected Total Estrone AUC0-inf. (NCT01181726)
Timeframe: Blood samples collected over a 72 hour period.

Interventionpg*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)380131.12
Activella® (Reference)424801.99

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AUC0-t of Norethindrone(Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)

Bioequivalence based on Norethindrone AUC0-t. (NCT01181726)
Timeframe: Blood samples collected over a 36 hour period.

Interventionng*h/mL (Mean)
Estradiol/Norethindrone Acetate (Test)45.03
Activella® (Reference)46.13

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Geometric Mean Ratio of the Maximum Plasma Concentration (Cmax) of Ethinyl Estradiol and Norethindrone

On Days 1 and 8, blood samples were taken prior to the administration of the contraceptive norethindrone 1 mg/ethinyl estradiol 35 µg (Ortho-Novum 1/35®) and 30 minutes, and 1, 2, 3, 4, and 6 hours, between 8 and 12 hours, and 24 hours post-dose. Plasma concentrations of ethinyl estradiol and norethindrone were determined using a validated liquid chromatography mass spectrometry/mass spectrometry (LC MS/MS) assay. Individual and mean plasma ethinyl estradiol and norethindrone concentration versus time data were tabulated and plotted by analyte. The pharmacokinetic parameters of each analyte were calculated using standard non-compartmental methods (WinNonlin version 5.2.1, Pharsight Corp., Mountain View, CA). The geometric mean ratios of Cmax of ethinyl estradiol and norethindrone were defined as the ratios of Cmax of ethinyl estradiol and norethindrone on Day 8 divided by Cmax of ethinyl estradiol and norethindrone on Day 1, respectively. (NCT01209143)
Timeframe: Pre-dose and 30 minutes, and 1, 2, 3, 4, and 6 hours, between 8 and 12 hours, and 24 hours post-dose

Interventionng/mL (Number)
Ethinyl estradiolNorethindrone
Vismodegib + Oral Contraceptive105112

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Geometric Mean Ratio of the Area Under the Plasma Concentration-time Curve From 0 to Infinity (AUC[0-inf]) of Ethinyl Estradiol and Norethindrone

On Days 1 and 8, blood samples were taken prior to the administration of the contraceptive norethindrone 1 mg/ethinyl estradiol 35 µg (Ortho-Novum 1/35®) and 30 minutes, and 1, 2, 3, 4, and 6 hours, between 8 and 12 hours, and 24 hours post-dose. Plasma concentrations of ethinyl estradiol and norethindrone were determined using a validated liquid chromatography mass spectrometry/mass spectrometry (LC MS/MS) assay. Individual and mean plasma ethinyl estradiol and norethindrone concentration versus time data were tabulated and plotted by analyte. The pharmacokinetic parameters of each analyte were calculated using standard non-compartmental methods (WinNonlin version 5.2.1, Pharsight Corp., Mountain View, CA). The geometric mean ratios of AUC(0-inf) of ethinyl estradiol and norethindrone were defined as the ratios of AUC(0-inf) of ethinyl estradiol and norethindrone on Day 8 divided by AUC(0-inf) of ethinyl estradiol and norethindrone on Day 1, respectively. (NCT01209143)
Timeframe: Pre-dose and 30 minutes, and 1, 2, 3, 4, and 6 hours, between 8 and 12 hours, and 24 hours post-dose

Interventionng/mL*hr (Number)
Ethinyl estradiolNorethindrone
Vismodegib + Oral Contraceptive99.6123

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Geometric Mean Ratio of the Maximum Plasma Concentration (Cmax) of Rosiglitazone

On Days 1 and 8, blood samples were taken prior to the administration of rosiglitazone and 30 minutes, and 1, 2, 3, 4, and 6 hours, between 8 and 12 hours, and 24 hours post-dose. Plasma concentrations of rosiglitazone were determined using a validated liquid chromatography mass spectrometry/mass spectrometry (LC MS/MS) assay. Individual and mean plasma rosiglitazone concentration versus time data were tabulated and plotted by analyte. The pharmacokinetic parameters of each analyte were calculated using standard non-compartmental methods (WinNonlin version 5.2.1, Pharsight Corp., Mountain View, CA). The geometric mean ratio of Cmax of rosiglitazone was defined as the Cmax of rosiglitazone on Day 8/ Cmax of rosiglitazone on Day 1. (NCT01209143)
Timeframe: Pre-dose and 30 minutes, and 1, 2, 3, 4, and 6 hours, between 8 and 12 hours, and 24 hours post-dose

Interventionng/mL (Number)
Vismodegib + Rosiglitazone93.1

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Geometric Mean Ratio of the Area Under the Plasma Concentration-time Curve From 0 to Infinity (AUC[0-inf]) of Rosiglitazone

On Days 1 and 8, blood samples were taken prior to the administration of rosiglitazone and 30 minutes, and 1, 2, 3, 4, and 6 hours, between 8 and 12 hours, and 24 hours post-dose. Plasma concentrations of rosiglitazone were determined using a validated liquid chromatography mass spectrometry/mass spectrometry (LC MS/MS) assay. Individual and mean plasma rosiglitazone concentration versus time data were tabulated and plotted by analyte. The pharmacokinetic parameters of each analyte were calculated using standard non-compartmental methods (WinNonlin version 5.2.1, Pharsight Corp., Mountain View, CA). The geometric mean ratio of AUC(0-inf) of rosiglitazone was defined as the AUC(0-inf) of rosiglitazone on Day 8/AUC(0-inf) of rosiglitazone on Day 1. (NCT01209143)
Timeframe: Pre-dose and 30 minutes, and 1, 2, 3, 4, and 6 hours, between 8 and 12 hours, and 24 hours post-dose

Interventionng/mL*hr (Number)
Vismodegib + Rosiglitazone92.0

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Comparing FSH AUC of Menstrual Period During Study Drug Administration With Pre and Post Study Drug Administration (Baseline(BL)-Study Drug Administration(SDA), Follow up(FU)-Study Drug Administration(ADA))

FSH was measured on day 3, 6, 9, 12, 15, 18, 21, 24 on 3 consecutive menstrual period (pre administration/Baseline(BL), study drug administration(SDA), post administration/follow up(FU)) and calculated AUC from these data (NCT01253824)
Timeframe: Day 3, 6, 9, 12, 15, 18, 21, 24 of menstrual cycles

,
InterventionmIU・day/mL (Mean)
Differnce of FSH (BL-SDA)Difference of FSH(FP-SDA)
IKH-01-4.3800.538
NPC-01-9.609-4.404

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Comparing LH AUC of Menstrual Period During Study Drug Administration With Pre and Post Study Drug Administration (Baseline(BL)-Study Drug Administration(SDA), Follow up(FU)-Study Drug Administration(ADA))

LH was measured on day 3, 6, 9, 12, 15, 18, 21, 24 on 3 consecutive menstrual period (pre administration/Baseline(BL), study drug administration(SDA), post administration/follow up(FU)) and calculated AUC from these data (NCT01253824)
Timeframe: Day 3, 6, 9, 12, 15, 18, 21, 24 of menstrual cycles

,
InterventionmIU・day/mL (Mean)
Difference of LH(BL-SDA)Difference of LH(FU-SDA)
IKH-0157.12459.837
NPC-0160.87461.571

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Comparing Progesterone AUC of Menstrual Period During Study Drug Administration With Pre and Post Study Drug Administration (Baseline(BL)-Study Drug Administration(SDA), Follow up(FU)-Study Drug Administration(ADA))

Progesterone was measured on day 3, 6, 9, 12, 15, 18, 21, 24 on 3 consecutive menstrual period (pre administration/Baseline(BL), study drug administration(SDA), post administration/follow up(FU)) and calculated AUC from these data (NCT01253824)
Timeframe: Day 3, 6, 9, 12, 15, 18, 21, 24 of menstrual cycles

,
Interventionng・day/mL (Mean)
Difference of progesterone(BL-SDA)Difference of progesterone(FU-SDA)
IKH-0193.14859.344
NPC-0154.17189.711

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Comparing Estradiol AUC of Menstrual Period During Study Drug Administration With Pre and Post Study Drug Administration (Baseline(BL)-Study Drug Administration(SDA), Follow up(FU)-Study Drug Administration(ADA))

Estradiol was measured on day 3, 6, 9, 12, 15, 18, 21, 24 on 3 consecutive menstrual period (pre administration/Baseline(BL), study drug administration(SDA), post administration/follow up(FU)) and calculated AUC from these data (NCT01253824)
Timeframe: Day 3, 6, 9, 12, 15, 18, 21, 24 of menstrual cycles

,
Interventionpg・day/mL, (Mean)
Difference of estradiol AUC (BL-SDA)Difference of estradiol AUC(FU-SDA)
IKH-012478.02434.9
NPC-011654.71872.6

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Cmax of Ethinyl Estradiol

Bioequivalence based on Ethinyl Estradiol Cmax (maximum observed concentration of drug substance in plasma). (NCT01340625)
Timeframe: Blood samples collected over a 60 hour period.

Interventionpg/mL (Mean)
Norethindrone/Ethinyl Estradiol (Test)230.56
Ovcon® 35 Fe (Reference)237.00

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Cmax of Norethindrone

Bioequivalence based on Norethindrone Cmax (maximum observed concentration of drug substance in plasma). (NCT01340625)
Timeframe: Blood samples collected over a 60 hour period.

Interventionng/mL (Mean)
Norethindrone/Ethinyl Estradiol (Test)10.94
Ovcon® 35 Fe (Reference)10.00

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AUC0-inf of Ethinyl Estradiol

Bioequivalence based on Ethinyl Estradiol AUC0-inf (area under the concentration-time curve from time zero to infinity). (NCT01340625)
Timeframe: Blood samples collected over a 60 hour period.

Interventionpg*h/mL (Mean)
Norethindrone/Ethinyl Estradiol (Test)2129.43
Ovcon® 35 Fe (Reference)2131.84

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AUC0-inf of Norethindrone

Bioequivalence based on Norethindrone AUC0-inf (area under the concentration-time curve from time zero to infinity). (NCT01340625)
Timeframe: Blood samples collected over a 60 hour period.

Interventionng*h/mL (Mean)
Norethindrone/Ethinyl Estradiol (Test)48.67
Ovcon® 35 Fe (Reference)45.43

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AUC0-t of Ethinyl Estradiol

Bioequivalence based on Ethinyl Estradiol AUC0-t (area under the concentration-time curve from time zero to time of last measurable concentration). (NCT01340625)
Timeframe: Blood samples collected over a 60 hour period.

Interventionpg*h/mL (Mean)
Norethindrone/Ethinyl Estradiol (Test)1976.72
Ovcon® 35 Fe (Reference)1989.82

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AUC0-t of Norethindrone

Bioequivalence based on Norethindrone AUC0-t (area under the concentration-time curve from time zero to time of last measurable concentration). (NCT01340625)
Timeframe: Blood samples collected over a 60 hour period.

Interventionng*h/mL (Mean)
Norethindrone/Ethinyl Estradiol (Test)43.83
Ovcon® 35 Fe (Reference)40.73

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Cmax of Norethindrone

Bioequivalence based on Norethindrone Cmax (maximum observed concentration of drug substance in plasma). (NCT01344369)
Timeframe: Blood samples collected over a 60 hour period.

Interventionng/mL (Mean)
Norethindrone/Ethinyl Estradiol (Test)4.3306
FEMCON® Fe (Reference)4.2282

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AUC0-inf of Norethindrone

Bioequivalence based on Norethindrone AUC0-inf (area under the concentration-time curve from time zero to infinity). (NCT01344369)
Timeframe: Blood samples collected over a 60 hour period.

Interventionng*h/mL (Mean)
Norethindrone/Ethinyl Estradiol (Test)43.9982
FEMCON® Fe (Reference)43.8819

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AUC0-t of Ethinyl Estradiol

Bioequivalence based on Ethinyl Estradiol AUC0-t (area under the concentration-time curve from time zero to time of last measurable concentration). (NCT01344369)
Timeframe: Blood samples collected over a 60 hour period.

Interventionpg*h/mL (Mean)
Norethindrone/Ethinyl Estradiol (Test)1916.2311
FEMCON® Fe (Reference)1987.6311

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AUC0-t of Norethindrone

Bioequivalence based on Norethindrone AUC0-t (area under the concentration-time curve from time zero to time of last measurable concentration). (NCT01344369)
Timeframe: Blood samples collected over a 60 hour period.

Interventionng*h/mL (Mean)
Norethindrone/Ethinyl Estradiol (Test)37.8065
FEMCON® Fe (Reference)37.3991

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Cmax of Ethinyl Estradiol

Bioequivalence based on Ethinyl Estradiol Cmax (maximum observed concentration of drug substance in plasma). (NCT01344369)
Timeframe: Blood samples collected over a 60 hour period.

Interventionpg/mL (Mean)
Norethindrone/Ethinyl Estradiol (Test)137.6758
FEMCON® Fe (Reference)137.8485

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AUC0-inf of Ethinyl Estradiol

Bioequivalence based on Ethinyl Estradiol AUC0-inf (area under the concentration-time curve from time zero to infinity). (NCT01344369)
Timeframe: Blood samples collected over a 60 hour period.

Interventionpg*h/mL (Mean)
Norethindrone/Ethinyl Estradiol (Test)2072.5423
FEMCON® Fe (Reference)2152.3775

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Change From Baseline to Month 3 in Percentage of Days With Moderate to Very Heavy Bleeding

"Participants recorded the previous days' presence and severity of bleeding every morning in an electronic diary (eDiary) according to the Mansfield-Voda-Jorgenson Menstrual Bleeding Scale:~1 (Spotting): A drop or 2 of blood, not even requiring sanitary protection.~2 (Very light): Needing to change the least absorbent tampon or pad 1 to 2 times per day.~3 (Light): Needing to change a low or regular absorbency tampon or pad 2 or 3 times per day.~4 (Moderate): Needing to change a regular absorbency tampon or pad every 3 to 4 hours.~5 (Heavy): Needing to change a high absorbency tampon or pad every 3 to 4 hours.~6 (Very heavy/gushing): Very heavy bleeding, protection hardly works at all; needing to change the highest absorbency tampon or pad every hour or 2.~A day with moderate to very heavy bleeding is defined as a days with a bleeding score ≥ 3." (NCT01441635)
Timeframe: Baseline (average bleeding score over the 30 days prior to first dose) and month 3 (average bleeding score over days 61 to 90)

Interventionpercentage of days (Mean)
Cohort 4 Elagolix 400 mg QD-7.22
Cohort 4 Elagolix 100 mg BID-5.00
Cohort 4 Placebo-4.00
Cohort 1 Elagolix 200 mg BID-7.03
Cohort 1 Placebo-3.08
Cohort 3 Elagolix 200 mg BID + LD E2/NETA-7.92
Cohort 5 Elagolix 600 mg QD-6.15
Cohort 2 Elagolix 300 mg BID-8.02
Cohort 2 Placebo-3.31
Cohort 6 Elagolix 300 mg BID + CEP-6.80

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Change From Baseline to Month 3 in Percentage of Days With Any Uterine Bleeding

"Participants recorded the previous days' presence and severity of bleeding every morning in an electronic diary (eDiary) according to the Mansfield-Voda-Jorgenson Menstrual Bleeding Scale:~1 (Spotting): A drop or 2 of blood, not even requiring sanitary protection.~2 (Very light): Needing to change the least absorbent tampon or pad 1 to 2 times per day.~3 (Light): Needing to change a low or regular absorbency tampon or pad 2 or 3 times per day.~4 (Moderate): Needing to change a regular absorbency tampon or pad every 3 to 4 hours.~5 (Heavy): Needing to change a high absorbency tampon or pad every 3 to 4 hours.~6 (Very heavy/gushing): Very heavy bleeding, protection hardly works at all; needing to change the highest absorbency tampon or pad every hour or 2.~A day with any uterine bleeding is defined as a days with a bleeding score ≥ 1." (NCT01441635)
Timeframe: Baseline (average bleeding score over the 30 days prior to first dose) and month 3 (average bleeding score over days 61 to 90)

Interventionpercentage of days (Mean)
Cohort 4 Elagolix 400 mg QD-15.22
Cohort 4 Elagolix 100 mg BID-11.00
Cohort 4 Placebo-5.78
Cohort 1 Elagolix 200 mg BID-15.82
Cohort 1 Placebo-6.99
Cohort 3 Elagolix 200 mg BID + LD E2/NETA3.63
Cohort 5 Elagolix 600 mg QD-15.38
Cohort 2 Elagolix 300 mg BID-16.91
Cohort 2 Placebo-13.95
Cohort 6 Elagolix 300 mg BID + CEP1.73

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Percentage of Participants With ≥ 25% Reduction in Volume of Largest Fibroid at Month 3 / Final Visit

The volume of the largest fibroid was determined using transabdominal ultrasound. The images were analyzed by a central imaging center. (NCT01441635)
Timeframe: Baseline and month 3 or the final visit during the treatment period for participants who prematurely discontinued.

Interventionpercentage of participants (Number)
Cohort 4 Elagolix 400 mg QD57
Cohort 4 Elagolix 100 mg BID52
Cohort 4 Placebo33
Cohort 1 Elagolix 200 mg BID68
Cohort 1 Placebo35
Cohort 3 Elagolix 200 mg BID + LD E2/NETA58
Cohort 5 Elagolix 600 mg QD60
Cohort 2 Elagolix 300 mg BID55
Cohort 2 Placebo27
Cohort 6 Elagolix 300 mg BID + CEP48

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Percentage of Participants With Suppression of Bleeding (Spotting Allowed) or Amenorrhea During the Last 56 Days of Treatment

"Suppression of bleeding is defined as no record of bleeding (spotting allowed) in the e-diary and no record of bleeding Indicated in the alkaline hematin data during the last 56 days of treatment.~Amenorrhea is defined as no record of bleeding or spotting indicated in the e-diary and no record of bleeding or spotting Indicated in the alkaline hematin data during the last 56 days of treatment." (NCT01441635)
Timeframe: The last 56 days of treatment (approximately days 33 to 90)

,,,,,,,,,
Interventionpercentage of participants (Number)
Suppression of bleedingAmenorrhea
Cohort 1 Elagolix 200 mg BID6644
Cohort 1 Placebo00
Cohort 2 Elagolix 300 mg BID7966
Cohort 2 Placebo00
Cohort 3 Elagolix 200 mg BID + LD E2/NETA3119
Cohort 4 Elagolix 100 mg BID4531
Cohort 4 Elagolix 400 mg QD6660
Cohort 4 Placebo00
Cohort 5 Elagolix 600 mg QD7773
Cohort 6 Elagolix 300 mg BID + CEP3219

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Percentage of Participants With No Change, Decrease From Baseline, or Increase From Baseline in Hemoglobin at Month 3

"The percentage of subjects with changes in hemoglobin concentration from Baseline to Month 3 in each of the following categories:~No change from baseline in hemoglobin~Decrease from baseline in hemoglobin ≥ -0.5 g/dL~Decrease from baseline in hemoglobin ≥ -1.0 g/dL~Increase from baseline in hemoglobin ≥ 0.5 g/dL~Increase from baseline in hemoglobin ≥ 1.0 g/dL~The above categories are not all mutually exclusive or exhaustive." (NCT01441635)
Timeframe: Baseline and Month 3

,,,,,,,,,
Interventionpercentage of participants (Number)
No ChangeDecreases from -0.5 to 0 g/dLDecreases from -1.0 to -0.5 g/dLIncrease ≥ 0.5 g/dLIncrease ≥ 1.0 g/dL
Cohort 1 Elagolix 200 mg BID04116759
Cohort 1 Placebo021142929
Cohort 2 Elagolix 300 mg BID0007652
Cohort 2 Placebo02172929
Cohort 3 Elagolix 200 mg BID + LD E2/NETA01407543
Cohort 4 Elagolix 100 mg BID01747171
Cohort 4 Elagolix 400 mg QD0947861
Cohort 4 Placebo9027189
Cohort 5 Elagolix 600 mg QD4448357
Cohort 6 Elagolix 300 mg BID + CEP55107162

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Percentage of Participants With Any Uterine Bleeding or Moderate to Very Heavy Uterine Bleeding at Month 3

"Participants recorded the previous days' presence and severity of bleeding every morning in an eDiary according to the Mansfield-Voda-Jorgenson Menstrual Bleeding Scale:~1 (Spotting): A drop or 2 of blood, not even requiring sanitary protection.~2 (Very light): Needing to change the least absorbent tampon or pad 1 to 2 times per day.~3 (Light): Needing to change a low or regular absorbency tampon or pad 2 or 3 times per day.~4 (Moderate): Needing to change a regular absorbency tampon or pad every 3 to 4 hours.~5 (Heavy): Needing to change a high absorbency tampon or pad every 3 to 4 hours.~6 (Very heavy/gushing): Very heavy bleeding, protection hardly works at all; needing to change the highest absorbency tampon or pad every hour or 2.~Any bleeding is defined as a score ≥ 1 and moderate to very heavy bleeding is defined as a score ≥ 3." (NCT01441635)
Timeframe: Month 3 (average bleeding score over days 61 to 90)

,,,,,,,,,
Interventionpercentage of participants (Number)
Any bleedingModerate to Very Heavy Bleeding
Cohort 1 Elagolix 200 mg BID4728
Cohort 1 Placebo9482
Cohort 2 Elagolix 300 mg BID267
Cohort 2 Placebo8073
Cohort 3 Elagolix 200 mg BID + LD E2/NETA7831
Cohort 4 Elagolix 100 mg BID5740
Cohort 4 Elagolix 400 mg QD3727
Cohort 4 Placebo9387
Cohort 5 Elagolix 600 mg QD2715
Cohort 6 Elagolix 300 mg BID + CEP6935

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Mean Change From Baseline to the Last 28 Days of Treatment in Menstrual Blood Loss (MBL)

"The alkaline hematin method was used for the assessment of MBL. Sanitary products were collected at screening and for any spotting or bleeding episodes that occurred during treatment.~Participants with missing MBL volume for the last treatment period and no bleeding indicated in the electronic daily bleeding diary (eDiary) in the last treatment period, and participants with no post-baseline MBL data were assigned an MBL value of zero." (NCT01441635)
Timeframe: Baseline (last menstrual cycle during the screening period) and the last 28 days of treatment (approximately days 61 to 90)

,,,,,,,,,
InterventionmL (Mean)
BaselineChange from Baseline
Cohort 1 Elagolix 200 mg BID335.11-272.97
Cohort 1 Placebo251.72-79.00
Cohort 2 Elagolix 300 mg BID206.27-202.57
Cohort 2 Placebo349.17-175.31
Cohort 3 Elagolix 200 mg BID + LD E2/NETA247.70-192.33
Cohort 4 Elagolix 100 mg BID269.36-184.69
Cohort 4 Elagolix 400 mg QD213.70-183.97
Cohort 4 Placebo321.73-10.46
Cohort 5 Elagolix 600 mg QD215.62-189.05
Cohort 6 Elagolix 300 mg BID + CEP257.99-216.15

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Change From Baseline to Month 3 in the Uterine Fibroids Daily Symptom Scale Scores

The uterine fibroid daily symptom scale is self-administered questionnaire, with a scale that ranges from 0 to 10 for the symptoms of pelvic pain, fatigue, and cramping and the impact of uterine fibroids on the subject's daily life, with 0 being the absence of the symptom and 10 being the worst severity of the symptoms or completely preventing the subjects from performing daily activities. Participants self-reported values daily in the e-Diary. (NCT01441635)
Timeframe: Baseline (average score over the 30 days prior to first dose) and month 3 (average score over days 61 to 90)

,,,,,,,,,
Interventionunits on a scale (Mean)
Pelvic painFatigueMenstrual crampingImpact of uterine fibroids
Cohort 1 Elagolix 200 mg BID-0.6-0.6-0.9-1.0
Cohort 1 Placebo-1.4-0.5-1.2-1.0
Cohort 2 Elagolix 300 mg BID-1.0-1.5-1.2-1.3
Cohort 2 Placebo-1.2-0.5-1.0-1.0
Cohort 3 Elagolix 200 mg BID + LD E2/NETA-1.1-1.2-0.9-0.9
Cohort 4 Elagolix 100 mg BID-0.2-0.0-0.7-0.4
Cohort 4 Elagolix 400 mg QD-1.0-0.5-1.2-1.1
Cohort 4 Placebo-0.3-0.6-0.5-0.8
Cohort 5 Elagolix 600 mg QD-0.9-1.0-1.1-1.7
Cohort 6 Elagolix 300 mg BID + CEP-2.4-2.1-1.3-3.1

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Change From Baseline to Month 3 in the Uterine Fibroid Symptom Quality of Life Questionnaire (UFS-QoL)

"The UFS-QoL is a disease-specific, self-administered, validated questionnaire developed to evaluate the symptoms associated with uterine fibroids and their impact on health-related quality of life (HRQL) in women with symptomatic uterine fibroids. The questionnaire consists of 37 questions, divided into 2 parts: 1) an 8-item symptom severity scale and 2) a 29-item HRQL subscale comprising 6 domains (concern, activities, energy/mood, control, self-consiousness, and sexual function), with a 4-week recall. All items are scored on a 5-point scale, ranging from not at all to a very great deal for symptom severity items and none of the time to all of the time for the HRQL items. Symptom severity and HRQL subscale scores were summed and transformed into a 0 to 100 point scale to provide a total score for each of the 2 components.~Lower symptom severity scores indicate better quality of life and higher total HRQL scores indicate better quality of life." (NCT01441635)
Timeframe: Baseline and month 3

,,,,,,,,,
Interventionunits on a scale (Mean)
Symptom severityHRQL total
Cohort 1 Elagolix 200 mg BID-31.636.0
Cohort 1 Placebo-21.418.3
Cohort 2 Elagolix 300 mg BID-44.133.5
Cohort 2 Placebo-12.011.0
Cohort 3 Elagolix 200 mg BID + LD E2/NETA-20.328.6
Cohort 4 Elagolix 100 mg BID-33.229.1
Cohort 4 Elagolix 400 mg QD-39.035.3
Cohort 4 Placebo-19.616.3
Cohort 5 Elagolix 600 mg QD-36.429.9
Cohort 6 Elagolix 300 mg BID + CEP-39.133.1

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Change From Baseline to Month 3 in the Subject Surgery Intention Questionnaire (SSIQ) Version 2.0

"The Subject Intention Questionnaire (SSIQ) is a non-validated, exploratory questionnaires intended to evaluate the subject's intent to undergo surgical procedures if current endometriosis-associated symptoms continued. The scoring scale ranged from 0 (not at all likely to consider surgery) to 10 (very likely to consider surgery).~SSIQ included the 2 following questions:~How likely are you to consider having myomectomy surgery to treat your uterine fibroid if your symptoms continue as they are now?~How likely are you to consider hysterectomy surgery if your uterine fibroid symptoms continue as they are now?" (NCT01441635)
Timeframe: Baseline and month 3

,,,,,,,,,
Interventionunits on a scale (Mean)
Likelihood of having myomectomyLikelihood of having hysterectomy
Cohort 1 Elagolix 200 mg BID-1.8-0.8
Cohort 1 Placebo2.3-0.3
Cohort 2 Elagolix 300 mg BID-0.60.2
Cohort 2 Placebo0.40.0
Cohort 3 Elagolix 200 mg BID + LD E2/NETA-1.4-0.7
Cohort 4 Elagolix 100 mg BID-3.1-1.9
Cohort 4 Elagolix 400 mg QD-1.20.0
Cohort 4 Placebo1.02.0
Cohort 5 Elagolix 600 mg QD-1.7-0.8
Cohort 6 Elagolix 300 mg BID + CEP0.1-1.5

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Change From Baseline to Month 3 in the Physician Surgery Intention Questionnaire (PSIQ) Version 2.0

"The Physician Intention Questionnaire (PSIQ) is a non-validated, exploratory questionnaire intended to evaluate the investigator's intent to recommend surgical procedures if current endometriosis-associated symptoms continued. The scoring scale ranged from 0 (not at all likely to recommend surgery) to 10 (very likely to recommend surgery).~The PSIQ included the 2 following questions:~How likely are you to recommend myomectomy to treat this patient's uterine fibroid if her symptoms continue as they are now?~How likely are you to recommend definitive surgery hysterectomy for this patient if her uterine fibroid symptoms continue as they are now?" (NCT01441635)
Timeframe: Baseline and month 3

,,,,,,,,,
Interventionunits on a scale (Mean)
Likelihood to recommend myomectomyLikelihood to recommend hysterectomy
Cohort 1 Elagolix 200 mg BID-0.8-2.2
Cohort 1 Placebo0.70.4
Cohort 2 Elagolix 300 mg BID-1.2-1.5
Cohort 2 Placebo0.0-0.6
Cohort 3 Elagolix 200 mg BID + LD E2/NETA-0.6-1.4
Cohort 4 Elagolix 100 mg BID-1.3-1.8
Cohort 4 Elagolix 400 mg QD-0.9-0.8
Cohort 4 Placebo-2.7-0.2
Cohort 5 Elagolix 600 mg QD-1.3-2.3
Cohort 6 Elagolix 300 mg BID + CEP0.0-2.8

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Percentage of Participants With MBL < 80 mL During the Last 28 Days of Treatment

"The alkaline hematin method was used for the assessment of MBL. Sanitary products were collected at screening and for any spotting or bleeding episodes that occurred during treatment.~Participants with missing MBL volume for the last treatment period and no bleeding indicated in the electronic daily bleeding diary (eDiary) in the last treatment period, and participants with no post-baseline MBL data were assigned an MBL value of zero." (NCT01441635)
Timeframe: The last 28 days of treatment (approximately days 61 to 90)

Interventionpercentage of participants (Number)
Cohort 4 Elagolix 400 mg QD84
Cohort 4 Elagolix 100 mg BID74
Cohort 4 Placebo13
Cohort 1 Elagolix 200 mg BID85
Cohort 1 Placebo22
Cohort 3 Elagolix 200 mg BID + LD E2/NETA88
Cohort 5 Elagolix 600 mg QD93
Cohort 2 Elagolix 300 mg BID97
Cohort 2 Placebo47
Cohort 6 Elagolix 300 mg BID + CEP88

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Percentage of Participants With MBL < 80 mL and With a ≥ 50% Reduction From Baseline in MBL During the Last 28 Days of Treatment

"The alkaline hematin method was used for the assessment of MBL. Sanitary products were collected at screening and for any spotting or bleeding episodes that occurred during treatment.~Participants with missing MBL volume for the last treatment period and no bleeding indicated in the electronic daily bleeding diary (eDiary) in the last treatment period, and participants with no post-baseline MBL data were assigned an MBL value of zero." (NCT01441635)
Timeframe: Baseline (last menstrual cycle during the screening period) and the last 28 days of treatment (approximately days 61 to 90)

Interventionpercentage of participants (Number)
Cohort 4 Elagolix 400 mg QD84
Cohort 4 Elagolix 100 mg BID74
Cohort 4 Placebo13
Cohort 1 Elagolix 200 mg BID85
Cohort 1 Placebo17
Cohort 3 Elagolix 200 mg BID + LD E2/NETA85
Cohort 5 Elagolix 600 mg QD93
Cohort 2 Elagolix 300 mg BID97
Cohort 2 Placebo33
Cohort 6 Elagolix 300 mg BID + CEP85

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Percentage of Participants With a ≥ 50% Reduction From Baseline in MBL During the Last 28 Days of Treatment

"The alkaline hematin method was used for the assessment of MBL. Sanitary products were collected at screening and for any spotting or bleeding episodes that occurred during treatment.~Participants with missing MBL volume for the last treatment period and no bleeding indicated in the electronic daily bleeding diary (eDiary) in the last treatment period, and participants with no post-baseline MBL data were assigned an MBL value of zero." (NCT01441635)
Timeframe: Baseline (last menstrual cycle during the screening period) and the last 28 days of treatment (approximately days 61 to 90)

Interventionpercentage of participants (Number)
Cohort 4 Elagolix 400 mg QD84
Cohort 4 Elagolix 100 mg BID74
Cohort 4 Placebo13
Cohort 1 Elagolix 200 mg BID91
Cohort 1 Placebo28
Cohort 3 Elagolix 200 mg BID + LD E2/NETA85
Cohort 5 Elagolix 600 mg QD93
Cohort 2 Elagolix 300 mg BID97
Cohort 2 Placebo40
Cohort 6 Elagolix 300 mg BID + CEP88

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Percentage of Participants With ≥ 25% Reduction in Uterine Volume at Month 3 / Final Visit

Uterine volume was determined using transabdominal ultrasound. The images were analyzed by a central imaging center. (NCT01441635)
Timeframe: Baseline and month 3 or the final visit during the treatment period for participants who prematurely discontinued.

Interventionpercentage of participants (Number)
Cohort 4 Elagolix 400 mg QD53
Cohort 4 Elagolix 100 mg BID43
Cohort 4 Placebo7
Cohort 1 Elagolix 200 mg BID48
Cohort 1 Placebo11
Cohort 3 Elagolix 200 mg BID + LD E2/NETA42
Cohort 5 Elagolix 600 mg QD56
Cohort 2 Elagolix 300 mg BID69
Cohort 2 Placebo7
Cohort 6 Elagolix 300 mg BID + CEP25

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Percent Change From Baseline to the Last 28 Days of Treatment in Menstrual Blood Loss (MBL)

"The alkaline hematin method was used for the assessment of MBL. Sanitary products were collected at screening and for any spotting or bleeding episodes that occurred during treatment.~Participants with missing MBL volume for the last treatment period and no bleeding indicated in the electronic daily bleeding diary (eDiary) in the last treatment period, and participants with no post-baseline MBL data were assigned an MBL value of zero." (NCT01441635)
Timeframe: Baseline (last menstrual cycle during the screening period) and the last 28 days of treatment (approximately days 61 to 90)

Interventionpercent change (Mean)
Cohort 4 Elagolix 400 mg QD-83.83
Cohort 4 Elagolix 100 mg BID-71.85
Cohort 4 Placebo-6.98
Cohort 1 Elagolix 200 mg BID-81.03
Cohort 1 Placebo-11.12
Cohort 3 Elagolix 200 mg BID + LD E2/NETA-79.60
Cohort 5 Elagolix 600 mg QD-88.58
Cohort 2 Elagolix 300 mg BID-97.31
Cohort 2 Placebo-42.64
Cohort 6 Elagolix 300 mg BID + CEP-85.39

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Percent Change From Baseline to Month 3 in Volume of the Largest Fibroid

The volume of the largest fibroid was determined using transabdominal ultrasound. The images were analyzed by a central imaging center. (NCT01441635)
Timeframe: Baseline and month 3

Interventionpercent change (Mean)
Cohort 4 Elagolix 400 mg QD14.23
Cohort 4 Elagolix 100 mg BID-22.19
Cohort 4 Placebo-7.26
Cohort 1 Elagolix 200 mg BID-38.52
Cohort 1 Placebo-2.05
Cohort 3 Elagolix 200 mg BID + LD E2/NETA-25.77
Cohort 5 Elagolix 600 mg QD-16.60
Cohort 2 Elagolix 300 mg BID-35.79
Cohort 2 Placebo6.70
Cohort 6 Elagolix 300 mg BID + CEP-4.94

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Percent Change From Baseline to Month 3 in Uterine Volume

Uterine volume was determined using transabdominal ultrasound. The images were analyzed by a central imaging center. (NCT01441635)
Timeframe: Baseline and month 3

Interventionpercent change (Mean)
Cohort 4 Elagolix 400 mg QD-21.01
Cohort 4 Elagolix 100 mg BID-21.37
Cohort 4 Placebo18.72
Cohort 1 Elagolix 200 mg BID-21.68
Cohort 1 Placebo-8.62
Cohort 3 Elagolix 200 mg BID + LD E2/NETA-17.43
Cohort 5 Elagolix 600 mg QD-27.99
Cohort 2 Elagolix 300 mg BID-33.25
Cohort 2 Placebo-1.92
Cohort 6 Elagolix 300 mg BID + CEP-10.06

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Change in Hemoglobin Concentration From Baseline to Month 3

(NCT01441635)
Timeframe: Baseline and Month 3

Interventiong/dL (Mean)
Cohort 4 Elagolix 400 mg QD1.18
Cohort 4 Elagolix 100 mg BID1.30
Cohort 4 Placebo-0.43
Cohort 1 Elagolix 200 mg BID1.13
Cohort 1 Placebo0.28
Cohort 3 Elagolix 200 mg BID + LD E2/NETA0.92
Cohort 5 Elagolix 600 mg QD1.40
Cohort 2 Elagolix 300 mg BID1.19
Cohort 2 Placebo0.31
Cohort 6 Elagolix 300 mg BID + CEP1.54

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Change From Baseline to Month 3 in Uterine Bleeding Score

"Participants recorded the previous days' presence and severity of bleeding every morning in an electronic diary (eDiary) according to the Mansfield-Voda-Jorgenson Menstrual Bleeding Scale:~1 (Spotting): A drop or 2 of blood, not even requiring sanitary protection.~2 (Very light): Needing to change the least absorbent tampon or pad 1 to 2 times per day.~3 (Light): Needing to change a low or regular absorbency tampon or pad 2 or 3 times per day.~4 (Moderate): Needing to change a regular absorbency tampon or pad every 3 to 4 hours.~5 (Heavy): Needing to change a high absorbency tampon or pad every 3 to 4 hours.~6 (Very heavy/gushing): Very heavy bleeding, protection hardly works at all; needing to change the highest absorbency tampon or pad every hour or 2." (NCT01441635)
Timeframe: Baseline (average bleeding score over the 30 days prior to first dose) and month 3 (average bleeding score over days 61 to 90)

Interventionunits on a scale (Mean)
Cohort 4 Elagolix 400 mg QD-0.50
Cohort 4 Elagolix 100 mg BID-0.37
Cohort 4 Placebo-0.19
Cohort 1 Elagolix 200 mg BID-0.52
Cohort 1 Placebo-0.22
Cohort 3 Elagolix 200 mg BID + LD E2/NETA-0.24
Cohort 5 Elagolix 600 mg QD-0.44
Cohort 2 Elagolix 300 mg BID-0.53
Cohort 2 Placebo-0.38
Cohort 6 Elagolix 300 mg BID + CEP-0.25

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AUC Norethindrone

0, 1, 2, 3, 4, 6, 8, 12, 24, 48, 72, 96 hours post-dose on Day 21 (NCT01667978)
Timeframe: following 21 days of continuous ingestion

Interventionng*h/mL (Mean)
Protease Inhibitor37.81
Control25.21

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Percentage of Participants With a Menstrual Blood Loss (MBL) Volume of < 80 mL at the Final Month and a ≥ 50% Reduction in MBL Volume From Baseline to the Final Month

The percentage of participants meeting a composite endpoint consisting of these 2 bleeding assessments: a MBL Volume of < 80 mL at the Final Month and a ≥50% Reduction in MBL Volume from Baseline to the Final Month (last 28 days of treatment). Baseline is defined as the last qualified menstrual cycle during the screening period. (NCT01817530)
Timeframe: Baseline, Final Month (last 28 days of treatment)

Interventionpercentage of participants (Number)
Cohort 1: Placebo26.56
Cohort 1: Elagolix 300 mg BID91.94
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD85.25
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD79.03
Cohort 2: Placebo31.58
Cohort 2: Elagolix 600 mg QD90.14
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD72.6
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD81.58

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Percentage of Participants With a MBL Volume < 80 mL and a ≥ 50% Reduction in MBL Volume From Baseline During the Last 84 to 57 Days of Treatment

The percentage of participants meeting a composite endpoint consisting of these 2 bleeding assessments: a MBL volume < 80 mL and a ≥ 50% reduction in MBL volume from baseline during the last 84 to 57 days of last treatment. Baseline is defined as the last qualified menstrual cycle during the screening period. (NCT01817530)
Timeframe: Baseline, third last 28 days of treatment (last 84 to 57 days of treatment)

Interventionpercentage of participants (Number)
Cohort 1: Placebo19.67
Cohort 1: Elagolix 300 mg BID96.43
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD89.47
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD79.31
Cohort 2: Placebo21.62
Cohort 2: Elagolix 600 mg QD86.36
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD74.19
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD72.31

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Percentage of Participants With ≥ 25% Reduction From Baseline in Uterine Volume at Month 3, Month 6, and Final Visit

Uterine volume was measured by transvaginal ultrasound or transabdominal ultrasound. (NCT01817530)
Timeframe: Baseline, Month 3, Month 6, and Final Visit during treatment period (Month 6 or early termination)

,,,,,,,
Interventionpercentage of participants (Number)
Month 3Month 6Final Visit
Cohort 1: Elagolix 300 mg BID73.178.773.2
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD42.958.058.9
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD18.531.926.8
Cohort 1: Placebo5.22.03.4
Cohort 2: Elagolix 600 mg QD57.162.563.1
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD36.832.729.3
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD17.526.023.4
Cohort 2: Placebo1.41.61.4

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Percentage of Participants With a MBL Volume < 80 mL and a ≥ 50% Reduction in MBL Volume From Baseline During the Last 56 to 29 Days of Treatment

The percentage of participants meeting a composite endpoint consisting of these 2 bleeding assessments: a MBL volume < 80 mL and a ≥ 50% reduction in MBL volume from baseline during the last 56 to 29 days of last treatment. Baseline is defined as the last qualified menstrual cycle during the screening period. (NCT01817530)
Timeframe: Baseline, second last 28 days of treatment (last 56 to 29 days of treatment)

Interventionpercentage of participants (Number)
Cohort 1: Placebo11.29
Cohort 1: Elagolix 300 mg BID94.83
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD88.14
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD85.00
Cohort 2: Placebo18.42
Cohort 2: Elagolix 600 mg QD85.29
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD67.19
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD77.14

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Change in Bleeding Severity Scores From Baseline at the Final Month

The average bleeding score was calculated for each 28-day interval starting on Day 29 using data collected on daily bleeding diary using the Mansfield-Voda-Jorgenson (MVJ) Menstrual Bleeding Scale (1=spotting, 2 = very light bleeding, 3 = light bleeding, 4 = moderate bleeding, 5 = heavy bleeding, 6 = very heavy/gushing bleeding). Baseline is defined as the last 28 days prior to the first day of study drug. (NCT01817530)
Timeframe: Baseline, Final Month (last 28 days of treatment)

Interventionunits on a scale (Least Squares Mean)
Cohort 1: Placebo-0.3
Cohort 1: Elagolix 300 mg BID-0.7
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD-0.4
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD-0.1
Cohort 2: Placebo-0.2
Cohort 2: Elagolix 600 mg QD-0.4
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD-0.3
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD-0.1

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Mean Change in Hemoglobin Concentration From Baseline to Final Visit

Baseline is defined as the last measurement prior to the first dose of study drug. (NCT01817530)
Timeframe: Baseline, Final Visit during treatment period (Month 6 or early termination)

Interventiong/dL (Least Squares Mean)
Cohort 1: Placebo0.6
Cohort 1: Elagolix 300 mg BID1.9
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD1.9
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD1.4
Cohort 2: Placebo0.3
Cohort 2: Elagolix 600 mg QD1.4
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD1.1
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD1.2

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Mean Change in the Number of Bleeding Days From Baseline to Month 6

The number of days with any bleeding including spotting was calculated using data collected on daily bleeding diary. Baseline is defined as the last 28 days prior to the first dose day of study drug. (NCT01817530)
Timeframe: Baseline, Month 6

Interventiondays (Least Squares Mean)
Cohort 1: Placebo-1.2
Cohort 1: Elagolix 300 mg BID-4.9
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD-2.7
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD-1.1
Cohort 2: Placebo-1.4
Cohort 2: Elagolix 600 mg QD-3.3
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD-1.3
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD-1.8

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Percentage of Participants With a ≥ 50% Reduction in MBL Volume From Baseline to the Final Month

Percentage of participants with a >= 50% reduction from baseline in MBL to the Final Month (last 28 days of treatment). Baseline is defined as the last qualified menstrual cycle during the screening period. (NCT01817530)
Timeframe: Baseline, Final Month (last 28 days of treatment)

Interventionpercentage of participants (Number)
Cohort 1: Placebo31.25
Cohort 1: Elagolix 300 mg BID93.55
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD86.89
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD82.26
Cohort 2: Placebo35.53
Cohort 2: Elagolix 600 mg QD90.14
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD79.45
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD85.53

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Percentage of Participants Who Achieved Suppression of Bleeding During the Last 56 Days of Treatment

Suppression of bleeding is defined as having 0 days of bleeding based on observed validated and nonvalidated alkaline hematin data and having 0 days of bleeding (spotting is allowed) based on imputed electronic diary data during the last 56 days of treatment. (NCT01817530)
Timeframe: Last 56 days of treatment (after 10 days from first dose date)

Interventionpercentage of participants (Number)
Cohort 1: Placebo1.6
Cohort 1: Elagolix 300 mg BID75.4
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD52.6
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD43.3
Cohort 2: Placebo2.7
Cohort 2: Elagolix 600 mg QD67.2
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD31.7
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD34.8

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Percentage of Participants Who Achieved an MBL Volume of < 80 mL at the Final Month

Percentage of participants who achieved an MBL volume of < 80 mL at the Final Month (last 28 days of treatment). Baseline is defined as the last qualified menstrual cycle during the screening period. (NCT01817530)
Timeframe: Final Month (last 28 days of treatment)

Interventionpercentage of participants (Number)
Cohort 1: Placebo32.81
Cohort 1: Elagolix 300 mg BID91.94
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD88.52
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD79.03
Cohort 2: Placebo36.84
Cohort 2: Elagolix 600 mg QD91.55
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD72.6
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD85.53

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Percentage of Participants Who Achieved Amenorrhea During the Last 56 Days of Treatment

Amenorrhea is defined as having 0 days of bleeding or spotting based on observed validated and nonvalidated alkaline hematin data and having 0 days of bleeding or spotting, based on imputed electronic diary data during the last 56 days of treatment. Participants needed to have at least 66 days on treatment. (NCT01817530)
Timeframe: Last 56 days of treatment (after 10 days from first dose date)

Interventionpercentage of participants (Number)
Cohort 1: Placebo1.6
Cohort 1: Elagolix 300 mg BID56.1
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD33.3
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD28.3
Cohort 2: Placebo1.3
Cohort 2: Elagolix 600 mg QD50.7
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD17.5
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD22.7

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Mean Change in the Number of Heavy Bleeding Days From Baseline to Month 6

The number of days with heavy bleeding (either heavy or very heavy/gushing bleeding) was calculated using data collected on daily bleeding diary. Baseline is defined as the last 28 days prior to the first dose day of study drug. (NCT01817530)
Timeframe: Baseline, Month 6

Interventiondays (Least Squares Mean)
Cohort 1: Placebo-1.0
Cohort 1: Elagolix 300 mg BID-2.0
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD-1.9
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD-1.7
Cohort 2: Placebo-0.7
Cohort 2: Elagolix 600 mg QD-1.2
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD-1.4
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD-1.8

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Change From Baseline to Each Month in Non-Bleeding Uterine Fibroids Symptom (NBUFSQ) Questionnaire

The NBUFSQ (8 items) is a brief patient-reported daily diary that assesses non-bleeding symptoms experienced by women with uterine fibroids. It includes 6 items, asking women to rate their symptoms (abdominal/pelvic pain, pressure, and cramping, back pain, bloating, and urinary problems) in the past 24 hours using an 11-point numeric response scale that ranges from 0 (i.e., no symptom) to 10 (i.e., worst possible symptom) and 2 items to address urinary frequency during the daytime and at night. Data presented in the sum of scores to the 6 symptom questions, ranging from 0 (no symptoms) to 60 (worst possible symptoms). Baseline is defined as the last 28 days prior to the first day of study drug. Final Month is defined as the last 28 days prior to and including the last dose date of study drug. (NCT01817530)
Timeframe: Baseline, Days 1-28, Days 29-56, Days 57-84, Days 85-112, Days 113-140, Days 141-168, Final Month of treatment, Post-treatment (PT) Days 1-28, PT Days 29-56, PT Days 57-84, PT Days 85-112, PT Days 113-140, PT Days 141-168

,,,,,,,
Interventionunits on a scale (Least Squares Mean)
Days 1-28Days 29-56Days 57-84Days 85-112Days 113-140Days 141-168Final MonthPT Days 1-28PT Days 29-56PT Days 57-84PT Days 85-112PT Days 113-140PT Days 141-168
Cohort 1: Elagolix 300 mg BID-3.4-5.8-7.2-7.8-7.6-8.0-6.7-5.2-4.1-4.0-6.4-3.1-8.0
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD-3.1-4.4-4.1-5.2-5.3-5.1-4.1-3.8-1.0-2.1-4.81.34.1
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD-1.4-2.9-3.2-3.7-3.4-3.3-3.5-3.00.0-1.10.71.4-3.3
Cohort 1: Placebo-3.3-4.5-5.6-7.0-4.1-6.8-5.3-5.6-5.7-5.4-4.43.47.5
Cohort 2: Elagolix 600 mg QD-2.7-4.2-4.5-5.1-5.5-5.9-4.0-3.8-2.8-2.0-2.4-17.3-3.1
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD-2.1-2.2-2.2-3.6-4.0-4.4-3.3-2.0-2.7-1.6-3.0-5.6-3.3
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD0.0-2.3-3.8-4.1-5.3-4.8-2.3-2.3-2.5-3.9-5.0-7.0-6.4
Cohort 2: Placebo0.4-0.30.1-0.20.1-0.4-0.8-0.8-0.2-0.5-2.7-6.2-10.5

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Mean Percentage Change From Baseline in Primary Fibroid Volume at Month 3, Month 6, and Final Visit

Volume of the largest fibroid (primary fibroid), as measured by transvaginal ultrasound, or transabdominal ultrasound. (NCT01817530)
Timeframe: Baseline, Month 3, Month 6, and Final Visit during treatment period (Month 6 or early termination)

,,,,,,,
Interventionpercentage change (Mean)
Month 3Month 6Final Visit
Cohort 1: Elagolix 300 mg BID-35.5-36.1-35.6
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD-20.3-19.620.0
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD-3.70.0-2.7
Cohort 1: Placebo6.913.29.0
Cohort 2: Elagolix 600 mg QD-33.6-33.5-34.8
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD-17.2-12.2-12.8
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD-1.9-0.70.0
Cohort 2: Placebo6.71.43.0

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Mean Percentage Change From Baseline in Total Fibroid Volume at Month 3, Month 6, and Final Visit

Volume of the total fibroid volume (3 largest fibroids), as measured by transvaginal ultrasound, or transabdominal ultrasound. (NCT01817530)
Timeframe: Baseline, Month 3, Month 6, and Final Visit during treatment period (Month 6 or early termination)

,,,,,,,
Interventionpercentage change (Mean)
Month 3Month 6Final Visit
Cohort 1: Elagolix 300 mg BID-41.9-40.2-39.6
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD-24.6-23.3-24.0
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD-9.8-8.8-12.9
Cohort 1: Placebo1.78.34.6
Cohort 2: Elagolix 600 mg QD-34.4-34.2-36.4
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD-17.5-17.8-16.6
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD-4.6-1.1-1.6
Cohort 2: Placebo5.4-1.80.1

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Mean Percentage Change From Baseline in Uterine Volume at Month 3, Month 6, and Final Visit

Uterine volume, as measured by transvaginal ultrasound or transabdominal ultrasound. (NCT01817530)
Timeframe: Baseline, Month 3, Month 6, and Final Visit during treatment period (Month 6 or early termination)

,,,,,,,
Interventionpercentage change (Mean)
Month 3Month 6Final Visit
Cohort 1: Elagolix 300 mg BID-30.9-35.6-31.5
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD-19.4-21.9-22.0
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD-7.3-13.2-11.8
Cohort 1: Placebo7.317.515.9
Cohort 2: Elagolix 600 mg QD-24.7-26.00-26.6
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD-15.7-13.5-11.5
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD-6.1-9.0-6.7
Cohort 2: Placebo8.410.711.6

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Percentage of Participants With ≥ 25% Reduction From Baseline in Primary Fibroid Volume at Month 3, Month 6, and Final Visit

Volume of the largest fibroid (primary fibroid) was measured by transvaginal ultrasound or transabdominal ultrasound. (NCT01817530)
Timeframe: Baseline, Month 3, Month 6, and Final Visit during treatment period (Month 6 or early termination)

,,,,,,,
Interventionpercentage of participants (Number)
Month 3Month 6Final Visit
Cohort 1: Elagolix 300 mg BID67.370.569.8
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD46.247.950.0
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD23.426.227.5
Cohort 1: Placebo13.224.424.5
Cohort 2: Elagolix 600 mg QD63.264.066.1
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD37.738.640.0
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD22.434.830.0
Cohort 2: Placebo10.914.513.6

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Percentage of Participants With ≥ 25% Reduction From Baseline in Total Fibroid Volume at Month 3, Month 6, and Final Visit

Total fibroid volume (3 largest fibroids) was measured by transvaginal ultrasound, or transabdominal ultrasound. (NCT01817530)
Timeframe: Baseline, Month 3, Month 6, and Final Visit during treatment period (Month 6 or early termination)

,,,,,,,
Interventionpercentage of participants (Number)
Month 3Month 6Final Visit
Cohort 1: Elagolix 300 mg BID79.675.073.6
Cohort 1: Elagolix 300 mg BID Plus LD E2/NETA QD50.054.257.4
Cohort 1: Elagolix 300 mg BID Plus SD E2/NETA QD31.940.541.2
Cohort 1: Placebo13.224.424.5
Cohort 2: Elagolix 600 mg QD66.762.064.4
Cohort 2: Elagolix 600 mg QD Plus LD E2/NETA QD34.040.940.0
Cohort 2: Elagolix 600 mg QD Plus SD E2/NETA QD22.434.830.0
Cohort 2: Placebo9.418.216.7

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Impact of Aygestin (and Dose of Aygestin) on the Management of Bothersome Bleeding Associated With the Etonogestrel Contraceptive Implant

"Bothersome bleeding was defined per WHO classification as either frequent bleeding (greater than 5 bleeding-spotting episodes in a 90-day reference period) or prolonged bleeding (any bleeding-spotting episode, uninterrupted, lasting greater than 14 days in a 90-day reference period)~The scale used was derived from the WHO classification system:~Bleeding Day (assigned value = 1) Spotting Day (assigned value = .5) Bleeding Free Day (assigned value = 0) Prefer not to answer today (assigned value = missing)~Higher scores (average of the time period) indicate more bothersome bleeding; low scores indicate less bothersome bleeding. Less bothersome bleeding is the desired outcome.~Note, the scale is not a published scale but rather was constructed for this study." (NCT02353247)
Timeframe: Initial 3 months of baseline collection (medicine free); For intervention group, 3 months of medicine, followed by 3 months of medicine free; For control group, 6 months of medicine free.

Interventionunits on a scale (Mean)
Control Group T12.73
Control Group T22.77
Control Group T32.76
Intervention Group T12.27
Intervention Group T22.65
Intervention Group T32.67

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Change in Score in Worst Pain Over the Last Month

"visual analog scale, minimum=0 and maximum=10 Higher numbers are a worse outcome~Outcome measures is calculated as the value at 6 months minus value at baseline." (NCT02542410)
Timeframe: Baseline, 6 months

Interventionscore on a scale (Median)
Norethindrone Acetate 5 mg-0.5
Cabergoline 0.5 mg-5

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Changes in Pain Interference Scores

"Brief Pain Inventory Interference subscale is a 7-item self-report measure, designed to assess the extent to which pain interferes with various components of functioning, including physical and emotional functioning and sleep.The items in this scale can be grouped into those that assess physical functioning (general activity; walking ability; normal work, including both work outside the home and housework), those that assess emotional functioning (mood; relations with people; enjoyment of life), and a single item that assess the extent to which pain interferes with sleep. The arithmetic mean of the seven interference items is used as a measure of pain interference (i.e., how much a participant's pain interferes with her ability to complete activities of daily living and functioning). The score on the pain interference subscale ranges from 0-70. Higher scores are worse outcomes.~Outcome measure calculated as the value at 6 months minus the value at baseline" (NCT02542410)
Timeframe: Baseline, 6 months

Interventionunits on a scale (Mean)
Norethindrone Acetate 5 mg0.85
Cabergoline 0.5 mg0

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Change From Baseline in MBL Volume to Month 1

(NCT02654054)
Timeframe: Month 0 (Baseline), Month 1

InterventionmL (Least Squares Mean)
Placebo-19.0
Elagolix-209.0
Elagolix + Estradiol/Norethindrone Acetate-135.2

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Change From Baseline in MBL Volume to the Final Month

"Baseline MBL volume was defined as the mean of total MBL volume from all the qualified menstrual cycles during the Screening Period, in which the total MBL volume is from all validated and non-validated sanitary products and the MBL volume of validated sanitary products only (excluding non-validated sanitary products) was greater than 80 mL.~The Reference Day is defined as the last visit date during the Treatment Period (last treatment visit date) or the last dose date if there are evaluable alkaline hematin data after the last treatment visit date and prior to or on the last dose date." (NCT02654054)
Timeframe: Month 0 (Baseline), Final Month (the last 28 days prior to and including the Reference Day), up to Month 6

InterventionmL (Least Squares Mean)
Placebo0.8
Elagolix-221.5
Elagolix + E2/NETA-176.7

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Percentage of Participants With Suppression of Bleeding at the Final Month

"Suppression of bleeding is defined as having 0 days of bleeding (spotting is allowed) during the Final Month with the interval starting from Study Day 11.~The Reference Day is defined as the last visit date during the Treatment Period (last treatment visit date) or the last dose date if there are evaluable alkaline hematin data after the last treatment visit date and prior to or on the last dose date." (NCT02654054)
Timeframe: Final Month (the last 28 days prior to and including the Reference Day), up to Month 6

Interventionpercentage of participants (Number)
Placebo4.4
Elagolix84.0
Elagolix + E2/NETA56.8

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Percentage of Participants With Baseline Hemoglobin <= 10.5 g/dL Who Have an Increase in Hemoglobin > 2 g/dL at Month 6

(NCT02654054)
Timeframe: Month 0 (Baseline), Month 6

Interventionpercentage of participants (Number)
Placebo16.1
Elagolix65.9
Elagolix + E2/NETA61.5

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Percentage of Participants Meeting the Criteria for Responder

"Percentage of responders, defined as participants who met the following conditions:~Menstrual blood loss (MBL) volume < 80 mL during the Final Month (the last 28 days prior to and including the Reference Day, which is defined as the last visit date during the Treatment Period [last treatment visit date] or the last dose date if there are evaluable alkaline hematin data after the last treatment visit date and prior to or on the last dose date), and~≥ 50% reduction in MBL volume from Baseline to the Final Month.~Participants who prematurely discontinued study drug due to lack of efficacy, requires surgery or invasive intervention for treatment of uterine fibroids, or adverse events were considered non-responders regardless of whether she meets the two aforementioned responder criteria or not." (NCT02654054)
Timeframe: Final Month (the last 28 days prior to and including the Reference Day), up to Month 6

Interventionpercentage of participants (Number)
Placebo8.7
Elagolix84.1
Elagolix + E2/NETA68.5

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Change From Baseline in MBL Volume to Month 6

(NCT02654054)
Timeframe: Month 0 (Baseline), Month 6

InterventionmL (Least Squares Mean)
Placebo-2.3
Elagolix-236.2
Elagolix + E2/NETA-194.7

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Change From Baseline in MBL Volume to Month 3

(NCT02654054)
Timeframe: Month 0 (Baseline), Month 3

InterventionmL (Least Squares Mean)
Placebo6.1
Elagolix-234.7
Elagolix + E2/NETA-192.2

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Percentage of Participants With Suppression of Bleeding at the Final Month

"Suppression of bleeding is defined as having 0 days of bleeding (spotting is allowed) during the Final Month with the interval starting from Study Day 11.~The Reference Day is defined as the last visit date during the Treatment Period (last treatment visit date) or the last dose date if there are evaluable alkaline hematin data after the last treatment visit date and prior to or on the last dose date." (NCT02691494)
Timeframe: Final Month (the last 28 days prior to and including the Reference Day), up to Month 6

Interventionpercentage of participants (Number)
Placebo4.7
Elagolix88.9
Elagolix + E2/NETA61.0

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Change From Baseline in MBL Volume to the Final Month

"Baseline MBL volume was defined as the mean of total MBL volume from all the qualified menstrual cycles during the Screening Period, in which the total MBL volume is from all validated and non-validated sanitary products and the MBL volume of validated sanitary products only (excluding non-validated sanitary products) was greater than 80 mL.~The Reference Day is defined as the last visit date during the Treatment Period (last treatment visit date) or the last dose date if there are evaluable alkaline hematin data after the last treatment visit date and prior to or on the last dose date." (NCT02691494)
Timeframe: Baseline and Final Month (the last 28 days prior to and including the Reference Day), up to Month 6

InterventionmL (Least Squares Mean)
Placebo-4.3
Elagolix-198.8
Elagolix + E2/NETA-168.8

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Change From Baseline in MBL Volume to Month 6

Baseline MBL volume was defined as the mean of total MBL volume from all the qualified menstrual cycles during the Screening Period, in which the total MBL volume is from all validated and non-validated sanitary products and the MBL volume of validated sanitary products only (excluding non-validated sanitary products) was greater than 80 mL. (NCT02691494)
Timeframe: Month 0 (Baseline), Month 6

InterventionmL (Least Squares Mean)
Placebo28.5
Elagolix-223.7
Elagolix + E2/NETA-198.1

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Percentage of Participants Meeting the Criteria for Responder

"Percentage of responders, defined as participants who met the following conditions:~Menstrual blood loss (MBL) volume < 80 mL during the Final Month (the last 28 days prior to and including the Reference Day, which is defined as the last visit date during the Treatment Period (last treatment visit date) or the last dose date if there are evaluable alkaline hematin data after the last treatment visit date and prior to or on the last dose date), and~≥ 50% reduction in MBL volume from Baseline to the Final Month.~Participants who prematurely discontinued study drug due to lack of efficacy, requires surgery or invasive intervention for treatment of uterine fibroids, or adverse events were considered non-responders regardless of whether she meets the two aforementioned responder criteria or not." (NCT02691494)
Timeframe: Final Month (the last 28 days prior to and including the Reference Day), up to Month 6

Interventionpercentage of participants (Number)
Placebo10.5
Elagolix76.9
Elagolix + E2/NETA76.5

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Change From Baseline in MBL Volume to Month 3

Baseline MBL volume was defined as the mean of total MBL volume from all the qualified menstrual cycles during the Screening Period, in which the total MBL volume is from all validated and non-validated sanitary products and the MBL volume of validated sanitary products only (excluding non-validated sanitary products) was greater than 80 mL. (NCT02691494)
Timeframe: Month 0 (Baseline), Month 3

InterventionmL (Least Squares Mean)
Placebo-14.2
Elagolix-211.1
Elagolix + E2/NETA-200.3

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Change From Baseline in MBL Volume to Month 1

Baseline MBL volume was defined as the mean of total MBL volume from all the qualified menstrual cycles during the Screening Period, in which the total MBL volume is from all validated and non-validated sanitary products and the MBL volume of validated sanitary products only (excluding non-validated sanitary products) was greater than 80 mL. (NCT02691494)
Timeframe: Month 0 (Baseline), Month 1

InterventionmL (Least Squares Mean)
Placebo-2.1
Elagolix-196.6
Elagolix + E2/NETA-127.0

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Percentage of Participants With Baseline Hemoglobin <= 10.5 g/dL Who Have an Increase in Hemoglobin > 2 g/dL at Month 6

(NCT02691494)
Timeframe: Month 0 (Baseline), Month 6

Interventionpercentage of participants (Number)
Placebo20.8
Elagolix40.0
Elagolix + E2/NETA50.0

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Change From Baseline in MBL Volume For Each 28-Day Interval and Final Month of the Treatment Period

Baseline MBL volume was defined as the mean of total MBL volume from all the qualified menstrual cycles during the Screening Period of the pivotal study, in which the total MBL volume is from all validated and non-validated sanitary products and the MBL volume of validated sanitary products only (excluding non-validated sanitary products) was greater than 80 mL. (NCT02925494)
Timeframe: Month 0 (Baseline in Pivotal Study), Extension Study: Day 1 to 28, Day 29 to 56, Day 57 to 84, Day 85 to 112, Day 113 to 140, Day 141 to 168, Final Month of Treatment Period (up through Month 6)

,,,
InterventionmL (Mean)
Study Day 1 to 28Study Day 29 to 56Study Day 57 to 84Study Day 85 to 112Study Day 113 to 140Study Day 141 to 168Final Month
Elagolix + E2/NETA->Elagolix + E2/NETA-186.5-191.9-200.6-200.5-192.9-211.4-205.6
Elagolix->Elagolix-253.4-249.7-255.9-252.0-253.9-279.1-250.3
Placebo->Elagolix-151.7-210.9-236.9-235.1-237.3-263.8-256.6
Placebo->Elagolix + E2/NETA-61.7-203.1-209.0-204.5-194.5-175.4-186.4

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Percent Change From Baseline in MBL Volume For Each 28-Day Interval and Final Month of the Treatment Period

Baseline MBL volume was defined as the mean of total MBL volume from all the qualified menstrual cycles during the Screening Period of the pivotal study, in which the total MBL volume is from all validated and non-validated sanitary products and the MBL volume of validated sanitary products only (excluding non-validated sanitary products) was greater than 80 mL. (NCT02925494)
Timeframe: Month 0 (Baseline in Pivotal Study), Extension Study: Day 1 to 28, Day 29 to 56, Day 57 to 84, Day 85 to 112, Day 113 to 140, Day 141 to 168, Final Month of Treatment Period (up through Month 6)

,,,
Interventionpercentage change (Mean)
Study Day 1 to 28Study Day 29 to 56Study Day 57 to 84Study Day 85 to 112Study Day 113 to 140Study Day 141 to 168Final Month
Elagolix + E2/NETA->Elagolix + E2/NETA-87.7-87.8-90.6-91.2-87.5-89.7-90.8
Elagolix->Elagolix-94.0-93.3-96.9-95.2-97.7-99.2-96.6
Placebo->Elagolix-46.5-87.2-89.9-90.3-90.0-91.8-91.0
Placebo->Elagolix + E2/NETA-28.2-79.4-82.9-82.7-75.0-79.3-78.5

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Percentage of Participants Meeting the Criteria for Responder

"Percentage of responders, defined as participants who met the following conditions:~Menstrual blood loss (MBL) volume < 80 mL during the Final Month (the last 28 days prior to and including the last dose date), and~≥ 50% reduction in MBL volume from Baseline to the Final Month.~Participants who prematurely discontinued study drug due to lack of efficacy, requires surgery or invasive intervention for treatment of uterine fibroids, or adverse events were considered non-responders regardless of whether she meets the two aforementioned responder criteria or not." (NCT02925494)
Timeframe: From Month 0 (Baseline in Pivotal Study) to Final Month of Treatment Period (up through Month 6 in Extension Study)

Interventionpercentage of participants (Number)
Placebo->Elagolix85.7
Placebo->Elagolix + E2/NETA66.7
Elagolix->Elagolix89.4
Elagolix + E2/NETA->Elagolix + E2/NETA87.9

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Percentage of Participants With Baseline Hemoglobin Concentration ≤ 10.5 g/dL and an Increase From Baseline > 2 g/dL at Month 6 During the Treatment Period

(NCT02925494)
Timeframe: Month 6

Interventionpercentage of participants (Number)
Placebo->Elagolix70.6
Placebo->Elagolix + E2/NETA36.4
Elagolix->Elagolix71.4
Elagolix + E2/NETA->Elagolix + E2/NETA72.5

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Percentage of Participants With Suppression of Bleeding at the Final Month

Suppression of bleeding is defined as having 0 days of bleeding (spotting is allowed) during the Final Month with the interval starting from Study Day 11. (NCT02925494)
Timeframe: Final Month of Treatment Period (up through Month 6)

Interventionpercentage of participants (Number)
Placebo->Elagolix88.7
Placebo->Elagolix + E2/NETA56.0
Elagolix->Elagolix89.2
Elagolix->Elagolix + E2/NETA74.8

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Change From Baseline In Progesterone Serum Concentration At Week 24

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03049735)
Timeframe: Baseline, Week 24

Interventionng/mL (Mean)
Relugolix Plus E2/NETA (Group A)-0.05
Placebo (Group C)3.00

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Change From Baseline In UFS-QoL Bleeding And Pelvic Discomfort Scale Score

"The Bleeding and Pelvic Discomfort Scale consists of 3 items proximal to uterine fibroids that are experienced by most patients (heavy bleeding during the menstrual period [Question 1], passing blood clots during the menstrual period [Question 2], and feeling tightness or pressure in the pelvic area [Question 5]).Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of the time, most of the time and all of the time). Lower score indicates minimal symptom severity and higher score indicates maximum symptom severity. A negative change from baseline indicates improvement.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-45.0
Placebo (Group C)-16.1

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Number Of Participants Who Achieved A Maximum NRS Score ≤ 1 For Uterine Fibroid-associated Pain Over The Last 35 Days Of Treatment Who Had Maximum Pain Scores ≥ 4 During The 35 Days Prior To Randomization

"Uterine fibroid-associated pain was assessed by a pain NRS. The pain NRS is a validated, single-item, self-reported measure, which asks respondents to rank their pain on an 11-point scale as follows: 0 (no pain), 1 to 3 (mild pain), 4 to 6 (moderate pain), and 7 to 10 (severe pain).~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: From Baseline up to the last 35 days of treatment (up to 24 weeks)

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)33
Placebo (Group C)11

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Number Of Participants With A ≥ 30% Reduction in NRS Score From Baseline to Last 35 Days of Treatment Who Had Maximum Pain Scores ≥ 4 At Baseline

"Uterine fibroid-associated pain was assessed by a pain NRS. The pain NRS is a validated, single-item, self-reported measure, which asks respondents to rank their pain on an 11-point scale as follows: 0 (no pain), 1 to 3 (mild pain), 4 to 6 (moderate pain), and 7 to 10 (severe pain).~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)42
Placebo (Group C)27

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Number Of Participants With Hemoglobin Increase Of ≥ 1 g/dL From Baseline To Week 24 Among Those With Below Lower Limit Of Normal

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03049735)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)34
Placebo (Group C)17

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Number Of Responders With At Least 20 Points Decrease In UFS-QoL Bleeding And Pelvic Discomfort Scale Score

"A Responder was defined as meeting a meaningful change threshold, set as a 20-point change from Baseline, in the Bleeding And Pelvic Discomfort Scale at Week 24 on the transformed score.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)79
Placebo (Group C)35

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Number Of Responders With At Least 20 Points Increase From Baseline At Week 24 In UFS-QoL Revised Activities Scale Score

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03049735)
Timeframe: From Baseline through Week 24

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)78
Placebo (Group C)45

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Percent Change From Baseline At Week 12 In Bone Mineral Density At The Lumbar Spine (L1 To L4), As Assessed By DXA

"Bone mineral density (BMD) was assessed by dual-energy x-ray absorptiometry (DXA) at the lumbar spine (L1, L2, L3, and L4) at Baseline and at Week 12. The scans were read by the central radiology laboratory in accordance with the imaging charter. The same DXA machine was used at the local imaging center at each site and operated in the same scan mode for all images procured for an individual participant. All images were submitted for central reading. The central radiology laboratory collected and evaluated all DXA scans for acceptability and measured BMD.~As per the objective of the study, the pre-specified secondary analyses compared relugolix plus E2/NETA with relugolix plus delayed E2/NETA at Week 12 and are presented below." (NCT03049735)
Timeframe: Baseline, Week 12

Interventionpercent change (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-0.470
Relugolix Plus Delayed E2/NETA (Group B)-1.995

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Percent Change From Baseline At Week 24 In MBL Volume

MBL volume was measured using the alkaline hematin method. As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03049735)
Timeframe: Baseline, Week 24

Interventionpercent change (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-84.3
Placebo (Group C)-23.2

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Percent Change From Baseline At Week 24 In Primary Uterine Fibroid Volume

"The volume of the primary uterine fibroid was measured by transvaginal or transabdominal ultrasound.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

InterventionPercent change (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-12.4
Placebo (Group C)-0.3

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Percent Change From Baseline At Week 24 In Uterine Volume

"The volume of the uterus was measured by transvaginal or transabdominal ultrasound.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionpercent change (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-12.9
Placebo (Group C)2.2

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Percent Change From Baseline In Hemoglobin For Women With a Hemoglobin ≤ 10.5 g/dL At Baseline

"LS means and p-value for test of difference is relugolix plus E2/NETA minus Placebo based on mixed-effect model with treatment, visit, region, Baseline MBL and treatment by visit interaction included as fixed effects.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Week 24

Interventionpercent change (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)20.8
Placebo (Group C)10.0

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Percentage Of Participants Experiencing Vasomotor Symptoms Through Week 12

"An adverse event was defined as an unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product, whether or not related to the medicinal product. The preferred terms of hyperhidrosis, feeling hot, hot flush, night sweats, and flushing were combined to describe vasomotor symptoms. Participants with multiple events for a given preferred term were counted only once for each preferred term.~Reported CI based on exact binomial 95% CI (Clopper-Pearson).~As per the objective of the study, this secondary analysis compared relugolix plus E2/NETA with relugolix plus delayed E2/NETA at Week 12 and are presented below." (NCT03049735)
Timeframe: Baseline through Week 12

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)10.94
Relugolix Plus Delayed E2/NETA (Group B)36.36

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Percentage Of Participants Experiencing Vasomotor Symptoms Through Week 24

"An adverse event was defined as an unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product, whether or not related to the medicinal product. The preferred terms of hyperhidrosis, feeling hot, hot flush, night sweats, and flushing were combined to describe vasomotor symptoms. Participants with multiple events for a given preferred term were counted only once for each preferred term.~Reported percentages based on the total number of participants in each treatment group.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline through Week 24

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)14.8
Placebo (Group C)9.4

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Percentage Of Participants Who Achieved A Menstrual Blood Loss (MBL) Volume Of < 80 mL And A ≥ 50% Reduction From Baseline MBL Volume With Relugolix Plus E2/NETA

"A responder was a participant who had MBL volume of < 80 mL and at least a 50% reduction from baseline MBL volume over the last 35 days of treatment (up to Week 24). All returned feminine products collected at each clinical visit were analyzed by the alkaline hematin method to obtain the MBL volume. MBL volume was measured over the Week 24/early termination feminine product collection interval (up to 35 days prior to the last dose of treatment). The percentage of participants who were responders are presented.~As per the objective of the study, the pre-specified primary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: From Baseline up to last 35 days of treatment (up to Week 24)

InterventionPercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)73.4
Placebo (Group C)18.9

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Percentage Of Participants With A Hemoglobin Level ≤ 10.5 g/dL At Baseline Who Achieved An Increase Of > 2 g/dL From Baseline At Week 24

"Blood samples were collected from participants for hemoglobin measurements. Percentages are based on number of participants with hemoglobin ≤ 10.5 gram (g)/deciliter (dL) at Baseline and reported at Week 24.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA with placebo arms are presented." (NCT03049735)
Timeframe: From Baseline up to Week 24

InterventionPercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)50.0
Placebo (Group C)21.74

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Percentage Of Participants With A Maximum NRS Score ≤ 1 For Uterine Fibroid-Associated Pain Over The Last 35 Days Of Treatment

"Uterine fibroid-associated pain was assessed by a pain numerical rating scale (NRS). The pain NRS is a validated, single-item, self-reported measure, which asks respondents to rank their pain on an 11-point scale as follows: 0 (no pain), 1 to 3 (mild pain), 4 to 6 (moderate pain), and 7 to 10 (severe pain).~Participants were asked to document, in an e-Diary, the worst pain associated with their uterine fibroids that they experienced during the last 24 hours, every day until the end of study drug administration. Pain evaluable participants, defined as those who had maximum NRS score ≥ 4 at Baseline and had at least 28 days (80% of the last 35 days of treatment) of pain scores recorded in the e-Diary, were analyzed.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: From Baseline up to Week 24

InterventionPercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)43.10
Placebo (Group C)10.14

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Percentage Of Participants With Amenorrhea Over The Last 35 Days Of Treatment

"Amenorrhea was defined as meeting 1 of the following criteria for 2 consecutive visits:~No feminine product returned due to reported amenorrhea;~No feminine product returned due to reports of spotting/negligible bleeding coupled with electronic diary (eDiary) data indicating infrequent non-cyclic bleeding/spotting;~Feminine product collection with a negligible observed MBL volume coupled with eDiary data indicating infrequent non-cyclic bleeding/spotting.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: From Baseline up to last 35 days of treatment (up to Week 24)

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)52.34
Placebo (Group C)5.51

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Predose Trough Concentrations Of E2 In The Relugolix Plus E2/NETA Group At Week 24

"Blood samples for determination of E2 serum concentrations were collected predose at Week 24. Relugolix and NET plasma concentrations were determined using validated bioanalytical methodology.~Concentrations below the quantification limit (BQL) were set to 0 for analysis of summary statistics. As per the objective of the study, only relugolix plus E2/NETA concentration is presented." (NCT03049735)
Timeframe: Week 24

Interventionpg/mL (Mean)
Relugolix Plus E2/NETA (Group A)48.34

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Sustained Amenorrhea Rate (No Or Negligible Bleeding)

"Sustained amenorrhea is defined as participants time to achieve and maintain amenorrhea until the date of last study drug.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)67
Placebo (Group C)7

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Time To Achieving Amenorrhea (No Or Negligible Bleeding)

"Time to amenorrhea was defined as the weeks from date of first dose of study drug to the start of amenorrhea.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: From Baseline through Week 24

Interventionweeks (Median)
Relugolix Plus E2/NETA (Group A)5.3
Placebo (Group C)NA

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Time To Achieving Sustained Amenorrhea (No Or Negligible Bleeding)

"Sustained amenorrhea status as determined based on time to achieve and maintain amenorrhea status.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: From Baseline through Week 24

Interventionweeks (Median)
Relugolix Plus E2/NETA (Group A)11.3
Placebo (Group C)NA

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Time To MBL Response

"Defined as the time to achieve an MBL volume of < 80 mL and a ≥ 50% reduction from Baseline MBL volume as measured by the alkaline hematin method. MBL volume was measured using the alkaline hematin method.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: From Baseline through Week 24

Interventionweeks (Median)
Relugolix Plus E2/NETA (Group A)8.3
Placebo (Group C)25.1

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Participants Achieving Improvement From Baseline In The PGA Questionnaire For Symptoms From Baseline At Week 24

"The PGAs assessed participants' limitation in activities and the severity of symptoms due to uterine fibroids over the previous 4 weeks, as perceived by the participant. The PGA for function and symptoms was evaluated using a 5-point response scale (no limitation at all [1], mild limitation [2], moderate limitation [3], quite a bit of limitation [4], and extreme limitation [5]). Category improvements for symptoms are presented. A 1-category improvement would be severe at baseline to moderate.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: From Baseline through Week 24

,
InterventionParticipants (Count of Participants)
1 Category improvement (-1)2 Category improvement (-2)3 Category improvement (-3)4 Category improvement (-4)
Placebo (Group C)281415
Relugolix Plus E2/NETA (Group A)1429228

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Percent Change From Baseline At Week 24 In Bone Mineral Density At The Lumbar Spine (L1 To L4), Total Hip, And Femoral Neck

"BMD was assessed by DXA at the lumbar spine (L1, L2, L3, and L4), total hip, and femoral neck at Baseline and at Week 24. The scans were read by the central radiology laboratory in accordance with the imaging charter. The same DXA machine was used at the local imaging center at each site and operated in the same scan mode for all images procured for an individual participant. All images were submitted for central reading. The central radiology laboratory collected and evaluated all DXA scans for acceptability and measured BMD.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

,
Interventionpercent change (Least Squares Mean)
Lumbar Spine (L1 to L4)Total HipFemoral Neck
Placebo (Group C)0.0520.5490.307
Relugolix Plus E2/NETA (Group A)-0.3560.023-0.262

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Predose Trough Concentrations Of Relugolix And Norethindrone (NET) In The Relugolix Plus E2/NETA Group At Week 24

"Blood samples for determination of relugolix and NET plasma concentrations were collected predose at Week 24. Relugolix and NET plasma concentrations were determined using validated bioanalytical methodology.~Concentrations below the quantification limit (BQL) were set to 0 for analysis of summary statistics.~As per the objective of the study, only relugolix plus E2/NETA concentration is presented." (NCT03049735)
Timeframe: Week 24

Interventionng/mL (Mean)
RelugolixNET
Relugolix Plus E2/NETA (Group A)2.130.33

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Number Of Participants With Hemoglobin ≤ 10.5 g/dL At Baseline And Achieved An Increase Of > 2 g/dL At Week 24

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03049735)
Timeframe: From Baseline through Week 24

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)15
Placebo (Group C)5

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Change From Baseline At Week 24 In Embarrassment Caused By Uterine Fibroids Based On UFS-QoL Question 29

"Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of the time, most of the time and all of the time). Lower score indicates minimal symptom severity and higher score indicates maximum symptom severity. A negative change from baseline indicates improvement.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.5
Placebo (Group C)-0.4

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Change From Baseline At Week 24 In Function Assessed Using The PGA Questionnaire

"The PGAs assessed participants' limitation in activities and the severity of symptoms due to uterine fibroids over the previous 4 weeks, as perceived by the participant. The PGA for symptoms is a 1-item questionnaire designed to assess participant's impression of the severity of their symptoms related to uterine fibroids. The PGA for function and symptoms was evaluated using a 5-point response scale (no limitation at all [1], mild limitation [2], moderate limitation [3], quite a bit of limitation [4], and extreme limitation [5]).~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.6
Placebo (Group C)-0.5

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Change From Baseline At Week 24 In Predose Concentrations Of Estradiol In The Relugolix Plus E2/NETA Group

"Blood samples for determination of serum concentrations were collected predose at Week 24. Relugolix and NET plasma concentrations were determined using validated bioanalytical methodology.~Concentrations below the quantification limit (BQL) were set to 0 for analysis of summary statistics. As per the objective of the study, only relugolix plus E2/NETA concentration is presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionpg/mL (Mean)
Relugolix Plus E2/NETA (Group A)-22.95

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Change From Baseline At Week 24 In Symptoms Assessed Using The Patient Global Assessment (PGA) Questionnaire

"The PGAs assessed participants' limitation in activities and the severity of symptoms due to uterine fibroids over the previous 4 weeks, as perceived by the participant. The PGA for symptoms is a 1-item questionnaire designed to assess participant's impression of the severity of their symptoms related to uterine fibroids. The PGA for function and symptoms was evaluated using a 5-point response scale (no limitation at all [1], mild limitation [2], moderate limitation [3], quite a bit of limitation [4], and extreme limitation [5]).~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-2.1
Placebo (Group C)-0.8

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Change From Baseline At Week 24 In The Interference Of Uterine Fibroids With Physical Activities Based On UFS-QoL Question 11

"Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of the time, most of the time and all of the time). Lower score indicates minimal symptom severity and higher score indicates maximum symptom severity. A negative change from baseline indicates improvement.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-2.1
Placebo (Group C)-0.6

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Change From Baseline At Week 24 In The Interference Of Uterine Fibroids With Social Activities Based On UFS-QoL Question 20

"Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of the time, most of the time and all of the time). Lower score indicates minimal symptom severity and higher score indicates maximum symptom severity. A negative change from baseline indicates improvement.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.7
Placebo (Group C)-0.7

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Change From Baseline At Week 24 In The Menorrhagia Impact Questionnaire Score For Physical Activities

"The Menorrhagia Impact was evaluated using a 5-point response scale to assess level of improvement from Baseline to Week 24. Response scale: Not at all, 2. Slightly, 3.Moderately, 4. Quite a bit and 5. Extremely.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-2.0
Placebo (Group C)-0.9

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Change From Baseline At Week 24 In The Menorrhagia Impact Questionnaire Score For Social Activities

"The Menorrhagia Impact was evaluated using a 5-point response scale to assess level of improvement from Baseline to Week 24. Response scale: Not at all, 2. Slightly, 3.Moderately, 4. Quite a bit and 5. Extremely.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.9
Placebo (Group C)-0.8

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Change From Baseline At Week 24 In The UFS-QoL Activities Scale Score

"Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of the time, most of the time and all of the time). Lower score indicates minimal symptom severity and higher score indicates maximum symptom severity.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)44.4
Placebo (Group C)14.6

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Change From Baseline At Week 24 In The UFS-QoL Revised Activities Scale Score

"Transformed score ranges from 0 to 100 based on Likert scale (none of time, a little of time, some of the time, most of the time and all of the time). Lower score indicates minimal symptom severity and higher score indicates maximum symptom severity.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionunits on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)45.8
Placebo (Group C)15.1

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Change From Baseline At Week 24 In The UFS-QoL Symptom Severity Scale Score

"Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of the time, most of the time and all of the time). Lower score indicates minimal symptom severity and higher score indicates maximum symptom severity. A negative change from baseline indicates improvement.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-30.9
Placebo (Group C)-10.5

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Change From Baseline At Week 24 In UFS-QoL Bleeding And Pelvic Discomfort Scale Score As Measured By The UFS-QoL (Q1, Q2, Q5)

"The Uterine Fibroid Symptom and Health-Related Quality of Life (UFS-QoL) Bleeding and Pelvic Discomfort (BPD) Scale has been derived from the UFS-QoL Symptoms Scale. The scale consists of the following 3 symptoms proximal to uterine fibroids: Heavy bleeding during your menstrual period (Question [Q] 1), passing blood clots during your menstrual period (Q2), and feeling tightness or pressure in your pelvic area (Q5). raw scores were transformed to a normalized score: Transformed Score = [(Actual raw score - lowest possible raw score)/(Possible raw score range)] * 100 Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of the time, most of the time and all of the time). Lower score indicates minimal symptom severity and higher score indicates maximum symptom severity.~As per the study objective, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only these two arms are presented." (NCT03049735)
Timeframe: Baseline, Week 24

Interventionunits on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-45.0
Placebo (Group C)-16.1

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Change From Baseline In E2 Serum Concentration At Week 24

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03049735)
Timeframe: Baseline, Week 24

Interventionpg/mL (Mean)
Relugolix Plus E2/NETA (Group A)-22.95
Placebo (Group C)51.72

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Change From Baseline In Follicle Stimulating Serum Concentration At Week 24

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03049735)
Timeframe: Baseline, Week 24

InterventionIU/L (Mean)
Relugolix Plus E2/NETA (Group A)-6.25
Placebo (Group C)0.10

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Change From Baseline In Luteinizing Serum Concentration At Week 24

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03049735)
Timeframe: Baseline, Week 24

InterventionIU/L (Mean)
Relugolix Plus E2/NETA (Group A)-1.90
Placebo (Group C)3.62

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Percent Change From Baseline At Week 24 In Primary Uterine Fibroid Volume

"The volume of the primary uterine fibroid was measured by transvaginal or transabdominal ultrasound.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline Week 24

Interventionpercent change (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-17.4
Placebo (Group C)-7.4

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Change From Baseline At Week 24 In Function Assessed Using The PGA Questionnaire

"PGAs assessed participants' limitation in activities and the severity of symptoms due to uterine fibroids over the previous 4 weeks, as perceived by the participant. The PGA for symptoms is a 1-item questionnaire designed to assess participant's impression of the severity of their symptoms related to uterine fibroids. The PGA for function and symptoms was evaluated using a 5-point response scale (no limitation at all [1], mild limitation [2], moderate limitation [3], quite a bit of limitation [4], and extreme limitation [5]).~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.7
Placebo (Group C)-0.8

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Percent Change From Baseline At Week 12 In Bone Mineral Density At The Lumbar Spine (L1 to L4) As Assessed By DXA

"Bone mineral density (BMD) was assessed by dual-energy x-ray absorptiometry (DXA) at the lumbar spine (L1, L2, L3, and L4) at Baseline and at Week 12. The scans were read by the central radiology laboratory in accordance with the imaging charter. The same DXA machine was used at the local imaging center at each site and operated in the same scan mode for all images procured for an individual participant. All images were submitted for central reading. The central radiology laboratory collected and evaluated all DXA scans for acceptability and measured BMD. The LS means were based on a mixed-effect model with visit, region, Baseline MBL volume, age at Baseline, body mass index at Baseline, BMD at Baseline, race, and treatment by visit interaction included as fixed effects.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: From Baseline up to Week 12

Interventionpercent change (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-0.819
Relugolix Plus Delayed E2/NETA (Group B)-1.919

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Number Of Responders With At Least 20 Points Increase From Baseline At Week 24 In UFS-QoL Revised Activities Scale Score

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03103087)
Timeframe: From Baseline through Week 24

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)78
Placebo (Group C)42

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Number Of Responders With At Least 20 Points Decrease in UFS-QoL Bleeding And Pelvic Discomfort Scale Score

"Responder was defined as meeting a meaningful change threshold, set as a 20-point change from Baseline, in the Bleeding And Pelvic Discomfort Scale at Week 24 on the transformed score.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)79
Placebo (Group C)37

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Change From Baseline At Week 24 In Embarrassment Caused By Uterine Fibroids Based On UFS-QoL Question 29

"Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of the time, most of the time and all of the time). Lower score indicates minimal symptom severity and higher score indicates maximum symptom severity. A negative change from baseline indicates improvement.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.4
Placebo (Group C)-0.7

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Number Of Participants With Hemoglobin Increase Of ≥ 1 g/dL From Baseline To Week 24 Among Those With Below Lower Limit Of Normal

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03103087)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)35
Placebo (Group C)18

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Change From Baseline At Week 24 In Predose Concentrations Of E2 In The Relugolix Plus E2/NETA Group

"Blood samples for determination of E2 serum concentrations were collected predose at Week 24. Relugolix and NET plasma concentrations were determined using validated bioanalytical methodology.~Concentrations below the quantification limit (BQL) were set to 0 for analysis of summary statistics. As per the objective of the study, only relugolix plus E2/NETA concentration is presented." (NCT03103087)
Timeframe: Baseline, Week 24

Interventionpg/mL (Mean)
Relugolix Plus E2/NETA (Group A)-22.30

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Number Of Participants With Hemoglobin ≤ 10.5 g/dL At Baseline And Achieved An Increase Of > 2 g/dL At Week 24

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03103087)
Timeframe: From Baseline through Week 24

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)19
Placebo (Group C)2

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Number Of Participants With A ≥ 30% Reduction in NRS Score From Baseline to Last 35 Days of Treatment Who Had Maximum Pain Scores ≥ 4 At Baseline

"Uterine fibroid-associated pain was assessed by a pain NRS. The pain NRS is a validated, single-item, self-reported measure, which asks respondents to rank their pain on an 11-point scale as follows: 0 (no pain), 1 to 3 (mild pain), 4 to 6 (moderate pain), and 7 to 10 (severe pain).~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)48
Placebo (Group C)34

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Number Of Participants Who Achieved A Maximum NRS Score ≤ 1 For Uterine Fibroid-associated Pain Over The Last 35 Days Of Treatment Who Had Maximum Pain Scores ≥ 4 During The 35 Days Prior To Randomization

"Uterine fibroid-associated pain was assessed by a pain NRS. The pain NRS is a validated, single-item, self-reported measure, which asks respondents to rank their pain on an 11-point scale as follows: 0 (no pain), 1 to 3 (mild pain), 4 to 6 (moderate pain), and 7 to 10 (severe pain).~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: From Baseline up to the last 35 days of treatment (up to 24 weeks)

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)34
Placebo (Group C)17

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Change From Baseline in UFS-QoL Bleeding and Pelvic Discomfort Scale Score

"The Bleeding and Pelvic Discomfort Scale consists of 3 items proximal to uterine fibroids that are experienced by most participants (heavy bleeding during the menstrual period [Question 1], passing blood clots during the menstrual period [Question 2], and feeling tightness or pressure in the pelvic area [Question 5]).Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of the time, most of the time and all of the time). Lower score indicates minimal symptom severity and higher score indicates maximum symptom severity. A negative change from baseline indicates improvement.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-51.7
Placebo (Group C)-18.3

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Change From Baseline In Progesterone Serum Concentration At Week 24

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03103087)
Timeframe: Baseline, Week 24

Interventionng/mL (Mean)
Relugolix Plus E2/NETA (Group A)0.12
Placebo (Group C)3.48

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Change From Baseline In Luteinizing Serum Concentration At Week 24

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03103087)
Timeframe: Baseline, Week 24

InterventionIU/L (Mean)
Relugolix Plus E2/NETA (Group A)-3.10
Placebo (Group C)3.04

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Change From Baseline In Follicle Stimulating Serum Concentration At Week 24

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03103087)
Timeframe: Baseline, Week 24

InterventionIU/L (Mean)
Relugolix Plus E2/NETA (Group A)-5.47
Placebo (Group C)-0.67

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Change From Baseline At Week 24 In UFS-QoL Bleeding And Pelvic Discomfort Scale Score As Measured By The UFS-QoL (Q1, Q2, Q5)

"The Uterine Fibroid Symptom and Health-Related Quality of Life (UFS-QoL) Bleeding and Pelvic Discomfort (BPD) Scale has been derived from the UFS-QoL Symptoms Scale. The scale consists of the following 3 symptoms proximal to uterine fibroids: Heavy bleeding during your menstrual period (Question [Q] 1), passing blood clots during your menstrual period (Q2), and feeling tightness or pressure in your pelvic area (Q5), raw scores were transformed to a normalized score: Transformed Score = [(Actual raw score - lowest possible raw score)/(Possible raw score range)]*100 Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of the time, most of the time and all of the time). Lower score indicates minimal symptom severity and higher score indicates symptom severity.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms" (NCT03103087)
Timeframe: Baseline Week 24

Interventionunits on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-51.7
Placebo (Group C)-18.3

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Change From Baseline At Week 24 In The UFS-QoL Symptom Severity Scale Score

"Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of time, most of the time and all of the time.) Lower score indicates minimal symptom severity and higher score indicates maximum symptom severity. A negative change from baseline indicates improvement.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-36.1
Placebo (Group C)-13.7

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Change From Baseline At Week 24 In The UFS-QoL Revised Activities Scale Score

"Transformed score ranges from 0 to 100 based on Likert scale (none of time, a little of time, some of the time, most of the time and all of the time). Higher scores are indicative of better health-related quality of life (high score = good). LS means and p-value for test of difference was relugolix plus E2/NETA minus placebo based on mixed-effect model with treatment, visit, region, Baseline MBL and treatment by visit interaction included as fixed effects.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

Interventionunits on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)44.4
Placebo (Group C)16.5

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Change From Baseline At Week 24 In The UFS-QoL Activities Scale Score

"Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of the time, most of the time and all of the time). Higher scores are indicative of better health-related quality of life (high score = good).~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)43.6
Placebo (Group C)17.1

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Change From Baseline At Week 24 In The Menorrhagia Impact Questionnaire Score For Social Activities

"The Menorrhagia Impact was evaluated using a 5-point response scale to assess level of improvement from Baseline to Week 24. Response scale: Not at all, 2. Slightly, 3.Moderately, 4. Quite a bit and 5. Extremely.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.8
Placebo (Group C)-1.0

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Change From Baseline At Week 24 In The Menorrhagia Impact Questionnaire Score For Physical Activities

"The Menorrhagia Impact was evaluated using a 5-point response scale to assess level of improvement from Baseline to Week 24. Response scale: Not at all, 2. Slightly, 3.Moderately, 4. Quite a bit and 5. Extremely.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.8
Placebo (Group C)-0.9

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Change From Baseline In E2 Serum Concentration At Week 24

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03103087)
Timeframe: Baseline, Week 24

Interventionpg/mL (Mean)
Relugolix Plus E2/NETA (Group A)-22.30
Placebo (Group C)39.85

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Change From Baseline At Week 24 In The Interference Of Uterine Fibroids With Social Activities Based On UFS-QoL Question 20

"Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of the time, most of the time and all of the time). Lower score indicates minimal symptom severity and higher score indicates maximum symptom severity. A negative change from baseline indicates improvement.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.8
Placebo (Group C)-0.6

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Change From Baseline At Week 24 In The Interference Of Uterine Fibroids With Physical Activities Based On UFS-QoL Question 11

"Transformed score ranges from 0 to 100 based on Likert scale (None of time, a little of time, some of the time, most of the time and all of the time). Lower score indicates minimal symptom severity and higher score indicates maximum symptom severity. A negative change from baseline indicates improvement.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-2.0
Placebo (Group C)-0.7

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Change From Baseline At Week 24 In Symptoms Assessed Using The Patient Global Assessment (PGA) Questionnaire

"PGAs assessed participants' limitation in activities and the severity of symptoms due to uterine fibroids over the previous 4 weeks, as perceived by the participant. The PGA for symptoms is a 1-item questionnaire designed to assess participant's impression of the severity of their symptoms related to uterine fibroids. The PGA for function and symptoms was evaluated using a 5-point response scale (no limitation at all [1], mild limitation [2], moderate limitation [3], quite a bit of limitation [4], and extreme limitation [5]).~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-2.0
Placebo (Group C)-0.8

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Predose Trough Concentrations Of Relugolix And NET In The Relugolix Plus E2/NETA Group At Week 24

"Blood samples for determination of relugolix and NET plasma concentrations were collected predose at Week 24. Relugolix and NET plasma concentrations were determined using validated bioanalytical methodology.~Concentrations below the quantification limit (BQL) were set to 0 for analysis of summary statistics. As per the objective of the study, only relugolix plus E2/NETA concentration is presented." (NCT03103087)
Timeframe: Week 24

Interventionng/mL (Mean)
RelugolixNET
Relugolix Plus E2/NETA (Group A)1.960.28

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Percent Change From Baseline At Week 24 In Bone Mineral Density At The Lumbar Spine (L1 To L4), Total Hip, And Femoral Neck As Assessed By DXA

"BMD was assessed by DXA at the lumbar spine (L1, L2, L3, and L4), total hip, and femoral neck (same leg across participants) at Baseline and at Week 24. The scans were read by the central radiology laboratory in accordance with the imaging charter. The same DXA machine was used at the local imaging center at each site and operated in the same scan mode for all images procured for an individual participant. All images were submitted for central reading. The central radiology laboratory collected and evaluated all DXA scans for acceptability and measured BMD. The LS means were based on a mixed-effect model with visit, region, Baseline MBL volume, age at Baseline, body mass index at Baseline, BMD at Baseline, race, and treatment by visit interaction included as fixed effects. For Relugolix plus E2/NETA Lumbar Spine (L1 to L4), number (n)=95.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only rel" (NCT03103087)
Timeframe: Baseline through Week 24

,
Interventionpercent change (Least Squares Mean)
Lumbar Spine (L1-L4)Total HipFemoral Neck
Placebo (Group C)0.315-0.0440.019
Relugolix Plus E2/NETA (Group A)-0.126-0.173-0.684

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Participants Achieving Improvement From Baseline In PGA Questionnaire For Symptoms From Baseline At Week 24

"The PGAs assessed participants' limitation in activities and the severity of symptoms due to uterine fibroids over the previous 4 weeks, as perceived by the participant. The PGA for function and symptoms was evaluated using a 5-point response scale (no limitation at all [1], mild limitation [2], moderate limitation [3], quite a bit of limitation [4], and extreme limitation [5]). Category improvements for symptoms are presented. A 1-category improvement would be severe at baseline to moderate.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: From Baseline through Week 24

,
InterventionParticipants (Count of Participants)
1 Category improvement (-1)3 Category improvement (-3)2 Category improvement (-2)4 Category improvement (-4)
Placebo (Group C)218182
Relugolix Plus E2/NETA (Group A)7222910

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Time To MBL Response

"Defined as the time to achieve an MBL volume of < 80 mL and a ≥ 50% reduction from Baseline MBL volume as measured by the alkaline hematin method.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: From Baseline through Week 24

Interventionweeks (Median)
Relugolix Plus E2/NETA (Group A)8.4
Placebo (Group C)27.1

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Time To Achieving Sustained Amenorrhea (No Or Negligible Bleeding)

"Sustained amenorrhea status as determined based on time to achieve and maintain amenorrhea status.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: From Baseline through Week 24

Interventionweeks (Median)
Relugolix Plus E2/NETA (Group A)16.3
Placebo (Group C)NA

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Time To Achieving Amenorrhea (No Or Negligible Bleeding)

"Time to amenorrhea was defined as the weeks from date of first dose of study drug to the start of amenorrhea.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: From Baseline through Week 24

Interventionweeks (Median)
Relugolix Plus E2/NETA (Group A)8.9
Placebo (Group C)NA

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Sustained Amenorrhea Rate (No Or Negligible Bleeding)

"Sustained amenorrhea is defined as participants time to achieve and maintain amenorrhea until the date of last study drug.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Week 24

InterventionParticipants (Count of Participants)
Relugolix Plus E2/NETA (Group A)63
Placebo (Group C)4

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Predose Trough Concentrations Of E2 In The Relugolix Plus E2/NETA Group At Week 24

"Blood samples for determination of relugolix and NET plasma concentrations were collected predose at Week 24. Relugolix and NET plasma concentrations were determined using validated bioanalytical methodology.~Concentrations below the quantification limit (BQL) were set to 0 for analysis of summary statistics. As per the objective of the study, only relugolix plus E2/NETA concentration is presented." (NCT03103087)
Timeframe: Week 24

Interventionpg/mL (Mean)
Relugolix Plus E2/NETA (Group A)45.34

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Percentage Of Participants With Amenorrhea Over The Last 35 Days Of Treatment

"Amenorrhea was defined as meeting 1 of the following criteria for 2 consecutive visits:~No feminine product returned due to reported amenorrhea;~No feminine product returned due to reports of spotting/negligible bleeding coupled with electronic diary (e-Diary) data indicating infrequent non-cyclic bleeding/spotting;~Feminine product collection with a negligible observed MBL volume coupled with e-Diary data indicating infrequent non-cyclic bleeding/spotting.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: From Baseline up to last 35 days of treatment (up to Week 24)

InterventionPercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)50.40
Placebo (Group C)3.10

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Percentage Of Participants With A Maximum Numerical Rating Scale (NRS) Score ≤ 1 For Uterine Fibroid-Associated Pain Over The Last 35 Days Of Treatment

"Uterine fibroid-associated pain was assessed by a pain numerical rating scale (NRS). The pain NRS is a validated, single-item, self-reported measure, which asks respondents to rank their pain on an 11-point scale as follows: 0 (no pain), 1 to 3 (mild pain), 4 to 6 (moderate pain), and 7 to 10 (severe pain).~Participants were asked to document, in an e-Diary, the worst pain associated with their uterine fibroids that they experienced during the last 24 hours, every day until the end of study drug administration. Pain evaluable participants, defined as those who had maximum NRS score ≥ 4 at baseline and had at least 28 days (80% of the last 35 days of treatment) of pain scores recorded in the e-Diary, were analyzed.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: From Baseline up to Week 24

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)47.06
Placebo (Group C)17.07

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Percentage Of Participants With A Hemoglobin Level ≤ 10.5 g/dL At Baseline Who Achieved An Increase Of > 2 g/dL From Baseline At Week 24

"Blood samples were collected from participants for hemoglobin measurements. Percentages are based on number of participants with hemoglobin ≤ 10.5 gram (g)/deciliter (dL) at Baseline and reported at Week 24.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA with placebo arms are presented." (NCT03103087)
Timeframe: From Baseline up to Week 24

InterventionPercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)61.29
Placebo (Group C)5.41

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Percentage Of Participants Who Achieved A Menstrual Blood Loss (MBL) Volume Of < 80 mL And A ≥ 50% Reduction From Baseline MBL Volume With Relugolix Plus E2/NETA

"A responder was a participant who had MBL volume of < 80 mL and at least a 50% reduction from baseline MBL volume over the last 35 days of treatment (up to Week 24). All returned feminine products collected at each clinical visit were analyzed by the alkaline hematin method to obtain the MBL volume. MBL volume was measured over the Week 24/early termination feminine product collection interval (up to 35 days prior to the last dose of treatment). The percentage of participants who were responders are presented.~As per the objective of the study, the pre-specified primary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: From Baseline up to the last 35 days of treatment (up to Week 24)

InterventionPercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)71.2
Placebo (Group C)14.73

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Percentage Of Participants Experiencing Vasomotor Symptoms Through Week 24

"An adverse event was defined as an unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product, whether or not related to the medicinal product. The preferred terms of hyperhidrosis, feeling hot, hot flush, night sweats, and flushing were combined to describe vasomotor symptoms. Participants with multiple events for a given preferred term were counted only once for each preferred term.~Reported percentages based on the total number of participants in each treatment group.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline through Week 24

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)6.3
Placebo (Group C)3.9

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Percentage Of Participants Experiencing Vasomotor Symptoms Through Week 12

An adverse event was defined as an unfavorable or unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product, whether or not related to the medicinal product. The preferred terms of hyperhidrosis, feeling hot, hot flush, night sweats, and flushing were combined to describe vasomotor symptoms. Participants with multiple events for a given preferred term were counted only once for each preferred term. Reported confidence interval (CI) based on exact binomial 95% CI (Clopper-Pearson). As per the objective of the study, the secondary analysis compared relugolix plus E2/NETA with relugolix plus delayed E2/NETA at Week 12 and are presented below. (NCT03103087)
Timeframe: Baseline through Week 12

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)5.56
Relugolix Plus Delayed E2/NETA (Group B)35.71

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Percent Change From Baseline At Week 24 In Uterine Volume

"The volume of the uterus was measured by transvaginal or transabdominal ultrasound.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: From Baseline up to Week 24

Interventionpercent change (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-13.8
Placebo (Group C)-1.5

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Percent Change From Baseline At Week 24 In Hemoglobin For Women With A Hemoglobin Concentration ≤ 10.5 g/dL At Baseline

As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented. (NCT03103087)
Timeframe: Baseline, Week 24

Interventionpercent change (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)24.3
Placebo (Group C)4.3

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Percent Change From Baseline At Week 24 In MBL Volume

"MBL volume was measured using the alkaline hematin method. Least square (LS) means for test of difference is Relugolix plus E2/NETA minus Placebo based on mixed-effect model with treatment, visit, region, Baseline MBL, and treatment by visit interaction included as fixed effects.~As per the objective of the study, the pre-specified secondary efficacy analyses compared relugolix plus E2/NETA with placebo. Therefore, only relugolix plus E2/NETA and placebo arms are presented." (NCT03103087)
Timeframe: Baseline, Week 24

Interventionpercent change (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-84.3
Placebo (Group C)-15.1

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Change From Baseline in DYS at Month 6 Based on Daily Assessment

"Participants assessed DYS (pain during menstruation) and its impact on their daily activities each day of their period in an e-Diary. DYS was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:~0: No discomfort~Mild discomfort but I was easily able to do the things I usually do~Moderate discomfort or pain that made it difficult to do some of the things I usually do~Severe pain that made it difficult to do the things I usually do.~Pain scores were averaged over the 35 days prior to each visit." (NCT03213457)
Timeframe: Baseline, Month 6

Interventionscore on a scale (Least Squares Mean)
Placebo-0.62
Elagolix + E2/NETA-1.64

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Change From Baseline in DYSP at Month 3 Based on Daily Assessment

"Participants assessed DYSP each day in an e-Diary according to the following response options:~0: None; No discomfort during sexual intercourse~1: Mild; Able to tolerate the discomfort during sexual intercourse~2: Moderate; Intercourse was interrupted due to pain~3: Severe; Avoided intercourse because of pain~Not applicable; I was not sexually active for reasons other than endometriosis or did not have sexual intercourse.~Pain scores were averaged over the 35 days prior to each visit. Responses of Not Applicable were excluded." (NCT03213457)
Timeframe: Baseline, Month 3

Interventionscore on a scale (Least Squares Mean)
Placebo-0.40
Elagolix + E2/NETA-0.62

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Change From Baseline in DYSP at Month 6 Based on Daily Assessment

"Participants assessed DYSP each day in an e-Diary according to the following response options:~0: None; No discomfort during sexual intercourse~1: Mild; Able to tolerate the discomfort during sexual intercourse~2: Moderate; Intercourse was interrupted due to pain~3: Severe; Avoided intercourse because of pain~Not applicable; I was not sexually active for reasons other than endometriosis or did not have sexual intercourse.~Pain scores were averaged over the 35 days prior to each visit. Responses of Not Applicable were excluded." (NCT03213457)
Timeframe: Baseline, Month 6

Interventionscore on a scale (Least Squares Mean)
Placebo-0.54
Elagolix + E2/NETA-0.63

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Change From Baseline in Dyspareunia (DYSP) at Month 12 Based on Daily Assessment

"Participants assessed DYSP each day in an e-Diary according to the following response options:~0: None; No discomfort during sexual intercourse~1: Mild; Able to tolerate the discomfort during sexual intercourse~2: Moderate; Intercourse was interrupted due to pain~3: Severe; Avoided intercourse because of pain~Not applicable; I was not sexually active for reasons other than endometriosis or did not have sexual intercourse.~Pain scores were averaged over the 35 days prior to each visit. Responses of Not Applicable were excluded." (NCT03213457)
Timeframe: Baseline, Month 12

Interventionscore on a scale (Least Squares Mean)
Placebo-0.60
Elagolix + E2/NETA-0.70

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Change From Baseline in Endometriosis-Associated Pain Score at Month 3 Assessed With NRS

The NRS measured endometriosis-associated pain with and without menstruation on an 11-point scale from 0 = no pain to 10 = worst pain ever. Site staff administered the Overall Endometriosis-Associated Pain questionnaire assessing pain over a 7-day recall period, and recorded the participant's response electronically via a tablet at the time of visit. Pain scores were averaged over the 35 days prior to each visit. (NCT03213457)
Timeframe: Baseline, Month 3

Interventionscore on a scale (Least Squares Mean)
Placebo-2.33
Elagolix + E2/NETA-3.79

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Change From Baseline in NMPP at Month 3 Based on Daily Assessment

"Participants recorded rescue analgesic medication for endometriosis-associated pain and assessed NMPP and its impact on their daily activities each day in an e-Diary was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:~0: No discomfort~1: Mild discomfort but I was easily able to do the things I usually do~2: Moderate discomfort or pain that made it difficult to do some of the things I usually do~3: Severe pain that made it difficult to do the things I usually do.~Pain scores and analgesic use were averaged over the 35 days prior to each visit." (NCT03213457)
Timeframe: Baseline, Month 3

Interventionscore on a scale (Least Squares Mean)
Placebo-0.49
Elagolix + E2/NETA-0.65

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Change From Baseline in NMPP at Month 6 Based on Daily Assessment

"Participants recorded rescue analgesic medication for endometriosis-associated pain and assessed NMPP and its impact on their daily activities each day in an e-Diary was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:~0: No discomfort~1: Mild discomfort but I was easily able to do the things I usually do~2: Moderate discomfort or pain that made it difficult to do some of the things I usually do~3: Severe pain that made it difficult to do the things I usually do.~Pain scores and analgesic use were averaged over the 35 days prior to each visit." (NCT03213457)
Timeframe: Baseline, Month 6

Interventionscore on a scale (Least Squares Mean)
Placebo-0.57
Elagolix + E2/NETA-0.78

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Change From Baseline in Non-menstrual Pelvic Pain (NMPP) at Month 12 Based on Daily Assessment

"Participants recorded rescue analgesic medication for endometriosis-associated pain and assessed NMPP and its impact on their daily activities each day in an e-Diary was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:~0: No discomfort~1: Mild discomfort but I was easily able to do the things I usually do~2: Moderate discomfort or pain that made it difficult to do some of the things I usually do~3: Severe pain that made it difficult to do the things I usually do.~Pain scores and analgesic use were averaged over the 35 days prior to each visit." (NCT03213457)
Timeframe: Baseline, Month 12

Interventionscore on a scale (Least Squares Mean)
Placebo-0.64
Elagolix + E2/NETA-0.86

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Change From Baseline to Month 12 in Patient-Reported Outcome Measurement Information System (PROMIS) Fatigue Short Form 6a T-Score

The PROMIS Fatigue Short Form 6a is self-administered and composed of 6 questions to evaluate fatigue over the past 7 days. All questions employ the following five response options: 1 = Never, 2 = Rarely, 3 = Sometimes, 4 = Often, and 5 = Always. The PROMIS Fatigue 6a score is calculated as a T-score, which is a standardized score with a mean of 50 (based on the average for the United States general population) and a standard deviation (SD) of 10. Higher scores indicate higher levels of fatigue. A decrease in score (negative change from baseline) indicates improvement in fatigue. (NCT03213457)
Timeframe: Baseline, Month 12

InterventionT-score (Least Squares Mean)
Placebo-6.43
Elagolix + E2/NETA-8.92

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Change From Baseline to Month 6 in Patient-Reported Outcome Measurement Information System (PROMIS) Fatigue Short Form 6a T-Score

The PROMIS Fatigue Short Form 6a is self-administered and composed of 6 questions to evaluate fatigue over the past 7 days. All questions employ the following five response options: 1 = Never, 2 = Rarely, 3 = Sometimes, 4 = Often, and 5 = Always. The PROMIS Fatigue 6a score is calculated as a T-score, which is a standardized score with a mean of 50 (based on the average for the United States general population) and a standard deviation (SD) of 10. Higher scores indicate higher levels of fatigue. A decrease in score (negative change from baseline) indicates improvement in fatigue. (NCT03213457)
Timeframe: Baseline, Month 6

InterventionT-score (Least Squares Mean)
Placebo-4.71
Elagolix + E2/NETA-7.22

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Co-Primary Endpoint: Percentage of Participants With a Response for Dysmenorrhea (DYS) at Months 6 and 12 Based on Daily Assessment

"Participants recorded rescue analgesic use for endometriosis-associated pain daily and DYS (pain during menstruation ) and its impact on daily activities each day of their period in an electronic diary (e-Diary). DYS was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:~0: No discomfort~1: Mild discomfort but I was easily able to do the things I usually do~2: Moderate discomfort or pain that made it difficult to do some of the things I usually do~3: Severe pain that made it difficult to do the things I usually do.~Pain scores and analgesic use were averaged over 35 days prior to each visit.~Response was defined as a reduction of -0.92 or more from baseline in DYS as well as no increase in rescue analgesic use for endometriosis-associated pain (defined as a < 15% increase in average rescue analgesic pill count and no additional analgesic)." (NCT03213457)
Timeframe: Month 6, Month 12

,
Interventionpercentage of participants (Number)
Month 6Month 12
Elagolix + E2/NETA62.863.8
Placebo23.729.1

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Co-Primary Endpoint: Percentage of Participants With a Response for Non-menstrual Pelvic Pain (NMPP) at Months 6 and 12 Based on Daily Assessment

"Participants recorded rescue analgesic medication for endometriosis-associated pain and assessed NMPP and its impact on their daily activities each day in an e-Diary was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:~0: No discomfort~1: Mild discomfort but I was easily able to do the things I usually do~2: Moderate discomfort or pain that made it difficult to do some of the things I usually do~3: Severe pain that made it difficult to do the things I usually do.~Pain scores and analgesic use were averaged over the 35 days prior to each visit.~Response was defined as a reduction of -0.55 or greater from baseline for NMPP as well as no increase in rescue analgesic use for endometriosis-associated pain (defined as a < 15% increase in average pill count of rescue analgesics and no additional analgesics)." (NCT03213457)
Timeframe: Month 6, Month 12

,
Interventionpercentage of participants (Number)
Month 6Month 12
Elagolix + E2/NETA51.354.3
Placebo36.842.3

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Change From Baseline in Endometriosis-Associated Pain Score at Month 12 Assessed With Numeric Rating Scale (NRS)

The NRS measured endometriosis-associated pain with and without menstruation on an 11-point scale from 0 = no pain to 10 = worst pain ever. Site staff administered the Overall Endometriosis-Associated Pain questionnaire assessing pain over a 7-day recall period, and recorded the participant's response electronically via a tablet at the time of visit. Pain scores were averaged over the 35 days prior to each visit. (NCT03213457)
Timeframe: Baseline, Month 12

Interventionscore on a scale (Least Squares Mean)
Placebo-3.25
Elagolix + E2/NETA-4.39

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Change From Baseline in Endometriosis-Associated Pain Score at Month 6 Assessed With NRS

The NRS measured endometriosis-associated pain with and without menstruation on an 11-point scale from 0 = no pain to 10 = worst pain ever. Site staff administered the Overall Endometriosis-Associated Pain questionnaire assessing pain over a 7-day recall period, and recorded the participant's response electronically via a tablet at the time of visit. Pain scores were averaged over the 35 days prior to each visit. (NCT03213457)
Timeframe: Baseline, Month 6

Interventionscore on a scale (Least Squares Mean)
Placebo-2.74
Elagolix + E2/NETA-4.12

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Change From Baseline in DYS at Month 12 Based on Daily Assessment

"Participants assessed DYS (pain during menstruation) and its impact on their daily activities each day of their period in an e-Diary. DYS was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:~0: No discomfort~1: Mild discomfort but I was easily able to do the things I usually do~2: Moderate discomfort or pain that made it difficult to do some of the things I usually do~3: Severe pain that made it difficult to do the things I usually do.~Pain scores were averaged over the 35 days prior to each visit." (NCT03213457)
Timeframe: Baseline, Month 12

Interventionscore on a scale (Least Squares Mean)
Placebo-0.73
Elagolix + E2/NETA-1.73

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Change From Baseline in DYS at Month 3 Based on Daily Assessment

"Participants assessed DYS (pain during menstruation) and its impact on their daily activities each day of their period in an e-Diary. DYS was measured by the 4-point Endometriosis Daily Pain Impact Diary according to the following:~0: No discomfort~Mild discomfort but I was easily able to do the things I usually do~Moderate discomfort or pain that made it difficult to do some of the things I usually do~Severe pain that made it difficult to do the things I usually do.~Pain scores were averaged over the 35 days prior to each visit." (NCT03213457)
Timeframe: Baseline, Month 3

Interventionscore on a scale (Least Squares Mean)
Placebo-0.56
Elagolix + E2/NETA-1.54

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EHP-30 Scores Over Time: Social Support

The EHP-30 is a disease-specific self-administered questionnaire used to measure health-related quality of life in women with endometriosis. Domains used in the study included Pain, Control and Powerlessness, Well-Being, Social Support, Self-Image, and Sexual Intercourse. Each domain is calculated on a scale from 0 = best possible health status to 100 = worst possible health status. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

,
Interventionscore on a scale (Mean)
BaselineMonth 3
Group A48.2117.19
Group C50.0018.75

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EHP-30 Scores Over Time: Sexual Intercourse

The EHP-30 is a disease-specific self-administered questionnaire used to measure health-related quality of life in women with endometriosis. Domains used in the study included Pain, Control and Powerlessness, Well-Being, Social Support, Self-Image, and Sexual Intercourse. Each domain is calculated on a scale from 0 = best possible health status to 100 = worst possible health status. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

Interventionscore on a scale (Mean)
BaselineMonth 3Month 6
Group B62.5045.0030.00

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EHP-30 Scores Over Time: Sexual Intercourse

The EHP-30 is a disease-specific self-administered questionnaire used to measure health-related quality of life in women with endometriosis. Domains used in the study included Pain, Control and Powerlessness, Well-Being, Social Support, Self-Image, and Sexual Intercourse. Each domain is calculated on a scale from 0 = best possible health status to 100 = worst possible health status. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

,
Interventionscore on a scale (Mean)
BaselineMonth 3
Group A70.0045.00
Group C60.0060.00

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EHP-30 Scores Over Time: Self-Image

The EHP-30 is a disease-specific self-administered questionnaire used to measure health-related quality of life in women with endometriosis. Domains used in the study included Pain, Control and Powerlessness, Well-Being, Social Support, Self-Image, and Sexual Intercourse. Each domain is calculated on a scale from 0 = best possible health status to 100 = worst possible health status. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

Interventionscore on a scale (Mean)
BaselineMonth 3Month 6
Group B36.118.3316.67

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EHP-30 Scores Over Time: Self-Image

The EHP-30 is a disease-specific self-administered questionnaire used to measure health-related quality of life in women with endometriosis. Domains used in the study included Pain, Control and Powerlessness, Well-Being, Social Support, Self-Image, and Sexual Intercourse. Each domain is calculated on a scale from 0 = best possible health status to 100 = worst possible health status. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

,
Interventionscore on a scale (Mean)
BaselineMonth 3
Group A50.0043.75
Group C75.008.33

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EHP-30 Scores Over Time: Emotional Well-Being

The EHP-30 is a disease-specific self-administered questionnaire used to measure health-related quality of life in women with endometriosis. Domains used in the study included Pain, Control and Powerlessness, Well-Being, Social Support, Self-Image, and Sexual Intercourse. Each domain is calculated on a scale from 0 = best possible health status to 100 = worst possible health status. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

Interventionscore on a scale (Mean)
BaselineMonth 3Month 6
Group B50.0023.6125.00

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EHP-30 Scores Over Time: Emotional Well-Being

The EHP-30 is a disease-specific self-administered questionnaire used to measure health-related quality of life in women with endometriosis. Domains used in the study included Pain, Control and Powerlessness, Well-Being, Social Support, Self-Image, and Sexual Intercourse. Each domain is calculated on a scale from 0 = best possible health status to 100 = worst possible health status. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

,
Interventionscore on a scale (Mean)
BaselineMonth 3
Group A29.7618.75
Group C45.8337.50

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EHP-30 Scores Over Time: Control and Powerlessness

The EHP-30 is a disease-specific self-administered questionnaire used to measure health-related quality of life in women with endometriosis. Domains used in the study included Pain, Control and Powerlessness, Well-Being, Social Support, Self-Image, and Sexual Intercourse. Each domain is calculated on a scale from 0 = best possible health status to 100 = worst possible health status. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

Interventionscore on a scale (Mean)
BaselineMonth 3Month 6
Group B56.9426.398.33

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EHP-30 Scores Over Time: Control and Powerlessness

The EHP-30 is a disease-specific self-administered questionnaire used to measure health-related quality of life in women with endometriosis. Domains used in the study included Pain, Control and Powerlessness, Well-Being, Social Support, Self-Image, and Sexual Intercourse. Each domain is calculated on a scale from 0 = best possible health status to 100 = worst possible health status. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

,
Interventionscore on a scale (Mean)
BaselineMonth 3
Group A71.4336.46
Group C41.6725.00

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Change From Baseline Over Time in Monthly Average NMPP Pain Score

The NMPP pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionscore on a scale (Mean)
Change at Month 1Change at Month 2Change at Month 3Change at Month 4Change at Month 5Change at Month 6
Group B-0.07-0.30-0.30-0.34-0.27-0.13

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Change From Baseline Over Time in Monthly Average NMPP Pain Score

The NMPP pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

,
Interventionscore on a scale (Mean)
Change at Month 1Change at Month 2Change at Month 3Change at Month 4
Group A-0.13-0.48-0.70-1.34
Group C0.390.290.540.46

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Change From Baseline Over Time in Monthly Average Dyspareunia Pain Score

The dyspareunia pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionscore on a scale (Mean)
Change at Month 1Change at Month 2Change at Month 3Change at Month 4Change at Month 5Change at Month 6
Group B0.300.060.070.090.090.29

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Change From Baseline Over Time in Monthly Average Dyspareunia Pain Score

The dyspareunia pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

,
Interventionscore on a scale (Mean)
Change at Month 1Change at Month 2Change at Month 3Change at Month 4
Group A-0.50-1.44-2.20-2.23
Group C-0.29-0.37-0.03-0.03

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Change From Baseline Over Time in Monthly Average DYS Pain Score

"The DYS pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement.~The analysis was based on a 28-day window. If a participant prematurely discontinued during the open-label period, based on the analysis window, some data might fall into Month 4 analysis." (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionscore on a scale (Mean)
Change at Month 1Change at Month 2Change at Month 3Change at Month 4Change at Month 5Change at Month 6
Group B-0.04-0.26-0.34-0.06-0.16-0.23

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Change From Baseline Over Time in Monthly Average DYS Pain Score

"The DYS pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement.~The analysis was based on a 28-day window. If a participant prematurely discontinued during the open-label period, based on the analysis window, some data might fall into Month 4 analysis." (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionscore on a scale (Mean)
Change at Month 1Change at Month 2Change at Month 3Change at Month 4
Group A0.05-0.18-0.50-0.69

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Change From Baseline Over Time in Monthly Average Daily Diary Endometriosis-Associated Pain Score Via NRS

The NRS for overall endometriosis-associated pain ranges from 0 (none) to 10 (worst pain ever), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionscore on a scale (Mean)
Change at Month 1Change at Month 2Change at Month 3Change at Month 4Change at Month 5Change at Month 6
Group B-0.89-2.02-1.81-1.43-1.40-1.36

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Change From Baseline Over Time in Monthly Average Daily Diary Endometriosis-Associated Pain Score Via NRS

The NRS for overall endometriosis-associated pain ranges from 0 (none) to 10 (worst pain ever), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

,
Interventionscore on a scale (Mean)
Change at Month 1Change at Month 2Change at Month 3Change at Month 4
Group A-0.86-2.40-3.70-6.43
Group C-0.84-1.40-1.34-1.06

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Change From Baseline Over Time in Daily Rescue Analgesic Use Across Both Classes of Rescue Analgesics

Based on average pill counts and assessed using a daily e-Diary. Permitted non-steroidal anti-inflammatory drugs (NSAIDs) included naproxen, ibuprofen, diclofenac, and celecoxib. Permitted opioids included hydrocodone + acetaminophen and codeine phosphate + acetaminophen. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionpills/day (Mean)
NSAID: Change at Month 1NSAID: Change at Month 2NSAID: Change at Month 3NSAID: Change at Month 4NSAID: Change at Month 5NSAID: Change at Month 6Opioid: Change at Month 1Opioid: Change at Month 2Opioid: Change at Month 3Opioid: Change at Month 4Opioid: Change at Month 5Opioid: Change at Month 6NSAID + Opioid: Change at Month 1NSAID + Opioid: Change at Month 2NSAID + Opioid: Change at Month 3NSAID + Opioid: Change at Month 4NSAID + Opioid: Change at Month 5NSAID + Opioid: Change at Month 6
Group B0.09-0.17-0.430.010.230.63-0.06-0.030.02-0.01-0.050.090.03-0.20-0.41-0.000.180.71

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Change From Baseline in Rescue Analgesic Use Across Both Classes of Rescue Analgesics (NSAIDs/Opioids) at Month 6

Based on average pill counts and assessed using the daily e-Diary. Permitted non-steroidal anti-inflammatory drugs (NSAIDs) included naproxen, ibuprofen, diclofenac, and celecoxib. Permitted opioids included hydrocodone + acetaminophen and codeine phosphate + acetaminophen. (NCT03343067)
Timeframe: Month 0 (baseline), Month 6

Interventionpills/day (Mean)
NSAID: Change at Month 6Opioid: Change at Month 6NSAID + Opioid: Change at Month 6
Group B0.630.090.71

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Percentage of Participants With 30% or More Reduction From Baseline Based on the 35 Day Mean of the Daily Diary Endometriosis-Associated Pain Score Via NRS at Month 6

The NRS for overall endometriosis-associated pain ranges from 0 (none) to 10 (worst pain ever), recorded in a daily eDiary and averaged monthly based on a 35-day window. (NCT03343067)
Timeframe: Month 6

Interventionpercentage of participants (Number)
Group B50.0

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Change From Baseline in NMPP at Month 6

The NMPP pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Month 6

Interventionscore on a scale (Mean)
Group B-0.13

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Change From Baseline in Dyspareunia at Month 6

The dyspareunia pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Month 6

Interventionscore on a scale (Mean)
Group B0.29

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Change From Baseline in DYS at Month 6

The DYS pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Month 6

Interventionscore on a scale (Mean)
Group B-0.23

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Change From Baseline in Daily Diary Endometriosis-Associated Pain Score Via Numeric Rating Scale (NRS) at Month 6

The NRS for overall endometriosis-associated pain ranges from 0 (none) to 10 (worst pain ever), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Month 6

Interventionscore on a scale (Mean)
Group B-1.36

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Health Endometriosis Treatment Satisfaction Questionnaire (ETSQ) Scores Over Time

The 6-item ETSQ was developed to assess patient-reported satisfaction with effects on endometriosis pain, dysmenorrhea, dyspareunia, amount of bleeding tolerability and overall treatment satisfaction. The ETSQ has a 7 point response scale. The range for this scale is 0 to 36, with lower ETSQ scores reflecting lower levels of satisfaction with endometriosis treatment. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

Interventionscore on a scale (Mean)
BaselineMonth 3Month 6
Group B18.0025.4731.00

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Change From Baseline Over Time in Daily Rescue Analgesic Use Across Both Classes of Rescue Analgesics

Based on average pill counts and assessed using a daily e-Diary. Permitted non-steroidal anti-inflammatory drugs (NSAIDs) included naproxen, ibuprofen, diclofenac, and celecoxib. Permitted opioids included hydrocodone + acetaminophen and codeine phosphate + acetaminophen. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

,
Interventionpills/day (Mean)
NSAID: Change at Month 1NSAID: Change at Month 2NSAID: Change at Month 3NSAID: Change at Month 4Opioid: Change at Month 1Opioid: Change at Month 2Opioid: Change at Month 3Opioid: Change at Month 4NSAID + Opioid: Change at Month 1NSAID + Opioid: Change at Month 2NSAID + Opioid: Change at Month 3NSAID + Opioid: Change at Month 4
Group A-0.84-1.15-0.96-1.690.12-0.17-0.17-0.34-0.72-1.33-1.13-2.03
Group C-0.670.63-0.71-0.63-0.43-0.51-0.49-0.40-1.10-1.14-1.20-1.03

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WPAI:SHP Scores Over Time: Percent Overall Work Impairment Due to Problem

The mean percentage of overall work impairment due to health problem (based on the WPAI questionnaire) is presented, and is calculated as: Absenteeism (%) + extent to which health problem decreased productivity (%)* [number of hours worked / (number of hours of work missed due to health problem + number of hours worked)]. WPAI is a questionnaire used to evaluate lost productivity; scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact on productivity and 100% representing complete impact on productivity. (NCT03343067)
Timeframe: Month 0 (baseline), Month 6

,
Interventionpercent overall work impairment (Mean)
BaselineMonth 6
Group A0.610.30
Group B0.560.30

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WPAI:SHP Scores Over Time: Percent Impairment While Working Due to Problem

Presenteeism (the extent to which health problem decreased productivity) is presented as the mean percentage of impairment while working due to health problem, and is calculated as: 100*scale value of question 5 on the WPAI (between 0 and 10) / 10. WPAI:SHP is a questionnaire used to evaluate lost productivity; scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact on productivity and 100% representing complete impact on productivity. (NCT03343067)
Timeframe: Month 0 (baseline), Month 6

,
Interventionpercent impairment while working (Mean)
BaselineMonth 6
Group A0.570.30
Group B0.530.30

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WPAI:SHP Scores Over Time: Percent Activity Impairment Due to Problem

Activity impairment due to health problem (the extent to which health problem affected the ability to perform usual daily activities) is presented as the mean percentage of activity impairment, and is calculated as 100*scale value of WPAI question 6 (between 0 and 10) / 10. WPAI is a questionnaire used to evaluate lost productivity; scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact on productivity and 100% representing complete impact on productivity. (NCT03343067)
Timeframe: Month 0 (baseline), Month 6

,,
Interventionpercentage impairment of activity (Mean)
BaselineMonth 6
Group A0.660.40
Group B0.670.30
Group C0.700.70

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Work Productivity and Activity Impairment Questionnaire: Specific Health Problem (WPAI:SHP) Scores Over Time: Percent Work Missed Due to Problem

Absenteeism is presented as the mean percentage of work time missed due to health problem (as reported on the WPAI:SHP), and is calculated as: 100*number of hours of work missed due to health problem / (number of hours of work missed due to health problem + number of hours worked). WPAI is a questionnaire used to evaluate lost productivity; scores are presented as percentages (multiplying the scores by 100), with 0% representing no impact on productivity and 100% representing complete impact on productivity. (NCT03343067)
Timeframe: Month 0 (baseline), Month 6

,
Interventionpercent of work time missed (Mean)
BaselineMonth 6
Group A0.160.00
Group B0.080.00

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PROMIS Fatigue Short Form 6a Scores Over Time

The PROMIS Fatigue Short Form 6a is self-administered and composed of 6 questions to evaluate fatigue. Possible scores range from 6 to 30, 6 = not at all (no fatigue), and 30 = very much (most fatigue). (NCT03343067)
Timeframe: Month 0 (baseline), Month 6

,,
Interventionscore on a scale (Mean)
BaselineMonth 6
Group A22.115.3
Group B19.311.0
Group C27.021.0

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Percent Change From Baseline to Each Month During the Treatment Period for NMPP

The NMPP pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionpercentage change of units on a scale (Mean)
Percent Change at Month 1Percent Change at Month 2Percent Change at Month 3Percent Change at Month 4Percent Change at Month 5Percent Change at Month 6
Group B4.22-34.21-38.03-44.49-28.40-17.23

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Percent Change From Baseline to Each Month During the Treatment Period for NMPP

The NMPP pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

,
Interventionpercentage change of units on a scale (Mean)
Percent Change at Month 1Percent Change at Month 2Percent Change at Month 3Percent Change at Month 4
Group A-11.81-37.53-38.26-71.21
Group C16.0711.9022.6219.05

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Percent Change From Baseline to Each Month During the Treatment Period for Dyspareunia

The dyspareunia pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionpercentage change of units on a scale (Mean)
Percent Change at Month 1Percent Change at Month 2Percent Change at Month 3Percent Change at Month 4Percent Change at Month 5Percent Change at Month 6
Group B-15.27-15.26-21.63-12.67-14.86-18.08

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Percent Change From Baseline to Each Month During the Treatment Period for Dyspareunia

The dyspareunia pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

,
Interventionpercentage change of units on a scale (Mean)
Percent Change at Month 1Percent Change at Month 2Percent Change at Month 3Percent Change at Month 4
Group A0.146.6060.88106.25
Group C-9.52-12.38-0.95-0.95

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Percent Change From Baseline to Each Month During the Treatment Period for DYS

The DYS pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionpercent change of units on a scale (Mean)
Percent Change at Month 1Percent Change at Month 2Percent Change at Month 3Percent Change at Month 4Percent Change at Month 5Percent Change at Month 6
Group B-7.89-75.00-85.71-16.67-40.48-57.14

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Percent Change From Baseline to Each Month During the Treatment Period for DYS

The DYS pain scale score ranged from 0 to 3 (0=none, 1=mild, 2=moderate, 3=severe), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionpercent change of units on a scale (Mean)
Percent Change at Month 1Percent Change at Month 2Percent Change at Month 3Percent Change at Month 4
Group A1.67-27.45-62.92-80.00

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Percent Change From Baseline to Each Month During the Treatment Period for Daily Diary Endometriosis-Associated Pain Score Via NRS

The NRS for overall endometriosis-associated pain ranges from 0 (none) to 10 (worst pain ever), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionpercentage change of score on a scale (Mean)
Percent Change at Month 1Percent Change at Month 2Percent Change at Month 3Percent Change at Month 4Percent Change at Month 5Percent Change at Month 6
Group B-19.61-56.25-53.05-38.00-35.81-33.56

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Percent Change From Baseline to Each Month During the Treatment Period for Daily Diary Endometriosis-Associated Pain Score Via NRS

The NRS for overall endometriosis-associated pain ranges from 0 (none) to 10 (worst pain ever), recorded in a daily eDiary and averaged monthly based on a 35-day window. A negative change from baseline indicates improvement. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

,
Interventionpercentage change of score on a scale (Mean)
Percent Change at Month 1Percent Change at Month 2Percent Change at Month 3Percent Change at Month 4
Group A-14.10-37.82-43.98-70.98
Group C-11.34-18.99-18.22-14.34

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Patient Global Impression of Change (PGIC) Scores Over Time

The PGIC is a 7-point response scale where participants rate their endometriosis related pain as: very much improved (1), much improved (2), minimally improved (3), not changed (4), minimally worse (5), much worse (6), very much worse (7). (NCT03343067)
Timeframe: Months 1, 2, 3, 4, 5, 6

Interventionscore on a scale (Mean)
Month 1Month 2Month 3Month 4Month 5Month 6
Group B2.31.32.02.02.51.0

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Patient Global Impression of Change (PGIC) Scores Over Time

The PGIC is a 7-point response scale where participants rate their endometriosis related pain as: very much improved (1), much improved (2), minimally improved (3), not changed (4), minimally worse (5), much worse (6), very much worse (7). (NCT03343067)
Timeframe: Months 1, 2, 3, 4, 5, 6

Interventionscore on a scale (Mean)
Month 1Month 2Month 3Month 4
Group C2.02.05.02.0

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Patient Global Impression of Change (PGIC) Scores Over Time

The PGIC is a 7-point response scale where participants rate their endometriosis related pain as: very much improved (1), much improved (2), minimally improved (3), not changed (4), minimally worse (5), much worse (6), very much worse (7). (NCT03343067)
Timeframe: Months 1, 2, 3, 4, 5, 6

Interventionscore on a scale (Mean)
Month 1Month 2Month 3
Group A2.92.02.0

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Overall Endometriosis-Associated Pain Via NRS (7-Day Recall) Scores Over Time

The endometriosis-associated pain questionnaire is an 11-point NRS assessing overall endometriosis-associated pain over a 7-day recall period. Participants assessed their endometriosis-associated pain on a scale of 0 to 10, with 0 = no pain and 10 = worst pain ever. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionscore on a scale (Mean)
BaselineMonth 1Month 2Month 3Month 4Month 5Month 6
Group B9.07.72.75.33.38.04.0

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Overall Endometriosis-Associated Pain Via NRS (7-Day Recall) Scores Over Time

The endometriosis-associated pain questionnaire is an 11-point NRS assessing overall endometriosis-associated pain over a 7-day recall period. Participants assessed their endometriosis-associated pain on a scale of 0 to 10, with 0 = no pain and 10 = worst pain ever. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionscore on a scale (Mean)
BaselineMonth 1Month 2Month 3Month 4
Group C7.08.05.08.07.0

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Overall Endometriosis-Associated Pain Via NRS (7-Day Recall) Scores Over Time

The endometriosis-associated pain questionnaire is an 11-point NRS assessing overall endometriosis-associated pain over a 7-day recall period. Participants assessed their endometriosis-associated pain on a scale of 0 to 10, with 0 = no pain and 10 = worst pain ever. (NCT03343067)
Timeframe: Month 0 (baseline), Months 1, 2, 3, 4, 5, 6

Interventionscore on a scale (Mean)
BaselineMonth 1Month 2Month 3
Group A8.25.74.59.0

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Number of Analgesic Use Responders and Non-Responders Over Time

"Based only on reduction of rescue analgesics used. Responders were defined as:~participants with no analgesic use at screening and no analgesic use added~participants with NSAID only use at screening and NSAID dose stopped, decreased, or stable (<15% increase) and no opioid use added~participants with opioid only use at screening and opioid dose stopped, decreased, or stable (<15% increase), opioid dose stopped and NSAID substituted (any dose), opioid dose decreased and NSAID added (any dose)~participants with NSAID + opioid use at screening and any of the following: NSAID dose stopped + opioid analgesic use stopped, decreased, or stable (<15% increase); NSAID dose decreased + opioid analgesic use stopped, decreased, or stable (<15% increase); NSAID dose stable (< 15% increase) + opioid analgesic use stopped, decreased, or stable (<15% increase); NSAID dose increased by >15% + opioid analgesic use stopped; NSAID dose increased by >15% + opioid analgesic dose decreases." (NCT03343067)
Timeframe: Months 1, 2, 3, 4, 5, 6

,,
InterventionParticipants (Count of Participants)
Month 1: ResponderMonth 1: Non-ResponderMonth 2: ResponderMonth 2: Non-ResponderMonth 3: ResponderMonth 3: Non-ResponderMonth 4: ResponderMonth 4: Non-ResponderMonth 5: ResponderMonth 5: Non-ResponderMonth 6: ResponderMonth 6: Non-Responder
Group A524120100000
Group B212112212102
Group C101010100000

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Health Endometriosis Treatment Satisfaction Questionnaire (ETSQ) Scores Over Time

The 6-item ETSQ was developed to assess patient-reported satisfaction with effects on endometriosis pain, dysmenorrhea, dyspareunia, amount of bleeding tolerability and overall treatment satisfaction. The ETSQ has a 7 point response scale. The range for this scale is 0 to 36, with lower ETSQ scores reflecting lower levels of satisfaction with endometriosis treatment. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

,
Interventionscore on a scale (Mean)
BaselineMonth 3
Group A19.7122.25
Group C18.0025.00

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EuroQol-5D 5 Level (EQ-5D-5L) Scores Over Time: Mobility

The EQ-5D-5L is a health state utility instrument with 5 items that comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each of which is rated on 5 levels of severity (1=no problem, 2=slight problems, 3=moderate problems, 4=severe problems, 5=extreme problems) and a separate visual analog scale (VAS) indicating a participant's rating of their current health status (health today) on a scale of from 0 (worst health imaginable) to 100 (best health imaginable). (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

Interventionscore on a scale (Mean)
BaselineMonth 3Month 6
Group B1.01.01.0

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EuroQol-5D 5 Level (EQ-5D-5L) Scores Over Time: Mobility

The EQ-5D-5L is a health state utility instrument with 5 items that comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each of which is rated on 5 levels of severity (1=no problem, 2=slight problems, 3=moderate problems, 4=severe problems, 5=extreme problems) and a separate visual analog scale (VAS) indicating a participant's rating of their current health status (health today) on a scale of from 0 (worst health imaginable) to 100 (best health imaginable). (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

,
Interventionscore on a scale (Mean)
BaselineMonth 3
Group A1.41.3
Group C1.02.0

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EQ-5D-5L VAS Scores Over Time: Health Today

The EQ-5D-5L is a health state utility instrument with 5 items that comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each of which is rated on 5 levels of severity (1=no problem, 2=slight problems, 3=moderate problems, 4=severe problems, 5=extreme problems) and a separate VAS indicating a participant's rating of their current health status (health today) on a scale of from 0 (worst health imaginable) to 100 (best health imaginable). (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

Interventionscore on a scale (Mean)
BaselineMonth 3Month 6
Group B53.385.094.0

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EQ-5D-5L VAS Scores Over Time: Health Today

The EQ-5D-5L is a health state utility instrument with 5 items that comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each of which is rated on 5 levels of severity (1=no problem, 2=slight problems, 3=moderate problems, 4=severe problems, 5=extreme problems) and a separate VAS indicating a participant's rating of their current health status (health today) on a scale of from 0 (worst health imaginable) to 100 (best health imaginable). (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

,
Interventionscore on a scale (Mean)
BaselineMonth 3
Group A79.772.8
Group C72.070.0

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EQ-5D-5L Scores Over Time: Usual Activities

The EQ-5D-5L is a health state utility instrument with 5 items that comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each of which is rated on 5 levels of severity (1=no problem, 2=slight problems, 3=moderate problems, 4=severe problems, 5=extreme problems) and a separate visual analog scale (VAS) indicating a participant's rating of their current health status (health today) on a scale of from 0 (worst health imaginable) to 100 (best health imaginable). (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

Interventionscore on a scale (Mean)
BaselineMonth 3Month 6
Group B1.31.71.0

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EQ-5D-5L Scores Over Time: Usual Activities

The EQ-5D-5L is a health state utility instrument with 5 items that comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each of which is rated on 5 levels of severity (1=no problem, 2=slight problems, 3=moderate problems, 4=severe problems, 5=extreme problems) and a separate visual analog scale (VAS) indicating a participant's rating of their current health status (health today) on a scale of from 0 (worst health imaginable) to 100 (best health imaginable). (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

,
Interventionscore on a scale (Mean)
BaselineMonth 3
Group A2.01.5
Group C1.02.0

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EQ-5D-5L Scores Over Time: Self-Care

The EQ-5D-5L is a health state utility instrument with 5 items that comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each of which is rated on 5 levels of severity (1=no problem, 2=slight problems, 3=moderate problems, 4=severe problems, 5=extreme problems) and a separate visual analog scale (VAS) indicating a participant's rating of their current health status (health today) on a scale of from 0 (worst health imaginable) to 100 (best health imaginable). (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

Interventionscore on a scale (Mean)
BaselineMonth 3Month 6
Group B1.01.01.0

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EQ-5D-5L Scores Over Time: Self-Care

The EQ-5D-5L is a health state utility instrument with 5 items that comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each of which is rated on 5 levels of severity (1=no problem, 2=slight problems, 3=moderate problems, 4=severe problems, 5=extreme problems) and a separate visual analog scale (VAS) indicating a participant's rating of their current health status (health today) on a scale of from 0 (worst health imaginable) to 100 (best health imaginable). (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

,
Interventionscore on a scale (Mean)
BaselineMonth 3
Group A1.01.0
Group C1.01.0

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EQ-5D-5L Scores Over Time: Pain/Discomfort

The EQ-5D-5L is a health state utility instrument with 5 items that comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each of which is rated on 5 levels of severity (1=no problem, 2=slight problems, 3=moderate problems, 4=severe problems, 5=extreme problems) and a separate visual analog scale (VAS) indicating a participant's rating of their current health status (health today) on a scale of from 0 (worst health imaginable) to 100 (best health imaginable). (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

Interventionscore on a scale (Mean)
BaselineMonth 3Month 6
Group B2.71.71.0

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EQ-5D-5L Scores Over Time: Pain/Discomfort

The EQ-5D-5L is a health state utility instrument with 5 items that comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each of which is rated on 5 levels of severity (1=no problem, 2=slight problems, 3=moderate problems, 4=severe problems, 5=extreme problems) and a separate visual analog scale (VAS) indicating a participant's rating of their current health status (health today) on a scale of from 0 (worst health imaginable) to 100 (best health imaginable). (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

,
Interventionscore on a scale (Mean)
BaselineMonth 3
Group A2.72.0
Group C4.03.0

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EQ-5D-5L Scores Over Time: Anxiety/Depression

The EQ-5D-5L is a health state utility instrument with 5 items that comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each of which is rated on 5 levels of severity (1=no problem, 2=slight problems, 3=moderate problems, 4=severe problems, 5=extreme problems) and a separate visual analog scale (VAS) indicating a participant's rating of their current health status (health today) on a scale of from 0 (worst health imaginable) to 100 (best health imaginable). (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

Interventionscore on a scale (Mean)
BaselineMonth 3Month 6
Group B1.31.01.0

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EQ-5D-5L Scores Over Time: Anxiety/Depression

The EQ-5D-5L is a health state utility instrument with 5 items that comprise 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each of which is rated on 5 levels of severity (1=no problem, 2=slight problems, 3=moderate problems, 4=severe problems, 5=extreme problems) and a separate visual analog scale (VAS) indicating a participant's rating of their current health status (health today) on a scale of from 0 (worst health imaginable) to 100 (best health imaginable). (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

,
Interventionscore on a scale (Mean)
BaselineMonth 3
Group A1.01.0
Group C1.01.0

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Endometriosis Health Profile-30 (EHP-30) Scores Over Time: Pain

The EHP-30 is a disease-specific self-administered questionnaire used to measure health-related quality of life in women with endometriosis. Domains used in the study included Pain, Control and Powerlessness, Well-Being, Social Support, Self-Image, and Sexual Intercourse. Each domain is calculated on a scale from 0 = best possible health status to 100 = worst possible health status. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

Interventionscore on a scale (Mean)
BaselineMonth 3Month 6
Group B47.7317.4227.27

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Endometriosis Health Profile-30 (EHP-30) Scores Over Time: Pain

The EHP-30 is a disease-specific self-administered questionnaire used to measure health-related quality of life in women with endometriosis. Domains used in the study included Pain, Control and Powerlessness, Well-Being, Social Support, Self-Image, and Sexual Intercourse. Each domain is calculated on a scale from 0 = best possible health status to 100 = worst possible health status. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

,
Interventionscore on a scale (Mean)
BaselineMonth 3
Group A59.4238.07
Group C59.0938.64

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EHP-30 Scores Over Time: Social Support

The EHP-30 is a disease-specific self-administered questionnaire used to measure health-related quality of life in women with endometriosis. Domains used in the study included Pain, Control and Powerlessness, Well-Being, Social Support, Self-Image, and Sexual Intercourse. Each domain is calculated on a scale from 0 = best possible health status to 100 = worst possible health status. (NCT03343067)
Timeframe: Month 0 (baseline), Months 3, 6

Interventionscore on a scale (Mean)
BaselineMonth 3Month 6
Group B45.8316.6725.00

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Change From The Pivotal Phase 3 Study Baseline In Each Of The Non-Pain EHP-30 Domains At Week 104

Assessed using the following non-pain domains of the EHP-30 questionnaire: Control and Powerlessness (questions 12 through 17), Emotional Well-Being (questions 18 through 23), Social Support (questions 24 through 27), and Self-Image (questions 28 through 30). The score for each domain ranged from 0 to 100. Higher scores represent a greater impact of endometriosis. The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 104

,,
Interventionscore on a scale (Least Squares Mean)
Control and PowerlessnessEmotional Well-beingSocial SupportSelf Image
Placebo (Group C)-41.9-25.6-29.7-25.2
Relugolix Plus Delayed E2/NETA (Group B)-43.7-26.5-24.9-25.8
Relugolix Plus E2/NETA (Group A)-47.5-30.7-33.2-29.5

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Change From The Pivotal Phase 3 Study Baseline In Each Of The Non-Pain EHP-30 Domains At Week 52

Assessed using the following non-pain domains of the EHP-30 questionnaire: Control and Powerlessness (questions 12 through 17), Emotional Well-Being (questions 18 through 23), Social Support (questions 24 through 27), and Self-Image (questions 28 through 30). The score for each domain ranged from 0 to 100. Higher scores represent a greater impact of endometriosis. The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 52

,,
Interventionscore on a scale (Least Squares Mean)
Control and PowerlessnessEmotional Well-beingSocial SupportSelf Image
Placebo (Group C)-39.5-23.7-28.7-22.8
Relugolix Plus Delayed E2/NETA (Group B)-40.1-24.4-28.9-23.1
Relugolix Plus E2/NETA (Group A)-43.7-26.7-28.8-26.4

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Percent Change From The Pivotal Phase 3 Study Baseline In BMD At Lumbar Spine (L1-L4), Femoral Neck, And Total Hip At Week 104

Assessed by dual-energy X-ray absorptiometry (DXA) scan at lumbar spine, total hip, and femoral neck (same leg for each participant) at each designated time point. All participants who completed treatment or terminated from the study early were required to return for a 6-month post-treatment follow-up (PTFU) and a 12-month PTFU DXA scan (except if participant was beyond 14 months from last day on treatment). Participants were also to have clinical laboratory evaluations (vitamin D, thyroid stimulating hormone, parathyroid hormone, creatinine, calcium, and phosphorous) at the 6-month and 12-month PTFU only if the PTFU DXA scans showed a bone loss of ≥3% at the lumbar spine and/or total hip compared with the parent study baseline. (NCT03654274)
Timeframe: Week 104

,,
Interventionpercent change (Least Squares Mean)
Lumbar Spine (L1-L4)Femoral NeckTotal Hip
Placebo (Group C)-0.09-0.050.69
Relugolix Plus Delayed E2/NETA (Group B)-0.56-0.440.10
Relugolix Plus E2/NETA (Group A)-0.450.240.82

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Percent Change From The Pivotal Phase 3 Study Baseline In BMD At Lumbar Spine (L1-L4), Femoral Neck, And Total Hip At Week 52

Assessed by dual-energy X-ray absorptiometry (DXA) scan at lumbar spine, total hip, and femoral neck (same leg for each participant) at each designated time point. All participants who completed treatment or terminated from the study early were required to return for a 6-month post-treatment follow-up (PTFU) and a 12-month PTFU DXA scan (except if participant was beyond 14 months from last day on treatment). Participants were also to have clinical laboratory evaluations (vitamin D, thyroid stimulating hormone, parathyroid hormone, creatinine, calcium, and phosphorous) at the 6-month and 12-month PTFU only if the PTFU DXA scans showed a bone loss of ≥3% at the lumbar spine and/or total hip compared with the parent study baseline. (NCT03654274)
Timeframe: Week 52

,,
Interventionpercent change (Least Squares Mean)
Lumbar Spine (L1-L4)Femoral NeckTotal Hip
Placebo (Group C)-0.090.060.27
Relugolix Plus Delayed E2/NETA (Group B)-1.09-0.84-0.52
Relugolix Plus E2/NETA (Group A)-0.69-0.21-0.10

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Percentage Of Participants With Improvement, No Change, Or Worsening From Baseline In PGA Score For Function At Week 104

"The PGA for functional impairment is a 1-item questionnaire designed to assess participant's impression of how their pain affected their usual activities. The participants responded to the question: How much were your daily activities limited by endometriosis over the last 4 weeks? using a 5-point response scale; each response was given a numerical score: not at all (0), minimally (1), moderately (2), significantly (3), or very significantly (4)." (NCT03654274)
Timeframe: Week 104

,,
Interventionpercentage of participants (Number)
Improvement (-1 to -4)No Change (0)Deterioration (+1 to +4)
Placebo (Group C)91.28.80
Relugolix Plus Delayed E2/NETA (Group B)92.07.30.7
Relugolix Plus E2/NETA (Group A)92.76.70.6

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Percentage Of Participants With Improvement, No Change, Or Worsening From Baseline In PGA Score For Function At Week 52

"The PGA for functional impairment is a 1-item questionnaire designed to assess participant's impression of how their pain affected their usual activities. The participants responded to the question: How much were your daily activities limited by endometriosis over the last 4 weeks? using a 5-point response scale; each response was given a numerical score: not at all (0), minimally (1), moderately (2), significantly (3), or very significantly (4)." (NCT03654274)
Timeframe: Week 52

,,
Interventionpercentage of participants (Number)
Improvement (-1 to -4)No Change (0)Deterioration (+1 to +4)
Placebo (Group C)86.110.03.9
Relugolix Plus Delayed E2/NETA (Group B)86.912.60.5
Relugolix Plus E2/NETA (Group A)88.98.13.0

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Percentage Of Participants With Improvement, No Change, Or Worsening From Baseline In PGA Score For Overall Pelvic Pain At Week 104

The PGA for pelvic pain severity is a 1-item questionnaire designed to assess participant's impression of the severity of their pain. The questionnaire used a 5-point response scale; each response was given a numerical score: absent (0), mild (1), moderate (2), severe (3), or very severe (4). (NCT03654274)
Timeframe: Week 104

,,
Interventionpercentage of participants (Number)
Improvement (-1 to -4)No Change (0)Deterioration (+1 to +4)
Placebo (Group C)80.416.73.0
Relugolix Plus Delayed E2/NETA (Group B)82.215.82.1
Relugolix Plus E2/NETA (Group A)85.513.80.6

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Percentage Of Participants With Improvement, No Change, Or Worsening From Baseline In PGA Score For Overall Pelvic Pain At Week 52

The PGA for pelvic pain severity is a 1-item questionnaire designed to assess participant's impression of the severity of their pain. The questionnaire used a 5-point response scale; each response was given a numerical score: absent (0), mild (1), moderate (2), severe (3), or very severe (4). (NCT03654274)
Timeframe: Week 52

,,
Interventionpercentage of participants (Number)
Improvement (-1 to -4)No Change (0)Deterioration (+1 to +4)
Placebo (Group C)72.623.04.4
Relugolix Plus Delayed E2/NETA (Group B)69.926.23.9
Relugolix Plus E2/NETA (Group A)81.514.73.9

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Change From The Pivotal Phase 3 Study Baseline In The Mean Dysmenorrhea NRS Score At Week 104

Assessed using an NRS score (11-point scale) for pain recorded daily in an electronic diary. Participants rated their pelvic pain on a scale from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 104

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-5.9
Relugolix Plus Delayed E2/NETA (Group B)-5.7
Placebo (Group C)-5.6

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Change From The Pivotal Phase 3 Study Baseline In The Endometriosis Health Profile (EHP)-30 Pain Domain Scores At Week 52

Assessed using the pain domain of the EHP-30 questionnaire. The EHP-30 questionnaire was completed on an electronic tablet (eTablet) device. Participants reported the frequency (never, rarely, sometimes, often, and always) with which they had difficulty with activities such as standing, sitting, walking, sleeping, and performing jobs around the house because of pain. The Pain Domain normalized scores ranged from 0 to 100, with higher scores denoting greater functional impact of pain. The least squares (LS) mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 52

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-37.7
Relugolix Plus Delayed E2/NETA (Group B)-36.1
Placebo (Group C)-35.1

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Change From The Pivotal Phase 3 Study Baseline In The Endometriosis Health Profile (EHP)-30 Pain Domain Scores At Week 104

Assessed using the pain domain of the EHP-30 questionnaire. The EHP-30 questionnaire was completed on an electronic tablet (eTablet) device. Participants reported the frequency (never, rarely, sometimes, often, and always) with which they had difficulty with activities such as standing, sitting, walking, sleeping, and performing jobs around the house because of pain. The Pain Domain normalized scores ranged from 0 to 100, with higher scores denoting greater functional impact of pain. The least squares (LS) mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 104

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-41.3
Relugolix Plus Delayed E2/NETA (Group B)-38.9
Placebo (Group C)-37.7

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Change From The Pivotal Phase 3 Study Baseline In Severity Scores On The Patient Global Assessment (PGA) For Overall Pelvic Pain At Week 52

The PGA for pelvic pain severity is a 1-item questionnaire designed to assess participant's impression of the severity of their pain. The questionnaire used a 5-point response scale; each response was given a numerical score: absent (0), mild (1), moderate (2), severe (3), or very severe (4). The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 52

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.3
Relugolix Plus Delayed E2/NETA (Group B)-1.2
Placebo (Group C)-1.2

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Change From The Pivotal Phase 3 Study Baseline In Severity Scores On The Patient Global Assessment (PGA) For Overall Pelvic Pain At Week 104

The PGA for pelvic pain severity is a 1-item questionnaire designed to assess participant's impression of the severity of their pain. The questionnaire used a 5-point response scale; each response was given a numerical score: absent (0), mild (1), moderate (2), severe (3), or very severe (4). The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 104

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.4
Relugolix Plus Delayed E2/NETA (Group B)-1.4
Placebo (Group C)-1.3

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Change From The Pivotal Phase 3 Study Baseline In Function Impairment On The PGA For Function At Week 52

"The PGA for functional impairment is a 1-item questionnaire designed to assess participant's impression of how their pain affected their usual activities. The participants responded to the question: How much were your daily activities limited by endometriosis over the last 4 weeks? using a 5-point response scale; each response was given a numerical score: not at all (0), minimally (1), moderately (2), significantly (3), or very significantly (4). The LS mean was presented by pivotal study treatment group and by visit." (NCT03654274)
Timeframe: Week 52

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.6
Relugolix Plus Delayed E2/NETA (Group B)-1.6
Placebo (Group C)-1.6

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Change From The Pivotal Phase 3 Study Baseline In Function Impairment On The PGA For Function At Week 104

"The PGA for functional impairment is a 1-item questionnaire designed to assess participant's impression of how their pain affected their usual activities. The participants responded to the question: How much were your daily activities limited by endometriosis over the last 4 weeks? using a 5-point response scale; each response was given a numerical score: not at all (0), minimally (1), moderately (2), significantly (3), or very significantly (4). The LS mean was presented by pivotal study treatment group and by visit." (NCT03654274)
Timeframe: Week 104

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.9
Relugolix Plus Delayed E2/NETA (Group B)-1.9
Placebo (Group C)-1.8

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Change From The Pivotal Phase 3 Study Baseline In Dysmenorrhea Functional Impairment Score At Week 52

Assessed using the participant-modified Biberoglu and Behrman 5-point scale for dysmenorrhea recorded daily in an electronic diary. Participants were to report their pain as related to functional impairment daily in an electronic diary using the following response options: Severe (in bed all day, incapacitation), Moderate (in bed part of the day, some loss of work efficiency), Mild (some loss of work efficiency), No pain (no pain associated with menstruation during past 24 hours), or did not menstruate during the past 24 hours. Participants gave a possible score of 0 (no pain) to 4 (did not menstruate). The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 52

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.3
Relugolix Plus Delayed E2/NETA (Group B)-1.3
Placebo (Group C)-1.2

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Change From The Pivotal Phase 3 Study Baseline In Dysmenorrhea Functional Impairment Score At Week 104

Assessed using the participant-modified Biberoglu and Behrman 5-point scale for dysmenorrhea recorded daily in an electronic diary. Participants were to report their pain as related to functional impairment daily in an electronic diary using the following response options: Severe (in bed all day, incapacitation), Moderate (in bed part of the day, some loss of work efficiency), Mild (some loss of work efficiency), No pain (no pain associated with menstruation during past 24 hours), or did not menstruate during the past 24 hours. Participants gave a possible score of 0 (no pain) to 4 (did not menstruate). The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 104

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.3
Relugolix Plus Delayed E2/NETA (Group B)-1.3
Placebo (Group C)-1.2

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Change From Pivotal Phase 3 Study Baseline In Predose Serum Concentrations Of Estradiol At Week 52

Blood samples were collected from participants for estradiol measurements at each specified timepoints. Estradiol concentrations were measured using an immuno-enzymatic assay based on a commercially available kit. (NCT03654274)
Timeframe: Week 52

Interventionpg/mL (Mean)
Relugolix Plus E2/NETA (Group A)-55.22
Relugolix Plus Delayed E2/NETA (Group B)-77.76
Placebo (Group C)-62.07

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Change From Pivotal Phase 3 Study Baseline In Predose Serum Concentrations Of Estradiol At Week 104

Blood samples were collected from participants for estradiol measurements at each specified timepoints. Estradiol concentrations were measured using an immuno-enzymatic assay based on a commercially available kit. (NCT03654274)
Timeframe: Week 104

Interventionpg/mL (Mean)
Relugolix Plus E2/NETA (Group A)-51.72
Relugolix Plus Delayed E2/NETA (Group B)-74.68
Placebo (Group C)-64.39

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Change From Pivotal Phase 3 Study Baseline In NMPP Functional Impairment Score At Week 52

Assessed using the participant-modified Biberoglu and Behrman 4-point scale for pelvic pain recorded daily in an electronic diary. Participants reported their pain daily in an electronic diary using the following response options: Severe (requires strong analgesics), Moderate (noticeable pelvic pain), Mild (occasional pelvic pain), or No pain (no pain during past 24 hours). Participants gave a possible score of 0 (no pain) to 3 (severe). The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 52

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.0
Relugolix Plus Delayed E2/NETA (Group B)-1.0
Placebo (Group C)-1.0

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"Percentage Of Participants Who Are Better Or Much Better On The PGIC For NMPP At Week 52"

The PGIC for NMPP is a 1-item questionnaire designed to assess participant's impression of change in the severity of pain when they are not menstruating. The questionnaire used a 7-point response scale: much better, better, a little better, the same, a little worse, worse, or much worse. (NCT03654274)
Timeframe: Week 52

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)85.5
Relugolix Plus Delayed E2/NETA (Group B)86.1
Placebo (Group C)79.1

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"Percentage Of Participants Who Are Better Or Much Better On The PGIC For Dyspareunia At Week 52"

The PGIC for dyspareunia is a 1-item questionnaire designed to assess participant's impression of change in the severity of their pain during sexual intercourse. The questionnaire used a 7-point response scale: much better, better, a little better, the same, a little worse, worse, or much worse. (NCT03654274)
Timeframe: Week 52

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)61.0
Relugolix Plus Delayed E2/NETA (Group B)61.9
Placebo (Group C)60.0

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"Percentage Of Participants Who Are Better Or Much Better On The Patient Global Impression Of Change (PGIC) For Dysmenorrhea At Week 52"

The PGIC for dysmenorrhea is a 1-item questionnaire designed to assess participant's impression of change in the severity of pain during their menstrual cycle. The questionnaire used a 7-point response scale: much better, better, a little better, the same, a little worse, worse, or much worse. (NCT03654274)
Timeframe: Week 52

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)89.1
Relugolix Plus Delayed E2/NETA (Group B)87.1
Placebo (Group C)83.0

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Change From The Pivotal Phase 3 Study Baseline In The Mean Dysmenorrhea NRS Score At Week 52

Assessed using an NRS score (11-point scale) for pain recorded daily in an electronic diary. Participants rated their pelvic pain on a scale from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 52

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-5.9
Relugolix Plus Delayed E2/NETA (Group B)-5.7
Placebo (Group C)-5.3

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Percentage Of Participants Not Using Analgesics For Endometriosis-associated Pain At Week 104

Assessed based on usage of study-specified analgesics for endometriosis-associated pain recorded daily in an electronic diary. Participants received protocol-specified analgesics for treatment of endometriosis-associated pain as needed for pain but not prophylactically. (NCT03654274)
Timeframe: Week 104

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)75.1
Relugolix Plus Delayed E2/NETA (Group B)76.5
Placebo (Group C)76.0

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Change From Pivotal Phase 3 Study Baseline In NMPP Functional Impairment Score At Week 104

Assessed using the participant-modified Biberoglu and Behrman 4-point scale for pelvic pain recorded daily in an electronic diary. Participants reported their pain daily in an electronic diary using the following response options: Severe (requires strong analgesics), Moderate (noticeable pelvic pain), Mild (occasional pelvic pain), or No pain (no pain during past 24 hours). Participants gave a possible score of 0 (no pain) to 3 (severe). The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 104

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.2
Relugolix Plus Delayed E2/NETA (Group B)-1.1
Placebo (Group C)-1.1

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Percentage Of Participants Who Meet The NMPP Responder Criteria At Week 52

Assessed using an NRS score (11-point scale) for pain recorded daily in an electronic diary. A participant was defined as a responder if the NRS score for NMPP declined from baseline to Week 52 by at least 2.1 points without increased use of protocol-specified analgesics for pelvic pain at Week 52 relative to baseline. Participants rated their pelvic pain on a scale from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. (NCT03654274)
Timeframe: Week 52

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)73.6
Relugolix Plus Delayed E2/NETA (Group B)70.4
Placebo (Group C)68.0

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Change From The Pivotal Phase 3 Study Baseline In The Mean Dyspareunia Functional Impairment At Week 104

Assessed using the participant-modified Biberoglu and Behrman 5-point scale for dyspareunia recorded daily in an electronic diary. Participants were to report their pain during intercourse daily using the following response options: Severe (avoids intercourse because of pain), Moderate (intercourse painful to the point of causing interruption), Mild (tolerated pain), No pain (no pain during intercourse), or No intercourse (no intercourse for other reasons). Participants gave a possible score of 0 (no pain) to 3 (severe). The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 104

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-1.0
Relugolix Plus Delayed E2/NETA (Group B)-0.9
Placebo (Group C)-1.0

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Change From The Pivotal Phase 3 Study Baseline In The Mean Dyspareunia Functional Impairment At Week 52

Assessed using the participant-modified Biberoglu and Behrman 5-point scale for dyspareunia recorded daily in an electronic diary. Participants were to report their pain during intercourse daily using the following response options: Severe (avoids intercourse because of pain), Moderate (intercourse painful to the point of causing interruption), Mild (tolerated pain), No pain (no pain during intercourse), or No intercourse (no intercourse for other reasons). Participants gave a possible score of 0 (no pain) to 3 (severe). The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 52

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-0.9
Relugolix Plus Delayed E2/NETA (Group B)-0.9
Placebo (Group C)-0.8

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Change From The Pivotal Phase 3 Study Baseline In The Mean Dyspareunia NRS Scores At Week 104

Assessed using an NRS score (11-point scale) for pain recorded daily in an electronic diary. Participants were to report whether they had vaginal sexual intercourse and rated their level of pelvic pain during intercourse on a scale from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 104

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-3.5
Relugolix Plus Delayed E2/NETA (Group B)-2.9
Placebo (Group C)-3.4

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Change From The Pivotal Phase 3 Study Baseline In The Mean Dyspareunia NRS Scores At Week 52

Assessed using an NRS score (11-point scale) for pain recorded daily in an electronic diary. Participants were to report whether they had vaginal sexual intercourse and rated their level of pelvic pain during intercourse on a scale from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 52

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-3.3
Relugolix Plus Delayed E2/NETA (Group B)-3.0
Placebo (Group C)-3.0

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Change From The Pivotal Phase 3 Study Baseline In The Mean NMPP NRS Score At Week 104

Assessed using an NRS score (11-point scale) for pain recorded daily in an electronic diary. Participants rated their pelvic pain on a scale from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 104

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-4.0
Relugolix Plus Delayed E2/NETA (Group B)-3.5
Placebo (Group C)-3.8

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Change From The Pivotal Phase 3 Study Baseline In The Mean NMPP NRS Score At Week 52

Assessed using an NRS score (11-point scale) for pain recorded daily in an electronic diary. Participants rated their pelvic pain on a scale from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 52

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-3.6
Relugolix Plus Delayed E2/NETA (Group B)-3.4
Placebo (Group C)-3.4

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Change From The Pivotal Phase 3 Study Baseline In The Mean Overall Pelvic Pain NRS Score At Week 104

Assessed using an NRS score (11-point scale) for overall pain recorded daily in an electronic diary. Participants rated their overall pelvic pain on a scale from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 104

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-4.2
Relugolix Plus Delayed E2/NETA (Group B)-3.9
Placebo (Group C)-4.0

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Change From The Pivotal Phase 3 Study Baseline In The Mean Overall Pelvic Pain NRS Score At Week 52

Assessed using an NRS score (11-point scale) for overall pain recorded daily in an electronic diary. Participants rated their overall pelvic pain on a scale from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. The LS mean was presented by pivotal study treatment group and by visit. (NCT03654274)
Timeframe: Week 52

Interventionscore on a scale (Least Squares Mean)
Relugolix Plus E2/NETA (Group A)-3.9
Relugolix Plus Delayed E2/NETA (Group B)-3.6
Placebo (Group C)-3.6

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Percentage Of Participants Not Using Opioids For Endometriosis-associated Pain At Week 104

Assessed based on usage of study-specified opioids for endometriosis-associated pain recorded daily in an electronic diary. Participants received protocol-specified opioids for treatment of endometriosis-associated pain as needed for pain but not prophylactically. (NCT03654274)
Timeframe: Week 104

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)91.0
Relugolix Plus Delayed E2/NETA (Group B)88.3
Placebo (Group C)90.5

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Percentage Of Participants Who Have A Reduction Of At Least 20 Points In The EHP-30 Pain Domain Scores From The Pivotal Phase 3 Study Baseline At Week 104

Assessed using the Pain Domain of the EHP-30 questionnaire. The EHP-30 questionnaire was completed on an electronic tablet (eTablet) device. Participants reported the frequency (never, rarely, sometimes, often, and always) with which they had difficulty with activities such as standing, sitting, walking, sleeping, and performing jobs around the house because of pain. The Pain Domain normalized scores ranged from 0 to 100, with higher scores denoting greater functional impact of pain. (NCT03654274)
Timeframe: Week 104

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)88.6
Relugolix Plus Delayed E2/NETA (Group B)85.4
Placebo (Group C)86.1

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Percentage Of Participants Who Have A Reduction Of At Least 20 Points In The EHP-30 Pain Domain Scores From The Pivotal Phase 3 Study Baseline At Week 52

Assessed using the Pain Domain of the EHP-30 questionnaire. The EHP-30 questionnaire was completed on an electronic tablet (eTablet) device. Participants reported the frequency (never, rarely, sometimes, often, and always) with which they had difficulty with activities such as standing, sitting, walking, sleeping, and performing jobs around the house because of pain. The Pain Domain normalized scores ranged from 0 to 100, with higher scores denoting greater functional impact of pain. (NCT03654274)
Timeframe: Week 52

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)83.6
Relugolix Plus Delayed E2/NETA (Group B)81.2
Placebo (Group C)79.5

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Percentage Of Participants Who Meet The Dysmenorrhea Responder Criteria At Week 104

Assessed using an NRS score (11-point scale) for pain recorded daily in an electronic diary. A participant was defined as a responder if the NRS score for dysmenorrhea declined from baseline to Week 104 by at least 2.8 points without increased use of protocol-specified analgesics for pelvic pain at Week 104 relative to baseline. Participants rated their pelvic pain on a scale from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. (NCT03654274)
Timeframe: Week 104

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)84.8
Relugolix Plus Delayed E2/NETA (Group B)83.0
Placebo (Group C)80.4

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Percentage Of Participants Who Meet The Dysmenorrhea Responder Criteria At Week 52

Assessed using an NRS score (11-point scale) for pain recorded daily in an electronic diary. A participant was defined as a responder if the NRS score for dysmenorrhea declined from baseline to Week 52 by at least 2.8 points without increased use of protocol-specified analgesics for pelvic pain at Week 52 relative to baseline. Participants rated their pelvic pain on a scale from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. (NCT03654274)
Timeframe: Week 52

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)84.8
Relugolix Plus Delayed E2/NETA (Group B)82.2
Placebo (Group C)75.6

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Percentage Of Participants Who Meet The NMPP Responder Criteria At Week 104

Assessed using an NRS score (11-point scale) for pain recorded daily in an electronic diary. A participant was defined as a responder if the NRS score for NMPP declined from baseline to Week 104 by at least 2.1 points without increased use of protocol-specified analgesics for pelvic pain at Week 104 relative to baseline. Participants rated their pelvic pain on a scale from 0 to 10, with 0 indicating no pain and 10 indicating pain as bad as you can imagine. (NCT03654274)
Timeframe: Week 104

Interventionpercentage of participants (Number)
Relugolix Plus E2/NETA (Group A)75.8
Relugolix Plus Delayed E2/NETA (Group B)71.7
Placebo (Group C)73.1

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PGIC Score (Dyspareunia)

Patient's Global Impression of Change (PGIC) scale will be used to rate pelvic pain during sex. This is a 7 point scale ranging from 1 (much worse) to 7 (much better). (NCT03970330)
Timeframe: 4, 8, 12 and 16 weeks

,
Interventionunits on a scale (Median)
Week 4Week 8Week 12Week 16
Low-Dose Naltrexone4.04.04.04.0
Placebo6.06.06.05.0

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Ibuprofen Use

Average # of ibuprofen 200 mg pills per week during the study treatment period (NCT03970330)
Timeframe: 12 weeks

Interventionpills/week (Mean)
Low-Dose Naltrexone5.5
Placebo1.2

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Oxycodone Use

Number of subjects who used oxycodone at any time during the study (NCT03970330)
Timeframe: 12 weeks

InterventionParticipants (Count of Participants)
Low-Dose Naltrexone0
Placebo0

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Pain Score Area Under the Curve (AUC)

Pain is reported daily using the Visual Analog Scale, a 100mm horizontal line on which the patient's pain intensity is represented by a point between the extremities of 0 (no pain) and 100 (worst pain). The final outcome measure will be calculated as area under the curve from randomization through 12-weeks of intervention. AUC was calculated using the trapezoid rule. Calculated AUC per subject across this 12-week period can range from 0 - 8300. (NCT03970330)
Timeframe: 12 weeks

Interventionunits on a scale*days (Mean)
Low-Dose Naltrexone2461
Placebo1338

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EHP-30 Score

Quality of life measured by the validated Endometriosis Health Profile (EHP-30) questionnaire. Scores range from 0 (best health status) to 100 (worst health status). (NCT03970330)
Timeframe: Baseline, 4, 8, 12, and 16 weeks

,
Interventionscore on a scale (Mean)
BaselineWeek 4Week 8Week 12Week 16
Low-Dose Naltrexone56.535.534.934.135.7
Placebo27.625.116.018.628.9

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PGIC Score (Nonmenstrual Pelvic Pain)

Patient's Global Impression of Change (PGIC) scale will be used to rate nonmenstrual pelvic pain. This is a 7 point scale ranging from 1 (much worse) to 7 (much better). (NCT03970330)
Timeframe: 4, 8, 12 and 16 weeks

,
Interventionunits on a scale (Median)
Week 4Week 8Week 12Week 16
Low-Dose Naltrexone5.04.04.04.0
Placebo6.56.56.55.5

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PGIC Score (Painful Periods)

Patient's Global Impression of Change (PGIC) scale will be used to rate painful periods. This is a 7 point scale ranging from 1 (much worse) to 7 (much better). (NCT03970330)
Timeframe: 4, 8, 12 and 16 weeks

,
Interventionunits on a scale (Median)
4 weeks8 weeks12 weeks16 weeks
Low-Dose Naltrexone4.04.04.04.0
Placebo6.56.56.54.5

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