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Ulipristal

Phase 3

Leiomyoma | Small molecule | Other |AbbVie Inc.|Last Updated: Jun 4, 2019

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment589

FDA Designations

No designations recorded

Clinical trial landscape

Ulipristal · 3 trials · 3 indications

Phase 3 2Phase 1 1
NCT02147197A Study of the Efficacy and Safety of a 3-month Treatment Course of Ulipristal Acetate for the Treatment of Abnormal Uterine Bleeding Associated With LeiomyomasLeiomyoma
COMPLETED157 Analytics
NCT02147158A Study of the Efficacy and Safety of Ulipristal Acetate Intermittent Treatment for Abnormal Uterine Bleeding Associated With LeiomyomasLeiomyoma
COMPLETED432 Analytics
PHASE3COMPLETED
A Study of the Efficacy and Safety of a 3-month Treatment Course of Ulipristal Acetate for the Treatment of Abnormal Uterine Bleeding Associated With Leiomyomas
LeiomyomaUnlock trial analytics
PHASE3COMPLETED
A Study of the Efficacy and Safety of Ulipristal Acetate Intermittent Treatment for Abnormal Uterine Bleeding Associated With Leiomyomas
LeiomyomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Absence of Bleeding During the Last 35 Consecutive Days on Treatment
Last 35 consecutive days on treatment in the 12-week Treatment Period

Participants recorded bleeding in a daily diary. Absence of bleeding was defined as no bleeding days (i.e. no entries for bleeding or heavy bleeding; however, spotting was allowed), during the last 35 consecutive days on treatment in the 12-week Treatment Period.

Time to Absence of Bleeding on Treatment
From first dose up to the end of the 12-week Treatment Period

Time to absence of bleeding was defined as the duration in days from first dose to the first day in the time interval in which absence of bleeding occurs and persists through the last dose on treatment. The persistence of absence of bleeding occurred for a minimum of 35 consecutive days counting backward from the last dose on treatment in the 12-week Treatment Period.

Percentage of Participants With Absence of Bleeding During the Last 35 Consecutive Days on Treatment in Treatment Course 1
Last 35 consecutive days on treatment in the 12-Week Treatment Course 1

Participants recorded bleeding in a daily diary. Absence of bleeding was defined as no bleeding days (i.e., no entries for bleeding or heavy bleeding; however, spotting was allowed), during the last 35 consecutive days on treatment in Treatment Course 1.

Time to Absence of Bleeding on Treatment During Treatment Course 1
From first dose up to the end of the 12-Week Treatment Course 1

Time to absence of bleeding was defined as the duration in days from first dose to the first day in the time interval in which absence of bleeding occurs and persists through the last dose in the first treatment course. The persistence of absence of bleeding occurred for a minimum of 35 consecutive days counting backward from the last dose in Treatment Course 1.

Area under the plasma concentration versus time curve of ulipristal acetate from time 0 to time t (AUC 0-t)
Day 1 (0 hour) to Day 8 (168 hours)
Maximum plasma drug concentration (Cmax) of ulipristal acetate
Day 1 (0 hour) to Day 8 (168 hours)
Time of maximum plasma drug concentration (Tmax) of ulipristal acetate
Day 1 (0 hour) to Day 8 (168 hours)
Terminal elimination half-life (T½) of ulipristal acetate
Day 1 (0 hour) to Day 8 (168 hours)
Apparent total body clearance of ulipristal acetate from plasma after extravascular administration (CL/F) of ulipristal acetate
Day 1 (0 hour) to Day 8 (168 hours)
Apparent volume of distribution during the terminal phase after extravascular administration (Vz/F) of ulipristal acetate
Day 1 (0 hour) to Day 8 (168 hours)
Area under the plasma concentration versus time curve of ulipristal acetate from time 0 to infinity (AUC 0-∞)
Day 1 (0 hour) to Day 8 (168 hours)

Secondary Endpoints

Percentage of Participants With Absence of Bleeding From Day 11 Through the End of Treatment
Day 11 through the end of the 12-week Treatment Period
Change From Baseline in Uterine Fibroid Symptom and Health-Related Quality of Life Questionnaire (UFS-QOL) Revised Activities Subscale Score at the End of Treatment Period
Baseline (Day 1-4) to the end of 12-week Treatment Period
Percentage of Participants With Absence of Bleeding From Day 11 Through the End of Treatment Course 1
Day 11 through the end of treatment in the 12-Week Treatment Course 1
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
UPA 5 mgEXPERIMENTALUlipristal acetate (UPA) 5 mg tablet plus matching placebo 10 mg tablet, orally, once daily for 12 weeks.
UPA 10 mgEXPERIMENTALUPA 10 mg tablet plus matching placebo 5 mg tablet, orally, once daily for 12 weeks.
PlaceboPLACEBO_COMPARATORMatching placebo tablets (5 mg and 10 mg), orally, once daily for 12 weeks.
UPA 5 mg:PlaceboEXPERIMENTALUlipristal Acetate (UPA) 5 mg tablet plus matching placebo 10 mg tablet, orally, once daily for 12 weeks in Treatment Course 1; followed by a 2 menses drug-free interval; followed by matching placebo tablets (5 mg and 10 mg), orally, once daily for 12 weeks in Treatment Course 2.
UPA 10 mg:PlaceboEXPERIMENTALUPA 10 mg tablet plus matching placebo 5 mg tablet, orally, once daily for 12 weeks in Treatment Course 1; followed by a 2 menses drug-free interval; followed by matching placebo tablets (5 mg and 10 mg), orally, once daily for 12 weeks in Treatment Course 2.
UPA 5 mg:UPA 5 mgEXPERIMENTALUPA 5 mg tablet plus matching placebo 10 mg tablet, orally, once daily in both Treatment Course 1 and Treatment Course 2. There was a 2 menses drug-free interval in between courses.
UPA 10 mg:UPA 10 mgEXPERIMENTALUPA 10 mg tablet plus matching placebo 5 mg tablet, orally, once daily in both Treatment Course 1 and Treatment Course 2. There was a 2 menses drug-free interval in between courses.
Placebo:UPA 5 mgEXPERIMENTALMatching placebo tablets (5 mg and 10 mg) orally, once daily for 12 weeks in Treatment Course 1; followed by a 2 menses drug-free interval; followed by UPA 5 mg tablet plus matching placebo 10 mg tablet, orally, once daily for 12 weeks in Treatment Course 2.
Placebo:UPA 10 mgEXPERIMENTALMatching placebo tablets (5 mg and 10 mg), orally, once daily for 12 weeks in Treatment Course 1; followed by a 2 menses drug-free interval; followed by UPA 10 mg tablet plus matching placebo 5 mg tablet, orally, once daily for 12 weeks in Treatment Course 2.
Normal Renal FunctionEXPERIMENTALUlipristal acetate, 10 mg, oral administration
Moderate Renal ImpairmentEXPERIMENTALUlipristal acetate, 10 mg, oral administration
Severe Renal ImpairmentEXPERIMENTALUlipristal acetate, 10 mg, oral administration

Interventions

NameTypeDescription
Ulipristal acetate (UPA)DRUGUPA tablet
PlaceboDRUGMatching placebo tablet.
Ulipristal acetateDRUG -
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Eligibility Criteria

Age Range18 Years to 50 Years
SexFEMALE
Healthy VolunteersNo
Study Sites28

Inclusion Criteria: * Pre-menopausal women, 18-50 years, inclusive. * Cyclic abnormal uterine bleeding (heavy or prolonged). * Menstrual blood loss (MBL) of ≥ 80 mL as measured by the alkaline hematin method in the first 8 days of menses. * Minimum of one discrete leiomyoma observable by transvagin...

Countries:United StatesCanada
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Frequently asked questions about Ulipristal

What is Ulipristal used for?

Ulipristal is a small molecule being developed by AbbVie Inc. for the treatment of abnormal uterine bleeding associated with leiomyomas, which are uterine fibroids. It has also been studied in patients with moderately or severely impaired renal function. The drug is currently in Phase 3 clinical development for these indications.

What does Ulipristal target?

Ulipristal is a selective progesterone receptor modulator. It works by modulating the activity of progesterone receptors, which are involved in the growth of uterine fibroids. By affecting these receptors, ulipristal can help reduce bleeding associated with leiomyomas.

Who makes Ulipristal?

Ulipristal is being developed by AbbVie Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol ABBV. The company is conducting clinical trials to evaluate the drug's efficacy and safety in treating abnormal uterine bleeding associated with leiomyomas.

What phase is Ulipristal in?

Ulipristal is in Phase 3 clinical development. Two Phase 3 trials have been completed, studying the drug for abnormal uterine bleeding associated with leiomyomas. The drug is investigational and has not been approved by regulatory authorities for any indication.

What clinical trials is Ulipristal in?

Ulipristal has been studied in two completed Phase 3 trials: NCT02147158, which enrolled 432 participants, and NCT02147197, which enrolled 157 participants. Both trials evaluated the drug for abnormal uterine bleeding associated with leiomyomas in the United States and Canada.

Is Ulipristal the same as ulipristal acetate?

Ulipristal is the active ingredient in the drug product ulipristal acetate. The clinical trials for this drug use ulipristal acetate as the investigational agent. The drug is being developed by AbbVie Inc. for the treatment of abnormal uterine bleeding associated with leiomyomas.