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Ulipristal

Phase 3

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

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment589
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
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 LeiomyomasPHASE3 COMPLETED 157Mar 31, 2014Mar 29, 2016Apr 30, 201928 United States
NCT02147158A Study of the Efficacy and Safety of Ulipristal Acetate Intermittent Treatment for Abnormal Uterine Bleeding Associated With LeiomyomasPHASE3 COMPLETED 432Jan 29, 2014Nov 24, 2016Jun 4, 201963 United States, Canada
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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.

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.
Interventions
NameTypeDescription
Ulipristal acetate (UPA)DRUGUPA tablet
PlaceboDRUGMatching placebo tablet.
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Eligibility Criteria
Age Range18 Years — 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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