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DRSP dose 1

Phase 3

Postmenopause | Small molecule | Other |Bayer AG|Trials Updated: May 6, 2015

DRSP dose 1 target and mechanism

ModalitySmall molecule

Also known as DRSP (ZK 30595) dose 1 (SH T04984F)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials3
Total Enrollment1,817

FDA Designations

No designations recorded

DRSP dose 1 clinical trials

DRSP dose 1 · 3 trials · 4 indications

Phase 3 2Phase 2 1
NCT00522873Endometrial Safety StudyPostmenopause
COMPLETED662 Analytics
NCT00446199Low-dose Hormone Therapy for Relief of Vasomotor SymptomsVasomotor Symptoms
COMPLETED735 Analytics
PHASE3COMPLETED
Endometrial Safety Study
PostmenopauseUnlock trial analytics
PHASE3COMPLETED
Low-dose Hormone Therapy for Relief of Vasomotor Symptoms
Vasomotor SymptomsUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants in the DRSP/E2 Group With an Assessment of Endometrial Hyperplasia or Worse at End of Study (EoS) (1 Year of Treatment)
Up to one year

The number of women who had a biopsy classified as 'hyperplasia or worse' at any time during the study. According to the protocol this endpoint was defined as primary for the DRSP/E2 group only.

Change From Baseline to Week 12 in Weekly Frequency of Moderate to Severe Hot Flushes (Median Value)
Baseline until 12 weeks of treatment

Subjects record daily on the diary cards the frequency and severity of hot flushes during the treatment period as none, mild, moderate or severe. Absolute change calculated as week 12 number of moderate to severe hot flushes minus baseline number.

Change From Baseline to Week 4 in Weekly Frequency of Moderate to Severe Hot Flushes (Median Value)
Baseline until 4 weeks of treatment

Subjects record daily on the diary cards the frequency and severity of hot flushes during the treatment period as none, mild, moderate or severe. Absolute change calculated as week 4 number of moderate to severe hot flushes minus baseline number.

Change From Baseline to Week 12 in Weekly Mean Daily Severity of Moderate to Severe Hot Flushes (Median Value)
Baseline until 12 weeks of treatment

Subjects record daily on the diary cards the frequency and severity of hot flushes during the treatment period as none, mild, moderate or severe. Daily score is calculated as \[(2 x number of moderate hot flushes) + (3 x number of severe hot flushes)\] / (total number of moderate to severe hot flushes on that day). Range = 0 (lowest severity) to 3 (highest severity). Absolute change calculated as week 12 severity of moderate to severe hot flushes minus baseline severity.

Change From Baseline to Week 4 in Weekly Mean Daily Severity of Moderate to Severe Hot Flushes (Median Value)
Baseline until 4 weeks of treatment

Subjects record daily on the diary cards the frequency and severity of hot flushes during the treatment period as none, mild, moderate or severe. Daily score is calculated as \[(2 x number of moderate hot flushes) + (3 x number of severe hot flushes)\] / (total number of moderate to severe hot flushes on that day). Range = 0 (lowest severity) to 3 (highest severity). Absolute change calculated as week 4 severity of moderate to severe hot flushes minus baseline severity.

Number of Participants With Intracyclic Bleeding at Cycle 6
Up to Cycle 6 (168 days) with 28 days per cycle

Intracyclic bleedings were defined as bleedings while a participant takes active tablets.

Secondary Endpoints

Number of Participants With Amenorrhea During Month 1 to 3 of Treatment
Month 1 to Month 3
Number of Participants With Amenorrhea During Month 10 to 12 of Treatment
Month 10 to Month 12
Change From Baseline to Week 12 in Vaginal pH
Baseline until 12 weeks of treatment
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
0.25mg DRSP / 0.5mg E2 (BAY86-4891)EXPERIMENTALOne capsule \[0.25mg drospirenone/0.5mg 17β-estradiol (DRSP/E2)\] per day taken orally for 13 cycles (28 days per cycle).
0.5mg NETA / 1.0mg E2 (Activella)ACTIVE_COMPARATOROne capsule \[0.5mg norethisterone acetate/1.0mg 17β-estradiol (NETA/E2)\] per day taken orally for 13 cycles (28 days per cycle).
0.5mg DRSP / 0.5mg E2 (BAY86-4891)EXPERIMENTALOne tablet \[0.5mg drospirenone/0.5mg 17β-estradiol (DRSP/E2)\] per day taken orally for 3 cycles (28 days per cycle).
Estradiol (E2 0.3mg)EXPERIMENTALOne tablet \[17β-estradiol (E2 0.3mg)\] per day taken orally for 3 cycles (28 days per cycle).
PlaceboPLACEBO_COMPARATORMatching placebo tablet per day taken orally for 3 cycles (28 days per cycle).
DRSP 3 mg/EE 20 µg (13 cycles)EXPERIMENTAL1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 µg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle; treatment duration 52 weeks (13 cycles)
DRSP 3 mg/EE 30 µg (6 cycles)EXPERIMENTAL1 tablet per day Drospirenone 3 mg/Ethinylestradiol 30 µg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle; treatment duration 24 weeks (6 cycles)

Interventions

NameTypeDescription
0.25mg DRSP / 0.5mg E2 (BAY86-4891)DRUGOne capsule \[0.25mg drospirenone/0.5mg 17β-estradiol (DRSP/E2)\] per day taken orally for 13 cycles (28 days per cycle).
0.5mg NETA / 1.0mg E2 (Activella)DRUGOne capsule \[0.5mg norethisterone acetate/1.0mg 17β-estradiol (NETA/E2)\] per day taken orally for 13 cycles (28 days per cycle).
0.5mg DRSP / 0.5mg E2 (BAY86-4891)DRUGOne tablet \[0.5mg drospirenone/0.5mg 17β-estradiol (DRSP/E2)\] per day taken orally for 3 cycles (28 days per cycle).
Estradiol (E2 0.3mg)DRUGOne tablet \[17β-estradiol (E2 0.3mg)\] per day taken orally for 3 cycles (28 days per cycle).
PlaceboDRUGMatching placebo tablet per day taken orally for 3 cycles (28 days per cycle).
DRSP 3 mg/EE 20 µg (13 cycles)DRUG1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 µg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle; treatment duration 52 weeks (13 cycles)
DRSP 3 mg/EE 30 µg (6 cycles)DRUG1 tablet per day Drospirenone 3 mg/Ethinylestradiol 30 µg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle; treatment duration 24 weeks (6 cycles)
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Eligibility Criteria

Age Range40 Years to 65 Years
SexFEMALE
Healthy VolunteersNo
Study Sites59

Inclusion Criteria: * Postmenopausal women between 40 and 65 years of age with hormone therapy indication (symptoms and need for treatment) * Non-hysterectomized women. Exclusion Criteria: * Usual exclusion criteria for hormone therapy apply.

Countries:United StatesArgentinaAustriaBrazilDenmarkItalyMexicoRussiaJapan
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Frequently asked questions about DRSP dose 1

What is DRSP dose 1?

DRSP dose 1 is an investigational small molecule developed by Bayer AG (ticker BAYRY). It is being studied in women for dysmenorrhea, postmenopause, and vasomotor symptoms. The program is in Phase 2 development, and the trials listed for this asset have been completed.

What is DRSP dose 1 used for?

DRSP dose 1 is being studied for dysmenorrhea, postmenopause, and vasomotor symptoms, which include hot flashes. Clinical trials have enrolled women aged 20 years and older, with most studies requiring participants to be at least 40 years old. It remains investigational and is not described as approved.

Who makes DRSP dose 1?

Bayer AG develops DRSP dose 1. Bayer trades on the OTC market under the ticker BAYRY. The company is the sponsor behind the clinical program evaluating this asset across dysmenorrhea, postmenopause, and vasomotor symptoms.

What phase is DRSP dose 1 in?

DRSP dose 1 is in Phase 2 development. The program includes completed Phase 2 and Phase 3 studies, and no trials are currently active. Because the asset is still in clinical development, it is investigational rather than approved.

What clinical trials is DRSP dose 1 in?

DRSP dose 1 has been evaluated in completed studies including NCT00522873, an endometrial safety study in postmenopause; NCT00461305, a safety study of ethinylestradiol and drospirenone in dysmenorrhea in Japan; and NCT00446199, a low-dose hormone therapy study for vasomotor symptoms and hot flashes.