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DRSP/ E2

Phase 3

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials1
Total Enrollment662

FDA Designations

No designations recorded

Clinical trial landscape

DRSP/ E2 · 2 trials · 3 indications

Phase 3 2
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.

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).

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).
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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 StatesArgentinaAustriaBrazilDenmarkItalyMexicoRussia
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Frequently asked questions about DRSP/ E2

What is DRSP/E2 used for?

DRSP/E2 is a combination of drospirenone and estradiol being developed for use in postmenopause, dysmenorrhea, and vasomotor symptoms such as hot flashes. It is a small molecule therapy intended for female patients, with clinical trials conducted in the United States, Japan, and other countries.

Who makes DRSP/E2?

DRSP/E2 is being developed by Bayer AG, a pharmaceutical company traded on the OTC market under the ticker BAYRY. Bayer is conducting clinical trials to evaluate the drug's safety and efficacy for postmenopausal symptoms and dysmenorrhea.

What phase is DRSP/E2 in?

DRSP/E2 is in Phase 3 clinical development for postmenopause and vasomotor symptoms, based on completed Phase 3 trials. It is an investigational drug and has not been reported as FDA approved. Additional Phase 2 testing was completed for dysmenorrhea.

What clinical trials is DRSP/E2 in?

DRSP/E2 has completed several clinical trials, including NCT00446199, a Phase 3 study for vasomotor symptoms with 735 participants in the United States, and NCT00522873, a Phase 3 endometrial safety study for postmenopause with 662 participants across multiple countries. A Phase 2 trial, NCT00461305, studied dysmenorrhea in Japan.

How does DRSP/E2 work?

DRSP/E2 combines drospirenone, a progestin, with estradiol, an estrogen. This hormone therapy is designed to relieve symptoms associated with menopause and menstrual disorders by supplementing or balancing hormone levels in the body.