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estradiol,

Phase 3

Menopause | Small molecule | Other |Novo Nordisk A/S|Last Updated: Mar 15, 2017

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-BlindACTIVE_CONTROLLEDBiomarker
Total Trials6
Total Enrollment1,105
FDA Designations
No designations recorded
Clinical Trials (6)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00431132Endometrial Safety of a Low Dose of Vagifem® in Postmenopausal Women With Atrophic VaginitisPHASE3 COMPLETED 336Jan 1, 2007Nov 1, 2008Mar 15, 201742 Czechia, Denmark +5
NCT00108849Vagifem Low Dose for Postmenopausal Atrophic Vaginitis SymptomsPHASE3 COMPLETED 309Mar 1, 2005May 1, 2007Feb 8, 201757 United States, Canada
NCT00464971Evaluation of Safety and Efficacy of 17-Beta Estradiol in Treatment of Atrophic Vaginitis: An Extension TrialPHASE3 COMPLETED 102Jan 31, 1995Nov 30, 1996Mar 1, 2017 -
NCT00465192Efficacy and Safety of 17-Beta Estradiol in Treatment of Atrophic VaginitisPHASE3 COMPLETED 230Aug 31, 1994Nov 30, 1995Mar 1, 2017 -
NCT01085877Comparison of Two Vaginal Tablets, Produced at Different Sites, in Postmenopausal Women With Atrophic VaginitisPHASE1 COMPLETED 70Mar 1, 2010May 1, 2010Jun 26, 20141 Germany
NCT01486979Pharmacokinetic Assessment of the Absorption of Estradiol in Postmenopausal Women With Atrophic VaginitisPHASE1 COMPLETED 58Jan 1, 2007May 1, 2007Feb 8, 20171 Germany
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Study Endpoints
Primary Endpoints
Endometrial Hyperplasia Based on Histological Assessment of Endometrial Biopsies
Week 52

The endometrial hyperplasia rate was calculated based on the number of patients with endometrial hyperplasia/endometrial carcinoma divided by the total number of subjects with interpretable biopsies at Week 52.

Clinical symptoms
after 12 months
Relief of vaginal symptoms
over 12 months of treatment
Safety: Long-term effect on the endometrium assessed through evaluation of endometrial biopsies. AEs, clinical laboratory data and serum hormone levels
Area under the curve (AUC(0-t)), maximal concentration (Cmax) of estradiol after baseline correction
from dosing to day 4
Area under the curve (AUC)
Secondary Endpoints
Transvaginal Ultrasound: Endometrial Thickness
Week 0, week 52
Objective parameters (vaginal Maturation Index/Value and vaginal pH)
Hyperplasia rate
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Vagifem® 10 mcgEXPERIMENTALOne 10 mcg (microgram) vaginal tablet of intravaginal estradiol (Vagifem®) once daily for two weeks followed by one 10 mcg vaginal tablet twice weekly for 50 weeks
Trial part 1ACTIVE_COMPARATOR -
Trial part 2EXPERIMENTAL -
Low doseEXPERIMENTAL -
High doseACTIVE_COMPARATOR -
Interventions
NameTypeDescription
estradiol, 10 mcgDRUGTablets, administered intravaginally twice weekly
estradiol, 25 mcgDRUG -
placeboDRUG -
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Eligibility Criteria
Age Range45 Years — N/A
SexFEMALE
Healthy VolunteersYes
Study Sites42

Inclusion Criteria: * Postmenopausal women whose last menstruation was at least two years prior to the time of screening * At least 1 urogenital symptom (vaginal dryness, vaginal and/or vulvar irritation/itching, vaginal soreness, dysuria, dyspareunia and vaginal bleeding associated with sexual act...

Countries:CzechiaDenmarkFinlandFranceHungaryNorwaySwedenUnited StatesCanadaGermany
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