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Tibolone

Phase 3

Osteoporosis | Small molecule | Endocrine |Organon & Co.|Last Updated: Aug 15, 2024

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment4,534

FDA Designations

No designations recorded

Clinical trial landscape

Tibolone · 5 trials · 5 indications

Phase 3 5
NCT00413764Efficacy of Tibolone Versus Transdermal E2/NETA on Sexual Function in Naturally Postmenopausal Women (P06089)Sexual Dysfunction
COMPLETED358 Analytics
NCT00725374A Study to Investigate the Effects of Tibolone (Livial®) on Breast Tissue in Postmenopausal Women With Breast Cancer (Study 32971)(P06469)Breast Cancer
COMPLETED102 Analytics
NCT00408863Livial Intervention Following Breast Cancer; Efficacy, Recurrence and Tolerability Endpoints (LIBERATE)(COMPLETED)(P05885)Breast Cancer
COMPLETED3,148 Analytics
NCT00745108Tibolone Endometrium Study (Study 32972)(P06470)Postmenopausal Women
COMPLETED32 Analytics
NCT00519857Trial to Evaluate Tibolone in the Treatment of Osteoporosis (P06468)Osteoporosis
COMPLETED4,534 Analytics
PHASE3COMPLETED
Efficacy of Tibolone Versus Transdermal E2/NETA on Sexual Function in Naturally Postmenopausal Women (P06089)
Sexual DysfunctionUnlock trial analytics
PHASE3COMPLETED
A Study to Investigate the Effects of Tibolone (Livial®) on Breast Tissue in Postmenopausal Women With Breast Cancer (Study 32971)(P06469)
Breast CancerUnlock trial analytics
PHASE3COMPLETED
Livial Intervention Following Breast Cancer; Efficacy, Recurrence and Tolerability Endpoints (LIBERATE)(COMPLETED)(P05885)
Breast CancerUnlock trial analytics
PHASE3COMPLETED
Tibolone Endometrium Study (Study 32972)(P06470)
Postmenopausal WomenUnlock trial analytics
PHASE3COMPLETED
Trial to Evaluate Tibolone in the Treatment of Osteoporosis (P06468)
OsteoporosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Compare the effect of tibolone (2.5 mg) to transdermal E2/NETA (50/140 mcg) on the vaginal bleeding and spotting rate in healthy postmenopausal women with sexual dysfunction.
Week 13-24 of the in treatment period
Compare the effect of tibolone to E2/NETA on sexual functioning in healthy postmenopausal women with sexual dysfunction.
Week 8-12 and Week 20-24 of the in-treatment period.
The primary objective of this trial was to compare changes in the expression of the proliferation marker Ki-67 in malignant breast tissue after treatment with tibolone or placebo.
The primary outcome measure, the proliferation marker Ki-67, was measured at screening (from the screening biopsy) and about 14 days later (from the surgically removed breast tumour tissue)
To show non-inferiority in breast cancer recurrence of tibolone 2.5 mg versus placebo in women with climacteric symptoms who have been surgically treated for primary breast cancer within the last 5 years
At clinical completion
Endometrial biopsy and histological examination
At 1 year and 2 year.
The primary efficacy parameter was reduction in incident new vertebral fractures assessed by spinal radiographs (anterior-posterior and lateral)
3 years

Secondary Endpoints

Compare the effects of tibolone to E2/NETA on the frequency of satisfactory sexual events, the frequency of sexual fantasies and subjective arousal, scores on the FSFI, FSDS, WHQ and endocrine parameters
Week 8-12 and Week 20-24 of the in-treatment period
Apoptosis index; estrogen/progesterone/androgen receptors & isoforms; bcl-2, bax; pS2; SOX4; Apolipoprotein D; Angiogenesis parameters; estrogen levels, tibolone and tibolone metabolites.
Outcome parameters were measured during the trial as samples were received and at the end of the clinical phase.
Secondary outcome variables include overall survival, menopausal symptoms, bone mineral density and health-related quality of life.
At clinical completion
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTALtibolone
2ACTIVE_COMPARATORtransdermal continuous combined E2-NETA (estradiol-norethisterone)
Arm 1ACTIVE_COMPARATORPostmenopausal women of any age, requiring surgery for early invasive primary breast cancer, with estrogen receptor-positive tumor(s). Treated with tibolone
Arm 2PLACEBO_COMPARATORPostmenopausal women of any age, requiring surgery for early invasive primary breast cancer, with estrogen receptor-positive tumor(s). Treated with placebo
TiboloneACTIVE_COMPARATORTibolone 2.5 mg/day
PlaceboPLACEBO_COMPARATORPlacebo
Tibolone 1.25 mgEXPERIMENTAL -
Tibolone 2.5 mgEXPERIMENTAL -
CE/MPAACTIVE_COMPARATOR -

Interventions

NameTypeDescription
tiboloneDRUGtibolone (2.5 mg) over 24 weeks
estradiol-norethisteroneDRUGtransdermal continuous combined E2-NETA (estradiol-norethisterone 50/140 mcg) over 24 weeks
placeboDRUGSubjects were to take one tablet of tibolone-matched placebo, per day, every day, for 14 ± 2 days (until the day before surgery).
Tibolone 2.5 mgDRUGoral 2.5 mg tablet, once daily, for 2 years
CE/MPADRUGoral, 0.625 mg tablet conjugated equine estrogen and 2.5 mg medroxyprogesterone acetate tablet placed together in a single capsule, once daily, for 2 years
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Eligibility Criteria

Age Range48 Years to 68 Years
SexFEMALE
Healthy VolunteersNo

Inclusion Criteria: * Physically and mentally healthy postmenopausal women, \>=48 and \<=68 years of age, with an intact uterus. * Women were to suffer from decreased satisfactory sexual activity compared to younger age and sexual problems were not to be considered caused by relationship/partner pr...

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Competitive Landscape -Osteoporosis 8 trials

Frequently asked questions about Tibolone

What is Tibolone used for?

Tibolone is a small molecule in development for postmenopausal women, sexual dysfunction, osteoporosis, and breast cancer. It has been studied in postmenopausal women with breast cancer and climacteric symptoms, as well as in the treatment of osteoporosis. It is an investigational drug and has not been approved by the FDA.

Who makes Tibolone?

Tibolone is being developed by Organon & Co., a company traded on the New York Stock Exchange under the ticker symbol OGN. Organon has conducted clinical trials evaluating Tibolone for conditions including breast cancer and osteoporosis.

What phase is Tibolone in?

Tibolone is in Phase 3 clinical development. Multiple Phase 3 trials have been completed, including studies in breast cancer, osteoporosis, and postmenopausal women. As an investigational drug, it remains in clinical development and is not yet approved for any indication.

What clinical trials is Tibolone in?

Tibolone has been studied in several completed Phase 3 trials. These include NCT00408863, a study in breast cancer and climacteric symptoms with 3,148 participants; NCT00519857, a trial in osteoporosis with 4,534 participants; NCT00725374, a study on breast tissue in postmenopausal women with breast cancer; and NCT00745108, an endometrium study in postmenopausal women.

Is Tibolone the same as Livial?

Yes, Tibolone is also known as Livial. Clinical trials have referred to the drug as Livial, including a study investigating its effects on breast tissue in postmenopausal women with breast cancer. The drug is being developed by Organon & Co. under the brand name Livial.