Determining Dose Equivalence Between Oral and Transdermal Estrogen Treatment in Women with Turner Syndrome

2024-518557-42-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 29 Nov 2021 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 50
Countries 1
Sites 1

Turner syndrome

To determine the equipotency of two different estradiol regimens (oral versus transdermal administration) using various estradiol-dependent surrogate markers

Key facts

Sponsor
Region Midtjylland, Region Midtjylland
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Hormonal diseases [C19]
Trial duration
29 Nov 2021 → ongoing
Decision date (initial)
2024-10-23
Transition trial
Yes
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
No

External identifiers

EU CT number
2024-518557-42-00
EudraCT number
2019-001881-14
ClinicalTrials.gov
NCT06544473

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic, Therapy

To determine the equipotency of two different estradiol regimens (oral versus transdermal administration) using various estradiol-dependent surrogate markers

Conditions and MedDRA coding

Turner syndrome

VersionLevelCodeTermSystem organ class
20.0 PT 10045181 Turner's syndrome 100000004850

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 8

  1. Diagnosis of Turner syndrome regardless of karyotype (Turner syndrome)
  2. Age 18-50 years (Turner syndrome and healthy controls)
  3. Already receiving estrogen treatment (Turner syndrome)
  4. Female (healthy controls)
  5. Previously healthy (healthy controls)
  6. Not receiving any medication (healthy controls)
  7. Not using any kind of contraceptive pills (healthy controls)
  8. No mental or psychiatric disorders (healthy controls)

Exclusion criteria 9

  1. Active systemic chronic diseases
  2. Known or suspected breast cancer
  3. Known or suspected estradiol-dependent tumors (endometrial cancer or similar)
  4. Untreated endometrial hyperplasia
  5. Current or previous venous thromboembolism
  6. Acute or previous liver disease where liver enzymes are still elevated by a factor 3 or more
  7. Known hypersensitivity to the medications used
  8. Pregnancy
  9. Menopause (healthy controls only)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Equipotency: Levels of luthenizing hormone and follicle stimulating hormone are measured at different doses

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Estrofem, filmovertrukne tabletter

PRD341520 · Product

Active substance
Estradiol
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
10 mg milligram(s)
Max total dose
140 mg milligram(s)
Max treatment duration
14 Day(s)
Authorisation status
Authorised
ATC code
G03CA03 — ESTRADIOL
Marketing authorisation
06697
MA holder
NOVO NORDISK A/S
MA country
Denmark
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Divigel 1 mg gel

PRD527570 · Product

Active substance
Estradiol
Pharmaceutical form
GEL
Route of administration
TRANSDERMAL USE
Max daily dose
10 mg milligram(s)
Max total dose
140 mg milligram(s)
Max treatment duration
14 Day(s)
Authorisation status
Authorised
ATC code
G03CA03 — ESTRADIOL
Marketing authorisation
13296
MA holder
ORION CORPORATION
MA country
Sweden
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Region Midtjylland

Sponsor organisation
Region Midtjylland
Address
Palle Juul-Jensens Boulevard 99
City
Aarhus N
Postcode
8200
Country
Denmark

Scientific contact point

Organisation
Region Midtjylland
Contact name
Department of Endocrinology, Aarhus University Hospital

Public contact point

Organisation
Region Midtjylland
Contact name
Department of Endocrinology, Aarhus University Hospital

Third parties 1

OrganisationCity, countryDuties
Aarhus Universitet
ORG-100028380
Aarhus N, Denmark On site monitoring

Region Midtjylland

Sponsor organisation
Region Midtjylland
Address
Palle Juul-Jensens Boulevard 99
City
Aarhus N
Postcode
8200
Country
Denmark

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruiting 50 1
Rest of world 0

Investigational sites

Denmark

1 site · Ongoing, recruiting
Department of Endocrinology and Internal Medicine, Aarhus University Hospital
Endocrinology and Internal Medicine, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2021-11-29 2021-11-29

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 7 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2019-001881-14 4
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_ICF 6
Subject information and informed consent form (for publication) L1_ICF_biobank 3
Subject information and informed consent form (for publication) L1_SIS 4
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Divigel 1
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC Estrofem 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-01 Denmark Acceptable
2024-10-23
2024-10-23