Is there an effect of local vaginal estrogen treatment on the hemostatic parameters in postmenopausal women?

2024-519539-41-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 13 May 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 90
Countries 1
Sites 1

Treatment for vaginal atrophy

The aim of this study is to assess the hemostatic balance in postmenopausal women receiving local vaginal estrogen treatment by applying specific assays for coagulation and fibrinolysis.

Key facts

Sponsor
Aarhus University Hospital
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Trial duration
13 May 2025 → ongoing
Decision date (initial)
2025-03-26
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Pharmacodynamic, Safety

The aim of this study is to assess the hemostatic balance in postmenopausal women receiving local vaginal estrogen treatment by applying specific assays for coagulation and fibrinolysis.

Secondary objectives 1

  1. The effect of local estrogen treatment on coagulation and contact activation system in postmenopausal women with previous venous thromboembolism (VTE) will also be investigated.

Conditions and MedDRA coding

Treatment for vaginal atrophy

VersionLevelCodeTermSystem organ class
21.1 LLT 10047782 Vulvovaginal atrophy 10038604
20.0 LLT 10063813 Vaginal petechiae 10038604
20.0 LLT 10046942 Vaginal soreness 10038604
21.0 LLT 10013796 Dryness vaginal 10038604
21.1 LLT 10046918 Vaginal itching 10038604
21.1 LLT 10011227 Cough incontinence 10038359
21.1 PT 10047786 Vulvovaginal discomfort 100000004872
21.1 LLT 10046904 Vaginal dryness 10038604
20.0 LLT 10005046 Bladder incontinence 10038359
20.0 LLT 10048903 Vaginal irritation 10038604

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 2

  1. Postmenopausal women aged ≥ 50 without previous VTE, having vulva vaginal atrophy symptoms and indication for standard treatment with vaginal estrogen 10 µg at least three times a week.
  2. Postmenopausal women aged ≥ 50 with previous VTE, having vulva vaginal atrophy symptoms and indication for standard treatment with vaginal estrogen 10 µg at least three times a week.

Exclusion criteria 5

  1. Unable to give written informed consent due to language difficulties
  2. Currently cancer treatment
  3. Currently in treatment with blood thinning medication (except plateletinhibitor)
  4. Currently in treatment with local or systematic estrogen
  5. Systemic inflammatory disease, liver disease or kidney disease

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Compare changes in thrombin generation and fibrinolysis in postmenopausal women with and without VTE using vaginal estrogen in three months

Secondary endpoints 1

  1. Compare changes in contact activation system in women receiving vaginal estrogen in three months

Investigational products

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

Test 1

Nomegestrol Acetate

SCP110317214 · ATC

Active substance
Nomegestrol Acetate
Route of administration
VAGINAL USE
Max daily dose
10 µg microgram(s)
Max total dose
600 µg microgram(s)
Max treatment duration
3 Month(s)
Authorisation status
Authorised
ATC code
G03CA03 — ESTRADIOL
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Aarhus University Hospital

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

Scientific contact point

Organisation
Aarhus University Hospital
Contact name
Pinar Bor

Public contact point

Organisation
Aarhus University Hospital
Contact name
Pinar Bor

Third parties 1

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

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ongoing, recruiting 90 1
Rest of world 0

Investigational sites

Denmark

1 site · Ongoing, recruiting
Aarhus University Hospital
Gynecology, 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 2025-05-13 2025-05-20

Results and documents

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

Documents 6 files

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

TypeTitleVersion
Protocol (for publication) Protocol 3
Recruitment arrangements (for publication) Patient recruitment procedure 3
Subject information and informed consent form (for publication) Deltagerinformation 2
Subject information and informed consent form (for publication) S3 samtykkeerklring 2
Summary of Product Characteristics (SmPC) (for publication) Vagifem SmPC 1
Synopsis of the protocol (for publication) Synopsis 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-12-18 Denmark Acceptable
2025-03-25
2025-03-26