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Elagolix treatment for endometriosis-associated pain: results from a phase 2, randomized, double-blind, placebo-controlled study.

Abstract
This Phase 2 study evaluated the safety and efficacy of elagolix for treating endometriosis-associated pain. A total of 155 women with laparoscopically confirmed endometriosis were randomized to placebo, elagolix 150 mg, or elagolix 250 mg once daily for 12 weeks. Placebo patients were rerandomized to elagolix and elagolix patients continued their dosing assignment for 12 additional weeks; the primary efficacy measure was changed from baseline in the monthly mean numerical rating scale for pain at week 12. Monthly mean (standard error of the mean) reductions were greater with elagolix versus placebo (-1.19 ± 0.18, -1.25 ± 0.18, and -0.88 ± 0.18 for elagolix 150 mg, 250 mg, and placebo, respectively); differences were not statistically significant. Monthly mean dysmenorrhea and nonmenstrual pelvic pain scores were reduced with elagolix, with significant differences for dysmenorrhea at weeks 8 and 12 versus placebo (P < .05). Minimal bone mineral density changes were observed with elagolix treatment. In women with endometriosis-associated pain, elagolix demonstrated an acceptable efficacy and safety profile in this Phase 2 study.
AuthorsMichael P Diamond, Bruce Carr, W Paul Dmowski, William Koltun, Chris O'Brien, Ping Jiang, Joshua Burke, Roland Jimenez, Elizabeth Garner, Kristof Chwalisz
JournalReproductive sciences (Thousand Oaks, Calif.) (Reprod Sci) Vol. 21 Issue 3 Pg. 363-71 (Mar 2014) ISSN: 1933-7205 [Electronic] United States
PMID23885105 (Publication Type: Clinical Trial, Phase II, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Chemical References
  • Hydrocarbons, Fluorinated
  • Pyrimidines
  • Estradiol
  • elagolix
Topics
  • Adult
  • Double-Blind Method
  • Endometriosis (blood, drug therapy, epidemiology)
  • Estradiol (blood)
  • Female
  • Follow-Up Studies
  • Humans
  • Hydrocarbons, Fluorinated (therapeutic use)
  • Pelvic Pain (blood, drug therapy, epidemiology)
  • Pyrimidines (therapeutic use)

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