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Completed

NCT Number: NCT04417972

The Pharmacokinetic(PK)/Pharmacodynamics(PD) Study of SHR7280 Tablets in Premenopausal Subjects With Endometriosis.

The primary objective of this study is to assess the safety, tolerability, pharmacokinetics and pharmacodynamics of SHR7280 tablets in premenopausal subjects with endometriosis. In addition, this study will provide information on efficacy of SHR7280 tablets in premenopausal subjects with endometriosis.

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Key information

Age range

18 year–45 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Peking University Third Hospital

Beijing, Beijing Municipality, China

About this study

Endometriosis is a common disease, affecting 5-10% of women of reproductive age . It is an estrogen-dependent and estrogen-driven disease and so hormonal manipulation and suppression of estrogen production form the basis of the majority of medical treatment. The primary objective of this study is to assess the safety, tolerability, pharmacokinetics and pharmacodynamics of SHR7280 tablets in premenopausal subjects with endometriosis. In addition, this study will provide information on efficacy of SHR7280 tablets in premenopausal subjects with endometriosis.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Phase I/II

  • premenopausal females, aged 18-45
  • History of regular menstrual cycles
  • Endometriosis participant diagnosed by surgical (e.g., laparoscopy or laparotomy) or by magnetic resonance imaging or ultrasonography.
  • Participant must agree to use only protocol specified rescue analgesics during the Screening and Treatment Periods for endometriosis-associated pain.
  • Participant in general good health. No clinically significant findings in laboratory parameters or clinically significant abnormality on X-ray Phase I (only) Participant has mild or moderate pelvic pain associated with endometriosis at Screening.

Phase II(only) Participant has moderate or severe pelvic pain associated with endometriosis at Screening.

Exclusion criteria

Phase I/II

  • Subjects with severe trauma or surgery within 6 months prior to the screening;
  • Known blood donation within 30 days pre-dose; donating≥200 ml of blood 2 months pre-dose;
  • Pregnant or Serum β-human chorionic gonadotropin (hCG)> 5 Million International Units(mIU)/mL at screening or baseline
  • Pregnant or breast feeding ;
  • Have pelvic pain that is not caused by endometriosis
  • Abnormal uterine bleeding
  • Are currently receiving gonadotropin-releasing hormone (GnRH) agonist, a GnRH antagonist or danazol or have received any of these agents within 6 months of the start of screening.
  • Are currently receiving subcutaneous medroxyprogesterone acetate (DMPA-SC) or intramuscular medroxyprogesterone acetate (DMPA-IM) or have received any of these agents within 3 months of the start of screening.
  • Are currently using hormonal contraception or other forms of hormonal therapy or received such treatment within 2 months of the start of screening.

Phase I (only) one month prior to screening involved in any drug or medical device clinical subjects, or within 5 half-life of drugs before screening; Phase II (only) Screening dual-energy x-ray absorptiometry (DXA) scan results of the lumbar spine, femoral neck, or total hip bone mineral density corresponding to 1.5 or more standard deviations below normal (T-score at or below -1.5)

Treatment and study plan

SHR7280

Drug

treatment

Placebo oral tablet

Drug

blank control

Primary outcomes

  1. Number of Participants with Adverse events

    Time frame: Pre-dose to 28±2 days after dose administration

    Phase I

  2. Change From Baseline in the 7-day mean score for pelvic pain as measured by VAS at weeks 12

    Time frame: Baseline and weeks 12

    Phase II daily assessment of dysmenorrhea score on a 4-point scale (0 = none, 1 = mild, 2 = moderate, 3 = severe) using an e-Diary.

Secondary outcomes

  1. PK markers of SHR7280: area under the plasma concentration versus time curve (AUC)

    Time frame: At pre-defined intervals from initial dose through final study visit

    Phase I & II

  2. PK markers of SHR7280: time to maximum plasma concentration(Tmax)

    Time frame: At pre-defined intervals from initial dose through final study visit

    Phase I & II

  3. PK markers of SHR7280: maximum plasma concentration(Cmax)

    Time frame: At pre-defined intervals from initial dose through final study visit

    Phase I & II

  4. PK markers of SHR7280: half-time(t1/2)

    Time frame: At pre-defined intervals from initial dose through final study visit

    Phase I & II

  5. PK markers of SHR7280: apparent clearance(CL/F)

    Time frame: At pre-defined intervals from initial dose through final study visit

    Phase I & II

  6. PK markers of SHR7280: apparent volume of distribution(Vz/F)

    Time frame: At pre-defined intervals from initial dose through final study visit

    Phase I & II

  7. PD markers of SHR7280: Concentration of Estradiol(E2)

    Time frame: At pre-defined intervals from initial dose through final study visit

    Phase I & II

  8. PD markers of SHR7280: Concentration of Progesterone(P)

    Time frame: At pre-defined intervals from initial dose through final study visit

    Phase I & II

  9. PD markers of SHR7280: Concentration of Follicle stimulating hormone(FSH)

    Time frame: At pre-defined intervals from initial dose through final study visit

    Phase I & II

  10. PD markers of SHR7280: Concentration of Luteinizing hormone(LH)

    Time frame: At pre-defined intervals from initial dose through final study visit

    Phase I & II

  11. Change From Baseline in the 7-day mean score for pelvic pain as measured by VAS

    Time frame: Baseline and weeks 4、8

    Phase II

  12. Change From Baseline in the Monthly Mean score for pelvic pain as measured by VAS

    Time frame: Baseline and weeks 4、8、12

    Phase II

  13. Change From Baseline in the Monthly Mean Dysmenorrhea Score

    Time frame: Baseline and weeks 8、12

    Phase II

  14. Change From Baseline in the Monthly Mean Non-menstrual Pelvic Pain Score and Dyspareunia Score

    Time frame: Baseline and weeks 4、8、12

    Phase II

  15. Change from baseline to monthly analgesic use to treat endometriosis-associated pain

    Time frame: Baseline and weeks 4、8、12

    Phase II

  16. Patient Global Impression of Change (PGIC) score at week 12

    Time frame: Week 12

    Phase II

  17. Adverse events

    Time frame: during Pre and 28±3 days after dose administration

Sponsors and collaborators

Lead sponsor

Jiangsu HengRui Medicine Co., Ltd.

Industry

Registry information

Official study title

A Phase I/II, Randomized, Double-Blind, Placebo-Controlled, Multiple-Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics ,Pharmacodynamics and Efficacy of SHR7280 Tablets in Premenopausal Subjects With Endometriosis.

Important dates

Study start
2020
Primary completion
2024
Study completion
2024
First posted
Jun 5, 2020
Registry last updated
Jul 8, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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