Clinical trial • Phase III | Phase IV • Oncology|Endocrinology|Other
PRASTERONE for Genitourinary syndrome of menopause | Breast cancer
Phase III | Phase IV trial of PRASTERONE for Genitourinary syndrome of menopause | Breast cancer. 95 participants.
Overview
- Trial Therapeutic Area
- Oncology|Endocrinology|Other
- Trial Disease
- Genitourinary syndrome of menopause | Breast cancer
- Trial Stage
- Phase III | Phase IV
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 03-06-2024
- First CTIS Authorization Date
- 26-07-2024
Trial design
Phase III | Phase IV trial across 1 site in Italy.
- Target Sample Size
- 95
- Trial Duration For Participant
- 365
Eligibility
Recruits 95 Vulnerable population not selected. Mentally incompetent individuals are excluded ("Mentally incompetent or evidence of active substance or alcohol abuse"). Written informed consent must be signed and dated by the patient; subject information and informed consent form documents are provided (L1/L2). No paediatric/assent procedures specified..
- Pregnancy Exclusion
- Pregnancy or lactation
- Vulnerable Population
- Vulnerable population not selected. Mentally incompetent individuals are excluded ("Mentally incompetent or evidence of active substance or alcohol abuse"). Written informed consent must be signed and dated by the patient; subject information and informed consent form documents are provided (L1/L2). No paediatric/assent procedures specified.
Inclusion criteria
- {"criterion_text":"- Histologically confirmed breast cancer, completely excised, TNM I-III"}
- {"criterion_text":"- ER negative or Positive Hormone Receptors Breast Cancer in therapy with aromatase inhibitor +/- LHRHa"}
- {"criterion_text":"- No evidence of distant metastasis (excluded TNM IV stage)"}
- {"criterion_text":"- Natural, surgically or treatment-induced menopause according to guidelines definition of menopause"}
- {"criterion_text":"- Self-identified moderate to severe symptoms of genitourinary syndrome that adversely affect quality of life and VHI (vaginal health index) score <15"}
- {"criterion_text":"- Clinical signs of vulvovaginal atrophy at the gynaecological examination"}
- {"criterion_text":"- Normal kidney and liver function"}
- {"criterion_text":"- Negative Papanicolau (Pap) Smear Cytology Test within 1 year prior to enrolment"}
- {"criterion_text":"- Women who have or want to have sexual intercourses"}
- {"criterion_text":"- Written Informed Consent signed and dated by patient"}
Exclusion criteria
- {"criterion_text":"- Vaginal or uterine bleeding of unknown origin"}
- {"criterion_text":"- Clinically significant metabolic or endocrine disease not controlled by medication"}
- {"criterion_text":"- Current diagnosis of any non-breast malignancy"}
- {"criterion_text":"- Metastatic disease"}
- {"criterion_text":"- Currently on chemiotherapy"}
- {"criterion_text":"- Currently on treatment with tamoxifen"}
- {"criterion_text":"- Mentally incompetent or evidence of active substance or alcohol abuse"}
- {"criterion_text":"- Endometrial hyperplasia"}
- {"criterion_text":"- Pregnancy or lactation"}
- {"criterion_text":"- Currently use of other vaginal therapy for the same purpose (if present, they have to be stopped 15 days before baseline visit"}
- {"criterion_text":"- Women with endometriosis, uncontrolled hypertension, vaginal infection and 1st degree heredity for breast cancer"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Establish the subjective improvement of genitourinary symptoms in breast cancer women at intervals defined by the study","definition_or_measurement_approach":"Not specified"}
Secondary endpoints
- {"endpoint_text":"- To define the role of genito-urinary syndrome on quality of life, in particular on sexual function and mood wellbeing, in women with breast cancer before, during and after the treatment","definition_or_measurement_approach":"Not specified"}
- {"endpoint_text":"- Establish an improvement in tissue trophism throught gynecological evaluation, use of validated scales (Vaginal Health Index) and determination of the maturation index on vaginal cytology","definition_or_measurement_approach":"Measured by gynecological evaluation, Vaginal Health Index (VHI) and maturation index on vaginal cytology"}
- {"endpoint_text":"- Measurement of serum estradiol at set intervals before, during and after treatment","definition_or_measurement_approach":"Serum estradiol measured at predefined time points"}
Recruitment
- Planned Sample Size
- 95
- Recruitment Window Months
- 24
- Consent Approach
- Written informed consent required: "Written Informed Consent signed and dated by patient". Subject information and informed consent form documents are available (L1/L2). No assent or paediatric consent procedures specified; languages of consent not specified.
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 95
Italy
- Earliest CTIS Part Ii Submission Date
- 06-06-2023
- Latest Decision Or Authorization Date
- 14-05-2026
- Processing Time Days
- 1073
- Number Of Sites
- 1
- Number Of Participants
- 95
Sites
- Site Name
- Istituto Europeo Di Oncologia S.r.l.
- Department Name
- Unità Ginecologia Preventiva
- Principal Investigator Name
- Silvia Martella
- Principal Investigator Email
- silvia.martella@ieo.it
- Contact Person Name
- Silvia Martella
- Contact Person Email
- silvia.martella@ieo.it
- Number Of Participants
- 95
Sponsor
Primary sponsor
- Full Name
- Istituto Europeo Di Oncologia S.r.l.
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Italy
Third parties
- {"country":"Italy","full_name":"Consorzio Per Valutazioni Biologiche E Farmacologiche","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
- {"country":"","full_name":"Theramex Italia","duties_or_roles":"supply prasterone","organisation_type":""}
- {"country":"","full_name":"Fondazione Umberto Veronesi","duties_or_roles":"","organisation_type":""}
Investigational products
- Investigational Product Name
- Intrarosa 6.5 mg pessary
- Active Substance
- PRASTERONE
- Modality
- Small molecule
- Routes Of Administration
- VAGINAL USE
- Route
- VAGINAL
- Authorisation Status
- Marketing authorisation EU/1/17/1255/001
- Starting Dose
- 6.5 mg
- Dose Levels
- 6.5 mg
- Maximum Dose
- 6.5 mg
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