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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