Clinical trial • Phase IV • Endocrinology|Other
TRIPTORELIN for Menopause
Phase IV trial of TRIPTORELIN for Menopause.
Overview
- Trial Therapeutic Area
- Endocrinology|Other
- Trial Disease
- Menopause
- Trial Stage
- Phase IV
- Drug Modality
- Peptide/protein/enzyme|Small molecule
Key dates
- Initial CTIS Submission Date
- 02-06-2025
- First CTIS Authorization Date
- 20-08-2025
Trial design
Randomised, four parallel groups: pamorelin (triptorelin) prolonged-release injection (product listed as 11.25 mg, intramuscular use; marketing authorisation present), estreva® 0.1% gel (estradiol hemihydrate, transdermal gel; max daily dose 1.5 mg), tostran 20 mg/g transdermal gel (testosterone; max daily dose 10 mg), and placebo gels/solutions (placebo gel manufactured by the capital region's pharmacy; sodium chloride 9 mg/ml listed as parenteral placebo). exact dosing schedules beyond product labelling are not specified in the submission.-controlled Phase IV trial across 1 site in Denmark.
- Randomised
- Yes
- Comparator
- Four parallel groups: Pamorelin (triptorelin) prolonged-release injection (product listed as 11.25 mg, intramuscular use; marketing authorisation present), ESTREVA® 0.1% Gel (estradiol hemihydrate, transdermal gel; max daily dose 1.5 mg), Tostran 20 mg/g transdermal gel (testosterone; max daily dose 10 mg), and placebo gels/solutions (placebo gel manufactured by The Capital Region's pharmacy; sodium chloride 9 mg/ml listed as parenteral placebo). Exact dosing schedules beyond product labelling are not specified in the submission.
- Target Sample Size
- 200
- Trial Duration For Participant
- 56
Eligibility
Recruits 200 No vulnerable populations selected; trial enrols adult postmenopausal women (Women >40 and ≤65). Informed consent materials are provided (subject information and informed consent form documents present: L1_ICF_2025-522558-37-00, L1b_ICF_2025-522558-37-00, L1_SIS_2025-522558-37-00 etc.). No assent or special vulnerable-consent procedures are indicated in the submission..
- Pregnancy Exclusion
- Negative urine hCG test
- Vulnerable Population
- No vulnerable populations selected; trial enrols adult postmenopausal women (Women >40 and ≤65). Informed consent materials are provided (subject information and informed consent form documents present: L1_ICF_2025-522558-37-00, L1b_ICF_2025-522558-37-00, L1_SIS_2025-522558-37-00 etc.). No assent or special vulnerable-consent procedures are indicated in the submission.
Inclusion criteria
- {"criterion_text":"-Women >40 years and ≤65 at screening visit"}
- {"criterion_text":"-A body mass index between 18-35"}
- {"criterion_text":"-Confirmed menopause"}
- {"criterion_text":"-Moderate to severe vasomotor symptoms (VMS)"}
Exclusion criteria
- {"criterion_text":"-Negative urine hCG test"}
- {"criterion_text":"-Previous thromboembolic event"}
- {"criterion_text":"-The use of opioids, anticoagulating treatment or unwilling to pause fish oil/Omega-3 supplements 3 days prior visit 1 and 3"}
- {"criterion_text":"-Current alcohol or drug abuse"}
- {"criterion_text":"-Hypertension treated with more than one drug"}
- {"criterion_text":"-Severe history of allergy, hypersensitivity, or intolerance to drugs"}
- {"criterion_text":"-Moderate to severe liver and kidney disease"}
- {"criterion_text":"-Diagnosed with type 1 or 2 diabetes"}
- {"criterion_text":"-Chronic diseases requiring immunomodulatory treatments such as rheumatoid arthritis, inflammatory bowel disease, and vasculitis etc."}
- {"criterion_text":"-Known uterine fibroids, Endometriosis, Systemic lupus erythematosus (SLE), otosclerosis, migraine or sleep apnea"}
- {"criterion_text":"-Known Epilepsy or previous seizures or convulsive disorder"}
- {"criterion_text":"-Current or previous hormone replacement therapy"}
- {"criterion_text":"-Current or previous cancer diagnosis"}
- {"criterion_text":"-Known BRCA gene mutation"}
- {"criterion_text":"-Current or previous thyroid disease"}
- {"criterion_text":"-Osteoporosis"}
- {"criterion_text":"-Major psychiatric diagnosis including ongoing medication e.g. selective serotonin re-uptake inhibitors (SSRIs)"}
- {"criterion_text":"-Known prolonged QT or other known clinically significant abnormal ECG, including taking medication that can prolong QT interval (eg. sotalol, dronedarone, amiodarone, methadone, and several antipsychotic drugs)"}
- {"criterion_text":"-Previous myocardial infarction or heart failure"}
Endpoints
Primary endpoints
- {"endpoint_text":"-Change in bone remodeling defined by change in bone markers from baseline to week 8","definition_or_measurement_approach":"Change in bone markers from baseline to week 8"}
Secondary endpoints
- {"endpoint_text":"-Change in serum levels of Hypothalamic–Pituitary–Adrenal (HPA) axis, Hypothalamic-Pituitary-Gonadal (HPG) axis, and Hypothalamic–Pituitary–Thyroid (HPT) axis from baseline to week 8","definition_or_measurement_approach":"Change in specified serum hormone levels from baseline to week 8"}
- {"endpoint_text":"-Change in quality of life evaluated with MENQOL-1 from baseline to week 8","definition_or_measurement_approach":"MENQOL-1 score change from baseline to week 8"}
- {"endpoint_text":"-Change in sexual function evaluated with female sexual function index, and female sexual distress scale-revised from baseline to week 8","definition_or_measurement_approach":"Change in FSFI and FSDS-R scores from baseline to week 8"}
- {"endpoint_text":"-Change in depressive symptoms evaluated by MDI and CES-D from baseline to week 8","definition_or_measurement_approach":"Change in MDI and CES-D scores from baseline to week 8"}
- {"endpoint_text":"-Change in anxiety symptoms evaluated by GAD-7 from baseline to week 8","definition_or_measurement_approach":"Change in GAD-7 scores from baseline to week 8"}
- {"endpoint_text":"-Change in The Mean Patient-reported Outcomes Measurement Information System Sleep Disturbance - Short Form 8b (PROMIS SD SF 8b) from baseline to week 8","definition_or_measurement_approach":"Change in PROMIS SD SF 8b score from baseline to week 8"}
- {"endpoint_text":"-Change in thyroid hormones from baseline to week 4 and 8","definition_or_measurement_approach":"Change in thyroid hormone levels at week 4 and week 8 compared with baseline"}
- {"endpoint_text":"-Change in urine minerals (calcium, creatinine, phosphate, magnesium, sodium) from baseline to weeks 4 and 8","definition_or_measurement_approach":"Change in listed urine mineral measurements at weeks 4 and 8 from baseline"}
- {"endpoint_text":"-Change in mineral homeostasis (serum ionized calcium, calcium, albumin, PTH, phosphate, albumin, vitamin D metabolites) from baseline to week 4 and 8","definition_or_measurement_approach":"Change in specified serum mineral/homeostasis markers at weeks 4 and 8 from baseline"}
- {"endpoint_text":"-Change in serum hCG from baseline to week 4 and 8","definition_or_measurement_approach":"Change in serum hCG measured at weeks 4 and 8 vs baseline"}
- {"endpoint_text":"-Change in thyroid hormone conversion (DIO2 activity) in fat cells determined by their conversion of T4 to T3 from baseline to week 8","definition_or_measurement_approach":"Change in DIO2 activity in fat cell assays comparing baseline and week 8"}
- {"endpoint_text":"-Change in adrenal hormones from baseline to week 4 and 8","definition_or_measurement_approach":"Change in adrenal hormone levels at weeks 4 and 8 vs baseline"}
- {"endpoint_text":"-Change in the mean frequency of moderate to severe VMS from Baseline to week 8","definition_or_measurement_approach":"Change in mean frequency of moderate-to-severe vasomotor symptoms from baseline to week 8"}
- {"endpoint_text":"-Change in the mean frequency of moderate to severe VMS from Baseline to week 4","definition_or_measurement_approach":"Change in mean frequency of moderate-to-severe vasomotor symptoms from baseline to week 4"}
- {"endpoint_text":"-Change in the mean severity-score from Baseline to week 8","definition_or_measurement_approach":"Change in mean severity score of VMS from baseline to week 8"}
- {"endpoint_text":"-Change in the mean severity-score from Baseline to week 4","definition_or_measurement_approach":"Change in mean severity score of VMS from baseline to week 4"}
- {"endpoint_text":"-Change in VMS measured using the questionnaire ‘GCS’ from baseline to week 8","definition_or_measurement_approach":"Change in GCS questionnaire results from baseline to week 8"}
- {"endpoint_text":"-Change in serum LH and FSH from baseline to weeks 4 and 8","definition_or_measurement_approach":"Change in LH and FSH levels at weeks 4 and 8 vs baseline"}
- {"endpoint_text":"-Change in serum estradiol and SHGB from baseline to week 4 and 8","definition_or_measurement_approach":"Change in serum estradiol and SHBG at weeks 4 and 8 compared with baseline"}
- {"endpoint_text":"-Change in fasting insulin from baseline to week 8","definition_or_measurement_approach":"Change in fasting insulin measured at week 8 vs baseline"}
- {"endpoint_text":"-Change in HbA1C and HOMA-IR from baseline to week 8","definition_or_measurement_approach":"Change in HbA1C and HOMA-IR from baseline to week 8"}
- {"endpoint_text":"-Change in total cholesterol, cholesterol (total, HDL, LDL), and triglycerides from baseline to week 4 and 8","definition_or_measurement_approach":"Change in lipid panel components at weeks 4 and 8 vs baseline"}
- {"endpoint_text":"-Change in RANKL from baseline to weeks 4 and 8","definition_or_measurement_approach":"Change in serum RANKL at weeks 4 and 8 compared with baseline"}
- {"endpoint_text":"-Change in kidney function (serum creatinine, sodium, potassium, urea) from baseline to week 4 and 8","definition_or_measurement_approach":"Change in listed kidney function tests at weeks 4 and 8 vs baseline"}
- {"endpoint_text":"-Change in hepatic enzymes (ALAT, ASAT, GGT, alkaline phosphatase) from baseline to week 4 and 8","definition_or_measurement_approach":"Change in hepatic enzyme values at weeks 4 and 8 vs baseline"}
- {"endpoint_text":"-Change in QTc using electrocardiogram (ECG) at baseline to week 8","definition_or_measurement_approach":"Change in QTc interval measured by ECG from baseline to week 8"}
- {"endpoint_text":"-Change in weight at baseline to week 8","definition_or_measurement_approach":"Change in body weight measured at week 8 vs baseline"}
- {"endpoint_text":"-Change in RNA expression (RNAseq) in abdominal fat (abdominal fat biopsies) from baseline to week 8 and following in vitro stimulation with hormones and treatments such as LH/hCG","definition_or_measurement_approach":"RNAseq changes in abdominal fat biopsies at week 8 and after in vitro stimulation compared with baseline"}
- {"endpoint_text":"-Change in Cerebral Spinal Fluid (CSF) hormone, mineral or neuropeptide levels between all 4 treatment arms at week 8","definition_or_measurement_approach":"Change in CSF biomarkers at week 8 between treatment arms"}
- {"endpoint_text":"-Change in frequency and type of reported adverse events between baseline and week 4 and 8","definition_or_measurement_approach":"Frequency and type of reported adverse events collected and compared between baseline, week 4 and week 8"}
Recruitment
- Digital Remote Recruitment
- Yes
- Planned Sample Size
- 200
- Recruitment Window Months
- 33
- Consent Approach
- Written informed consent obtained from each participant (adult participants themselves). Subject information and informed consent form documents are provided (e.g. L1_ICF_2025-522558-37-00, L1b_ICF_2025-522558-37-00, L1_SIS_2025-522558-37-00). Materials and patient-reported outcome instruments include Danish-language versions (e.g. CES-D_Danish, GAD-7_Danish, PROMIS_danish, MENOQL_danish), indicating consent materials are available in Danish. No assent process is required or indicated.
Methods
- K1_Recruitment arrangements (document present) — target audience: postmenopausal women; country: Denmark
- K2_Recruitment material_SoMe (document present) — social media recruitment materials for outreach
- K2_Recruitment material_Poster (document present) — printed poster materials for recruitment
- K2_Recruitment material_Pamphlet (document present) — pamphlet/information leaflet for potential participants
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 200
Denmark
- Earliest CTIS Part Ii Submission Date
- 29-07-2025
- Latest Decision Or Authorization Date
- 27-02-2026
- Processing Time Days
- 213
- Number Of Sites
- 1
- Number Of Participants
- 200
Sites
- Site Name
- Region Hovedstaden (Herlev)
- Department Name
- Endocrinology and Internal Medicine, Division of Translational Endocrinology
- Principal Investigator Name
- Nadia Nicholine Poulsen
- Principal Investigator Email
- nadia.nicholine.poulsen.02@regionh.dk
- Contact Person Name
- Nadia Nicholine Poulsen
- Contact Person Email
- nadia.nicholine.poulsen.02@regionh.dk
- Number Of Participants
- 200
Sponsor
Primary sponsor
- Full Name
- Region Hovedstaden
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Denmark
Third parties
- {"country":"Denmark","full_name":"Region Hovedstaden (Nordre Fasanvej 57, Frederiksberg)","duties_or_roles":"1","organisation_type":"Hospital/Clinic/Other health care facility"}
Investigational products
- Investigational Product Name
- Pamorelin, depotinjektionsvæske, pulver og solvens til suspension, 11,25 mg
- Active Substance
- TRIPTORELIN
- Modality
- Peptide/protein/enzyme
- Routes Of Administration
- INTRAMUSCULAR USE
- Route
- Intramuscular
- Authorisation Status
- Marketing authorisation present (marketingAuthNumber: 36798, euMpNumber: PRD12330302)
- Starting Dose
- 11.25 mg
- Maximum Dose
- 22.5 mg
- Investigational Product Name
- ESTREVA® 0,1 % Gel
- Active Substance
- ESTRADIOL HEMIHYDRATE
- Modality
- Small molecule
- Routes Of Administration
- TRANSDERMAL USE
- Route
- Transdermal
- Authorisation Status
- Marketing authorisation present (marketingAuthNumber: 43905.00.00, euMpNumber: PRD7063189)
- Maximum Dose
- 1.5 mg (max daily dose amount listed)
- Investigational Product Name
- Tostran, 20 mg/g transdermal gel.
- Active Substance
- TESTOSTERONE
- Modality
- Small molecule
- Routes Of Administration
- TRANSDERMAL USE
- Route
- Transdermal
- Authorisation Status
- Marketing authorisation present (marketingAuthNumber: 38808, euMpNumber: PRD11246927)
- Maximum Dose
- 10 mg (max daily dose amount listed)
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