Elagolix for the management of heavy menstrual bleeding associated with uterine fibroids: results from a phase 2a proof-of-concept study  David F. Archer,

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Presentation transcript:

Elagolix for the management of heavy menstrual bleeding associated with uterine fibroids: results from a phase 2a proof-of-concept study  David F. Archer, M.D., Elizabeth A. Stewart, M.D., Rita I. Jain, M.D., Robert A. Feldman, M.D., Andrea S. Lukes, M.D., Janine D. North, B.S., Ahmed M. Soliman, Ph.D., Jingjing Gao, Ph.D., Juki W. Ng, Pharm.D., Ph.D., Kristof Chwalisz, M.D., Ph.D.  Fertility and Sterility  Volume 108, Issue 1, Pages 152-160.e4 (July 2017) DOI: 10.1016/j.fertnstert.2017.05.006 Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Mean percentage change from baseline in MBL during the last 28 days of treatment. BID = twice daily; CEP = E2 1 mg continuously and cyclical oral P 200 mg; E = elagolix (doses in mg); E2/NETA= E2 0.5 mg and norethindrone acetate 0.1 mg continuously; LS = least squares; MBL = menstrual blood loss; PBO = placebo; QD = once daily; SD = standard deviation; SE = standard error. **P≤.01; ***P≤.001. P values are for difference in LS mean change from baseline vs. PBO and are derived from an analysis of covariance with treatment as a factor and baseline as a covariate. Descriptive statistics were used to summarize results for cohorts without a PBO control group. Fertility and Sterility 2017 108, 152-160.e4DOI: (10.1016/j.fertnstert.2017.05.006) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 1 Study design. BID = twice daily; CEP = E2 1 mg continuously and cyclical oral P 200 mg; E2/NETA = E2 0.5 mg and norethindrone acetate 0.1 mg continuously; M1 = end of month 1 visit; M2 = end of month 2 visit; QD = once daily; PD = postdose; TDD = total daily dose. Fertility and Sterility 2017 108, 152-160.e4DOI: (10.1016/j.fertnstert.2017.05.006) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 2 Study disposition. AE = adverse event; BID = twice daily; CEP = E2 1 mg continuously and cyclical oral P 200 mg; E = elagolix (doses in mg); EMR = exclusionary medication received; E2/NETA = E2 0.5 mg and norethindrone acetate 0.1 mg continuously; LFU = lost to follow-up; NC = not compliant; OTH = other; PBO = placebo; QD = once daily; SII = surgery or invasive intervention; TDD = total daily dose; WC = withdrew consent. Fertility and Sterility 2017 108, 152-160.e4DOI: (10.1016/j.fertnstert.2017.05.006) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 3 Hemoglobin and fibroid volume results. (A) Percentage of women with ≥1.0-g/dL increase from baseline in hemoglobin at month 3. (B) Mean percentage change from baseline to month 3 in the volume of the largest uterine fibroid. (C) Mean percentage change from month 3 to posttreatment month 3 in the volume of the largest uterine fibroid. BID = twice daily; CEP = E2 1 mg continuously and cyclical oral P 200 mg; E = elagolix (doses in mg); E2/NETA= E2 0.5 mg and norethindrone acetate 0.1 mg continuously; PBO = placebo; QD = once daily; SD = standard deviation. *P≤.01; **P≤.001. Descriptive statistics were used to summarize results for cohorts without a PBO control group; no statistical testing was performed for changes from month 3 to posttreatment month 3. Fertility and Sterility 2017 108, 152-160.e4DOI: (10.1016/j.fertnstert.2017.05.006) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 3 Hemoglobin and fibroid volume results. (A) Percentage of women with ≥1.0-g/dL increase from baseline in hemoglobin at month 3. (B) Mean percentage change from baseline to month 3 in the volume of the largest uterine fibroid. (C) Mean percentage change from month 3 to posttreatment month 3 in the volume of the largest uterine fibroid. BID = twice daily; CEP = E2 1 mg continuously and cyclical oral P 200 mg; E = elagolix (doses in mg); E2/NETA= E2 0.5 mg and norethindrone acetate 0.1 mg continuously; PBO = placebo; QD = once daily; SD = standard deviation. *P≤.01; **P≤.001. Descriptive statistics were used to summarize results for cohorts without a PBO control group; no statistical testing was performed for changes from month 3 to posttreatment month 3. Fertility and Sterility 2017 108, 152-160.e4DOI: (10.1016/j.fertnstert.2017.05.006) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions