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Trial ยท NCT01942668

A Safety and Efficacy Study of the Combination Estradiol and Progesterone to Treat Vasomotor Symptoms

NCT01942668, Phase 3, Completed, TherapeuticsMD; results first posted 2019-05-06

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Safety and Efficacy Study of the Combination Estradiol and Progesterone to Treat Vasomotor Symptoms. Trials, record NCT01942668. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT01942668

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Safety and Efficacy Study of the Combination Estradiol and Progesterone to Treat Vasomotor Symptoms
NCT number
NCT01942668
Status
Completed
Phases
Phase 3
Enrollment
1,845 participants, actual
Lead sponsor
TherapeuticsMD
Conditions
Menopause
Interventions
Estradiol, Progesterone, Placebo
First posted
2013-09-16
Last updated
2019-05-06
Results first posted
2019-05-06

Source ClinicalTrials.gov

Registered outcomes210

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryCo-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Baseline and Week 4
Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
PrimaryCo-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Baseline and Week 12
Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
PrimaryCo-Primary Efficacy Endpoint: Severity of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Baseline and Week 4
Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3\] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = \[(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3\] / (total number of mild, moderate and severe hot flushes over 7 days).
PrimaryCo-Primary Efficacy Endpoint: Severity of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Baseline and Week 12
Mean change in severity of moderate to severe vasomotor symptoms at Baseline to mild, moderate to severe vasomotor symptoms at Week 12. The baseline was the most recent 7 consecutive days of data prior to randomization. The severity score was derived as follows: mild = 1, moderate = 2, severe = 3. Baseline Weekly Severity Score = (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3\] / (total number of moderate to severe hot flushes over 7 days). On Treatment Weekly Severity Score = \[(number of mild hot flushes for 7 days) x 1 + (number of moderate hot flushes for 7 days) x 2 + (number of severe hot flushes for 7 days) x 3\] / (total number of mild, moderate and severe hot flushes over 7 days).
PrimaryPrimary Safety Endpoint: Endometrial Protection - HyperplasiaBaseline and Month 12
Endometrial biopsies centrally evaluated by 2 primary pathologists using criteria from Blaustein's Pathology text. Pathologists classified bx into 1 of following 3 categories: Cat.1: Non-endometrial malignancy/non-hyperplasia; Cat.2: Endometrial hyperplasia; Cat.3: Endometrial malignancy. Consensus reached when 2 primary pathologist agreed on any of above categories; if primary pathologists disagreed on presence of hyperplasia, result of 3rd pathologist was utilized and final decision regarding presence of hyperplasia was based on diagnosis of majority. If all 3 reads disparate, final diagnosis based on most severe dx. Incidence rate calculated as: I=A/B where I=incidence rate at M12 evaluation, A=all new subjects with biopsies positive for endometrial hyperplasia during study but post-Baseline, B=all subjects w/biopsies following M11 meeting criteria specified plus all subjects w/biopsies positive for endometrial hyperplasia by any pathologists before M11.
SecondaryEndometrial Protection - HyperplasiaBaseline and Month 12
Endometrial biopsies centrally evaluated by 3 primary pathologists using criteria described in Blaustein's Pathology text. Pathologists classified biopsy into 1 of following 3 categories: Cat.1: Non-endometrial malignancy/non-hyperplasia; Cat.2: Endometrial hyperplasia; Cat.3: Endometrial malignancy. Consensus was reached when the 2 of 3 pathologist readers agreed on any of the above categories; if all three reads were disparate, the final diagnosis was based on the most severe diagnosis. Incidence rate calculated as: I=A/B where I=incidence rate at M12 evaluation, A=all new subjects with biopsies positive for endometrial hyperplasia during study but post-Baseline, B=all subjects with biopsies following M11 meeting the criteria specified plus all subjects with biopsies positive for endometrial hyperplasia by any of the pathologists before M11.
SecondaryFrequency of Moderate to Severe Vasomotor Symptoms - Week 1 (MITT-VMS)Baseline and Week 1
Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 1. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
SecondaryFrequency of Moderate to Severe Vasomotor Symptoms - Week 2 (MITT-VMS)Baseline and Week 2
Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 2. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
SecondaryFrequency of Moderate to Severe Vasomotor Symptoms - Week 3 (MITT-VMS)Baseline and Week 3
Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 3. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.
SecondaryFrequency of Moderate to Severe Vasomotor Symptoms - Week 4 (MITT-VMS)Baseline and Week 4
Mean change in frequency of moderate to severe vasomotor symptoms from Baseline to Week 4. The baseline was the most recent 7 consecutive days of data prior to randomization. The weekly frequency of moderate to severe hot flushes was calculated from the daily diary record using a forward counting process of 7 day intervals beginning with the baseline date. Weekly frequency equals total number of moderate to severe hot flushes for the subject week.

Outcomes210

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYCo-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Baseline and Week 4
Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. \& severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. \& severity of hot flushes following initiation of IP.
weekly hot flushesMEAN
PRIMARYCo-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Baseline and Week 12
Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. \& severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. \& severity of hot flushes following initiation of IP.
weekly hot flushesMEAN
PRIMARYCo-Primary Efficacy Endpoint: Severity of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Baseline and Week 4
Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. \& severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. \& severity of hot flushes following initiation of IP.
scores on a scaleMEAN
PRIMARYCo-Primary Efficacy Endpoint: Severity of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Baseline and Week 12
Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. \& severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. \& severity of hot flushes following initiation of IP.
scores on a scaleMEAN
PRIMARYPrimary Safety Endpoint: Endometrial Protection - HyperplasiaBaseline and Month 12
Randomized subjects who had taken at least 1 capsule, had no major protocol violations, acceptable biopsy at baseline (evaluable tissue, no endometrial hyperplasia, polyp or cancer), had a biopsy at month 12 (on or after Study Day 326) or had a diagnosis of endometrial hyperplasia prior to month 12.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYEndometrial Protection - HyperplasiaBaseline and Month 12
Randomized subjects who had taken at least 1 capsule, had no major protocol violations, acceptable biopsy at baseline (evaluable tissue, no endometrial hyperplasia, polyp or cancer), had a biopsy at month 12 (on or after Study Day 326) or had a diagnosis of endometrial hyperplasia prior to month 12.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYFrequency of Moderate to Severe Vasomotor Symptoms - Week 1 (MITT-VMS)Baseline and Week 1
Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. \& severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. \& severity of hot flushes following initiation of IP.
weekly hot flushesMEAN
SECONDARYFrequency of Moderate to Severe Vasomotor Symptoms - Week 2 (MITT-VMS)Baseline and Week 2
Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. \& severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. \& severity of hot flushes following initiation of IP.
weekly hot flushesMEAN
SECONDARYFrequency of Moderate to Severe Vasomotor Symptoms - Week 3 (MITT-VMS)Baseline and Week 3
Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. \& severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. \& severity of hot flushes following initiation of IP.
weekly hot flushesMEAN
SECONDARYFrequency of Moderate to Severe Vasomotor Symptoms - Week 4 (MITT-VMS)Baseline and Week 4
Randomized to the VMS Substudy, taken one dose of IP, and had at least 5 days of VMS diary data for baseline measurement of freq. \& severity of moderate to severe hot flushes, and had at least 4 days of VMS diary data for 1 on-treatment week of reporting freq. \& severity of hot flushes following initiation of IP.
weekly hot flushesMEAN

Results by group1,230

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Combined Estradiol 1 mg / Progesterone 100 mg-40.6Standard Deviation 30.59weekly hot flushes
Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Combined Estradiol 0.5 mg / Progesterone 100 mg-35.1Standard Deviation 29.14weekly hot flushes
Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Combined Estradiol 0.5 mg / Progesterone 50 mg-33.6Standard Deviation 30.64weekly hot flushes
Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Combined Estradiol 0.25 mg / Progesterone 50 mg-38.9Standard Deviation 31.04weekly hot flushes
Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Placebo-26.4Standard Deviation 27.05weekly hot flushes
Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Combined Estradiol 1 mg / Progesterone 100 mg-55.1Standard Deviation 31.36weekly hot flushes
Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Combined Estradiol 0.5 mg / Progesterone 100 mg-53.7Standard Deviation 31.93weekly hot flushes
Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Combined Estradiol 0.5 mg / Progesterone 50 mg-50.2Standard Deviation 31.35weekly hot flushes
Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Combined Estradiol 0.25 mg / Progesterone 50 mg-52.4Standard Deviation 33.90weekly hot flushes
Co-Primary Efficacy Endpoint: Frequency of Moderate to Severe Vasomotor Symptoms (MITT-VMS)Placebo-40.2Standard Deviation 29.79weekly hot flushes

Participant flow15

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCombined Estradiol 1 mg / Progesterone 100 mg418
Overall StudySTARTEDCombined Estradiol 0.5 mg / Progesterone 100 mg426
Overall StudySTARTEDCombined Estradiol 0.5 mg / Progesterone 50 mg422
Overall StudySTARTEDCombined Estradiol 0.25 mg / Progesterone 50 mg427
Overall StudySTARTEDPlacebo152
Overall StudyCOMPLETEDCombined Estradiol 1 mg / Progesterone 100 mg284
Overall StudyCOMPLETEDCombined Estradiol 0.5 mg / Progesterone 100 mg305
Overall StudyCOMPLETEDCombined Estradiol 0.5 mg / Progesterone 50 mg312
Overall StudyCOMPLETEDCombined Estradiol 0.25 mg / Progesterone 50 mg281
Overall StudyCOMPLETEDPlacebo93

Adverse events340

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherHeadacheNervous system disordersCombined Estradiol 1 mg / Progesterone 100 mg31415
otherHeadacheNervous system disordersCombined Estradiol 0.5 mg / Progesterone 100 mg24424
otherHeadacheNervous system disordersCombined Estradiol 0.5 mg / Progesterone 50 mg45421
otherHeadacheNervous system disordersCombined Estradiol 0.25 mg / Progesterone 50 mg43424
otherHeadacheNervous system disordersPlacebo4151
otherNasopharyngitisInfections and infestationsCombined Estradiol 1 mg / Progesterone 100 mg25415
otherNasopharyngitisInfections and infestationsCombined Estradiol 0.5 mg / Progesterone 100 mg41424
otherNasopharyngitisInfections and infestationsCombined Estradiol 0.5 mg / Progesterone 50 mg37421
otherNasopharyngitisInfections and infestationsCombined Estradiol 0.25 mg / Progesterone 50 mg24424
otherNasopharyngitisInfections and infestationsPlacebo4151

Adverse event totals15

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCombined Estradiol 1 mg / Progesterone 100 mg0415
Total, all-cause mortalityCombined Estradiol 0.5 mg / Progesterone 100 mg0424
Total, all-cause mortalityCombined Estradiol 0.5 mg / Progesterone 50 mg1421
Total, all-cause mortalityCombined Estradiol 0.25 mg / Progesterone 50 mg0424
Total, all-cause mortalityPlacebo0151
Total, other adverse eventsCombined Estradiol 1 mg / Progesterone 100 mg324415
Total, other adverse eventsCombined Estradiol 0.5 mg / Progesterone 100 mg277424
Total, other adverse eventsCombined Estradiol 0.5 mg / Progesterone 50 mg291421
Total, other adverse eventsCombined Estradiol 0.25 mg / Progesterone 50 mg232424
Total, other adverse eventsPlacebo41151

Papers13

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
8844630BACKGROUNDPubMed
18177782BACKGROUNDPubMed
22228322BACKGROUNDPubMed
25835751DERIVEDPubMed
29889748DERIVEDPubMed
30586005DERIVEDPubMed
30601452DERIVEDPubMed
31364889DERIVEDPubMed
31913228DERIVEDPubMed
32740481DERIVEDPubMed

1 to 10 of 13

See all 13 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT01942668

GET https://conductscience.org/api/trials/v1/NCT01942668/registered?page=2