Evidence map›Paper›PMID 39381651›Full record

ArticleF&S reports2024

Impact of demographic and clinical factors on elagolix plus add-back therapy effects on patient-reported nonbleeding symptoms in women with heavy menstrual bleeding and uterine fibroids: a post hoc analysis of data from two clinical trials.

James A Simon, Elizabeth A Stewart, Susan Jewell, Moming Li, Michael C Snabes

2 registry-linked trialsAbstract read
In one paragraph

Article in F&S reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02654054 phase3completednot on this map

A Phase 3 Study to Evaluate the Efficacy and Safety of Elagolix in Combination With Estradiol/Norethindrone Acetate for the Management of Heavy Menstrual Bleeding Associated With Uterine Fibroids in Premenopausal Women

TypeinterventionalSponsorAbbVieRan2015 to 2018Enrolled413ConditionsUterine Fibroids, Heavy Menstrual BleedingArmsElagolix, Placebo for Estradiol/Norethindrone Acetate, Estradiol/Norethindrone Acetate, Placebo for Elagolix
NCT02691494 phase3completednot on this map

A Phase 3 Study to Evaluate the Efficacy and Safety of Elagolix in Combination With Estradiol/Norethindrone Acetate for the Management of Heavy Menstrual Bleeding Associated With Uterine Fibroids in Premenopausal Women

TypeinterventionalSponsorAbbVieRan2016 to 2019Enrolled378ConditionsUterine Fibroids, Heavy Menstrual BleedingArmsElagolix, Placebo for Estradiol/Norethindrone Acetate, Estradiol/Norethindrone Acetate, Placebo for Elagolix
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

James A SimonIntimMedicine Specialists, Department of Obstetrics and Gynecology, George Washington University School of Medicine, Washington, District of Columbia.
Elizabeth A StewartDivision of Reproductive Endocrinology, Department of Obstetrics and Gynecology and Surgery, Mayo Clinic and Mayo Clinic Alix School of Medicine, Rochester, Minnesota.
Susan JewellAbbVie Inc., North Chicago, Illinois.
Moming LiAbbVie Inc., North Chicago, Illinois.
Michael C SnabesAbbVie Inc., North Chicago, Illinois.

Funding

The FIRSTT Trial: Assessing Outcomes of Minimally Invasive Leiomyoma TherapiesR01HD060503 · NICHD · MAYO CLINIC ROCHESTER · PI STEWART, ELIZABETH A · 2010 to 2014
$2.6M
Long Term Effectiveness of Uterine Sparing Fibroid TreatmentsR01HD109127 · NICHD · HENRY FORD HEALTH SYSTEM · PI Vanessa Jacoby, Wanda K Nicholson · 2023 to 2026
$2.4M
AHRQ HHS P50 HS023418NICHD NIH HHS R01 HD060503NICHD NIH HHS R01 HD109127
6 · The paper itself

Abstract

Objective: To investigate the efficacy of elagolix plus add-back therapy (estradiol [1 mg] and norethindrone acetate [0.5 mg] once daily) on patient-reported nonbleeding symptoms and menstrual bleeding associated with uterine fibroids (UFs) across different subpopulations. Design: Post hoc analysis of two phase 3 clinical trials-Elaris UF-1 and UF-2. Setting: A total of 76 (UF-1) and 77 (UF-2) US clinical sites. Patients: Women (N = 591) with UFs and heavy menstrual bleeding. Interventions: Elagolix (300 mg) twice daily with add-back therapy (the indicated dose for UF-associated heavy menstrual bleeding) vs. placebo for 6 months. Main Outcome Measures: "Very much improved" or "much improved" change in nonbleeding symptoms (abdominal/pelvic pain, abdominal/pelvic pressure/cramping, back pain, and abdominal bloating) and menstrual bleeding measured using a Patient Global Impression of Change scale. Improvements were assessed in subpopulations stratified using baseline characteristics (age, race [self-reported], body mass index, and International Federation of Gynecology and Obstetrics fibroid classification). Results: Across subpopulations, differences favored elagolix plus add-back therapy (vs. placebo) for most symptoms at month 1 and all symptoms at months 3 as well as 6. In patients with characteristics commonly associated with high disease burden (age >40 years, Black/African American), those treated with elagolix plus add-back therapy reported significantly greater improvements vs. placebo at months 1-6 ( Conclusions: Premenopausal women with heavy menstrual bleeding and UFs receiving elagolix plus add-back therapy experienced significant improvements in nonbleeding as well as bleeding symptoms from months 1-6, regardless of baseline characteristics. Clinical Trial Registration Number: NCT02654054 and NCT02691494.

Indexed as

Heavy menstrual bleedingleiomyomasoral GnRH antagonistsPatient Global Impression of Changeuterine fibroids

Identifiers

PMID39381651
PMCPMC11456625

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.