Evidence map›Paper›PMID 25249568›Full record

Trial reportReproductive sciences (Thousand Oaks, Calif.)2014

Elagolix, an oral GnRH antagonist, versus subcutaneous depot medroxyprogesterone acetate for the treatment of endometriosis: effects on bone mineral density.

Bruce Carr, W Paul Dmowski, Chris O'Brien, Ping Jiang, Joshua Burke, Roland Jimenez, Elizabeth Garner, Kristof Chwalisz

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIComparative StudyMulticenter Study
In one paragraph

Trial report in Reproductive sciences (Thousand Oaks, Calif.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05303636 (A Multicenter, Open-label, Controlled Study to Investigate the Effect of Either LF111 or Drospirenone Chewable Tablets on Bone Mineral Density), which is not on this map. Cited by 39 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 8 pooled it
12.4field-weighted citation impact, top 1% of its field
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.

NCT05303636 phase4active not recruitingnot on this mapstarted 2022, after this paper: background citation

A Multicenter, Open-label, Controlled Study to Investigate the Effect of Either LF111 or Drospirenone Chewable Tablets on Bone Mineral Density (BMD) in Adolescent and Adult Women in Comparison With Non-users of Hormonal Contraceptive Methods

TypeinterventionalSponsorInsud PharmaRan2022 to 2028Enrolled1,536ConditionsChange in Bone Mineral Density, Bone LossArmsdrospirenone 4 mg oral tablet or drospirenone 3.5 mg chewable tablet
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 8 syntheses or guidelines pooled it, 108 citations in OpenAlex.

  1. Pooled it
  2. Progestagens for pain symptoms associated with endometriosis.The Cochrane database of systematic reviews · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Review
  13. Review
  14. Observational
  15. Review
  16. Recent Trends in Medical Management of Endometriosis.Journal of obstetrics and gynaecology of India · 2024
    Article
  17. Review
  18. Review
  19. Article
  20. Review
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

8 authors at 3 institutions in 1 country.

Bruce CarrDepartment of Obstetrics and Gynecology, Reproductive Endocrinology & Infertility Fellowship Program, University of Texas Southwestern Medical Center, Dallas, TX, USA bruce.carr@utsouthwestern.edu.
W Paul DmowskiInstitute for the Study and Treatment of Endometriosis, Oak Brook, IL, USA.
Chris O'BrienNeurocrine Biosciences, Inc, San Diego, CA USA.
Ping JiangAbbVie Inc, North Chicago, IL, USA.
Joshua BurkeNeurocrine Biosciences, Inc, San Diego, CA USA.
Roland JimenezNeurocrine Biosciences, Inc, San Diego, CA USA.
Elizabeth GarnerAbbVie Inc, North Chicago, IL, USA.
Kristof ChwaliszAbbVie Inc, North Chicago, IL, USA.
AbbVie (United States) · USNeurocrine Biosciences (United States) · USThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This randomized double-blind study, with 24-week treatment and 24-week posttreatment periods, evaluated the effects of elagolix (150 mg every day, 75 mg twice a day) versus subcutaneous depot medroxyprogesterone acetate (DMPA-SC) on bone mineral density (BMD), in women with endometriosis-associated pain (n = 252). All treatments induced minimal mean changes from baseline in BMD at week 24 (elagolix 150 mg: -0.11%/-0.47%, elagolix 75 mg: -1.29%/-1.2%, and DMPA-SC: 0.99%/-1.29% in the spine and total hip, respectively), with similar or less changes at week 48 (posttreatment). Elagolix was associated with improvements in endometriosis-associated pain, assessed with composite pelvic signs and symptoms score (CPSSS) and visual analogue scale, including statistical noninferiority to DMPA-SC in dysmenorrhea and nonmenstrual pelvic pain components of the CPSSS. The most common adverse events (AEs) in elagolix groups were headache, nausea, and nasopharyngitis, whereas the most common AEs in the DMPA-SC group were headache, nausea, upper respiratory tract infection, and mood swings. This study showed that similar to DMPA-SC, elagolix treatment had minimal impact on BMD over a 24-week period and demonstrated similar efficacy on endometriosis-associated pain.

Indexed as

Absorptiometry, PhotonAdministration, OralAdultBone DensityDelayed-Action PreparationsEndometriosisFemaleGonadotropin-Releasing HormoneHormone AntagonistsHumansHydrocarbons, FluorinatedInjections, SubcutaneousMedroxyprogesteronePain MeasurementPelvic PainPyrimidinesDelayed-Action PreparationselagolixGonadotropin-Releasing HormoneHormone AntagonistsHydrocarbons, FluorinatedMedroxyprogesteronePyrimidineselagolixendometriosisGnRH antagonistspelvic pain

Identifiers

PMID25249568
PMCPMC4212335
OpenAlexW2092177969

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.