Evidence map›Paper›PMID 34134684›Full record

Trial reportBMC women's health2021

Reductions in endometriosis-associated pain among women treated with elagolix are consistent across a range of baseline characteristics reflective of real-world patients.

Mauricio S Abrao, Eric Surrey, Keith Gordon, Michael C Snabes, Hui Wang, Horia Ijacu, Hugh S Taylor

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase III
In one paragraph

Trial report in BMC women's health, 2021. 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 18% 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.

NCT01620528 phase3completednot on this map

A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Elagolix in Subjects With Moderate to Severe Endometriosis-Associated Pain

TypeinterventionalSponsorAbbVie (prior sponsor, Abbott)Ran2012 to 2015Enrolled872ConditionsEndometriosisArmselagolix, placebo
NCT01931670 phase3completednot on this map

A Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Elagolix in Subjects With Moderate to Severe Endometriosis-Associated Pain

TypeinterventionalSponsorAbbVieRan2013 to 2016Enrolled815ConditionsEndometriosisArmsplacebo, Elagolix
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
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  3. Article
  4. Observational
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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

7 authors at 4 institutions in 2 countries.

Mauricio S AbraoEndometriosis Section, Gynecologic Division, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Rua Sao Sebastiao 550, São Paulo, SP, 04708-000, Brazil. msabrao@mac.com.
Eric SurreyColorado Center for Reproductive Medicine, Lone Tree, CO, USA.
Keith GordonDepartments of Clinical Development, Medical Affairs, and Statistics, AbbVie Inc., North Chicago, IL, USA.
Michael C SnabesDepartments of Clinical Development, Medical Affairs, and Statistics, AbbVie Inc., North Chicago, IL, USA.
Hui WangDepartments of Clinical Development, Medical Affairs, and Statistics, AbbVie Inc., North Chicago, IL, USA.
Horia IjacuDepartments of Clinical Development, Medical Affairs, and Statistics, AbbVie Inc., North Chicago, IL, USA.
Hugh S TaylorDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA.
AbbVie (United States) · USColorado Center for Reproductive Medicine · USHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundElagolix is an oral, gonadotropin-releasing hormone (GnRH) receptor antagonist, that significantly reduces dysmenorrhea and non-menstrual pelvic pain (NMPP) in women with moderate to severe endometriosis-associated pain.

methodsData were pooled from two 6-month, placebo-controlled, phase 3 studies (Elaris Endometriosis [EM]-I and II) in which 2 doses of elagolix were evaluated (150 mg once daily and 200 mg twice daily). Pooled data from > 1600 women, aged 18-49, were used to evaluate the efficacy of elagolix and health-related quality of life (HRQoL) in prespecified subgroups of women with various baseline characteristics.

resultsOf the 1686 women treated, 1285 (76.2%) completed the studies. The percentages of women with clinically meaningful reductions in dysmenorrhea and NMPP were generally consistent by subgroup. Significant treatment by subgroup interaction was demonstrated for dysmenorrhea response in baseline analgesic use (p < 0.01) and previous history of pregnancy (p < 0.05) subgroups, and for NMPP response in the baseline NMPP score (p < 0.05) and history of pregnancy (p < 0.05) subgroups. Patient-reported reduction in pain at month 3 was significant across all subgroups taking elagolix 200 mg BID, and significant across most subgroups with elagolix 150 mg QD. Women across subgroups experienced improvement within each domain of the Endometriosis Health Profile-30 (EHP-30), although significant treatment by subgroup interactions were observed in several categories.

conclusionsElagolix was effective in reducing dysmenorrhea and NMPP, and improving HRQoL, compared with placebo across numerous subgroups of women with various baseline characteristics, covering a broad segment of the endometriosis disease and patient types. CLINICAL

trial registrationClinicalTrials.gov: https://www.clinicaltrials.gov/ct2/show/NCT01620528 ; https://www.clinicaltrials.gov/ct2/show/NCT01931670 .

Indexed as

EndometriosisDysmenorrheaFemaleHumansHydrocarbons, FluorinatedPelvic PainPyrimidinesQuality of LifeelagolixHydrocarbons, FluorinatedPyrimidinesDysmenorrheaDyspareuniaEndometriosisGonadotropin-releasing hormoneHealth-related quality of life

Identifiers

PMID34134684
PMCPMC8210385
OpenAlexW3167310563

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.