| CTRI Number |
CTRI/2024/04/066430 [Registered on: 29/04/2024] Trial Registered Prospectively |
| Last Modified On: |
27/08/2024 |
| Post Graduate Thesis |
No |
| Type of Trial |
PMS |
|
Type of Study
|
Drug |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
Treatment in postmenopausal women with Lenzetto (Estradiol 1.53 mg/actuation transdermal spray). |
|
Scientific Title of Study
|
A prospective, non-interventional, Active post marketing surveillance study of Lenzetto (Estradiol 1.53 mg/actuation transdermal spray) in postmenopausal women. |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| Protocol Id: TML/LEN-01 Version No: 2.0 Date: 14 Sep 2023 |
Protocol Number |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Balaji More |
| Designation |
Vice President- Medical Services |
| Affiliation |
Themis Medicare Limited |
| Address |
11/12, Udyog Nagar, Goregaon (West), Mumbai (Suburban), Maharashtra.
Mumbai (Suburban) MAHARASHTRA 400104 India |
| Phone |
8452959225 |
| Fax |
|
| Email |
balaji.more@themismedicare.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Ravindra Mote |
| Designation |
Director |
| Affiliation |
Mediclin Clinical Research |
| Address |
2nd Floor, A Wing, Ritu Horizon, Next to Ankur School, Kanakiya Road, Mira Road (E), Thane-401107.
Thane MAHARASHTRA 401107 India |
| Phone |
8888884024 |
| Fax |
|
| Email |
ravindra.mote@mediclincr.com |
|
Details of Contact Person Public Query
Modification(s)
|
| Name |
Dr Balaji More |
| Designation |
Vice President- Medical Services |
| Affiliation |
Themis Medicare Limited |
| Address |
11/12, Udyog Nagar, Goregaon (West), Mumbai (Suburban), Maharashtra.
Mumbai (Suburban) MAHARASHTRA 400104 India |
| Phone |
8452959225 |
| Fax |
|
| Email |
balaji.more@themismedicare.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
Themis Medicare Limited |
| Address |
11/12, Udyog Nagar, Goregaon (West), Mumbai (Suburban), Maharashtra-400104. |
| Type of Sponsor |
Pharmaceutical industry-Indian |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
Sites of Study
Modification(s)
|
| No of Sites = 18 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Jhantu Kumar |
Burdwan Medical College and Hospital |
Burdwan, West Bengal-713104, India Barddhaman WEST BENGAL |
8240477220
sahadrjk1985@gmail.com |
| Dr Parthasarthi Mitra |
Calcutta Medical College |
88, College St, College Square, Kolkata, West Bengal-700073. Kolkata WEST BENGAL |
7980115887
parthasarathimitra1972@gmail.com |
| Dr Nisha Chakravarti |
GCS Medical College Hospital and Research Centre |
Naroda Rd, Near Chamunda Bridge, Ahmedabad, Gujarat-380025. Ahmadabad GUJARAT |
9687600217
dr.nisha85@yahoo.com |
| Dr Tulugu Sasikala |
Government Medical College and Govt. General Hospital (Old RIMSGGH) |
2nd Floor, Beside FM Ward.
Srikakulam-532001, Andhra Pradesh, India. Srikakulam ANDHRA PRADESH |
9573405562
drtsasikala@gmail.com |
| Dr Santosh Murlidhar Chavan |
Grace Hospital |
Hilton Regency, 101, First Floor, opp. Holy Family School & Dream Mall, Evershine City, Vasai East Maharshtra- 401208. Thane MAHARASHTRA |
9763682040
drsantoshchavan12@gmail.com |
| Dr Sabnam Parvin |
Horizon Multispeciality Hospital |
Kolkata, West Bengal-700014. Kolkata WEST BENGAL |
8759978506
parvin.sabnam@gmail.com |
| Dr Rakesh Bahadur |
Janta Hospital & Maternity Centre |
Amara-Akhari Bypass, Varanasi-221011, UP. Varanasi UTTAR PRADESH |
9235310199
jantahospitalvns@gmail.com |
| Dr Suchitra Narayan |
JLN Medical College |
Kala Bagh, Ajmer, Rajasthan 305001. Ajmer RAJASTHAN |
7627026609
naravan_jaiprakash@yahoo.com |
| Dr Sneha Bhoir |
Kkasturi Medical Pvt. Ltd. |
Harsh Niketan, Gaondevi Road, Bhayander West- 401101. Thane MAHARASHTRA |
8356003006
drsnehabhoirmth@gmail.com |
| Dr Garima Singh |
Krishna Hospital |
Amara-Akhari Bypass, Varanasi - 221005, UP Varanasi UTTAR PRADESH |
8528221044
drsinghgarima12@gmail.com |
| Dr Amrita Chaurasia |
Motilal Nehru Medical College |
Civil lines, George Town, Prayagraj, Allahabad, Uttar Pradesh-211002. Allahabad UTTAR PRADESH |
9235750667
dramritamln211@gmail.com |
| Dr Urvashi P Mahendrakumar |
Rajalakshmi Hospital & Research Center |
21/1, Lakshmipura Main Road, Vidyaranyapura Post, Bengaluru, Karnataka 560097. Bangalore KARNATAKA |
9448696741
urvashibhatara@gmail.com |
| Dr Poonam Yadav |
Sarojini Naidu Medical College |
Moti Katra, Mantola, Agra, Uttar Pradesh-282003. Agra UTTAR PRADESH |
9411922686
dr.poonamneeraj@gmail.com |
| Dr Saloni Suchak |
Suchak Hospital |
186, 1st Floor, Manchubhai Rd, Malad East, Mumbai, Maharashtra-400097. Mumbai MAHARASHTRA |
9082805199
drsalonisuchak1717@gmail.com |
| Dr Karishma Sharma |
Tulsi Hospital India Limited |
14/116-Civil Lines, Kanpur-208001. Kanpur Nagar UTTAR PRADESH |
8318984143
dr.karishmasharma@gmail.com |
| Dr Vidhi Patel |
V. S. General Hospital |
Ellisbridge, Ahmedabad, Gujarat-380006. Ahmadabad GUJARAT |
8460427033
vpatel.drvidhi@gmail.com |
| Dr Sachin Naiknaware |
Vijay Vallabh Hospital |
Tirupati Nagar Rd, beside Banjara Hotel, Phase 1, Virar West, Maharashtra-401303. Thane MAHARASHTRA |
9819681640
drsachinnvvh@gmail.com |
| Dr Megha Mane |
Vivan Hospital |
101, 1st, Floor, Sai Dham Tower, Next to Kaushlaya Diagnostic, Achole Road, Nalasopara East-401209. Thane MAHARASHTRA |
7021553093
meghamane499@gmail.com |
|
Details of Ethics Committee
Modification(s)
|
| No of Ethics Committees= 18 |
| Name of Committee |
Approval Status |
| Hurip Independent Bioethics Committee |
Approved |
| Institutional Ethics Committee |
Approved |
| Institutional Ethics Committee Aatman Hospital |
Approved |
| Institutional Ethics Committee Burdwan Medical College |
Approved |
| Institutional Ethics Committee for Human Research |
Approved |
| Institutional Ethics Committee GCS |
Approved |
| Institutional Ethics Committee JLN |
Approved |
| Institutional Ethics Committee MLN Medical College |
Approved |
| Institutional Ethics Committee S.N. Medical |
Approved |
| Janta Hospital Ethics Committee |
Approved |
| Janta Hospital Ethics Committee |
Approved |
| Rajalakshmi Hospital Institutional Ethics Committee |
Approved |
| Shah Lifeline Hospital And Heart Institute Ethics Committee |
Approved |
| Shah Lifeline Hospital And Heart Institute Ethics Committee |
Approved |
| Shah Lifeline Hospital And Heart Institute Ethics Committee |
Approved |
| Shah Lifeline Hospital And Heart Institute Ethics Committee |
Approved |
| Shah Lifeline Hospital And Heart Institute Ethics Committee |
Approved |
| Tulsi Hospital Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: Z798||Other long term (current) drug therapy, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Lenzetto (Estradiol 1.53 mg/actuation transdermal spray) |
Transdermal spray using a metered-dose pump-One, two or three 90 microlitre sprays administered transdermally to the inner forearm once daily for 12 weeks. |
| Comparator Agent |
NIL |
NIL |
|
|
Inclusion Criteria
|
| Age From |
35.00 Year(s) |
| Age To |
99.00 Year(s) |
| Gender |
Female |
| Details |
Naturally or surgically postmenopausal women (35 years or older) with a history of moderate to severe vasomotor symptoms: adequate washout period from estrogen-containing products prior to baseline assessments if previously treated. |
|
| ExclusionCriteria |
| Details |
1. Refusal to sign the informed consent
2. Contraindications for the use of Lenzetto according to the prescribing information (below):
- Known, past or suspected breast cancer;
- Known or suspected oestrogen-dependent malignant tumours (e.g. endometrial cancer);
- Undiagnosed genital bleeding;
- Untreated endometrial hyperplasia;
- Previous or current venous thromboembolism (deep venous thrombosis, pulmonary embolism);
- Known thrombophilic disorders (e.g. protein C, protein S, or antithrombin deficiency)
- Active or recent arterial thromboembolic disease (e.g. angina, myocardial infarction);
- Acute liver disease, or a history of liver disease as long as liver function tests have failed to return to normal;
- Porphyria;
- Hypersensitivity to the active substance or to any of the excipients. |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To monitor the Local Skin Tolerability; occurrence of all commonly reported AEs including any clinically relevant differences observed in lab parameters, vital signs or physical examination findings: Local Skin Tolerability, Adverse Event Reporting, Lipid Profile, Vital Signs, Physical Examination. |
Baseline, Week 4, Week 8, Week 12 |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Assessment of climacteric symptoms/severity by five point Menopause Rating Scale (MRS).
Mean change in frequency of mild, moderate and severe vasomotor symptoms.
Mean change in severity of mild, moderate and severe vasomotor symptoms.
Overall effect of treatment as assessed by the Investigators by using Clinical Global Impression (CGI) seven point rating scale. |
Baseline, Week 4, Week 8, Week 12 |
|
|
Target Sample Size
|
Total Sample Size="400" Sample Size from India="400"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Post Marketing Surveillance |
|
Date of First Enrollment (India)
|
07/05/2024 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Open to Recruitment |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Menopause hormone replacement therapy (HRT) is the most efficient treatment for symptoms of acute climacteric syndrome and for efficient prevention of long-term estrogen deficiency. Vaginal administration of low doses of estrogen is a therapy of choice for treatment and prevention of urogenital atrophy and its consequences. Lenzetto (Estradiol 1.53 mg/actuation transdermal spray), is approved in Europe and the same product was approved by the DCGI on 17 August 2021, for Themis Medicare Ltd to import and market the same product in India. Themis Medicare has started marketing this product in India since January 2023. This active post marketing surveillance study has been designed to assess the safety and efficacy of Estradiol 1.53 mg/actuation transdermal spray when administered transdermally to the inner forearm once daily for 12 weeks in post-menopausal women. |