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    Clinical Trial Results:
    A multicenter, multinational, randomized, parallel group, placebo-controlled, double-blind study to evaluate efficacy and safety of a food supplement containing 80 mg soy isoflavones ZAVITAL in the control of climacteric syndrome in postmenopausal women

    Summary
    EudraCT number
    2006-000191-32
    Trial protocol
    IT  
    Global end of trial date
    28 May 2008

    Results information
    Results version number
    v1(current)
    This version publication date
    08 Apr 2016
    First version publication date
    08 Nov 2014
    Other versions
    Summary report(s)
    Clinical Study Report Synopsis 7153L02

    Trial information

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    Trial identification
    Sponsor protocol code
    7153L02
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Zambon SpA
    Sponsor organisation address
    via Lillo del Duca 10, Bresso, Italy, 20091
    Public contact
    Isabella Salerio, Medical Affairs, R&D, +39 02665241,
    Scientific contact
    Isabella Salerio, Medical Affairs, R&D, +39 02665241,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    25 Sep 2008
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    28 May 2008
    Global end of trial reached?
    Yes
    Global end of trial date
    28 May 2008
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To show superiority of a 12 week treatment with Zavital over placebo in reduction of frequency of hot flushes in post-menopausal women
    Protection of trial subjects
    Not applicable
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    10 Oct 2006
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Italy: 172
    Country: Number of subjects enrolled
    Romania: 215
    Worldwide total number of subjects
    387
    EEA total number of subjects
    387
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    387
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    subjects were recruited at Gynecological Clinics from October 2006 to March 2008 in Italy and Romania.

    Pre-assignment
    Screening details
    After signing the Informed Consent (visit 1), subjects entered a two week run-in period and, if compliant with protocol criteria, then they were randomized (visit 2) to either isoflavones or placebo treatment group for a total of 12 weeks

    Period 1
    Period 1 title
    treatment period (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Monitor
    Blinding implementation details
    identical packaging and labelling of the two compounds

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Zavital treatment
    Arm description
    active treatment for 12 weeks
    Arm type
    Experimental

    Investigational medicinal product name
    soy isoflavones
    Investigational medicinal product code
    7153
    Other name
    Zavital
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    60 mg once a day

    Arm title
    Placebo
    Arm description
    one tablet of placebo
    Arm type
    Placebo

    Investigational medicinal product name
    soy isoflavones
    Investigational medicinal product code
    7153
    Other name
    Zavital
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    placebo tablet once a day

    Number of subjects in period 1 [1]
    Zavital treatment Placebo
    Started
    152
    155
    Completed
    138
    132
    Not completed
    14
    23
         Protocol deviation
    14
    23
    Notes
    [1] - The number of subjects reported to be in the baseline period are not the same as the worldwide number enrolled in the trial. It is expected that these numbers will be the same.
    Justification: The subject enrolled were 387, but only 307 randomized. Data are presented on 307 randomized subjects.

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    treatment period
    Reporting group description
    -

    Reporting group values
    treatment period Total
    Number of subjects
    307 307
    Age categorical
    Units: Subjects
        Adults 18-64 y
    307 307
    Gender categorical
    Units: Subjects
        Female
    307 307
        Male
    0 0

    End points

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    End points reporting groups
    Reporting group title
    Zavital treatment
    Reporting group description
    active treatment for 12 weeks

    Reporting group title
    Placebo
    Reporting group description
    one tablet of placebo

    Subject analysis set title
    Full Analysis Set
    Subject analysis set type
    Intention-to-treat
    Subject analysis set description
    The Full Analysis Set (FAS) had to include any randomised and treated patient for whom at least one post-baseline primary efficacy assessment was recorded. For primary efficacy assessment is requested by the mean number of hot flushes computed on at least 4 valid measurements out of 7 in the last week before the visit

    Primary: mean number of daily hot flushes

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    End point title
    mean number of daily hot flushes
    End point description
    The primary efficacy endpoint was the change from baseline in the mean daily frequency of moderate and severe hot flushes
    End point type
    Primary
    End point timeframe
    during the last 7 days on patient’s diary prior to visit of mid-treatment (6th week), first of all, and secondly at the end-of treatment (12th week).
    End point values
    Zavital treatment Placebo
    Number of subjects analysed
    143
    144
    Units: number of hot flushes
    143
    144
    Statistical analysis title
    Primary analysis on mean daily hot flushes
    Statistical analysis description
    The primary endpoint was to be compared between 80 mg isoflavones and placebo using a fixed-effects analysis of covariance (ANCOVA) model with treatment and centre as fixed factors and baseline value as a covariate; type III sum of squares was planned to be used. The treatments mean difference and its 95% confidence interval was to be estimated on the basis of this model. The possible existence of a centre effect and its implications was to be investigated. The treatment by centre interaction h
    Comparison groups
    Zavital treatment v Placebo
    Number of subjects included in analysis
    287
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.05
    Method
    ANOVA
    Parameter type
    Mean difference (final values)
    Point estimate
    -0.36
    Confidence interval
         level
    95%
         sides
    2-sided
         lower limit
    -1.23
         upper limit
    0.51
    Variability estimate
    Standard deviation

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    from signature of informed consent to end of study (Visit 4)
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    10.0
    Reporting groups
    Reporting group title
    safety population
    Reporting group description
    -

    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: the list of non-serious AE is available in the Clinical Study Report
    Serious adverse events
    safety population
    Total subjects affected by serious adverse events
         subjects affected / exposed
    4 / 307 (1.30%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Breast cancer
         subjects affected / exposed
    1 / 307 (0.33%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Chest pain
         subjects affected / exposed
    1 / 307 (0.33%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Hepatobiliary disorders
    Cholecystitis
         subjects affected / exposed
    1 / 307 (0.33%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Musculoskeletal and connective tissue disorders
    Sympathethic posterior cervical syndrome
         subjects affected / exposed
    1 / 307 (0.33%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    safety population
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 307 (0.00%)

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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