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Estrogen Receptor Agonist

Estetrol for Hot Flashes in Menopause

Phase 3
Waitlist Available
Research Sponsored by Estetra
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12
Awards & highlights

Study Summary

This trial is testing a new hormone to treat hot flashes and other menopause symptoms. It is testing how well it works and how safe it is.

Who is the study for?
Postmenopausal women aged 40-65 seeking relief from hot flashes can join this trial. They must be in good health, have a normal mammogram, and if not hysterectomized, have a thin endometrial lining and no abnormal biopsy results. Women with high blood pressure, clotting disorders, severe liver or kidney disease, certain psychiatric conditions or recent drug trials cannot participate.Check my eligibility
What is being tested?
The E4Comfort Study I is testing Estetrol (E4) tablets at two doses against placebo to see how well they reduce the severity and frequency of menopause-related hot flashes. The study has two parts: one for efficacy (how well it works) and another for safety (looking at any potential risks).See study design
What are the potential side effects?
Possible side effects of Estetrol may include typical hormone therapy reactions like nausea, headaches, breast tenderness or swelling. There's also a risk of more serious issues such as blood clots or elevated blood pressure.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline, week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Incidence of endometrial hyperplasia with up to 12 months of treatment based on endometrial biopsies (Endometrial and General Safety Study Part)
Mean change in severity of moderate to severe vasomotor symptoms (VMS) from Baseline to Week 12 (Efficacy Study Part)
Mean change in severity of moderate to severe vasomotor symptoms (VMS) from Baseline to Week 4 (Efficacy Study Part)
+2 more
Secondary outcome measures
Change from Baseline to Week 12 in Homeostasis model-assessment-estimated insulin resistance (HOMA-IR) (Efficacy Study Part)
Change from Baseline to Week 12 in fasting glycaemia (Efficacy Study part)
Change from Baseline to Week 12 in plasma concentration of glycated hemoglobin (Efficacy Study Part)
+78 more

Trial Design

4Treatment groups
Experimental Treatment
Placebo Group
Group I: Estetrol 20 mg -Efficacy PartExperimental Treatment1 Intervention
Estetrol (E4) 20 mg will be administered orally once daily for a minimum of 12 weeks and not longer than 13 weeks
Group II: Estetrol 20 mg + P4 100 mg - Safety PartExperimental Treatment2 Interventions
Estetrol (E4) 20 mg and Progesterone (P4) 100 mg will be administered once daily for up to 53 weeks
Group III: Estetrol 15 mg -Efficacy PartExperimental Treatment1 Intervention
Estetrol (E4) 15 mg will be administered orally once daily for a minimum of 12 weeks and not longer than 13 weeks
Group IV: Placebo - Efficacy PartPlacebo Group1 Intervention
Placebo will be administered orally once daily for a minimum of 12 weeks and not longer than 13 weeks
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Estetrol oral tablet
2019
Completed Phase 3
~1020

Find a Location

Who is running the clinical trial?

EstetraLead Sponsor
15 Previous Clinical Trials
73,816 Total Patients Enrolled
ICON Clinical ResearchIndustry Sponsor
49 Previous Clinical Trials
13,802 Total Patients Enrolled

Media Library

Estetrol (Estrogen Receptor Agonist) Clinical Trial Eligibility Overview. Trial Name: NCT04209543 — Phase 3
Hot Flashes Research Study Groups: Estetrol 15 mg -Efficacy Part, Estetrol 20 mg -Efficacy Part, Placebo - Efficacy Part, Estetrol 20 mg + P4 100 mg - Safety Part
Hot Flashes Clinical Trial 2023: Estetrol Highlights & Side Effects. Trial Name: NCT04209543 — Phase 3
Estetrol (Estrogen Receptor Agonist) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04209543 — Phase 3
Hot Flashes Patient Testimony for trial: Trial Name: NCT04209543 — Phase 3

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are investigators actively searching for new participants?

"That is correct. Currently, the clinical trial is looking for 1500 participants from 39 different locations. The information was originally posted on December 30th, 2019 and was last edited on May 9th, 2022."

Answered by AI

Has the Progesterone oral tablet undergone FDA approval?

"Progesterone oral tablet received a safety score of 3 because this medication has cleared multiple rounds of testing with positive results."

Answered by AI

Are there many Progesterone oral tablet clinical trials?

"Progesterone oral tablet was first researched in 1996 at the National Institutes of Health Clinical Center. A total of 265 clinical trials have completed since then, with 46 more active trials currently underway. Many of these studies are based out of Las Vegas, Nevada."

Answered by AI

Are only senior citizens able to participate in this experiment?

"In order for patients to be included in this particular trial, they must fall between the ages of 40-65. There are 11 other trials that cater to those under 18 and 25 additional ones for adults over 65."

Answered by AI

Progesterone is regularly taken to treat which condition?

"Progesterone is frequently used to treat amenorrhea, but it can also help with uterine bleeding, hormonal imbalances, and preventing preterm births."

Answered by AI

Who else is applying?

What state do they live in?
Florida
Texas
Arizona
What site did they apply to?
Noble Clinical Research
Estetra Study Site
Infinite Clinical Trials
Other
What portion of applicants met pre-screening criteria?
Met criteria
How many prior treatments have patients received?
1
0

Why did patients apply to this trial?

Was on Premarin previously. Have hot flashes and night sweats and would be willing to travel to be a part of this study.
PatientReceived 1 prior treatment
I would love to find or try to find any relief for hot flashes and night sweats. I am tired of waking up or just ending up fully drenched in sweat.
PatientReceived 2+ prior treatments
~299 spots leftby Apr 2025