Table 2.
Clinical phase III trials of bazedoxifene in combination with conjugated estrogen
Protocol ID | Duration | Population | Compound | Primary endpoints | Secondary endpoints |
---|---|---|---|---|---|
SMART-1 | 2 years | Postmenopausal women (n = 3397) | BAZ 10, 20, 40 mg combined with CE (0.45 or 0.625 mg) vs raloxifene 60 mg or placebo | Endometrial hyperplasia (at 1 year) | Endometrial hyperplasia(at 2 years); breast pain; effects on BMD |
SMART-2 | 12 weeks | Postmenopausal women with hot flushes (n = 318) | BAZ 20 mg combined with CE (0.45 or0.625 mg) vs placebo | Moderate or severe hot flushes at week 4 or 12 | Breast pain; sleep quality |
SMART-3 | 12 weeks | Postmenopausal women with vaginal atrophy (n = 652) | BAZ 20 mg combined with CE (0.45 or0.625 mg) vs BAZ 20 mg or placebo | Vaginal atrophy (superficial and parabasal cells) | Sexual function; menopause related quality of life |
SMART-4 | 2 years | Postmenopausal women (n = 1083) | BAZ 20 mg combined with CE (0.45 or 0.625 mg) vs CE (0.45 mg)/medroxyprogesterone acetate (1.5 mg) or Placebo | Endometrial hyperplasia (at 1 year); BMD change at 1 year (osteoporosis substudy) | Uterine bleeding/spotting; breast pain |
Abbreviations: AE, adverse event; BMD, bone mineral density; BZA, bazedoxifene acetate; CE, conjugated estrogen; PB, placebo.