Table 1.
Parameter | Treatment | N | LS means (SE) | LS mean of difference (SE) | 97.5% CI | Two-sided p valueb |
---|---|---|---|---|---|---|
Age | ||||||
< 25 years | ||||||
Placebo | 75 | − 1.13 (0.197) | ||||
150 mg QD | 55 | − 1.78 (0.242) | − 0.65 (0.312) | (− 1.35, 0.05) | 0.037* | |
200 mg BID | 58 | − 1.87 (0.232) | − 0.75 (0.304) | (− 1.43, − 0.06) | 0.014* | |
25–35 years | ||||||
Placebo | 361 | − 1.06 (0.092) | ||||
150 mg QD | 248 | − 1.83 (0.112) | − 0.77 (0.144) | (− 1.09, − 0.45) | < 0.001*** | |
200 mg BID | 226 | − 2.50 (0.117) | − 1.44 (0.149) | (− 1.77, − 1.10) | < 0.001*** | |
> 35 years | ||||||
Placebo | 205 | − 1.50 (0.123) | ||||
150 mg QD | 127 | − 1.80 (0.157) | − 0.30 (0.200) | (− 0.75, 0.15) | 0.130 | |
200 mg BID | 138 | − 2.66 (0.151) | − 1.16 (0.194) | (− 1.59, − 0.72) | < 0.001*** | |
BMI (kg/m2) | ||||||
< 25 | ||||||
Placebo | 255 | − 1.31 (0.109) | ||||
150 mg QD | 164 | − 1.72 (0.137) | − 0.40 (0.175) | (− 0.79, − 0.01) | 0.022* | |
200 mg BID | 178 | − 2.31 (0.132) | − 1.00 (0.171) | (− 1.38, − 0.61) | < 0.001*** | |
≥ 25–29 | ||||||
Placebo | 178 | − 1.13 (0.130) | ||||
150 mg QD | 130 | − 1.93 (0.157) | − 0.80 (0.204) | (− 1.26, − 0.34) | < 0.001*** | |
200 mg BID | 114 | − 2.79 (0.166) | − 1.66 (0.211) | (− 2.13, − 1.18) | < 0.001*** | |
≥ 30 | ||||||
Placebo | 205 | − 1.14 (0.124) | ||||
150 mg QD | 134 | − 1.84 (0.154) | − 0.70 (0.197) | (− 1.14, − 0.26) | < 0.001*** | |
200 mg BID | 127 | − 2.36 (0.157) | − 1.23 (0.200) | (− 1.68, − 0.78) | < 0.001*** | |
Race | ||||||
White | ||||||
Placebo | 568 | − 1.20 (0.074) | ||||
150 mg QD | 380 | − 1.78 (0.091) | − 0.58 (0.117) | (− 0.84, − 0.31) | < 0.001*** | |
200 mg BID | 376 | − 2.45 (0.091) | − 1.24 (0.117) | (− 1.51, − 0.98) | < 0.001*** | |
Black | ||||||
Placebo | 52 | − 1.28 (0.243) | ||||
150 mg QD | 38 | − 2.04 (0.289) | − 0.76 (0.377) | (− 1.61, 0.08) | 0.043* | |
200 mg BID | 35 | − 2.53 (0.294) | − 1.24 (0.381) | (− 2.10, − 0.39) | 0.001*** | |
Other | ||||||
Placebo | 21 | − 1.13 (0.372) | ||||
150 mg QD | 12 | − 2.30 (0.524) | − 1.17 (0.643) | (− 2.61, 0.28) | 0.070 | |
200 mg BID | 11 | − 2.85 (0.538) | − 1.72 (0.654) | (− 3.18, − 0.25) | 0.009** | |
Ethnicity | ||||||
Hispanic/latino | ||||||
Placebo | 92 | − 1.53 (0.181) | ||||
150 mg QD | 64 | − 2.04 (0.224) | − 0.51 (0.288) | (− 1.16, 0.14) | 0.077 | |
200 mg BID | 64 | − 2.58 (0.220) | − 1.05 (0.285) | (− 1.69, − 0.41) | < 0.001*** | |
Other | ||||||
Placebo | 549 | − 1.15 (0.075) | ||||
150 mg QD | 366 | − 1.78 (0.092) | − 0.63 (0.119) | (− 0.89, − 0.36) | < 0.001*** | |
200 mg BID | 358 | − 2.44 (0.093) | − 1.29 (0.120) | (− 1.56, − 1.02) | < 0.001*** | |
Baseline dysmenorrhea | ||||||
< Median = 2.17 | ||||||
Placebo | 321 | − 1.03 (0.099) | ||||
150 mg QD | 209 | − 1.67 (0.123) | − 0.63 (0.157) | (− 0.99, − 0.28) | < 0.001*** | |
200 mg BID | 220 | − 2.25 (0.121) | − 1.22 (0.154) | (− 1.56, − 0.87) | < 0.001*** | |
≥ Median = 2.17 | ||||||
Placebo | 320 | − 1.38 (0.099) | ||||
150 mg QD | 221 | − 1.97 (0.121) | − 0.59 (0.154) | (− 0.93, − 0.24) | < 0.001*** | |
200 mg BID | 202 | − 2.70 (0.125) | − 1.31 (0.157) | (− 1.67, − 0.96) | < 0.001*** | |
Baseline NMPP | ||||||
< Median = 1.54 | ||||||
Placebo | 320 | − 1.04 (0.103) | ||||
150 mg QD | 208 | − 1.73 (0.127) | − 0.68 (0.157) | (− 1.04, − 0.33) | < 0.001*** | |
200 mg BID | 228 | − 2.22 (0.122) | − 1.17 (0.152) | (− 1.51, − 0.83) | < 0.001*** | |
≥ Median = 1.54 | ||||||
Placebo | 321 | − 1.37 (0.103) | ||||
150 mg QD | 222 | − 1.90 (0.124) | − 0.53 (0.153) | (− 0.88, − 0.19) | < 0.001*** | |
200 mg BID | 194 | − 2.75 (0.131) | − 1.38 (0.160) | (− 1.74, − 1.02) | < 0.001*** | |
Baseline dyspareunia | ||||||
< Median = 1.40 | ||||||
Placebo | 260 | − 1.09 (0.109) | ||||
150 mg QD | 174 | − 1.72 (0.134) | − 0.63 (0.172) | (− 1.02, − 0.25) | < 0.001*** | |
200 mg BID | 171 | − 2.34 (0.135) | − 1.25 (0.172) | (− 1.64, − 0.87) | < 0.001*** | |
≥ Median = 1.40 | ||||||
Placebo | 266 | − 1.30 (0.108) | ||||
150 mg QD | 181 | − 1.80 (0.133) | − 0.50 (0.169) | (− 0.88, − 0.12) | 0.003** | |
200 mg BID | 169 | − 2.64 (0.136) | − 1.33 (0.172) | (− 1.72, − 0.95) | < 0.001*** | |
Baseline analgesic use | ||||||
None | ||||||
Placebo | 48 | − 1.47 (0.244) | ||||
150 mg QD | 55 | − 1.48 (0.243) | − 0.01 (0.344) | (− 0.78, 0.77) | 0.986 | |
200 mg BID | 32 | − 2.88 (0.310) | − 1.41 (0.394) | (− 2.29, − 0.53) | < 0.001*** | |
Opioid only | ||||||
Placebo | 116 | − 0.74 (0.162) | ||||
150 mg QD | 77 | − 1.86 (0.205) | − 1.12 (0.261) | (− 1.71, − 0.54) | < 0.001*** | |
200 mg BID | 71 | − 2.17 (0.208) | − 1.43 (0.264) | (− 2.02, − 0.83) | < 0.001*** | |
NSAID only | ||||||
Placebo | 212 | − 1.41 (0.120) | ||||
150 mg QD | 127 | − 2.24 (0.156) | − 0.83 (0.197) | (− 1.27, − 0.39) | < 0.001*** | |
200 mg BID | 134 | − 2.49 (0.152) | − 1.08 (0.194) | (− 1.52, − 0.65) | < 0.001*** | |
Both | ||||||
Placebo | 265 | − 1.19 (0.106) | ||||
150 mg QD | 171 | − 1.58 (0.133) | − 0.39 (0.170) | (− 0.77, − 0.01) | 0.021* | |
200 mg BID | 185 | − 2.49 (0.129) | − 1.30 (0.168) | (− 1.68, − 0.93) | < 0.001*** | |
Time since endometriosis diagnosis | ||||||
< 2 years | ||||||
Placebo | 214 | − 1.29 (0.119) | ||||
150 mg QD | 174 | − 1.66 (0.135) | − 0.37 (0.180) | (− 0.77, 0.04) | 0.042* | |
200 mg BID | 138 | − 2.52 (0.151) | − 1.23 (0.193) | (− 1.67, − 0.80) | < 0.001*** | |
2–5 years | ||||||
Placebo | 235 | − 1.16 (0.114) | ||||
150 mg QD | 146 | − 1.85 (0.148) | − 0.69 (0.187) | (− 1.11, − 0.27) | < 0.001*** | |
200 mg BID | 155 | − 2.35 (0.142) | − 1.19 (0.182) | (− 1.60, − 0.78) | < 0.001*** | |
≥ 5 years | ||||||
Placebo | 192 | − 1.17 (0.126) | ||||
150 mg QD | 110 | − 2.02 (0.168) | − 0.85 (0.210) | (− 1.32, − 0.38) | < 0.001*** | |
200 mg BID | 128 | − 2.54 (0.157) | − 1.37 (0.201) | (− 1.82, − 0.92) | < 0.001*** | |
Previous GnRH therapy | ||||||
No | ||||||
Placebo | 476 | − 1.27 (0.080) | ||||
150 mg QD | 319 | − 1.97 (0.099) | − 0.70 (0.127) | (− 0.99, − 0.41) | < 0.001*** | |
200 mg BID | 309 | − 2.49 (0.100) | − 1.22 (0.128) | (− 1.51, − 0.93) | < 0.001*** | |
Yes | ||||||
Placebo | 165 | − 1.03 (0.136) | ||||
150 mg QD | 111 | − 1.39 (0.167) | − 0.36 (0.215) | (− 0.84, 0.12) | 0.095 | |
200 mg BID | 113 | − 2.41 (0.166) | − 1.38 (0.214) | (− 1.86, − 0.90) | < 0.001*** | |
Entered washout | ||||||
No | ||||||
Placebo | 470 | − 1.24 (0.080) | ||||
150 mg QD | 328 | − 1.86 (0.098) | − 0.62 (0.126) | (− 0.90, − 0.33) | < 0.001*** | |
200 mg BID | 316 | − 2.43 (0.099) | − 1.19 (0.128) | (− 1.47, − 0.90) | < 0.001*** | |
Yes | ||||||
Placebo | 171 | − 1.10 (0.135) | ||||
150 mg QD | 102 | − 1.66 (0.177) | − 0.56 (0.223) | (− 1.06, − 0.06) | 0.013* | |
200 mg BID | 106 | − 2.58 (0.173) | − 1.48 (0.220) | (− 1.97, − 0.99) | < 0.001*** | |
History of pregnancy | ||||||
No | ||||||
Placebo | 278 | − 1.28 (0.099) | ||||
150 mg QD | 173 | − 1.80 (0.126) | − 0.52 (0.160) | (− 0.88, − 0.16) | 0.001*** | |
200 mg BID | 184 | − 2.21 (0.121) | − 0.94 (0.157) | (− 1.29, − 0.58) | < 0.001*** | |
Yes | ||||||
Placebo | 363 | − 1.15 (0.086) | ||||
150 mg QD | 257 | − 1.82 (0.105) | − 0.66 (0.135) | (− 0.97, − 0.36) | < 0.001*** | |
200 mg BID | 238 | − 2.68 (0.108) | − 1.53 (0.138) | (− 1.84, − 1.22) | < 0.001*** |
BID twice daily, BMI body mass index, EM-I/II Elaris endometriosis studies I and II, GnRH gonadotropin-releasing hormone, LS least squares, NMPP non-menstrual pelvic pain, NSAID non-steroidal anti-inflammatory drug, QD once daily
aPain scale ranges from 0 (none) to 10 (worst pain ever)
bp value for test of difference between each elagolix dosage group and placebo is from a mixed-effects model using repeated measures with treatment as the main effect, visit number as the repeated measure, baseline value, visit, subgroup, treatment by visit, subgroup by treatment, subgroup by visit, and subgroup by treatment by visit as covariates
*p < 0.05, **p < 0.01, and ***p < 0.001