Primary Outcome Measures:
- Long Term Safety [ Time Frame: Throughout 18 month treatment period ] [ Designated as safety issue: Yes ]
Secondary Outcome Measures:
- Cumulative and incremental amenorrhea rates. [ Time Frame: Each month 1-18 ] [ Designated as safety issue: No ]
- Change from baseline in total symptom severity score and the Uterine Fibroid Symptoms-Quality of Life total score. [ Time Frame: Final Visit ] [ Designated as safety issue: No ]
- Change from baseline in menorrhagia, metrorrhagia, bloating, pelvic pressure, dysmenorrhea, pelvic pain and urinary symptoms. [ Time Frame: Final Visit ] [ Designated as safety issue: No ]
- Change from baseline in Uterine Fibroid Impact Questionnaire. [ Time Frame: Months 6, 12, 18 ] [ Designated as safety issue: No ]
- Change from baseline in the Work Limitation Questionnaire Index. [ Time Frame: Final Visit ] [ Designated as safety issue: No ]
- Change from baseline in the two dimensions of the SF-36. [ Time Frame: Final Visit ] [ Designated as safety issue: No ]
- Change from baseline in the monthly bleeding score. [ Time Frame: Final Month ] [ Designated as safety issue: No ]
- Change from baseline in the hemoglobin concentration. [ Time Frame: Final Visit ] [ Designated as safety issue: No ]
- Percent change from baseline in volume of the largest fibroid. [ Time Frame: Final Visit ] [ Designated as safety issue: No ]
- Percentage of subjects who discontinue with the intent to have surgery for fibroids. [ Time Frame: During Treatment Period ] [ Designated as safety issue: No ]
- Percentage of subjects who responded positively to the Global Efficacy Questions. [ Time Frame: Months 6, 12, 18 ] [ Designated as safety issue: No ]
No medical therapy is currently available for the long-term treatment of abnormal uterine bleeding associated with uterine fibroids in women and many women must resort to surgery for relief. The objective of this study is to determine the long-term safety of asoprisnil 10 and 25 mg administered daily for 18 months to subjects with symptomatic uterine leiomyomata who completed the 6 month Study C02-037. The safety endpoints for this study will be based on assessments of the endometrium, ovarian cysts, lipid profiles, adverse events and clinical laboratory evaluations.
Some subjects receiving asoprisnil developed endometrial changes. As a result, dosing was prematurely discontinued for all subjects. To ensure safety, subjects will remain on study and will undergo scheduled study procedures. In most subjects, endometrial changes reversed after asoprisnil discontinuation.