New antibody drug aims to ease endometriosis pain in major trial
NCT ID NCT07318688
First seen Jun 25, 2026 · Last updated Aug 12, 2026 · Updated 3 times
Summary
This Phase 3 trial tests HMI-115, a monoclonal antibody, in 540 women with moderate to severe endometriosis pain. Participants receive either the drug or a placebo for 24 weeks, with a 28-week extension. The goal is to see if HMI-115 reduces menstrual and pelvic pain better than placebo.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- HMI-115 (a human monoclonal antibody)
- What this could lead to
- If it works, this could offer a new non-hormonal option to reduce endometriosis pain for women.
- What could go wrong
- This is still an early Phase 3 trial, so results may not confirm benefit. Side effects are possible, and the drug may not work for everyone.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 540 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2026
- Expected to finish
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Sep 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 49 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 1\. Premenopausal female subjects, between 18 and 49 years of age, inclusive. * 2\. Has a surgical diagnosis of endometriosis (laparoscopy or laparotomy) as documented by medical records within 10 years before screening. * 3\. Has a Composite Pelvic Signs and Symptoms Score total score of ≥ 6 at screening with a score of at least 2 for DYS and at least 2 for NMPP. * 4\. Subject has reported "moderate" or "severe" for her endometriosis-associated DYS AND NMPP before randomization. * 5\. Subject has at least two consecutive regular menstrual cycle (i.e. 21 to 35 days in duration) prior to randomization. * 6\. Subject agrees to use required (nonhormonal) birth control methods during the entire length of participation in the study and agrees to avoid pregnancy from signing the informed consent until 12 weeks after the last dose. * 7\. Subject agrees to use only those rescue analgesic medications permitted by the protocol during the Screening, Treatment and Posttreatment follow-up Periods for her endometriosis-associated pain. * 8\. Criteria for Extension Treatment Period:Subject who completes treatment of the placebo-controlled double-blind treatment period and assessments at Week 24. Exclusion Criteria: * 1\. Subject who is pregnant or breastfeeding or is planning a pregnancy during the study period or is less than 6 months post-partum or 3 months post-abortion at the time of entry into the Screening Period or pregnancy before randomization. * 2\. Subject has an intra-uterine device (IUD). Subject is eligible if she removes the IUD 1 month before screening. * 3\. Subject has chronic pelvic pain that is not caused by endometriosis (e.g., interstitial cystitis, irritable bowel syndrome) or has any other chronic pain syndrome (e.g., fibromyalgia, chronic back pain, myofascial pain syndrome, chronic headaches) that requires chronic analgesic or other chronic therapy, which would interfere with the assessment of endometriosis-associated pain. * 4\. Subject with a current history of undiagnosed abnormal genital bleeding. * 5\. Subject with history of hysterectomy and/or bilateral oophorectomy. * 6\. Subject has had surgery for endometriosis within 6 weeks prior to entry into the Screening Period. * 7\. Subject has previous history of a severe, life-threatening or other significant sensitivity to any opioids or non-steroidal anti-inflammatory drugs (NSAIDS) or any contraindication to their use such as gastrointestinal ulcer or bleeding. * 8\. Subject with known hypersensitivity to any of the IMP ingredients. * 9\. Subject has an estimated glomerular filtration rate (eGFR) of \< 60mL/min/1.73 m2 at Screening Period. * 10\. Subject is currently participating in or has participated in an interventional clinical study with an investigational compound or device within 30 days prior to the start of Screening Period or 5 half-lives, whichever is longer. * 11\. Subject who has been exposed to HMI-115 treatment. * 12\. Subject has used medications such as hormones, analgesics, medications associated with bone loss, products that affect PRL levels, etc. within specific time window before Screening. * 13\. Subject has clinically significantly abnormal laboratory tests at Screening Period, including: 1. Alanine transaminase (ALT/SGPT), or aspartate aminotransferase (AST/SGOT) ≥200% of the upper limit of normal, or total bilirubin (unless known diagnosis of Gilbert's syndrome) ≥ 150% of the upper limit of normal range. 2. Hemoglobin \< 100 g/L, Neutrophil count \< 1.5×109/ L, Platelet count \< 100×109/ L. * 14\. Subject has clinically significantly abnormal laboratory tests at Screening Period, including: Neutrophil count \< 1.5×109/ L, Platelet count \< 100×109/ L. * 15\. Subject has clinically significant abnormal ECG, or ECG with QTcF \> 450 msec at Screening Period. * 16\. Subject has a history or current has malignancy except for treated basal cell carcinoma and cutaneous squamous cell carcinoma of the skin. * 17\. Subject is using any systemic corticosteroids for over 14 days within 3 months prior to Screening or is likely to require treatment with systemic corticosteroids during the study. * 18\. Subject has any of the following conditions within the last 6 months before Screening: 1. Myocardial infarction, stroke, unstable angina or transient ischemic attack. 2. Classified as being in New York Heart Association Class III or IV. * 19\. Subjects with body weight greater than 300 pounds or 136 kilograms. * 20\. Any other conditions in the Investigator's opinion that prevent the subject from participating. * 21\. Criteria for Extension Treatment Period: Subjects entering the follow-up period after treatment: subjects with a BMD decrease of ≥ 8.0% or Z-value ≤ -2.0 in any part of the lumbar spine, femoral neck, or total hip compared to baseline.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
5 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Nanjing Women and children's healthcare hospital
NOT_YET_RECRUITINGNanning, Jiangsu, China
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Peking Union Medical College Hospital
NOT_YET_RECRUITINGBeijing, Beijing Municipality, 100703, China
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Second Affiliated Hospital of Soochow University
RECRUITINGSuzhu, Jiangsu, China
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The International Peace Maternity and Child Health Hospital of the China Welfare Institute
NOT_YET_RECRUITINGShanghai, Shanghai Municipality, China
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Tianjin Medical University General Hospital
NOT_YET_RECRUITINGTianjin, Tianjin Municipality, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can Pre-Surgery pelvic floor therapy stop endometriosis pain after the operation?
- Appendix: the hidden driver of endometriosis pain?
- Allergy pill put to the test against endometriosis pain
- Can ultrasound and tissue clues reveal which endometriosis lesions carry cancer risk?
- Can AI personalize exercise to ease pelvic pain?
- Can AI learn to spot endometriosis and fibroids on ultrasound?