A Study Comparing Subcutaneous Injection of Sayana Press In the Upper Arm Versus Anterior Thigh and Abdomen

Sponsor
Pfizer (Industry)
Overall Status
Recruiting
CT.gov ID
NCT04893798
Collaborator
(none)
68
1
3
23.2
2.9

Study Details

Study Description

Brief Summary

The purpose of the study is to compare the pharmacokinetics and relative bioavailability of medroxyprogesterone in healthy female participants following subcutaneous injection of Sayana Press into the upper arm versus anterior thigh and abdomen.

Condition or Disease Intervention/Treatment Phase
  • Combination Product: Sayana Press
Phase 1

Study Design

Study Type:
Interventional
Anticipated Enrollment :
68 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Other
Official Title:
A PHASE 1, RANDOMIZED, OPEN-LABEL, SINGLE-DOSE, PARALLEL-GROUP STUDY TO COMPARE THE PHARMACOKINETICS AND RELATIVE BIOAVAILABILITY OF MEDROXYPROGESTERONE ACETATE IN HEALTHY FEMALE PARTICIPANTS FOLLOWING SUBCUTANEOUS INJECTION OF SAYANA PRESS IN THE UPPER ARM RELATIVE TO ANTERIOR THIGH AND ABDOMEN
Actual Study Start Date :
Sep 16, 2021
Anticipated Primary Completion Date :
Aug 24, 2023
Anticipated Study Completion Date :
Aug 24, 2023

Arms and Interventions

Arm Intervention/Treatment
Experimental: Sayana Press, Upper Arm injection

Sayana Press, administered subcutaneously into upper arm

Combination Product: Sayana Press
Sayana Press is a drug-device combination and is considered a medical product in the EU.
Other Names:
  • Medroxyprogesterone
  • Active Comparator: Sayana Press, anterior thigh

    Sayana Press, administered subcutaneously into anterior thigh

    Combination Product: Sayana Press
    Sayana Press is a drug-device combination and is considered a medical product in the EU.
    Other Names:
  • Medroxyprogesterone
  • Active Comparator: Sayana Press, abdomen

    Sayana Press, administered subcutaneously into abdomen

    Combination Product: Sayana Press
    Sayana Press is a drug-device combination and is considered a medical product in the EU.
    Other Names:
  • Medroxyprogesterone
  • Outcome Measures

    Primary Outcome Measures

    1. Serum Trough Concentration (Ctrough) of Medroxyprogesterone [Day 92 post dose]

    2. Area under the curve from time zero to end of dosing interval (AUCtau) [pre-dose, up to 92 days post dose]

    3. Maximum Observed Serum Concentration (Cmax) of Medroxyprogesterone [pre-dose, up to 92 days post dose]

    Secondary Outcome Measures

    1. Serum Progesterone Level [pre-dose, up to 99 days post dose]

    2. Serum Estradiol Level [pre-dose, up tp 99 days post dose]

    3. Serum Luteinizing Hormone (LH) Level [pre-dose, up to 99 days post dose]

    4. Serum Follicle-Stimulating Hormone (FSH) Level [pre-dose, up to 99 days post dose]

    5. Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs) [Informed consent document to 150 days post dose or until study completion, whichever is longer.]

    6. Number of Participants With Clinically Significant Change From Baseline in Vital Signs [baseline, up to 150 days post dose or until study completion, whichever is longer]

    7. Number of Participants With Clinically Significant Change From Baseline in Laboratory Abnormalities [Screening, Day 1, up to 150 days post dose or until study completion, whichever is longer]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 45 Years
    Sexes Eligible for Study:
    Female
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Pre-menopausal female participants, 18 to 45 years of age, inclusive, at the time of signing the ICD who are at low risk of pregnancy

    • Participants who have a regular menstrual cycle (between 21 and 42 days in length).

    • No previous injection of depot MPA for 1 year prior to enrollment.

    • BMI of 17.5 to 30.5 kg/m2; and a total body weight >50 kg (110 lb).

    Exclusion Criteria:
    • History of abnormal cervical cytology within the last 3 years that has not been adequately treated (at least 2 subsequent normal smears). However, ASCUS is permitted in this study.

    • Known or suspected malignancy of the breast or genital organs.

    • Known with metabolic bone disease.

    • Undiagnosed abnormal genital bleeding.

    • Known or suspected pregnancy; or nursing females.

    • History of febrile illness within 5 days prior to the first dose.

    • Participant with active thrombophlebitis or whose medical history suggests that they may be at increased risk for osteoporosis, thromboembolic disease or cerebral vascular disease.

    • Use of prescription or nonprescription drugs, vitamins, herbal preparations and dietary supplements capable of inducing hepatic metabolism (eg, barbiturates, rifampicin, carbamazepine or St John's Wort) or any medication known to be a

    • cytochrome P450 inhibitor within 30 days (or 5 half-lives of the substance, whichever is longer) of enrollment in the study

    • Use of hormonal contraception (including hormone releasing intrauterine device) within the last 3 months (and should have resumed regular menstruation).

    • Baseline 12-lead ECG that demonstrates clinically relevant abnormalities that may affect participant safety or interpretation of study results (eg, baseline QTc interval >450 msec, complete LBBB, signs of an acute or indeterminate-age myocardial infarction, ST-T interval changes suggestive of myocardial ischemia, second- or third-degree AV block, or serious bradyarrhythmias or tachyarrhythmias). If the baseline uncorrected QT interval is >450 msec, this interval should be rate-corrected using the Fridericia method and the resulting QTcF should be used for decision

    • making and reporting. If QTc exceeds 450 msec, or QRS exceeds 120 msec, the ECG should be repeated 2 more times and the average of the 3 QTc or QRS values should be used to determine the participant's eligibility. Computer-interpreted ECGs should be overread by a physician experienced in reading ECGs before excluding participants.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Brussels Clinical Research Unit Brussels Bruxelles-capitale, RĂ©gion DE Belgium B-1070

    Sponsors and Collaborators

    • Pfizer

    Investigators

    • Study Director: Pfizer CT.gov Call Center, Pfizer

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Pfizer
    ClinicalTrials.gov Identifier:
    NCT04893798
    Other Study ID Numbers:
    • A6791042
    • 2021-001035-54
    First Posted:
    May 20, 2021
    Last Update Posted:
    May 25, 2022
    Last Verified:
    May 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of May 25, 2022