A Pharmacokinetic Study to Evaluate the Bioequivalence of 2 Progesterone Vaginal Rings in Postmenopausal Women

Sponsor
Teva Branded Pharmaceutical Products R&D, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT02092571
Collaborator
(none)
56
1
2
5.9
9.4

Study Details

Study Description

Brief Summary

A study to assess the pharmacokinetics of 2 progesterone vaginal rings in postmenopausal women

Condition or Disease Intervention/Treatment Phase
  • Drug: Progesterone vaginal ring,
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
56 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
None (Open Label)
Primary Purpose:
Other
Official Title:
An Open-Label, Single-Dose, Randomized, 2-Treatment, 2-Period Crossover Pharmacokinetic Study to Evaluate the Bioequivalence of 2 Progesterone Vaginal Rings 20% (w/w) in Postmenopausal Women
Study Start Date :
Feb 1, 2014
Actual Primary Completion Date :
Jul 1, 2014
Actual Study Completion Date :
Aug 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Experimental: Treatment A

1 ring intravaginal for 7 days, produced from the new process

Drug: Progesterone vaginal ring,
Participants will be randomized to receive treatments in 1 of 2 treatment sequences (AB or BA)
Other Names:
  • Treatment A - DR-201, progesterone vaginal ring, 20% (w/w),
  • 11 mg/day, produced from the NEW process and
  • Treatment B - DR-201, progesterone vaginal ring, 20% (w/w),
  • 11 mg/day, produced from the LEGACY process
  • Experimental: Treatment B

    1 ring intravaginal for 7 days, produced from the legacy process

    Drug: Progesterone vaginal ring,
    Participants will be randomized to receive treatments in 1 of 2 treatment sequences (AB or BA)
    Other Names:
  • Treatment A - DR-201, progesterone vaginal ring, 20% (w/w),
  • 11 mg/day, produced from the NEW process and
  • Treatment B - DR-201, progesterone vaginal ring, 20% (w/w),
  • 11 mg/day, produced from the LEGACY process
  • Outcome Measures

    Primary Outcome Measures

    1. baseline-adjusted AUCt [16 weeks]

    2. baseline-adjusted AUC∞ [16 weeks]

    3. baseline-adjusted Cmax [16 weeks]

    Secondary Outcome Measures

    1. baseline-adjusted tmax [16 weeks]

    2. baseline-unadjusted AUCt [16 weeks]

    3. baseline-adjusted λz [16 weeks]

    4. baseline-adjusted t½ [16 weeks]

    5. baseline-unadjusted AUC∞ [16 weeks]

    6. baseline-unadjusted Cmax [16 weeks]

    7. baseline-unadjusted tmax [16 weeks]

    8. baseline-unadjusted λz [16 weeks]

    9. baseline-unadjusted t½ [16 weeks]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    40 Years to 70 Years
    Sexes Eligible for Study:
    Female
    Accepts Healthy Volunteers:
    Yes
    Inclusion:
    1. Naturally postmenopausal woman with an intact uterus, 40 to 70 years of age, inclusive.

    2. The subject has serum estradiol and FSH levels that are consistent with the subject being postmenopausal.

    3. The subject has no clinically significant abnormality findings observed during pelvic, breast, and vaginal examination or based on mammogram and Pap smear evaluations.

    4. The subject will agree to be treated with 1 mg/day estradiol oral tablets for at least 28 days before insertion of the first vaginal ring and throughout the study.

    Exclusion:
    1. The subject has a history or presence of significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, urologic, gynecologic, immunologic, dermatologic, neurologic, or psychiatric disease.

    2. The subject has a history of toxic shock syndrome.

    3. The subject has a history of jaundice associated with previous use of oral contraceptives.

    4. The subject has contraindications to the use of estrogen or progesterone that include, but are not limited to, the following:

    • known sensitivity to estrogen or progesterone or related drugs

    • known hypersensitivity to study medication ingredients, including FD&C Yellow No. 5 (tartrazine) present in estradiol tablets

    • undiagnosed vaginal bleeding or high risk for endometrial cancer

    • breast mass on examination

    • known, suspected, or family history of estrogen- or progesterone-dependent neoplasia (now or in the past)

    1. The subject has low-grade squamous intraepithelial lesion (LSIL) or worse as observed in the Pap smear at screening. Any other abnormal finding on the Pap smear that the investigator considers clinically significant (such as atypical squamous cells cannot exclude high-grade squamous intraepithelial lesion [HSIL; ASC-H], atypical glandular cells [AGC]); or any Pap result that would necessitate further evaluation by biopsy and/or colposcopy.

    2. The subject has any abnormal finding or condition deemed clinically significant by the investigator at screening that is a contraindication to the use of progestins, estrogen, or a vaginal ring.

    3. The subject has a positive pregnancy test at screening or at any time during the study.

    4. Current treatment with progesterone, other progestins, or estrogen (other than estradiol 1-mg tablets, progesterone 200-mg capsules, or medroxyprogesterone acetate 10-mg tablets required for this study purpose).

    5. Use of any of the following medications within the time frames noted below before the start of estrogen treatment:

    • vaginal hormonal products (rings, creams, or gels) within 7 days

    • transdermal estrogen alone or estrogen/progestin products within 28 days

    • oral estrogen or progestin therapy within 56 days

    • intrauterine progestin therapy within 56 days

    • progestin implants or estrogen alone injectable drug therapy within 3 months

    • estrogen pellet therapy or progestin injectable therapy within 6 months

    1. The subject has a vaginal ultrasonography at screening that confirms an active endometrial lining and/or an endometrial thickness of ≥4 mm.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Teva Investigational Site 12355 Miami Florida United States

    Sponsors and Collaborators

    • Teva Branded Pharmaceutical Products R&D, Inc.

    Investigators

    • Study Director: Medical Expert, MD, Teva Branded Pharmaceutical Products R&D, Inc.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Teva Branded Pharmaceutical Products R&D, Inc.
    ClinicalTrials.gov Identifier:
    NCT02092571
    Other Study ID Numbers:
    • DR201-BE-10021
    First Posted:
    Mar 20, 2014
    Last Update Posted:
    Nov 9, 2021
    Last Verified:
    Nov 1, 2021
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Nov 9, 2021