Objectives:- To investigate whether BAF312 administered daily at a dose of 4 mg can affect exposure (Cmax,ss and/or AUCtau) to a daily administered monophasic oral contraceptive (OC) regimen containing 30 µg of ethinylestradiol (EE) and 150 µg of…
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Source
Brief title
Condition
- Autoimmune disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
To investigate whether BAF312 administered daily at a dose of 4 mg can affect
exposure (Cmax and AUC) to a daily administered monophasic oral contraceptive
(OC) regimen containing 30 µg of ethinylestradiol (EE) and 150 µg of
levonorgestrel (LVG).
Secondary outcome
- To assess the effect of oral BAF312 (4 mg q.d.) on the pharmacodynamics of a
monophasic OC determined by Hoogland score, FSH, LH, estradiol,
progesterone,SHBG concentrations and ovarian follicle size
- To assess the safety and tolerability of oral BAF312 (4 mg q.d.) in
co-administration with a monophasic OC,
- To assess the PK profile of oral BAF312 (4 mg q.d.) when combined with a
daily administered monophasic oral contraceptive (OC) regimen containing 30 µg
of EE and 150 µg of LVG.
Background summary
This study will investigate the potential effect of BAF312 on the
pharmacokinetics and pharmacodynamics of combined monophasic ethinylestradiol
(EE) and levonorgestrel (LVG), the components of a commonly prescribed, low
dose, oral contraceptive (OC) in
order to provide labeling information for women of child-bearing potential.
Study objective
Objectives:
- To investigate whether BAF312 administered daily at a dose of 4 mg can affect
exposure (Cmax,ss and/or AUCtau) to a daily administered monophasic oral
contraceptive (OC) regimen containing 30 µg of ethinylestradiol (EE) and 150 µg
of levonorgestrel (LVG).
- To assess the effect of oral BAF312 (4 mg q.d.) on the pharmacodynamics of a
monophasic OC determined by Hoogland score, FSH, LH, estradiol, progesterone,
SHBG concentrations and ovarian follicle size.
Study design
The study employs an open-label, single center, single sequence, two- treatment
period design, in 24 healthy female subjects. The subjects will be exposed
sequentially to OC alone in period 1; BAF312 will be titrated up to 2 mg in the
last 6 days of period 1, then OC will be co-administered with BAF312 4 mg q.d
in period 2.
Intervention
The study will start with a screening visit. During the screening visit
standard medical assessments including safety laboratory tests (blood draw,
urine collection), an alcohol breath test, urine drug screen, a physical
examination, ECG and a vital signs measurement will be performed. In addition
standard gynecological test will be performed.
After the subject passes all above mentioned tests, the subject will be
enrolled in the synchronization phase.
During the confinement period the subjects will receive the study medication,
will be asked on a regular basis for possible side effects, blood will be drawn
for safety and PK/PD measurements and the vital signs / ECG will be checked
regularly. During the outpatient periods, the subject will return in regular
intervals. During these visits the subjects will be asked for possible side
effects, blood will be drawn for safety and PK/PD
measurements, the vital signs/ECG will be checked.
Finally a follow-up examination will be performed. During this visit the
subjects will be asked for possible side effects, blood will be drawn for
safety, the vital signs/ECG will be checked and a physical examination will be
conducted.
Study burden and risks
The test medication has been previously tested in over 450 healthy human
subjects and over 300 patients of Multiple Sclerosis and
polymyositis/dermatomyositis. The test medication was generally well tolerated.
A number of side-effects, possibly linked to use of the test medication, were
reported. These side-effects included, in the majority of cases, nervous system
disorders (headache and dizziness), gastro intestinal disorders (nausea),
cardiac disorders (changes in heart rate and heart rhythm)) , alteration in
liver function, decrease in lymphocytes (white blood cells) count, increased
risk of infections and swelling of the retina (swelling of the retina was seen
in one case in a MS patient in phase II trial).
The OC will contain EE and LVG. The doses of EE (30 µg) and LVG (150 µg) are
widely used in clinical practice. The most common side effects reported for
oral OCs are: nausea, abdominal pain, increased weight, headache, depressed or
altered mood, breast pain or tenderness.
The blood collection procedures may cause discomfort or bruising. Occasionally,
fainting or an infection at the blood sampling site can occur.
Postfach
CH-4002 Basel
NL
Postfach
CH-4002 Basel
NL
Listed location countries
Age
Inclusion criteria
Woman between the ages of 18 and 40 years and a non-smoker. BMI between 18
and 30, with a minimum weight of 50 kg.
Exclusion criteria
Clinical significant abnormalities at medical research
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
Register | ID |
---|---|
EudraCT | EUCTR2011-006043-30-NL |
CCMO | NL39811.056.12 |