- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02490774
To Investigate the Pharmacological Effects, Drug Blood Levels and Safety of an Intrauterine System Releasing the Study Drug BAY1007626 in Comparison to Mirena and Jaydess in Healthy Young Women Treated for 90 Days to Determine the Drug Dose for Further Development
June 2, 2019 updated by: Bayer
Multi-center, Randomized, Comparator-controlled, Single-blind, Parallel-group Study to Investigate the Pharmacodynamics, Pharmacokinetics and Safety of an Intrauterine System Releasing BAY 1007626, as Compared With Mirena and Jaydess, in a Combined Proof-of-concept and Dose-finding Study in Healthy Pre Menopausal Women Treated for 90 Days
Investigation of pharmacological effects, drug blood levels and safety of an intrauterine system releasing the study drug BAY1007626 in comparison to Mirena and Jaydess in healthy young women treated for 90 days to determine the drug dose for further development
Study Overview
Status
Terminated
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
174
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Berlin, Germany, 13353
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Berlin, Germany, 10115
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Hamburg, Germany, 22159
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Hamburg, Germany, 22351
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Niedersachsen
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Hannover, Niedersachsen, Germany, 30459
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Groningen, Netherlands, 9713GZ
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Belfast, United Kingdom, BT2 7BA
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 40 years (ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Healthy female subject.
- Willingness to use non-hormonal methods of contraception during the study.
- This applies during the cycle preceding the pre-treatment cycle until the end of follow-up.
- Age at screening: 18-40 years inclusive.
- Body mass index (BMI) at screening: ≥ 18 and ≤ 32 kg/m².
- History of regular cyclic menstrual periods.
- No clinically relevant abnormal findings in the pre-treatment endometrial biopsy.
Exclusion Criteria:
- Incompletely cured pre-existing diseases for which it can be assumed that the absorption, distribution, metabolism, elimination and effects of the study drugs will not be normal.
- Any presence or history of known or suspected malignant tumors, especially any known or suspected breast cancer or other progestin-sensitive cancer.
- Any presence or history of known or suspected benign tumors of the liver or of the pituitary or adrenal gland.
- Amenorrhea (with unknown reason, not amenorrhea due to hormonal treatment) for more than 3 months within the 6 months before the first screening examination.
- Use of short-acting preparations containing sex hormones during the cycle preceding the pre-treatment cycle (oral, transdermal, intravaginal, IUS).
- Use of long-acting preparations containing sex hormones within the 40 weeks before the first screening examination (any long-acting injectable or implant).
Clinically relevant findings in the physical examination (e.g. pronounced varicosis, thrombophlebitis, and evidence of peripheral circulatory disturbances).
Menstrual disorders with suspicion of ovarian failure (e.g., oligomenorrhea, amenorrhea, hypomenorrhea).
- Known bleeding irregularities
- Current or recurrent pelvic inflammatory disease, including pelvic inflammatory disease within 6 month prior to the insertion of the IUS and any active sexually transmitted disease.
- Anovulatory pre-treatment cycle (ovulation has to be observed by day 27 at the latest).
- Positive result of urine pregnancy test.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Arm 1: BAY1007626, low relase
Intrauterine device with a low in vitro release rate
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Intrauterine device with 4 different in vitro release rates (low, low to medium, medium, high)
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Experimental: Arm 2: BAY1007626, low to medium release
Intrauterine device with a low to medium in vitro release rate
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Intrauterine device with 4 different in vitro release rates (low, low to medium, medium, high)
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Experimental: Arm 3: BAY1007626, medium release
Intrauterine device with a medium in vitro release rate
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Intrauterine device with 4 different in vitro release rates (low, low to medium, medium, high)
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Experimental: Arm 4: BAY 1007626, high release
Intrauterine device with a high in vitro release rate
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Intrauterine device with 4 different in vitro release rates (low, low to medium, medium, high)
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Active Comparator: Arm 5: Levonorgestrel, Jaydess
Intrauterine device releasing levonorgestrel (Jaydess)
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Jaydess: Intrauterine device with a nominal in vitro release of 12 µg levonorgestrel/day
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Active Comparator: Arm 6: Levonorgestrel, Mirena
Intrauterine device releasing levonorgestrel (Mirena)
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Mirena: Intrauterine device with a nominal in vitro release of 20 µg levonorgestrel/day
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Number of bleeding and spotting days
Time Frame: Daily recorded during 90 days treatment period
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Daily recorded during 90 days treatment period
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Progestin effects on endometrial histology
Time Frame: Data derived from biopsies taken in the pre-treatment cycle, under treatment (between day 42 and day 90 of treatment) and during follow-up (within max. 40 days after IUS removal).
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Endometrail histology will be evaluated according to standardized criteria, derived from Blaustein's standard pathology textbook and criteria for secretory-type effects caused by exogenous progestins after intrauterine application.
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Data derived from biopsies taken in the pre-treatment cycle, under treatment (between day 42 and day 90 of treatment) and during follow-up (within max. 40 days after IUS removal).
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Ovulation(Yes/no)
Time Frame: Treatment period 90 days
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Treatment period 90 days
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Endometrial thickness
Time Frame: pre-treatment cycle days 6, 9, 12, 15, 18, 21, 24, 27, 30, treatment period days 1, 13, 27, 41, 44, 48, 51, 55, 58, 62, 65, 69, 72, 76, 79, 83, 86, 90
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pre-treatment cycle days 6, 9, 12, 15, 18, 21, 24, 27, 30, treatment period days 1, 13, 27, 41, 44, 48, 51, 55, 58, 62, 65, 69, 72, 76, 79, 83, 86, 90
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Bleeding characterization (Intensity, pattern)
Time Frame: For 90 day treatment period
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Classified using a 5-step scale from "none" to "heavy"
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For 90 day treatment period
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Serum levels of estradiol
Time Frame: Repeatedly under 90 day treatment
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Repeatedly under 90 day treatment
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Serum levels of progesterone
Time Frame: Repeatedly under 90 day treatment
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Repeatedly under 90 day treatment
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Serum levels of luteinizing hormone
Time Frame: Repeatedly under 90 day treatment
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Repeatedly under 90 day treatment
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Serum levels of follicle-stimulating hormone
Time Frame: Repeatedly under 90 day treatment
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Repeatedly under 90 day treatment
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Cervix function (Insler score)
Time Frame: cycle day 6,9,12,15,18,23,24,27,40, treatment period days 41,44,48,51,55,58,62,65,69,76,79,80,83,90
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The cervix function is classified using the 4-step Insler Score
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cycle day 6,9,12,15,18,23,24,27,40, treatment period days 41,44,48,51,55,58,62,65,69,76,79,80,83,90
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Number of participants with adverse events as a measure of safety and tolerability.
Time Frame: up to 5 months
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up to 5 months
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Cmax of BAY1007626
Time Frame: treatment period days 13,20,30,41,55,62,72, 90, 91, 92,93,
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treatment period days 13,20,30,41,55,62,72, 90, 91, 92,93,
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AUC of BAY1007626
Time Frame: treatment period days 13,20,30,41,55,62,72, 90, 91, 92,93,95
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treatment period days 13,20,30,41,55,62,72, 90, 91, 92,93,95
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T1/2 of BAY1007626
Time Frame: treatment period days 13,20,30,41,55,62,72, 90, 91, 92,93,95
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treatment period days 13,20,30,41,55,62,72, 90, 91, 92,93,95
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
June 22, 2015
Primary Completion (Actual)
May 26, 2016
Study Completion (Actual)
July 22, 2016
Study Registration Dates
First Submitted
June 2, 2015
First Submitted That Met QC Criteria
July 2, 2015
First Posted (Estimate)
July 7, 2015
Study Record Updates
Last Update Posted (Actual)
June 4, 2019
Last Update Submitted That Met QC Criteria
June 2, 2019
Last Verified
June 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 15731
- 2013-003980-74 (EudraCT Number)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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