ContraceptionPhase 1NCT04682353
A Study to Evaluate the Pharmacokinetics (PK) of Medroxyprogesterone Acetate Following an Injection of TV-46046 in Healthy Women of Reproductive Age
A Phase 1 study testing TV-46046 and Depo-subQ Provera in people with Contraception, run by Teva Branded Pharmaceutical Products R&D, Inc. at 3 sites in 2 countries.
Trial summary
The primary objective of this study is to evaluate and compare the pharmacokinetic profile of Medroxyprogesterone acetate following subcutaneous administration of 3 different doses of TV-46046 and a dose of Depo-subQ Provera in healthy female participants. Read more about this study
- Who is it for?
- Ages 18 to 45 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Contraception
- What is being tested?
- TV-46046 and Depo-subQ Provera
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 3 sitesin 2 countries
- Study dates
- 14 Dec 2020to 12 Jan 2023
- Phase
- Phase 1
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 45 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- has regular menstrual cycle (21 to 35 days)
- has a low risk of pregnancy (ie, sterilized, in exclusively same-sex partnership, abstinent, in monogamous relationship with vasectomized partner, using nonhormonal intrauterine device (IUD), or consistently using barrier methods of contraception)
- had a normal mammogram within the last year, if 40 years of age or older
- NOTE- Additional criteria apply, please contact the investigator for more information.
Who cannot join
- has multiple risk factors for cardiovascular disease (eg, smoking, obesity, hypertension, known low HDL, high LDL, or high triglyceride levels)
- has current or history of ischemic heart disease
- has active thrombophlebitis, current or past history of thromboembolic disorders, cerebral vascular disease or stroke
- has systemic lupus erythematosus
- has rheumatoid arthritis on immunosuppressive therapy
- has unexplained vaginal bleeding
Show all 25Show fewer
- has diabetes
- has strong family history of breast cancer (defined as one or more first degree relatives with breast cancer, breast cancer occurring before menopause in three or more family members, regardless of degree of relationship, and any male family member with breast cancer)
- has current or history of breast cancer, or undiagnosed mass detected by breast exam
- has current or history of cervical cancer
- has cirrhosis or liver tumors
- has known osteoporosis or osteopenia
- has history of diagnosed clinical depression or bipolar disorder, with or without suicidal ideation, and/or history of suicide attempt, except short-lived situational depression that did not require medication and has not recurred in last five years
- used MPA-containing injectable products in the past 12 months
- used a combined injectable contraceptive in the past 6 months
- used any of the following medications within 1 month prior to enrollment:
- any investigational drug
- oral contraceptives, contraceptive ring or patch
- levonorgestrel intrauterine system (LNG IUS) or contraceptive implant
- is participating in another clinical trial
- is pregnant
- desires to become pregnant in subsequent 24 months
- has been pregnant in last 3 months
- is currently lactating
- NOTE- Additional criteria apply, please contact the investigator for more information.
Trial locations and contacts
3 sites in 2 countries.
3 sites in 2 countries
United States2 sites
Teva Investigational Site 14002
Cypress, California, 90630
Teva Investigational Site 14003
San Antonio, Texas, 78209
Dominican Republic1 site
Teva Investigational Site 18001
Santo Domingo, 99999
About this study
Official title: A Randomized, Dose-range Finding Study to Evaluate Pharmacokinetics of Medroxyprogesterone Acetate Following a Single Subcutaneous Administration of TV-46046 in Healthy Women of Reproductive Age
The primary objective of this study is to evaluate and compare the pharmacokinetic profile of Medroxyprogesterone acetate following subcutaneous administration of 3 different doses of TV-46046 and a dose of Depo-subQ Provera in healthy female participants.
The secondary objectives of the study are to evaluate and compare the safety, local tolerability, and acceptability of a subcutaneous injection of 3 different doses of TV-46046 and a dose of Depo-subQ Provera in healthy female participants.
The total duration of the study for each participant is expected to be up to 19.5 months.
- Conditions
- Contraception
- Being tested
- TV-46046, Depo-subQ Provera
- Keywords
- Pharmacokinetics
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TV-46046Drug
SC injection of 300 mg/mL (120 mg/0.4mL; 180 mg/0.6mL; 240 mg/0.8mL)
Depo-subQ ProveraDrug
SC injection of 104 mg/0.65 mL
| Study group | Role | What they receive |
|---|---|---|
| Group 1 - 120 mg/0.4 mL | Experimental | Not described Receives: Drug: TV-46046 |
| Group 2 - 180 mg/0.6 mL | Experimental | Not described Receives: Drug: TV-46046 |
| Group 3 - 240 mg/0.8 mL | Experimental | Not described Receives: Drug: TV-46046 |
| Group 4 - 104 mg/0.65 mL | Active comparator | Not described Receives: Drug: Depo-subQ Provera |
What is being measured
The primary outcome is the main question the study is designed to answer.
Maximum Observed Serum Concentration (Cmax) of Medroxyprogesterone Acetate (MPA)
Measured: Day 0 to Day 365
Time to Reach Cmax (Tmax) of MPA
Measured: Day 0 to Day 365
Serum MPA Concentration at Day 91 (C91)
Measured: Day 91
Serum MPA Concentration at Day 182 (C182)
Measured: Day 182
Serum MPA Concentration at Day 210 (C210)
Measured: Day 210
Area Under the Serum Drug Concentration-Time Curve From Time 0 to Day 182 (AUC0-182) of MPA
Measured: Day 0 to Day 182
Area Under the Serum Drug Concentration-Time Curve From Time 0 to Day 210 (AUC0-210) of MPA
Measured: Day 0 to Day 210
Area Under the Serum Drug Concentration-Time Curve From Time 0 to Infinity (AUC0-inf) of MPA
Measured: Day 0 to Day 365
Apparent Terminal Half-life (t½) of MPA
Measured: Day 0 to Day 365
Secondary outcomes (15)
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Measured: Day 0 up to Week 78
Number of Participants With at Least 1 Concomitant Medication Use During Treatment
Concomitant medications included acetic acid derivatives and substances, aminoalkyl ethers, anilides, calcium compounds, other viral vaccines, and propionic acid derivatives etc.
Measured: Day 0 up to Week 78
Number of Participants With Clinically Significant Changes in Vital Signs
Vital signs examination included blood pressure, respiration rate, pulse, and body temperature.
Measured: Day 0 to Day 365
Change From Baseline in Body Weight at Day 7 and Weeks 13, 26, and 52
Measured: Day 7 and Weeks 13, 26, and 52
Number of Participants With Overall Opinion of Vaginal Bleeding Pattern
Number of participants with overall opinion of vaginal bleeding pattern as acceptable or not acceptable has been reported.
Measured: Weeks 13, 26, and 52
Number of Participants With Patient Health Questionnaire (PHQ-9) Mood Scores
The PHQ-9 is a participant-rated depressive symptom severity scale to monitor severity over time for newly diagnosed participants or participants in current treatment for depression. Scoring was based on participants' responses to each of the 9 questions, as follows: 0=not at all; 1=several days; 2=more than half the days; and 3=nearly every day. The PHQ-9 total score was calculated as the sum of the 9 individual item scores. The PHQ-9 total score was categorized as follows: 0 = no depression, 1 to 4=minimal depression, 5 to 9=mild depression, 10 to 14=moderate depression, 15 to 19=moderately severe depression; and 20 to 27=severe depression. Higher scores indicate more severe depression.
Measured: Baseline, Weeks 4, 13, 26, and 52
Number of Participants With Clinically Significant Changes in Liver Function Tests
Measured: Day 0 to Day 365
Estradiol Concentrations
Measured: Baseline, Weeks 4, 13, 26, 30, and 52
Number of Participants With No Ovulation in 12 Months
Ovulation was defined as one or more progesterone measurements ≥ 4.7 ng/mL in Weeks 48, 49, 50, 51 or 52.
Measured: 12 months
Number of Participants With 1 or More Injection Site Reactions (ISRs)
The ISRs included erythema, swelling, pruritus, bleeding, tenderness, bruising, hypopigmentation, atrophy, and injection site pain.
Measured: Day 0 to Day 365
Number of Participants With Responses to the Acceptability Question (What do You Like About the Method?)
Acceptability questions include likes and dislikes of the method and willingness to use the product in the future.
Measured: Weeks 26 and 52
Number of Participants With Responses to the Acceptability Question (What do You Not Like About the Method?)
Acceptability questions include likes and dislikes of the method and willingness to use the product in the future.
Measured: Weeks 26 and 52
Number of Participants With Responses to the Acceptability Question (If You Were at Risk for Pregnancy, Would You Use This Method of Contraception Outside of This Study?)
Acceptability questions include likes and dislikes of the method and willingness to use the product in the future.
Measured: Weeks 26 and 52
Number of Participants With Responses to the Acceptability Question (If You Had a Choice, Which Injectable Contraceptive Method Would You Prefer?)
Acceptability questions include likes and dislikes of the method and willingness to use the product in the future.
Measured: Weeks 26 and 52
Progesterone Concentration
Measured: Weeks 48, 49, 50, 51, and 52
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Dec 2020
- Study start14 Dec 2020
- Primary completion11 Jul 2022
- Study completion12 Jan 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for ContraceptionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- FHI 360
- Responsible party
- Sponsor
- Investigators
- Teva Medical Expert, MD, Study director, Teva Branded Pharmaceutical Products R&D, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04682353
- Sponsor's protocol ID
- TV46046-WH-10159
- Status last verified
- Jul 2023
- First submitted
- 4 Dec 2020
- Last updated
- 26 Feb 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Upon primary clinical trial manuscript publication, researchers may request access to underlying study data. Each accepted article must be accompanied by a Data Availability Statement that describes where any primary data, associated metadata, original software, and any additional relevant materials necessary to understand, assess, and replicate the reported study findings in totality can be found. Underlying study data will be de-identified and study documents will be redacted to protect the privacy of trial participants and to protect commercially confidential information. Requests will be reviewed for scientific merit, product approval status, and conflicts of interest. Please email manuscript primary author to make your request.
Study at a glance
From the registry record, last updated by the sponsor on 26 Feb 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Dose-range Finding Study to Evaluate Pharmacokinetics of Medroxyprogesterone Acetate Following a Single Subcutaneous Administration of TV-46046 in Healthy Women of Reproductive Age
- ClinicalTrials.gov ID
- NCT04682353
- Acronym / sponsor ID
- TV46046-WH-10159
- Conditions
- Contraception
- Keywords
- Pharmacokinetics
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Teva Branded Pharmaceutical Products R&D, Inc.Industry (pharma, biotech, devices)
- Collaborators
- FHI 360
- Study start
- 14 Dec 2020 (actual)
- Primary completion
- 11 Jul 2022 (actual)
- Study completion
- 12 Jan 2023 (actual)
- First posted
- 23 Dec 2020 (actual)
- Results
- Posted 26 Feb 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of this study is to evaluate and compare the pharmacokinetic profile of Medroxyprogesterone acetate following subcutaneous administration of 3 different doses of TV-46046 and a dose of Depo-subQ Provera in healthy female participants.
The secondary objectives of the study are to evaluate and compare the safety, local tolerability, and acceptability of a subcutaneous injection of 3 different doses of TV-46046 and a dose of Depo-subQ Provera in healthy female participants.
The total duration of the study for each participant is expected to be up to 19.5 months.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Group 1 - 120 mg/0.4 mL | Experimental | Drug: TV-46046 |
| Group 2 - 180 mg/0.6 mL | Experimental | Drug: TV-46046 |
| Group 3 - 240 mg/0.8 mL | Experimental | Drug: TV-46046 |
| Group 4 - 104 mg/0.65 mL | Active comparator | Drug: Depo-subQ Provera |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- has regular menstrual cycle (21 to 35 days)
- has a low risk of pregnancy (ie, sterilized, in exclusively same-sex partnership, abstinent, in monogamous relationship with vasectomized partner, using nonhormonal intrauterine device (IUD), or consistently using barrier methods of contraception)
- had a normal mammogram within the last year, if 40 years of age or older
- NOTE- Additional criteria apply, please contact the investigator for more information.
Key exclusion criteria (25 listed)
- has multiple risk factors for cardiovascular disease (eg, smoking, obesity, hypertension, known low HDL, high LDL, or high triglyceride levels)
- has current or history of ischemic heart disease
- has active thrombophlebitis, current or past history of thromboembolic disorders, cerebral vascular disease or stroke
- has systemic lupus erythematosus
- has rheumatoid arthritis on immunosuppressive therapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TV-46046SC injection of 300 mg/mL (120 mg/0.4mL; 180 mg/0.6mL; 240 mg/0.8mL) | Drug | Group 1 - 120 mg/0.4 mL, Group 2 - 180 mg/0.6 mL, Group 3 - 240 mg/0.8 mL |
| Depo-subQ ProveraSC injection of 104 mg/0.65 mL | Drug | Group 4 - 104 mg/0.65 mL |
Primary outcome
Maximum Observed Serum Concentration (Cmax) of Medroxyprogesterone Acetate (MPA)
Time frame: Day 0 to Day 365
Time to Reach Cmax (Tmax) of MPA
Time frame: Day 0 to Day 365
Serum MPA Concentration at Day 91 (C91)
Time frame: Day 91
Serum MPA Concentration at Day 182 (C182)
Time frame: Day 182
Serum MPA Concentration at Day 210 (C210)
Time frame: Day 210
Area Under the Serum Drug Concentration-Time Curve From Time 0 to Day 182 (AUC0-182) of MPA
Time frame: Day 0 to Day 182
Area Under the Serum Drug Concentration-Time Curve From Time 0 to Day 210 (AUC0-210) of MPA
Time frame: Day 0 to Day 210
Area Under the Serum Drug Concentration-Time Curve From Time 0 to Infinity (AUC0-inf) of MPA
Time frame: Day 0 to Day 365
Apparent Terminal Half-life (t½) of MPA
Time frame: Day 0 to Day 365
15 secondary outcomes
Number of Participants With Treatment-emergent Adverse Events (TEAEs)
Time frame: Day 0 up to Week 78
Number of Participants With at Least 1 Concomitant Medication Use During Treatment
Time frame: Day 0 up to Week 78
Number of Participants With Clinically Significant Changes in Vital Signs
Time frame: Day 0 to Day 365
Change From Baseline in Body Weight at Day 7 and Weeks 13, 26, and 52
Time frame: Day 7 and Weeks 13, 26, and 52
Number of Participants With Overall Opinion of Vaginal Bleeding Pattern
Time frame: Weeks 13, 26, and 52
Number of Participants With Patient Health Questionnaire (PHQ-9) Mood Scores
Time frame: Baseline, Weeks 4, 13, 26, and 52
Number of Participants With Clinically Significant Changes in Liver Function Tests
Time frame: Day 0 to Day 365
Estradiol Concentrations
Time frame: Baseline, Weeks 4, 13, 26, 30, and 52
Number of Participants With No Ovulation in 12 Months
Time frame: 12 months
Number of Participants With 1 or More Injection Site Reactions (ISRs)
Time frame: Day 0 to Day 365
Number of Participants With Responses to the Acceptability Question (What do You Like About the Method?)
Time frame: Weeks 26 and 52
Number of Participants With Responses to the Acceptability Question (What do You Not Like About the Method?)
Time frame: Weeks 26 and 52
Number of Participants With Responses to the Acceptability Question (If You Were at Risk for Pregnancy, Would You Use This Method of Contraception Outside of This Study?)
Time frame: Weeks 26 and 52
Number of Participants With Responses to the Acceptability Question (If You Had a Choice, Which Injectable Contraceptive Method Would You Prefer?)
Time frame: Weeks 26 and 52
Progesterone Concentration
Time frame: Weeks 48, 49, 50, 51, and 52
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Feb 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Individual participant dataSharing planned: Yes. Upon primary clinical trial manuscript publication, researchers may request access to underlying study data. Each accepted article must be accompanied by a Data Availability Statement that describes where any primary data, associated metadata, original software, and any additional relevant materials necessary to understand, assess, and replicate the reported study findings in totality can be found. Underlying study data will be de-identified and study documents will be redacted to protect the privacy of trial participants and to protect commercially confidential information. Requests will be reviewed for scientific merit, product approval status, and conflicts of interest. Please email manuscript primary author to make your request.
Related trials for Contraception
Enrolling by invitation
Flo Digital Contraceptive Study
Contraception Use
Recruiting
Estimating the Impact of Sexuality Education and Mobile Health Services on Reproductive Health and Empowerment Among Adolescents in Sierra Leone for the Family Planning Impact Lab
Reproductive Health, Sexual Health
RecruitingPhase 4
Clinical and Biomarker Effects of Depot Medroxyprogesterone Acetate in Females With Sickle Cell Disease
Sickle Cell Disease (SCD), Vaso-Occlusive Pain Episode in Sickle Cell Disease
Not yet recruitingObservational study
FLOW: Influence of the Menstrual Cycle on Alcohol Use in Women
Alcohol Use, Alcohol Consumption
Not yet recruiting
Impact of Gender-Transformative Interventions on Contraceptive Use and Reproductive Autonomy in Somalia
Contraceptive Behavior, Social Norms
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Teva Medical Expert, MD study director
Teva Branded Pharmaceutical Products R&D, Inc.
3 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing TV-46046 and Depo-subQ Provera in people with Contraception, run by Teva Branded Pharmaceutical Products R&D, Inc. at 3 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 25 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in United States, Dominican Republic. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 26 Feb 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Maximum Observed Serum Concentration (Cmax) of Medroxyprogesterone Acetate (MPA) (time frame: Day 0 to Day 365). The study lists 9 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Feb 2024.