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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.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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

Other trials in United States

Dominican Republic1 site
  • Teva Investigational Site 18001

    Santo Domingo, 99999

Other trials in Dominican Republic

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 groups in NCT04682353
Study groupRoleWhat they receive
Group 1 - 120 mg/0.4 mLExperimentalNot described
Receives: Drug: TV-46046
Group 2 - 180 mg/0.6 mLExperimentalNot described
Receives: Drug: TV-46046
Group 3 - 240 mg/0.8 mLExperimentalNot described
Receives: Drug: TV-46046
Group 4 - 104 mg/0.65 mLActive comparatorNot described
Receives: Drug: Depo-subQ Provera

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximum Observed Serum Concentration (Cmax) of Medroxyprogesterone Acetate (MPA)

    Measured: Day 0 to Day 365

  2. Time to Reach Cmax (Tmax) of MPA

    Measured: Day 0 to Day 365

  3. Serum MPA Concentration at Day 91 (C91)

    Measured: Day 91

  4. Serum MPA Concentration at Day 182 (C182)

    Measured: Day 182

  5. Serum MPA Concentration at Day 210 (C210)

    Measured: Day 210

  6. Area Under the Serum Drug Concentration-Time Curve From Time 0 to Day 182 (AUC0-182) of MPA

    Measured: Day 0 to Day 182

  7. Area Under the Serum Drug Concentration-Time Curve From Time 0 to Day 210 (AUC0-210) of MPA

    Measured: Day 0 to Day 210

  8. Area Under the Serum Drug Concentration-Time Curve From Time 0 to Infinity (AUC0-inf) of MPA

    Measured: Day 0 to Day 365

  9. Apparent Terminal Half-life (t½) of MPA

    Measured: Day 0 to Day 365

Secondary outcomes (15)
  1. Number of Participants With Treatment-emergent Adverse Events (TEAEs)

    Measured: Day 0 up to Week 78

  2. 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

  3. 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

  4. Change From Baseline in Body Weight at Day 7 and Weeks 13, 26, and 52

    Measured: Day 7 and Weeks 13, 26, and 52

  5. 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

  6. 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

  7. Number of Participants With Clinically Significant Changes in Liver Function Tests

    Measured: Day 0 to Day 365

  8. Estradiol Concentrations

    Measured: Baseline, Weeks 4, 13, 26, 30, and 52

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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.

  1. First posted23 Dec 2020
  2. Study start14 Dec 2020
  3. Primary completion11 Jul 2022
  4. Study completion12 Jan 2023

Resources

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)
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
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.

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.

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