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Healthy Adult Female ParticipantsPhase 1NCT06775730

A Drug-Drug Interaction Study of S-217622 With Combined Oral Contraceptives in Healthy Adult Female Participants

A Phase 1 study testing Ensitrelvir in people with Healthy Adult Female Participants, run by Shionogi at 1 site in United States.

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 purpose of this study is to examine the potential for drug-drug interactions. Read more about this study

Who is it for?
Ages 18 to 35 years, women onlyHealthy volunteers can take part
Conditions the study is for
Healthy Adult Female Participants
What is being tested?
Ensitrelvir
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteUnited States
Study dates
30 Dec 2024to 3 Apr 2025
Phase
Phase 1
Are there results?
None posted in the registry

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 35 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Body mass index (BMI) within the range of ≥18.5 to ≤30.0 kilograms (kg)/square meter (m^2) at the screening.
  • A female participant is eligible to participate if she is not pregnant or breastfeeding, and either of the following conditions applies:
  • Is a woman of childbearing potential (WOCBP), having not received any oral contraceptives for at least 28 days prior to the first dose of study intervention, and using a contraceptive method that is highly effective during the treatment period and for at least 14 days after the last dose of study intervention.
  • A WOCBP must have a negative highly sensitive pregnancy test (urine or serum as required by local regulations) within 24 hours before the first dose of study intervention.

Who cannot join

  • History or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrinological, hematologic, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention; or interfering with the interpretation of data.
  • Presence (suspected) or history of having breast cancer, endometrial cancer, or cervical cancer.
  • Presence of unexplained genital bleeding.
  • Participants who have taken injectable or implantable contraceptives, hormonal intrauterine devices, intrauterine hormone-releasing system within 12 months prior to the first dose of study intervention or hormonal contraceptives (intravaginal or transdermal) for 3 months prior to the first dose of study intervention.
  • Participants who are otherwise considered ineligible for the study by the investigator for any other reason.
  • NOTE: Other inclusion and exclusion criteria may apply.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Early Phase Clinical Unit Los Angeles

    Glendale, California, 91206

Other trials in United States

About this study

Official title: A Phase 1 Drug-Drug Interaction Study of S-217622 With Combined Oral Contraceptives in Healthy Adult Female Participants

The purpose of this study is to examine the potential for drug-drug interactions.

Being tested
Ensitrelvir

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EnsitrelvirDrug

    Also called S-217622

    Ensitrelvir will be administered per schedule specified in the arm description.

Study groups in NCT06775730
Study groupRoleWhat they receive
EnsitrelvirExperimentalParticipants will receive multiple oral doses of a combined oral contraceptive (COC) (EE and DRSP) once daily for 24 days (Days 1 to 24) (in the fasted state on Days 18 to 24) in the morning. Participants will also receive ensitrelvir high dose on Day 20 and multiple oral doses of ensitrelvir low dose once daily on Days 21 to 24 in the fasted state.
Receives: Drug: Ensitrelvir

What is being measured

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

  1. Maximum Plasma Concentration (Cmax) of Ethinyl Estradiol (EE)

    Measured: Predose and up to 24 hours postdose on Days 19, 20, and 24

  2. Cmax of Drospirenone (DRSP)

    Measured: Predose and up to 24 hours postdose on Days 19, 20, and 24

  3. Time to Reach Cmax (Tmax) of EE

    Measured: Predose and up to 24 hours postdose on Days 19, 20, and 24

  4. Tmax of DRSP

    Measured: Predose and up to 24 hours postdose on Days 19, 20, and 24

  5. Area Under the Plasma Concentration-time Curve Over the Dosing Interval (AUC0-τ) of EE

    Measured: Predose and up to 24 hours postdose on Days 19, 20, and 24

  6. AUC0-τ of DRSP

    Measured: Predose and up to 24 hours postdose on Days 19, 20, and 24

Secondary outcomes (4)
  1. Number of Participants With Adverse Events (AEs)

    Measured: Day 1 up to Day 32

  2. Cmax of Ensitrelvir

    Measured: Predose and up to 24 hours postdose on Days 20 and 24

  3. Tmax of Ensitrelvir

    Measured: Predose and up to 24 hours postdose on Days 20 and 24

  4. AUC0-τ of Ensitrelvir

    Measured: Predose and up to 24 hours postdose on Days 20 and 24

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Jan 2025
  2. Study start30 Dec 2024
  3. Primary completion3 Apr 2025
  4. Study completion3 Apr 2025

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
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06775730
Sponsor's protocol ID
2403T1219
Status last verified
Apr 2025
First submitted
9 Jan 2025
Last updated
4 May 2025
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Shimizu R, Shibata RY, Kubota R, Okuda S, Sonoyama T. Effects of Ensitrelvir on the Pharmacokinetics of Combined Oral Contraceptives (Ethinyl Estradiol/Drospirenone) in Healthy Adult Women: A Phase 1 Fixed-Sequence, Multiple-Dose, Drug-Drug Interaction Study. Clin Drug Investig. 2026 May;46(5):561-570. doi: 10.1007/s40261-026-01541-3. Epub 2026 Mar 31.

    PubMed 41915378

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Ensitrelvir in people with Healthy Adult Female Participants, run by Shionogi at 1 site in United States.

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 6 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 4 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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 Plasma Concentration (Cmax) of Ethinyl Estradiol (EE) (time frame: Predose and up to 24 hours postdose on Days 19, 20, and 24). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06775730, which also lists 1 linked publication.

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 4 May 2025; AzTrials last refreshed its copy on 8 Nov 2026.

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