E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
The impact of an experimental birth control drug on hemostatic parameters (characteristics of the blood) compared to a standard marketed birth control pill in healthy women (contraceptive) |
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E.1.1.1 | Medical condition in easily understood language |
The impact of an experimental birth control drug on hemostatic parameters (characteristics of the blood) compared to a standard marketed birth control pill in healthy women (birth control). |
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E.1.1.2 | Therapeutic area | Health Care [N] - Population Characteristics [N01] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10030970 |
E.1.2 | Term | Oral contraception |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The purpose of this study is to evaluate hemostatic parameters for the contraceptive regimen DR-102 (Treatment I) compared to active comparator. |
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
I.1 Female subjects 18-40 years of age, inclusive, at the time of consent; I.2 Premenopausal, non-pregnant, not breast-feeding for a period of 2months prior to the Screening Visit I.3 Body Mass Index (BMI) ≥ 18 kg/m2 and < or equal 30 kg/m2; I.4 One spontaneous menstrual cycle (that occurs approximately 23-35 days after previous menses or withdrawal bleeding episode)prior to or concurrent with the Screening Period I.5 Willing to be randomized to one of two open-label oral contraceptive treatment regimens and willing to adhere to the randomized treatment regimen for the 6-month study period; I.6 Not at risk for pregnancy or willing and able to use an effective method of nonhormonal contraception (non-hormone releasing IUD, diaphragm, spermicidal foam, contraceptive sponge, condoms) from the time of signed informed consent through last dose of IMP; I.7 Able to complete all study procedures; capable of and willing to be present at the study site for all study visits; and I.8 Able and willing to read, understand and sign an informed consent after the nature of the study has been fully explained. |
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E.4 | Principal exclusion criteria |
E.1 Any condition (history or presence of) which contraindicates the use of combination oral contraceptives: thrombophlebitis or thromboembolic disorders; known or suspected clotting disorders; thrombogenic valvulopathies or rhythm disorders; migraine headaches with focal, neurological symptoms; cerebrovascular or coronary artery disease or myocardial infarction; diabetes mellitus; chronic renal disease; uncontrolled or untreated hypertension; cholestatic jaundice; major surgery with prolonged immobilization; carcinoma of the breast; endometrial carcinoma or estrogen dependent neoplasia; undiagnosed abnormal genital bleeding; impaired liver function or disease; hepatic adenomas or carcinomas; pregnancy E.2 Concomitant use of sex hormones E.3 Any history of, or current deep vein thrombosis, pulmonary embolism, or arterial thromboembolic disease; E.4 Venous thromboembolic event in a parent or sibling subject. E.5 Acute or chronic severe liver dysfunction or disease. E.6 Within 2 months postpartum or post-abortion at the Screening Visit; E.7 Smoker and age ≥ 35 years E.8 History of a previous clinically significant adverse event while taking hormonal contraceptives that contraindicates the use of hormonal contraceptives; E.9 History of having received injectable hormone therapy or has a contraceptive implant in place E.10 Use of any medication, which could significantly interfere with study assessments or with the efficacy of oral contraceptives E.11 Known hypersensitivity or previous intolerance to estrogens and/or progestins; E.12 Any clinically significant Pap result that would necessitate further evaluation by biopsy; E.13 History of noncompliance with taking medication(s); E.14 Known or suspected alcohol or drug abuse E.15 Use of any experimental drug or device E.16 Known human immunodeficiency virus (HIV) and/or Hepatitis C positive status; E.17 Any employee or relative of an employee of the Sponsor, any Investigator Site employee or relative of employees working on the study; E.18 Any abnormal finding or condition deemed clinically significant by the Investigator or Sponsor that contraindicates the use of oral contraceptives; or E.19 Any condition or finding the Investigator or Sponsor believes would interfere with the subject’s ability to provide informed consent, comply with study instructions, or which might confound the interpretation of the study results or put the subject at risk
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint is the change from baseline in Prothrombin Fragment 1+2 (F1+2) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Change from baseline at week 11 and 23.
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E.5.2 | Secondary end point(s) |
Secondary endpoints The change from baseline in the following secondary endpoints
-D-dimer, APTT and ETP based APC resistance, Factor II, Factor VII, Factor VIII, Antithrombin, Protein C, and Free and Total Protein S; -Total Cortisol and Corticosteroid Binding Globulin (CBG); -Thyroid Stimulating Hormone (TSH); -Sex Hormone Binding Globulin (SHBG) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Change from baseline at week 11 and 23. |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 24 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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Final telephone contact done 14 days following the last dose of the study medication. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 12 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 12 |
E.8.9.2 | In all countries concerned by the trial days | 0 |