Clinical Trial Results:
Open-Label, Randomized Study to Evaluate the Influence on the Hormonal and Ovarian Activity of Two Different Dosages of Drospirenone (either 4.0 mg for 24 Days or 2.8 mg Daily for 28 Days) Over Two Treatment Cycles in 50 Healthy, Young Females
Summary
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EudraCT number |
2011-004085-15 |
Trial protocol |
DE |
Global end of trial date |
10 Apr 2012
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Results information
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Results version number |
v1(current) |
This version publication date |
29 May 2020
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First version publication date |
29 May 2020
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
CF111/203
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
- | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
Laboratorios León Farma S.A.
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Sponsor organisation address |
La Vallina s/n, Polígono Industrial de Navatejera, León, Spain, 24008
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Public contact |
Chief Scientific Officer, Chemo Research, 0034 917711500, enrico.colli@exeltis.com
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Scientific contact |
Chief Scientific Officer, Chemo Research, 0034 917711500, enrico.colli@exeltis.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
12 Jun 2014
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Is this the analysis of the primary completion data? |
No
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Global end of trial reached? |
Yes
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Global end of trial date |
10 Apr 2012
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
To assess the ovulation inhibition potential reflected by the hormonal and ovarian activity of two different dosages and intake regimens of drospirenone (DRSP) in 50 healthy women.
Subjects will be assigned to one of two treatment regimens after stratification for the ovulation day in the precycle.
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Protection of trial subjects |
N/A
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Background therapy |
N/A | ||
Evidence for comparator |
- | ||
Actual start date of recruitment |
01 Oct 2011
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Long term follow-up planned |
No
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Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Germany: 53
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Worldwide total number of subjects |
53
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EEA total number of subjects |
53
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
53
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From 65 to 84 years |
0
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85 years and over |
0
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Recruitment
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Recruitment details |
Healthy premenopausal females of any ethnic origin (18 to 35 years of age), inclusive; (smokers not older than 30 years; smokers ≤ 30 years up to 10 cigarettes daily), BMI of 18-30 kg/m2, history of regular cycles, blood pressure after resting for 5 minutes between 90-140 mmHg (systolic) and 50-90 mmHg (diastolic), etc. | ||||||||||||||
Pre-assignment
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Screening details |
Screening was divided in two sections: The first section took place before the start of the precycle and the second part followed after an ovulation could be detected in the precycle. | ||||||||||||||
Period 1
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Period 1 title |
Treatment Period (overall period)
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Is this the baseline period? |
Yes | ||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | ||||||||||||||
Blinding implementation details |
Not applicable, because this was an open-label trial.
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Arms
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Arm title
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Treatment Arm | ||||||||||||||
Arm description |
Fifty subjects were allocated either to Treatment 1 (4.0 mg DRSP for 24 days followed by 4 placebo tablets) or Treatment 2 (2.8 mg DRSP for 28 days) over two treatment cycles. | ||||||||||||||
Arm type |
Experimental | ||||||||||||||
Investigational medicinal product name |
Drospirenone 4.0 mg coated tablets
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
28 coated tablets, oral, once daily,
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Investigational medicinal product name |
Drospirenone 2.8 mg coated tablets
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Investigational medicinal product code |
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Other name |
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Pharmaceutical forms |
Tablet
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Routes of administration |
Oral use
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Dosage and administration details |
28 tablets, oral, once daily
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Baseline characteristics reporting groups
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Reporting group title |
Treatment Arm
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Reporting group description |
Fifty subjects were allocated either to Treatment 1 (4.0 mg DRSP for 24 days followed by 4 placebo tablets) or Treatment 2 (2.8 mg DRSP for 28 days) over two treatment cycles. | ||||||||||||||||||||||||||||||||||||||||||||
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Subject analysis sets
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Subject analysis set title |
Per Protoco Set (PPS)
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Subject analysis set type |
Per protocol | ||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
Consisted of all subjects from the FAS, excluding volunteers with major protocol deviations
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Subject analysis set title |
Full Analysis Set (FAS)
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Subject analysis set type |
Full analysis | ||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
The Full Analysis Set (FAS) consisted of all subjects who had received at least one dose of the product (Treatment 1 or Treatment 2), for whom CRF entries were available, and for whom at least one Hoogland-Score result was available after start of treatment, regardless of protocol deviations
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Subject analysis set title |
Safety Analysis Set (SF)
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Subject analysis set type |
Safety analysis | ||||||||||||||||||||||||||||||||||||||||||||
Subject analysis set description |
The Safety analysis set (SF) consisted of all volunteers who had received at least one dose of investigational product
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End points reporting groups
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Reporting group title |
Treatment Arm
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Reporting group description |
Fifty subjects were allocated either to Treatment 1 (4.0 mg DRSP for 24 days followed by 4 placebo tablets) or Treatment 2 (2.8 mg DRSP for 28 days) over two treatment cycles. | ||
Subject analysis set title |
Per Protoco Set (PPS)
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Subject analysis set type |
Per protocol | ||
Subject analysis set description |
Consisted of all subjects from the FAS, excluding volunteers with major protocol deviations
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Subject analysis set title |
Full Analysis Set (FAS)
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Subject analysis set type |
Full analysis | ||
Subject analysis set description |
The Full Analysis Set (FAS) consisted of all subjects who had received at least one dose of the product (Treatment 1 or Treatment 2), for whom CRF entries were available, and for whom at least one Hoogland-Score result was available after start of treatment, regardless of protocol deviations
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Subject analysis set title |
Safety Analysis Set (SF)
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Subject analysis set type |
Safety analysis | ||
Subject analysis set description |
The Safety analysis set (SF) consisted of all volunteers who had received at least one dose of investigational product
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End point title |
Hoogland score [1] | ||||||||||||
End point description |
The Hoogland Score is a composite parameter of follicle size as well as estradiol and progesterone levels
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End point type |
Primary
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End point timeframe |
1st cycle: day 3, 6, 9, 12, 15, 18, 21, 24, 27
2nd cycle: day 3, 6, 9, 12, 15, 18, 21, 24, 27
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Notes [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point. Justification: statistical analyses have not been performed |
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No statistical analyses for this end point |
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End point title |
LH and FSH | ||||||||||||
End point description |
The pituitary hormones LH and FSH were determined to interpret the influence of the IMP on the central hormonal regulation and feedback
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End point type |
Secondary
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End point timeframe |
Follicle phase, ovulatory phase, luteal phase
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No statistical analyses for this end point |
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End point title |
Endometrial thickness | ||||||||||||
End point description |
Endometrial thickness was assessed in order to determine any changes in the endometrial bed which are inappropriate for nidation. Especially in case of any occurring ovulation under treatment the corresponding endometrium thickness was evaluated and compared to the ovulatory precycle. A thickness of < 6 mm was regarded as non-conceptional endometrium
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End point type |
Secondary
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End point timeframe |
It was measured at each visit
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No statistical analyses for this end point |
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End point title |
bleeding pattern | ||||||||||||
End point description |
Evaluation of bleeding intensities was based on the following classification, whereas the subjects were informed not to consider the change of any tampons or sanitary napkins for hygienic reasons or well-being:
Spotting: very mild bleeding
Slight: bleeding requiring the use of 1-2 tampons or sanitary napkins per day
Moderate: bleeding requiring the use of 3-4 tampons or sanitary napkins per day
Heavy: bleeding requiring the use of 5 or more tampons or sanitary napkins per day.
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End point type |
Secondary
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End point timeframe |
daily diary entries by the subjects
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No statistical analyses for this end point |
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End point title |
Adverse events | |||||||||
End point description |
Adverse events (AE) were all disturbances to health and well-being, subjective and objective disease symptoms (including pathological, clinically relevant changes in laboratory values), intercurrent illnesses and accidents observed during the course of a clinical trial, independent of whether a causal relationship with the administration of the investigational drug was possible.
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End point type |
Secondary
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End point timeframe |
An AE which was reported spontaneously by the subject or which was observed by the clinical investigator was to be monitored during the clinical trial or registered at each visit and entered into the CRF adverse event page.
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No statistical analyses for this end point |
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End point title |
Clinical Laboratory Evaluations | |||||||||
End point description |
Haematology: Leucocytes, erythrocytes, haemoglobin, haematocrit, mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH), platelets, neutrophils, eosinophils, basophils, lymphocytes, monocytes
Liver function: Glutamate pyruvate transaminase (ALAT/GPT), glutamate oxaloacetate transaminase (ASAT/GOT)
Serum chemistry: Sodium, potassium, chloride, creatinine
Virology: HbsAg, anti-HCV, anti-HIV
Urinalysis: glucose, ß-hCG (at the trial site and home test)
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End point type |
Secondary
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End point timeframe |
virology only once at screening; Safety blood sampling was conducted under at least 4 hours fasting conditions. Subjects were requested to keep a fasting period prior to their visit (e.g. without breakfast).
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No statistical analyses for this end point |
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End point title |
vital signs | |||||||||
End point description |
Vital signs parameters comprised systolic blood pressure, diastolic blood pressure, heart rate, and body mass index (BMI)
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End point type |
Secondary
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End point timeframe |
at screening and final examination
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
during the course of the clinical trial
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Assessment type |
Non-systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
14.1
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Reporting groups
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Reporting group title |
Treatment group DRSP 4 mg
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Reporting group description |
- | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Treatment group DRSP 2.8 mg
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Reporting group description |
subjects taking drospirenone 2.8 mg | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? No | |||
Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |