Drug Interaction Study of Isavuconazole and Oral Contraceptive Containing Ethinyl Estradiol and Norethindrone
This study has been completed.
Sponsor:
Astellas Pharma Global Development, Inc.
Collaborator:
Basilea Pharmaceutica International Ltd
Information provided by (Responsible Party):
Astellas Pharma Inc ( Astellas Pharma Global Development, Inc. )
ClinicalTrials.gov Identifier:
NCT01597986
First received: May 7, 2012
Last updated: July 12, 2012
Last verified: July 2012
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Purpose
The purpose of this study is to assess the effect of multiple doses of isavuconazole on the pharmacokinetics (PK) of a single dose of contraceptive in healthy post-menopausal women.
| Condition | Intervention | Phase |
|---|---|---|
|
Pharmacokinetics of Isavuconazole Pharmacokinetics of Ethinyl Estradiol and Norethindrone Healthy Volunteers |
Drug: isavuconazole Drug: Oral Contraceptive (ethinyl estradiol / norethindrone) |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Pharmacokinetics Study Intervention Model: Single Group Assignment Masking: Open Label |
| Official Title: | A Phase 1, Open Label Study to Evaluate the Effect of Multiple Doses of Isavuconazole on the Pharmacokinetics of a Single Dose Oral Contraceptive Containing Ethinyl Estradiol and Norethindrone |
Resource links provided by NLM:
Drug Information available for:
Estradiol
Norethindrone acetate
Ethinyl Estradiol
Norethindrone
Estradiol cypionate
Estradiol valerate
Estradiol acetate
Estradiol hemihydrate
Ethynylestradiol mixture with norethindrone
Ethinyl estradiol mixture with norethindrone
U.S. FDA Resources
Further study details as provided by Astellas Pharma Inc:
Primary Outcome Measures:
- Pharmacokinetic (PK) variables for ethinyl estradiol and norethindrone (in plasma): AUCinf , AUClast, and Cmax [ Time Frame: For Days 1 and 13: predose and 12 times post dose; for Days 2, 3, 4, 5, 14, 15, 16, and 17: one time each day ] [ Designated as safety issue: No ]AUC from time 0 extrapolated to infinity (AUCinf), Area under the curve (AUC) from time of dosing to last quantifiable concentration (AUClast ), and maximum concentration (Cmax)
Secondary Outcome Measures:
- PK variable for ethinyl estradiol and norethindrone (in plasma): tmax , t1/2 , Vz /F, and CL/F [ Time Frame: For Days 1 and 13: pre-dose and 12 times post dose; for Days 2, 3, 4, 5, 14, 15, 16, and 17: one time each day ] [ Designated as safety issue: No ]Time to attain Cmax (tmax) , apparent terminal elimination half-life (t1/2 ), apparent volume of distribution (Vz /F), apparent body clearance after oral dosing (CL/F)
- PK variable for isavuconazole (in plasma): Ctrough [ Time Frame: For Day 11: predose; for Days 12 and 13: predose and 12 times post dose; for Day 14 and 15: predose; and for Day 16: predose and 24 hours post dose ] [ Designated as safety issue: No ]trough concentration (Ctrough)
- PK variable for isavuconazole (in plasma): AUCtau, Cmax, and tmax [ Time Frame: For Days 12 and 13: predose and 12 times post dose ] [ Designated as safety issue: No ]Area under the concentration-time curve during the time interval between consecutive dosing (AUCtau)
- Safety assessed by recording adverse events, laboratory assessments, vital signs, electrocardiograms (ECGs) [ Time Frame: Day 1 through Day 24 ± 2 days ] [ Designated as safety issue: Yes ]
| Enrollment: | 24 |
| Study Start Date: | April 2012 |
| Study Completion Date: | June 2012 |
| Primary Completion Date: | June 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Isavuconazole and oral contraceptive
Arm description(as needed): Subjects receive single dose of oral contraceptive consisting of ethinyl estradiol and norethindrone on Days 1 and 13 and oral doses of isavuconazole every 8 hours on Days 9 and 10 followed by a once a day dose in the mornings on Days 11 through 16.
|
Drug: isavuconazole
oral
Other Names:
Drug: Oral Contraceptive (ethinyl estradiol / norethindrone)
contraceptive pill consisting of ethinyl estradiol and norethindrone
Other Name: Ortho-Novum
|
Eligibility| Ages Eligible for Study: | 50 Years to 65 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Criteria
Inclusion Criteria:
- The subject has a body weight of at least 45 kg and has a body mass index (BMI) of 18 to 32 kg/m2, inclusive
- Results for aspartate aminotransferase (AST), alanine aminotransferase (ALT), and total bilirubim must not be above upper limit of normal range
- The subject must be postmenopausal, defined as at least 2 years since the last regular menstrual cycle and have follicle stimulating hormone (FSH) > 30 IU/L
Exclusion Criteria:
- The subject has had treatment with hormone replacement therapy within 3 months prior to Day -1
- The subject has a history of adverse events with taking oral contraceptives or hormone replacement therapy
- The subject has a history of unexplained syncope, cardiac arrest, unexplained cardiac arrhythmia or torsade de pointes, structural heart disease, or family history of Long QT syndrome (suggested by sudden death of a close relative at a young age due to possible or probable cardiac causes)
- The subject has a positive result for hepatitis C antibodies or hepatitis B surface antigen at Screening or is known to be positive for human immunodeficiency virus (HIV)
- The subject has a known or suspected allergy to any of the components of the trial products or the azole class of compounds, or a history of multiple and/or severe allergies to drugs or foods (as judged by the investigator), or a history of severe anaphylactic reactions
- The subject is a smoker (any use of tobacco or nicotine containing products) within 6 months prior to Screening
- The subject has had treatment with prescription drugs or complementary and alternative medicines within 14 days prior to Day -1, or over-the-counter medications within 1 week prior to Day -1, with the exception of acetaminophen up to 2 g/day
- The subject has a recent history (within the last 2 years) of drug or alcohol abuse, as defined by the investigator, or a positive drug and/or alcohol screen
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01597986
Locations
| United States, Florida | |
| Clinical Pharmacology of Miami | |
| Miami, Florida, United States, 33014 | |
Sponsors and Collaborators
Astellas Pharma Global Development, Inc.
Basilea Pharmaceutica International Ltd
Investigators
| Study Director: | Medical Director | Astellas Pharma Global Development |
More Information
No publications provided
| Responsible Party: | Astellas Pharma Inc ( Astellas Pharma Global Development, Inc. ) |
| ClinicalTrials.gov Identifier: | NCT01597986 History of Changes |
| Other Study ID Numbers: | 9766-CL-0031 |
| Study First Received: | May 7, 2012 |
| Last Updated: | July 12, 2012 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Astellas Pharma Inc:
|
isavuconazole ethinyl estradiol norethindrone contraceptive |
Healthy Volunteers BAL8557 BAL4815 |
Additional relevant MeSH terms:
|
Contraceptive Agents Estradiol valerate Estradiol 3-benzoate Estradiol 17 beta-cypionate Norethindrone Norethindrone acetate Norinyl Ethynylestradiol mixture with norethindrone Contraceptives, Oral Estradiol Polyestradiol phosphate Ethinyl Estradiol Mestranol |
Reproductive Control Agents Physiological Effects of Drugs Pharmacologic Actions Therapeutic Uses Contraceptive Agents, Female Estrogens Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Contraceptives, Oral, Synthetic Contraceptives, Oral, Combined Contraceptives, Oral, Hormonal Contraceptives, Oral, Sequential |
ClinicalTrials.gov processed this record on June 18, 2013