Contraceptive Usage Clinical Trial
Official title:
A Phase I Study to Evaluate the Pharmacokinetic and Pharmacodynamic Profile of a Single Injection of Levonorgestrel Butanoate (LB) for Female Contraception
To evaluate the levonorgestrel (LNG) pharmacokinetic (PK) profile following injection of a single 20 mg dose of levonorgestrel butanoate (LB).
This is a Phase I single center, open-label, single dose pharmacokinetic and pharmacodynamic
study of an injectable formulation of levonorgestrel butanoate (LB) jointly developed by the
National Institute of Child Health and Human Development (NICHD) and CONRAD, and
manufactured by Coldstream Laboratories, Inc. Healthy normal weight and obese women will be
followed as outpatients for up to eight months. During this study, subjects will undergo a
screening cycle to confirm normal ovulatory function, and then receive active treatment with
a single injection of LB. They will undergo frequent evaluations to obtain serum samples to
evaluate drug levels and ovulatory function, as well as transvaginal ultrasound and cervical
mucus evaluation at selected visits. Follow up will continue until normal ovulatory cycles
resume. Based upon detailed studies in non-human primates, it is expected that most subjects
will resume menstrual cyclicity within 12- 26 weeks following the injection. Subjects will
continue to be followed for one normal cycle after return of menses. This study will be
conducted by the NICHD at one of the Contraceptive Clinical Trials Network (CCTN) sites
(Oregon Health & Science University, (OHSU)) in the USA and will enroll approximately 16
women.
This study will enroll approximately 16 subjects that demonstrate favorable cervical mucus
and normal ovulatory function during a baseline cycle. Enrollment will be stratified to
ensure that 50% of the subjects have a BMI >32 kg/m2 and <40 kg/m2 and approximately 50% of
subjects have a BMI <32 kg/m2.
;
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
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