| Eligibility |
Inclusion Criteria:
1. Must be able, and willing, to sign Informed Consent Form prior to study participation
in accordance with legal requirements.
2. Females (18 to 40 years of age, inclusive) without uncontrolled concomitant disease at
Baseline Visit.
3. Have a regular menstrual cycle that is 24-32 days in duration.
4. Body Mass Index (BMI) of 18 kg/m2 to 30 kg/m2.
5. Will not be at risk for pregnancy, subjects must agree to consistently use reliable
non-hormonal contraceptive methods (spermicide-coated condoms, male partner's
sterilization via vasectomy, or sexual abstinence), or be in a same-sex relationship
from screening through study completion, or be surgically sterilized by bilateral
tubal ligation. -
6. Subjects must be in good physical and mental health as determined by vital signs,
medical history.
7. Subjects must have a Blood Pressure reading in a sitting position, between 90-140 mmHg
(systolic) and 50-90 mmHg (diastolic) and pulse rate between 50 and 100 bpm.
8. Be at least 3 months after a delivery or abortion.
9. Willing to abstain from vaginal products e.g., tampons, intravaginal medications etc.
during the ring wear period for the study duration except water based vaginal
lubricants/spermicides.
Exclusion Criteria:
1. Pregnancy, a positive serum ß-hCG pregnancy test at screening or lactation.
2. Use of tobacco- or nicotine-containing products (e.g., cigarette, pipe, cigar,
chewing, vaping, nicotine patch, or nicotine gum) within 6 months prior to check-in on
Day -1.
3. Have a history of cervical carcinoma or other carcinomas of the vagina or vulva.
4. Have a history of breast cancer or any hormonally sensitive cancer.
5. Subjects with abnormal pap smears that require colposcopic evaluations as defined by
the fourth American Society of Colposcopy and Cervical Pathology (ASCCP) sponsored
guidelines for management of cervical cancer abnormalities during the next 6 months
are excluded until they have undergone colposcopic evaluation which has determined
that a cervical procedure is not necessary during the 6 months following the
colposcopy.
6. History of thrombophlebitis, venous or arterial thromboembolic diseases (thrombosis,
pulmonary embolism, stroke or myocardial infarction).
7. Any known severe neurological, gastrointestinal, hepatic or other disease that might
interfere with the intake of an investigational drug or any study condition.
8. Clinically relevant findings from serum biochemistry and hematology and HBsAg and C
Virus/HlV serology as evaluated by the investigator.
9. Clinically relevant/significant electrocardiogram (ECG) findings.
10. Additional contraindications related to the use of ethinyl estradiol (EE), or hormonal
contraceptives including women with a high risk of arterial or venous thrombotic
diseases. Examples include women who are known to:
1. Have cerebrovascular disease
2. Have coronary artery disease
3. Have thrombogenic valvular or thrombogenic rhythm diseases of the heart (for
example, subacute bacterial endocarditis with valvular disease, or atrial
fibrillation)
4. Have inherited or acquired hypercoagulopathies
5. Have uncontrolled hypertension
6. Have diabetes mellitus with vascular disease
7. Have headaches with focal neurological symptoms or migraine headaches with aura
11. History of migraine with focal neurological symptoms.
12. Known hereditary or acquired predisposition for venous and/or arterial thromboembolism
(e.g., activated protein C [APC] resistance, anti-cardiolipin antibodies).
13. Less than 2 weeks remobilization after major surgery or prolonged immobilization
14. Alcohol, drug, or medicine abuse, or suspicion thereof.
15. Known allergy to any ingredient of the investigational drug.
16. Use of long-acting injectable or implant hormonal therapy. A washout period of 10
months and two regular cycles is required for long-acting injectable contraceptive
therapy or implant hormonal therapy (e.g., depo-medroxyprogesterone) prior to the
start of screening.
17. Use of hormonal or non-hormonal IUDs within 30 days prior to the start of screening.
18. Participation in another clinical trial at same time or within the preceding three
months
19. Not fulfilling study specific requirements at screening.
20. Subjects desire to become pregnant during the Study.
21. Undiagnosed vaginal discharge/bleeding, vaginal lesions/ abnormalities or undiagnosed
abnormal uterine bleeding. Subjects suspected of having a vaginal infection (e.g.,
chlamydia, gonococcus, yeast, trichomoniasis, or bacterial vaginosis, etc.) may be
enrolled after treatment and subsequent negative test results; partner treatment is
also recommended (as per treatment guidelines).
22. Regular intake or use of the following medication:
1. any drugs that might interfere with the investigational drug.
2. any hormonal preparation 30 days prior to the start of screening (except for
treatment for thyroid disorders under control).
3. any drugs known to induce liver enzymes (e.g., rifampicin, dexamethasone,
barbiturates, anticonvulsants, St. John's Wort).
4. any drugs known to inhibit CYP 3A4 (e.g. ketoconazole, verapamil, cimetidine,
macrolides).
5. any broad-spectrum antibiotics.
6. use of Hepatitis C drug combinations containing
ombitasvir/paritaprevir/ritonavir, with or without dasabuvir, due to potential
for ALT evevations
|
