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Healthy Female ParticipantsPhase 1NCT04131517

A Study to Test the Interaction of Padsevonil With Oral Contraceptives in Healthy Female Participants

A Phase 1 study testing Padsevonil and Microgynon 30® in people with Healthy Female Participants, run by UCB Biopharma SRL at 1 site in United Kingdom.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of the study is to investigate the effect of steady-state padsevonil on the pharmacokinetic of a single dose oral contraceptive. Read more about this study

Who is it for?
Ages 18 years and older, women onlyHealthy volunteers can take part
Conditions the study is for
Healthy Female Participants
What is being tested?
Padsevonil and Microgynon 30®
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
14 participants
Where
1 siteUnited Kingdom
Study dates
23 Oct 2019to 22 May 2020
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Participant must be aged 18 years of age or greater, at the time of signing the informed consent
  • Participant must be a premenopausal female with no indication of abnormal or gestational/lactational hypothalamic-pituitary-ovarian function. Menopause will be defined for the purpose of this study as amenorrhea of ≥12 months for which no other reason has been identified
  • Participant must not be pregnant or breastfeeding. Participant must agree to use an effective form of contraception (other than hormonal methods) for the duration of the Treatment Period and for at least 90 days (or 5 terminal half-lives) after the last dose of study medication
  • Participant must be in good physical and mental health as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring
  • Participant must have body weight of at least 45 kg and body mass index within the range 18 to 30 kg/m^2 (inclusive)

Who cannot join

  • Participant has a history of discontinued use of oral contraceptives (OC) for medical reasons
  • Participant has any medical reason that would contraindicate the administration of OC (per label)
  • Participant has used any of the following within the specified time period prior to first dose of study medication:
  • Oral contraceptive or oral hormone replacement therapy within prior 30 days
  • Implanted hormonal contraceptives within prior 6 months
  • Injectable contraceptives within prior 12 months
Show all 13Show fewer
  • Topical controlled-delivery contraceptives within prior 3 months
  • Hormone-releasing intrauterine devices ('coils') within prior 3 months
  • Participant has other relevant gynecological disorders (such as premature ovarian failure or endometriosis)
  • Participant has any clinically relevant electrocardiogram (ECG) finding at the Screening Visit or at Baseline (Day -1) that, in the opinion of the Investigator, increases the risks associated with participating in the study. In addition, any study participant with any of the following findings will be excluded:
  • QT interval corrected for heart rate using Bazett's formula (QTcB) or Fridericia's formula (QTcF) >450 ms in 2 of 3 ECG recordings;
  • other conduction abnormalities (defined as PR interval ≥220 ms);
  • irregular rhythms other than sinus arrhythmia or occasional, rare supraventricular or rare ventricular ectopic beats. In case of an out-of-range result, 1 repeat will be allowed. If the result is out-of-range again, the study participant cannot be included

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Up0035 001

    London

Other trials in United Kingdom

About this study

Official title: An Open-Label, Randomized, Two-Way Crossover Study to Investigate the Potential Pharmacokinetic Interaction of Padsevonil With Oral Contraceptives in Healthy Female Participants

The purpose of the study is to investigate the effect of steady-state padsevonil on the pharmacokinetic of a single dose oral contraceptive.

Being tested
Padsevonil, Microgynon 30®
Keywords
Padsevonil, Contraceptives, Healthy female participants

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PadsevonilDrug

    Study Medication: Padsevonil Dosage formulation: Oral tablets; 400 mg BID (Part 1) and 200 mg BID (Part 2)

  • Microgynon 30®Drug

    Study Medication: Microgynon 30® Dosage formulation: Oral tablets Dose: Ethinyl estradiol 30 µg + levonorgestrel 150 µg

Study groups in NCT04131517
Study groupRoleWhat they receive
Oral contraceptiveExperimentalParticipants will receive oral contraceptive in Period 2 of Sequence A and Period 1 of Sequence B of Part 1 and Part 2.
Receives: Drug: Microgynon 30®
Oral contraceptive + padsevonilExperimentalParticipants will receive padsevonil + oral contraceptive in Period 1 of Sequence A and Period 2 of Sequence B of Part 1 and Part 2.
Receives: Drug: Padsevonil; Drug: Microgynon 30®

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Maximum Observed Plasma Concentration (Cmax) of Ethinylestradiol in Part 1

    Cmax is maximum observed plasma concentration of ethinylestradiol (EE). Values were determined from the observed concentration and time data. This outcome measure was planned to be analyzed for 'Oral Contraceptive Alone' and 'PSL + Oral Contraceptive' arms.

    Measured: Day 13, 14, 15, 34, 35, 36 during Treatment Sequence A and on Day 1, 2, 3, 30, 31 and 32 during Treatment Sequence B

  2. Maximum Observed Plasma Concentration (Cmax) of Levonorgestrel in Part 1

    Cmax is maximum observed plasma concentration of levonorgestrel. Values were determined from the observed concentration and time data. This outcome measure was planned to be analyzed for 'Oral Contraceptive Alone' and 'PSL + Oral Contraceptive' arms.

    Measured: Day 13, 14, 15, 34, 35, 36 during Treatment Sequence A and on Day 1, 2, 3, 30, 31 and 32 during Treatment Sequence B

  3. Maximum Observed Plasma Concentration (Cmax) of Ethinylestradiol in Part 2

    Cmax is maximum observed plasma concentration of ethinylestradiol.

    Measured: Day 9, 10, 11, 26, 27 and 28 during Treatment Sequence A and on Day 1, 2, 3, 26, 27 and 28 during Treatment Sequence B

  4. Maximum Observed Plasma Concentration (Cmax) of Levonorgestrel in Part 2

    Cmax is maximum observed plasma concentration of levonorgestrel.

    Measured: Day 9, 10, 11, 26, 27 and 28 during Treatment Sequence A and on Day 1, 2, 3, 26, 27 and 28 during Treatment Sequence B

  5. Area Under the Concentration-time Curve From Time 0 to Infinity (AUC[0-inf]) of Ethinylestradiol in Part 1

    Area under the concentration time curve from time 0 extrapolated to infinity for ethinylestradiol was reported. This outcome measure was planned to be analyzed for 'Oral Contraceptive Alone' and 'PSL + Oral Contraceptive' arms.

    Measured: Day 13, 14, 15, 34, 35, 36 during Treatment Sequence A and on Day 1, 2, 3, 30, 31 and 32 during Treatment Sequence B

  6. Area Under the Concentration-time Curve From Time 0 to Infinity (AUC[0-inf]) of Levonorgestrel in Part 1

    AUC0-inf is the area under the concentration time curve from time 0 extrapolated to infinity for levonorgestrel was reported. This outcome measure was planned to be analyzed for 'Oral Contraceptive Alone' and 'PSL + Oral Contraceptive' arms.

    Measured: Day 13, 14, 15, 34, 35, 36 during Treatment Sequence A and on Day 1, 2, 3, 30, 31 and 32 during Treatment Sequence B

  7. Area Under the Concentration-time Curve From Time 0 to Infinity (AUC[0-inf]) of Ethinylestradiol in Part 2

    AUC0-inf is the area under the concentration time curve from time 0 extrapolated to infinity of ethinylestradiol.

    Measured: Day 9, 10, 11, 26, 27 and 28 during Treatment Sequence A and on Day 1, 2, 3, 26, 27 and 28 during Treatment Sequence B

  8. Area Under the Concentration-time Curve From Time 0 to Infinity (AUC[0-inf]) of Levonorgestrel in Part 2

    AUC0-inf is the area under the concentration time curve from time 0 extrapolated to infinity of levonorgestrel.

    Measured: Day 9, 10, 11, 26, 27 and 28 during Treatment Sequence A and on Day 1, 2, 3, 26, 27 and 28 during Treatment Sequence B

Secondary outcomes (8)
  1. Percentage of Participants With Treatment-emergent Adverse Events (TEAEs) in Part 1

    An adverse event (AE) was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. TEAEs were defined as AEs with a start date/time on or after the first dose of study medication (OC or PSL) or any unresolved event already present before administration of study medication that worsened in intensity following exposure to the treatment.

    Measured: From Baseline up to Safety Follow-Up during Treatment Sequences A and B (up to Day 46)

  2. Percentage of Participants With Serious TEAEs in Part 1

    Serious AEs were defined as any untoward medical occurrence that resulted in death, is life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent disability, is a congenital anomaly, or is an important medical event which based on medical or scientific judgement may jeopardize the participants, or may require medical or surgical intervention to prevent any of the above.

    Measured: From Baseline up to Safety Follow-Up during Treatment Sequences A and B (up to Day 46)

  3. Percentage of Participants With TEAEs in Part 2

    An AE was any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. TEAEs were defined as AEs with a start date/time on or after the first dose of study medication (OC or PSL) or any unresolved event already present before administration of study medication that worsened in intensity following exposure to the treatment.

    Measured: From Baseline up to Safety Follow-Up during Treatment Sequences A and B (up to Day 42)

  4. Percentage of Participants With Serious TEAEs in Part 2

    Serious AEs were defined as any untoward medical occurrence that resulted in death, is life threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent disability, is a congenital anomaly, or is an important medical event which based on medical or scientific judgement may jeopardize the participants, or may require medical or surgical intervention to prevent any of the above.

    Measured: From Baseline up to Safety Follow-Up during Treatment Sequences A and B (up to Day 42)

  5. Steady State Plasma Concentration (Cmax,ss) of Padsevonil in Part 1

    Maximum observed plasma concentration of padsevonil at steady-state was reported. This outcome measure was planned to be analyzed for 'PSL + Oral contraceptive' and 'PSL Alone' arms.

    Measured: Day 12 and 13 (Sequence A) and Day 29 and 30 (Sequence B)

  6. Steady State Plasma Concentration (Cmax,ss) of Padsevonil in Part 2

    Cmax,ss is the steady state plasma concentration of padsevonil.

    Measured: Day 8 and 9 (Sequence A) and Day 25 and 26 (Sequence B)

  7. Area Under the Concentration-time Curve From Time 0 to Time Tau (AUC[0-tau]) of Padsevonil in Part 1

    Area under the concentration-time curve over a dosing interval from time 0 to tau for padsevonil was reported. This outcome measure was planned to be analyzed for 'PSL + Oral contraceptive' and 'PSL Alone' arms.

    Measured: Day 12 and 13 (Sequence A) and Day 29 and 30 (Sequence B)

  8. Area Under the Concentration-time Curve From Time 0 to Time Tau (AUC[0-tau]) of Padsevonil in Part 2

    AUC0-tau is area under the concentration-time curve over a dosing interval from time 0 to tau of padsevonil.

    Measured: Day 8 and 9 (Sequence A) and Day 25 and 26 (Sequence B)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Oct 2019
  2. Study start23 Oct 2019
  3. Primary completion22 May 2020
  4. Study completion22 May 2020

Why it stopped: Based on available data, UCB has decided to stop development of padsevonil as adjunctive treatment of focal-onset seizures

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
14 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04131517
Sponsor's protocol ID
UP0035
Other IDs
2019-002194-54, 2019
Status last verified
Jun 2021
First submitted
16 Oct 2019
Last updated
24 Jun 2021
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: Due to the small sample size in this trial, Individual Patient Data cannot be adequately anonymized and there is a reasonable likelihood that individual participants could be re-identified. For this reason, data from this trial cannot be shared.

Publications

  • Chanteux H, MacPherson M, Kramer H, Otoul C, Okagaki T, Rospo C, De Bruyn S, Watling M, Bani M, Sciberras D. Overview of preclinical and clinical studies investigating pharmacokinetics and drug-drug interactions of padsevonil. Expert Opin Drug Metab Toxicol. 2024 Aug;20(8):841-855. doi: 10.1080/17425255.2024.2373108. Epub 2024 Jul 9.

    PubMed 38932723

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Padsevonil and Microgynon 30® in people with Healthy Female Participants, run by UCB Biopharma SRL at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 24 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Jun 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum Observed Plasma Concentration (Cmax) of Ethinylestradiol in Part 1 (time frame: Day 13, 14, 15, 34, 35, 36 during Treatment Sequence A and on Day 1, 2, 3, 30, 31 and 32 during Treatment Sequence B). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04131517, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jun 2021.

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