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ContraceptionPhase 2NCT06048536

Dose-finding Study of MR-130A-01 Contraceptive Transdermal Patch

A Phase 2 study testing MR-130A-01 Transdermal patch in people with Contraception, run by Mylan Pharmaceuticals Inc at 1 site in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A single-center, randomized, open-label, parallel-group, multi-arm, phase II clinical trial in healthy women aged 18 to 35 years who have a documented ovulatory cycle prior to randomization. Read more about this study

Who is it for?
Ages 18 to 35 years, women onlyHealthy volunteers can take part
Conditions the study is for
Contraception
What is being tested?
MR-130A-01 Transdermal patch
Could I receive a placebo?
No, everyone receives an active treatment
How many people
168 participants
Where
1 siteGermany
Study dates
22 Dec 2023to 18 Jan 2024
Phase
Phase 2
Are there results?
None posted in the registry

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 to 35 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy, post-menarcheal and premenopausal women of age 18 to 35 years inclusive).
  • BMI ≥18.0 kg/m2 at screening examination.
  • Subjects must be in good physical and mental health as determined by vital signs, medical history, and physical and gynecological examination, as assessed by the investigator.
  • Written informed consent, after having been informed about benefits and potential risks of the clinical trial, as well as details of the insurance taken out to cover the subject participating in the clinical trial.
  • Status at least 3 months after a delivery, abortion, and stopping lactation, if applicable, before screening.
  • Has regular menstrual cycles that are between 21 and 35 days in duration as reported by the subject during anamnesis, with an intact uterus and ovaries. If the subject uses hormonal birth control at screening, historic data should be used to evaluate this criterion.
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  • Both ovaries must be visible on TVUS examination during screening.
  • Ovulatory pre-treatment cycle, as confirmed by a progesterone concentration >10.0 nmol/L.
  • Subjects must consent to use reliable non-hormonal contraceptive methods (male condoms, diaphragm, or heterosexual abstinence) throughout the study, unless the subject has a history of female sterilization or sterilization of the sexual partner.

Who cannot join

  • Known hypersensitivity or intolerance to any ingredient of the investigational product.
  • History or presence of dermal sensitivity to medicated patches or to topical applications including bandages, surgical tape.
  • Pregnancy or a positive serum beta human chorionic gonadotropin (β-hCG) pregnancy test at screening.
  • Clinically relevant abnormal findings from serum biochemistry and hematology and HBsAg and Hepatitis C virus/human immunodeficiency virus (HIV) serology as evaluated by the investigator.
  • ASAT (aspartate-aminotransferase) > 20 % upper limit of normal (ULN), ALAT (alanine-aminotransferase) > 10 % ULN, bilirubin > 20% ULN (except in case of existing Morbus Gilbert-Meulengracht deduced from anamnesis/medical history) and creatinine > 0.1 mg/dL ULN (limit of > 0.1 mg/dL corresponds to > 9 μmol/l ULN).
  • Use of a non-hormonal intra-uterine device within the pre-treatment cycle or any hormonal contraception as follows:
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  • Short-acting hormonal contraceptives such as oral, patch, ring or intra-uterine systems within the menstrual cycle prior to the pre-treatment cycle.
  • Injectable (intramuscularly or subcutaneously) within 10 months (three-month treatment duration), 6 months (two-month treatment duration) or 3 months (one-month treatment duration) prior to the start of pre-treatment cycle or implants within the menstrual cycle prior to the pre-treatment cycle.
  • Known or suspected malignancy or history thereof.
  • Has unexplained vaginal bleeding within the past 6 months suspicious for serious condition, or any abnormal bleeding which is expected to recur during the study (eg. bleeding from cervical polyp, recurrent bleeding after sex).
  • History or presence of ischemic heart disease, coronary artery disease, myocardial infarction, stroke, other cerebrovascular diseases including transient ischemic attacks (TIAs).
  • Known dyslipidemias with other known cardiovascular risk factors.
  • History or presence of hypertension (including adequately controlled hypertension) or hypertension with vascular disease or elevated blood pressure (BP) defined as systolic BP ≥140 mm Hg or diastolic BP ≥90 mm Hg, measured in sitting position after at least 5 minutes of rest (a single reading of blood pressure level is not sufficient to classify a woman as hypertensive).
  • Pulse rate < 50 bpm or > 90 bpm
  • Presence of deep vein thrombosis/pulmonary embolism.
  • Has any comorbid condition that may require major surgery with prolonged immobilization during the study period.
  • History or presence of migraine with aura.
  • Presence of liver disease including severe (decompensated) cirrhosis, benign (e.g., hepatocellular adenoma) or malignant liver tumors.
  • Chronic disease potentially necessitating organ transplantation during the anticipated course of the study.
  • Subjects having any other known contraindication to progestin only contraception as defined by category 3 or 4 conditions per World Health Organization Medical eligibility

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • dinox GmbH

    Berlin

Other trials in Germany

About this study

Official title: An Open-label, Phase II, Dose-finding Study of Three Dose Strengths of MR-130A-01 Contraceptive Transdermal Patch in Healthy Pre-menopausal Women

A single-center, randomized, open-label, parallel-group, multi-arm, phase II clinical trial in healthy women aged 18 to 35 years who have a documented ovulatory cycle prior to randomization.

Read the detailed description

MR-130A-01 is a progestin-only TDS containing NGMN as its progestin. NGMN is currently available in combination with EE in CHC TDSs Xulane® (US) and Evra® (EU), at doses of 150 mcg/day (Xulane® USPI 2022) and 203 mcg/day (Evra®SmPC 2022) respectively. In the currently planned dose-finding clinical trial the ovulation inhibition and the impact on further physiological functions and hormones of the three dose strengths of MR-130A-01 will be investigated in healthy pre-menopausal obese and non-obese women with ovulatory menstrual cycles. Eligible subjects will be randomized according to their body mass index (BMI) into one of 7 treatment arms with different doses and regimens of IMP administration. The IMPs which are transdermal patches, will be applied to the skin (upper outer arm, abdomen, buttock or back) and will be changed weekly. Depending on the treatment arm, either 4 or 3 patches of an allocated patch strength will be applied per cycle (28/0-day regimen and 21/7-day regimen). Patch adhesion will be assessed by the subjects daily and the results (adhesion scores) will be recorded in a diary. Throughout the clinical trial, ovarian activity will be monitored by TVUS, and blood samples will be collected for determination of progesterone (P), estradiol (E2), LH and FSH concentrations. The inhibition of ovulation will be assessed by Hoogland and Skouby Score (HSS). In addition, bleeding pattern will be assessed based on the subject's records of bleeding and its intensity in a diary.

Conditions
Contraception
Being tested
MR-130A-01 Transdermal patch

What participants receive

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

  • MR-130A-01 Transdermal patchDrug

    MR-130A-01 transdermal patch, containing 2.43 mg Norelgestromin, will be worn 28 days per cycle with no patch free period.

  • MR-130A-01 Transdermal patchDrug

    MR-130A-01 transdermal patch, containing 3.64 mg Norelgestromin, will be worn 28 days per cycle with no patch free period.

  • MR-130A-01 Transdermal patchDrug

    MR-130A-01 transdermal patch containing 4.86 mg Norelgestromin, will be worn 28 days per cycle with no patch free period

  • MR-130A-01 Transdermal patchDrug

    MR-130A-01 Transdermal patch MR-130A-01 transdermal patch containing 4.86 mg Norelgestromin, will be worn 21 days with a 7-day patch free period.

Study groups in NCT06048536
Study groupRoleWhat they receive
Norelgestromin low dose 2.43mg 28/0 regimen non-ObeseExperimentalNot described
Receives: Drug: MR-130A-01 Transdermal patch
Norelgestromin mid dose 3.64mg 28/0 regimen non-ObeseExperimentalNot described
Receives: Drug: MR-130A-01 Transdermal patch
Norelgestromin high dose 4.86mg 28/0 regimen non-ObeseExperimentalNot described
Receives: Drug: MR-130A-01 Transdermal patch
Norelgestromin high dose 4.86mg 21/7 regimen non-ObeseExperimentalNot described
Receives: Drug: MR-130A-01 Transdermal patch
Norelgestromin mid dose 3.64mg 28/0 regimen ObeseExperimentalNot described
Receives: Drug: MR-130A-01 Transdermal patch
Norelgestromin high dose 4.86mg 28/0 regimen ObeseExperimentalNot described
Receives: Drug: MR-130A-01 Transdermal patch
Norelgestromin high dose 4.86mg 21/7 regimen ObeseExperimentalNot described
Receives: Drug: MR-130A-01 Transdermal patch

What is being measured

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

  1. Proportion of responder overall (subjects with no ovulation in both treatment cycles)

    A responder is a subject with no ovulation. A responder is a subject with no ovulation. Ovulation during treatment is defined as a Hoogland-Skouby score 5 or 6 in combination with fulfilment of Landgren criterion.

    Measured: 56 days

  2. Proportion of responder in cycle (subjects with no ovulation in one of the treatment cycles)

    A responder is a subject with no ovulation. A responder is a subject with no ovulation. Ovulation during treatment is defined as a Hoogland-Skouby score 5 or 6 in combination with fulfilment of Landgren criterion.

    Measured: 56 days

Secondary outcomes (9)
  1. For assessment of ovarian activity, Hoogland and Skouby score frequency analysis will be provided for:

    • Subjects with either HSS 5 or 6
    • Subjects with HSS <5
    • Subjects for each HSS from 1 to 6
    • Subjects with HSS 5 or 6 and positive Landgren criterion
    • Subjects with HSS 5 or 6 and negative Landgren criterion.

    Frequency analysis will be provided per treatment arm for each of the treatment cycles.

    Measured: 56 days

  2. Corpus luteum function will be evaluated in subjects by using Landgren criteria in conjunction with Hoogland and Skouby score. Frequency analysis will be provided for:

    • Subjects with HSS 5 or 6 and positive Landgren criterion
    • Subjects with HSS 5 or 6 and negative Landgren criterion. Frequency analysis will be provided per treatment arm for each of the treatment cycles. Furthermore, frequency of occurrence of any Landgren criterion over both cycles will be calculated.

    Measured: 56 days

  3. The diameter of the largest FLS in both the right and left ovary will be measured (for each, the mean diameter from two directions). The largest of all follicles is considered the dominant FLS (FLSdom) for that study day.

    From this, the subject-wise maximum FLS diameter (MFD) will be calculated separately for each treatment cycle and over both cycles. The maximum endometrial thickness (ETmax) subject-wise will be calculated for each treatment cycle and for the entire treatment period using transvaginal ultrasound. This will be reported per visit and for each of the treatment cycles

    Measured: 56 days

  4. The effect of cervical mucus will be calculated by Insler score. The subject-wise maximum Insler score (ISmax) will be calculated for each treatment cycle and for the entire treatment period.

    Measured: 56 days

  5. To assess the effects of MR-130A-01 on sexual hormones(estradiol [E2], progesterone [P]) hormone concentrations determined in serum

    Descriptive statistics will be given per treatment arm for:

    Concentrations of FSH, LH, E2, and P at each visit

    • Max FSH, max LH, max E2, mean E2, max P in each treatment cycle and over both cycles

    Measured: 56 days

  6. Steady state concentration of NGMN and norgestrel will be calculated per treatment arm by means of non-compartmental analysis.

    Descriptive statistics (N, arithmetic means, SD, medians, minimum, maximum geometric means, geometric CV) will be presented for all pharmacokinetic parameters, separately for each treatment and analyte.

    Measured: 56 days

  7. Patch adhesion will be evaluated by both data subject diary and site personnel.

    Frequency analysis of patch adhesion scores will be provided per treatment arm

    • For each day of the application period of one patch (Day 1 to Day 7)
    • For the subject-wise mean and maximum application score over the entire application period of one patch (1 week).

    In addition, the following evaluations will be presented per treatment arm for each evaluation time-point (day/week):

    • Proportion of subjects achieving greater than 90% adherence (score 0)
    • Proportion of subjects with a meaningful degree of detachment (patch detachment ≥25% (estimated score ≥2)
    • Number of patches that are completely detached (score 4).

    Measured: 56 days

  8. Safety will be evaluated by TEAEs considering action taken, frequency, seriousness, intensity, relationship to the IMP, outcome as well as treatment.

    Evaluation will be described by absolute and relative frequency. Tolerability will be evaluated by application site reactions. Frequency analysis of skin irritation categories will be provided per treatment arm over the entire treatment period.

    Measured: 56 days

  9. Bleeding pattern will be assessed in each single subject over treatment cycle 1 and treatment cycle 2 (defined as 56-day reference period) by

    • Incidences (percentage of subjects) of unscheduled/scheduled bleeding and/or spotting episodes within the reference period
    • The mean, median and range of number of observed days of bleeding and/or spotting within the reference period
    • The observed days of bleeding and/or spotting within the reference period presented as total days, unscheduled days and scheduled days for bleeding and/or spotting, bleeding only and spotting only
    • Incidences (percentage of subjects) of complete absence of bleeding or spotting during the reference period.

    Measured: 56 days

Timeline

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

  1. First posted21 Sep 2023
  2. Study start22 Dec 2023
  3. Primary completion18 Jan 2024
  4. Study completion18 Jan 2024

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
168 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06048536
Sponsor's protocol ID
MR-130A-01-TD-2001
Status last verified
Nov 2024
First submitted
8 May 2023
Last updated
29 Nov 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing MR-130A-01 Transdermal patch in people with Contraception, run by Mylan Pharmaceuticals Inc at 1 site in Germany.

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 9 inclusion and 20 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: finished, as of the sponsor's last update on 29 Nov 2024. 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 Germany. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Proportion of responder overall (subjects with no ovulation in both treatment cycles) (time frame: 56 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 29 Nov 2024.

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Clinical Trial NCT06048536 | AzTrials