HIV InfectionsPhase 1NCT06310616
A Study to Investigate the Potential Drug-Drug Interaction Between VH4524184 and Oral Contraceptive (Loestrin) in Healthy Adult Female Participants
A Phase 1 study testing VH4524184 and Loestrin in people with HIV Infections, run by ViiV Healthcare at 1 site in United States.
Trial summary
This study aims to assess any impact of VH4524184 on the pharmacokinetic (PK) profile of an ethinyl estradiol (EE) and norethindrone acetate (NEA) containing oral contraceptive (OC) administered to healthy adult female participants. Read more about this study
- Who is it for?
- Ages 18 to 45 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- HIV Infections
- What is being tested?
- VH4524184 and Loestrin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 26 participants
- Where
- 1 siteUnited States
- Study dates
- 6 Mar 2024to 15 Aug 2024
- Phase
- Phase 1
- 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 45 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Healthy participants 18 to 45 years of age
- POCBP with intact ovarian function by medical history and history of regular menstrual cycles for the past 12
- Body weight greater than or equal to (≥) 45 kilograms (kg) and Body mass index (BMI) within the range of 18.5 to 32.0 kg/m2
- Female participants of childbearing potential must use approved highly effective non-hormonal forms of birth control.
- Capable of giving signed informed consent.
Who cannot join
- History or presence of clinical condition or disorder that could be capable of significantly altering the absorption, metabolism, or elimination of drugs.
- Lymphoma, leukemia, or any malignancy within the past 5 years with some exceptions
- Breast cancer or in remission within the past 10 years.
- Current or chronic history of liver disease or known hepatic or biliary abnormalities with some exceptions.
- Any personal and/or family history of thrombophilia or blood clots
- Medical history of cardiac arrhythmias or cardiac disease or a family and personal history of long QT syndrome.
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- History of seizure(s).
- Any known or suspected pre-existing psychiatric condition, including depression, anxiety, and/or insomnia/sleep disturbances.
- Subjects with history of drug hypersensitivity, delayed-type hypersensitivity, or severe hypersensitivity reactions, as well as history of sensitivity to the study interventions will be excluded.
- Participant is mentally or legally incapacitated.
- Prior/Concomitant Therapy
- Any warnings and contraindications that apply based on Loestrin prescribing information.
- Prior/Concurrent Clinical Study Experience
- Exposure to more than 4 new investigational products (including long-acting investigational products) within 12 months prior to the first dosing day.
- Current enrollment or past participation in another investigational study in which an investigational intervention was administered within the last 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer) before signing of consent (or screening) any other clinical study.
- Participant has donated or lost blood (>500 millilitres (mL)) or blood products within 2 months (56-day period) prior to Day -1 admission or has donated plasma within 30 days prior to first OC administration.
- Current enrollment or past participation in this clinical study. Unwillingness or inability to follow the procedures outlined in the protocol.
- Positive Human immunodeficiency virus 1 (HIV-1) antibody test.
- Pregnant at screening) or lactating.
- POCBP who are unwilling or unable to use an appropriate non-hormonal method of highly effective contraception from at least Day 1 of Treatment Period 1 until 14 days after the last dose of VH4524184.
- Regular alcohol consumption within 6 months prior to the study defined as an average weekly intake of >7 units for females. One unit is equivalent to 8 grams (g) of alcohol: a half-pint (~240 mL) of beer, 1 glass (125 mL) of wine or 1 (25 mL) measure of spirits.
- Regular use of known drugs of abuse.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Phase 1, Single-center, Open-label Study to Evaluate the Pharmacokinetics of Oral Contraceptive Containing Norethindrone and Ethinyl Estradiol (Loestrin) When Co-administered With VH4524184 in Healthy Adult Female Participants
This study aims to assess any impact of VH4524184 on the pharmacokinetic (PK) profile of an ethinyl estradiol (EE) and norethindrone acetate (NEA) containing oral contraceptive (OC) administered to healthy adult female participants.
- Conditions
- HIV Infections
- Being tested
- VH4524184, Loestrin
- Keywords
- HIV, Oral contraceptive, Pharmacokinetic, Ethinyl estradiol, Norethindrone acetate, Potential drug-drug interaction, Healthy adult female participants
- Medical subject headings
- HIV Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VH4524184Drug
VH4524184 will be administered.
LoestrinDrug
Loestrin will be administered.
| Study group | Role | What they receive |
|---|---|---|
| Loestrin + VH4524184 | Experimental | Eligible participants entering a run-in period of 21 days (Days -28 through -8) will receive Loestrin (EE and NEA) to stabilize on the combined OCs containing EE and NEA to synchronize the menstrual cycles of multiple participants. Participants completing the run-in period will enter Treatment Period 1 and will be administered Loestrin once daily from Days 1 to 10. On Day 11, participants will enter Treatment Period 2 and will be administered Loestrin + VH4524184 once daily from Days 11 to 20. Receives: Drug: VH4524184; Drug: Loestrin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Area under the concentration-time curve (AUC) from time zero (pre-dose) to the end of the dosing interval at steady state (AUC0-Tau, ss) of EE and NEA without coadministration with VH4524184
Blood samples will be collected at indicated timepoint for plasma EE and NEA PK analysis.
Measured: On Day 10
AUC0-Tau, ss of EE and NEA with coadministration with VH4524184
Blood samples will be collected at indicated timepoint for plasma EE and NEA PK analysis.
Measured: On Day 20
Maximum plasma concentration (Cmax) for EE and NEA without coadministration with VH4524184
Blood samples will be collected at indicated timepoint for plasma EE and NEA PK analysis.
Measured: On Day 10
Cmax for EE and NEA with coadministration with VH4524184
Blood samples will be collected at indicated timepoint for plasma EE and NEA PK analysis.
Measured: On Day 20
Secondary outcomes (10)
Number of participants with adverse events (AEs) and severity of AEs
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention.
Measured: From Day -28 (Run-In-Period) up to approximately 2 months (Day 28 +/- 3 days)
Number of participants with AEs leading to discontinuation of study intervention
Measured: Throughout the study treatment period (from Day -28 up to Day 20)
Change from baseline of liver panel laboratory parameters: Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Alkaline Phosphatase (ASP) (International units per liter)
Measured: Baseline (Day -28) up to Day 21
Change from baseline of liver panel laboratory parameters: Total bilirubin, Direct bilirubin (Micromoles per liter [umol/L])
Measured: Baseline (Day -28) up to Day 21
Change from baseline of liver panel laboratory parameters: International normalized ratio (INR) (Ratio)
Measured: Baseline (Day -28) up to Day 21
Number of participants with maximum toxicity grade increase from baseline of liver panel laboratory parameters: ALT, AST, alkaline phosphatase, total bilirubin, Direct bilirubin, and INR
Measured: Baseline (Day -28) up to Day 21
Maximum plasma concentration at steady state (Cmax,ss) for VH4524184
Blood samples will be collected at indicated timepoint for plasma VH4524184 PK analysis.
Measured: On Day 20
Time to maximum concentration at steady state (Tmax, ss) during dosing interval for VH4524184
Blood samples will be collected at indicated timepoint for plasma VH4524184 PK analysis.
Measured: On Day 20
Area under the concentration-time curve from time zero(pre-dose) to the end of the dosing interval at steady state (AUC0-Tau, ss) for VH4524184
Blood samples will be collected at indicated timepoint for plasma VH4524184 PK analysis.
Measured: On Day 20
Trough concentration prior to the next dose (Ctrough) for VH4524184
Blood samples will be collected at indicated timepoints for plasma VH4524184 PK analysis.
Measured: On Day 12, Day 16, and Day 20
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Mar 2024
- Study start6 Mar 2024
- Primary completion15 Aug 2024
- Study completion15 Aug 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HIV InfectionsStudies of the same condition, open and under way.
- More trials run by ViiV HealthcareThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 26 participants (actual)
Sponsor and investigators
- Lead sponsor
- ViiV Healthcare
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06310616
- Sponsor's protocol ID
- 219888
- Status last verified
- Dec 2024
- First submitted
- 1 Mar 2024
- Last updated
- 10 Dec 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Qualified researchers may request access to anonymized individual patient-level data (IPD) and related study documents of the eligible studies via the Data Sharing Portal. Details on GSK's data sharing criteria can be found at: https://www.gsk.com/en-gb/innovation/trials/data-transparency/
Study at a glance
From the registry record, last updated by the sponsor on 10 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1, Single-center, Open-label Study to Evaluate the Pharmacokinetics of Oral Contraceptive Containing Norethindrone and Ethinyl Estradiol (Loestrin) When Co-administered With VH4524184 in Healthy Adult Female Participants
- ClinicalTrials.gov ID
- NCT06310616
- Acronym / sponsor ID
- 219888
- Conditions
- HIV Infections
- Keywords
- HIV, Oral contraceptive, Pharmacokinetic, Ethinyl estradiol, Norethindrone acetate, Potential drug-drug interaction, Healthy adult female participants
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 26 participants (actual)
- Lead sponsor
- ViiV HealthcareIndustry (pharma, biotech, devices)
- Study start
- 6 Mar 2024 (actual)
- Primary completion
- 15 Aug 2024 (actual)
- Study completion
- 15 Aug 2024 (actual)
- First posted
- 15 Mar 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to assess any impact of VH4524184 on the pharmacokinetic (PK) profile of an ethinyl estradiol (EE) and norethindrone acetate (NEA) containing oral contraceptive (OC) administered to healthy adult female participants.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Loestrin + VH4524184 | Experimental | Drug: VH4524184, Drug: LoestrinEligible participants entering a run-in period of 21 days (Days -28 through -8) will receive Loestrin (EE and NEA) to stabilize on the combined OCs containing EE and NEA to synchronize the menstrual cycles of multiple participants. Participants completing the run-in period will enter Treatment Period 1 and will be administered Loestrin once daily from Days 1 to 10. On Day 11, participants will enter Treatment Period 2 and will be administered Loestrin + VH4524184 once daily from Days 11 to 20. |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Healthy participants 18 to 45 years of age
- POCBP with intact ovarian function by medical history and history of regular menstrual cycles for the past 12
- Body weight greater than or equal to (≥) 45 kilograms (kg) and Body mass index (BMI) within the range of 18.5 to 32.0 kg/m2
- Female participants of childbearing potential must use approved highly effective non-hormonal forms of birth control.
- Capable of giving signed informed consent.
Key exclusion criteria (22 listed)
- History or presence of clinical condition or disorder that could be capable of significantly altering the absorption, metabolism, or elimination of drugs.
- Lymphoma, leukemia, or any malignancy within the past 5 years with some exceptions
- Breast cancer or in remission within the past 10 years.
- Current or chronic history of liver disease or known hepatic or biliary abnormalities with some exceptions.
- Any personal and/or family history of thrombophilia or blood clots
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VH4524184VH4524184 will be administered. | Drug | Loestrin + VH4524184 |
| LoestrinLoestrin will be administered. | Drug | Loestrin + VH4524184 |
Primary outcome
Area under the concentration-time curve (AUC) from time zero (pre-dose) to the end of the dosing interval at steady state (AUC0-Tau, ss) of EE and NEA without coadministration with VH4524184
Time frame: On Day 10
Blood samples will be collected at indicated timepoint for plasma EE and NEA PK analysis.
AUC0-Tau, ss of EE and NEA with coadministration with VH4524184
Time frame: On Day 20
Blood samples will be collected at indicated timepoint for plasma EE and NEA PK analysis.
Maximum plasma concentration (Cmax) for EE and NEA without coadministration with VH4524184
Time frame: On Day 10
Blood samples will be collected at indicated timepoint for plasma EE and NEA PK analysis.
Cmax for EE and NEA with coadministration with VH4524184
Time frame: On Day 20
Blood samples will be collected at indicated timepoint for plasma EE and NEA PK analysis.
10 secondary outcomes
Number of participants with adverse events (AEs) and severity of AEs
Time frame: From Day -28 (Run-In-Period) up to approximately 2 months (Day 28 +/- 3 days)
Number of participants with AEs leading to discontinuation of study intervention
Time frame: Throughout the study treatment period (from Day -28 up to Day 20)
Change from baseline of liver panel laboratory parameters: Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Alkaline Phosphatase (ASP) (International units per liter)
Time frame: Baseline (Day -28) up to Day 21
Change from baseline of liver panel laboratory parameters: Total bilirubin, Direct bilirubin (Micromoles per liter [umol/L])
Time frame: Baseline (Day -28) up to Day 21
Change from baseline of liver panel laboratory parameters: International normalized ratio (INR) (Ratio)
Time frame: Baseline (Day -28) up to Day 21
Number of participants with maximum toxicity grade increase from baseline of liver panel laboratory parameters: ALT, AST, alkaline phosphatase, total bilirubin, Direct bilirubin, and INR
Time frame: Baseline (Day -28) up to Day 21
Maximum plasma concentration at steady state (Cmax,ss) for VH4524184
Time frame: On Day 20
Time to maximum concentration at steady state (Tmax, ss) during dosing interval for VH4524184
Time frame: On Day 20
Area under the concentration-time curve from time zero(pre-dose) to the end of the dosing interval at steady state (AUC0-Tau, ss) for VH4524184
Time frame: On Day 20
Trough concentration prior to the next dose (Ctrough) for VH4524184
Time frame: On Day 12, Day 16, and Day 20
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Dec 2024.
- Individual participant dataSharing planned: Yes. Qualified researchers may request access to anonymized individual patient-level data (IPD) and related study documents of the eligible studies via the Data Sharing Portal. Details on GSK's data sharing criteria can be found at: https://www.gsk.com/en-gb/innovation/trials/data-transparency/
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing VH4524184 and Loestrin in people with HIV Infections, run by ViiV Healthcare at 1 site in United States.
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 22 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 10 Dec 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 United States. 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?
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?
Area under the concentration-time curve (AUC) from time zero (pre-dose) to the end of the dosing interval at steady state (AUC0-Tau, ss) of EE and NEA without coadministration with VH4524184 (time frame: On Day 10). The study lists 4 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 10 Dec 2024.