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Healthy ParticipantsPhase 1NCT07013643

A Study to Investigate the Effect of AZD6234, AZD9550, and a Combination of AZD9550 and AZD6234 on Pharmacokinetics of Combined Oral Contraceptive Ethinyl Estradiol/Levonorgestrel in Healthy Female Participants Living With Overweight or Obesity

A Phase 1 study testing AZD6234, Ethinyl estradiol/Levonorgestrel (EE/LEVO) and Acetaminophen (APAP) in people with Healthy Participants, run by AstraZeneca at 2 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record

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Trial summary

This study will measure the effects of multiple doses of AZD6234, AZD9550 and a combination of AZD9550 and AZD6234 given as injection(s) on pharmacokinetics (PK) of combined oral contraceptive (CoC) ethinyl estradiol (EE)/levonorgestrel (LEVO) in healthy female participants with obesity. Read more about this study

Who is it for?
Ages 35 to 75 years, women onlyHealthy volunteers can take part
Conditions the study is for
Healthy Participants
What is being tested?
AZD6234, Ethinyl estradiol/Levonorgestrel (EE/LEVO) and Acetaminophen (APAP)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
2 sitesUnited States
Study dates
4 Jun 2025to 9 Jul 2027
Phase
Phase 1

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 35 to 75 years
  • Women only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • All participants must have a negative pregnancy test at the Screening Visit and on admission to the Clinical Unit.
  • Females of childbearing potential must not be lactating and if heterosexually active, must agree to use an approved method of highly effective contraception.
  • o Hormonal contraceptives and estrogen-containing hormonal methods of birth control are not permitted due to potential effect and influence on the results using a CoC assessment.
  • Females of non-childbearing potential must be confirmed at the Screening Visit.
  • Have a Body Mass Index (BMI) between 25 and 40 kg/m2, both inclusive and weigh at least 60 kg for Cohorts 1, 2, and 3 and a BMI of > 30 kg/m2 for Cohort 4.

Who cannot join

  • History of any clinically important disease or disorder (gastroparesis, deep vein thrombosis, venous thromboembolism, previous surgery of the upper gastrointestinal tract, cardiovascular disease, neuromuscular or neurogenic disease, severe vitamin D deficiency (cohort 1, cohort 2 and cohort 4), type I or type II diabetes mellitus, glycated hemoglobin (HbA1c) ≥ 6.5% at screening, history of neoplastic disease (cohort 2, cohort 3 and cohort 4), basal calcitonin level >50 ng/L (50 pg/L) at screening (cohort 2, cohort 3 and cohort 4), history of acute or chronic pancreatitis or pancreatic amylase or lipase >2×ULN at screening (cohort 2, cohort 3 and cohort 4), prior history of cholecystectomy or untreated cholelithiasis and personal or family history of medullary thyroid cancer (MTC) or multiple endocrine neoplasia type 2 (MEN2) (cohort 2, cohort 3 and cohort 4).
  • History or presence of gastrointestinal, hepatic, or renal disease or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
  • Any clinically important illness, medical/surgical procedure, or trauma.
  • Any laboratory values with deviations or clinically important abnormalities in clinical chemistry, hematology, or urinalysis.
  • Any positive result on screening for serum Hepatitis B surface antigen (HBsAg), Hepatitis B core antibody (HBcAb) or Human immunodeficiency virus (HIV).
  • Abnormal vital signs.
Show all 12Show fewer
  • Any clinically important abnormalities in rhythm, conduction, or morphology of the resting 12 lead electrocardiogram (ECG), at screening.
  • Current smokers or those who have smoked or used nicotine products.
  • Known or suspected history of alcohol or drug abuse or excessive intake of alcohol.
  • History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity.
  • Statin treatment within 4 weeks prior to the start of study treatment.
  • Current use of estrogen-containing products.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Research Site

    Brooklyn, Maryland, 21225

  • Research Site

    Glendale, California, 91206

Other trials in United States

About this study

Official title: An Open-label, Single-sequence Multiple Cohort Study to Assess the Effect of Multiple Doses of AZD6234, AZD9550, and a Combination of AZD9550 and AZD6234 on the Pharmacokinetics of Single Doses of Combined Oral Contraceptive Ethinyl Estradiol/Levonorgestrel in Healthy Female Participants Living With Overweight or Obesity

This study will measure the effects of multiple doses of AZD6234, AZD9550 and a combination of AZD9550 and AZD6234 given as injection(s) on pharmacokinetics (PK) of combined oral contraceptive (CoC) ethinyl estradiol (EE)/levonorgestrel (LEVO) in healthy female participants with obesity.

Read the detailed description

This is a Phase I, open-label, single-sequence, multiple-cohort study which will be performed at multiple study sites in healthy females of childbearing and non-childbearing potential.

The purpose of this study is to investigate the effect of AZD6234, AZD9550 and a combination of AZD9550 and AZD6234 on the PK, safety and tolerability of a CoC, ethinyl estradiol/levonorgestrel (EE/LEVO).

The study will have 4 cohorts, and each cohort will consist of 5 periods which include, Screening, Start, Up-titration, Maintenance, and Follow-up periods.

Being tested
AZD6234, Ethinyl estradiol/Levonorgestrel (EE/LEVO), Acetaminophen (APAP), AZD9550
Keywords
Obesity, Overweight, Oral contraceptives, Pharmacokinetics, Drug Interaction
Medical subject headings
Obesity, Overweight

What participants receive

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

  • AZD6234Drug

    AZD6234 will be administered as a subcutaneous injection in the abdomen.

  • Ethinyl estradiol/Levonorgestrel (EE/LEVO)Drug

    EE/LEVO will be administered as combined oral tablets.

  • Acetaminophen (APAP)Drug

    APAP will be administered orally as a solution.

  • AZD9550Drug

    AZD9550 will be administered as a subcutaneous injection in the abdomen.

Study groups in NCT07013643
Study groupRoleWhat they receive
Cohort-1: AZD6234 + EE/LEVO + Acetaminophen (APAP)ExperimentalAll participants will receive CoC (EE/LEVO) and separately, APAP, treatments throughout the study during the up-titration and maintenance periods of subcutaneous AZD6234 administration.
Receives: Drug: AZD6234; Drug: Ethinyl estradiol/Levonorgestrel (EE/LEVO); Drug: Acetaminophen (APAP)
Cohort-2: AZD6234+AZD9550+EE/LEVO+APAPExperimentalAll participants will receive CoC (EE/LEVO) and separately, APAP, treatments throughout the study during the up-titration and maintenance periods of subcutaneous AZD6234 (up to a maximum dose of Dose X1) and AZD9550 (up to a maximum dose of Dose Y1) administration.
Receives: Drug: AZD6234; Drug: Ethinyl estradiol/Levonorgestrel (EE/LEVO); Drug: Acetaminophen (APAP); Drug: AZD9550
Cohort-3: AZD9550 + EE/LEVO + APAPExperimentalAll participants will receive CoC (EE/LEVO) and separately, APAP, treatments throughout the study during the up-titration and maintenance periods of subcutaneous AZD9550 administration.
Receives: Drug: Ethinyl estradiol/Levonorgestrel (EE/LEVO); Drug: Acetaminophen (APAP); Drug: AZD9550
Cohort-4: AZD6234+AZD9550+EE/LEVO+APAPExperimentalAll participants will receive CoC (EE/LEVO) and separately, APAP, treatments throughout the study during the up-titration and maintenance periods of subcutaneous AZD6234 (up to a maximum dose of Dose X2) and AZD9550 (up to a maximum dose of Dose Y1) administration.
Receives: Drug: AZD6234; Drug: Ethinyl estradiol/Levonorgestrel (EE/LEVO); Drug: Acetaminophen (APAP); Drug: AZD9550

What is being measured

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

  1. Area under the concentration-time curve from time 0 to infinity (AUCinf) of EE and LEVO

    To assess the effect of multiple doses of AZD6234, multiple doses of co-administered AZD9550 and AZD6234, and multiple doses of AZD9550 on the PK of single doses of CoC EE/LEVO.

    Measured: Cohort 1: At predefined intervals from Day -5 up to Day 99; Cohort 2 : At pre-defined interval from Day -5 up to Day 169; Cohort 3: At predefined intervals from Day -5 up to Day 225; Cohort 4: At predefined intervals from Day -5 up to Day 253

  2. Area under the concentration-time curve from time of dosing to the last measurable concentration (AUClast) of EE and LEVO

    To assess the effect of multiple doses of AZD6234, multiple doses of co-administered AZD9550 and AZD6234, and multiple doses of AZD9550 on the PK of single doses of CoC EE/LEVO.

    Measured: Cohort 1: At predefined intervals from Day -5 up to Day 99; Cohort 2 : At pre-defined interval from Day -5 up to Day 169; Cohort 3: At predefined intervals from Day -5 up to Day 225; Cohort 4: At predefined intervals from Day -5 up to Day 253

  3. Maximum plasma concentration (Cmax) of EE and LEVO

    To assess the effect of multiple doses of AZD6234, multiple doses of co-administered AZD9550 and AZD6234, and multiple doses of AZD9550 on the PK of single doses of CoC EE/LEVO.

    Measured: Cohort 1: At predefined intervals from Day -5 up to Day 99; Cohort 2 : At pre-defined interval from Day -5 up to Day 169; Cohort 3: At predefined intervals from Day -5 up to Day 225; Cohort 4: At predefined intervals from Day -5 up to Day 253

  4. Time to reach maximum drug concentration in plasma (tmax) of EE and LEVO

    To assess the effect of multiple doses of AZD6234, multiple doses of co-administered AZD9550 and AZD6234, and multiple doses of AZD9550 on the PK of single doses of CoC EE/LEVO.

    Measured: Cohort 1: At predefined intervals from Day -5 up to Day 99; Cohort 2 : At pre-defined interval from Day -5 up to Day 169; Cohort 3: At predefined intervals from Day -5 up to Day 225; Cohort 4: At predefined intervals from Day -5 up to Day 253

  5. Elimination half-life (t1/2λz) of EE and LEVO

    To assess the effect of multiple doses of AZD6234, multiple doses of co-administered AZD9550 and AZD6234, and multiple doses of AZD9550 on the PK of single doses of CoC EE/LEVO.

    Measured: Cohort 1: At predefined intervals from Day -5 up to Day 99; Cohort 2 : At pre-defined interval from Day -5 up to Day 169; Cohort 3: At predefined intervals from Day -5 up to Day 225; Cohort 4: At predefined intervals from Day -5 up to Day 253

Secondary outcomes (11)
  1. Number of participants with adverse events (AEs)

    To assess the safety and tolerability of AZD6234, co-administered AZD9550 and AZD6234, and AZD9550 with CoC EE/LEVO.

    Measured: Cohort 1: Up to Day 120; Cohort 2: Up to Day 216; Cohort 3: Up to Day 272; Cohort 4: Up to Day 300

  2. Number of participants developing detectable anti-drug antibodies (ADAs) against AZD6234 and AZD9550

    To assess the immunogenicity of AZD6234, co-administered AZD9550 and AZD6234, and AZD9550 with CoC EE/LEVO.

    Measured: Cohort 1: At predefined intervals from Day -2 up to Day 120; Cohort 2: At predefined intervals from Day -2 up to Day 216; Cohort 3: At predefined intervals from Day -2 up to Day 272; ; Cohort 4: At predefined intervals from Day -2 up to Day 300

  3. Area under plasma concentration-time curve from time 0 to 168 hours postdose (AUC0-168h) of AZD6234

    To characterize the PK of single and multiple doses of AZD6234.

    Measured: Cohort 1: At predefined intervals from Day 1 to Day 120

  4. AUClast of AZD6234

    To characterize the PK of single and multiple doses of AZD6234.

    Measured: Cohort 1: At predefined intervals from Day 1 to Day 120

  5. Cmax of AZD6234

    To characterize the PK of single and multiple doses of AZD6234.

    Measured: Cohort 1: At predefined intervals from Day 1 to Day 120

  6. AUC0-168h of co-administered AZD6234 and AZD9550

    To characterize the PK of single and multiple doses of co-administered AZD6234 and AZD9550.

    Measured: Cohort 2: At predefined intervals from Day 8 to Day 216; Cohort 4: At predefined intervals from Day 78 to Day 300

  7. AUClast of co-administered AZD6234 and AZD9550

    To characterize the PK of single and multiple doses of co-administered AZD6234 and AZD9550.

    Measured: Cohort 2: At predefined intervals from Day 8 to Day 216; Cohort 4: At predefined intervals from Day 78 to Day 300

  8. Cmax of co-administered AZD6234 and AZD9550

    To characterize the PK of single and multiple doses of co-administered AZD6234 and AZD9550.

    Measured: Cohort 2: At predefined intervals from Day 8 to Day 216; Cohort 4: At predefined intervals from Day 78 to Day 300

  9. AUC0-168h of AZD9550

    To characterize the PK of single and multiple doses of AZD9550.

    Measured: Cohort 3: At predefined intervals from Day 8 up to Day 272

  10. AUClast of AZD9550

    To characterize the PK of single and multiple doses of AZD9550.

    Measured: Cohort 3: At predefined intervals from Day 8 up to Day 272

  11. Cmax of AZD9550

    To characterize the PK of single and multiple doses of AZD9550.

    Measured: Cohort 3: At predefined intervals from Day 8 up to Day 272

Timeline

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

  1. First posted10 Jun 2025
  2. Study start4 Jun 2025
  3. Primary completion9 Jul 2027 (estimated)
  4. Study completion9 Jul 2027 (estimated)

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
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
100 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07013643
Sponsor's protocol ID
D8750C00006
Status last verified
Oct 2026
First submitted
2 Jun 2025
Last updated
13 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal Vivli.org. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

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