Laymen Terminology Level of Oral Contraceptive in Blood, Oral Contraceptive, Rheumatoid Arthritis, Drug -Drug Interaction, Scientific Terminology Rheumatoid Arthritis, Healthy Female Volunteers, Pharmacokinetics, Oral Contraceptive, Drug-drug Interaction
Conditions
Keywords
Phase 1, healthy female volunteers, oral contraceptive, pharmacokinetics, Rheumatoid arthritis, RA, fostamatinib
Brief summary
A crossover study to assess the effect of repeated doses of fostamatinib on the levels of oral contraceptive (Microgynon® 30) in the blood of healthy female subjects. The study will consist of a screening period of up to 35 days, followed by 2 treatment periods (28 days each) of an oral contraceptive (Microgynon® 30) in the absence and presence of fostamatinib. The study will also evaluate the safety and tolerability of fostamatinib in combination with an oral contraceptive
Interventions
Oral tablets, repeated doses for 21 days (2 x 50mg BID)
Oral tablets, repeated doses
Oral tablets BID, repeated doses for 21 days
Sponsors
Study design
Eligibility
Inclusion criteria
* Female subjects of age 18 to 45 years, inclusive, who are healthy, non-pregnant, not planning pregnancy within the study period * Willing to use a highly effective method of birth control, ie, double barrier method contraception (condom and diaphragm with spermicide) from the first day of Period 1 until 28 days after the last dose * Body weight of at least 50 kg and body mass index (BMI) between 18 and 30 kg/m2 inclusive * Two negative pregnancy tests at least 7 days apart
Exclusion criteria
* History of any clinically significant disease or disorder * History or presence of Gastrointestinal, hepatic, or renal disease * Any condition listed as a contraindication in the Microgynon® 30 labelling * Absolute neutrophil count less than 2.5 x 109/L.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the effects of repeated doses of Fostamatinib on the pharmacokinetics of Microgynon ®30 by assessment of Cssmax and AUCss of ethinyl estradiol (EE), levonorgestrel on Day 21 | From predose until Day 22 of each Treatment period |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To characterise the PD of progesterone, LH, FSH, and SHBG, following dosing with monophasic oral contraceptive (Microgynon® 30) alone and following coadministration with fostamatinib | From predose until Day 22 of each Treatment period | PD = pharmacodynamics, LH = luteinising hormone, FSH = follicle stimulating, SHBG = Sex hormone binding globulin |
| To determine R-406 plasma concentration-time profile and resulting PK parameters including AUCss, Cssmax, and tmaxss | From pre-dose until 12 hours following final dose on Day 21 | — |
| To determine the safety and tolerability of fostamatinib in combination with an oral contraceptive (Microgynon ®30): adverse event monitoring, vital signs, physical examinations, clinical laboratory tests, ECGs | Screening, treatment periods 1 and 2, Follow up | — |
Countries
United Kingdom