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Drug-drug Interaction of BI 201335 and Microgynon

An Open-label, Two-period, Fixed-sequence, Phase I Trial to Evaluate the Effect of Multiple Doses of 240 mg BI 201335 QD on the Multiple-dose Pharmacokinetics of a Combination of Ethinylestradiol and Levonorgestrel in Healthy Premenopausal Female Volunteers

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01570244
Enrollment
16
Registered
2012-04-04
Start date
2012-04-30
Completion date
2012-08-31
Last updated
2015-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hepatitis C, Chronic

Brief summary

This study will investigate possible effect of multiple oral doses of BI 201335 on the steady state pharmacokinetics of ethinylestradiol and levonogestrel

Interventions

DRUGlevonorgestrel

multiple doses

multiple doses

multiple doses

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 35 Years
Healthy volunteers
Yes

Inclusion criteria

1\. Healthy female subjects

Exclusion criteria

1\. Any relevant deviation from healthy conditions

Design outcomes

Primary

MeasureTime frameDescription
C24,ss of Levonorgestrelon day 13 of first period and on day 8 of second period 0:00, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 24:00 h after drug administrationmeasured concentration of the analyte at the end of dosing interval under steady state conditions of levonorgestrel
AUCτ,ss of Levonorgestrelon day 13 of first period and on day 8 of second period 0:00, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 24:00 h after drug administrationArea under the curve over the dosing interval τ under steady state conditions of levonorgestrel
Cmax,ss of Levonorgestrelon day 13 of first period and on day 8 of second period 0:00, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 24:00 h after drug administrationmaximum measured concentration over the uniform dosing interval under steady state conditions of levonorgestrel
AUCt,ss of Ethinylestradiolon day 13 of first period and on day 8 of second period 0:00, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 24:00 hours (h) after drug administrationArea under the curve over the dosing interval t under steady state conditions of ethinylestradiol
Cmax,ss of Ethinylestradiolon day 13 of first period and on day 8 of second period 0:00, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 24:00 h after drug administrationmaximum measured concentration over the uniform dosing interval under steady state conditions of ethinylestradiol
C24,ss of Ethinylestradiolon day 13 of first period and on day 8 of second period 0:00, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 24:00 h after drug administrationmeasured concentration of the analyte at the end of dosing interval under steady state conditions of ethinylestradiol

Secondary

MeasureTime frameDescription
Number of Participants With Drug Related Adverse Eventsfrom drug administration up to 14 daysnumber of participants with investigator-defined drug related adverse events
Clinical Relevant Abnormalities for Vital Signs, Physical Examination, Blood Chemistry, Haematology, Urinanalysis and ECG.from drug administration up to 14 daysClinical relevant abnormalities for Vital Signs, Physical Examination, Blood Chemistry, Haematology, Urinanalysis and ECG. New abnormal findings or worsening of baseline conditions were reported as Adverse Events.

Countries

Germany

Participant flow

Participants by arm

ArmCount
All Subjects
The trial was a nonrandomised, noncontrolled, open-label, 2-period fixed-sequence trial to evaluate the possible effect of multiple doses of faldaprevir on the multiple-dose pharmacokinetics of a combination of ethinylestradiol and levonorgestrel. The trial was to be performed in 16 healthy female volunteers.
16
Total16

Withdrawals & dropouts

PeriodReasonFG000
Microgynon+FaldaprevirAdverse Event1

Baseline characteristics

CharacteristicAll Subjects
Age, Continuous28.4 years
STANDARD_DEVIATION 5.1
Sex: Female, Male
Female
16 Participants
Sex: Female, Male
Male
0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
12 / 1614 / 16
serious
Total, serious adverse events
0 / 160 / 16

Outcome results

Primary

AUCt,ss of Ethinylestradiol

Area under the curve over the dosing interval t under steady state conditions of ethinylestradiol

Time frame: on day 13 of first period and on day 8 of second period 0:00, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 24:00 hours (h) after drug administration

Population: Pharmacokinetic (PK) set: all subjects in the treated set who provided at least 1 observation for at least 1 primary pharmacokinetic endpoint, who did not have important protocol violations relevant to the evaluation of PK endpoints, and who did not have vomiting until 2·median tmax,ss of ethinylestradiol or levonorgestrel on Day 13 or on Day 8.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MicrogynonAUCt,ss of Ethinylestradiol1010 pg*h/mLGeometric Coefficient of Variation 23.5
Microgynon + FaldaprevirAUCt,ss of Ethinylestradiol1450 pg*h/mLGeometric Coefficient of Variation 27.8
Comparison: relative bioavailability comparison (Microgynon + Faldaprevir : Microgynon) of Ethinylestradiol90% CI: [133.84, 148.47]ANOVA
Primary

AUCτ,ss of Levonorgestrel

Area under the curve over the dosing interval τ under steady state conditions of levonorgestrel

Time frame: on day 13 of first period and on day 8 of second period 0:00, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 24:00 h after drug administration

Population: PK set

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MicrogynonAUCτ,ss of Levonorgestrel83.3 ng*h/mLGeometric Coefficient of Variation 42
Microgynon + FaldaprevirAUCτ,ss of Levonorgestrel120 ng*h/mLGeometric Coefficient of Variation 40.6
Comparison: relative bioavailability comparison (Microgynon + Faldaprevir : Microgynon) of Levonorgestrel90% CI: [136.4, 144.78]ANOVA
Primary

C24,ss of Ethinylestradiol

measured concentration of the analyte at the end of dosing interval under steady state conditions of ethinylestradiol

Time frame: on day 13 of first period and on day 8 of second period 0:00, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 24:00 h after drug administration

Population: PK set

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MicrogynonC24,ss of Ethinylestradiol19.1 pg/mLGeometric Coefficient of Variation 32.9
Microgynon + FaldaprevirC24,ss of Ethinylestradiol33.2 pg/mLGeometric Coefficient of Variation 42.9
Comparison: relative bioavailability comparison (Microgynon + Faldaprevir : Microgynon) of Ethinylestradiol90% CI: [160.2, 183.33]ANOVA
Primary

C24,ss of Levonorgestrel

measured concentration of the analyte at the end of dosing interval under steady state conditions of levonorgestrel

Time frame: on day 13 of first period and on day 8 of second period 0:00, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 24:00 h after drug administration

Population: PK set

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MicrogynonC24,ss of Levonorgestrel2.43 ng/mLGeometric Coefficient of Variation 49.4
Microgynon + FaldaprevirC24,ss of Levonorgestrel3.85 ng/mLGeometric Coefficient of Variation 47.9
Comparison: relative bioavailability comparison (Microgynon + Faldaprevir : Microgynon) of Levonorgestrel90% CI: [145.99, 162.14]ANOVA
Primary

Cmax,ss of Ethinylestradiol

maximum measured concentration over the uniform dosing interval under steady state conditions of ethinylestradiol

Time frame: on day 13 of first period and on day 8 of second period 0:00, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 24:00 h after drug administration

Population: PK set

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MicrogynonCmax,ss of Ethinylestradiol108 pg/mLGeometric Coefficient of Variation 23.6
Microgynon + FaldaprevirCmax,ss of Ethinylestradiol127 pg/mLGeometric Coefficient of Variation 25.1
Comparison: relative bioavailability comparison (Microgynon + Faldaprevir : Microgynon) of Ethinylestradiol90% CI: [105.49, 124.97]ANOVA
Primary

Cmax,ss of Levonorgestrel

maximum measured concentration over the uniform dosing interval under steady state conditions of levonorgestrel

Time frame: on day 13 of first period and on day 8 of second period 0:00, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00, 8:00, 10:00, 12:00, 24:00 h after drug administration

Population: PK set

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
MicrogynonCmax,ss of Levonorgestrel7.57 ng/mLGeometric Coefficient of Variation 34.9
Microgynon + FaldaprevirCmax,ss of Levonorgestrel8.95 ng/mLGeometric Coefficient of Variation 33.3
Comparison: relative bioavailability comparison (Microgynon + Faldaprevir : Microgynon) of Levonorgestrel90% CI: [110.81, 119.92]ANOVA
Secondary

Clinical Relevant Abnormalities for Vital Signs, Physical Examination, Blood Chemistry, Haematology, Urinanalysis and ECG.

Clinical relevant abnormalities for Vital Signs, Physical Examination, Blood Chemistry, Haematology, Urinanalysis and ECG. New abnormal findings or worsening of baseline conditions were reported as Adverse Events.

Time frame: from drug administration up to 14 days

Population: Treated set: This subject set included all 16 subjects who were administered trial medication and were documented to have taken at least 1 dose of investigational treatment.

ArmMeasureValue (NUMBER)
MicrogynonClinical Relevant Abnormalities for Vital Signs, Physical Examination, Blood Chemistry, Haematology, Urinanalysis and ECG.0 participants
Microgynon + FaldaprevirClinical Relevant Abnormalities for Vital Signs, Physical Examination, Blood Chemistry, Haematology, Urinanalysis and ECG.0 participants
Secondary

Number of Participants With Drug Related Adverse Events

number of participants with investigator-defined drug related adverse events

Time frame: from drug administration up to 14 days

Population: treated set

ArmMeasureValue (NUMBER)
MicrogynonNumber of Participants With Drug Related Adverse Events2 participants
Microgynon + FaldaprevirNumber of Participants With Drug Related Adverse Events15 participants

Source: ClinicalTrials.gov · Data processed: Mar 7, 2026