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Study to Evaluate Suppression of Ovulation and Pharmacokinetics of Medroxyprogesterone Acetate Following Administration of TV-46046 in Women With Ovulatory Cycle

A Two-part, Phase 1, Exploratory and Dose-range Finding Study to Evaluate Suppression of Ovulation and Pharmacokinetics of Medroxyprogesterone Acetate Following a Single Subcutaneous Administration of TV-46046 in Women With Ovulatory Cycle

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02817464
Enrollment
12
Registered
2016-06-29
Start date
2016-10-26
Completion date
2018-12-03
Last updated
2024-02-12

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

Conditions

Contraception, Pregnancy

Brief summary

The purpose of this pharmacodynamic and pharmacokinetic study is to identify a dose of TV-46046 (within the range 80 to 300 mg) that is both safe and consistent with contraceptive effect when injected every 6 months.

Interventions

DRUGTV-46046 - 400 mg/mL

A single subcutaneous injection in the abdomen of undiluted TV-46046 - 400 mg/mL

DRUGTV-46046 - 200 mg/mL

A single subcutaneous injection in the abdomen of saline-diluted TV-46046 - 200 mg/mL

Sponsors

FHI 360
CollaboratorOTHER
Teva Branded Pharmaceutical Products R&D, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes

Inclusion criteria

* has regular menstrual cycle (24 to 35 days) * is at low risk of pregnancy (ie, sterilized, in exclusively same-sex partnership, in monogamous relationship with vasectomized partner, or using non-hormonal IUD) * is in good general health as determined by a medical history and physical examination * is not pregnant and does not have desire to become pregnant in the subsequent 36 months * has had a normal mammogram within the last year (for Part 1 only) * additional criteria apply, please contact the investigator for more information

Exclusion criteria

* has hypertension: * systolic blood pressure (BP) ≥160 mm Hg or diastolic BP ≥100 mm Hg * vascular disease * has current or history of ischemic heart disease * has history of stroke * has history of thromboembolic event * has systemic lupus erythematosus * positive (or unknown) antiphospholipid antibodies * severe thrombocytopenia * has rheumatoid arthritis on immunosuppressive therapy * has migraine with aura * has unexplained vaginal bleeding * has diabetes * has strong family history of breast cancer (defined as one or more first degree relatives, breast cancer occurring before menopause in three or more family members, regardless of degree of relationship, and any male family member with breast cancer), or current or history of breast cancer, or undiagnosed mass detected by breast exam * has current or history of cervical cancer * has severe cirrhosis (decompensated) or liver tumors * has known significant renal disease * used Depo-Provera Contraceptive Injection or Depo-subcutaneous Provera 104 (DMPA) products in the past 12 months * used any of the following medications within 1 month prior to enrollment: * any investigational drug * prohibited drugs per protocol * oral contraceptives, contraceptive ring or patch * levonorgestrel intrauterine system (LNG IUS) or contraceptive implant * used a combined injectable contraceptive in the past 6 months * less than 3 months since the end of last pregnancy * currently lactating * is using or plans to use prohibited drugs per protocol in the next 18 months * has known sensitivity to MPA or inactive ingredients * has a plan to move to another location in the next 24 months * in the opinion of the investigator, potentially at elevated risk of HIV infection (eg, HIV -positive partner, IV drug use by self or by partner) * additional criteria apply, please contact the investigator for more information

Design outcomes

Primary

MeasureTime frameDescription
Part 1: Serum MPA Concentration at Day 28Day 28
Part 1: Serum MPA Concentration at Day 91Day 91
Part 1: Serum MPA Concentration at Day 182Day 182
Part 1: Serum MPA Concentration at Day 210Day 210
Part 1: Maximum Observed Serum Concentration (Cmax) of MPADay 0 up to Week 52
Part 1: Observed Serum Drug Concentration at Day 182 (C182) of MPADay 182
Part 1: Time to Reach Cmax (Tmax) of MPADay 0 up to Week 52
Part 1: Serum Medroxyprogesterone Acetate (MPA) Concentration at Day 1Day 1'Overall number of participants analyzed' = participants evaluable for this outcome measure.
Part 1: Serum MPA Concentration at Day 7Day 7
Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Day 182 (AUC0-182) of MPADay 0 up to Day 182
Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Day 210 (AUC0-210) of MPADay 0 up to Day 210
Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Infinity (AUC0-∞) of MPADay 0 up to Week 52
Part 1: Apparent Terminal Half-life (t1/2) of MPADay 0 up to Week 52
Part 2: Time to OvulationDay 0 up to Week 78Ovulation was defined as a single elevated serum progesterone ≥4.7 ng/mL.

Secondary

MeasureTime frameDescription
Part 2: AUC0-∞ of MPADay 0 up to Week 52
Part 2: Apparent Terminal Half Life (t1/2) of MPADay 0 up to Week 52
Number of Participants With Treatment-Emergent Adverse Events (TEAEs)Day 0 up to Week 78An adverse event (AE) was defined as any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Serious adverse events (SAEs) were defined as death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention to prevent 1 of the outcomes listed in this definition. AEs were considered TEAEs if onset occurred on or after the first dose date. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.
Part 1: Time to OvulationDay 0 up to Week 78Ovulation was defined as a single elevated serum progesterone ≥4.7 ng/mL. Time to ovulation was computed as the difference in days between detection of the first post-randomization elevated progesterone and the date of treatment initiation. Median time to ovulation was derived using Kaplan-Meier estimate.
Part 2: Cmax of MPADay 0 up to Week 52
Part 2: Tmax of MPADay 0 up to Week 52
Part 2: Observed Serum Drug Concentration at Day 210 (C210) of MPADay 0 up to Day 210
Part 2: C182 of MPADay 0 up to Day 182
Part 2: AUC0-182 of MPADay 0 up to Day 182
Part 2: AUC0-210 of MPADay 0 up to Day 210

Countries

United States

Participant flow

Recruitment details

This was a 2-part study: Part 1 (Exploratory Pharmacokinetics \[PK\]) and Part 2 (Dose-range Finding).

Pre-assignment details

Due to suboptimal long-term stability and re-suspendability of the TV-46046 formulation, the decision was made not to initiate Part 2 of this clinical study, and to conduct a new dose-range finding study. Participants were planned to be assigned sequentially in 3 treatment groups in Part 1. The results of the first 2 groups did not warrant the evaluation of the intermediate concentration of TV-46046 and treatment group 3 was therefore not enrolled.

Participants by arm

ArmCount
Group 1 (TV-46046 - Undiluted)
Participants received a single SC injection of undiluted TV-46046.
6
Group 2 (TV-46046 - Saline-diluted)
Participants received a single SC injection of saline-diluted TV-46046.
6
Total12

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyDiscontinued early due to personal decision11
Overall StudyLost to Follow-up10

Baseline characteristics

CharacteristicGroup 2 (TV-46046 - Saline-diluted)TotalGroup 1 (TV-46046 - Undiluted)
Age, Continuous34.2 years
STANDARD_DEVIATION 5.08
31.8 years
STANDARD_DEVIATION 5.01
29.5 years
STANDARD_DEVIATION 4.04
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants2 Participants2 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants10 Participants4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Black or African American
5 Participants5 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
1 Participants6 Participants5 Participants
Sex: Female, Male
Female
6 Participants12 Participants6 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 60 / 6
other
Total, other adverse events
6 / 66 / 6
serious
Total, serious adverse events
0 / 61 / 6

Outcome results

Primary

Part 1: Apparent Terminal Half-life (t1/2) of MPA

Time frame: Day 0 up to Week 52

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; BMI outside eligible range; or use of drugs that impact ovulation or PK of MPA (exception: selective COX-2 inhibitors taken for \<5 consecutive days).

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 (TV-46046 - Undiluted)Part 1: Apparent Terminal Half-life (t1/2) of MPA82.87 days
Group 2 (TV-46046 - Saline-diluted)Part 1: Apparent Terminal Half-life (t1/2) of MPA42.34 days
90% CI: [0.23, 1.13]
Primary

Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Day 182 (AUC0-182) of MPA

Time frame: Day 0 up to Day 182

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; BMI outside eligible range; or use of drugs that impact ovulation or PK of MPA (exception: selective COX-2 inhibitors taken for \<5 consecutive days).

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 (TV-46046 - Undiluted)Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Day 182 (AUC0-182) of MPA58.61 days*ng/mL
Group 2 (TV-46046 - Saline-diluted)Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Day 182 (AUC0-182) of MPA97.72 days*ng/mL
90% CI: [1.33, 2.09]
Primary

Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Day 210 (AUC0-210) of MPA

Time frame: Day 0 up to Day 210

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; BMI outside eligible range; or use of drugs that impact ovulation or PK of MPA (exception: selective COX-2 inhibitors taken for \<5 consecutive days).

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 (TV-46046 - Undiluted)Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Day 210 (AUC0-210) of MPA63.91 days*ng/mL
Group 2 (TV-46046 - Saline-diluted)Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Day 210 (AUC0-210) of MPA103.11 days*ng/mL
90% CI: [1.3, 2.01]
Primary

Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Infinity (AUC0-∞) of MPA

Time frame: Day 0 up to Week 52

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; BMI outside eligible range; or use of drugs that impact ovulation or PK of MPA (exception: selective COX-2 inhibitors taken for \<5 consecutive days).

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 (TV-46046 - Undiluted)Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Infinity (AUC0-∞) of MPA94.56 days*ng/mL
Group 2 (TV-46046 - Saline-diluted)Part 1: Area Under the Serum Drug Concentration by Time Curve From Time 0 to Infinity (AUC0-∞) of MPA114.13 days*ng/mL
90% CI: [1.04, 1.4]
Primary

Part 1: Maximum Observed Serum Concentration (Cmax) of MPA

Time frame: Day 0 up to Week 52

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; BMI outside eligible range; or use of drugs that impact ovulation or PK of MPA (exception: selective COX-2 inhibitors taken for \<5 consecutive days).

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 (TV-46046 - Undiluted)Part 1: Maximum Observed Serum Concentration (Cmax) of MPA0.53 ng/mL
Group 2 (TV-46046 - Saline-diluted)Part 1: Maximum Observed Serum Concentration (Cmax) of MPA0.97 ng/mL
90% CI: [1.44, 2.36]
Primary

Part 1: Observed Serum Drug Concentration at Day 182 (C182) of MPA

Time frame: Day 182

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; BMI outside eligible range; or use of drugs that impact ovulation or PK of MPA (exception: selective COX-2 inhibitors taken for \<5 consecutive days). Overall number of participants analyzed= participants evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)
Group 1 (TV-46046 - Undiluted)Part 1: Observed Serum Drug Concentration at Day 182 (C182) of MPA0.21 ng/mL
Group 2 (TV-46046 - Saline-diluted)Part 1: Observed Serum Drug Concentration at Day 182 (C182) of MPA0.14 ng/mL
90% CI: [0.33, 1.33]
Primary

Part 1: Serum Medroxyprogesterone Acetate (MPA) Concentration at Day 1

'Overall number of participants analyzed' = participants evaluable for this outcome measure.

Time frame: Day 1

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in their baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; body mass index (BMI) outside the eligible range; or use of drugs known to impact ovulation or pharmacokinetic (PK) of MPA (with the exception of selective cyclooxygenase-2 \[COX-2\] inhibitors that were taken for \<5 consecutive days).

ArmMeasureValue (MEAN)Dispersion
Group 1 (TV-46046 - Undiluted)Part 1: Serum Medroxyprogesterone Acetate (MPA) Concentration at Day 10.36 nanograms (ng)/milliliter (mL)Standard Deviation 0.13
Group 2 (TV-46046 - Saline-diluted)Part 1: Serum Medroxyprogesterone Acetate (MPA) Concentration at Day 10.67 nanograms (ng)/milliliter (mL)Standard Deviation 0.22
Primary

Part 1: Serum MPA Concentration at Day 182

Time frame: Day 182

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; BMI outside eligible range; or use of drugs that impact ovulation or PK of MPA (exception: selective COX-2 inhibitors taken for \<5 consecutive days). Overall number of participants analyzed= participants evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Group 1 (TV-46046 - Undiluted)Part 1: Serum MPA Concentration at Day 1820.22 ng/mLStandard Deviation 0.08
Group 2 (TV-46046 - Saline-diluted)Part 1: Serum MPA Concentration at Day 1820.17 ng/mLStandard Deviation 0.1
Primary

Part 1: Serum MPA Concentration at Day 210

Time frame: Day 210

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; BMI outside eligible range; or use of drugs that impact ovulation or PK of MPA (exception: selective COX-2 inhibitors taken for \<5 consecutive days). Overall number of participants analyzed= participants evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Group 1 (TV-46046 - Undiluted)Part 1: Serum MPA Concentration at Day 2100.20 ng/mLStandard Deviation 0.05
Group 2 (TV-46046 - Saline-diluted)Part 1: Serum MPA Concentration at Day 2100.12 ng/mLStandard Deviation 0.09
Primary

Part 1: Serum MPA Concentration at Day 28

Time frame: Day 28

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; BMI outside eligible range; or use of drugs that impact ovulation or PK of MPA (exception: selective COX-2 inhibitors taken for \<5 consecutive days).

ArmMeasureValue (MEAN)Dispersion
Group 1 (TV-46046 - Undiluted)Part 1: Serum MPA Concentration at Day 280.36 ng/mLStandard Deviation 0.07
Group 2 (TV-46046 - Saline-diluted)Part 1: Serum MPA Concentration at Day 280.69 ng/mLStandard Deviation 0.25
Primary

Part 1: Serum MPA Concentration at Day 7

Time frame: Day 7

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; BMI outside eligible range; or use of drugs that impact ovulation or PK of MPA (exception: selective COX-2 inhibitors taken for \<5 consecutive days). Overall number of participants analyzed= participants evaluable for this outcome measure.

ArmMeasureValue (MEAN)Dispersion
Group 1 (TV-46046 - Undiluted)Part 1: Serum MPA Concentration at Day 70.37 ng/mLStandard Deviation 0.1
Group 2 (TV-46046 - Saline-diluted)Part 1: Serum MPA Concentration at Day 70.70 ng/mLStandard Deviation 0.22
Primary

Part 1: Serum MPA Concentration at Day 91

Time frame: Day 91

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; BMI outside eligible range; or use of drugs that impact ovulation or PK of MPA (exception: selective COX-2 inhibitors taken for \<5 consecutive days).

ArmMeasureValue (MEAN)Dispersion
Group 1 (TV-46046 - Undiluted)Part 1: Serum MPA Concentration at Day 910.41 ng/mLStandard Deviation 0.13
Group 2 (TV-46046 - Saline-diluted)Part 1: Serum MPA Concentration at Day 910.62 ng/mLStandard Deviation 0.09
Primary

Part 1: Time to Reach Cmax (Tmax) of MPA

Time frame: Day 0 up to Week 52

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; BMI outside eligible range; or use of drugs that impact ovulation or PK of MPA (exception: selective COX-2 inhibitors taken for \<5 consecutive days).

ArmMeasureValue (MEDIAN)
Group 1 (TV-46046 - Undiluted)Part 1: Time to Reach Cmax (Tmax) of MPA9.49 days
Group 2 (TV-46046 - Saline-diluted)Part 1: Time to Reach Cmax (Tmax) of MPA47.99 days
Primary

Part 2: Time to Ovulation

Ovulation was defined as a single elevated serum progesterone ≥4.7 ng/mL.

Time frame: Day 0 up to Week 78

Population: Data for this outcome measure were not collected and analyzed as Part 2 of the study was not initiated.

Secondary

Number of Participants With Treatment-Emergent Adverse Events (TEAEs)

An adverse event (AE) was defined as any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Serious adverse events (SAEs) were defined as death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized participant and required medical intervention to prevent 1 of the outcomes listed in this definition. AEs were considered TEAEs if onset occurred on or after the first dose date. A summary of other non-serious AEs and all serious AEs, regardless of causality is located in Reported AE section.

Time frame: Day 0 up to Week 78

Population: Treated population included all screened participants who were enrolled and received a dose of study drug.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Group 1 (TV-46046 - Undiluted)Number of Participants With Treatment-Emergent Adverse Events (TEAEs)6 Participants
Group 2 (TV-46046 - Saline-diluted)Number of Participants With Treatment-Emergent Adverse Events (TEAEs)6 Participants
Secondary

Part 1: Time to Ovulation

Ovulation was defined as a single elevated serum progesterone ≥4.7 ng/mL. Time to ovulation was computed as the difference in days between detection of the first post-randomization elevated progesterone and the date of treatment initiation. Median time to ovulation was derived using Kaplan-Meier estimate.

Time frame: Day 0 up to Week 78

Population: Primary evaluable population: a subset of treated population, excluding participants who had detectable MPA in baseline specimen or for whom a major protocol violation occurred at enrollment, including: absence of a confirmed ovulation in pre-treatment period; BMI outside eligible range; or use of drugs that impact ovulation or PK of MPA (exception: selective COX-2 inhibitors taken for \<5 consecutive days).

ArmMeasureValue (MEDIAN)
Group 1 (TV-46046 - Undiluted)Part 1: Time to Ovulation328 days
Group 2 (TV-46046 - Saline-diluted)Part 1: Time to Ovulation251 days
p-value: 0.0073Log Rank
Secondary

Part 2: Apparent Terminal Half Life (t1/2) of MPA

Time frame: Day 0 up to Week 52

Population: Data for this outcome measure were not collected and analyzed as Part 2 of the study was not initiated.

Secondary

Part 2: AUC0-182 of MPA

Time frame: Day 0 up to Day 182

Population: Data for this outcome measure were not collected and analyzed as Part 2 of the study was not initiated.

Secondary

Part 2: AUC0-210 of MPA

Time frame: Day 0 up to Day 210

Population: Data for this outcome measure were not collected and analyzed as Part 2 of the study was not initiated.

Secondary

Part 2: AUC0-∞ of MPA

Time frame: Day 0 up to Week 52

Population: Data for this outcome measure were not collected and analyzed as Part 2 of the study was not initiated.

Secondary

Part 2: C182 of MPA

Time frame: Day 0 up to Day 182

Population: Data for this outcome measure were not collected and analyzed as Part 2 of the study was not initiated.

Secondary

Part 2: Cmax of MPA

Time frame: Day 0 up to Week 52

Population: Data for this outcome measure were not collected and analyzed as Part 2 of the study was not initiated.

Secondary

Part 2: Observed Serum Drug Concentration at Day 210 (C210) of MPA

Time frame: Day 0 up to Day 210

Population: Data for this outcome measure were not collected and analyzed as Part 2 of the study was not initiated.

Secondary

Part 2: Tmax of MPA

Time frame: Day 0 up to Week 52

Population: Data for this outcome measure were not collected and analyzed as Part 2 of the study was not initiated.

Source: ClinicalTrials.gov · Data processed: Feb 10, 2026