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Completed

NCT Number: NCT03562624

A Study to Compare 3 Doses of a Hormonal Intra-uterine Device Containing Levonorgestrel and Indomethacin With a Hormonal Intra-uterine Device Containing Only Levonorgestrel to Assess the Effect and Safety of the Combined Components

This study is the first study investigating the combined intrauterine administration of LNG (levonorgestrel) and IND (indomethacin). It is a combined proof-of-concept (PoC) and dose finding (DF) study in pre-menopausal women. It is designed to investigate the pharmacodynamics (PD) of BAY 987443 (i.e. IUS (intrauterine system) releasing LNG and IND), as well as pharmacokinetics (PK) of both active substances, safety and tolerability. In this study, Jaydess, as an LNG-only IUS, will be used as a comparator.

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Key information

Conditions

Age range

18 year–45 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 2

Primary location

Nuvisan GmbH, Neu-Ulm, Bavaria, Germany

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Agreement to use an acceptable non-hormonal method of contraception (i.e. male or female condom with or without spermicide; cap, diaphragm or sponge with spermicide) when sexually active. This applies during the pre-treatment cycle and directly following the treatment period until the end of the follow-up period. This is not required if safe contraception is achieved by a permanent method, such as bilateral fallopian tube blockage of the subject or vasectomy of the partner(s).
  • Age at screening: 18-45 years inclusive
  • Body mass index (BMI) at screening: ≥ 18 and ≤ 32 kg/m²
  • No clinically relevant abnormal findings in the pre-treatment endometrial biopsy
  • Adequate venous access (for frequent blood sampling)

Exclusion criteria

  • Menstrual disorders with unknown reason (not e.g. oligomenorrhea, hypomenorrhea amenorrhea due to hormonal treatment; not irregularities occurring during menarche). In case it is suspected that the woman is peri-menopausal, she should be excluded.
  • Use of short-acting hormonal contraceptives/preparations containing sex hormones (oral, transdermal, intravaginal, IUS) during the pretreatment cycle
  • Use of long-acting preparations containing sex hormones within the 40 weeks before the first screening examination (any long-acting injectable or implant)
  • History of known or presence of suspected or known malignant tumors, especially any breast cancer, cervical carcinoma in situ or other progestin-sensitive cancer
  • History of skin reactions, or other allergic-type reactions or known hypersensitivity reactions after taking aspirin, IND or other NSAIDs or to LNG, or any excipients of the IUSs
  • Regular use of corticosteroids, irrespective of route of administration
  • Known asthma bronchiale and aspirin-sensitive asthma
  • Current or recurrent pelvic inflammatory disease
  • Abnormal cervical smear within the last 6 month prior to screening
  • Acute genital infection
  • Known current thyroid disorders which require treatment (subjects with an euthyroid struma who do not need any treatment can participate)

Treatment and study plan

BAY98-7443

Drug

Active ingredient content (in mg IND/LNG):

low dose 6.5 / 13.5; middle dose 12.5 / 13.5; high dose 15.4 / 13.5

Levonogestrel (Skyla, BAY86-5028)

Drug

Comparative LNG dose

Other names: Jaydess

Primary outcomes

  1. Number of uterine bleeding/spotting (B/S) days during treatment

    Time frame: 90 days after start of treatment

    Recorded by participants with electronic diary

Secondary outcomes

  1. Number of subjects showing endometrial histology typical for intrauterine LNG application in biopsies taken at the end of treatment

    Time frame: On day 90 after start of treatment

  2. Frequency of treatment emergent adverse events

    Time frame: 90 days after start of treatment

Sponsors and collaborators

Lead sponsor

Bayer

Industry

Registry information

Official study title

Multi-center, Randomized, Comparator-controlled, Single-blind, Parallel-Group Study to Investigate the Pharmacodynamics, Pharmacokinetics and Safety of an Intrauterine System (BAY987443) With Three Different Release Rates of Indomethacin and One Release Rate of Levonorgestrel, as Compared With Jaydess, in a Combined Proof-of-concept and Dose Finding Study in Healthy Pre-menopausal Women Treated for 90 Days

Acronym: INDessa

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Jun 19, 2018
Registry last updated
Aug 12, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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