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Completed

NCT Number: NCT06657105

A Study to Investigate the Pharmacokinetics of Ethinyl Estradiol and Levonorgestrel When Given Alone and in Combination With Baxdrostat in Healthy Females of Non-childbearing Potential

The main purpose of the study is to assess the effect of multiple doses of baxdrostat on the pharmacokinetics (PK) of a single dose of combined oral ethinyl estradiol (EE) and levonorgestrel (LNG). Safety and tolerability of baxdrostat will be assessed during the study.

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Key information

Age range

35 year–75 year

Sex eligibility

Female

Study type

Interventional

Phase

Phase 1

Primary location

Research Site

Brooklyn, Maryland, 21225, United States

About this study

This is an open-label, 3-period fixed sequence study conducted at a single Clinical Unit.

The study will comprise of:

  • A Screening period of maximum 28 days.
  • Period 1: - From Day -1 to Day 5.
  • Period 2: -From Day 6 to Day 16
  • Period 3: - From Day 17 to Day 23.
  • A Final Follow-up Visit, 7 (± 2) days after the last PK sample in Period 3.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Females must have a negative pregnancy test at the Screening Visit and Study Day -1 (admission to Clinical Unit) and must not be lactating and must be of non-childbearing potential, confirmed at Screening by fulfilling one of the following criteria:
  • Postmenopausal defined as amenorrhea for at least 12 months following cessation of all exogenous hormonal treatments and FSH levels in the postmenopausal range (Follicular Stimulating Hormone (FSH) > 40 mIU/mL).
  • Documentation of irreversible surgical sterilization by hysterectomy, bilateral oophorectomy, or bilateral salpingectomy but not tubal ligation or tubal occlusion.
  • Have a Body Mass Index (BMI) between 18 and 30 kg/m2

Exclusion criteria

  • History of any clinically important disease or disorder which, in the opinion of the Investigator
  • History or presence of gastrointestinal, hepatic, or renal disease or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
  • Sex hormone therapy within one month before study.
  • History of drug-related hepatic toxicity.
  • History or family history of potential risk of arterial and venous thromboembolic events (eg, factor V Leiden mutation).
  • History of cardiovascular risk (eg, history of myocardial infarction).
  • Any laboratory values with the following deviations at the Screening Visit and Study Day -1 (admission to Clinical Unit).
  • Any positive result on screening for serum HBsAg, HBcAb, HCV or HIV.
  • History of any treatment with QT prolongation drugs.
  • Current smokers or know history of alcohol or drug abuse.
  • History or ongoing severe allergy/hypersensitivity.
  • An increased risk for developing SAEs or a contraindication associated with administration of EE, or LNG such as history of thrombosis or thromboembolism, presence of estrogen dependent tumors, hypertension, migraines, and liver disease.
  • Participants treated with strong CYP3A4 inhibitors or inducers within 3 months or longer (5 half-lives) prior to first administration of IMP in this study.
  • Plasma donation within one month of the Screening Visit or any blood donation/blood loss > 500 mL during the 3 months prior to the Screening Visit.
  • Has received another new chemical entity (defined as a compound which has not been approved for marketing) within 30 days or 5 half-lives (whichever is longest) of the first administration of IMP in this study.
  • Participants who are vegans or have medical dietary restrictions and vulnerable participants.

Treatment and study plan

EE/LNG

Drug

EE/LNG tablet will be administered orally.

baxdrostat

Drug

Baxdrostat tablet will be administered orally.

Primary outcomes

  1. Area under concentration-time curve from time zero to infinity (AUCinf)

    Time frame: EE: Up to Day 21, LNG: Up to Day 23

    To assess the effect of multiple doses of baxdrostat on the PK of a single dose of combined oral EE/LNG in healthy females of non-childbearing potential.

  2. Area under concentration-curve from time 0 to the last quantifiable concentration (AUClast)

    Time frame: EE: Up to Day 21, LNG: Up to Day 23

    To assess the effect of multiple doses of baxdrostat on the PK of a single dose of combined oral EE/LNG in healthy females of non-childbearing potential.

  3. Maximum observed drug concentration (Cmax)

    Time frame: EE: Up to Day 21, LNG: Up to Day 23

    To assess the effect of multiple doses of baxdrostat on the PK of a single dose of combined oral EE/LNG in healthy females of non-childbearing potential.

Secondary outcomes

  1. Maximum observed drug concentration (Cmax) of EE/LNG

    Time frame: EE: Up to Day 21, LNG: Up to Day 23

    To describe the PK of a single dose of combined oral EE and LNG in healthy females of non-childbearing potential.

  2. Area under concentration-curve from time 0 to the last quantifiable concentration (AUClast) of EE/LNG

    Time frame: EE: Up to Day 21, LNG: Up to Day 23

    To describe the PK of a single dose of combined oral EE and LNG in healthy females of non-childbearing potential.

  3. Area under concentration-time curve from time zero to infinity (AUCinf) of EE/LNG

    Time frame: EE: Up to Day 21, LNG: Up to Day 23

    To describe the PK of a single dose of combined oral EE and LNG in healthy females of non-childbearing potential.

  4. Time to reach maximum observed concentration (tmax)

    Time frame: EE: Up to Day 21, LNG: Up to Day 23

    To describe the PK of a single dose of combined oral EE and LNG in healthy females of non-childbearing potential.

  5. Terminal elimination half-life (t1/2λz)

    Time frame: EE: Up to Day 21, LNG: Up to Day 23

    To describe the PK of a single dose of combined oral EE and LNG in healthy females of non-childbearing potential.

  6. Terminal rate constant (λz)

    Time frame: EE: Up to Day 21, LNG: Up to Day 23

    To describe the PK of a single dose of combined oral EE and LNG in healthy females of non-childbearing potential.

  7. Ratio of EE or LNG to EE (alone) or LNG (alone) based on AUCinf (RAUCinf)

    Time frame: EE: Up to Day 21, LNG: Up to Day 23

    To describe the PK of a single dose of combined oral EE and LNG in healthy females of non-childbearing potential.

  8. Ratio of EE or LNG to EE (alone) or LNG (alone) based on AUClast (RAUClast)

    Time frame: EE: Up to Day 21; LNG: Up to Day 23

    To describe the PK of a single dose of combined oral EE and LNG in healthy females of non-childbearing potential.

  9. Ratio of EE or LN to EE (alone) or LNG (alone) based on Cmax (RCmax)

    Time frame: EE: Up to Day 21; LNG: Up to Day 23

    To describe the PK of a single dose of combined oral EE and LNG in healthy females of non-childbearing potential.

  10. Number of participants with adverse event (AEs)

    Time frame: From screening (Day -28 to Day -2) to 8.5 weeks

    To examine the safety and tolerability of baxdrostat alone and in combination with combined oral EE and LNG.

  11. Maximum observed drug concentration (Cmax) of Baxdrostat

    Time frame: Baxdrostat: Day 18 to Day 22

    To assess the PK of baxdrostat in healthy female participants of non-childbearing potential.

  12. Observed lowest concentration before the next dose is administered (Day 22 pre-dose) (Ctrough)

    Time frame: Baxdrostat: Day 18 to Day 22

    To assess the PK of baxdrostat in healthy female participants of non-childbearing potential.

Sponsors and collaborators

Lead sponsor

AstraZeneca

Industry

Registry information

Official study title

An Open-label, Fixed Sequence Study to Assess the Effect of Multiple Doses of Baxdrostat on the Pharmacokinetics of Single Doses of Combined Oral Ethinyl Estradiol and Levonorgestrel in Healthy Female Participants of Non-childbearing Potential.

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Oct 24, 2024
Registry last updated
Feb 7, 2025

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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