Oral Contraceptive Interaction Study for GW273225

This study has been terminated.
Sponsor:
Information provided by (Responsible Party):
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT00483535
First received: June 6, 2007
Last updated: May 31, 2012
Last verified: February 2011
  Purpose

GW273225 is in development for epilepsy and bipolar disorder and can affect women of child bearing potential. A clear understanding of the potential interaction between oral contraceptives and GW273225 is therefore important for clinical investigation of GW273225 in a large number of patients. This study will investigate whether there is any effect of GW273225 upon the components of combined oral contraceptive, and also whether taking oral contraceptives affects the pharmacokinetics (PK) of GW273225.

26 healthy female subjects, aged 18-45 years will take an oral contraceptive (150ug levonorgestrel and 30ug ethinylestrdiol; The study will include a screening period, two cycles on oral contraceptive with GW273225 at 25 mg once per day administered from the start of the second COC cycle for 47 days. There will be a follow-up visit 14-21 days later.


Condition Intervention Phase
Healthy Subjects
Bipolar Disorder
Drug: GW273225
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Pharmacokinetics/Dynamics Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: An Open, Repeat Dose Study to Investigate the Effect of Co-administration of the Combined Oral Contraceptive Pill (COC) and GW273225 on the Pharmacokinetics of the COC and to Investigate the Effects of the COC on the Pharmacokinetics of GW273225 in Healthy Female Subjects

Resource links provided by NLM:


Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • 0-24hrs PK of oral contraceptive components [ Time Frame: 0-24hrs ]

Secondary Outcome Measures:
  • 0-24hrs PK of GW273225 Hormone levels with co-administration of oral contraceptive and GW273225 [ Time Frame: 0-24hrs ]
  • blood drug levels of GW273225 in the presence or absence of the Combined Oral Contraceptive (COC)
  • blood levels of ethinylestradiol and levonorgestrel of the COC in the presence or absence of GW273225.
  • blood levels of FSH, LH and progesterone
  • blood levels of Oestradiol and SBHG
  • Electrocardiogram (ECG) recordings
  • Adverse events
  • Vital signs

Enrollment: 12
Study Start Date: March 2007
Study Completion Date: November 2007
Primary Completion Date: November 2007 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: GW273225
    Other Name: GW273225
  Eligibility

Ages Eligible for Study:   18 Years to 45 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Healthy female subjects aged between 18 and 45 years, inclusive.
  • Body weight >50 kg and Body Mass Index (BMI) within the range 19-29.9 kg/m2 inclusive.
  • Female subjects of child bearing potential will be eligible to participate if they are established on a Microgynon 30 or Ovranette for the previous month
  • If taking a similar ethinyl oestradiol dose (30 or 35 mcg) combined with a progestogen at fixed dose for 21 days then willing to switch to Microgynon 30
  • Subjects will use additional contraception as described in the protocol. One of the methods listed in the protocol is acceptable in conjunction with COC as the method of contraception if there is indisputable data that it is >99% effective, otherwise it should be used with a barrier method (condom or occlusive cap (diaphragm or cervical/vault caps) used with spermicidal foam/gel/film/cream/suppository).
  • Subjects must smoke ≤ 10 cigarettes per day.
  • No abnormality on relevant clinical examination. A subject with a clinical abnormality may be included only if the Investigator in consultation with the GSK Medical Monitor considers that the abnormality will not introduce additional risk factors and will not interfere with the study procedures.
  • No abnormality on relevant clinical chemistry or haematology examination at the pre-study medical examination. Subjects with laboratory parameters outside the reference range for this age group will only be included if the Investigator in consultation with the GSK Medical Monitor considers that such findings will not introduce additional risk factors.
  • A 12-lead ECG and vital signs at the pre-study medical examination, which are normal. (including QTc which is <450msec)
  • The subject has signed and dated written informed consent prior to admission to the study
  • The subject is able to understand and comply with protocol requirements, instructions and protocol-stated restrictions.

Exclusion Criteria:

  • History or evidence of drug or alcohol abuse within six months of study start.
  • Weekly alcohol intake of more than 14 units or an average daily intake of greater than 2 units.
  • Female subject pregnant (positive serum human chorionic gonadotrophin (hCG) test at screening) or lactating. HIV, Chronic hepatitis B and C, as evidenced by positive Hepatitis B surface antigen (HBsAg) or Hepatitis C antibody
  • Subject has received prescribed or non-prescribed medication (including vitamins and herbal remedies) within 14 days prior to day 1 which in the opinion of the investigator, could have interfered with the study procedures or compromised safety.
  • History of gastro-intestinal, hepatic or renal disease or other condition known to interfere with the absorption, distribution, metabolism or excretion of drugs.
  • History of thrombotic events or presence of significant risk factors for thrombosis.
  • Supine Blood Pressure greater than or equal to 140/90.
  • Progestogen- releasing IUD contraceptive.
  • Participation in a trial with any drug within 84 days before the start of the study.
  • Donation of more than 1500 mL blood in the previous 12 months.
  • History or presence of any condition contra-indicated to combined oral contraceptive.
  • Any subject where the potential side effects of GW273225 could affect their professional occupation, e.g. operating machinery, driving.
  • Any subjects who cannot refrain from driving for the duration of administration of GW273225 and for 3 days afterwards.
  • History of clinically relevant skin rashes that, in the opinion of the investigator, might interfere with the conduct of the study.
  • Subject has current or past history of seizure disorder or brain injury (traumatic or disease-related), or any condition which, in the opinion of the investigator, predisposes to seizure; subject treated with other medications or treatment regimens that lower seizure threshold; subject undergoing abrupt discontinuation of alcohol or sedatives (including benzodiazepines).
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00483535

Locations
United Kingdom
GSK Investigational Site
Cambridge, Cambridgeshire, United Kingdom, CB3 7TR
Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials GlaxoSmithKline
  More Information

No publications provided

Responsible Party: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT00483535     History of Changes
Other Study ID Numbers: NEC107110
Study First Received: June 6, 2007
Last Updated: May 31, 2012
Health Authority: United Kingdom: Medicines and Healthcare Products Regulatory Agency

Keywords provided by GlaxoSmithKline:
Gw273225, Oral Contraceptive Interaction

Additional relevant MeSH terms:
Bipolar Disorder
Affective Disorders, Psychotic
Mood Disorders
Mental Disorders
Contraceptive Agents
Contraceptives, Oral
Contraceptives, Oral, Combined
Reproductive Control Agents
Physiological Effects of Drugs
Pharmacologic Actions
Therapeutic Uses
Contraceptive Agents, Female

ClinicalTrials.gov processed this record on July 29, 2014