This is an open-label Phase 1 study in healthy premenopausal females evaluating the effects of different dosing regimens of elagolix on ovarian activity, ovulation, and ovarian reserve and to assess the effect of elagolix on selected endocrine/hormone levels.
This is an open-label, multiple-dose, Phase 1 study in premenopausal subjects aged 18 years to 40 years, with a history of regular menstrual cycles (24 to 32 days long) and no evidence of significant gynecological disorders. The objective of the study is to determine the effects of different dosing regimens of elagolix on ovulation, ovarian activity, and ovarian reserve. The study consists of 3 periods: a Screening Period of up to 50 days prior to the first dose, a Treatment Period of 3 months duration (Cycles 1-3), and a Follow-up Period of up to 60 days. During the Screening and Treatment menstrual cycles, serial transvaginal ultrasounds and determination of serum levels of luteinizing hormone, follicle-stimulating hormone, estradiol, progesterone, and inhibin B will be performed three times weekly. Subjects will maintain a daily diary of uterine bleeding. Pregnancy testing will be performed frequently throughout the study. Subjects will be required to use nonhormonal dual contraception consistently during the study, and will be counseled on appropriate and effective forms of birth control to promote pregnancy prevention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
216
Site Reference ID/Investigator# 50805
Colorado Springs, Colorado, United States
Ovulation Classification
Presence or absence of ovulation
Time frame: During the baseline menstrual cycle and monthly during the treatment cycles 1, 2, and 3 for up to month 3.
Ovarian Activity
As measured by the Hoogland and Skouby 6-point ovarian activity grading system
Time frame: During the baseline menstrual cycle and monthly during the treatment cycles 1, 2, and 3 for up to month 3.
Endocrine Parameters
Estuarial, Progesterone, luteinizing hormone, follicle stimulating hormone
Time frame: During the 16 week study period (4 week screening period and 12 week treatment period) for up to month 3
Ovarian Reserve
Inhibin-B and Antimullerian hormone
Time frame: During the baseline menstrual cycle and monthly during the treatment cycles 1, 2, and 3 for up to month 3.
Adverse events
All adverse events will be collected by subject self-report and review of laboratory parameters, physical exam. vital sign measurements and electrocardiograms.
Time frame: All adverse events occurring through the Final Visit will be reported
Clinical Laboratory Tests
Chemistry, hematology, urinalysis
Time frame: Change from baseline to Cycles 1, 2, and 3 or Final Visit
12-lead Electrocardiogram
12-lead Electrocardiogram
Time frame: Change from baseline to Week 4 and Final Visit
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Site Reference ID/Investigator# 51270
Colorado Springs, Colorado, United States
Site Reference ID/Investigator# 50884
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Site Reference ID/Investigator# 50404
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Site Reference ID/Investigator# 50904
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Site Reference ID/Investigator# 50402
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Site Reference ID/Investigator# 50808
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Site Reference ID/Investigator# 50807
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Site Reference ID/Investigator# 50762
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...and 12 more locations
Vital Signs
Blood pressure, heart rate, temperature
Time frame: Change from baseline to Cycles 1, 2, and 3 or Final Visit