This clinical trial evaluated the pharmacokinetics and pharmacodynamics of estriol in healthy post-menopausal women after the application of one vaginal ring containing one of three different dosages of estriol (100 mg (Test 1), 300 mg (Test 2) or 600 mg (Test 3)) with continuous delivery (0.125, 0.250 or 0.500 mg/day) for 21 days. And also, characterized its safety and tolerability.
This phase I, single center, open-label, randomised (allocation to treatment), balanced, single dose trial was performed in a parallel-group design. The subjects were randomly assigned to one of the 3 possible treatments (single vaginal application of 1 vaginal ring containing 100, 300 or 600 mg estriol, with delivery rate of 0.125, 0.250 or 0.500 mg/day over 21 days. Blood samples were collected at 0.5 h prior to drug application, 1, 2, 4, 6, 12, 24, 48, 96, 144, 216, 288, 360, 432 h after application; 5 min prior to removal, i.e., 21 d after application (study day 22), as well as 6, 12 and 24 h after removal to characterise pharmacokinetic parameters of estriol in plasma. Serum concentrations of follicle stimulating hormone (FSH), luteinising hormone (LH) and sex hormone binding globulin (SHBG) and gynaecological parameters (cytology of vaginal smear, the maturation index and the vaginal pH) were evaluated as pharmacodynamic parameters. The safety and tolerability was assessed by endometrial thickness and documentation of adverse events.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
31
Application of one vaginal ring
Application of one vaginal ring
Application of one vaginal ring
Galeno Desenvolvimento de Pesquisas Clinicas Ltda. - ME
Campinas, São Paulo, Brazil
Measurement of estriol plasma levels
Blood sampling for the determination of plasma levels of estriol in participants of each treatment group.
Time frame: 0-22 days
Maximum Plasma Concentration (Cmax) of estriol
Determination of Cmax for estriol based on plasma concentrations of samples obtained.
Time frame: 0-22 days
Area Under the Curve (AUC) for estriol
Calculation of the AUC for estriol based on plasma concentrations of samples obtained.
Time frame: 0-22 days
Characterisation of follicle stimulating hormone (FSH)
Determination of serum concentrations of FSH under the three treatments
Time frame: 0-22 days
Characterisation of luteinising hormone (LH)
Determination of serum concentrations of LH under the three treatments
Time frame: 0-22 days
Characterisation of sex hormone binding globulin (SHBG)
Determination of serum concentrations of SHBG under the three treatments
Time frame: 0-22 days
Characterisation of cytology of vaginal smear
Characterisation of cytology of vaginal smear (parabasal, intermediate and superficial cells) under the three treatments
Time frame: 0-22 days
Calculation of maturation index
Calculation of maturation index under the three treatments
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Time frame: 0-22 days
Determination of vaginal pH
Determination of vaginal pH under the three treatments
Time frame: 0-22 days
Number of adverse events per participant
Number of adverse events, in each treatment group, including clinically relevant alterations of vital signs and laboratory tests results.
Time frame: up to 22days after treatment