This is a single site, open-label, randomized, single-dose, Phase 1 study in post-menopausal women.
The objective of the study is to characterize the pharmacokinetics of progesterone in post-menopausal women after the insertion of a vaginal ring containing 2.0 g of progesterone. Progesterone is slowly released from the ring within 90 days (sustained-release). Study participants will use the vaginal ring for a period of 91 days (13 weeks). Progesterone blood concentrations will be determined during the use of the vaginal ring and after removal of the vaginal ring after a period of use of 13 weeks. In subgroups of participants, progesterone blood concentrations will also be determined after removal of the ring for a period of 2 hours or 4 hours on Day 28 of use. A study participant has completed the study when the final evaluation takes place, which is 7-15 days after removal of the vaginal ring on Day 91. The safety of the progesterone vaginal ring will be assessed based on the adverse events reported.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
106
Vaginal ring with 2.0 g progesterone (sustained-release over 90-days)
Investigacíon Farmacológica y Biofarmacéutica (IFaB), S.A.P.I. de C.V.
Mexico City, Mexico
Progesterone pharmacokinetic parameters (AUC0-t)
In Groups A, B, and C, 3 blood samples will be obtained before the device is placed and 24 samples after placement of the device up to Day 91. Additional samples (6 samples in Group B and 8 samples in Group C) will be taken while the ring is removed/after the ring is re-inserted on Day 28. Eight blood samples will be taken from all participants (from Groups A, B, and C) within 24 hours after the ring is removed on Day 91. Plasma concentrations of progesterone will be determined using validated analytical methods. The baseline-corrected and uncorrected area under the plasma concentration-time curve from 0 to time t (AUC0-t) will be calculated.
Time frame: Insertion of ring (Day 1) to removal of ring (Day 91) plus 24 hours
Progesterone pharmacokinetic parameters (AUC0-inf)
In Groups A, B, and C, 3 blood samples will be obtained before the device is placed and 24 samples after placement of the device up to Day 91. Additional samples (6 samples in Group B and 8 samples in Group C) will be taken while the ring is removed/after the ring is re-inserted on Day 28. Eight blood samples will be taken from all participants (from Groups A, B, and C) within 24 hours after the ring is removed on Day 91. Plasma concentrations of progesterone will be determined using validated analytical methods. The baseline-corrected and uncorrected area under the plasma concentration-time curve from 0 to infinity (AUC0-inf) will be calculated.
Time frame: Insertion of ring (Day 1) to removal of ring (Day 91) plus 24 hours
Progesterone pharmacokinetic parameters (Cmax)
In Groups A, B, and C, 3 blood samples will be obtained before the device is placed and 24 samples after placement of the device up to Day 91. Additional samples (6 samples in Group B and 8 samples in Group C) will be taken while the ring is removed/after the ring is re-inserted on Day 28. Eight blood samples will be taken from all participants (from Groups A, B, and C) within 24 hours after the ring is removed on Day 91. Plasma concentrations of progesterone will be determined using validated analytical methods. The baseline-corrected and uncorrected maximum plasma concentration (Cmax) will be calculated.
Time frame: Insertion of ring (Day 1) to removal of ring (Day 91) plus 24 hours
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Progesterone pharmacokinetic parameters (Tmax)
In Groups A, B, and C, 3 blood samples will be obtained before the device is placed and 24 samples after placement of the device up to Day 91. Additional samples (6 samples in Group B and 8 samples in Group C) will be taken while the ring is removed/after the ring is re-inserted on Day 28. Eight blood samples will be taken from all participants (from Groups A, B, and C) within 24 hours after the ring is removed on Day 91. Plasma concentrations of progesterone will be determined using validated analytical methods. The time to achieve maximum plasma concentration (tmax) will be calculated.
Time frame: Insertion of ring (Day 1) to removal of ring (Day 91) plus 24 hours
Progesterone pharmacokinetic parameters (AUC%extr)
In Groups A, B, and C, 3 blood samples will be obtained before the device is placed; 24 samples after placement of the device up to Day 91. Additional samples (6 samples in Group B and 8 samples in Group C) will be taken while the ring is removed/after the ring is re-inserted on Day 28. Eight blood samples will be taken from all participants (from Groups A, B, and C) within 24 hours after the ring is removed on Day 91. Plasma concentrations of progesterone will be determined using validated analytical methods. The extrapolated area under the plasma concentration-time curve (AUC%extr) will be calculated based on AUC0-t and AUC0-inf.
Time frame: Insertion of ring (Day 1) to removal of ring (Day 91) plus 24 hours
Progesterone pharmacokinetic parameters (t1/2)
In Groups A, B, and C, 3 blood samples will be obtained before the device is placed and 24 samples after placement of the device up to Day 91. Additional samples (6 samples in Group B and 8 samples in Group C) will be taken while the ring is removed/after the ring is re-inserted on Day 28. Eight blood samples will be taken from all participants (from Groups A, B, and C) within 24 hours after the ring is removed on Day 91. Plasma concentrations of progesterone will be determined using validated analytical methods. The elimination half-time (t1/2) will be calculated.
Time frame: Insertion of ring (Day 1) to removal of ring (Day 91) plus 24 hours
Progesterone pharmacokinetic parameters (MRT)
In Groups A, B, and C, 3 blood samples will be obtained before the device is placed; 24 samples after placement of the device up to Day 91. Additional samples (6 samples in Group B and 8 samples in Group C) will be taken while the ring is removed/after the ring is re-inserted on Day 28. Eight blood samples will be taken from all participants (from Groups A, B, and C) within 24 hours after the ring is removed on Day 91. Plasma concentrations of progesterone will be determined using validated analytical methods. The mean residence time (MRT) will be calculated.
Time frame: Insertion of ring (Day 1) to removal of ring (Day 91) plus 24 hours