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The purpose of this study is to determine the effects of five different doses of Proellex on menses, ovulation, liver function, and steady state exposure in women of reproductive age.
A phase I/II, 5 arm, single blind study, comparing five doses of Proellex to matching placebo in healthy adult female subjects of reproductive age. Exposure to study drug will be for up to 10 weeks. In-clinic pharmacokinetic (PK) assessments will be made on the first day of dosing and on the last day (week 10). Office visits will occur every week to assess liver function and trough blood concentrations for Proellex and primary metabolite. Daily vaginal bleeding diaries will be maintained during the course of the study. A single blind run-in period of up to 56 days will begin the study to assess baseline menstrual patterns will be utilized. Twelve subjects per treatment group (total 60 subjects) will be assigned to each dose. New groups will not begin dosing until the previous dose group has completed. Daily treatments will be either 1 mg, 3 mg, 6 mg, 9 mg, 12 mg Proellex. A single blind run-in period using placebo will be incorporated to establish baseline parameters.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ARM 1 | Experimental | 1 mg Proellex |
|
| ARM 2 | Experimental | 3 mg Proellex |
|
| ARM 3 | Experimental | 6 mg Proellex |
|
| ARM 4 | Experimental | 9 mg Proellex |
|
| ARM 5 | Experimental | 12 mg proellex |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Proellex | Drug | 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Induction Amenorrhea | Induction of amenorrhea as determined by suppression of ovulation and/or menses, measured by using ovulation timing kits and daily diary for bleeding. Five doses will be compared in an escalating-dose, to independent groups, to a run-in placebo treatment period. | 10 weeks |
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Inclusion Criteria:
Ability to understand and provide a written informed consent.
Healthy adult females between 18 and 50 years of age. Included in this group are women with the following conditions, not currently receiving drug treatment:
Normal menstrual cycle of 26-32 days
Agree not to attempt to become pregnant
Agree to limit alcohol consumption to no more than 2 drinks per week and to avoid alcohol consumption within 48 hours of each visit
Ability to swallow gelatin capsules Ability to complete a daily subject diary
Willing to discontinue hormonal contraceptives and consent to use of double barrier contraceptive techniques over the course of the study.
Has a negative pregnancy test at the Screening and Baseline visits An exception for the pregnancy test requirement will be granted for subjects reporting surgical sterilization in medical history
A Body Mass Index (BMI) between 18 and 39 inclusive
Is available for all treatment and follow-up visits
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Laura M Sterling, MD | ICON Development Solutions | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| ICON Devlopment Solutions | San Antonio | Texas | 78209 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | ARM 1 | 1 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
| FG001 | ARM 2 | 3 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
| FG002 | ARM 3 | 6 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
| FG003 | ARM 4 | 9 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
| FG004 | ARM 5 | 12 mg proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
ITT
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| ID | Title | Description |
|---|---|---|
| BG000 | ARM 1 | 1 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
| BG001 | ARM 2 | 3 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Induction Amenorrhea | Induction of amenorrhea as determined by suppression of ovulation and/or menses, measured by using ovulation timing kits and daily diary for bleeding. Five doses will be compared in an escalating-dose, to independent groups, to a run-in placebo treatment period. | Per protocol: subjects who exhibited trough levels of proellex on at least 7 of the 10 weekly visits during the dosing period | Posted | Number | participants | 10 weeks |
|
From first dose to one week post dosing (about 11 weeks).
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | ARM 1 | 1 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Breast cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Breast cancer | Systematic Assessment | Moderately differentiated invasive ductal carcinoma considered by Pi to be unlikely related to treatment. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Acne | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jennifer L. Wike | Repros Therapeutics Inc. | 281-719-3402 | jwike@reprosrx.com |
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| ID | Term |
|---|---|
| D000568 | Amenorrhea |
| ID | Term |
|---|---|
| D008599 | Menstruation Disturbances |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C461063 | telapristone acetate |
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|
| Unable to make scheduled visits |
|
| BG002 | ARM 3 | 6 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
| BG003 | ARM 4 | 9 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
| BG004 | ARM 5 | 12 mg proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
| BG005 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| OG002 | ARM 3 | 6 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
| OG003 | ARM 4 | 9 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
| OG004 | ARM 5 | 12 mg proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) |
|
|
| 0 |
| 12 |
| 8 |
| 12 |
| EG001 | ARM 2 | 3 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) | 0 | 10 | 6 | 10 |
| EG002 | ARM 3 | 6 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) | 1 | 12 | 7 | 12 |
| EG003 | ARM 4 | 9 mg Proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) | 0 | 12 | 11 | 12 |
| EG004 | ARM 5 | 12 mg proellex Proellex: 1 capsule 1x/day of 1 mg(ARM1), 3 mg(ARM2), 6 mg(ARM3), 9 mg(ARM4) or 12 mg(ARM5) | 0 | 12 | 11 | 12 |
|
| Right ear ache | Ear and labyrinth disorders | Non-systematic Assessment |
|
| Abdominal cramps | Gastrointestinal disorders | Non-systematic Assessment |
|
| Abdominal discomfort | Gastrointestinal disorders | Non-systematic Assessment |
|
| Abdominal pain | Gastrointestinal disorders | Non-systematic Assessment |
|
| Constipation | Gastrointestinal disorders | Non-systematic Assessment |
|
| Diarrhea | Gastrointestinal disorders | Non-systematic Assessment |
|
| Emesis | Gastrointestinal disorders | Non-systematic Assessment |
|
| Nausea | Gastrointestinal disorders | Non-systematic Assessment |
|
| Fatigue | General disorders | Non-systematic Assessment |
|
| Facial pain | General disorders | Non-systematic Assessment |
|
| Gastroenteritis | Infections and infestations | Non-systematic Assessment |
|
| Pelvic inflammatory disease | Infections and infestations | Non-systematic Assessment |
|
| Pustule | Infections and infestations | Non-systematic Assessment |
|
| Tooth abcess | Infections and infestations | Non-systematic Assessment |
|
| URI | Infections and infestations | Non-systematic Assessment |
|
| UTI | Infections and infestations | Non-systematic Assessment |
|
| Viral gastroenteritis | Infections and infestations | Non-systematic Assessment |
|
| Insect bite | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
| Laceration | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
| Ankle sprain | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
| Abrasion | Injury, poisoning and procedural complications | Non-systematic Assessment |
|
| Abnormal PAP smear | Investigations | Non-systematic Assessment |
|
| Weight gain | Investigations | Non-systematic Assessment |
|
| Decreased appetite | Metabolism and nutrition disorders | Non-systematic Assessment |
|
| Lower back pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Muscle pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Muscle spasm | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Elbow pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Arm pain | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
|
| Breast cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
|
| Dizziness | Nervous system disorders | Non-systematic Assessment |
|
| Headache | Nervous system disorders | Non-systematic Assessment |
|
| Optic neuritis | Nervous system disorders | Non-systematic Assessment |
|
| Vasovagal episode | Nervous system disorders | Non-systematic Assessment |
|
| Breast tenderness | Reproductive system and breast disorders | Non-systematic Assessment |
|
| Endometrial hyperplasia | Reproductive system and breast disorders | Non-systematic Assessment |
|
| Irregular menses | Reproductive system and breast disorders | Non-systematic Assessment |
|
| Menorrhagia | Reproductive system and breast disorders | Non-systematic Assessment |
|
| Menstrual cramps | Reproductive system and breast disorders | Non-systematic Assessment |
|
| Mittelschmertz | Reproductive system and breast disorders | Non-systematic Assessment |
|
| Vaginal discharge | Reproductive system and breast disorders | Non-systematic Assessment |
|
| Yeast infection | Reproductive system and breast disorders | Non-systematic Assessment |
|
| Allergic rhinitis | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Rhinitis | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
|
| Benign breast lesion | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Contact dermatitis | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Ecchymosis | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Hair loss | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
|
| Hot flashes | Vascular disorders | Non-systematic Assessment |
|
Prior to publication, Investigator shall submit to the Sponsor a copy of any proposed publication. Sponsor shall have sixty (60) days to review the proposed publication for possible disclosure of Sponsor's Confidential Information and, upon request of Sponsor, Investigator shall delete any of Sponsor's Confidential Information or withhold submission of such publication to allow Sponsor to protect its intellectual property rights