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| ID | Type | Description | Link |
|---|---|---|---|
| 2013-005356-14 | EudraCT Number |
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This is a single center, randomized, double blind, placebo controlled, 2-way crossover drug-drug interaction (DDI) study to assess the effect of laquinimod on the PK and PD of ethinylestradiol (EE) and levonorgestrel (LNG) a commonly used oral contraceptive combination.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Laquinimod | Experimental | once daily oral doses of laquinimod (with combination oral contraceptives) |
|
| Placebo | Placebo Comparator | Matching placebo (with combination oral contraceptives) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| laquinimod | Drug | Oral laquinimod 0.6 mg capsules (with oral contraceptives tablets containing 30 μg ethinylestradiol and 150 μg levonorgestrel (Microgynon®) |
|
| Measure | Description | Time Frame |
|---|---|---|
| AUC0-24 of EE and LNG plasma concentrations. | to assess the effect of once daily oral doses of laquinimod on the pharmacokinetics (PK) of ethinylestradiol (EE) and levonorgestrel (LNG) | 10 min prior to dosing and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, and 24 hours postdose |
| Cmax of EE and LNG plasma concentrations. | to assess the effect of once daily oral doses of laquinimod on the pharmacokinetics (PK) of ethinylestradiol (EE) and levonorgestrel (LNG | 10 min prior to dosing and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, and 24 hours postdose |
| Measure | Description | Time Frame |
|---|---|---|
| Tmax of EE and LNG plasma concentrations | 10 min prior to dosing and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, and 24 hours postdose | |
| Cmax of laquinimod plasma concentrations | 10 min prior to dosing and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, and 24 hours postdose |
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Inclusion Criteria:
Exclusion Criteria:
Subjects who smoke at any frequency, have smoked in the last 6 months, or are planning to start smoking during the study, tobacco users, subjects currently using nicotine products (patches, gums, etc.) or subjects with a positive urine cotinine test at screening and/or at day -7.
Subjects with a known drug hypersensitivity to laquinimod, or one of its excipients (ie, mannitol, meglumine, or sodium stearyl fumarate).
Subjects with any significant food/drug allergies at the discretion of the investigator.
Subjects who are pregnant or lactating.
Subjects who had one of the following conditions in the noted amount of time prior to screening or at any time between screening and day -7: o Major trauma or surgery in the past 2 months.
-Acute infection within 2 weeks (14 days).
Any malignancies, excluding basal cell carcinoma, prior to randomization.
Subjects who have any condition that possibly interferes with drug absorption, distribution, metabolism, or excretion.
Subjects suffering from, or with history of, one of the following: cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, neurological, immunological, or psychiatric disorder(s), or a history of any illness that, in the opinion of the Investigator, might pose additional risk to the subject by participation in the study or confound the results of the study.
Subjects suffering from any condition in which the OC is contra indicated or not recommended.
Subjects who have used patches/intrauterine device/injectable hormonal contraception within 6 month prior to screening.
History of irregular menstruation.
Subjects with clinically relevant abnormality (judged by the investigator) of serum electrolytes or complete blood count.
Serum levels of ≥2× upper limit of normal alanine aminotransferase or aspartate aminotransferase or gamma-glutamyltransferase or alkaline phosphatase or direct bilirubin.
Subjects who have used one of the forbidden drugs or foods as following: o Excessive amounts (defined as daily intake of alcohol >40 g) of alcoholic beverages (eg, beer, wine, distilled spirits), or have a history of alcohol abuse, or are unwilling to comply with the restricted use of alcoholic beverages during the study.
Subjects with a positive urine drug test (cocaine, amphetamines, barbiturates, opiates, benzodiazepines, tetrahydrocannabinol) or positive test for ethanol at screening or at day -7.
Subjects who have donated or received any blood, plasma, or platelet transfusions in the 3 months prior to day -7, or who have made donations on more than 2 occasions within the 12 months preceding day -7, or who have planned donations during the study period or during the 3 months following the study.
Subjects with a positive screening test for hepatitis B surface antigen, hepatitis C antibody, or human immunodeficiency virus antibody at screening.
Subjects who cannot participate or successfully complete the study, in the opinion of their general practitioner or the investigator, for the following reasons: o Subjects are under the legal age of consent or are mentally or legally incapacitated, or unable to give consent for any reason.
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| Name | Affiliation | Role |
|---|---|---|
| Teva Medical Expert, MD | Teva Branded Pharmaceutical Products R&D, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Teva Investigational Site 32415 | Mönchengladbach | Germany |
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| Placebo | Drug | Placebo (with oral contraceptives tablets containing 30 μg ethinylestradiol and 150 μg levonorgestrel (Microgynon®) |
|
| AUC0-24 of progesterone | 10 min prior to dosing and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, and 24 hours postdose |
| Ctrough of luteinizing hormone [LH], and follicle-stimulating hormone [FSH] | 10 min prior to dosing |
| Summary of Participants with Adverse Events | 25 Weeks |
| T1/2 of EE and LNG plasma concentrations | 10 min prior to dosing and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, and 24 hours postdose |
| CL/F of EE and LNG plasma concentrations | 10 min prior to dosing and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, and 24 hours postdose |
| V/F of EE and LNG plasma concentrations | 10 min prior to dosing and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, and 24 hours postdose |
| Tmax of laquinimod plasma concentrations | 10 min prior to dosing and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, and 24 hours postdose |
| AUC0-24 of laquinimod plasma concentrations | 10 min prior to dosing and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, and 24 hours postdose |
| Cmax of progesterone | 10 min prior to dosing and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 16, and 24 hours postdose |
| ID | Term |
|---|---|
| C476223 | laquinimod |
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