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The purpose of this study is to evaluate the safety and tolerability of single and multiple oral doses of ESN364 in healthy Japanese male and pre- and post-menopausal female subjects. This study will also evaluate the pharmacokinetics (PK) of ESN364 and its metabolite, and the pharmacodynamics (PD) of ESN364 after single and multiple oral doses administration in healthy Japanese male and pre- and post-menopausal female subjects.
This study consists of two parts. Part 1; Single Dose (SD) and Part 2; Single and Multiple Dose (SD and MD).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ESN364 dose-1 group in Part 1 | Experimental | Healthy male subjects will receive a single dose of ESN364. |
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| ESN364 dose-2 group in Part 1 | Experimental | Healthy male subjects will receive a single dose of ESN364. |
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| Placebo group in Part 1 | Placebo Comparator | Healthy male subjects will receive a single dose of Placebo. |
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| Male ESN364 group in Part 2 | Experimental | Healthy male subjects will receive a single dose of ESN364 followed by washout period, then receive once daily dosing of ESN364 for 10 consecutive days at the same dose level. |
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| Pre-menopausal female ESN364 group in Part 2 | Experimental | Healthy pre-menopausal female subjects will receive a single dose of ESN364 followed by washout period, then receive once daily dosing of ESN364 for 10 consecutive days at the same dose level. |
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| Post-menopausal female ESN364 group in Part 2 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ESN364 | Drug | ESN364 will be administered orally. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Safety assessed by incidence of adverse events (AEs) in Part 1 | AEs will be coded using Medical Dictionary for Regulatory Activities (MedDRA). | Up to Day 12 in Part 1 |
| Safety assessed by incidence of AEs in Part 2 | AEs will be coded using MedDRA. | Up to Day 24 in Part 2 |
| Safety assessed by vital signs: Body temperature in Part 1 | To assess vital signs as a criterion of safety variables. | Up to day 12 in Part 1 |
| Safety assessed by vital signs: Body temperature in Part 2 | To assess vital signs as a criterion of safety variables. | Up to Day 24 in Part 2 |
| Safety assessed by vital signs: Blood pressure in Part 1 | To assess vital signs as a criterion of safety variables. | Up to Day 12 in Part 1 |
| Safety assessed by vital signs: Blood pressure in Part 2 | To assess vital signs as a criterion of safety variables. | Up to Day 24 in Part 2 |
| Safety assessed by vital signs: Pulse rate in Part 1 | To assess vital signs as a criterion of safety variables. | Up to Day 12 in Part 1 |
| Safety assessed by vital signs: Pulse rate in Part 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics (PK) parameter for ESN364 and its metabolite: Area under the concentration-time curve (AUC) from the time of dosing to time 24 h (AUC24) in plasma | To assess the PK of ESN364 and its metabolite in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2 |
| PK parameter for ESN364 and its metabolite: AUC from the time of dosing extrapolated to time infinity (AUCinf) in plasma |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Director | Astellas Pharma Inc | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Site JP00001 | Fukuoka | Japan |
Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.
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| Experimental |
Healthy post-menopausal female subjects will receive a single dose of ESN364 followed by washout period, then receive once daily dosing of ESN364 for 10 consecutive days at the same dose level. |
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| Male placebo group in Part 2 | Placebo Comparator | Healthy male subjects will receive a single dose of Placebo followed by washout period, then receive once daily dosing of Placebo for 10 consecutive days. |
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| Pre-menopausal female placebo group in Part 2 | Placebo Comparator | Healthy pre-menopausal female subjects will receive a single dose of Placebo followed by washout period, then receive once daily dosing of Placebo for 10 consecutive days. |
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| Post-menopausal female placebo group in Part 2 | Placebo Comparator | Healthy post-menopausal female subjects will receive a single dose of Placebo followed by washout period, then receive once daily dosing of Placebo for 10 consecutive days. |
|
| Placebo | Drug | Placebo will be administered orally. |
|
To assess vital signs as a criterion of safety variables. |
| Up to Day 24 in Part 2 |
| Safety assessed by laboratory test: Hematology in Part 1 | To assess laboratory values as a criterion of safety variables. Potentially clinically significant laboratory values will be reported as AEs. | Up to Day 12 in Part 1 |
| Safety assessed by laboratory test: Hematology in Part 2 | To assess laboratory values as a criterion of safety variables. Potentially clinically significant laboratory values will be reported as AEs. | Up to Day 24 in Part 2 |
| Safety assessed by laboratory test: Biochemistry in Part 1 | To assess laboratory values as a criterion of safety variables. Potentially clinically significant laboratory values will be reported as AEs. | Up to Day 12 in Part 1 |
| Safety assessed by laboratory test: Biochemistry in Part 2 | To assess laboratory values as a criterion of safety variables. Potentially clinically significant laboratory values will be reported as AEs. | Up to Day 24 in Part 2 |
| Safety assessed by laboratory test: Urinalysis in Part 1 | To assess laboratory values as a criterion of safety variables. Potentially clinically significant laboratory values will be reported as AEs. | Up to Day 12 in Part 1 |
| Safety assessed by laboratory test: Urinalysis in Part 2 | To assess laboratory values as a criterion of safety variables. Potentially clinically significant laboratory values will be reported as AEs. | Up to Day 24 in Part 2 |
| Safety assessed by standard 12-lead electrocardiogram (ECG) in Part 1 | Subjects should keep rest for 5 minutes before evaluation. Any clinically significant adverse changes on the ECG will be reported as AEs. | Up to Day 12 in Part 1 |
| Safety assessed by standard ECG in Part 2 | Subjects should keep rest for 5 minutes before evaluation. Any clinically significant adverse changes on the ECG will be reported as AEs. | Up to Day 24 in Part 2 |
| Safety assessed by ECG parameters: Heart rate in Part 1 | To assess ECG parameters as a criterion of safety variables. | Up to 24 hr after dosing in Part 1 |
| Safety assessed by ECG parameters: Heart rate in Part 2 | To assess ECG parameters as a criterion of safety variables. | Up to 24 hr after dosing on Day 10 in multiple dose (MD) of Part 2 |
| Safety assessed by ECG parameters: QT interval in Part 1 | To assess ECG parameters as a criterion of safety variables. | Up to 24 hr after dosing in Part 1 |
| Safety assessed by ECG parameters: QT interval in Part 2 | To assess ECG parameters as a criterion of safety variables. | Up to 24 hr after dosing on Day 10 in MD of Part 2 |
| Safety assessed by ECG parameters: RR interval in Part 1 | To assess ECG parameters as a criterion of safety variables. | Up to 24 hr after dosing in Part 1 |
| Safety assessed by ECG parameters: RR interval in Part 2 | To assess ECG parameters as a criterion of safety variables. | Up to 24 hr after dosing on Day 10 in MD of Part 2 |
| Safety assessed by ECG parameters: PR interval in Part 1 | To assess ECG parameters as a criterion of safety variables. | Up to 24 hr after dosing in Part 1 |
| Safety assessed by ECG parameters: PR interval in Part 2 | To assess ECG parameters as a criterion of safety variables. | Up to 24 hr after dosing on Day 10 in MD of Part 2 |
| Safety assessed by ECG parameters: QRS interval in Part 1 | To assess ECG parameters as a criterion of safety variables. | Up to 24 hr after dosing in Part 1 |
| Safety assessed by ECG parameters: QRS interval in Part 2 | To assess ECG parameters as a criterion of safety variables. | Up to 24 hr after dosing on Day 10 in MD of Part 2 |
| Safety assessed by ECG parameters: QTc interval corrected by Fridericia method (QTcF) in Part 1 | To assess ECG parameters as a criterion of safety variables. | Up to 24 hr after dosing in Part 1 |
| Safety assessed by ECG parameters: QTcF in Part 2 | To assess ECG parameters as a criterion of safety variables. | Up to 24 hr after dosing on Day 10 in MD of Part 2 |
| Safety assessed by body weight in Part 1 | To assess body weight as a criterion of safety variables | Up to Day 3 in Part 1 |
| Safety assessed by body weight in Part 2 | To assess body weight as a criterion of safety variables | Up to Day 15 in Part 2 |
| Safety assessed by menstrual cycle in pre-menopausal females | To assess menstrual cycle as a criterion of safety variables | Up to an average of two weeks after last dosing |
To assess the PK of ESN364 and its metabolite4 in Part 1 and Part 2. |
| Up to 48 hr after dosing in Part 1 and after first dosing in Part 2 |
| PK parameter for ESN364 and its metabolite: Percentage of AUCinf (AUCinf(%extrap)) in plasma | To assess the PK of ESN364 and its metabolite in Part 1. | Up to 48 hr after dosing in Part 1 |
| PK parameter for ESN364 and its metabolite: AUC from the time of dosing to the last measurable concentration (AUClast) in plasma | To assess the PK of ESN364 and its metabolite in Part 1. | Up to 48 hr after dosing in Part 1 |
| PK parameter for ESN364 and its metabolite: Maximum concentration (Cmax) in plasma | To assess the PK of ESN364 and its metabolite in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PK parameter for ESN364 and its metabolite: Apparent total clearance after extra-vascular dosing (CL/F) in plasma | To assess the PK of ESN364 and its metabolite in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after dosing on Day 10 in MD part of Part 2 |
| PK parameter for ESN364 and its metabolite: Time point prior to the time point corresponding to the first measurable (non-zero) concentration (tlag) in plasma | To assess the PK of ESN364 and its metabolite in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PK parameter for ESN364 and its metabolite: Time of the maximum concentration: (tmax) in plasma | To assess the PK of ESN364 and its metabolite in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PK parameter for ESN364 and its metabolite: Terminal elimination half-life (t1/2) in plasma | To assess the PK of ESN364 and its metabolite in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after dosing on Day 10 in MD part of Part 2 |
| PK parameter for ESN364 and its metabolite: volume of distribution during the terminal elimination phase after extra-vascular dosing (Vz/F) in plasma | To assess the PK of ESN364 and its metabolite in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after dosing on Day 10 in MD part of Part 2 |
| PK parameter for ESN364 metabolite: Metabolite to parent ratio (MPR) in plasma | To assess the PK of ESN364 metabolite in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PK parameter for ESN364 and its metabolite: AUC from the time of dosing to the start of the next dosing interval (AUCtau) in plasma | To assess the PK of ESN364 and its metabolite in Part 2. | Up to 48 hr after dosing on Day 10 in MD part of Part 2 |
| PK parameter for ESN364 and its metabolite: Peak-trough ratio (PTR) in plasma | To assess the PK of ESN364 and its metabolite in Part 2. | Up to 48 hr after dosing on Day 10 in MD part of Part 2 |
| PK parameter for ESN364 and its metabolite: Accumulation ratio calculated using AUC (Rac(AUC)) in plasma | To assess the PK of ESN364 and its metabolite in Part 2. | Up to 48 hr after dosing on Day 10 in MD part of Part 2 |
| PK parameter for ESN364 and its metabolite: Concentration immediately prior to dosing at multiple dosing (Ctrough) in plasma | To assess the PK of ESN364 and its metabolite in Part 2. | Before dosing on Day 2, 3, 5, 7 and 10 in MD part of Part 2 |
| Pharmacodynamic (PD) endpoint for ESN364: Luteinizing hormone (LH) level in plasma | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUC12 for LH level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: AUC24 for LH level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: AUC48 for LH level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: Cmin for LH level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: tmin for LH level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUC from the Time of Dosing to the Start of the Next Dosing Interval (AUCtau) for LH level | To assess the PD of ESN364 in Part 2. | Before dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: Cpredose for LH level | To assess the PD of ESN364 in Part 1 and Part 2. | Before dosing in Part 1 and before dosing on Day 2, 3, 5, 7 and 10 in MD part of Part 2 |
| PD endpoint for ESN364: Follicle stimulating hormone (FSH) level in plasma | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUC12 for FSH level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: AUC24 for FSH level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: AUC48 for FSH level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: Cmin for FSH level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: tmin for FSH level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUCtau for FSH level | To assess the PD of ESN364 in Part 2. | Before dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: Cpredose for FSH level | To assess the PD of ESN364 in Part 1 and Part 2. | Before dosing in Part 1 and before dosing on Day 2, 3, 5, 7 and 10 in MD part of Part 2 |
| PD endpoint for ESN364: Sex hormone binding globulin (SHBG) level in plasma | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUC12 for SHBG level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: AUC24 for SHBG level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: AUC48 for SHBG level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: Cmin for SHBG level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: tmin for SHBG level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUCtau for SHBG level | To assess the PD of ESN364 in Part 2. | Before dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: Cpredose for SHBG level | To assess the PD of ESN364 in Part 1 and Part 2. | Before dosing in Part 1 and before dosing on Day 2, 3, 5, 7 and 10 in MD part of Part 2 |
| PD endpoint for ESN364: Total testosterone (TT) level in plasma | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUC24 for TT level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: AUC12 for TT level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: AUC48 for TT level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: Cmin for TT level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: tmin for TT level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUCtau for TT level | To assess the PD of ESN364 in Part 2. | Before dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: Cpredose for TT level | To assess the PD of ESN364 in Part 1 and Part 2. | Before dosing in Part 1 and before dosing on Day 2, 3, 5, 7 and 10 in MD part of Part 2 |
| PD endpoint for ESN364: Free testosterone (FT) level in plasma | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUC12 for FT level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: AUC24 for FT level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: AUC48 for FT level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1 and after first dosing in Part 2. |
| PD endpoint for ESN364: Cmin for FT level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: tmin for FT level | To assess the PD of ESN364 in Part 1 and Part 2. | Up to 48 hr after dosing in Part 1, after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUCtau for FT level | To assess the PD of ESN364 in Part 2. | Before dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: Cpredose for FT level | To assess the PD of ESN364 in Part 1 and Part 2. | Before dosing in Part 1 and before dosing on Day 2, 3, 5, 7 and 10 in MD part of Part 2 |
| PD endpoint for ESN364: Estradiol (E) level in plasma | To assess the PD of ESN364 in female subjects in Part 2. | Up to 48 hr after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUC12 for E level | To assess the PD of ESN364 in female subjects in Part 2. | Up to 48 hr after first dosing in Part 2. |
| PD endpoint for ESN364: AUC24 for E level | To assess the PD of ESN364 in female subjects in Part 2. | Up to 48 hr after first dosing in Part 2. |
| PD endpoint for ESN364: AUC48 for E level | To assess the PD of ESN364 in female subjects in Part 2. | Up to 48 hr after first dosing in Part 2. |
| PD endpoint for ESN364: Cmin for E level | To assess the PD of ESN364 in female subjects in Part 2. | Up to 48 hr after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: tmin for E level | To assess the PD of ESN364 in female subjects in Part 2. | Up to 48 hr after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUCtau for E level | To assess the PD of ESN364 in female subjects in Part 2. | Before dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: Cpredose for E level | To assess the PD of ESN364 in female subjects in Part 2. | Before dosing on Day 2, 3, 5, 7 and 10 in MD part of Part 2 |
| PD endpoint for ESN364: Progesterone (P) level in plasma | To assess the PD of ESN364 in female subjects in Part 2. | Up to 48 hr after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUC12 for P level | To assess the PD of ESN364 in female subjects in Part 2. | Up to 48 hr after first dosing in Part 2. |
| PD endpoint for ESN364: AUC24 for P level | To assess the PD of ESN364 in female subjects in Part 2. | Up to 48 hr after first dosing in Part 2. |
| PD endpoint for ESN364: AUC48 for P level | To assess the PD of ESN364 in female subjects in Part 2. | Up to 48 hr after first dosing in Part 2. |
| PD endpoint for ESN364: Cmin for P level | To assess the PD of ESN364 in female subjects in Part 2. | Up to 48 hr after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: tmin for P level | To assess the PD of ESN364 in female subjects in Part 2. | Up to 48 hr after first dosing in Part 2 and after dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: AUCtau for P level | To assess the PD of ESN364 in female subjects in Part 2. | Before dosing on Day 10 in MD part of Part 2 |
| PD endpoint for ESN364: Cpredose for P level | To assess the PD of ESN364 in female subjects in Part 2. | Before dosing on Day 2, 3, 5, 7 and 10 in MD part of Part 2 |
| ID | Term |
|---|---|
| C000608808 | fezolinetant |
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