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An open-label study to assess the PK of estradiol, estrone and progesterone from the DARE-HRT1 intravaginal rings at two different dose strengths.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| IVR: estradiol 80 ug/day + progesterone 4mg/day | Experimental | 28-day IVR 80/4 |
|
| IVR: estradiol 160 ug/day + progesterone 8mg /day | Experimental | 28-day IVR 160/8 |
|
| Oracle Estrace(R)/Prometrium(R) | Active Comparator | 29 days (estradiol 1mg/progesterone 100 mg oral capsule) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IVR Dose 1 | Device | Estradiol 80 ug/progesterone 4 mg |
| |
| Measure | Description | Time Frame |
|---|---|---|
| To Determine the Steady State Concentration (Css) for Estradiol | To describe the Pharmacokinetic parameters of estradiol in dose combinations (Estradiol 80 ug/progesterone 4/mg day and Estradiol 160 ug/progesterone 8/mg day) | 28 days |
| To Determine the Stead State Concentration (Css) for Estrone | To describe the Pharmacokinetic parameters of estrone in dose combinations (Estradiol 80 ug/progesterone 4/mg day and Estradiol 160 ug/progesterone 8/mg day) | 28 days |
| To Determine the Steady State Concentration (Css) for Progesterone | To describe the Pharmacokinetic parameters of progesterone in dose combinations (Estradiol 80 ug/progesterone 4/mg day and Estradiol 160 ug/progesterone 8/mg day) | 28 days |
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Inclusion Criteria:
Exclusion Criteria:
Prior abnormal cervical screening test (CST) or Pap result within 2 years of screening. Subject can have atypical squamous cells of undetermined significance (ASCUS), if HPV negative.
Subjects with any self-reported active sexually transmitted disease and/or evidence of infection based on visual vaginal exam by the investigator
Subjects with a UTI during screening as assessed by urine dipstick test with abnormal test findings (any positive result for leukocytes AND any positive result for nitrites)
Subjects with > 4 mm endometrium lining at screening (on the transvaginal ultrasound)
Have a history of endometrial hyperplasia or cervical or uterine carcinoma
Subjects with indwelling catheters or requiring intermittent catheterization
Subjects with multiple or unsuccessful (e.g., still having symptoms) pelvic reconstructive surgery, or suffers from pelvic relaxation
Subjects who have had a hysterectomy
Subjects taking any estrogen and/or progesterone products (see Section 4.1 for washout requirements)
Subjects with concomitant use of personal lubricants (water-based lubricants are allowed) or any intravaginal product or medication, either by prescription or over-the-counter (e.g., Femring [estradiol acetate vaginal ring], ESTRING® [estradiol vaginal ring]) with the exception of those who agree not to use these products during the IVR use period
Self-reported or observed vaginal irritation; vaginal, vulvar, or cervical lesions, undiagnosed vaginal bleeding; or tenderness
Subjects with a finding of clinically significant uterine fibroids at screening
Subjects with a known hypersensitivity to progesterone, estradiol, Femring, or the components of the IVR (e.g., ethylene vinyl acetate)
Subjects with known hypersensitivity to peanuts (Prometrium capsules contain peanut oil)
Subjects with prior pelvic malignancies
Subjects with a history of any severe acute or chronic medical or psychiatric condition or laboratory abnormality that could increase the risk associated with trial participation or study treatment administration or could interfere with the interpretation of trial results and, in the judgment of the investigator, would make the subject inappropriate for entry into the trial. This includes but is not limited to the following:
Human immunodeficiency virus (HIV) infection (confirmed by medical history/ serology testing)
Active chronic hepatitis B or hepatitis C infection including hepatitis B surface antigen and hepatitis C antigen positive subjects with or without abnormal liver enzymes (confirmed by medical history/serology testing)
Concurrent neurodegenerative disease
Cardiovascular: uncontrolled hypertension, unstable angina, myocardial infarction or symptomatic congestive heart failure within the past 6 months, serious uncontrolled cardiac arrhythmia, use of Class 1 antiarrhythmic medications, or history of venous thromboembolism or stroke
Dementia or significantly altered mental status that would prohibit the understanding or rendering of informed consent and compliance with the requirements of the protocol
History of gallbladder disease unless gallbladder removed
Symptomatic bacterial vaginosis
Have fasting triglyceride of > 300 mg/dL and/or total cholesterol of > 300 mg/dL
AST or ALT > 1.5 times the upper limit of normal
Fasting glucose > 125 mg/dL
Evidence of current alcohol or drug abuse in the past 60 days including a positive result from the urine drugs of abuse or alcohol screen, or history of drug or alcohol dependence in the last two years, as assessed by principal investigator. Alcohol abuse is defined as greater than 14 standard units/week for females and drug abuse is defined as known psychiatric or substance abuse disorder that would interfere with participation with the requirements of this study, including current use of any illicit drugs.
Participation in any other investigational drug or device trial in which administration of an investigational study drug/device occurred within 30 days or placement of a non-drug eluting medical device within 15 days prior to screening.
Must be female.
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| Name | Affiliation | Role |
|---|---|---|
| David Friend, PhD | Dare Bioscience | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PARC Clinical Research | Melbourne | Australia | ||||
| Keogh Institute for medical Research |
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| ID | Title | Description |
|---|---|---|
| FG000 | IVR: Estradiol 80 ug/Day + Progesterone 4mg/Day | 28-day IVR 80/4 IVR Dose 1: Estradiol 80 ug/progesterone 4 mg |
| FG001 | IVR: Estradiol 160 ug/Day + Progesterone 8mg /Day | 28-day IVR 160/8 IVR Dose 2: Estradiol 160ug/progesterone 8 mg |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 6, 2019 |
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| IVR Dose 2 |
| Device |
Estradiol 160ug/progesterone 8 mg |
|
| Oral Reference | Drug | estradiol 1mg/progesterone 100 mg |
|
| Nedlands |
| Australia |
| FG002 | Oracle Estrace(R)/Prometrium(R) | 29 days (estradiol 1mg/progesterone 100 mg oral capsule) Oral Reference: estradiol 1mg/progesterone 100 mg |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | IVR: Estradiol 80 ug/Day + Progesterone 4mg/Day | 28-day IVR 80/4 IVR Dose 1: Estradiol 80 ug/progesterone 4 mg |
| BG001 | IVR: Estradiol 160 ug/Day + Progesterone 8mg /Day | 28-day IVR 160/8 IVR Dose 2: Estradiol 160ug/progesterone 8 mg |
| BG002 | Oracle Estrace(R)/Prometrium(R) | 29 days (estradiol 1mg/progesterone 100 mg oral capsule) Oral Reference: estradiol 1mg/progesterone 100 mg |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
| ||||||||||||||||
| Body Mass Index | Mean | Standard Deviation | kg/m^2 |
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| 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 | To Determine the Steady State Concentration (Css) for Estradiol | To describe the Pharmacokinetic parameters of estradiol in dose combinations (Estradiol 80 ug/progesterone 4/mg day and Estradiol 160 ug/progesterone 8/mg day) | Posted | Geometric Mean | Geometric Coefficient of Variation | pg/mL | 28 days |
|
|
| ||||||||||||||||||||||||||||||||
| Primary | To Determine the Stead State Concentration (Css) for Estrone | To describe the Pharmacokinetic parameters of estrone in dose combinations (Estradiol 80 ug/progesterone 4/mg day and Estradiol 160 ug/progesterone 8/mg day) | Posted | Geometric Mean | Geometric Coefficient of Variation | pg/mL | 28 days |
|
| |||||||||||||||||||||||||||||||||
| Primary | To Determine the Steady State Concentration (Css) for Progesterone | To describe the Pharmacokinetic parameters of progesterone in dose combinations (Estradiol 80 ug/progesterone 4/mg day and Estradiol 160 ug/progesterone 8/mg day) | Posted | Geometric Mean | Geometric Coefficient of Variation | pg/mL | 28 days |
|
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Adverse Events were collected from time of signing informed consent until last study visit, approximately 2 months.
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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 | IVR: Estradiol 80 ug/Day + Progesterone 4mg/Day | 28-day IVR 80/4 IVR Dose 1: Estradiol 80 ug/progesterone 4 mg | 0 | 10 | 0 | 10 | 8 | 10 |
| EG001 | IVR: Estradiol 160 ug/Day + Progesterone 8mg /Day | 28-day IVR 160/8 IVR Dose 2: Estradiol 160ug/progesterone 8 mg | 0 | 12 | 0 | 12 | 9 | 12 |
| EG002 | Oracle Estrace(R)/Prometrium(R) | 29 days (estradiol 1mg/progesterone 100 mg oral capsule) Oral Reference: estradiol 1mg/progesterone 100 mg | 0 | 12 | 0 | 12 | 8 | 12 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Ear Pain | Ear and labyrinth disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Vertigo | Ear and labyrinth disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Dry Eye | Eye disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Abdominal Pain | Gastrointestinal disorders | MedDRA (24.0) | Non-systematic Assessment | Inclusive of Upper and Lower abdominal pain |
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| Diarrhea | Gastrointestinal disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Toothache | Gastrointestinal disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Discomfort | General disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Fatigue | General disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Injection Site Discomfort | General disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Allergy to arthropod sting | Immune system disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Tinea pedis | Infections and infestations | MedDRA (24.0) | Non-systematic Assessment |
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| Upper respiratory tract infection | Infections and infestations | MedDRA (24.0) | Non-systematic Assessment |
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| Viral Infection | Infections and infestations | MedDRA (24.0) | Non-systematic Assessment |
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| Vulvovaginal candidiasis | Infections and infestations | MedDRA (24.0) | Non-systematic Assessment |
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| Muscle strain | Injury, poisoning and procedural complications | MedDRA (24.0) | Non-systematic Assessment |
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| Procedural pain | Injury, poisoning and procedural complications | MedDRA (24.0) | Non-systematic Assessment |
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| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Myalgia | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Headache | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Sensory disturbance | Musculoskeletal and connective tissue disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Euphoric mood | Psychiatric disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Breast pain | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Breast tenderness | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Dysmenorrhea | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Dyspareunia | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Intermenstrual bleeding | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Nipple pain | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Pelvic discomfort & pain | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Sexual dysfunction | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Vaginal discharge | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Vaginal hemorrhage | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Vulvovaginal burning sensation | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Vulvovaginal dryness | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Vulvovaginal pain | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Vulvovaginal pruritus | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Vulvovaginal swelling | Reproductive system and breast disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Hemorrhage | Vascular disorders | MedDRA (24.0) | Non-systematic Assessment |
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| Hot flush | Vascular disorders | MedDRA (24.0) | Non-systematic Assessment |
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One participant randomized into the Oral Reference group was never dosed as the participant was terminated due to a protocol violation.
PI unable to publish trial results after the trial is completed without prior approval from Sponsor.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jessica Hatheway, VP of Clinical Operations | Daré Bioscience, Inc. | 858-926-7655 | jhatheway@darebioscience.com |
| Aug 16, 2023 |
| Prot_SAP_000.pdf |
| Between 18 and 65 years |
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| >=65 years |
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| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Native Hawaiian or Other Pacific Islander |
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| Black or African American |
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| White |
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| More than one race |
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| Unknown or Not Reported |
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