A Phase 1, Open-Label, Parallel Group Study to Evaluate the Pharmacokinetics and Safety of DARE-HRT1 in Healthy PostMenopausal Women
- Conditions
- Vulvovaginal AtrophyVasomotor Symptoms
- Interventions
- Device: IVR Dose 1Device: IVR Dose 2Drug: Oral Reference
- Registration Number
- NCT05418426
- Lead Sponsor
- Daré Bioscience, Inc.
- Brief Summary
An open-label study to assess the PK of estradiol, estrone and progesterone from the DARE-HRT1 intravaginal rings at two different dose strengths.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 34
- Postmenopausal women with body mass index >/= 18 and </= 38 kg/m2
- Normal cervix and vagina
- An intact uterus
- An acceptable results from an endometrial biopsy
- normal mammogram report within 24 months of screening
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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description IVR: estradiol 80 ug/day + progesterone 4mg/day IVR Dose 1 28-day IVR 80/4 IVR: estradiol 160 ug/day + progesterone 8mg /day IVR Dose 2 28-day IVR 160/8 Oracle Estrace(R)/Prometrium(R) Oral Reference 29 days (estradiol 1mg/progesterone 100 mg oral capsule)
- Primary Outcome Measures
Name Time Method To Determine the Steady State Concentration (Css) for Estradiol 28 days 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)
To Determine the Stead State Concentration (Css) for Estrone 28 days 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)
To Determine the Steady State Concentration (Css) for Progesterone 28 days 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)
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (2)
PARC Clinical Research
🇦🇺Melbourne, Australia
Keogh Institute for medical Research
🇦🇺Nedlands, Australia