AMP002 Phase III Contraceptive Study
- Registration Number
- NCT03243305
- Lead Sponsor
- Evofem Inc.
- Brief Summary
This is a single-arm, open-label, Phase III study in approximately 100 sites in the United States (US) over seven cycles of use in women aged 18 to 35 years who are at risk of pregnancy.
- Detailed Description
Through assessments including pelvic examination, laboratory procedures, and medical and gynecological history, subjects will be screened for eligibility in order to enroll approximately 1349 subjects into the study. After a screening period of up to 60 days, enrolled women will receive study drug. Each woman will participate in the study until after she has completed treatment during seven study cycles. Women who have individual cycles that do not meet the criteria for an evaluable cycle will not have those cycles replaced by subsequent cycles in order to provide a total of seven evaluable cycles.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 1384
- Inclusion Criteria:
To enroll in the clinical study, potential subjects must:
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Be healthy women, who are sexually active, at risk of pregnancy, and desiring contraception.
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Be within the age range of 18 to 35 years old (inclusive) at enrollment.
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In the opinion of the Investigator, be at low risk for both human immunodeficiency virus (HIV) and sexually transmitted infections (STIs) based on review of high-risk behaviors and exposures according to the Centers for Disease Control STI Guideline.
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At the time of enrollment, have a single male sex partner for ≥3 months.
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Have a negative urine pregnancy test at enrollment.
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Have normal, cyclic menses with a usual length of 21 to 35 days over the last two cycles or at least two consecutive spontaneous menses (21 to 35 days in length) since delivery, abortion, or after discontinuing hormonal contraception or hormonal therapy prior to the date of consent. In addition:
- If the subject recently discontinued breastfeeding, she must have demonstrated return to regular cycling and have had at least three consecutive, spontaneous menses post-lactation prior to the date of consent.
- If the subject received prior administration of injectable contraceptives (e.g., depot-medroxyprogesterone acetate [DMPA], Depo Provera), there must be at least 10 months since the last injection and the subject must have had at least two consecutive, spontaneous menses prior to the date of consent.
- If a contraceptive implant was recently removed, the subject must have had at least two consecutive, spontaneous menses prior to the date of consent.
- If an intrauterine device (IUD) was recently removed, the subject must have had at least one spontaneous menses following removal and prior to the date of consent.
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Be willing to engage in at least three acts of heterosexual vaginal intercourse per cycle.
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Be willing to use the study drug as the only method of contraception over the course of the study (with the exception of emergency contraception [EC] in the event a subject engages in vaginal intercourse but believes that the study drug was not used properly or she is at risk for pregnancy for any other reason).
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Be capable of using the study drug properly and agree to comply with all study directions and requirements, including retaining the wrappers and returning them to the clinical site at the next study visit.
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Be willing to keep a daily electronic diary (eDiary) to record coital information, study drug use information, use of concomitant medications including other vaginal products and other contraceptives, menses, and sign and symptom data for the subject or as reported to her by her partner.
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Agree not to participate in any other clinical studies during the course of the study.
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Be capable and willing to give written informed consent to participate in the study.
Exclusion Criteria:
To enroll in the clinical study, potential subjects must not:
-
Have had three or more urinary tract infections (UTIs) in the past year from the date of consent.
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Have a UTI by urine culture, chlamydia, gonorrhea, or symptomatic yeast vaginitis or symptomatic bacterial vaginosis (BV) diagnosed by wet mount, or trichomoniasis, unless treated and proof of cure is documented within the screening period.
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Have used vaginal or systemic antibiotics or antifungals within 14 days prior to enrollment, with the exception of vaginal or systemic antibiotics or antifungals completed for the treatment of a UTI, BV, or yeast vaginitis diagnosed at screening within seven days of the Enrollment Visit.
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Have a history of any recurrent vaginal infections/disorders (either greater than or equal to four times in the past year or greater than or equal to three times in the previous six months from the date of consent).
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Be pregnant, have a suspected pregnancy, or desire to become pregnant during the course of the study.
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Have a history of diagnosed infertility or of conditions that may lead to infertility, without subsequent non-assisted reproductive technology intrauterine pregnancy.
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Have any maternal contraindications to pregnancy (medical condition) or chronic use of medications for which significant evidence of fetal risk exists.
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Have known or screen test positive for HIV infection.
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Have three or more outbreaks of genital herpes simplex virus (HSV) within the last year from the date of consent or be receiving suppressive therapy.
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Have visible genital condylomata (warts).
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Be lactating or breastfeeding.
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Have any clinically significant abnormal finding on physical examination including pelvic examination or baseline laboratory assessments which in the opinion of the Investigator, precludes study participation.
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Have clinically significant signs of vaginal or cervical irritation on pelvic examination.
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Be planning to have any (e.g., diagnostic or therapeutic) vaginal or cervical procedures during the period of the study.
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Have an abnormal Papanicolaou test (Pap test) based on the following criteria:
a. Pap test in the past 12 months from the date of screening with atypical squamous cells of undetermined significance (ASC-US) unless at least one of the following criteria is met: i. Less than 21 years of age. ii. A repeat Pap test at least six months later was normal. iii. Reflex human papillomavirus (HPV) testing was performed and was negative for high-risk HPV.
iv. A colposcopy (with or without biopsy) found no evidence of dysplasia requiring treatment or treatment was performed and follow up at least six months after the treatment showed no evidence of disease.
b. Pap test in the past 12 months from the date of screening with low grade squamous intraepithelial lesion (LSIL) unless at least one of the following criteria is met: i. Less than 21 years of age. ii. A colposcopy (with or without biopsy) found no evidence of dysplasia requiring treatment or treatment was performed and follow up at least six months after the treatment showed no evidence of disease.
c. Pap test in the past 12 months from the date of screening with atypical squamous cells in which high grade squamous intraepithelial lesion cannot be excluded (ASC-H), atypical glandular cells, high grade squamous intraepithelial lesion (HSIL), or ≥30 years old who are cytology negative and HPV 16- or HPV 18-positive unless colposcopy and/or treatment was performed and follow up at least six months after the colposcopy and/or treatment showed no evidence of disease.
d. Pap test in the past 12 months with malignant cells.
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Consume (on average) more than three drinks of an alcoholic beverage per day.
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In the opinion of the Investigator, have a history of substance abuse in the last 12 months.
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Have taken an investigational drug or used an investigational device within the past 30 days from the date of consent.
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In the opinion of the Investigator, have issues or concerns that may compromise the safety of the subject, impact the subject's compliance with the protocol requirements, or confound the reliability of the data acquired.
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Be an Evofem, PAREXEL, or clinical site employee regardless of direct involvement in research activities, or their close relative.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Interventional AMPHORA This is a single-arm, open-label, Phase III study of AMPHORA , a non-hormonal contraceptive, at approximately 100 sites in the United States (US) over seven cycles of use in women aged 18 to 35 years who are at risk of pregnancy.
- Primary Outcome Measures
Name Time Method Number of Subjects With Pregnancy Outcomes to Measure Contraceptive Efficacy 10 months To evaluate the contraceptive efficacy of Amphora over 7-cycle of use
- Secondary Outcome Measures
Name Time Method Number of Subjects With Adverse Events (AE) 10 months Incidence of AE to evaluate safety
Trial Locations
- Locations (87)
The Community Research of South Florida 167
🇺🇸Hialeah, Florida, United States
Vital Pharma Research, Inc. 123
🇺🇸Hialeah, Florida, United States
Mesa Obstetricians & Gynecologists 184
🇺🇸Mesa, Arizona, United States
Clinical Physiology Associates 160
🇺🇸Fort Myers, Florida, United States
AGA Clinical Trials 108
🇺🇸Hialeah, Florida, United States
Arkansas Primary Care Clinic 205
🇺🇸Little Rock, Arkansas, United States
East Valley Family Physicians 137
🇺🇸Chandler, Arizona, United States
Harbor - UCLA LABIOMED 143
🇺🇸Torrance, California, United States
Optimal Research, LLC 107
🇺🇸Melbourne, Florida, United States
Coastal Clinical Research, Inc.
🇺🇸Mobile, Alabama, United States
Physician Care Clinical Research 158
🇺🇸Sarasota, Florida, United States
UF Health Woman's Specialist - Emerson 194
🇺🇸Jacksonville, Florida, United States
Grossmont Center for Clinical Research 119
🇺🇸La Mesa, California, United States
Elite Clinical Trials 105
🇺🇸Blackfoot, Idaho, United States
Visions Clinical Research Tucson 138
🇺🇸Tucson, Arizona, United States
Anaheim Clinical Trials, LLC 135
🇺🇸Anaheim, California, United States
Aventiv 128
🇺🇸Columbus, Ohio, United States
Hope Clinical Research, LLC 163
🇺🇸Canoga Park, California, United States
Empire Clinical Research 175
🇺🇸Upland, California, United States
Health Awareness, Inc. 129
🇺🇸Jupiter, Florida, United States
Saginaw Valley Medical Research Group, LLC 124
🇺🇸Saginaw, Michigan, United States
Upstate Clinical Research Associates 114
🇺🇸Williamsville, New York, United States
Visions Clinical Research 168
🇺🇸Wellington, Florida, United States
Clinical Trials Management, LLC 131
🇺🇸Covington, Louisiana, United States
Frederick OB/GYN 189
🇺🇸Frederick, Maryland, United States
Altus Research 142
🇺🇸Lake Worth, Florida, United States
ActivMed Practices & Research, Inc. 133
🇺🇸Methuen, Massachusetts, United States
Eastern Carolina Women's Center 103
🇺🇸New Bern, North Carolina, United States
Family Medicine Associates of Texas 106
🇺🇸Carrollton, Texas, United States
American Health Network, Inc. - Muncie 145
🇺🇸Muncie, Indiana, United States
Pioneer Research Solutions, Inc. 164
🇺🇸Beaumont, Texas, United States
R. Garn Mabey, Jr., MD, Chartered 116
🇺🇸Las Vegas, Nevada, United States
Planned Parenthood of the St. Louis Regions 169
🇺🇸Saint Louis, Missouri, United States
Practice Research Organization 115
🇺🇸Dallas, Texas, United States
American Health Network, Inc. - Franklin 146
🇺🇸Franklin, Indiana, United States
North Texas Family Medicine 104
🇺🇸Plano, Texas, United States
Brownstone Clinical Trials 191
🇺🇸Fort Worth, Texas, United States
Clinical Research Associates of Tidewater 148
🇺🇸Norfolk, Virginia, United States
PI-Coor Clinical Research, LLC 153
🇺🇸Centreville, Virginia, United States
The University of Tennessee Medical Center 188
🇺🇸Knoxville, Tennessee, United States
South Florida Research Center, Inc. 165
🇺🇸Miami, Florida, United States
Advanced Pharma CR, LLC 156
🇺🇸Miami, Florida, United States
Vista Health Research 166
🇺🇸Miami, Florida, United States
Complete Healthcare for Women 151
🇺🇸Columbus, Ohio, United States
Centex Studies, Inc. 182
🇺🇸Houston, Texas, United States
New Horizon Research 155
🇺🇸Miami, Florida, United States
Agile Clinical Research Trials 161
🇺🇸Atlanta, Georgia, United States
Elite Research Network - Rapid Medical Research, Inc. 171
🇺🇸Cleveland, Ohio, United States
Southeast Texas Family Planning & Cancer Screening 121
🇺🇸Houston, Texas, United States
Texas Center for Drug Development. Inc. 150
🇺🇸Houston, Texas, United States
Seattle Women's: Health, Research, Gynecology 113
🇺🇸Seattle, Washington, United States
Medical Center for Clinical Research 101
🇺🇸San Diego, California, United States
Optimal Research, LLC 149
🇺🇸San Diego, California, United States
Women's Health Care 122
🇺🇸San Diego, California, United States
Radient Research, Inc. 152
🇺🇸Cincinnati, Ohio, United States
Office of Edmond Pack, MD 192
🇺🇸Las Vegas, Nevada, United States
Clinical Research Center of Nevada 136
🇺🇸Las Vegas, Nevada, United States
Family Practice Specialists Ltd 170
🇺🇸Phoenix, Arizona, United States
Precision Trials AZ, LLC 176
🇺🇸Phoenix, Arizona, United States
Downtown Women's Healthcare 109
🇺🇸Denver, Colorado, United States
Neera Bhatia, MD OB/GYN 180
🇺🇸San Antonio, Texas, United States
Progressive Clinical Research 187
🇺🇸San Antonio, Texas, United States
Wasatch Clinical Research 183
🇺🇸Salt Lake City, Utah, United States
Health Care Family Rehab and Research 190
🇺🇸Pembroke Pines, Florida, United States
Lyndhurst Clinical Research 110
🇺🇸Raleigh, North Carolina, United States
PMG Research of Cary 134
🇺🇸Cary, North Carolina, United States
Eclipse Clinical Research 185
🇺🇸Tucson, Arizona, United States
Radiant Research, Inc. 111
🇺🇸Scottsdale, Arizona, United States
Essential Access Health 159
🇺🇸Berkeley, California, United States
Lynn Institute of the Rockies 172
🇺🇸Colorado Springs, Colorado, United States
Flordia Clinical Research Group, LLC 130
🇺🇸Clearwater, Florida, United States
Coastal Connecticut Research, LLC 141
🇺🇸New London, Connecticut, United States
Health Care Family Rehab and Research Center 193
🇺🇸Hialeah, Florida, United States
AppleMed Research Group, LLC 154
🇺🇸Miami, Florida, United States
Atlanta North Gynecology, PC 120
🇺🇸Roswell, Georgia, United States
Women's Health Practice 132
🇺🇸Champaign, Illinois, United States
American Health Network, Inc. - Avon 144
🇺🇸Avon, Indiana, United States
Women's Health Advantage 162
🇺🇸Fort Wayne, Indiana, United States
Unified Women's Clinical Research 125
🇺🇸Morehead City, North Carolina, United States
Clinical Research of Philadelphia 186
🇺🇸Philadelphia, Pennsylvania, United States
Physician's Research Options, LLC 178
🇺🇸Draper, Utah, United States
Northern California Research 179
🇺🇸Sacramento, California, United States
Heuermd Research, Inc. 140
🇺🇸Orlando, Florida, United States
Southeastern Research Center 139
🇺🇸Winston-Salem, North Carolina, United States
Medical Research South 126
🇺🇸Charleston, South Carolina, United States
Premier Family Physicians 102
🇺🇸Austin, Texas, United States
Bosque Women's Care 117
🇺🇸Albuquerque, New Mexico, United States