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Effects of VX-407 on the Pharmacokinetics of Oral Contraceptives in Healthy Participants

Not Applicable
Not yet recruiting
Conditions
Autosomal Dominant Polycystic Kidney Disease (ADPKD)
Interventions
Drug: LNG/EE
Drug: NGM/EE
Drug: NET/EE
Drug: DRSP/EE
Registration Number
NCT07074327
Lead Sponsor
Vertex Pharmaceuticals Incorporated
Brief Summary

The purpose of the study is to evaluate the effect of VX-407 on the pharmacokinetics of levonorgestrel (LNG) and ethinyl estradiol (EE), norgestimate (NGM) and EE, norethindrone (NET) and EE and drospirenone (DRSP) and EE. Also, to evaluate the safety and tolerability of co-administration of VX-407 with LNG/EE, NGM/EE, NET/EE and DRSP/EE.

Detailed Description

This clinical trial information was submitted voluntarily under the applicable law and, therefore, certain submission deadlines may not apply. (That is, clinical trial information for this applicable clinical trial was submitted under section 402(j)(4)(A) of the Public Health Service Act and 42 CFR 11.60 and is not subject to the deadlines established by sections 402(j)(2) and (3) of the Public Health Service Act or 42 CFR 11.24 and 11.44.).

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
Female
Target Recruitment
148
Inclusion Criteria
  • Body mass index (BMI) of 18.0 to 30.0 kilogram per meter square (kg/m^2)
  • A total body weight of greater than (>) 50 kg
  • Nonsmoker or ex-smoker for at least 12 months before screening
  • Oral contraceptive naïve or able to comply with 28-day or 5 half-lives (whichever is greater) washout before the start of Period 1 (6-month washout for Depo-Provera)
Exclusion Criteria
  • History of febrile illness within 5 days before the first dose of study drug
  • Relative contraindications to hormonal estrogen therapy that, in the opinion of the investigator, might confound the results of the study or pose an additional risk in administering study drug to the participant
  • Any condition possibly affecting drug absorption, distribution, metabolism, or excretion
  • Pregnant, nursing, or planning to become pregnant during the study or within 90 days after the last dose of study drug
  • Menopausal, post-menopausal, or documented bilateral oophorectomy and/or hysterectomy
  • Previously received study drug in this study

Other protocol defined Inclusion/Exclusion criteria may apply.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Part A: VX-407 With Levonorgestrel/Ethinyl Estradiol (LNG/EE)VX-407Participants will receive a single dose of LNG/EE on Days 1 and 21 in fasted state. Participants will also receive VX-407 every 12 hours (q12h) from Days 8 through 26 in fasted state.
Part A: VX-407 With Levonorgestrel/Ethinyl Estradiol (LNG/EE)LNG/EEParticipants will receive a single dose of LNG/EE on Days 1 and 21 in fasted state. Participants will also receive VX-407 every 12 hours (q12h) from Days 8 through 26 in fasted state.
Part B (Optional): VX-407 With Norgestimate/Ethinyl Estradiol (NGM/EE)VX-407Participants will receive a single dose of NGM/EE on Days 1 and 23 in fasted state. Participants will also receive VX-407 q12h from Days 10 through 30 in fasted state.
Part B (Optional): VX-407 With Norgestimate/Ethinyl Estradiol (NGM/EE)NGM/EEParticipants will receive a single dose of NGM/EE on Days 1 and 23 in fasted state. Participants will also receive VX-407 q12h from Days 10 through 30 in fasted state.
Part C (Optional): VX-407 With Norethindrone/Ethinyl Estradiol (NET/EE)VX-407Participants will receive a single dose of NET/EE on Days 1 and 19 in fasted state. Participants will also receive VX-407 q12h from Days 6 through 22 in fasted state.
Part C (Optional): VX-407 With Norethindrone/Ethinyl Estradiol (NET/EE)NET/EEParticipants will receive a single dose of NET/EE on Days 1 and 19 in fasted state. Participants will also receive VX-407 q12h from Days 6 through 22 in fasted state.
Part D (Optional): VX-407 With Drospirenone/Ethinyl Estradiol (DRSP/EE)VX-407Participants will receive a single dose of DRSP/EE on Days 1 and 21 in fasted state. Participants will also receive VX-407 q12h from Days 8 through 26 in fasted state.
Part D (Optional): VX-407 With Drospirenone/Ethinyl Estradiol (DRSP/EE)DRSP/EEParticipants will receive a single dose of DRSP/EE on Days 1 and 21 in fasted state. Participants will also receive VX-407 q12h from Days 8 through 26 in fasted state.
Primary Outcome Measures
NameTimeMethod
Part A: Maximum Observed Plasma Concentration (Cmax) of LNG and EE in the Absence and Presence of VX-407From Day 1 up to Day 7 and Day 21 up to Day 27
Part D (Optional): AUC0-inf of DRSP and EE in the Absence and Presence of VX-407From Day 1 up to Day 7 and Day 21 up to Day 27
Part A: Area Under the Concentration Versus Time Curve From the Time of Dosing Extrapolated to Infinity (AUC0-inf) of LNG and EE in the Absence and Presence of VX-407From Day 1 up to Day 7 and Day 21 up to Day 27
Part B (Optional): AUC0-inf of NGMN and NG (Active Metabolites of NGM) and EE in the Absence and Presence of VX-407From Day 1 up to Day 9 and Day 23 up to Day 31
Part B (Optional): Cmax of Norelgestromin (NGMN) and Norgestrel (NG) (Active Metabolites of NGM) and EE in the Absence and Presence of VX-407From Day 1 up to Day 9 and Day 23 up to Day 31
Part D (Optional): Cmax of DRSP and EE in the Absence and Presence of VX-407From Day 1 up to Day 7 and Day 21 up to Day 27
Part C (Optional): Cmax of NET and EE in the Absence and Presence of VX-407From Day 1 up to Day 5 and Day 19 up to Day 23
Part C (Optional): AUC0-inf of NET and EE in the Absence and Presence of VX-407From Day 1 up to Day 5 and Day 19 up to Day 23
Secondary Outcome Measures
NameTimeMethod
Part A: Safety and Tolerability as Assessed by Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)From Day 1 up to Day 36
Part B (Optional): Safety and Tolerability as Assessed by Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)From Day 1 up to Day 40
Part C (Optional): Safety and Tolerability as Assessed by Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)From Day 1 up to Day 32
Part D (Optional): Safety and Tolerability as Assessed by Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)From Day 1 up to Day 36
Part A: Cmax of VX-407Days 9, 15 and 21 up to Day 27
Part A: AUC0-inf of VX-407Days 9, 15 and 21 up to Day 27
Part B (Optional): Cmax of VX-407Days 11, 17 and 23 up to Day 31
Part B (Optional): AUC0-inf of VX-407Days 11, 17 and 23 up to Day 31
Part C (Optional): Cmax of VX-407Days 7, 13 and 19 up to Day 23
Part C (Optional): AUC0-inf of VX-407Days 7, 13 and 19 up to Day 23
Part D (Optional): Cmax of VX-407Days 9, 15 and 21 up to Day 27
Part D (Optional): AUC0-inf of VX-407Days 9, 15 and 21 up to Day 27

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