Erenumab (AMG 334) Plus Combined Oral Contraceptive Drug Interaction Study in Healthy Females

NCT ID: NCT02792517

Last Updated: 2018-12-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

41 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-12

Study Completion Date

2016-09-09

Brief Summary

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A pharmacokinetic drug interaction study of erenumab and an oral contraceptive containing progestin and estrogen.

Detailed Description

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A pharmacokinetic (PK) drug interaction study of erenumab and an oral contraceptive containing progestin and estrogen. All participants will receive an oral contraceptive containing progestin and estrogen throughout the duration of the study. Participants will also receive a single dose of erenumab, administered by a healthcare provider in cycle 3. Serial PK samples will be collected at specified time points to characterize the PK of the oral contraceptive progestin and estrogen components with and without the presence of erenumab.

The study consists of three 28-day cycles and a follow-up period. The first 28 day cycle is an acclimation period when participants initiate oral contraception (Cycle 1). During Cycle 2 and 3 the PK of ethinyl estradiol (EE) and active metabolites of norgestimate (ie, norelgestromin \[NGMN\] and norgestrel \[NG\]) will be characterized following the last active dose of oral contraceptive in each cycle (cycle day 21). Erenumab will be given in cycle 3 (cycle day 10); 24-hour PK characterization of norgestimate and EE metabolites will occur 11 days after administration of erenumab, which will maximize the potential for detecting a drug-drug interaction.

Conditions

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Headache, Migraine

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Erenumab + Estrogen/Progestin Contraceptive

Participants received a combination oral contraceptive for 3 28-day cycles during the study.

A single 140 mg dose of erenumab was administered subcutaneously to the abdomen on day 10 of cycle 3 by a healthcare provider.

Group Type EXPERIMENTAL

Erenumab

Intervention Type DRUG

A single dose of erenumab administered in the abdomen.

Ethynil Estradiol/Norgestimate Oral Contraceptive

Intervention Type DRUG

Ethynil estradiol (EE)/norgestimate combination oral contraceptive is a 28-tablet cycle in which 1 oral tablet is taken daily; each containing 0.250 mg norgestimate and 0.035 mg EE for 21 days, after which a tablet only containing inert ingredients is taken for last 7 days of the 28 day cycle.

Interventions

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Erenumab

A single dose of erenumab administered in the abdomen.

Intervention Type DRUG

Ethynil Estradiol/Norgestimate Oral Contraceptive

Ethynil estradiol (EE)/norgestimate combination oral contraceptive is a 28-tablet cycle in which 1 oral tablet is taken daily; each containing 0.250 mg norgestimate and 0.035 mg EE for 21 days, after which a tablet only containing inert ingredients is taken for last 7 days of the 28 day cycle.

Intervention Type DRUG

Other Intervention Names

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AMG-334 Aimovig™ Ortho-Cyclen®

Eligibility Criteria

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Inclusion Criteria

* Healthy female ≥18 to ≤45 years old at the time of enrollment
* Regular monthly menstrual cycle during the last 12 months
* Good general health based on a medical history evaluation and physical examination
* No clinically significant abnormalities in laboratory tests at screening
* Subject has provided informed consent/assent prior to initiation of any study specific activities/procedures

Exclusion Criteria

* Intolerance to any recent oral contraceptive in the last three (3) years,
* Female subjects with a positive serum pregnancy test at screening
* Female subjects not willing to inform her sexual partner of her participation in the clinical study
* Use of any over the counter or prescription medications within the 14 days or 5 half lives (whichever is longer)
* Nicotine use eg cigarettes or equivalent during 12 months prior to day 1 and through the duration of the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

Locations

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Research Site

Anaheim, California, United States

Site Status

Research Site

Cypress, California, United States

Site Status

Research Site

Dallas, Texas, United States

Site Status

Research Site

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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Xu Y, Gabriel K, Wang Y, Zhou Y, Eisele O, Vutikullird A, Mikol DD, Lee E. A Multi-Center, Open-Label, Pharmacokinetic Drug Interaction Study of Erenumab and a Combined Oral Contraceptive in Healthy Females. CNS Drugs. 2019 May;33(5):513-522. doi: 10.1007/s40263-019-00626-2.

Reference Type DERIVED
PMID: 30963506 (View on PubMed)

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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20150334

Identifier Type: -

Identifier Source: org_study_id