The Effect of Topiramate on Etonogestrel Concentrations in Contraceptive Implant Users

NCT ID: NCT03335163

Last Updated: 2022-07-13

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

48 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-15

Study Completion Date

2021-04-22

Brief Summary

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A prospective, non-inferiority study to evaluate the pharmacokinetic effect of topiramate on serum Etonogestrel (ENG) levels in contraceptive implant users.

Detailed Description

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Conditions

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Migraine Migraine;Menstrual Contraception

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Prospective, non-inferiority study to evaluate the pharmacokinetic effect of topiramate on serum ENG levels in contraceptive implant users
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ENG Implant Users

Healthy women using an ENG implant for at least 12 months and no greater than 36 months will be administered a 6 week titration schedule of topiramate to a max dose of 200mg bid by the final week.

Group Type EXPERIMENTAL

Topiramate

Intervention Type DRUG

Topiramate - Participants will undergo a 6 week titrated regimen of oral topiramate to reach a maximum dose of 400mg per day:

Week 1 - topiramate PO 25mg daily Week 2 - topiramate PO 25mg twice daily Week 3 - topiramate PO 50mg twice daily Week 4 - topiramate PO 100mg twice daily Week 5 - topiramate PO 150mg twice daily Week 6 - topiramate PO 200mg twice daily

Interventions

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Topiramate

Topiramate - Participants will undergo a 6 week titrated regimen of oral topiramate to reach a maximum dose of 400mg per day:

Week 1 - topiramate PO 25mg daily Week 2 - topiramate PO 25mg twice daily Week 3 - topiramate PO 50mg twice daily Week 4 - topiramate PO 100mg twice daily Week 5 - topiramate PO 150mg twice daily Week 6 - topiramate PO 200mg twice daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Healthy women, who have had an ENG implant for 12-36 months at the time of enrollment;
* Will maintain their implant during the study without modifications.

Exclusion Criteria

* Women who are taking any medications or supplements known to be

1. Cytochrome P-450 enzyme inducers, inhibitors, or substrates, and
2. are not willing to abstain from any of these medications or supplements during the entire course of the study.
* Women with liver disease (i.e. hepatitis, fatty liver disease), and
* Women with abnormal liver or renal function, or
* Women with abnormal electrolytes on their screening blood work.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

University of Colorado, Denver

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Stephanie Teal, MD

Role: PRINCIPAL_INVESTIGATOR

University of Colorado School of Medicine

Locations

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University of Colorado Denver

Aurora, Colorado, United States

Site Status

Countries

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United States

References

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Lazorwitz A, Pena M, Sheeder J, Teal S. Effect of Topiramate on Serum Etonogestrel Concentrations Among Contraceptive Implant Users. Obstet Gynecol. 2022 Apr 1;139(4):579-587. doi: 10.1097/AOG.0000000000004697. Epub 2022 Mar 10.

Reference Type DERIVED
PMID: 35594123 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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17-1047

Identifier Type: -

Identifier Source: org_study_id

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