Trial Outcomes & Findings for Reducing the Risk of Drug-Induced QT Interval Lengthening in Women (NCT NCT03834883)

NCT ID: NCT03834883

Last Updated: 2025-07-01

Results Overview

QT intervals will be corrected for heart rate using the Fridericia method

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

27 participants

Primary outcome timeframe

After 7 days of treatment with oral progesterone or placebo, prior to receiving ibutilide

Results posted on

2025-07-01

Participant Flow

Participants recruited from a) Indiana CTSI ALL IN for Health Research database, and b) advertisements on the Indiana University-Indianapolis and Purdue University campuses

Premenopausal women: n=222 participants assessed for eligibility; n=20 consented, n=202 excluded (n=50 did not meet inclusion criteria, n=152); n=18 enrolled Postmenopausal women: Target sample size n=16. Did not achieve target because of delays/problems due to COVID-19 and limited budget. n=22 were assessed for eligibility; n=12 consented; 3 excluded because QTc \> 450 ms; 9 enrolled; 2 dropped out in pandemic, completed 1 phase

Participant milestones

Participant milestones
Measure
Premenopausal Women: Progesterone Then Placebo
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days. After a two-week washout period, participants received oral placebo, two capsules once daily every evening for 7 days.
Premenopausal Women: Placebo Then Progesterone
Participants received oral placebo, two capsules once daily every evening for 7 days. After a two-week washout period, participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days.
Postmenopausal Women: Progesterone Then Placebo
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days. After a two-week washout period, participants received oral placebo, two capsules once daily every evening for 7 days.
Postmenopausal Women: Placebo Then Progesterone
Participants received oral placebo, two capsules once daily every evening for 7 days. After a two-week washout period, participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days.
First Treatment
STARTED
9
9
3
6
First Treatment
COMPLETED
9
9
3
6
First Treatment
NOT COMPLETED
0
0
0
0
Second Treatment
STARTED
9
9
3
6
Second Treatment
COMPLETED
7
9
2
5
Second Treatment
NOT COMPLETED
2
0
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Premenopausal Women: Progesterone Then Placebo
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days. After a two-week washout period, participants received oral placebo, two capsules once daily every evening for 7 days.
Premenopausal Women: Placebo Then Progesterone
Participants received oral placebo, two capsules once daily every evening for 7 days. After a two-week washout period, participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days.
Postmenopausal Women: Progesterone Then Placebo
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days. After a two-week washout period, participants received oral placebo, two capsules once daily every evening for 7 days.
Postmenopausal Women: Placebo Then Progesterone
Participants received oral placebo, two capsules once daily every evening for 7 days. After a two-week washout period, participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days.
Second Treatment
Withdrawal by Subject
1
0
0
0
Second Treatment
COVID-19 pandemic
1
0
1
1

Baseline Characteristics

Reducing the Risk of Drug-Induced QT Interval Lengthening in Women

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Premenopausal Women - Progesterone Then Placebo
n=9 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days. After a median 41-day washout period, participants received oral placebo, two capsules once daily every evening for 7 days.
Premenopausal Women - Placebo Then Progesterone
n=9 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days. After a median 41-day washout period, participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days.
Postmenopausal Women - Progesterone Then Placebo
n=3 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days. After a washout period of at least two weeks, participants received oral placebo, two capsules once daily every evening for 7 days.
Postmenopausal Women - Placebo Then Progesterone
n=6 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days. After a washout period of at least two weeks, participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days.
Total
n=27 Participants
Total of all reporting groups
Age, Continuous
29 years
STANDARD_DEVIATION 6 • n=5 Participants
29 years
STANDARD_DEVIATION 6 • n=7 Participants
65 years
STANDARD_DEVIATION 4 • n=5 Participants
64 years
STANDARD_DEVIATION 9 • n=4 Participants
47 years
STANDARD_DEVIATION 6 • n=21 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
9 Participants
n=7 Participants
3 Participants
n=5 Participants
6 Participants
n=4 Participants
27 Participants
n=21 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race/Ethnicity, Customized
White
5 Participants
n=5 Participants
5 Participants
n=7 Participants
1 Participants
n=5 Participants
4 Participants
n=4 Participants
15 Participants
n=21 Participants
Race/Ethnicity, Customized
Black
2 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
2 Participants
n=4 Participants
8 Participants
n=21 Participants
Race/Ethnicity, Customized
Asian
2 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
4 Participants
n=21 Participants
Race/Ethnicity, Customized
Hispanic
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
2 Participants
n=21 Participants
Race/Ethnicity, Customized
Non-Hispanic
8 Participants
n=5 Participants
8 Participants
n=7 Participants
3 Participants
n=5 Participants
6 Participants
n=4 Participants
25 Participants
n=21 Participants
Region of Enrollment
United States
9 participants
n=5 Participants
9 participants
n=7 Participants
3 participants
n=5 Participants
6 participants
n=4 Participants
27 participants
n=21 Participants

PRIMARY outcome

Timeframe: After 7 days of treatment with oral progesterone or placebo, prior to receiving ibutilide

QT intervals will be corrected for heart rate using the Fridericia method

Outcome measures

Outcome measures
Measure
Premenopausal Women: Progesterone
n=16 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Premenopausal Women: Placebo
n=16 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Progesterone
n=7 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Placebo
n=7 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Baseline (Pre-ibutilide) QT-F Intervals
417 ms
Standard Deviation 11
421 ms
Standard Deviation 10
413 ms
Standard Deviation 21
414 ms
Standard Deviation 22

PRIMARY outcome

Timeframe: Prior to ibutilide; at 5 minutes into the 10-minute ibutilide infusion; end of infusion; and at 5, 10, 15, 20, 30, and 45 minutes and 1, 2, 4, 6, and 8 hours after the ibutilide infusion

Maximum post-ibutilide QT-F intervals

Outcome measures

Outcome measures
Measure
Premenopausal Women: Progesterone
n=16 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Premenopausal Women: Placebo
n=16 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Progesterone
n=7 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Placebo
n=7 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Maximum Post-ibutilide QT-F Intervals
465 ms
Standard Deviation 13
475 ms
Standard Deviation 9
450 ms
Standard Deviation 27
460 ms
Standard Deviation 28

PRIMARY outcome

Timeframe: Prior to ibutilide; at 5 minutes into the 10-minute ibutilide infusion; end of infusion; and at 5, 10, 15, 20, 30, and 45 minutes and 1, 2, 4, 6, and 8 hours after the ibutilide infusion

% change from baseline (pre-ibutilide) in maximum QT-F intervals

Outcome measures

Outcome measures
Measure
Premenopausal Women: Progesterone
n=16 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Premenopausal Women: Placebo
n=16 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Progesterone
n=7 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Placebo
n=7 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
% Change From Baseline (Pre-ibutilide) in Maximum QT-F Intervals
11.3 % change from baseline value
Standard Deviation 2.2
12.4 % change from baseline value
Standard Deviation 2.5
9.2 % change from baseline value
Standard Deviation 1.3
11.0 % change from baseline value
Standard Deviation 3.0

PRIMARY outcome

Timeframe: Prior to ibutilide; at 5 minutes into the 10-minute ibutilide infusion; end of infusion; and at 5, 10, 15, 20, 30, and 45 minutes and 1 hour after the ibutilide infusion

Area under the QT-F versus time curves during and for 1 hour

Outcome measures

Outcome measures
Measure
Premenopausal Women: Progesterone
n=16 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Premenopausal Women: Placebo
n=16 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Progesterone
n=7 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Placebo
n=7 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Area Under the QT-F Versus Time Curves During and for 1 Hour Following Ibutilide Infusion
500 ms*hr
Standard Deviation 13
510 ms*hr
Standard Deviation 9
480 ms*hr
Standard Deviation 33
510 ms*hr
Standard Deviation 28

SECONDARY outcome

Timeframe: After 7 days of treatment with oral progesterone or placebo, prior to receiving ibutilide

Baseline (pre-ibutilide) heart rate-corrected J-Tpeak (J-Tpeakc) intervals

Outcome measures

Outcome measures
Measure
Premenopausal Women: Progesterone
n=16 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Premenopausal Women: Placebo
n=16 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Progesterone
n=7 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Placebo
n=7 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Baseline (Pre-ibutilide) Heart Rate-corrected J-Tpeak (J-Tpeakc) Intervals
218 ms
Standard Deviation 25
221 ms
Standard Deviation 26
219 ms
Standard Deviation 10
219 ms
Standard Deviation 11

SECONDARY outcome

Timeframe: Prior to ibutilide; at 5 minutes into the 10-minute ibutilide infusion; end of infusion; and at 5, 10, 15, 20, 30, and 45 minutes and 1, 2, 4, 6, and 8 hours after the ibutilide infusion

Maximum post-ibutilide J-Tpeakc intervals

Outcome measures

Outcome measures
Measure
Premenopausal Women: Progesterone
n=16 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Premenopausal Women: Placebo
n=16 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Progesterone
n=7 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Placebo
n=7 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Maximum Post-ibutilide J-Tpeakc Intervals
230 ms
Standard Deviation 31
272 ms
Standard Deviation 28
234 ms
Standard Deviation 15
243 ms
Standard Deviation 13

SECONDARY outcome

Timeframe: Prior to ibutilide; at 5 minutes into the 10-minute ibutilide infusion; end of infusion; and at 5, 10, 15, 20, 30, and 45 minutes and 1, 2, 4, 6, and 8 hours after the ibutilide infusion

% change from baseline (pre-ibutilide) in maximum J-Tpeakc intervals

Outcome measures

Outcome measures
Measure
Premenopausal Women: Progesterone
n=16 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Premenopausal Women: Placebo
n=16 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Progesterone
n=7 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Placebo
n=7 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
% Change From Baseline (Pre-ibutilide) in Maximum J-Tpeakc Intervals
11.7 % change from baseline value
Standard Deviation 5.8
14.1 % change from baseline value
Standard Deviation 5.8
6.1 % change from baseline value
Standard Deviation 3.5
7.9 % change from baseline value
Standard Deviation 1.3

SECONDARY outcome

Timeframe: Prior to ibutilide; at 5 minutes into the 10-minute ibutilide infusion; end of infusion; and at 5, 10, 15, 20, 30, and 45 minutes and 1 hour after the ibutilide infusion

Area under the J-Tpeakc versus time curve during and for 1 hour following

Outcome measures

Outcome measures
Measure
Premenopausal Women: Progesterone
n=16 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Premenopausal Women: Placebo
n=16 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Progesterone
n=7 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Placebo
n=7 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Area Under the J-Tpeakc Versus Time Curve During and for 1 Hour Following Ibutilide Infusion
248 ms*hr
Standard Deviation 42
276 ms*hr
Standard Deviation 40
258 ms*hr
Standard Deviation 13
261 ms*hr
Standard Deviation 14

SECONDARY outcome

Timeframe: After 7 days of treatment with oral progesterone or placebo, prior to receiving ibutilide

Baseline (pre-ibutilide) Tpeak-Tend intervals

Outcome measures

Outcome measures
Measure
Premenopausal Women: Progesterone
n=16 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Premenopausal Women: Placebo
n=16 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Progesterone
n=7 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Placebo
n=7 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Baseline (Pre-ibutilide) Tpeak-Tend Intervals
85 ms
Standard Deviation 6
88 ms
Standard Deviation 5
79 ms
Standard Deviation 8
80 ms
Standard Deviation 8

SECONDARY outcome

Timeframe: Prior to ibutilide; at 5 minutes into the 10-minute ibutilide infusion; end of infusion; and at 5, 10, 15, 20, 30, and 45 minutes and 1, 2, 4, 6, and 8 hours after the ibutilide infusion

Maximum post-ibutilide Tpeak-Tend intervals

Outcome measures

Outcome measures
Measure
Premenopausal Women: Progesterone
n=16 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Premenopausal Women: Placebo
n=16 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Progesterone
n=7 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Placebo
n=7 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Maximum Post-ibutilide Tpeak-Tend Intervals
99 ms
Standard Deviation 6
102 ms
Standard Deviation 5
81 ms
Standard Deviation 8
87 ms
Standard Deviation 9

SECONDARY outcome

Timeframe: Prior to ibutilide; at 5 minutes into the 10-minute ibutilide infusion; end of infusion; and at 5, 10, 15, 20, 30, and 45 minutes and 1, 2, 4, 6, and 8 hours after the ibutilide infusion

% change from baseline (pre-ibutilide) maximum Tpeak-Tend intervals

Outcome measures

Outcome measures
Measure
Premenopausal Women: Progesterone
n=16 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Premenopausal Women: Placebo
n=16 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Progesterone
n=7 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Placebo
n=7 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
% Change From Baseline (Pre-ibutilide) Maximum Tpeak-Tend Intervals
16.1 % change from baseline value
Standard Deviation 5.6
16.0 % change from baseline value
Standard Deviation 5.2
8.8 % change from baseline value
Standard Deviation 3.6
10.5 % change from baseline value
Standard Deviation 3.3

SECONDARY outcome

Timeframe: Prior to ibutilide; at 5 minutes into the 10-minute ibutilide infusion; end of infusion; and at 5, 10, 15, 20, 30, and 45 minutes and 1 hour after the ibutilide infusion

Area under the Tpeak-Tend versus time curves during and for 1 hour following ibutilide infusion

Outcome measures

Outcome measures
Measure
Premenopausal Women: Progesterone
n=16 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Premenopausal Women: Placebo
n=16 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Progesterone
n=7 Participants
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Placebo
n=7 Participants
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Area Under the Tpeak-Tend Versus Time Curves During and for 1 Hour Following Ibutilide Infusion
98 ms*hr
Standard Deviation 6
104 ms*hr
Standard Deviation 7
90 ms*hr
Standard Deviation 9
97 ms*hr
Standard Deviation 9

Adverse Events

Premenopausal Women: Progesterone

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

Premenopausal Women: Placebo

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Postmenopausal Women: Progesterone

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Postmenopausal Women: Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Premenopausal Women: Progesterone
n=18 participants at risk
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Premenopausal Women: Placebo
n=16 participants at risk
Participants received oral placebo, two capsules once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Progesterone
n=7 participants at risk
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
Postmenopausal Women: Placebo
n=7 participants at risk
Participants received treatment with oral progesterone 400 mg once daily (two x 200 mg capsules) every evening for 7 days Progesterone: Participants received oral progesterone 400 mg (two x 200 mg capsules) once daily every evening for 7 days Ibutilide: Ibutilide 0.003 mg/kg administered to all participants to moderately lengthen the QT interval
General disorders
Fatigue/malaise
38.9%
7/18 • Number of events 7 • Premenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=18 women completed the progesterone phase, n=16 women completed the placebo phase. Postmenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=7 women completed the progesterone phase, n=7 women completed the placebo phase.
12.5%
2/16 • Number of events 2 • Premenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=18 women completed the progesterone phase, n=16 women completed the placebo phase. Postmenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=7 women completed the progesterone phase, n=7 women completed the placebo phase.
57.1%
4/7 • Number of events 4 • Premenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=18 women completed the progesterone phase, n=16 women completed the placebo phase. Postmenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=7 women completed the progesterone phase, n=7 women completed the placebo phase.
0.00%
0/7 • Premenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=18 women completed the progesterone phase, n=16 women completed the placebo phase. Postmenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=7 women completed the progesterone phase, n=7 women completed the placebo phase.
Reproductive system and breast disorders
Spotting
22.2%
4/18 • Number of events 4 • Premenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=18 women completed the progesterone phase, n=16 women completed the placebo phase. Postmenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=7 women completed the progesterone phase, n=7 women completed the placebo phase.
0.00%
0/16 • Premenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=18 women completed the progesterone phase, n=16 women completed the placebo phase. Postmenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=7 women completed the progesterone phase, n=7 women completed the placebo phase.
0.00%
0/7 • Premenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=18 women completed the progesterone phase, n=16 women completed the placebo phase. Postmenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=7 women completed the progesterone phase, n=7 women completed the placebo phase.
0.00%
0/7 • Premenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=18 women completed the progesterone phase, n=16 women completed the placebo phase. Postmenopausal women: During 7 days of therapy with progesterone and placebo, administered in randomized order, separated by a washout period. n=7 women completed the progesterone phase, n=7 women completed the placebo phase.

Additional Information

James E. Tisdale, PharmD

Purdue University

Phone: 317-880-5418

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place