First in Human Safety and Ease of Use Assessment of 400mg Progesterone Callavid in Women With Luteal Phase Insufficiency

NCT ID: NCT07136922

Last Updated: 2025-08-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE1

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-31

Study Completion Date

2027-08-31

Brief Summary

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The aim of this clinical trial is to assess safety of a new vaginal 400mg progesterone drug-device combination product in a first in human trial. Additionally, it aims to assess user acceptability and ability to deliver progesterone. This Phase I trial is a randomised open-label first-in-human crossover trial, recruiting participants who are non-pregnant with luteal phase insufficiency. The main questions it aims to answer are:

1. What are the safety and tolerability profiles of the two progesterone formulations (400mg Progesterone Callavid vs. Cyclogest 400 mg), including the incidence of adverse events (if any) such as allergic reactions, gastrointestinal symptoms (e.g. bloating, constipation), and neurological effects (e.g. headache, drowsiness, euphoria)?
2. What is usability experience for patients using the Callavid drug-device combination compared to pessaries (i.e. Cyclogest 400 mg)?
3. How do serum progesterone levels vary within participants when using 400 mg progesterone delivered via the Callavid drug-device combination compared to Cyclogest 400 mg, and what are the implications of this variability for dose-response relationships and future trial design?

Detailed Description

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Conditions

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Luteal Phase Insuffiency Progesterone Delivery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

The trial consists of three rounds, conducted over three consecutive menstrual cycles. Participants are randomised to receive either Cyclogest 400mg progesterone pessary in the first round, crossing over to 400mg progesterone Callavid (administered for 2 hours) in the second round, or 400mg progesterone Callavid (administered for 2 hours) in the first round crossing over to Cyclogest 400mg progesterone pessary in the second round.

The third round is to investigate the safety of 400mg progesterone Callavid when administered for 3 hours. This would inform us on the safety of the additional hour of wear time. Each arm will complete the third round following the first two crossover rounds.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Callavid 2-hr first, Cyclogest second, Callavid 3-hr third

Participants are randomised to use Callavid first for 2 hour wear before crossing over to use Cyclogest. In the third round, participants receive Callavid again but for 3 hour wear.

Group Type ACTIVE_COMPARATOR

400mg progesterone Callavid - 2hr wear

Intervention Type COMBINATION_PRODUCT

400mg progesterone Callavid, 2 hour wear, twice daily for 7 days

Cyclogest 400 mg

Intervention Type DRUG

Cyclogest 400 mg pessary, twice daily for 7 days

400mg progesterone Callavid - 3hr wear

Intervention Type COMBINATION_PRODUCT

400mg progesterone Callavid, 3 hour wear, twice daily for 7 days

Cyclogest first, Callavid 2-hr second, Callavid 3-hr third

Participants are randomised to use Cyclogest first before crossing over to use Callavid for 2 hour wear. In the third round, participants receive Callavid again but for 3 hour wear.

Group Type ACTIVE_COMPARATOR

400mg progesterone Callavid - 2hr wear

Intervention Type COMBINATION_PRODUCT

400mg progesterone Callavid, 2 hour wear, twice daily for 7 days

Cyclogest 400 mg

Intervention Type DRUG

Cyclogest 400 mg pessary, twice daily for 7 days

400mg progesterone Callavid - 3hr wear

Intervention Type COMBINATION_PRODUCT

400mg progesterone Callavid, 3 hour wear, twice daily for 7 days

Interventions

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400mg progesterone Callavid - 2hr wear

400mg progesterone Callavid, 2 hour wear, twice daily for 7 days

Intervention Type COMBINATION_PRODUCT

Cyclogest 400 mg

Cyclogest 400 mg pessary, twice daily for 7 days

Intervention Type DRUG

400mg progesterone Callavid - 3hr wear

400mg progesterone Callavid, 3 hour wear, twice daily for 7 days

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

* Female sex
* Clinical diagnosis of luteal phase insufficiency on the basis of one of the following:
* Spotting before first day of heavy menstrual bleeding
* Short time between ovulation and menstruation
* Symptoms of progesterone insufficiency
* Aged 18 - 45 years
* Experienced at least one previous miscarriage

Exclusion Criteria

* Positive pregnancy test
* Currently breastfeeding
* Allergies or contraindications to excipients / progesterone pessaries
* Current or history of previous condition where hormone treatments are contraindicated e.g. breast cancer
* Individuals who lack capacity to consent to the trial
* Individuals who have an inability to comply with the trial procedures (e.g. cannot attend hospital for trial visits)
* Inability to understand English
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University Hospitals Coventry and Warwickshire NHS Trust

OTHER

Sponsor Role collaborator

University of Warwick

OTHER

Sponsor Role collaborator

Calla Lily Clinical Care Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University Hospitals Coventry & Warwickshire NHS Trust

Coventry, , United Kingdom

Site Status

Countries

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United Kingdom

Central Contacts

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Siobhan Quenby

Role: CONTACT

+442476964000

Facility Contacts

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Violet Matthews Trial Manager

Role: primary

+44 2476 966197

Other Identifiers

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SQ641924

Identifier Type: -

Identifier Source: org_study_id

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