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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 12 December 2020
Main ID:  NCT03675581
Date of registration: 17/09/2018
Prospective Registration: Yes
Primary sponsor: Boehringer Ingelheim
Public title: A Study to Test Whether Nintedanib Influences the Components of Birth-control Pills in Women With Systemic Sclerosis Associated Interstitial Lung Disease (SSc-ILD)
Scientific title: A Phase I Trial to Investigate the Effect of Nintedanib on the Pharmacokinetics of a Combination of Ethinylestradiol and Levonorgestrel in Female Patients With Systemic Sclerosis Associated Interstitial Lung Disease (SSc-ILD)
Date of first enrolment: November 8, 2018
Target sample size: 17
Recruitment status: Completed
URL:  https://clinicaltrials.gov/show/NCT03675581
Study type:  Interventional
Study design:  Allocation: N/A. Intervention model: Single Group Assignment. Primary purpose: Treatment. Masking: None (Open Label).  
Phase:  Phase 1
Countries of recruitment
Belgium France Germany Netherlands Portugal Spain
Contacts
Key inclusion & exclusion criteria

Inclusion Criteria:

- Age >= 18 years

- A woman of non-child bearing potential, i.e. being postmenopausal1 or permanently
sterilised (e.g. hysterectomy, bilateral oophorectomy, or bilateral salpingectomy), or
a woman of childbearing potential correctly and consistently using a highly effective
method of non-hormonal birth control (i.e. IUD or bilateral tubal ligation) together
with barrier methods at least 30 days prior to first administration of Microgynon®
(Visit 2), during the trial and for 3 months after last intake of nintedanib.

- 2013 American College of Rheumatology (ACR) / European League against Rheumatism
(EULAR) classification criteria for Systemic Sclerosis associated Interstitial Lung
Disease (SSc) fulfilled

- SSc related Interstitial Lung Disease confirmed by High Resolution Computer Tomography
(HRCT); Extent of fibrotic disease in the lung >= 10%

- Forced Vital Capacity (FVC) >= 40% of predicted normal

- Carbon Monoxide Diffusion Capacity (DLCO) 30% to 89% of predicted normal

- Further inclusion criteria apply

Exclusion criteria:

- Aspartate Transaminase (AST), Alanine Transaminase (ALT) >1.5 x Upper Level of Normal
(ULN).

- Bilirubin >1.5 x ULN

- Creatinine clearance <30 mL/min

- Clinically relevant anaemia at investigators discretion

- Airway obstruction (pre-bronchodilator Forced Expiratory Volume in 1 second
(FEV1)/Forced Vital Capacity (FVC) <0.7)

- Other clinically significant pulmonary abnormalities

- Significant Pulmonary Hypertension (PH)

- Cardiovascular diseases

- More than 3 digital fingertip ulcers or a history of severe digital necrosis requiring
hospitalization or severe other ulcers

- Bleeding risk (such as predisposition to bleeding, fibrinolysis, full-dose
anticoagulation, high dose antiplatelet therapy, history of hemorrhagic central
nervous system (CNS) event within last year

- International normalised ratio (INR) >2, prolongation of prothrombin time (PT) and
partial thromboplastin time (PTT) by >1.5 x ULN)

- History of thrombo-embolic event within last year

- Previous or planned hematopoietic stem cell transplantation

- Clinical signs of malabsorption or needing parenteral nutrition

- Patients with underlying chronic liver disease (Child Pugh A, B, C hepatic impairment)

- Previous treatment with nintedanib or pirfenidone

- Further exclusion criteria apply



Age minimum: 18 Years
Age maximum: N/A
Gender: Female
Health Condition(s) or Problem(s) studied
Scleroderma, Systemic
Intervention(s)
Drug: Microgynon
Drug: Nintedanib
Primary Outcome(s)
Maximum Measured Concentration of Ethinylestradiol in Plasma (Cmax) [Time Frame: 35 minutes (min) before and at 30 min, 1 hour (h), 1h 30 min, 2h, 3h, 4h, 6h, 8h, 11h 55 min, 23h 55 min, 47h 55 min after microgynon administration alone or in combination with nintedanib.]
Area Under the Concentration-time Curve of Ethinylestradiol in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (AUC0-tz) [Time Frame: 35 minutes (min) before and at 30 min, 1 hour (h), 1h 30 min, 2h, 3h, 4h, 6h, 8h, 11h 55 min, 23h 55 min, 47h 55 min after microgynon administration alone or in combination with nintedanib.]
Maximum Measured Concentration of Levonorgestrel in Plasma (Cmax) [Time Frame: 35 minutes (min) before and at 30 min, 1 hour (h), 1h 30 min, 2h, 3h, 4h, 6h, 8h, 11h 55 min, 23h 55 min, 47h 55 min after microgynon administration alone or in combination with nintedanib.]
Area Under the Concentration-time Curve of Levonorgestrel in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (AUC0-tz) [Time Frame: 35 minutes (min) before and at 30 min, 1 hour (h), 1h 30 min, 2h, 3h, 4h, 6h, 8h, 11h 55 min, 23h 55 min, 47h 55 min after microgynon administration alone or in combination with nintedanib.]
Secondary Outcome(s)
Area Under the Concentration-time Curve of Levonorgestrel in Plasma Over the Time Interval From 0 Extrapolated to Infinity (AUC0-8) [Time Frame: 35 minutes (min) before and at 30 min, 1 hour (h), 1h 30 min, 2h, 3h, 4h, 6h, 8h, 11h 55 min, 23h 55 min, 47h 55 min after microgynon administration alone or in combination with nintedanib.]
Area Under the Concentration-time Curve of Ethinylestradiol in Plasma Over the Time Interval From 0 Extrapolated to Infinity (AUC0-8) [Time Frame: 35 minutes (min) before and at 30 min, 1 hour (h), 1h 30 min, 2h, 3h, 4h, 6h, 8h, 11h 55 min, 23h 55 min, 47h 55 min after microgynon administration alone or in combination with nintedanib.]
Secondary ID(s)
2018-001177-24
1199-0340
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Ethics review
Results
Results available: Yes
Date Posted: 09/11/2020
Date Completed:
URL: https://clinicaltrials.gov/ct2/show/results/NCT03675581
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