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Segesterone and Ethinyl Estradiol

Phase 1

Women | Small molecule | Other |TherapeuticsMD, Inc.|Last Updated: Jan 29, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment67
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04290390Annovera™ Drug-Drug Interaction StudyPHASE1 COMPLETED 67Feb 12, 2020Jan 6, 2021Jan 29, 20211 Canada
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Study Endpoints
Primary Endpoints
Area-under-the-curve (AUC) of rifampin and itraconzaole on Annovera (segesterone acetate and ethinyl estradiol)
Day 1 for itraconazole cohort, Day 11 for rifampin cohort

AUC for 24 hours for segesterone acetate and ethinyl estradiol

Maximum concentration (Cmax) of rifampin and itraconzaole on Annovera (segesterone acetate and ethinyl estradiol)
Day 1 for itraconazole cohort, Day 11 for rifampin cohort

Cmax for segesterone acetate and ethinyl estradiol

Secondary Endpoints
Safety - Number of Participants with Adverse Events
Screening through 14 days following Annovera removal
Safety - Vital signs - systolic and diastolic blood pressure
Through study completion, an average of 4 months
Safety - Vital signs - pulse
Through study completion, an average of 4 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Annovera (alone)ACTIVE_COMPARATORAnnovera taken alone (without itraconazole or rifampin)
Annovera with itraconazole useACTIVE_COMPARATORSubjects will dose with 200 mg/day of itraconazole for five days before Annovera insertion and through Days 1 to 8 of Annovera use
Annovera with rifampin useACTIVE_COMPARATORSubjects will dose with 600 mg/day rifampin for 8 days, between Days 4 to 11 of Annovera use during their respective treatment cycles
Interventions
NameTypeDescription
Segesterone Acetate and Ethinyl EstradiolDRUGContraceptive Vaginal System
RifampinDRUGCYP3A inducer
ItraconazoleDRUGCYP3A inhibitor
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Eligibility Criteria
Age Range18 Years — 35 Years
SexFEMALE
Healthy VolunteersYes
Study Sites1

Inclusion Criteria All of the following criteria must be met for the participants to be eligible for the study: * a. Healthy women, non-smoker (no use of tobacco or nicotine products within 3 months prior to screening) sterile or at risk of becoming pregnant, inclusive of ages 18 to 35\* years at ...

Countries:Canada
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