A Study to Investigate the Interaction Between JNJ-64155806 and Ethinylestradiol/Drospirenone in Healthy Females

Study Overview
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Brief Summary
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The primary purpose of this study is to evaluate the effect of single and multiple doses of JNJ-64155806 on the steady-state pharmacokinetics (PK) of ethinylestradiol and drospirenone and vice versa in healthy female participants.

Official Title
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A Phase 1, Open-label Study in Healthy Female Subjects to Investigate the Drug-drug Interaction Between JNJ-64155806 and Ethinylestradiol/Drospirenone

Conditions
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Healthy

Intervention / Treatment
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* Drug: JNJ-64155806 150 mg
* Drug: Ethinylestradiol/drospirenone 0.02 mg/3 mg
* Drug: COCP Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participant must be female of childbearing potential with a normal menstrual cycle, not using oral contraceptives in the 30 days prior to screening Participant must have a body mass index (BMI; weight in kilogram (kg) divided by the square of height in meters [m]) of 18.0 to 30.0 kg/m^2, extremes included, and a body weight not less than (<) 50.0 kg Participant must be willing and able to adhere to the requirements, instructions, and prohibitions and restrictions specified in this protocol, and is likely to complete the study as planned Participant must be healthy on the basis of physical examination, medical history, vital signs, 12-lead electrocardiogram (ECG), and clinical laboratory tests performed at screening. If the results of the biochemistry panel, hematology, or urinalysis are outside the normal reference ranges, the participant may be included only if the investigator judges the abnormalities or deviations from normal to be not clinically significant. This determination must be recorded in the participant's source documents and initialed by the investigator Participants must be willing to start ethinylestradiol/drospirenone contraception during the COCP lead-in and JNJ-64155806 + COCP coadministration phases Exclusion Criteria: Participant is a woman who is pregnant as confirmed by a positive beta human chorionic gonadotropin (beta-hCG) laboratory test, or who was pregnant within 6 months prior to study start, or who is breast-feeding, or who is planning to become pregnant from signing of the informed consent form (ICF) until 90 days after the last dose of study drug Participant with creatinine clearance of less than (<) 90 milliliter per minute (mL/min) (Chronic Kidney Disease Epidemiology Collaboration [CKD-EPI] equation) Participant with a clinically significant cardiovascular, respiratory, renal, gastrointestinal, hematologic, neurologic (syncope or seizures), thyroid, or any other medical illness or psychiatric disorder, as determined by the investigator and/or sponsor's medical monitor Participant has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the participant (example, compromise the well-being), or that could prevent, limit, or confound the protocol-specified assessments Participant with currently active gynecological disorders including, but not limited to, vaginal bleeding without an obvious reason and hyperprolactinemia with or without galactorrhea

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: JNJ-64155806+COCP+JNJ-64155806 with COCP<br>Participants will receive JNJ-64155806 150 milligram (mg) twice daily (BID) under fed conditions on Days 1 to 7 [JNJ-64155806 Alone Phase] followed by a 10-day washout phase; followed by Ethinylestradiol/drospirenone 0.02 mg/3 mg given as a combined oral contraceptive pill (COCP) once daily (QD) on Days 18 to 41 and COCP placebo QD on Days 42 to 45 [COCP Lead-in Phase]; further followed by COCP QD on Days 46 to 69 (on Days 59 to 66 under fed condition), JNJ-64155806 150 mg BID (under fed conditions) on Days 60 to 66, and COCP placebo QD on Days 70 to 73 [JNJ-64155806 + COCP Co-administration Phase]. | Drug: JNJ-64155806 150 mg<br>* JNJ-64155806 150 mg (3*50 mg tablet) twice daily will be administered under fed conditions on Days 1 to 7 [JNJ-64155806 Alone Phase] and on Days 60 to 66 [JNJ-64155806 + COCP Coadministration Phase].<br>Drug: Ethinylestradiol/drospirenone 0.02 mg/3 mg<br>* Each tablet contains 3 mg drospirenone and 0.02 mg ethinylestradiol administered as combined oral contraceptive pill (COCP) given on Days 18 to 41 (lead-in phase), Days 46 to 69 (coadministration phase - Days 59 to 66 under fed conditions).<br>Drug: COCP Placebo<br>* Participant will receive COCP placebo tablets once daily on Days 42 to 45 (lead-in phase) and Days 70 to 73 (JNJ-64155806 + COCP coadministration phase).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Trough Plasma Concentration (Ctrough) for Ethinylestradiol | The Ctrough is the plasma concentration before dosing. | Days 57, 58, 59, 60, 66 | 
| Trough Plasma Concentration (Ctrough) for Drospirenone | The Ctrough is the plasma concentration before dosing. | Days 57, 58, 59, 60, 66 | 
| Minimum Observed Plasma Concentration (Cmin) for Ethinylestradiol | The Cmin is the minimum observed plasma concentration. | Days 59, 60, 66: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 hours postdose | 
| Minimum Observed Plasma Concentration (Cmin) for Drospirenone | The Cmin is the minimum observed plasma concentration. | Days 59, 60, 66: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 hours postdose | 
| Maximum Observed Plasma Concentration (Cmax) for Ethinylestradiol | The Cmax is the maximum observed plasma concentration. | Days 59, 60, 66: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 hours postdose | 
| Maximum Observed Plasma Concentration (Cmax) for Drospirenone | The Cmax is the maximum observed plasma concentration. | Days 59, 60, 66: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 hours postdose | 
| Time to Reach Maximum Observed Plasma Concentration (Tmax) for Ethinylestradiol | The Tmax is defined as actual sampling time to reach maximum observed analyte concentration. | Days 59, 60, 66: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 hours postdose | 
| Time to Reach Maximum Observed Plasma Concentration (Tmax) for Drospirenone | The Tmax is defined as actual sampling time to reach maximum observed analyte concentration. | Days 59, 60, 66: Predose, 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 20, and 24 hours postdose | 
| Average Plasma Concentration (C24h) at 24hours for Ethinylestradiol | C24h is observed analyte concentration at 24 hours. | Days 59, 60, 66 | 
| Average Plasma Concentration (C24h) at 24hours for Drospirenone | C24h is observed analyte concentration at 24 hours. | Days 59, 60, 66 | 
| Average Plasma Concentration (Cavg) for Ethinylestradiol | Cavg is average analyte concentration at steady state, calculated as: AUC24h/24 hours at steady state [24 hours equal to (=) dosing interval]. | Days 59, 60, 66 | 
| Average Plasma Concentration (Cavg) for Drospirenone | Cavg is average analyte concentration at steady state, calculated as: AUC24h/24 hours at steady state [24 hours equal to (=) dosing interval]. | Days 59, 60, 66 | 
| Area Under the Plasma Concentration-time Curve From Time Zero to 24 Hours (AUC[0-24h]) for Ethinylestradiol | The AUC(0-24h) is the area under the plasma concentration time curve from time zero to 24 hours. | Days 59, 60, 66 | 
| Area Under the Plasma Concentration-time Curve From Time Zero to 24 Hours (AUC[0-24h]) for Drospirenone | The AUC(0-24h) is the area under the plasma concentration time curve from time zero to 24 hours. | Days 59, 60, 66 | 
| Fluctuation Index (FI) for Ethinylestradiol | FI is the percentage fluctuation (variation between maximum and minimum concentration at steady state), calculated as: 100*([Cmax-Cmin]/Cavg). | Days 59, 60, 66 | 
| Fluctuation Index (FI) for Drospirenone | FI is the percentage fluctuation (variation between maximum and minimum concentration at steady state), calculated as: 100*([Cmax-Cmin]/Cavg). | Days 59, 60, 66 | 
| Ratio of Cmin Values Between Test and Reference (Ratio Cmin,test/ref) for Ethinylestradiol | Ratio Cmin,test/ref is the ratio of individual Cmin values between test and reference treatment. Test is Day 60 (JNJ-64155806 single dose + ethinylestradiol/drospirenone) or Day 66 (JNJ-64155806 multiple dose + ethinylestradiol/drospirenone) and Reference is Day 59 (ethinylestradiol/drospirenone alone). | Days 59, 60, 66 | 
| Ratio of Cmin Values Between Test and Reference (Ratio Cmin,test/ref) for Drospirenone | Ratio Cmin,test/ref is the ratio of individual Cmin values between test and reference treatment. Test is Day 60 (JNJ-64155806 single dose + ethinylestradiol/drospirenone) or Day 66 (JNJ-64155806 multiple dose + ethinylestradiol/drospirenone) and Reference is Day 59 (ethinylestradiol/drospirenone alone). | Days 59, 60, 66 | 
| Ratio of Cmax Values Between Test and Reference Treatment (Ratio Cmax,test/ref) for Ethinylestradiol | Ratio Cmax,test/ref is the ratio of individual Cmax values between test and reference treatment. Test is Day 60 (JNJ-64155806 single dose + ethinylestradiol/drospirenone) or Day 66 (JNJ-64155806 multiple dose + ethinylestradiol/drospirenone) and Reference is Day 59 (ethinylestradiol/drospirenone alone). | Days 59, 60, 66 | 
| Ratio of Cmax Values Between Test and Reference Treatment (Ratio Cmax,test/ref) for Drospirenone | Ratio Cmax,test/ref is the ratio of individual Cmax values between test and reference treatment. Test is Day 60 (JNJ-64155806 single dose + ethinylestradiol/drospirenone) or Day 66 (JNJ-64155806 multiple dose + ethinylestradiol/drospirenone) and Reference is Day 59 (ethinylestradiol/drospirenone alone). | Days 59, 60, 66 | 
| Ratio of AUC(0-24h) Values Between Test and Reference (Ratio AUC[0-24h],test/ref) for Ethinylestradiol | Ratio AUC(0-24h),test/ref is the ratio of individual AUC(0-24h) values between test and reference treatment. Test is Day 60 (JNJ-64155806 single dose + ethinylestradiol/drospirenone) or Day 66 (JNJ-64155806 multiple dose + ethinylestradiol/drospirenone) and Reference is Day 59 (ethinylestradiol/drospirenone alone). | Days 59, 60, 66 | 
| Ratio of AUC(0-24h) Values Between Test and Reference Treatment (Ratio AUC[0-24h],test/ref) for Drospirenone | Ratio AUC(0-24h),test/ref is the ratio of individual AUC(0-24h) values between test and reference treatment. Test is Day 60 (JNJ-64155806 single dose + ethinylestradiol/drospirenone) or Day 66 (JNJ-64155806 multiple dose + ethinylestradiol/drospirenone) and Reference is Day 59 (ethinylestradiol/drospirenone alone). | Days 59, 60, 66 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants With Adverse Events as a Measure of Safety and Tolerability | An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. | From Signing of Informed Consent Form (ICF) till End of Study (Day 73) | 
| Minimum Observed Plasma Concentration (Cmin) for JNJ-64155806 | The Cmin is the minimum observed plasma concentration. | Days 1, 7, 60, 66 | 
| Maximum Observed Plasma (Cmax) for JNJ-64155806 | The Cmax is the maximum observed plasma concentration. | Days 1, 7, 60, 66 | 
| Time to Reach Maximum Observed Plasma Concentration (Tmax) for JNJ-64155806 | The Tmax is defined as actual sampling time to reach maximum observed analyte concentration. | Days 1, 7, 60, 66 | 
| Area Under the Plasma Concentration-time Curve From Time Zero to 12 Hours (AUC[0-12h]) for JNJ-64155806 | The AUC(0-12h) is the area under the plasma concentration time curve from time zero to 12 hours. | Days 1, 7, 60, 66 | 
| Area Under the Plasma Concentration-time Curve From 12 Hours to 24 Hours (AUC[12-24h]) for JNJ-64155806 | The AUC(12h-24h) is the area under the plasma concentration time curve from time 12 hours to 24 hours. | Days 1, 7, 60, 66 | 
| Trough Plasma Concentration (Ctrough) for JNJ-64155806 | Ctrough is the plasma concentration before dosing or at the end of the dosing interval of any dose other than the first dose in a multiple dosing regimen. | Days 5, 6, 7, 64, 65, 66 | 
| Average Analyte Concentration (Cavg) for JNJ-64155806 | Cavg is average analyte concentration at steady state, calculated as: AUC24h/24 hours at steady state [24 hours equal to (=) dosing interval]. | Days 7 and 66 | 
| Fluctuation Index (FI) for JNJ-64155806 | FI is the percentage fluctuation (variation between maximum and minimum concentration at steady state). | Days 7 and 66 |