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CompletedNCT03353857Updated Apr 15, 2020

Drug-drug Interaction Between Rifampicin and Progestins/Ethinylestradiol and Midazolam

A Phase 1 interventional study of levonorgestrel/ Microlut and Norethindrone/ Noriday in Biological Availability, sponsored by Bayer. Completed at 2 sites in Germany. Open to female participants aged 45 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-04-15.

Sponsored by Bayer · Phase 1, Interventional, and Other

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Phase
Phase 1
Study type
Interventional
Enrollment
68
Allocation
Randomized
Ages
45 Years to 70 Years
Sex
Female
01

Study summary

Quantify the effect of a probe CYP3A4 inducer (Rifampicin) on the pharmacokinetics of levonorgestrel, norethindrone, desogestrel, dienogest, drospirenone,estradiol and midazolam

02

Conditions studied

  • Biological Availability
03

In context

Lead sponsor

Bayer is the lead sponsor of 1,674 studies on the registry; 51 are open to participants now.

Of its 214 completed or terminated interventional studies of FDA-regulated products, 132 (62%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
45 Years to 70 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Healthy female subject based on a complete medical history, physical examination, , and clinical laboratory tests
  • Age: 45 to 70 years (inclusive) at the first screening visit
  • Minimum body weight 50 kg with (BMI) above or equal to 18.5 kg/m², and below or equal to 30 kg/m² at the first screening visit
  • state, revealed indicated by either:

    • medical history, if applicable (natural menopause at least 12 months prior to first study drug administration, for women younger than 60 years confirmed by follicle stimulating hormone (FSH) >40 IU/L AND estradiol ≤ 20 pg/mL; or
    • surgical menopause by bilateral ovariectomy at least 3 months prior to first study drug administration)

Exclusion criteria

Exclusion Criteria:

  • Relevant diseases within the last 4 weeks prior to the first study drug administration, i.e. any disease requiring treatment by a health-care provider
  • Febrile illness within 1 week before the first study drug administration
  • Known severe allergies, non-allergic drug reactions, or multiple drug allergies
  • Presence or history of thrombosis, thrombophlebitis, thromboembolic diseases of veins and/or arteries, e.g. deep vein thrombosis, stroke, myocardial infarction, pulmonary embolism, , angina pectoris
  • Presence or history of conditions that increase the risk of thromboembolic diseases, e.g. disturbances of the coagulation system, thromboembolic diseases in close relatives at age ≤50 years], valvular heart disease, atrial fibrillation, cardiac dysfunction)
  • Presence, history, or suspected presence of malignant tumors or tumors of the liver and pituitary
  • Presence or history of liver disease e.g. disturbances of the excretion (Dubin-Johnson and Rotor syndromes), cholecystectomy ; cholestasis, idiopathic icterus or pruritus during a previous pregnancy or estrogen-progestogen treatment
  • Relevant kidney diseases or renal injury associated with multisystem diseases/disorders, e.g. glomerulonephritis systemic lupus erythematous, diabetic nephropathy. A history of a single episode of uncomplicated nephrolithiasis does not prevent participation
  • Known metabolic disorder, e.g. diabetes mellitus, severe hypertriglyceridemia
  • Migraine with neurologic symptoms
  • depression, current or in the last year
  • Known current thyroid disorders which require treatment. Subjects with an euthyroid struma who do not need any treatment can participate.
  • Chronic respiratory insufficiency
  • History of porphyria
  • for midazolam, e.g. myasthenia gravis, and sleep apnea
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
68 participants (actual)

Study arms

  • Experimental
    levonorgestrel

    levonorgestrel and midazolam will be administered on Day 1, Day 15 and Day 26. rifampicin (10 mg/day) will be administered on Day 8 to Day 18 and rifampicin (600 mg/day) on Day 19 to Day 29.

    Drug: levonorgestrel/ Microlut · Drug: Midazolam/ Midazolam-ratiopharm · Drug: Rifampicin

  • Experimental
    norethindrone

    norethindrone and midazolam will be administered on Day 1, Day 15 and Day 26. rifampicin (10 mg/day) will be administered on Day 8 to Day 18 and rifampicin (600 mg/day) on Day 19 to Day 29.

    Drug: Norethindrone/ Noriday · Drug: Midazolam/ Midazolam-ratiopharm · Drug: Rifampicin

  • Experimental
    desogestrel

    desogestrel and midazolam will be administered on Day 1, Day 15 and Day 26. rifampicin (10 mg/day) will be administered on Day 8 to Day 18 and rifampicin (600 mg/day) on Day 19 to Day 29.

    Drug: Desogestrel/ Cerazette · Drug: Midazolam/ Midazolam-ratiopharm · Drug: Rifampicin

  • Experimental
    dienogest

    dienogest and midazolam will be administered on Day 1, Day 15 and Day 26. rifampicin (10 mg/day) will be administered on Day 8 to Day 18 and rifampicin (600 mg/day) on Day 19 to Day 29.

    Drug: Dienogest/ Visanne · Drug: Midazolam/ Midazolam-ratiopharm · Drug: Rifampicin

  • Experimental
    Drospirenone/ ethinylestradiol

    drospirenone/ethinylestradiol and midazolam will be administered on Day 1, Day 15 and Day 26. rifampicin (10 mg/day) will be administered on Day 8 to Day 18 and rifampicin (600 mg/day) on Day 19 to Day 29.

    Drug: Drospirenone, Ethinylestradiol/ Yasmin · Drug: Midazolam/ Midazolam-ratiopharm · Drug: Rifampicin

Interventions

  • Druglevonorgestrel/ Microlut

    Drug page: Levonorgestrel

    In Period 1, 0.03 mg single dose administered as 1x0.03 mg tablet on Study Day 1, In Period 2, 0.03 mg single dose administered as 1x0.03 mg tablet on Study Day 15 In Period 3, 0.03 mg single dose administered as 1x0.03 mg tablet at Study Day 26

  • DrugNorethindrone/ Noriday

    Drug page: Norethindrone

    In Period 1, 0.35 mg single dose administered as 1x0.35 mg tablet on Study Day 1, In Period 2, 0.35 mg single dose administered as 1x0.35 mg tablet on Study Day 15 In Period 3, 0.35 mg single dose administered as 1x0.35 mg tablet at Study Day 26

  • DrugDesogestrel/ Cerazette

    Drug page: Desogestrel

    In Period 1, 0.075 mg single dose administered as 1x0.075 mg tablet on Study Day 1, In Period 2, 0.075 mg single dose administered as 1x0.075 mg tablet on Study Day 15 In Period 3, 0.075 mg single dose administered as 1x0.075 mg tablet at Study Day 26

  • DrugDienogest/ Visanne

    In Period 1, 2 mg single dose administered as 1x2 mg tablet on Study Day 1, In Period 2, 2 mg single dose administered as 1x2 mg tablet on Study Day 15 In Period 3, 2 mg single dose administered as 1x2 mg tablet at Study Day 26

  • DrugDrospirenone, Ethinylestradiol/ Yasmin

    Drug pages: Drospirenone · Ethinyl Estradiol · Drospirenone and ethinyl estradiol combination

    In Period 1, 3 mg drospirenone, 0.03 mg ethinylestradiol single dose administered as 1x3mg drospirenone, 0.03 mg ethinylestradiol tablet on Study Day 1, In Period 2, 3 mg drospirenone, 0.03 mg ethinylestradiol single dose administered as 1x3mg drospirenone, 0.03 mg ethinylestradiol tablet on Study Day 15, In Period 3, 3 mg drospirenone, 0.03 mg ethinylestradiol single dose administered as 1x3mg drospirenone, 0.03 mg ethinylestradiol tablet on Study Day 26,

  • DrugMidazolam/ Midazolam-ratiopharm

    In Period 1, 1 mg single dose administered as 1x0.5 ml oral solution on Study Day 1, In Period 2, 1 mg single dose administered as 1x0.5 ml oral solution on Study Day 15 In Period 3, 1 mg single dose administered as 1x0.5 ml oral solution at Study Day 26

  • In period 2, 10 mg (suspension, 0.5 ml) for 11 days at 10 mg/day In period 3, 600 mg (film-coated tablets) for 11 days at 600 mg/day

06

What researchers measure

Primary outcomes

  1. Area under the plasma concentration time curve from zero to infinity (AUC) of levonorgestrel in the presence of MDZ (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

  2. Maximum plasma concentration (Cmax) of levonorgestrel in the presence of MDZ (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

  3. Area under the plasma concentration time curve from zero to infinity (AUC) of norethindrone in the presence of MDZ (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

  4. Maximum plasma concentration (Cmax) of norethindrone in the presence of MDZ (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

  5. Area under the plasma concentration time curve from zero to infinity (AUC) of etonogestrel in the presence of MDZ (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

  6. Maximum plasma concentration (Cmax) of etonogestrel in the presence of MDZ (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

  7. Area under the plasma concentration time curve from zero to infinity (AUC) of dienogest in the presence of MDZ (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

  8. Maximum plasma concentration (Cmax) of dienogest in the presence of MDZ (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

  9. Area under the plasma concentration time curve from zero to infinity (AUC) of drospirenone (+EE) in the presence of MDZ (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

  10. Maximum plasma concentration (Cmax) of drospirenone (+EE) in the presence of MDZ (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

  11. Area under the plasma concentration time curve from zero to infinity (AUC) of ethinylestradiol (+DRSP) in the presence of MDZ (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

  12. Maximum plasma concentration (Cmax) of ethinylestradiol (+DRSP) in the presence of MDZ (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

  13. Area under the plasma concentration time curve from zero to infinity (AUC) of midazolam in combination with the hormonal contraceptive only (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

  14. Maximum plasma concentration (Cmax) of midazolam in combination with the hormonal contraceptive only (without RIF) and in combination with 10 mg/d and 600 mg/d RIF

    Time frame: Over 7 days in Period 1 (no RIF) and 4 days in treatment Periods 2 and 3

07

Study locations

2 sites
  • CRS Clinical-Research-Services Mannheim GmbH
    Mannheim, Baden-Württemberg 68167, Germany
  • CRS Clinical-Research-Services Mönchengladbach GmbH
    Mönchengladbach, Nordrhein-Westfalen 41061, Germany
08

References and documents

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2017 to primary completion in Jul 2018, 7 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 20, 2017
First posted
Nov 27, 2017
StartActual
Nov 29, 2017
Primary completionActual
Jul 4, 2018
CompletionActual
Feb 19, 2019
Last update
Apr 15, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 15, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03353857
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Nov 27, 2017
Start date
Nov 29, 2017
Primary completion
Jul 4, 2018
Completion
Feb 19, 2019
Last update
Apr 15, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2020. You cannot join it, but the record below documents what was studied.

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