About this trial
This study is researching an experimental drug called mibavademab (also called "study drug"). The study is focused on participants with a condition called Functional Hypothalamic Amenorrhea (FHA). FHA is a condition where a woman stops menstruating because the brain is not sending the correct hormonal signals to the ovaries, which then are not able to cycle and ovulate properly.
The aim of the study is to see how well the study drug helps the body make the hormones necessary for ovulation and reproduction, and to assess its safety.
The study is looking at several other research questions, including:
* Whether the drug helps bone health * What side effects may happen from taking the study drug * How much study drug is in the blood at different times * Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects)
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Diagnosis of FHA after exclusion of anatomic or organic causes of amenorrhea
Has had no menstrual bleeding episode within 3 months prior to day 1, as described in the protocol
Has a Body Mass Index (BMI) ≥18.5 and <25 kg/m² at screening, or BMI ≥25 to <30 kg/m² at screening AND percentage of body fat <23% from rigorous exercise as determined by the investigator through Standard of Care (SoC) methods (eg, skinfold thickness, DXA, bioimpedance) within 6 months of screening
Disqualifiers
Has presence of primary amenorrhea (failure to reach menarche, first menstrual cycle)
Has blood estradiol ≥50 pg/mL or blood progesterone ≥1 ng/mL at screening, as described in the protocol
Has uterine (eg, absence of uterus, prior endometrial ablation, endometriosis, outflow tract disorders) or ovarian conditions (eg, absence of an ovary, presence of large polycystic ovaries i.e. greater than 10 cc) that impact assessment of menses or of the HPO axis
Has conditions other than FHA that may cause amenorrhea or menstrual cycle disturbances (eg, polycystic ovarian syndrome, hyperprolactinemia, primary ovarian insufficiency, untreated primary hypothyroidism, primary hyperthyroidism), as described in the protocol
Trial design
Parallel
Treatments tested in this trial
Mibavademab
DrugAdministered per the protocol
Placebo
Other interventionAdministered per the protocol
Treatment groups
Trial outcomes
Primary outcomes
Change from the highest serum estradiol observed during a 28-day period
Secondary outcomes
Change from the mean serum estradiol observed during a 28-day period
Occurrence of menses followed by mid-cycle serum estradiol ≥200 pg/ml and mid-luteal serum progesterone ≥7.9 ng/ml
Change in the highest serum estradiol
Occurrence of serum estradiol ≥200 pg/ml
Sponsors and contacts
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