Dose-finding Study for the Ultralow-dose Levonorgestrel Intrauterine Contraceptive System (LCS)
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Purpose
The purpose of this study is to investigate if drug doses lower than the one released from Mirena® would be as effective for contraception as Mirena®. Subjects participating in the study will be randomly assigned to be inserted with any of the three different intrauterine systems (IUSs). The IUSs are nearly alike except that the amount of hormone released from them is different.
| Condition | Intervention | Phase |
|---|---|---|
|
Contraception |
Drug: Levonorgestrel IUS (BAY86-5028, G04209B) Drug: Levonorgestrel IUS (BAY86-5028, G04209C) Drug: Levonorgestrel IUS (Mirena, BAY86-5028) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Subject) Primary Purpose: Prevention |
| Official Title: | Multi-center, Open, Randomized, Dose Finding Phase II Study to Investigate Ultra Low Dose Levonorgestrel Contraceptive Intrauterine Systems (LCS) Releasing Different Amounts of Levonorgestrel Compared to MIRENA in Nulliparous and Parous Women in Need of Contraception. |
- Pearl Index [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]The Pearl Index (PI) is defined as the number of pregnancies per 100 woman years. The 3-year PI was obtained by dividing the number of pregnancies that occurred during the first three years of treatment by the time (in 100 women years) that the women were under risk of getting pregnant.
- Number of Subjects With Total or Partial Expulsions [ Time Frame: Up to 3 years ] [ Designated as safety issue: No ]The numbers of subjects with partial or total IUS expulsions (device displaced from its correct position within the uterus) were to be given by treatment.
- Bleeding Pattern by 90-day Reference Periods - Reference Period 1 [ Time Frame: day 1 to day 90 ] [ Designated as safety issue: No ]Subjects kept a bleeding diary and recorded any bleeding every day by category: none, spotting, light, normal or heavy. Any missing data were obtained by direct questioning.
- Bleeding Pattern by 90-day Reference Periods - Reference Period 2 [ Time Frame: day 91 to day 180 ] [ Designated as safety issue: No ]Subjects kept a bleeding diary and recorded any bleeding every day by category: none, spotting, light, normal or heavy. Any missing data were obtained by direct questioning.
- Bleeding Pattern by 90-day Reference Periods - Reference Period 3 [ Time Frame: day 181 to day 270 ] [ Designated as safety issue: No ]Subjects kept a bleeding diary and recorded any bleeding every day by category: none, spotting, light, normal or heavy. Any missing data were obtained by direct questioning.
- Bleeding Pattern by 90-day Reference Periods - Reference Period 4 [ Time Frame: day 271 to day 360 ] [ Designated as safety issue: No ]Subjects kept a bleeding diary and recorded any bleeding every day by category: none, spotting, light, normal or heavy. Any missing data were obtained by direct questioning.
- Bleeding Pattern by 90-day Reference Periods - Reference Period 12 [ Time Frame: day 991 to day 1080 ] [ Designated as safety issue: No ]Subjects kept a bleeding diary and recorded any bleeding every day by category: none, spotting, light, normal or heavy. Any missing data were obtained by direct questioning.
| Enrollment: | 742 |
| Study Start Date: | April 2005 |
| Study Completion Date: | December 2008 |
| Primary Completion Date: | December 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: LCS12
Levonorgestrel intrauterine contraceptive system (LCS) releasing 12 microg/24h in vitro
|
Drug: Levonorgestrel IUS (BAY86-5028, G04209B)
Levonorgestrel intrauterine contraception system (IUS) releasing 12 microg/24 h in vitro, to be used for three years
|
|
Experimental: LCS16
Levonorgestrel intrauterine contraceptive system (LCS) releasing 16 microg/24h in vitro
|
Drug: Levonorgestrel IUS (BAY86-5028, G04209C)
Levonorgestrel intrauterine contraception system (IUS) releasing 16 microg/24 h in vitro, to be used for three years
|
|
Active Comparator: IUS20 (Mirena)
Levonorgestrel intrauterine system (IUS) releasing 20 microg/24h in vitro
|
Drug: Levonorgestrel IUS (Mirena, BAY86-5028)
Levonorgestrel Intrauterine contraception system (IUS) releasing 20 microg/24 h to be used for three years
|
Detailed Description:
The study has previously been posted by Schering AG, Germany. Schering AG, Germany has been renamed to Bayer Schering Pharma AG, Germany.
Bayer Schering Pharma AG, Germany is the sponsor of the trial.
Although the title of the study describes "open", it was in fact single-blinded.
Issues on side effects are addressed in the Adverse Event section.
Eligibility| Ages Eligible for Study: | 21 Years to 40 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Women with or without children and good general health and in need of contraception.
- Regular menstrual cycle without hormonal contraceptives.
Exclusion Criteria:
- Pregnant or lactating.
- Last delivery or abortion less than 12 weeks ago.
- Previous pregnancies outside the womb.
- Previous pelvic infections.
- Abnormal bleeding.
- Abnormal uterine cavity.
- Climacteric signs.
- Genital cancer.
- Liver diseases.
- Alcoholism or drug abuse.
Contacts and Locations| Finland | |
| Espoo, Finland, 02100 | |
| Helsinki, Finland, 00100 | |
| Joensuu, Finland, 80100 | |
| Jyväskylä, Finland, 40620 | |
| Kotka, Finland, 48100 | |
| Kuopio, Finland, 70110 | |
| Lahti, Finland, 15110 | |
| Oulu, Finland, 90100 | |
| Oulu, Finland, 90570 | |
| Oulu, Finland, 90220 | |
| Tampere, Finland, 33100 | |
| Turku, Finland, 20540 | |
| Turku, Finland, 20100 | |
| Turku, Finland, 20520 | |
| Hungary | |
| Bekescsaba, Hungary, 5600 | |
| Eger, Hungary, 3300 | |
| Nyiregyhaza, Hungary, 4400 | |
| Szeged, Hungary, 6725 | |
| Norway | |
| Drammen, Norway, 3001 | |
| Elverum, Norway, 2403 | |
| Kolbotn, Norway, 1411 | |
| Larvik, Norway, 3264 | |
| Oslo, Norway, 0309 | |
| Trondheim, Norway, 7012 | |
| Sweden | |
| Göteborg, Sweden, 411 35 | |
| Huddinge, Sweden, 14186 | |
| Kalmar, Sweden, 39231 | |
| Luleå, Sweden, 972 33 | |
| Norrköping, Sweden, 602 22 | |
| Stockholm, Sweden, S-171 76 | |
| Umea, Sweden, 90185 | |
| Örebro, Sweden, 701 46 | |
| United Kingdom | |
| Chesterfield, Derbyshire, United Kingdom, S40 4TF | |
| Chesterfield, United Kingdom, S40 1SX | |
| Sheffield, United Kingdom, S1 2PJ | |
| Study Director: | Bayer Study Director | Bayer |
More Information
Additional Information:
Publications:
| Responsible Party: | Therapeutic Area Head, Bayer Healthcare AG |
| ClinicalTrials.gov Identifier: | NCT00185380 History of Changes |
| Other Study ID Numbers: | 91412, 2004-002291-42, 308901 |
| Study First Received: | September 13, 2005 |
| Results First Received: | December 10, 2009 |
| Last Updated: | May 25, 2012 |
| Health Authority: | Finland: Finnish Medicines Agency Hungary: National Institute of Pharmacy Lithuania: State Medicine Control Agency - Ministry of Health Norway: Norwegian Medicines Agency Sweden: Medical Products Agency United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Additional relevant MeSH terms:
|
Contraceptive Agents Levonorgestrel Reproductive Control Agents Physiological Effects of Drugs Pharmacologic Actions |
Therapeutic Uses Contraceptive Agents, Female Contraceptives, Oral, Synthetic Contraceptives, Oral |
ClinicalTrials.gov processed this record on May 16, 2013