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SH T00186 in the Treatment of Primary Dysmenorrhea

This study is currently recruiting participants.
Study NCT00569244.   Last updated on October 30, 2008.   Information provided by Bayer

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Descriptive Information Fields
Brief Title  SH T00186 in the Treatment of Primary Dysmenorrhea
Official Title  A Multi-Center, Open-Label, Randomized, Controlled, Parallel-Group Study to Assess Efficacy and Safety of an Extended Flexible Regimen of the Combined Oral Contraceptive SH T00186D (0.02 mg Ethinylestradiol as Beta-Cyclodextrin Clathrate and 3 mg Drospirenone) Compared to the Conventional Regimen of SH T00186D in the Treatment of Primary Dysmenorrhea
Brief Summary

The investigational drug SH T00186D is an oral contraceptive. The investigational drug used in this study contains the estrogen ethinylestradiol (EE) and the progestogen drospirenone (DRSP).

The aim of the present study is to evaluate efficacy and safety of the investigational drug in the treatment of menstrual pain (pelvic pain occurring shortly before, at onset, during menstruation). Two different regimens of intake of the same investigational product will be compared.

Patients have to undergo 2 -3 Baseline cycles (depending on whether the patient was an OC user before), during which menstrual pain, bleeding events, and pain killer intake have to be documented. During this observation period, the intake of hormonal contraceptives is not allowed. Other contraceptive methods (condoms with spermicide, pessary with spermicide) have to be used. If the patient is eligible for the study, she will be randomly assigned to one of the two treatment groups. Treatment group A will take the medication according to an extended flexible regimen, i.e., tablet intake will be triggered by bleeding events. Treatment group B will take the study medication in the 24 + 4 days regimen. That means, tablets to be taken on cycle days 1 - 24 contain the hormone combination, whereas tablets 25 - 28 do not contain any active ingredients, i.e., these are so called placebo tablets.

Treatment will last at least 140 days, but can be prolonged in Treatment Group A depending of occurrence of menstrual bleeding. The overall study duration will be 10 months for each patient.

During the whole study period, 5 visits are planned. At Screening and Final examination, a thorough physical examination and a gynecological examination (including breath palpation and cervical smear ) will be performed. Blood samples will be taken for safety laboratory parameters.

Additional examinations can be performed any time, if this becomes necessary for medical reasons.

Patients will be provided with a patient diary to document the intake of study medication, any bleeding events and days without bleeding, pregnancy test results, any dysmenorrheic (menstrual) pain and its intensity and its interference with daily activity, and intake of pain medication. The pain medication (ibuprofen) will be provided.

Detailed Description
Study Phase Phase III
Study Type  Interventional
Study Design  Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Primary Outcome Measure  Number of days with dysmenorrheic pain [ Time Frame: 140 days ] [ Designated as safety issue: No ]
Secondary Outcome Measure  Use of rescue medication [ Time Frame: 140 days ] [ Designated as safety issue: No ]
Interference with daily activity [ Time Frame: 140 days ] [ Designated as safety issue: No ]
Number of days: with at least moderate dysmenorrheic pain; [ Time Frame: 140 days ] [ Designated as safety issue: No ]
Number of days with pelvic pain [ Time Frame: 140 days ] [ Designated as safety issue: No ]
Number of days with dysmenorrheic pain associated with withdrawal bleeding [ Time Frame: 140 days ] [ Designated as safety issue: No ]
Number of days with dysmenorrheic pain associated with unscheduled bleeding [ Time Frame: 140 days ] [ Designated as safety issue: No ]
Bleeding patterns [ Time Frame: Whole treatment period ] [ Designated as safety issue: Yes ]
Assessment of treatment [ Time Frame: Whole treatment period ] [ Designated as safety issue: No ]
Condition  Primary Dysmenorrhea
Intervention  Drug: YAZ flex (SH T00186D)
Drug: YAZ (SH T00186D)
MEDLINE PMIDs
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Recruitment Information Fields
Recruitment Status  Recruiting
Enrollment  216
Start Date  December 2007
Completion Date December 2009
Eligibility Criteria 

Inclusion Criteria:

  • Otherwise healthy female patients with moderate to severe primary dysmenorrhea
  • Prospective self-rated sum pain score of >/= 8 during the 2 baseline cycles
  • Age between 18 and 40 years (inclusive) with smoking habits as follows:

    • between 18 and 30 years of age. daily cigarette consumption not above 10
    • above 30 years of age, no smoking

Exclusion Criteria:

  • Current signs of history of any forms of secondary dysmenorrhea
  • Any concomitant disease of condition that requires any intake of analgesic medication
  • Occurrence of less than six menstrual cycles before Visit 1 following delivery, abortion, or lactation
  • Clinically significant depression
Gender Female
Ages 18 Years to 40 Years
Accepts Healthy Volunteers No
Contacts ††
Contact: Bayer Clinical Trial Contact         clinical-trials-contact@bayerhealthcare.com    
Contact: For trial location information (Phone Menu Options '3' or '4')     (+) 1-888-84 22937        
Location Countries  Germany,   United Kingdom
Administrative Information Fields
NCT ID  NCT00569244
Organization ID 91587
Secondary IDs †† EudraCT No.: 2006-004899-13, 310882
Study Sponsor  Bayer
Collaborators ††
Investigators 
Study Director:     Bayer Study Director     Bayer    
Information Provided By Bayer
Verification Date October 2008
First Received Date  December 5, 2007
Last Updated Date October 30, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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