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Drug Exposure and Depot Medroxyprogesterone Acetate (DMPA) in Adolescent Subjects

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ClinicalTrials.gov Identifier: NCT01461824
Recruitment Status : Completed
First Posted : October 28, 2011
Results First Posted : April 23, 2018
Last Update Posted : April 23, 2018
Sponsor:
Collaborator:
Society of Family Planning
Information provided by (Responsible Party):
Andrea Bonny, Nationwide Children's Hospital

Study Description
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Brief Summary:
The investigators are doing this study to look at how different doses of the Depot medroxyprogesterone acetate (DMPA) shot effect weight gain and bone mineral density in teens. The investigators hope that what the investigators learn from this study will be used to develop ways to keep girls from gaining weight or losing bone density when receiving DMPA.

Condition or disease Intervention/treatment Phase
Weight Gain Disorder of Bone Density and Structure, Unspecified Uterine Bleeding Drug: Depot medroxyprogesterone acetate (DMPA) Phase 3

Detailed Description:

Depot medroxyprogesterone acetate (DMPA) is a generic form of the DepoProvera® shot. When receiving the birth control shot some girls gain a lot of weight while others do not. Some girls also lose bone mineral density (BMD). Bone mineral density is the amount of weight and thickness of the bones.

In this study 1 of 3 doses of DMPA will be given as an injection into the muscle in the arm. The 150mg dose is approved for use in this age group by the Food and Drug Administration (FDA) when given into the muscle. The 104mg dose is approved for use in this age group by the FDA only when given under the skin therefore it is considered experimental. The 75mg dose is also considered experimental as this dose is not FDA approved regardless of how it is given.


Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 34 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Relationship Between Drug Exposure and DNA Markers With Depot Medroxyprogesterone Acetate-associated Side Effects in Adolescents
Study Start Date : September 2011
Actual Primary Completion Date : April 2015
Actual Study Completion Date : July 2016

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Arms and Interventions
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Arm Intervention/treatment
Active Comparator: 150 mg DMPA
Depot medroxyprogesterone acetate (DMPA) 150 mg every 12 weeks IM
 Drug: Depot medroxyprogesterone acetate (DMPA)
75mg, 104mg and 150mg DMPA, IM, every 12 weeks for 12 months
Other Name: Generic Depo Provera manufactured by Greenstone, LLC
Experimental: 104mg DMPA
Depot medroxyprogesterone acetate (DMPA) 104 mg every 12 weeks IM
 Drug: Depot medroxyprogesterone acetate (DMPA)
75mg, 104mg and 150mg DMPA, IM, every 12 weeks for 12 months
Other Name: Generic Depo Provera manufactured by Greenstone, LLC
Experimental: 75mg DMPA
Depot medroxyprogesterone acetate (DMPA) 75 mg every 12 weeks IM
 Drug: Depot medroxyprogesterone acetate (DMPA)
75mg, 104mg and 150mg DMPA, IM, every 12 weeks for 12 months
Other Name: Generic Depo Provera manufactured by Greenstone, LLC


Outcome Measures
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Primary Outcome Measures :
  1. Percent Change in Lumbar Spine Bone Mineral Density (BMD) From Baseline to 48 Weeks [ Time Frame: Percent change from baseline to 48 Weeks ]
    Lumbar spine bone mineral density measured at baseline and 48 weeks. Percent change over this time was calculated.

  2. Proportion of Participants With >5% Weight Gain at 24 Weeks [ Time Frame: Week 24 ]
    Individual subjects will be assessed after their Week 24 visit.


Secondary Outcome Measures :
  1. Percent Change in Total Hip BMD From Baseline to 48 Weeks [ Time Frame: Percent change from baseline to 48 weeks ]
    Total hip bone mineral density was assessed at baseline and 48 weeks. Percent change from baseline to 48 weeks was calculated.


Eligibility Criteria
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Ages Eligible for Study:   12 Years to 21 Years   (Child, Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. Age 12-21 years
  2. Healthy, post-menarcheal female
  3. Self-selected to initiate depot medroxyprogesterone acetate (DMPA)
  4. Willingness to use a barrier method of contraception in addition to DMPA

Exclusion Criteria:

  1. Chronic disease known to affect weight or bone mineral density (BMD) (e.g. diabetes, kidney)
  2. Use of medication known to affect weight or BMD (e.g. corticosteroids)
  3. DMPA use within the past 12 months
  4. Pregnancy within the past 6 months
  5. Etonogestrel implant, levonorgestrel-releasing intrauterine system or combined estrogen/progesterone contraceptive use within the past 30 days (OC, patch, vaginal ring)
  6. Weight exceeding 450 lbs
  7. Need for confidential contraceptive care for individuals < 18 years of age.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01461824


Locations
United States, Ohio
Nationwide Children's Hospital
Columbus, Ohio, United States, 43205
Sponsors and Collaborators
Nationwide Children's Hospital
Society of Family Planning
Investigators
Principal Investigator: Andrea Bonny, MD Nationwide Children's Hospital
More Information
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Responsible Party: Andrea Bonny, Assistant Professor, Department of Pediatrics, The Ohio State University, Nationwide Children's Hospital
ClinicalTrials.gov Identifier: NCT01461824     History of Changes
Other Study ID Numbers: IRB11-00583
First Posted: October 28, 2011    Key Record Dates
Results First Posted: April 23, 2018
Last Update Posted: April 23, 2018
Last Verified: March 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Andrea Bonny, Nationwide Children's Hospital:
Birth Control
Contraceptive Methods
Female Contraception
Weight Gain
Bone Density

Additional relevant MeSH terms:
Weight Gain
Uterine Hemorrhage
Bone Diseases
Body Weight Changes
Body Weight
Signs and Symptoms
Uterine Diseases
Genital Diseases, Female
Hemorrhage
Pathologic Processes
Musculoskeletal Diseases
 Medroxyprogesterone
Medroxyprogesterone Acetate
Contraceptives, Oral, Synthetic
Contraceptives, Oral
Contraceptive Agents, Female
Contraceptive Agents
Reproductive Control Agents
Physiological Effects of Drugs
Contraceptive Agents, Male
Antineoplastic Agents, Hormonal
Antineoplastic Agents