ContraceptionPhase 3NCT00754065
To Compare SH T00658ID Over Ortho Tri-Cyclen Lo (US/Canada)
A Phase 3 study testing Estradiol valerate, Dienogest (Natazia, Qlaira, BAY86-5027) and Ortho Tri Cyclen Lo in people with Contraception, run by Bayer at 59 sites in 2 countries.
Trial summary
The objective of the study is to compare the oral contraceptive (OC) SH T00658ID over Ortho Tri-Cyclen Lo administered for 13 cycles to healthy female volunteers between 18 and 50 years of age who request oral contraceptive protection. Read more about this study
- Who is it for?
- Ages 18 to 50 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Contraception
- What is being tested?
- Estradiol valerate, Dienogest (Natazia, Qlaira, BAY86-5027) and Ortho Tri Cyclen Lo
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 409 participants
- Where
- 59 sitesin 2 countries
- Study dates
- 8 Sep 2008to 10 May 2011
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 50 years
- Women only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Signed and dated informed consent
- Age between 18 and 50 years (inclusive), smokers maximum age of 35 years (inclusive) at Visit 1
- Otherwise healthy female subjects requesting contraception and currently using a LNG, NGM, or norethindrone/norethindrone acetate containing OC in a 21-day regimen and suffering from at least moderate pelvic pain, headache or both defined by an average of the highest 3 values of >/=35 mm on a VAS during cycle days 22-28 (35 mm VAS is the expected standard deviation of the population VAS reduction)
- Normal or clinically insignificant cervical smear not requiring further follow up (a cervical smear has to be taken at screening visit or a normal result has to be documented within the last 6 months before screening) Women with atypical squamous cell of undetermined significance (ASCUS) can be included if they have a negative human papilloma virus (HPV) test result. The laboratory will perform an HPV test if the Pap smear result is ASCUS.
- Able to tolerate ibuprofen and willing to use only ibuprofen supplied by the investigator
Who cannot join
- Pregnancy or lactation (less than three cycles since delivery, abortion, or lactation before start of treatment)
- Body mass index (BMI) >32 kg/m2
- Hypersensitivity to any of the study drug ingredients
- Individuals not willing to consume pork and beef products. Women may be included if they are willing to take the capsules
- Safety relevant laboratory values, provided by the central laboratory, outside inclusion range before start of treatment
- Any diseases or conditions that can compromise the function of the body systems and could result in altered absorption, excessive accumulation, impaired metabolism, or altered excretion of the study medication (such as but not limited to duodenal ulcers, gastritis, gastrectomy or gastric resection surgery, or renal compromise)
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- Any diseases or conditions that might interfere with the conduct of the study or the interpretation of the results
- Any disease or condition that may worsen under hormonal treatment
- Undiagnosed abnormal genital bleeding
- Abuse of alcohol, drugs, or medicines (eg, laxatives)
- Other contraceptive methods
- Any medication that could result in excessive accumulation, impaired metabolism, or altered excretion of the study drug or interfere with the conduct of the study or the interpretation of the results
- Simultaneous participation in another clinical trial prior to study entry that might have an impact on the study objectives at the discretion of the investigator
- Major surgery scheduled for the study period
- Subject is a dependent person, eg: a family member or member of the Investigator's staff
- Inability to cooperate with the study procedures for any reason, including language comprehension, psychiatric illness, inability to get to the study site
Trial locations and contacts
59 sites in 2 countries.
59 sites in 2 countries
United States34 sites
Study site
Boise, Idaho, 83702
Study site
Boise, Idaho, 83712
Study site
Bristol, Tennessee, 37620
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Chesterfield, Missouri, 63017
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Cincinnati, Ohio, 45246
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Clearwater, Florida, 33759
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Columbus, Ohio, 43213
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Decatur, Georgia, 30034
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Denver, Colorado, 80206
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Denver, Colorado, 80218
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Encinitas, California, 92024
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Fishers, Indiana, 46037
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Houston, Texas, 77054
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Idaho Falls, Idaho, 83406
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Independence, Arizona, 94925
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Indianapolis, Indiana, 46217
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Jacksonville, Florida, 32207
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La Crosse, Wisconsin, 54601
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Las Vegas, Nevada, 89128
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Lincoln, Nebraska, 68510
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Littleton, Colorado, 80127
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Memphis, Tennessee, 38120
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Metairie, Louisiana, 70006
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New Brunswick, New Jersey, 08901
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Philadelphia, Pennsylvania, 19114
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Phoenix, Arizona, 85032
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Portland, Oregon, 97239-3011
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San Diego, California, 92108
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Santa Monica, California, 90404
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South Bend, Indiana, 46601
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Spokane, Washington, 99207
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St Louis, Missouri, 63141
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West Palm Beach, Florida, 33409
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Winston-Salem, North Carolina, 94925
Canada25 sites
Study site
Bathurst, New Brunswick, E2A 4Z9
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Charlottetown, Prince Edward Island, C1A 5Y9
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Corunna, Ontario, N0N 1G0
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Downsview, Ontario, M3J 1N2
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Drummondville, Quebec, J2B 7T1
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Halifax, Nova Scotia, B3K 5R3
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Hamilton, Ontario, L8L 5G8
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Hamilton, Ontario, L8M 1K7
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Langley, British Columbia, V3A 4H9
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Mirabel, Quebec, J7J 2K8
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Newmarket, Ontario, L3Y 5G8
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Ottawa, Ontario, K1H 7W9
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Pointe-Claire, Quebec, H9R 3J1
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Pointe-Claire, Quebec, H9R 4S3
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Québec, G3K 2P8
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Regina, Saskatchewan, S4P 3X1
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Sarnia, Ontario, N7T 4X3
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Saskatoon, Saskatchewan, S7H 5M3
Study site
Saskatoon, Saskatchewan, S7K 7H9
Study site
Shawinigan, Quebec, G9N 2H6
Study site
St. John's, Newfoundland and Labrador, A1A 3R5
Study site
Ste-Foy, Quebec, G1V 4X7
Study site
Toronto, Ontario, M4S 1Y2
Study site
Toronto, Ontario, M9W 4L6
Study site
Woodstock, Ontario, N4S 5P5
About this study
Official title: A Multicenter, Randomized, Double-blind, Active-controlled, Parallel Group, 2-arm Study to Show Superiority of the Oral Contraceptive SH T00658ID Over Ortho Tri-Cyclen Lo on Hormone Withdrawal-associated Symptoms After 6 Cycles of Treatment.
The objective of the study is to compare the oral contraceptive (OC) SH T00658ID over Ortho Tri-Cyclen Lo administered for 13 cycles to healthy female volunteers between 18 and 50 years of age who request oral contraceptive protection. Subjects on a levonorgestrel (LNG), norgestimate (NGM), norethindrone or norethindrone acetate containing oral contraceptive in a 21-day regimen suffering from hormone withdrawal-associated symptoms such as pelvic pain or headache or both, and willing to continue OC use but to switch to SH T00658ID or Ortho Tri-Cyclen Lo.
Read the detailed description
Safety issues are addressed in the Adverse Events section.
- Conditions
- Contraception
- Being tested
- Estradiol valerate, Dienogest (Natazia, Qlaira, BAY86-5027), Ortho Tri Cyclen Lo
- Keywords
- Oral contraceptive, Estradiol valerate and dienogest, EV/DNG, comparative tolerability
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Estradiol valerate, Dienogest (Natazia, Qlaira, BAY86-5027)Drug
Estradiol valerate (EV) and dienogest (DNG). Sequential 4-phasic regimen. Daily oral administration of one encapsulated BAY86-5027 for 28 days per Cycle, for 13 treatment cycles: Days 1-2, 3.0 mg EV; Days 3-7, 2.0 mg EV+2.0 mg DNG; Days 8-24, 2.0 mg EV+3.0 mg DNG; Days 25-26, 1.0 mg EV; Days 27-28, placebo
Ortho Tri Cyclen LoDrug
Dose--Ethinylestradiol (EE) + Norgestimate (NGM) Triphasic 21-day regimen. Daily oral administration of one encapsulated Ortho Tri-Cyclen Lo for 28 days per Cycle, for 13 treatment cycles: Days 1-7, 0.025 mg EE+0.180 NGM; Days 8-14, 0.025 mg EE+0.215 NGM; Days 15-21, 0.025 mg EE+0.250 NGM; Days 27-28, placebo
| Study group | Role | What they receive |
|---|---|---|
| Estradiol valerate, Dienogest (Natazia, Qlaira, BAY86-5027) | Experimental | Daily oral administration of one capsule BAY86-5027 [estradiol valerate (EV) / dienogest (DNG)] for 26 days, followed by one capsule placebo for 2 days (28 days total per cycle) for 13 treatment cycles (treatment encapsulated) Receives: Drug: Estradiol valerate, Dienogest (Natazia, Qlaira, BAY86-5027) |
| Ortho Tri-Cyclen Lo | Active comparator | Daily oral administration of one capsule Ortho Tri-Cyclen Lo [Ethinylestradiol (EE)/ Norgestimate (NGM)] for 21 days, followed by one capsule placebo for 7 days (28 days total per cycle) for 13 treatment cycles (treatment encapsulated) Receives: Drug: Ortho Tri Cyclen Lo |
What is being measured
The primary outcome is the main question the study is designed to answer.
The Change in Average of the 3 Highest Visual Analog Scale (VAS) Values of the Hormone Withdrawal-associated Symptoms Pelvic Pain or Headache During Cycle Days 22 to 28 From Baseline to Cycle 6
Subject self-assessed pelvic pain or headache per visual analog scale (VAS) values during the menstrual/withdrawal bleeding episode and Baseline. The VAS consists of a 100 mm long straight line, with verbal anchors at either end, representing a continuum of pain intensity. Accordingly, the scale ranges from 0 mm (absence of pain) to 100 mm (unbearable pain), and the change ranges from -100 mm (best) to 100 mm (worst).
Measured: Day 22-28 from Baseline to Day 22-28 from Cycle 6 (28 days per Cycle)
Secondary outcomes (114)
The Change From Baseline to Cycle 6 in the Number of Ibuprofen Tablets Used as Rescue Medication
Rescue medication use was standardized intake of 200 mg Ibuprofen tablets. Baseline period: 7 days (Day 22) before the first menstrual bleeding until Day 28 (normalized to a standard 28-day cycle). Treatment period: 7 days (Day 22) before the withdrawal bleeding (WB) of the 6th treatment cycle until Day 28 of the same cycle (normalized to a standard 28-day cycle). Number of tablets taken by each subject, and then the Mean and standard deviation (SD) derived.
Measured: From Baseline to Cycle 6 (28 days per Cycle)
The Change From Baseline to Cycle 13 in the Number of Ibuprofen Tablets Used as Rescue Medication
Rescue medication use was standardized intake of 200 mg Ibuprofen tablets. Baseline period: 7 days (Day 22) before the first menstrual bleeding until Day 28 (normalized to a standard 28-day cycle). Treatment period: 7 days (Day 22) before the withdrawal bleeding (WB) of the 13th treatment cycle until Day 28 before the same cycle (normalized to a standard 28-day cycle). Number of tablets taken by each subject, and then the Mean and standard deviation ((SD) derived.
Measured: From Baseline to Cycle 13 (28 days per Cycle)
Change From Baseline to Cycle 6 in the Number of Days With at Least Moderate Pain/Intensity of Other Hormone-related Symptoms During Cycle Days 22-28
Pain (pelvic, headache, bloating or swelling, breast tenderness, nausea or vomiting) during menstrual/withdrawal bleeding (WB) episode during cycle Days 22-28. Scores per day: 0 No pain; 1 Mild pain with no need for painkiller; 2 Moderate pain with need for painkiller; 3 Severe pain with need for painkiller. Baseline period: cycle Days 22-28 before 1st menstrual bleeding (normalized to a 7-day period). Treatment period: cycle Days 22-28 before WB of 6th treatment cycle until (normalized to a 7-day period). Score difference min -7 (best), max 7 (worst).
Measured: Day 22-28 from Baseline to Day 22-28 from Cycle 6 (28 days per Cycle)
Change From Baseline to Cycle 13 in the Number of Days With at Least Moderate Pain/Intensity of Other Hormone-related Symptoms During Cycle Days 22-28
Pain (pelvic, headache, bloating or swelling, breast tenderness, nausea or vomiting) during menstrual/withdrawal bleeding (WB) episode during cycle Days 22-28. Scores per day: 0 No pain; 1 Mild pain with no need for painkiller; 2 Moderate pain with need for painkiller; 3 Severe pain with need for painkiller. Baseline period: cycle Days 22-28 before 1st menstrual bleeding (normalized to a 7-day period). Treatment period: cycle Days 22-28 before WB of 13th treatment cycle (normalized to a 7-day period). Score difference min -7 (best), max 7 (worst).
Measured: Day 22-28 from Baseline to Day 22-28 from Cycle 13 (28 days per Cycle)
Change From Baseline to Cycle 6 in the Number of Days With at Least Moderate Pain/Intensity of Individual Hormone-related Symptoms During Cycle Days 1-21
Pain (pelvic, headache, bloating or swelling, breast tenderness, nausea or vomiting) during menstrual/withdrawal bleeding (WB) episode during cycle Days 1-21. Scores per day: 0 No pain; 1 Mild pain with no need for painkiller; 2 Moderate pain with need for painkiller; 3 Severe pain with need for painkiller. Baseline period: cycle Days 1-21 before 1st menstrual bleeding (normalized to a 21-day period). Treatment period: cycle Days 1-21 before WB of 6th treatment cycle (normalized to a 21-day period). Score difference min -21 (best), max 21 (worst).
Measured: Day 1-21 from Baseline to Day 1-21 from Cycle 6 (28 days per Cycle)
Change From Baseline to Cycle 13 in the Number of Days With at Least Moderate Pain/Intensity of Individual Hormone-related Symptoms During Cycle Days 1-21
Pain (pelvic, headache, bloating or swelling, breast tenderness, nausea or vomiting) during menstrual/withdrawal bleeding (WB) episode during cycle Days 1-21. Scores per day: 0 No pain; 1 Mild pain with no need for painkiller; 2 Moderate pain with need for painkiller; 3 Severe pain with need for painkiller. Baseline period: cycle Days 1-21 before 1st menstrual bleeding (normalized to a 21-day period). Treatment period: cycle Days 1-21 before WB of 13th treatment cycle (normalized to a 21-day period). Score difference min -21 (best), max 21 (worst).
Measured: Day 1-21 from Baseline to Day 1-21 from Cycle 13 (28 days per Cycle)
Change From Baseline to Cycle 6 in the Number of Days With at Least Moderate Pain/Intensity of Individual Hormone-related Symptoms During the Hormone-free Interval Cycle Days 27 to 28 for EV/DNG and Cycle Days 22 to 28 for EE/NGM
Pain (pelvic, headache, bloating or swelling, breast tenderness, nausea or vomiting) during menstrual/withdrawal bleeding (WB) episode (cycle Days 22-28). Scores per day: 0 No pain; 1 Mild pain with no need for painkiller; 2 Moderate pain with need for painkiller; 3 Severe pain with need for painkiller. Score difference min -2 (best), max 2 (worst) for the estradiol valerate (EV)/dienogest (DNG) group and min -7 (best), max 7 (worst) for the ethinylestradiol (EE)/norgestimate (NGM) group.
Measured: From Baseline to Cycle 6 (cycle Days 27 to 28 for EV/DNG and cycle Days 22 to 28 for EE/NGM, 28 days per Cycle)
Change From Baseline to Cycle 13 in the Number of Days With at Least Moderate Pain/Intensity of Individual Hormone-related Symptoms During the Hormone-free Interval Cycle Days 27 to 28 for EV/DNG and Cycle Days 22 to 28 for EE/NGM
Pain (pelvic, headache, bloating or swelling, breast tenderness, nausea or vomiting) during menstrual/withdrawal bleeding (WB) episode (cycle Days 22-28). Scores per day: 0 No pain; 1 Mild pain with no need for painkiller; 2 Moderate pain with need for painkiller; 3 Severe pain with need for painkiller. Score difference min -2 (best), max 2 (worst) for the EV/DNG group and min -7 (best), max 7 (worst) for the EE/NGM group.
Measured: From Baseline to Cycle 13 (cycle Days 27 to 28 for EV/DNG and cycle Days 22 to 28 for EE/NGM, 28 days per Cycle)
Change From Baseline to Cycle 3 in the Average of the Three Highest VAS Values of the Hormone Withdrawal-associated Symptoms Pelvic Pain or Headache During Cycle Days 22 to 28
Subject self-assessed pelvic pain or headache per visual analog scale (VAS) values during the menstrual/withdrawal bleeding episode and Baseline. The VAS consists of a 100 mm long straight line, with verbal anchors at either end, representing a continuum of pain intensity. Accordingly, the scale ranges from 0 mm (absence of pain) to 100 mm (unbearable pain), and the change ranges from -100 mm (best) to 100 mm (worst).
Measured: Days 22-28 from Baseline to Days 22-28 from Cycle 3 (28 days per Cycle)
Change From Baseline to Cycle 13 in the Average of the Three Highest VAS Values of the Hormone Withdrawal-associated Symptoms Pelvic Pain or Headache During Cycle Days 22 to 28
Subject self-assessed pelvic pain or headache per visual analog scale (VAS) values during the menstrual/withdrawal bleeding episode and Baseline. The VAS consists of a 100 mm long straight line, with verbal anchors at either end, representing a continuum of pain intensity. Accordingly, the scale ranges from 0 mm (absence of pain) to 100 mm (unbearable pain), and the change ranges from -100 mm (best) to 100 mm (worst).
Measured: Days 22-28 from Baseline to Days 22-28 from Cycle 13 (28 days per Cycle)
Number of Days With Bleeding or Spotting in Reference Period 1
Reference Period 1 is defined as Day 1 to Day 90 during study treatment and includes the initial bleeding episode that triggered the first intake of study medication, meaning that the first treatment cycle includes 2 bleeding episodes.
Measured: From Day 1 to Day 90
Number of Days With Bleeding or Spotting in Reference Period 2
Reference Period 2 is defined as Day 91 to Day 180 during study treatment.
Measured: From Day 91 to Day 180
Number of Days With Bleeding or Spotting in Reference Period 3
Reference Period 3 is defined as Day 181 to Day 270 during study treatment.
Measured: From Day 181 to Day 270
Number of Days With Bleeding or Spotting in Reference Period 4
Reference Period 4 is defined as Day 271 to Day 360 during study treatment.
Measured: From Day 271 to Day 360
Number of Bleeding / Spotting Episodes in Reference Period 1
Reference Period 1 is defined as Day 1 to Day 90 during study treatment and includes the initial bleeding episode that triggered the first intake of study medication, meaning that the first treatment cycle includes 2 bleeding episodes. (Episode is a set of days with bleeding/spotting)
Measured: From Day 1 to Day 90
Number of Bleeding / Spotting Episodes in Reference Period 2
Reference Period 2 is defined as Day 91 to Day 180 during study treatment. (Episode is a set of days with bleeding/spotting)
Measured: From Day 91 to Day 180
Number of Bleeding / Spotting Episodes in Reference Period 3
Reference Period 3 is defined as Day 181 to Day 270 during study treatment. (Episode is a set of days with bleeding/spotting)
Measured: From Day 181 to Day 270
Number of Bleeding / Spotting Episodes in Reference Period 4
Reference Period 4 is defined as Day 271 to Day 360 during study treatment. (Episode is a set of days with bleeding/spotting)
Measured: From Day 271 to Day 360
Mean Length of Bleeding / Spotting Episodes in Reference Period 1
Reference Period 1 is defined as Day 1 to Day 90 during study treatment and includes the initial bleeding episode that triggered the first intake of study medication, meaning that the first treatment cycle includes 2 bleeding episodes.
Measured: From Day 1 to Day 90
Mean Length of Bleeding / Spotting Episodes in Reference Period 2
Reference Period 2 is defined as Day 91 to Day 180 during study treatment.
Measured: From Day 91 to Day 180
Mean Length of Bleeding / Spotting Episodes in Reference Period 3
Reference Period 3 is defined as Day 181 to Day 270 during study treatment.
Measured: From Day 181 to Day 270
Mean Length of Bleeding / Spotting Episodes in Reference Period 4
Reference Period 4 is defined as Day 271 to Day 360 during study treatment.
Measured: From Day 271 to Day 360
Maximum Length of Bleeding / Spotting Episodes in Reference Period 1
Reference Period 1 is defined as Day 1 to Day 90 during study treatment and includes the initial bleeding episode that triggered the first intake of study medication, meaning that the first treatment cycle includes 2 bleeding episodes.
Measured: From Day 1 to Day 90
Maximum Length of Bleeding / Spotting Episodes in Reference Period 2
Reference Period 2 is defined as Day 91 to Day 180 during study treatment.
Measured: From Day 91 to Day 180
Maximum Length of Bleeding / Spotting Episodes in Reference Period 3
Reference Period 3 is defined as Day 181 to Day 270 during study treatment.
Measured: From Day 181 to Day 270
Maximum Length of Bleeding / Spotting Episodes in Reference Period 4
Reference Period 4 is defined as Day 271 to Day 360 during study treatment.
Measured: From Day 271 to Day 360
Difference in Duration Between Longest and Shortest Bleeding / Spotting Episodes in Reference Period 1
Reference Period 1 is defined as Day 1 to Day 90 during study treatment and includes the initial bleeding episode that triggered the first intake of study medication, meaning that the first treatment cycle includes 2 bleeding episodes.
Measured: From Day 1 to Day 90
Difference in Duration Between Longest and Shortest Bleeding / Spotting Episodes in Reference Period 2
Reference Period 2 is defined as Day 91 to Day 180 during study treatment.
Measured: From Day 91 to Day 180
Difference in Duration Between Longest and Shortest Bleeding / Spotting Episodes in Reference Period 3
Reference Period 3 is defined as Day 181 to Day 270 during study treatment.
Measured: From Day 181 to Day 270
Difference in Duration Between Longest and Shortest Bleeding / Spotting Episodes in Reference Period 4
Reference Period 4 is defined as Day 271 to Day 360 during study treatment.
Measured: From Day 271 to Day 360
Number of Days With Spotting-only in Reference Period 1
Reference Period 1 is defined as Day 1 to Day 90 during study treatment.
Measured: From Day 1 to Day 90
Number of Days With Spotting-only in Reference Period 2
Reference Period 2 is defined as Day 91 to Day 180 during study treatment.
Measured: From Day 91 to Day 180
Number of Days With Spotting-only in Reference Period 3
Reference Period 3 is defined as Day 181 to Day 270 during study treatment.
Measured: From Day 181 to Day 270
Number of Days With Spotting-only in Reference Period 4
Reference Period 4 is defined as Day 271 to Day 360 during study treatment.
Measured: From Day 271 to Day 360
Number of Spotting-only Episodes in Reference Period 1
Reference Period 1 is defined as Day 1 to Day 90 during study treatment.
Measured: From Day 1 to Day 90
Number of Spotting-only Episodes in Reference Period 2
Reference Period 2 is defined as Day 91 to Day 180 during study treatment.
Measured: From Day 91 to Day 180
Number of Spotting-only Episodes in Reference Period 3
Reference Period 3 is defined as Day 181 to Day 270 during study treatment.
Measured: From Day 181 to Day 270
Number of Spotting-only Episodes in Reference Period 4
Reference Period 4 is defined as Day 271 to Day 360 during study treatment.
Measured: From Day 271 to Day 360
Mean Length of Spotting-only Episodes in Reference Period 1
Reference Period 1 is defined as Day 1 to Day 90 during study treatment.
Measured: From Day 1 to Day 90
Mean Length of Spotting-only Episodes in Reference Period 2
Reference Period 2 is defined as Day 91 to Day 180 during study treatment.
Measured: From Day 91 to Day 180
Mean Length of Spotting-only Episodes in Reference Period 3
Reference Period 3 is defined as Day 181 to Day 270 during study treatment.
Measured: From Day 181 to Day 270
Mean Length of Spotting-only Episodes in Reference Period 4
Reference Period 4 is defined as Day 271 to Day 360 during study treatment.
Measured: From Day 271 to Day 360
Maximum Length of Spotting-only Episodes in Reference Period 1
Reference Period 1 is defined as Day 1 to Day 90 during study treatment.
Measured: From Day 1 to Day 90
Maximum Length of Spotting-only Episodes in Reference Period 2
Reference Period 2 is defined as Day 91 to Day 180 during study treatment.
Measured: From Day 91 to Day 180
Maximum Length of Spotting-only Episodes in Reference Period 3
Reference Period 3 is defined as Day 181 to Day 270 during study treatment.
Measured: From Day 181 to Day 270
Maximum Length of Spotting-only Episodes in Reference Period 4
Reference Period 4 is defined as Day 271 to Day 360 during study treatment.
Measured: From Day 271 to Day 360
Difference in Duration Between Longest and Shortest Spotting-only Episodes in Reference Period 1
Reference Period 1 is defined as Day 1 to Day 90 during study treatment and includes the initial bleeding episode that triggered the first intake of study medication, meaning that the first treatment cycle includes 2 bleeding episodes.
Measured: From Day 1 to Day 90
Difference in Duration Between Longest and Shortest Spotting-only Episodes in Reference Period 2
Reference Period 2 is defined as Day 91 to Day 180 during study treatment.
Measured: From Day 91 to Day 180
Difference in Duration Between Longest and Shortest Spotting-only Episodes in Reference Period 3
Reference Period 3 is defined as Day 181 to Day 270 during study treatment.
Measured: From Day 181 to Day 270
Difference in Duration Between Longest and Shortest Spotting-only Episodes in Reference Period 4
Reference Period 4 is defined as Day 271 to Day 360 during study treatment.
Measured: From Day 271 to Day 360
Percentage of Participants With / Without Withdrawal Bleeding at Cycle 1
Withdrawal bleeding is bleeding that occurs when using oral contraceptives (OCs) caused by falling levels and/or taking away external source of estrogen and progestogen toward cycle end.
Measured: At Cycle 1 (28 days per Cycle)
Percentage of Participants With / Without Withdrawal Bleeding at Cycle 3
Withdrawal bleeding is bleeding that occurs when using oral contraceptives (OCs) caused by falling levels and/or taking away external source of estrogen and progestogen toward cycle end.
Measured: At Cycle 3 (28 days per Cycle)
Percentage of Participants With / Without Withdrawal Bleeding at Cycle 6
Withdrawal bleeding is bleeding that occurs when using oral contraceptives (OCs) caused by falling levels and/or taking away external source of estrogen and progestogen toward cycle end.
Measured: At Cycle 6 (28 days per Cycle)
Percentage of Participants With / Without Withdrawal Bleeding at Cycle 13
Withdrawal bleeding is bleeding that occurs when using oral contraceptives (OCs) caused by falling levels and/or taking away external source of estrogen and progestogen toward cycle end.
Measured: At Cycle 13 (28 days per Cycle)
Length of Withdrawal Bleeding Episodes at Cycle 1
Withdrawal bleeding is bleeding that occurs when using oral contraceptives (OCs) caused by falling levels and/or taking away external source of estrogen and progestogen toward cycle end.
Measured: At Cycle 1 (28 days per Cycle)
Length of Withdrawal Bleeding Episodes at Cycle 3
Withdrawal bleeding is bleeding that occurs when using oral contraceptives (OCs) caused by falling levels and/or taking away external source of estrogen and progestogen toward cycle end.
Measured: At Cycle 3 (28 days per Cycle)
Length of Withdrawal Bleeding Episodes at Cycle 6
Withdrawal bleeding is bleeding that occurs when using oral contraceptives (OCs) caused by falling levels and/or taking away external source of estrogen and progestogen toward cycle end.
Measured: At Cycle 6 (28 days per Cycle)
Length of Withdrawal Bleeding Episodes at Cycle 13
Withdrawal bleeding is bleeding that occurs when using oral contraceptives (OCs) caused by falling levels and/or taking away external source of estrogen and progestogen toward cycle end.
Measured: At Cycle 13 (28 days per Cycle)
Maximum Intensity of Withdrawal Bleeding Episodes at Cycle 1
Intensity was scored as 1=none, 2=spotting, 3=light, 4=normal, or 5=heavy.
Measured: At Cycle 1 (28 days per Cycle)
Maximum Intensity of Withdrawal Bleeding Episodes at Cycle 3
Intensity was scored as 1=none, 2=spotting, 3=light, 4=normal, or 5=heavy.
Measured: At Cycle 3 (28 days per Cycle)
Maximum Intensity of Withdrawal Bleeding Episodes at Cycle 6
Intensity was scored as 1=none, 2=spotting, 3=light, 4=normal, or 5=heavy.
Measured: At Cycle 6 (28 days per Cycle)
Maximum Intensity of Withdrawal Bleeding Episodes at Cycle 13
Intensity was scored as 1=none, 2=spotting, 3=light, 4=normal, or 5=heavy.
Measured: At Cycle 13 (28 days per Cycle)
Onset of Withdrawal Bleeding Episodes at Cycle 1
Onset was defined as the number of days between progestogen withdrawal and the first day of the withdrawal bleeding episode (ie, starting on or after Day 25 for EV/DNG and on or after Day 22 for EE/NGM).
Measured: At Cycle 1 (28 days per Cycle)
Onset of Withdrawal Bleeding Episodes at Cycle 3
Onset was defined as the number of days between progestogen withdrawal and the first day of the withdrawal bleeding episode (ie, starting on or after Day 25 for EV/DNG and on or after Day 22 for EE/NGM).
Measured: At Cycle 3 (28 days per Cycle)
Onset of Withdrawal Bleeding Episodes at Cycle 6
Onset was defined as the number of days between progestogen withdrawal and the first day of the withdrawal bleeding episode (ie, starting on or after Day 25 for EV/DNG and on or after Day 22 for EE/NGM).
Measured: At Cycle 6 (28 days per Cycle)
Onset of Withdrawal Bleeding Episodes at Cycle 13
Onset was defined as the number of days between progestogen withdrawal and the first day of the withdrawal bleeding episode (ie, starting on or after Day 25 for EV/DNG and on or after Day 22 for EE/NGM).
Measured: At Cycle 13 (28 days per Cycle)
Percentage of Participants With Presence or Absence of Intracyclic Bleeding at Cycle 1
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: At Cycle 1 (28 days per Cycle)
Percentage of Participants With Presence or Absence of Intracyclic Bleeding at Cycle 3
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: At Cycle 3 (28 days per Cycle)
Percentage of Participants With Presence or Absence of Intracyclic Bleeding at Cycle 6
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: At Cycle 6 (28 days per Cycle)
Percentage of Participants With Presence or Absence of Intracyclic Bleeding at Cycle 13
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: At Cycle 13 (28 days per Cycle)
Number of Intracyclic Bleeding Episodes at Cycle 1
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens. (Episode is a set of days with intracyclic bleeding)
Measured: At Cycle 1 (28 days per Cycle)
Number of Intracyclic Bleeding Episodes at Cycle 3
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens. (Episode is a set of days with intracyclic bleeding)
Measured: At Cycle 3 (28 days per Cycle)
Number of Intracyclic Bleeding Episodes at Cycle 6
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens. (Episode is a set of days with intracyclic bleeding)
Measured: At Cycle 6 (28 days per Cycle)
Number of Intracyclic Bleeding Episodes at Cycle 13
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens. (Episode is a set of days with intracyclic bleeding)
Measured: At Cycle 13 (28 days per Cycle)
Maximum Length of Intracyclic Bleeding Episodes at Cycle 1
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: At Cycle 1 (28 days per Cycle)
Maximum Length of Intracyclic Bleeding Episodes at Cycle 3
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: At Cycle 3 (28 days per Cycle)
Maximum Length of Intracyclic Bleeding Episodes at Cycle 6
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: At Cycle 6 (28 days per Cycle)
Maximum Length of Intracyclic Bleeding Episodes at Cycle 13
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: At Cycle 13 (28 days per Cycle)
Number of Intracyclic Bleeding Days at Cycle 1
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: At Cycle 1 (28 days per Cycle)
Number of Intracyclic Bleeding Days at Cycle 3
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: At Cycle 3 (28 days per Cycle)
Number of Intracyclic Bleeding Days at Cycle 6
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: At Cycle 6 (28 days per Cycle)
Number of Intracyclic Bleeding Days at Cycle 13
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: At Cycle 13 (28 days per Cycle)
Percentage of Participants by Maximum Intensity of Intracyclic Bleeding Episodes at Cycle 1
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens. Intensity was scored as 1=none, 2=spotting, 3=light, 4=normal, or 5=heavy.
Measured: At Cycle 1 (28 days per Cycle)
Percentage of Participants by Maximum Intensity of Intracyclic Bleeding Episodes at Cycle 3
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens. Intensity was scored as 1=none, 2=spotting, 3=light, 4=normal, or 5=heavy.
Measured: At Cycle 3 (28 days per Cycle)
Percentage of Participants by Maximum Intensity of Intracyclic Bleeding Episodes at Cycle 6
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens. Intensity was scored as 1=none, 2=spotting, 3=light, 4=normal, or 5=heavy.
Measured: At Cycle 6 (28 days per Cycle)
Percentage of Participants by Maximum Intensity of Intracyclic Bleeding Episodes at Cycle 13
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens. Intensity was scored as 1=none, 2=spotting, 3=light, 4=normal, or 5=heavy.
Measured: At Cycle 13 (28 days per Cycle)
Percentage of Participants With at Least 1 Intracyclic Bleeding Episode at Cycles 2 to 6
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: Cycles 2 to 6 (28 days per Cycle)
Percentage of Participants With at Least 1 Intracyclic Bleeding Episode at Cycles 2 to 13
Intracyclic bleeding is any unexpected bleeding episode occurring in cyclical treatment regimens.
Measured: Cycles 2 to 13 (28 days per Cycle)
Mean Change From Baseline to Cycle 6 in Psychological General Well-Being Index (PGWBI)
Change from Baseline to Cycle 6 in PGWBI Questionnaire's assessment of participant's overall sense of well-being or distress. The PGWBI includes 22 items that, apart from combining into a global overall score, are divided into 6 dimensions: anxiety, depressed mood, positive well-being, self-control, health, and vitality. The response format used a 6-grade Likert scale and the change in the normalized PGWBI global score as well as all the sub-domains score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 6 (28 days per Cycle)
Mean Change From Baseline to Cycle 13 in Psychological General Well-Being Index (PGWBI)
Change from Baseline to Cycle 13 in PGWBI Questionnaire's assessment of participant's overall sense of well-being or distress. The PGWBI includes 22 items that, apart from combining into a global overall score, are divided into 6 dimensions: anxiety, depressed mood, positive well-being, self-control, health, and vitality. The response format used a 6-grade Likert scale and the change in the normalized PGWBI global score as well as all the sub-domains score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 13 (28 days per Cycle)
Mean Change From Baseline to Cycle 6 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Physical Health
Change from Baseline to Cycle 6 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (physical health - 13 items). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 6 (28 days per Cycle)
Mean Change From Baseline to Cycle 13 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Physical Health
Change from Baseline to Cycle 13 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (physical health - 13 items). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 13 (28 days per Cycle)
Mean Change From Baseline to Cycle 6 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Participant Feeling
Change from Baseline to Cycle 6 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (participant feeling - 14 items). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 6 (28 days per Cycle)
Mean Change From Baseline to Cycle 13 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Participant Feeling
Change from Baseline to Cycle 13 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (participant feeling - 14 items). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 13 (28 days per Cycle)
Mean Change From Baseline to Cycle 6 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Work
Change from Baseline to Cycle 6 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (work - yes or no; if yes, then 4 choices, and 13 items with a scale of 1-5 [very poor, poor, fair, good, very good]). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 6 (28 days per Cycle)
Mean Change From Baseline to Cycle 13 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Work
Change from Baseline to Cycle 13 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (work - yes or no; if yes, then 4 choices, and 13 items with a scale of 1-5 [very poor, poor, fair, good, very good]). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 13 (28 days per Cycle)
Mean Change From Baseline to Cycle 6 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Household Duties
Change from Baseline to Cycle 6 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (household duties - yes or no; if yes, then 4 choices, and 10 items with a scale of 1-5 [very poor, poor, fair, good, very good]). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 6 (28 days per Cycle)
Mean Change From Baseline to Cycle 13 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Household Duties
Change from Baseline to Cycle 13 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (household duties - yes or no; if yes, then 4 choices, and 10 items with a scale of 1-5 [very poor, poor, fair, good, very good]). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 13 (28 days per Cycle)
Mean Change From Baseline to Cycle 6 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - School/Course Work
Change from Baseline to Cycle 6 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (school / course work - yes or no; if yes, then 4 choices, and 10 items with a scale of 1-5 (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 6 (28 days per Cycle)
Mean Change From Baseline to Cycle 13 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - School/Course Work
Change from Baseline to Cycle 13 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (school / course work - yes or no; if yes, then 4 choices, and 10 items with a scale of 1-5 (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 13 (28 days per Cycle)
Mean Change From Baseline to Cycle 6 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Leisure Time Activities
Change from Baseline to Cycle 6 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (leisure time activities - 6 items). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 6 (28 days per Cycle)
Mean Change From Baseline to Cycle 13 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Leisure Time Activities
Change from Baseline to Cycle 13 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (leisure time activities - 6 items). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 13 (28 days per Cycle)
Mean Change From Baseline to Cycle 6 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Social Relationship
Change from Baseline to Cycle 6 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (social relationship - 11 items). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 6 (28 days per Cycle)
Mean Change From Baseline to Cycle 13 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Social Relationship
Change from Baseline to Cycle 13 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (social relationship - 11 items). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 13 (28 days per Cycle)
Mean Change From Baseline to Cycle 6 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - General Activities
Change from Baseline to Cycle 6 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (general activities - 16 items). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 6 (28 days per Cycle)
Mean Change From Baseline to Cycle 13 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - General Activities
Change from Baseline to Cycle 13 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (general activities - 16 items). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 13 (28 days per Cycle)
Mean Change From Baseline to Cycle 6 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Item Satisfaction
Change from Baseline to Cycle 6 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (item satisfaction). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 6 (28 days per Cycle)
Mean Change From Baseline to Cycle 13 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Item Satisfaction
Change from Baseline to Cycle 13 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (item satisfaction). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 13 (28 days per Cycle)
Mean Change From Baseline to Cycle 6 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Overall Life Satisfaction and Contentment
Change from Baseline to Cycle 6 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (overall life satisfaction and contentment). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 6 (28 days per Cycle)
Mean Change From Baseline to Cycle 13 in Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q) - Overall Life Satisfaction and Contentment
Change from Baseline to Cycle 13 in the overall enjoyment and satisfaction experienced during the past week as scored on the Q-LES-Q (overall life satisfaction and contentment). 1-5 scale (very poor, poor, fair, good, very good). The normalized score ranges from 0 (worst) to 100 (best). The change in the normalized score ranges from -100 (worst) to 100 (best).
Measured: Baseline up to Cycle 13 (28 days per Cycle)
Percentage of Participants With Improvement in the Investigator's Assessment in Clinical Global Impression (CGI) at Cycle 6
CGI is used to collect information regarding the subject's total clinical experience. The assessment scale ranges from 0 to 7: (0=not assessed; 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse). The scale of 1, 2, and 3 were categorized as improvement.
Measured: At Cycle 6 (28 days per Cycle)
Percentage of Participants With Improvement in the Investigator's Assessment in Clinical Global Impression (CGI) at Cycle 13
CGI is used to collect information regarding the subject's total clinical experience. The assessment scale ranges from 0 to 7: (0=not assessed; 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse). The scale of 1, 2, and 3 were categorized as improvement.
Measured: At Cycle 13 (28 days per Cycle)
Percentage of Participants With Improvement in the Participant's Assessment in Clinical Global Impression (CGI) at Cycle 6
In 1 section of the CGI the subject rates their total improvement and rate of satisfaction with sexuality during treatment. The assessment scale ranges from 0 to 7: (0=not assessed; 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse). The scale of 1, 2, and 3 were categorized as improvement.
Measured: At Cycle 6 (28 days per Cycle)
Percentage of Participants With Improvement in the Participant's Assessment in Clinical Global Impression (CGI) at Cycle 13
In 1 section of the CGI the subject rates their total improvement and rate of satisfaction with sexuality during treatment. The assessment scale ranges from 0 to 7: (0=not assessed; 1=very much improved; 2=much improved; 3=minimally improved; 4=no change; 5=minimally worse; 6=much worse; 7=very much worse). The scale of 1, 2, and 3 were categorized as improvement.
Measured: At Cycle 13 (28 days per Cycle)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Sep 2008 (estimated)
- Study start8 Sep 2008
- Primary completion10 May 2011
- Study completion10 May 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for ContraceptionStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 409 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00754065
- Sponsor's protocol ID
- 13108
- Status last verified
- Oct 2024
- First submitted
- 16 Sep 2008
- Last updated
- 20 Nov 2024
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Jensen JT, Parke S, Mellinger U, Serrani M, Mabey RG Jr. Hormone withdrawal-associated symptoms: comparison of oestradiol valerate/dienogest versus ethinylestradiol/norgestimate. Eur J Contracept Reprod Health Care. 2013 Aug;18(4):274-83. doi: 10.3109/13625187.2013.785516. Epub 2013 May 2.
PubMed 23638631
Study at a glance
From the registry record, last updated by the sponsor on 20 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter, Randomized, Double-blind, Active-controlled, Parallel Group, 2-arm Study to Show Superiority of the Oral Contraceptive SH T00658ID Over Ortho Tri-Cyclen Lo on Hormone Withdrawal-associated Symptoms After 6 Cycles of Treatment.
- ClinicalTrials.gov ID
- NCT00754065
- Acronym / sponsor ID
- 13108
- Conditions
- Contraception
- Keywords
- Oral contraceptive, Estradiol valerate and dienogest, EV/DNG, comparative tolerability
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 409 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- 8 Sep 2008 (actual)
- Primary completion
- 10 May 2011 (actual)
- Study completion
- 10 May 2011 (actual)
- First posted
- 17 Sep 2008 (estimated)
- Results
- Posted 28 Aug 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The objective of the study is to compare the oral contraceptive (OC) SH T00658ID over Ortho Tri-Cyclen Lo administered for 13 cycles to healthy female volunteers between 18 and 50 years of age who request oral contraceptive protection. Subjects on a levonorgestrel (LNG), norgestimate (NGM), norethindrone or norethindrone acetate containing oral contraceptive in a 21-day regimen suffering from hormone withdrawal-associated symptoms such as pelvic pain or headache or both, and willing to continue OC use but to switch to SH T00658ID or Ortho Tri-Cyclen Lo.
Detailed description
Safety issues are addressed in the Adverse Events section.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Estradiol valerate, Dienogest (Natazia, Qlaira, BAY86-5027) | Experimental | Drug: Estradiol valerate, Dienogest (Natazia, Qlaira, BAY86-5027)Daily oral administration of one capsule BAY86-5027 [estradiol valerate (EV) / dienogest (DNG)] for 26 days, followed by one capsule placebo for 2 days (28 days total per cycle) for 13 treatment cycles (treatment encapsulated) |
| Ortho Tri-Cyclen Lo | Active comparator | Drug: Ortho Tri Cyclen LoDaily oral administration of one capsule Ortho Tri-Cyclen Lo [Ethinylestradiol (EE)/ Norgestimate (NGM)] for 21 days, followed by one capsule placebo for 7 days (28 days total per cycle) for 13 treatment cycles (treatment encapsulated) |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Signed and dated informed consent
- Age between 18 and 50 years (inclusive), smokers maximum age of 35 years (inclusive) at Visit 1
- Otherwise healthy female subjects requesting contraception and currently using a LNG, NGM, or norethindrone/norethindrone acetate containing OC in a 21-day regimen and suffering from at least moderate pelvic pain, headache or both defined by an average of the highest 3 values of >/=35 mm on a VAS during cycle days 22-28 (35 mm VAS is the expected standard deviation of the population VAS reduction)
- Normal or clinically insignificant cervical smear not requiring further follow up (a cervical smear has to be taken at screening visit or a normal result has to be documented within the last 6 months before screening) Women with atypical squamous cell of undetermined significance (ASCUS) can be included if they have a negative human papilloma virus (HPV) test result. The laboratory will perform an HPV test if the Pap smear result is ASCUS.
- Able to tolerate ibuprofen and willing to use only ibuprofen supplied by the investigator
Key exclusion criteria (16 listed)
- Pregnancy or lactation (less than three cycles since delivery, abortion, or lactation before start of treatment)
- Body mass index (BMI) >32 kg/m2
- Hypersensitivity to any of the study drug ingredients
- Individuals not willing to consume pork and beef products. Women may be included if they are willing to take the capsules
- Safety relevant laboratory values, provided by the central laboratory, outside inclusion range before start of treatment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Estradiol valerate, Dienogest (Natazia, Qlaira, BAY86-5027)Estradiol valerate (EV) and dienogest (DNG). Sequential 4-phasic regimen. Daily oral administration of one encapsulated BAY86-5027 for 28 days per Cycle, for 13 treatment cycles: Days 1-2, 3.0 mg EV; Days 3-7, 2.0 mg EV+2.0 mg DNG; Days 8-24, 2.0 mg EV+3.0 mg DNG; Days 25-26, 1.0 mg EV; Days 27-28, placebo | Drug | Estradiol valerate, Dienogest (Natazia, Qlaira, BAY86-5027) |
| Ortho Tri Cyclen LoDose--Ethinylestradiol (EE) + Norgestimate (NGM) Triphasic 21-day regimen. Daily oral administration of one encapsulated Ortho Tri-Cyclen Lo for 28 days per Cycle, for 13 treatment cycles: Days 1-7, 0.025 mg EE+0.180 NGM; Days 8-14, 0.025 mg EE+0.215 NGM; Days 15-21, 0.025 mg EE+0.250 NGM; Days 27-28, placebo | Drug | Ortho Tri-Cyclen Lo |
Primary outcome
The Change in Average of the 3 Highest Visual Analog Scale (VAS) Values of the Hormone Withdrawal-associated Symptoms Pelvic Pain or Headache During Cycle Days 22 to 28 From Baseline to Cycle 6
Time frame: Day 22-28 from Baseline to Day 22-28 from Cycle 6 (28 days per Cycle)
Subject self-assessed pelvic pain or headache per visual analog scale (VAS) values during the menstrual/withdrawal bleeding episode and Baseline. The VAS consists of a 100 mm long straight line, with verbal anchors at either end, representing a continuum of pain intensity. Accordingly, the scale ranges from 0 mm (absence of pain) to 100 mm (unbearable pain), and the change ranges from -100 mm (best) to 100 mm (worst).
114 secondary outcomes
The Change From Baseline to Cycle 6 in the Number of Ibuprofen Tablets Used as Rescue Medication
Time frame: From Baseline to Cycle 6 (28 days per Cycle)
The Change From Baseline to Cycle 13 in the Number of Ibuprofen Tablets Used as Rescue Medication
Time frame: From Baseline to Cycle 13 (28 days per Cycle)
Change From Baseline to Cycle 6 in the Number of Days With at Least Moderate Pain/Intensity of Other Hormone-related Symptoms During Cycle Days 22-28
Time frame: Day 22-28 from Baseline to Day 22-28 from Cycle 6 (28 days per Cycle)
Change From Baseline to Cycle 13 in the Number of Days With at Least Moderate Pain/Intensity of Other Hormone-related Symptoms During Cycle Days 22-28
Time frame: Day 22-28 from Baseline to Day 22-28 from Cycle 13 (28 days per Cycle)
Change From Baseline to Cycle 6 in the Number of Days With at Least Moderate Pain/Intensity of Individual Hormone-related Symptoms During Cycle Days 1-21
Time frame: Day 1-21 from Baseline to Day 1-21 from Cycle 6 (28 days per Cycle)
Change From Baseline to Cycle 13 in the Number of Days With at Least Moderate Pain/Intensity of Individual Hormone-related Symptoms During Cycle Days 1-21
Time frame: Day 1-21 from Baseline to Day 1-21 from Cycle 13 (28 days per Cycle)
Change From Baseline to Cycle 6 in the Number of Days With at Least Moderate Pain/Intensity of Individual Hormone-related Symptoms During the Hormone-free Interval Cycle Days 27 to 28 for EV/DNG and Cycle Days 22 to 28 for EE/NGM
Time frame: From Baseline to Cycle 6 (cycle Days 27 to 28 for EV/DNG and cycle Days 22 to 28 for EE/NGM, 28 days per Cycle)
Change From Baseline to Cycle 13 in the Number of Days With at Least Moderate Pain/Intensity of Individual Hormone-related Symptoms During the Hormone-free Interval Cycle Days 27 to 28 for EV/DNG and Cycle Days 22 to 28 for EE/NGM
Time frame: From Baseline to Cycle 13 (cycle Days 27 to 28 for EV/DNG and cycle Days 22 to 28 for EE/NGM, 28 days per Cycle)
Change From Baseline to Cycle 3 in the Average of the Three Highest VAS Values of the Hormone Withdrawal-associated Symptoms Pelvic Pain or Headache During Cycle Days 22 to 28
Time frame: Days 22-28 from Baseline to Days 22-28 from Cycle 3 (28 days per Cycle)
Change From Baseline to Cycle 13 in the Average of the Three Highest VAS Values of the Hormone Withdrawal-associated Symptoms Pelvic Pain or Headache During Cycle Days 22 to 28
Time frame: Days 22-28 from Baseline to Days 22-28 from Cycle 13 (28 days per Cycle)
Number of Days With Bleeding or Spotting in Reference Period 1
Time frame: From Day 1 to Day 90
Number of Days With Bleeding or Spotting in Reference Period 2
Time frame: From Day 91 to Day 180
Number of Days With Bleeding or Spotting in Reference Period 3
Time frame: From Day 181 to Day 270
Number of Days With Bleeding or Spotting in Reference Period 4
Time frame: From Day 271 to Day 360
Number of Bleeding / Spotting Episodes in Reference Period 1
Time frame: From Day 1 to Day 90
Number of Bleeding / Spotting Episodes in Reference Period 2
Time frame: From Day 91 to Day 180
Number of Bleeding / Spotting Episodes in Reference Period 3
Time frame: From Day 181 to Day 270
Number of Bleeding / Spotting Episodes in Reference Period 4
Time frame: From Day 271 to Day 360
Mean Length of Bleeding / Spotting Episodes in Reference Period 1
Time frame: From Day 1 to Day 90
Mean Length of Bleeding / Spotting Episodes in Reference Period 2
Time frame: From Day 91 to Day 180
Mean Length of Bleeding / Spotting Episodes in Reference Period 3
Time frame: From Day 181 to Day 270
Mean Length of Bleeding / Spotting Episodes in Reference Period 4
Time frame: From Day 271 to Day 360
Maximum Length of Bleeding / Spotting Episodes in Reference Period 1
Time frame: From Day 1 to Day 90
Maximum Length of Bleeding / Spotting Episodes in Reference Period 2
Time frame: From Day 91 to Day 180
Maximum Length of Bleeding / Spotting Episodes in Reference Period 3
Time frame: From Day 181 to Day 270
Maximum Length of Bleeding / Spotting Episodes in Reference Period 4
Time frame: From Day 271 to Day 360
Difference in Duration Between Longest and Shortest Bleeding / Spotting Episodes in Reference Period 1
Time frame: From Day 1 to Day 90
Difference in Duration Between Longest and Shortest Bleeding / Spotting Episodes in Reference Period 2
Time frame: From Day 91 to Day 180
Difference in Duration Between Longest and Shortest Bleeding / Spotting Episodes in Reference Period 3
Time frame: From Day 181 to Day 270
Difference in Duration Between Longest and Shortest Bleeding / Spotting Episodes in Reference Period 4
Time frame: From Day 271 to Day 360
Number of Days With Spotting-only in Reference Period 1
Time frame: From Day 1 to Day 90
Number of Days With Spotting-only in Reference Period 2
Time frame: From Day 91 to Day 180
Number of Days With Spotting-only in Reference Period 3
Time frame: From Day 181 to Day 270
Number of Days With Spotting-only in Reference Period 4
Time frame: From Day 271 to Day 360
Number of Spotting-only Episodes in Reference Period 1
Time frame: From Day 1 to Day 90
Number of Spotting-only Episodes in Reference Period 2
Time frame: From Day 91 to Day 180
Number of Spotting-only Episodes in Reference Period 3
Time frame: From Day 181 to Day 270
Number of Spotting-only Episodes in Reference Period 4
Time frame: From Day 271 to Day 360
Mean Length of Spotting-only Episodes in Reference Period 1
Time frame: From Day 1 to Day 90
Mean Length of Spotting-only Episodes in Reference Period 2
Time frame: From Day 91 to Day 180
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Nov 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 23638631Jensen JT, Parke S, Mellinger U, Serrani M, Mabey RG Jr. Hormone withdrawal-associated symptoms: comparison of oestradiol valerate/dienogest versus ethinylestradiol/norgestimate. Eur J Contracept Reprod Health Care. 2013 Aug;18(4):274-83. doi: 10.3109/13625187.2013.785516. Epub 2013 May 2.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
59 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Estradiol valerate, Dienogest (Natazia, Qlaira, BAY86-5027) and Ortho Tri Cyclen Lo in people with Contraception, run by Bayer at 59 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 20 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 59 sites in United States, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 28 Aug 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The Change in Average of the 3 Highest Visual Analog Scale (VAS) Values of the Hormone Withdrawal-associated Symptoms Pelvic Pain or Headache During Cycle Days 22 to 28 From Baseline to Cycle 6 (time frame: Day 22-28 from Baseline to Day 22-28 from Cycle 6 (28 days per Cycle)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00754065, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Nov 2024.