ContraceptionPhase 3NCT01254292
LCS12 vs Combined Oral Contraceptive (COC) User Satisfaction Study
A Phase 3 study testing Levonorgestrel IUD (LCS, BAY86-5028) and Yasmin (EE30/DRSP, BAY86-5131) in people with Contraception, run by Bayer at 94 sites in 5 countries.
Trial summary
The primary objective of this study is to evaluate user satisfaction and tolerability in young women (18-29 years of age) using the LCS12 compared with young women using a COC (Yasmin) over a period of 18 months. Read more about this study
- Who is it for?
- Ages 18 to 29 years, women only
- Conditions the study is for
- Contraception
- What is being tested?
- Levonorgestrel IUD (LCS, BAY86-5028) and Yasmin (EE30/DRSP, BAY86-5131)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 567 participants
- Where
- 94 sitesin 5 countries
- Study dates
- 6 Jan 2011to 28 May 2014
- 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 29 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Subject has signed and dated the Informed Consent Form (ICF).
- The subject is generally healthy, requesting contraception, and is between 18 and 29 years of age (inclusive) at Screening.
- In the opinion of the investigator, the subject is
- in good health;
- without uterine conditions that would preempt insertion of LCS12;
- without conditions/history that would contraindicate the use of oral contraceptives.
Show all 9Show fewer
- Subject has normal or clinically insignificant cervical smear (ie, one that does not require further follow up). A cervical smear must be taken at the Screening Visit or a documented normal result has to have been obtained within 6 months of Screening. Subjects with atypical squamous cells of undetermined significance (ASCUS) can be included in the study if they have a Human Papilloma Virus (HPV) deoxyribonucleic acid (DNA) test that, according to the standards of the local laboratory, is negative for high-risk HPV.
- As determined by subject's history, subject has regular (ie, endogenous cyclicity without hormonal contraceptive use) menstrual cycles (length of cycle 21-35 days).
- Subject is willing and able to attend the scheduled study visits and to comply with the study procedures.
Who cannot join
- Pregnancy or current lactation (less than 6 weeks since vaginal or Cesarean delivery or abortion). Note: Postpartum LCS12 insertions should be postponed until the uterus is fully involuted, and not earlier than 6 weeks after delivery. If involution is substantially delayed, the investigator should consider waiting until 12 weeks postpartum.
- Infected abortion or postpartum endometritis within 3 months prior to the Screening Visit (Visit 1)
- Chronic, daily use of drugs that may increase serum potassium levels, such as nonsteroidal anti-inflammatory drugs (NSAIDs, eg. ibuprofen and naproxen), potassium-sparing diuretics (eg. spironolactone), potassium supplementation, angiotensin converting enzyme (ACE) inhibitors, angiotensin-II receptor antagonists, aldosterone antagonists, and heparin.
- Abnormal uterine bleeding of unknown origin/undiagnosed abnormal genital bleeding
- Any genital infection (until successfully treated)
- Abnormal cervical smear result (see inclusion criteria)
- Acute, current or history of recurrent pelvic inflammatory disease
- Congenital or acquired uterine anomaly or any distortion of the uterine cavity (eg, by fibroids) that, in the opinion of the investigator, would cause problems during insertion, retention, or removal of LCS12.
Trial locations and contacts
94 sites in 5 countries.
94 sites in 5 countries
Germany30 sites
Praxis f. Gynäkologie und Geburtshilfe
Bernburg, Saxony-Anhalt, 06406
Study site
Bernburg, Saxony-Anhalt, 06406
Frauenarztpraxis Dr. Wetzel
Blankenburg, Saxony-Anhalt, 38889
Study site
Blankenburg, Saxony-Anhalt, 38889
Evangelisches Krankenhaus Köln Weyertal gGmbH
Cologne, North Rhine-Westphalia, 50931
Study site
Cologne, North Rhine-Westphalia, 50931
Frauenarztpraxis Dr. Robert Hantschel
Dippoldiswalde, Saxony, 01744
Study site
Dippoldiswalde, Saxony, 01744
Praxis Hr. Dr. U. Kopprasch
Dresden, Saxony, 01169
Study site
Dresden, Saxony, 01169
Praxis Hr. Dr. A. Soder
Ettlingen, Baden-Wurttemberg, 76275
Study site
Ettlingen, Baden-Wurttemberg, 76275
Praxis Hr. Dr. E. Goeckeler-Leopold
Geseke, North Rhine-Westphalia, 59590
Study site
Geseke, North Rhine-Westphalia, 59590
Praxis Hr. Dr. D. Rautenberg
Hamburg, 21073
Study site
Hamburg, 21073
Praxis Hr. Dr. K. Peters
Hamburg, 22159
Study site
Hamburg, 22159
Praxis Hr. Dr. K. Buehling
Hamburg, 22587
Study site
Hamburg, 22587
Praxis Hr. Dr. K. Greven
Hanover, Lower Saxony, 30459
Study site
Hanover, Lower Saxony, 30459
Praxis Hr. H. Thelen
Jessen, Saxony-Anhalt, 06917
Study site
Jessen, Saxony-Anhalt, 06917
Frauenarztpraxis Dr. Bernd Pittner
Leipzig, Saxony, 04207
Study site
Leipzig, Saxony, 04207
Praxis Fr. C. Burgkhardt
Leipzig, Saxony, 04299
Study site
Leipzig, Saxony, 04299
Praxis Fr. Dr. A. Braune
Magdeburg, Saxony-Anhalt, 39104
Study site
Magdeburg, Saxony-Anhalt, 39104
United States24 sites
Boston Medical Center
Boston, Massachusetts, 02118
Study site
Boston, Massachusetts, 02118
Visions Clinical Research
Boynton Beach, Florida, 33472-2952
Study site
Boynton Beach, Florida, 33472-2952
Columbus Center for Women's Health Research
Columbus, Ohio, 43213
Study site
Columbus, Ohio, 43213
Advanced Research Associates
Corpus Christi, Texas, 78414
Study site
Corpus Christi, Texas, 78414
Grossmont Center for Clinical Research
La Mesa, California, 91942
Study site
La Mesa, California, 91942
Women's Clinic of Lincoln, PC
Lincoln, Nebraska, 68510
Study site
Lincoln, Nebraska, 68510
Clinical Research of Philadelphia, LLC
Philadelphia, Pennsylvania, 19114
Study site
Philadelphia, Pennsylvania, 19114
Oregon Health and Science University
Portland, Oregon, 97239-3011
Study site
Portland, Oregon, 97239-3011
Genesis Center for Clinical Research
San Diego, California, 92103
Study site
San Diego, California, 92103
Medical Center for Clinical Research
San Diego, California, 92108
Study site
San Diego, California, 92108
Seattle Women's: Health, Research, Gynecology
Seattle, Washington, 98105
Study site
Seattle, Washington, 98105
Visions Clinical Research - Tucson
Tucson, Arizona, 85712
Study site
Tucson, Arizona, 85712
Austria20 sites
Landeskrankenhaus Bregenz
Bregenz, Vorarlberg, 6900
Study site
Bregenz, Vorarlberg, 6900
Praxis Dr. Hannes Kahr
Graz, 8010
Study site
Graz, 8010
Dr. Bernhard Svejda
Klagenfurt, 9020
Study site
Klagenfurt, 9020
Ordination Dr. Schmidl-Amann
Sankt Pölten, Lower Austria, 3100
Study site
Sankt Pölten, Lower Austria, 3100
Ordination Dr. Sator
Tulln, 3430
Study site
Tulln, 3430
Dr. Brigitte Wiesenthal
Vienna, 1070
Study site
Vienna, 1070
Dr. Wolfgang Bartl
Vienna, 1200
Study site
Vienna, 1200
Ordination Dr. Trost
Voitsberg, Styria, 8570
Study site
Voitsberg, Styria, 8570
Dr. Max Stiglbauer
Wiener Neustadt, Lower Austria, 2700
Study site
Wiener Neustadt, Lower Austria, 2700
Dr. Walter Paulik
Zeltweg, 8740
Study site
Zeltweg, 8740
Belgium10 sites
Dr. Philip Loquet
Antwerp, 2018
Study site
Antwerp, 2018
Hôpital Erasme/Erasmus Ziekenhuis
Bruxelles-brussel, 1070
Study site
Bruxelles-brussel, 1070
Gynaecologen Noord Antwerpen
Ekeren, 2180
Study site
Ekeren, 2180
UZ Gent
Ghent, 9000
Study site
Ghent, 9000
UZ Leuven Gasthuisberg
Leuven, 3000
Study site
Leuven, 3000
Russia10 sites
Altai State Medical University
Barnaul, 656038
Study site
Barnaul, 656038
Scientific Center of family health & human reprod. problems
Irkutsk, 664003
Study site
Irkutsk, 664003
Instit. of Motherhood & Childhood care n.a. Gorodkov
Ivanovo, 153045
Study site
Ivanovo, 153045
City Perinatal Center
Novosibirsk, 630089
Study site
Novosibirsk, 630089
Institute of Obsteric & Gyn.
Saint Petersburg, 199034
Study site
Saint Petersburg, 199034
About this study
Official title: Multicenter, Randomized, Open-label, Parallel-group Study to Evaluate User Satisfaction With and Tolerability of the Low-dose Levonorgestrel (LNG) Intrauterine Delivery System (IUS) With 12 µg LNG/Day Initial in Vitro Release Rate (LCS12) in Comparison to a Combined Oral Contraceptive Containing 30 µg Ethinyl Estradiol and 3 mg Drospirenone (Yasmin®) in Young Women (18-29 Years) Over 18 Months of Use
The primary objective of this study is to evaluate user satisfaction and tolerability in young women (18-29 years of age) using the LCS12 compared with young women using a COC (Yasmin) over a period of 18 months. Subjects in the LCS12 arm will be offered continued use of LCS12 for the full, intended duration of use (up to 3 years) by continuing in a optional, extension phase. Safety data only will be collected during the extension phase of the study.
Secondary objectives are to observe the tolerability, discontinuation rates, adverse event profiles, occurrences of unintended pregnancies (including calculation of Pearl Index [PI]), and bleeding profiles with the two birth-control methods. Additionally, data on missed tablets in the combined oral contraceptive (COC) group, and intrauterine delivery system (IUS) expulsions in the LCS12 group will be recorded. In the LCS12 group, physician satisfaction with the IUS inserter, evaluation of the visibility and texture of the removal threads, and evaluation of the visibility of the LCS12 on ultrasound (in a subset of subjects) will be collected. Finally, in the COC group, information will be collected on the psychosocial impact of missed or delayed pill intake.
- Conditions
- Contraception
- Being tested
- Levonorgestrel IUD (LCS, BAY86-5028), Yasmin (EE30/DRSP, BAY86-5131)
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Levonorgestrel IUD (LCS, BAY86-5028)Drug
LCS12 insertion will occur at randomization visit (Visit 2). Duration of study treatment is 18 months with optional extension to 36 months for subjects in this group only.
Yasmin (EE30/DRSP, BAY86-5131)Drug
Combined oral contraceptive (COC; Yasmin; 0.03 mg ethinyl estradiol and 3 mg drospirenone); Subjects will start taking COC at / on the day of visit 2 and continue taking one pill / day without any breaks for the entire study duration of 18 months.
| Study group | Role | What they receive |
|---|---|---|
| LCS12 (Skyla, BAY86-5028) | Experimental | Participants received LCS12 (low dose levonorgestrel [LNG] intrauterine delivery system [IUS]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months Receives: Drug: Levonorgestrel IUD (LCS, BAY86-5028) |
| EE30/DRSP (Yasmin, BAY86-5131) | Active comparator | Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles Receives: Drug: Yasmin (EE30/DRSP, BAY86-5131) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Satisfaction Rate at 18 Months (Last Observation Carried Forward, LOCF)
Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.
Measured: At 18 months
Secondary outcomes (25)
Overall Satisfaction Rating by the 5-point Likert Item at 6 Months
Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.
Measured: At 6 months
Overall Satisfaction Rating by the 5-point Likert Item at 12 Months
Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.
Measured: At 12 months
Overall Satisfaction Rating by the 5-point Likert Item at 18 Months
Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.
Measured: At 18 months
Overall Satisfaction Rating by the 5-point Likert Item at End of Study (EOS)
Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.
The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.
Measured: At 18 months/EOS
Overall Satisfaction Rate at 6 Months (LOCF)
Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.
Measured: At 6 months
Overall Satisfaction Rate at 12 Months (LOCF)
Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.
Measured: At 12 months
User Satisfaction - Acceptability of the Administration of Study Treatment
The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.
Measured: At 18 months/EOS
User Satisfaction - Choices Upon Completion of the Study
The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.
Measured: At 18 months/EOS
User Satisfaction - Amount of Menstrual Bleeding
The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.
Measured: At 18 months/EOS
User Satisfaction - Satisfaction With Menstrual Bleeding Pattern
The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.
Measured: At 18 months/EOS
User Satisfaction - Frequency of Experiencing Unexpected Bleeding
The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.
Measured: At 18 months/EOS
User Satisfaction - Satisfaction With Menstrual Bleeding Absence
The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.
Measured: At 18 months/EOS
User Satisfaction - Comparison of Menstrual Pain Intensity Between Now and Before Treatment
The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.
Measured: At 18 months/EOS
User Satisfaction - Rating of Usual Menstrual Pain Intensity
The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.
Measured: At 18 months/EOS
EVAPIL-R Scores at Screening - Composite Score
The EVAPIL-R scale is a self-questionnaire aimed to assess tolerability of oral contraceptives. A composite score was derived from 16 items and the ratings for presence/absence (rated as 1/0), frequency (rated with values from 0 to 2), intensity (rated from 1 to 3) and bother (rated from 1 to 4) for each item. To calculate the composite score, the bother rating of each item was multiplied by an item- specific multiplier and a weight. Range is 0-12, with higher values indicating more severe symptoms/less tolerability.
Measured: At screening
EVAPIL-R Scores at Screening - Bother Score
The EVAPIL-R scale is a self-questionnaire aimed to assess tolerability of oral contraceptives. A composite score was derived from 16 items and the ratings for presence/absence (rated as 1/0), frequency (rated with values from 0 to 2), intensity (rated from 1 to 3) and bother (rated from 1 to 4) for each item. To calculate the composite score, the bother rating of each item was multiplied by an item- specific multiplier and a weight. Range is 0-12, , with higher values indicating more severe symptoms/less tolerability.
Measured: At screening
EVAPIL-R Scores at 6 Months
The EVAPIL-R scale is a self-questionnaire aimed to assess tolerability of oral contraceptives. A composite score was derived from 16 items and the ratings for presence/absence (rated as 1/0), frequency (rated with values from 0 to 2), intensity (rated from 1 to 3) and bother (rated from 1 to 4) for each item. To calculate the composite score, the bother rating of each item was multiplied by an item- specific multiplier and a weight. Range is 0-12, with higher values indicating more severe symptoms/less tolerability.
Measured: At 6 months
EVAPIL-R Scores at 12 Months - Bother Score
The EVAPIL-R scale is a self-questionnaire aimed to assess tolerability of oral contraceptives. A composite score was derived from 16 items and the ratings for presence/absence (rated as 1/0), frequency (rated with values from 0 to 2), intensity (rated from 1 to 3) and bother (rated from 1 to 4) for each item. To calculate the composite score, the bother rating of each item was multiplied by an item- specific multiplier and a weight. Range is 0-12, with higher values indicating more severe symptoms/less tolerability.
Measured: At 12 months
EVAPIL-R Scores at 12 Months - Composite Score
The EVAPIL-R scale is a self-questionnaire aimed to assess tolerability of oral contraceptives. A composite score was derived from 16 items and the ratings for presence/absence (rated as 1/0), frequency (rated with values from 0 to 2), intensity (rated from 1 to 3) and bother (rated from 1 to 4) for each item. To calculate the composite score, the bother rating of each item was multiplied by an item- specific multiplier and a weight. Range is 0-12, with higher values indicating more severe symptoms/less tolerability.
Measured: At 12 months
EVAPIL-R Scores at 18 Months/EOS
The EVAPIL-R scale is a self-questionnaire aimed to assess tolerability of oral contraceptives. A composite score was derived from 16 items and the ratings for presence/absence (rated as 1/0), frequency (rated with values from 0 to 2), intensity (rated from 1 to 3) and bother (rated from 1 to 4) for each item. To calculate the composite score, the bother rating of each item was multiplied by an item- specific multiplier and a weight. Range is 0-12, with higher values indicating more severe symptoms/less tolerability. The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.
Measured: At 18 months/EOS
Cumulative Drop-out Rate
The drop-out rate is the amount of participants that could not complete the study for various reasons. Discontinuation rates due to the following reasons and overall discontinuations were calculated: • LCS12 expulsions • Bleeding pattern alterations • Bleeding pattern alterations with increased bleeding (amount) • Bleeding pattern alterations with decreased bleeding (amount) • Adverse Events The analyses described above were also done by parity. Furthermore, overall discontinuation rates were analyzed by Kaplan-Meier analyses and presented as cumulative half-yearly drop-out rates.
Measured: Up to 6, 12, 18, 24 and 36 months
Pearl Index (PI)
The Pearl Index was defined as the number of pregnancies per 100 woman years (WYs). Given the assumption that the number of pregnancies follows a Poisson distribution, the Pearl Index thus is the mean of this distribution.
Measured: Up to 18, 24, 36 months
Compliance Rate for Yasmin Pill Intake
Measured: Up to 18 months
User Satisfaction - Acceptability of the Administration of Study Treatment
The degree of user satisfaction was assessed at the end-of-study visit using an eight item questionnaire. One of the items assessed was acceptability of study treatment which was categorized into the following: acceptable without I/D, acceptable with some I/D, not acceptable with moderate I/D, and not acceptable with extreme I/D.
Measured: At 6 months
User Satisfaction - Acceptability of the Administration of Study Treatment
The degree of user satisfaction was assessed at the end-of-study visit using an eight item questionnaire. One of the items assessed was acceptability of study treatment which was categorized into the following: acceptable without I/D, acceptable with some I/D, not acceptable with moderate I/D, and not acceptable with extreme I/D.
Measured: At 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Dec 2010 (estimated)
- Study start6 Jan 2011
- Primary completion8 Jan 2013
- Study completion28 May 2014
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.
- 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 567 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
- NCT01254292
- Sponsor's protocol ID
- 13362
- Other IDs
- 2010-020181-21
- Status last verified
- Aug 2017
- First submitted
- 22 Nov 2010
- Last updated
- 25 Sep 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Sep 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Multicenter, Randomized, Open-label, Parallel-group Study to Evaluate User Satisfaction With and Tolerability of the Low-dose Levonorgestrel (LNG) Intrauterine Delivery System (IUS) With 12 µg LNG/Day Initial in Vitro Release Rate (LCS12) in Comparison to a Combined Oral Contraceptive Containing 30 µg Ethinyl Estradiol and 3 mg Drospirenone (Yasmin®) in Young Women (18-29 Years) Over 18 Months of Use
- ClinicalTrials.gov ID
- NCT01254292
- Acronym / sponsor ID
- 13362
- Conditions
- Contraception
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 567 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Study start
- 6 Jan 2011 (actual)
- Primary completion
- 8 Jan 2013 (actual)
- Study completion
- 28 May 2014 (actual)
- First posted
- 6 Dec 2010 (estimated)
- Results
- Posted 7 Apr 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of this study is to evaluate user satisfaction and tolerability in young women (18-29 years of age) using the LCS12 compared with young women using a COC (Yasmin) over a period of 18 months. Subjects in the LCS12 arm will be offered continued use of LCS12 for the full, intended duration of use (up to 3 years) by continuing in a optional, extension phase. Safety data only will be collected during the extension phase of the study.
Secondary objectives are to observe the tolerability, discontinuation rates, adverse event profiles, occurrences of unintended pregnancies (including calculation of Pearl Index [PI]), and bleeding profiles with the two birth-control methods. Additionally, data on missed tablets in the combined oral contraceptive (COC) group, and intrauterine delivery system (IUS) expulsions in the LCS12 group will be recorded. In the LCS12 group, physician satisfaction with the IUS inserter, evaluation of the visibility and texture of the removal threads, and evaluation of the visibility of the LCS12 on ultrasound (in a subset of subjects) will be collected. Finally, in the COC group, information will be collected on the psychosocial impact of missed or delayed pill intake.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| LCS12 (Skyla, BAY86-5028) | Experimental | Drug: Levonorgestrel IUD (LCS, BAY86-5028)Participants received LCS12 (low dose levonorgestrel [LNG] intrauterine delivery system [IUS]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months |
| EE30/DRSP (Yasmin, BAY86-5131) | Active comparator | Drug: Yasmin (EE30/DRSP, BAY86-5131)Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles |
Who may qualify
- Ages
- 18 to 29 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (9 listed)
- Subject has signed and dated the Informed Consent Form (ICF).
- The subject is generally healthy, requesting contraception, and is between 18 and 29 years of age (inclusive) at Screening.
- In the opinion of the investigator, the subject is
- Subject has normal or clinically insignificant cervical smear (ie, one that does not require further follow up). A cervical smear must be taken at the Screening Visit or a documented normal result has to have been obtained within 6 months of Screening. Subjects with atypical squamous cells of undetermined significance (ASCUS) can be included in the study if they have a Human Papilloma Virus (HPV) deoxyribonucleic acid (DNA) test that, according to the standards of the local laboratory, is negative for high-risk HPV.
- As determined by subject's history, subject has regular (ie, endogenous cyclicity without hormonal contraceptive use) menstrual cycles (length of cycle 21-35 days).
Key exclusion criteria (8 listed)
- Pregnancy or current lactation (less than 6 weeks since vaginal or Cesarean delivery or abortion). Note: Postpartum LCS12 insertions should be postponed until the uterus is fully involuted, and not earlier than 6 weeks after delivery. If involution is substantially delayed, the investigator should consider waiting until 12 weeks postpartum.
- Infected abortion or postpartum endometritis within 3 months prior to the Screening Visit (Visit 1)
- Chronic, daily use of drugs that may increase serum potassium levels, such as nonsteroidal anti-inflammatory drugs (NSAIDs, eg. ibuprofen and naproxen), potassium-sparing diuretics (eg. spironolactone), potassium supplementation, angiotensin converting enzyme (ACE) inhibitors, angiotensin-II receptor antagonists, aldosterone antagonists, and heparin.
- Abnormal uterine bleeding of unknown origin/undiagnosed abnormal genital bleeding
- Any genital infection (until successfully treated)
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 |
|---|---|---|
| Levonorgestrel IUD (LCS, BAY86-5028)LCS12 insertion will occur at randomization visit (Visit 2). Duration of study treatment is 18 months with optional extension to 36 months for subjects in this group only. | Drug | LCS12 (Skyla, BAY86-5028) |
| Yasmin (EE30/DRSP, BAY86-5131)Combined oral contraceptive (COC; Yasmin; 0.03 mg ethinyl estradiol and 3 mg drospirenone); Subjects will start taking COC at / on the day of visit 2 and continue taking one pill / day without any breaks for the entire study duration of 18 months. | Drug | EE30/DRSP (Yasmin, BAY86-5131) |
Primary outcome
Overall Satisfaction Rate at 18 Months (Last Observation Carried Forward, LOCF)
Time frame: At 18 months
Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.
25 secondary outcomes
Overall Satisfaction Rating by the 5-point Likert Item at 6 Months
Time frame: At 6 months
Overall Satisfaction Rating by the 5-point Likert Item at 12 Months
Time frame: At 12 months
Overall Satisfaction Rating by the 5-point Likert Item at 18 Months
Time frame: At 18 months
Overall Satisfaction Rating by the 5-point Likert Item at End of Study (EOS)
Time frame: At 18 months/EOS
Overall Satisfaction Rate at 6 Months (LOCF)
Time frame: At 6 months
Overall Satisfaction Rate at 12 Months (LOCF)
Time frame: At 12 months
User Satisfaction - Acceptability of the Administration of Study Treatment
Time frame: At 18 months/EOS
User Satisfaction - Choices Upon Completion of the Study
Time frame: At 18 months/EOS
User Satisfaction - Amount of Menstrual Bleeding
Time frame: At 18 months/EOS
User Satisfaction - Satisfaction With Menstrual Bleeding Pattern
Time frame: At 18 months/EOS
User Satisfaction - Frequency of Experiencing Unexpected Bleeding
Time frame: At 18 months/EOS
User Satisfaction - Satisfaction With Menstrual Bleeding Absence
Time frame: At 18 months/EOS
User Satisfaction - Comparison of Menstrual Pain Intensity Between Now and Before Treatment
Time frame: At 18 months/EOS
User Satisfaction - Rating of Usual Menstrual Pain Intensity
Time frame: At 18 months/EOS
EVAPIL-R Scores at Screening - Composite Score
Time frame: At screening
EVAPIL-R Scores at Screening - Bother Score
Time frame: At screening
EVAPIL-R Scores at 6 Months
Time frame: At 6 months
EVAPIL-R Scores at 12 Months - Bother Score
Time frame: At 12 months
EVAPIL-R Scores at 12 Months - Composite Score
Time frame: At 12 months
EVAPIL-R Scores at 18 Months/EOS
Time frame: At 18 months/EOS
Cumulative Drop-out Rate
Time frame: Up to 6, 12, 18, 24 and 36 months
Pearl Index (PI)
Time frame: Up to 18, 24, 36 months
Compliance Rate for Yasmin Pill Intake
Time frame: Up to 18 months
User Satisfaction - Acceptability of the Administration of Study Treatment
Time frame: At 6 months
User Satisfaction - Acceptability of the Administration of Study Treatment
Time frame: At 12 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Sep 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Click here to find information about studies related to Bayer Healthcare products conducted in EuropeLink provided by the sponsor.
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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
94 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Levonorgestrel IUD (LCS, BAY86-5028) and Yasmin (EE30/DRSP, BAY86-5131) in people with Contraception, run by Bayer at 94 sites in 5 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 9 inclusion and 8 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 25 Sep 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 94 sites in Germany, United States, Austria, Belgium, Russia. 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 7 Apr 2014). 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?
Overall Satisfaction Rate at 18 Months (Last Observation Carried Forward, LOCF) (time frame: At 18 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 25 Sep 2017.