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ContraceptionPhase 2NCT01709318

A Dose-Finding Study to Evaluate Ovarian Function and Vaginal Bleeding in Next Generation Rings (P06109/MK-8175A/MK-8342B-012)

A Phase 2 study testing Nomegestrol acetate (NOMAC), Etonogestrel (ENG) and Ethinyl estradiol (EE) in people with Contraception, run by Organon and Co.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of this trial was to identify at least one next generation ring (NGR) that demonstrates inhibition of ovulation (which was considered confirmed if in the subset of participants ovulation was observed in less than 15% of the participants at any time during the 3 treatment cycles of the study) and… Read more about this study

Who is it for?
Ages 18 to 35 years, women onlyHealthy volunteers can take part
Conditions the study is for
Contraception
What is being tested?
Nomegestrol acetate (NOMAC), Etonogestrel (ENG) and Ethinyl estradiol (EE)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
666 participants
Where
No sites listed yet
Study dates
12 Dec 2012to 22 Oct 2013
Phase
Phase 2
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 35 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Body mass index (BMI) ≥18 and ≤35
  • Regular cycles from 24 to 35 days in length, with an intra-individual variation of ±3 days permitted within this range
  • Good physical and mental health

Who cannot join

  • Diabetes mellitus with vascular involvement
  • Presence of a severe or multiple risk factor(s) for venous or arterial thrombosis
  • Severe dyslipoproteinemia
  • Severe hypertension
  • Presence or history of pancreatitis associated with severe hypertriglyceridaemia
  • Presence or history of severe hepatic disease
Show all 13Show fewer
  • Undiagnosed vaginal bleeding
  • Known or suspected pregnancy
  • Participation in another investigational drug study within 30 days prior to screening visit
  • History of malignancy ≤5 years, except for adequately treated basal cell or squamous cell skin cancer, or in situ cervical cancer
  • Documented abnormal cervical smear result in 6 months prior to screening visit
  • Sterilization using a fallopian tube occlusion device (e.g., Essure method)
  • Sex hormone therapy within 2 months prior to screening visit for purpose other than contraception, or injectable hormonal contraception within 6 months prior to screening

About this study

Official title: A Multicenter, Randomized, Partially-blinded, Phase IIb Dose-finding Study on Ovarian Function, Vaginal Bleeding Pattern, and Pharmacokinetics Associated With the Use of Combined Vaginal Rings Releasing 17β-estradiol Plus Three Different Doses of Either Nomegestrol Acetate or Etonogestrel in Healthy Women Aged 18-35 Years. Protocol MK-8175A/MK-8342B 012

The primary objective of this trial was to identify at least one next generation ring (NGR) that demonstrates inhibition of ovulation (which was considered confirmed if in the subset of participants ovulation was observed in less than 15% of the participants at any time during the 3 treatment cycles of the study) and cycle control that was non-inferior to NuvaRing®, as judged by the incidence of breakthrough bleeding and/or spotting (BTB-S) during Cycle 3. The primary hypothesis was that at least 1 of the 6 NGRs would show inhibition of ovulation and cycle control during Treatment Cycle 3 that is non-inferior to NuvaRing®, as judged by the incidence of BTB-S.

Conditions
Contraception
Being tested
Nomegestrol acetate (NOMAC), Etonogestrel (ENG), Ethinyl estradiol (EE), Estradiol (E2)

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Nomegestrol acetate (NOMAC)Drug

    Daily release of 500, 700, or 900 μg.

  • Etonogestrel (ENG)Drug

    Daily release of 75, 100, 120 or 125 μg

  • Ethinyl estradiol (EE)Drug

    Daily release of 15 μg

  • Estradiol (E2)Drug

    Daily release of 300 μg

Study groups in NCT01709318
Study groupRoleWhat they receive
Nomegestrol Acetate-17β-Estradiol (NOMAC-E2) 500/300 μg/dayExperimentalParticipants will receive nomegestrol acetate 17β-estradiol (NOMAC-E2) 500/300 μg for three treatment periods, each 28-day treatment period (cycle) consisting of 21 days of vaginal ring use followed by 7 vaginal ring-free days.
Receives: Drug: Nomegestrol acetate (NOMAC); Drug: Estradiol (E2)
Nomegestrol Acetate-17β-Estradiol (NOMAC-E2) 700/300 μg/dayExperimentalParticipants will receive nomegestrol acetate 17β-estradiol (NOMAC-E2) 700/300 μg for three treatment periods, each 28-day treatment period (cycle) consisting of 21 days of vaginal ring use followed by 7 vaginal ring-free days.
Receives: Drug: Nomegestrol acetate (NOMAC); Drug: Estradiol (E2)
Nomegestrol Acetate-17β-Estradiol (NOMAC-E2) 900/300 μg/dayExperimentalParticipants will receive nomegestrol acetate 17β-estradiol (NOMAC-E2) 900/300 μg for three treatment periods, each 28-day treatment period (cycle) consisting of 21 days of vaginal ring use followed by 7 vaginal ring-free days.
Receives: Drug: Nomegestrol acetate (NOMAC); Drug: Estradiol (E2)
Etonogestrel-17β-Estradiol (ENG-E2) 75/300 μg/dayExperimentalParticipants will receive etonogestrel 17β-estradiol (ENG-E2) 75/300 μg for three treatment periods, each 28-day treatment period (cycle) consisting of 21 days of vaginal ring use followed by 7 vaginal ring-free days.
Receives: Drug: Etonogestrel (ENG); Drug: Estradiol (E2)
Etonogestrel-17β-Estradiol (ENG-E2) 100/300 μg/dayExperimentalParticipants will receive etonogestrel 17β-estradiol (ENG-E2) 100/300 μg for three treatment periods, each 28-day treatment period (cycle) consisting of 21 days of vaginal ring use followed by 7 vaginal ring-free days.
Receives: Drug: Etonogestrel (ENG); Drug: Estradiol (E2)
Etonogestrel-17β-Estradiol (ENG-E2) 125/300 μg/dayExperimentalParticipants will receive etonogestrel 17β-estradiol (ENG-E2)125/300 μg for three 28-day treatment periods, each treatment period (cycle) consisting of 21 days of vaginal ring use followed by 7 vaginal ring-free days.
Receives: Drug: Etonogestrel (ENG); Drug: Estradiol (E2)
NuvaRing®Active comparatorParticipants will receive NuvaRing® (etonogestrel-ethinyl estradiol [ENG-EE] 120/15 μg) for three treatment periods, each 28-day treatment period (cycle) consisting of 21 days of vaginal ring use followed by 7 vaginal ring-free days.
Receives: Drug: Etonogestrel (ENG); Drug: Ethinyl estradiol (EE)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Participants With Ovulation Incidence, by Cycle

    Ovulation was defined as having 2 or more consecutive progesterone concentrations >16 nmol/L within 5 days, confirmed by ultrasound evidence of ovulation (follicular rupture or preceding presence of a follicle-like structure >15 mm in size).

    Measured: Day 1 of Treatment Cycle 1 through Day 28 of Treatment Cycle 3 (Up to ~92 days)

  2. Percentage of Participants With Progesterone Concentrations >16 Nmol/L, by Cycle

    Maximum progesterone (Max P) was defined as the maximum progesterone value. Ovulation was defined as 2 or more consecutive progesterone concentrations >16 nmol/L within 5 days during the 3 treatment cycles, supported by ultrasound evidence of ovulation. The Max P values greater than 16 nmol/L are presented by vaginal ring group and cycle.

    Measured: Day 1 of Treatment Cycle 1 through Day 28 of Treatment Cycle 3 (Up to ~92 days)

  3. Percentage of Participants With Breakthrough Bleeding and/or Spotting During Cycle 3

    Breakthrough bleeding and/or spotting (BTB-S) is defined as any bleeding or spotting episode that occurred during the expected non-bleeding period that was neither an early nor a continued withdrawal bleeding. Bleeding = any bloody vaginal discharge that required one or more sanitary pads or tampons per day; Spotting = any bloody vaginal discharge that required no sanitary pads or tampons per day.

    Measured: Day 1 Cycle 3 through Day 28 Cycle 3 (Up to ~28 days)

Secondary outcomes (8)
  1. Percentage of Participants With Absence of Withdrawal Bleeding and/or Spotting During Cycle 2

    Withdrawal bleeding and/or spotting is considered any bleeding or spotting episode that starts during or continues into the expected bleeding period (i.e., when the ring has been removed the last week of the cycle). Absence of withdrawal bleeding is no withdrawal bleeding and/or spotting episodes during an expected bleeding period when the ring has been removed.

    Measured: Day 1 Cycle 2 through Day 28 Cycle 2 (Up to ~28 days)

  2. Intensity of Withdrawal Bleeding During Cycle 2

    Intensity of withdrawal bleeding during Cycle 2 was defined as the ratio of the number of withdrawal bleeding days divided by the number of withdrawal bleeding and/or spotting days. Withdrawal bleeding and/or spotting is considered any bleeding or spotting episode that starts during or continues into the expected bleeding period (i.e., when the ring has been removed the last week of the cycle). Absence of withdrawal bleeding is no withdrawal bleeding and/or spotting episodes during an expected bleeding period when the ring has been removed.

    Measured: Day 1 Cycle 2 through Day 28 Cycle 2 (Up to ~28 days)

  3. Intensity of Breakthrough Bleeding and/or Spotting During Cycle 3

    Intensity of breakthrough bleeding and/or spotting (BTB-S) during Cycle 3 was defined as the ratio of the number of breakthrough bleeding days divided by the number of breakthrough bleeding and/or spotting days. Breakthrough bleeding and/or spotting (BTB-S) is defined as any bleeding or spotting episode that occurred during the expected non-bleeding period that was neither an early nor a continued withdrawal bleeding. Bleeding = any bloody vaginal discharge that required one or more sanitary pads or tampons per day; Spotting = any bloody vaginal discharge that required no sanitary pads or tampons per day.

    Measured: Day 1 Cycle 3 through Day 28 Cycle 3 (Up to ~ 28 days)

  4. Percentage of Participants Who Experienced At Least One Adverse Event

    An adverse event (AE) is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not it is considered related to the study drug.

    Measured: Up to ~92 days

  5. Percentage of Participants Who Experienced At Least One Serious Adverse Event

    A serious adverse event (SAE) is an AE that results in death, is life threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, is a cancer, is associated with an overdose; or is another important medical event deemed such by medical or scientific judgment.

    Measured: Up to ~92 days

  6. Percentage of Participants Who Experienced At Least One Drug-Related Adverse Event

    An adverse event (AE) is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not it is considered related to the study drug. A drug-related AE was defined as any AE for which there is reasonable possibility of drug relationship as assessed by the Investigator.

    Measured: Up to ~92 days

  7. Percentage of Participants With Any Drug-Related Serious Adverse Event

    A serious adverse event (SAE) is an AE that results in death, is life threatening, requires or prolongs an existing hospitalization, results in persistent or significant disability or incapacity, is a congenital anomaly or birth defect, is a cancer, is associated with an overdose; or is another important medical event deemed such by medical or scientific judgment. A drug-related SAE was defined as any SAE for which there is reasonable possibility of drug relationship as assessed by the Investigator.

    Measured: Up to ~92 days

  8. Percentage of Participants Who Discontinued Study Drug Due to an Adverse Event

    An adverse event (AE) is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a study drug, whether or not it is considered related to the study drug.

    Measured: Up to ~92 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Oct 2012 (estimated)
  2. Study start12 Dec 2012
  3. Primary completion22 Oct 2013
  4. Study completion22 Oct 2013

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
666 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01709318
Sponsor's protocol ID
P06109
Other IDs
2012-002459-41, P06109, MK-8175A/MK-8342B-012
Status last verified
Feb 2022
First submitted
16 Oct 2012
Last updated
28 May 2024
Data monitoring committee
No
Individual data sharing
No

Publications

  • Duijkers I, Klipping C, Heger-Mahn D, Fayad GN, Frenkl TL, Cruz SM, Korver T. Phase II dose-finding study on ovulation inhibition and cycle control associated with the use of contraceptive vaginal rings containing 17beta-estradiol and the progestagens etonogestrel or nomegestrol acetate compared to NuvaRing. Eur J Contracept Reprod Health Care. 2018 Aug;23(4):245-254. doi: 10.1080/13625187.2018.1506101. Epub 2018 Sep 11.

    PubMed 30203681

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Nomegestrol acetate (NOMAC), Etonogestrel (ENG) and Ethinyl estradiol (EE) in people with Contraception, run by Organon and Co.

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 3 inclusion and 13 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 28 May 2024. Status can change between updates, so confirm with the study contact before making plans.

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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 5 Dec 2019). 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?

Percentage of Participants With Ovulation Incidence, by Cycle (time frame: Day 1 of Treatment Cycle 1 through Day 28 of Treatment Cycle 3 (Up to ~92 days)). The study lists 3 primary outcomes in all. 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 NCT01709318, 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 28 May 2024.

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