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Healthy WomenPhase 3NCT03124160

Compare Two Copper IUDs: Mona Lisa NT Cu380 Mini and ParaGard

A Phase 3 study testing Mona Lisa® NT Cu380 Mini and ParaGard® TCu380A in people with Healthy Women and Female Contraception, run by FHI 360 at 16 sites in United States.

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

This will be a multi-site, participant-blinded, randomized clinical trial. The investigators will randomize 1000 eligible participants in a 4:1 ratio to two different copper IUDs: 800 to Mona Lisa NT Cu380 Mini and 200 to ParaGard. Read more about this study

Who is it for?
Ages 16 to 40 years, women onlyHealthy volunteers can take part
Conditions the study is for
Healthy Women, Female Contraception
What is being tested?
Mona Lisa® NT Cu380 Mini and ParaGard® TCu380A
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,105 participants
Where
16 sitesUnited States
Study dates
26 May 2017to 6 Jun 2022
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 16 to 40 years
  • Women only
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • 16-40 years
  • o 16 and 17 year olds, where permissible by state regulations and local Institutional Review Board (IRB) approval
  • Sexually active, anticipating at least one act of vaginal intercourse per menstrual cycle with a male partner and at risk for pregnancy
  • seeking contraception, and willing to use the study IUD as the only contraception method
  • willing to be randomized to one of the two copper IUDs
  • has an intact uterus and at least one ovary
Show all 10Show fewer
  • has a history of regular menstrual cycles; defined as occurring every 21-35 days when not using hormones, and with a variation of typical cycle length of no more than 5 days
  • able and willing to provide written informed consent
  • agrees to follow all study requirements
  • not currently pregnant or at risk for luteal phase pregnancy based on history of unprotected intercourse

Who cannot join

  • abnormal Pap requiring treatment after enrollment
  • known human immunodeficiency virus / acquired immunodeficiency syndrome (HIV/AIDS) infection
  • intending to become pregnant in the 37 months after enrollment
  • known infertility
  • history of allergy or sensitivity to copper
  • previous tubal sterilization
Show all 34Show fewer
  • has received an injectable contraceptive in the last 9 months and has not resumed regular menstrual cycles (as evidenced by 2 spontaneous menses)
  • within 30 days of administration of mifepristone and/or misoprostol for medical abortion or for miscarriage management
  • within 30 days of first, second, or third trimester abortion or miscarriage (note: potential abortion/miscarriage participants can be screened and return after 30 days for randomization and IUD insertion)
  • within 30 days of delivery (for parous population)
  • breastfeeding or recently breastfeeding women unless two consecutive normal menstrual periods have occurred after delivery and prior to enrollment.
  • wants to use a copper IUD for emergency contraception
  • has previously participated in the study
  • participated in another clinical trial involving an investigational product within the last 30 days (before screening) or planning to participate in another clinical trial involving an intervention or treatment during this study
  • not living in the catchment area of the study site or planning to move from the area within the year (unless known to be moving to the catchment area of another study site)
  • known or suspected current alcohol or drug abuse
  • planning to undergo major surgery during study participation
  • current need for use of exogenous hormones or therapeutic anticoagulants (Note: subjects who start a therapeutic anticoagulant after enrolment will be allowed to continue in the study.)
  • at high risk for sexually-transmitted infections or pelvic infection
  • anticipated need for regular condom use (refer to Section 8.1).
  • has any condition (social or medical) which in the opinion of the Investigator would make study participation unsafe or complicate data interpretation
  • Reported medical contraindications (Medical Eligibility Criteria category 3 or 4)14 to copper IUDs, including:
  • suspicious unexplained vaginal bleeding
  • known cervical cancer
  • known endometrial cancer
  • known Wilson's disease
  • Confirmed gestational trophoblastic disease with persistently elevated beta-hCG levels or malignant disease, with evidence or suspicion of intrauterine disease
  • anatomic abnormalities with distorted uterine cavity
  • current pelvic inflammatory disease (PID)
  • pelvic tuberculosis
  • immediately post-septic abortion or puerperal sepsis
  • current known purulent cervicitis or chlamydial infection or gonorrhea; Note: to enroll, there must be no obvious signs of infection at the time of enrollment based on pelvic exam. If lab results come back for positive infection after enrollment, treatment should be provided but the IUD can be left in place.
  • complicated solid organ transplantation
  • systemic lupus erythematosus with severe thrombocytopenia

Trial locations and contacts

16 sites in 1 country.

16 sites in 1 country

United States16 sites
  • Johns Hopkins University

    Baltimore, Maryland, 21224

  • Boston Medical Center Corporation

    Boston, Massachusetts, 02118

  • Planned Parenthood League of Massachusetts

    Boston, Massachusetts, 02215

  • University of Cincinnati

    Cincinnati, Ohio, 45267

  • University of Colorado

    Denver, Colorado, 80045

  • University of Hawaii

    Honolulu, Hawaii, 96826

  • Essential Access Health

    Los Angeles, California, 90010

  • Planned Parenthood of New York

    New York, New York, 10012

  • Columbia University

    New York, New York, 10032

  • Eastern Virginia Medical School

    Norfolk, Virginia, 23507

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15213

  • Oregon Health & Science University

    Portland, Oregon, 97239

  • University of California, Davis

    Sacramento, California, 95817

  • University of Utah

    Salt Lake City, Utah, 84106

  • University of California, San Francisco

    San Francisco, California, 94110

Other trials in United States

About this study

Official title: A Multi-center, Single-blind, Randomized Clinical Trial to Compare Two Copper IUDs: Mona Lisa NT Cu380 Mini and ParaGard

This will be a multi-site, participant-blinded, randomized clinical trial. The investigators will randomize 1000 eligible participants in a 4:1 ratio to two different copper IUDs: 800 to Mona Lisa NT Cu380 Mini and 200 to ParaGard.

Read the detailed description

The total duration of the study for each participant is expected to be approximately 39 months: including screening and enrollment (up to 30 days to meet enrollment criteria), 37 months of participation, and a post-removal follow up telephone call 17 days post-removal. After enrollment, subject visits occur at 6 weeks, 3 months, 6 months, 12 months, 24 months, with telephone calls at 9, 18, and 30 months and seen again at 37 months for their final visit. Subjects will use a home pregnancy test 17 days post-removal of the IUD or Exit Visit procedures, whichever occurs first, and called by the site for the result and for safety follow-up.

Subject recruitment is expected to begin Q2 (in the second quarter of) 2017 and is planned to continue through Q2 2018. However, if the enrollment rate declines, the enrollment period may be extended beyond this date. If this enrollment timeline is met, all subjects should finish active treatment by approximately the end of Q2 2021. The total duration of the study will be approximately 48 months for each study site including pre- and post- trial activities. The end of the study will occur when the last subject to be enrolled has completed her post-removal pregnancy test telephone call.

Total duration of the project is expected to be five years. Preliminary results of the study are expected to be available Q4 of 2019 based on the current study plan.

Being tested
Mona Lisa® NT Cu380 Mini, ParaGard® TCu380A
Keywords
Healthy Women, Female Contraception, IUD

What participants receive

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

  • Mona Lisa® NT Cu380 MiniDrug

    Also called NT380-Mini, NTCu380-Mini

    copper intrauterine device

  • ParaGard® TCu380ADrug

    Also called T380

    copper intrauterine device

Study groups in NCT03124160
Study groupRoleWhat they receive
Mona Lisa® NT Cu380 MiniExperimentalMona Lisa® NT Cu380 Mini containing 380mm2 of copper surface inserted into the uterine cavity.
Receives: Drug: Mona Lisa® NT Cu380 Mini
ParaGard® TCu380AActive comparatorParaGard® TCU380A containing 380mm2 of copper surface inserted into the uterine cavity.
Receives: Drug: ParaGard® TCu380A

What is being measured

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

  1. Pregnancy Rate of Mona Lisa Copper IUD Over 3 Years

    Pearl Index is a measure of contraceptive efficacy used by the FDA that summarizes number of method failures per 100 person years

    Measured: 3 years

Secondary outcomes (10)
  1. IUD Continuation

    IUD continuation at 36-months by product

    Measured: 3 years

  2. Failed IUD Insertion

    Failed IUD insertion as measured by inability to place the IUD correctly

    Measured: Immediate after IUD insertion attempt

  3. Uterine Perforation

    Uterine perforation as measured by ultrasound

    Measured: 3 years

  4. IUD Expulsion (Complete and Partial)

    When the IUD is expelled from the uterus, either completely or partially.

    Measured: 3 years

  5. Vaginal Bleeding Patterns

    Proportion of cycles with heavy bleeding (more than 4 sanitary products in a day)

    Measured: 1 year

  6. Pelvic Pain as Measured in the Subject Diary

    Percent of cycles with any pelvic pain will be calculated using all available cycles

    Measured: 1 year

  7. Dysmenorrhea

    Number of participants who experienced any dysmenorrhea during the trial

    Measured: 3 years

  8. Pain With and Shortly After Insertion as Recorded by Study Subjects

    Pain level on scale of 0=no pain to 10=worst imaginable pain as displayed on a paper form for study subject to indicate their level of pain

    Measured: Pain level 10 minutes after IUD insertion

  9. Ease of IUD Insertion as Recorded by the Investigator

    Investigator to assess ease of IUD insertion (easy, somewhat easy, somewhat hard or hard)

    Measured: Right after IUD insertion

  10. Overall Product Satisfaction as Measured by Acceptability Questions Asked of Subjects

    Overall product satisfaction level at exit visit (highly satisfied, satisfied, dissatisfied, highly dissatisfied)

    Measured: 3 years

Timeline

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

  1. First posted21 Apr 2017
  2. Study start26 May 2017
  3. Primary completion6 Jun 2022
  4. Study completion6 Jun 2022

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 3
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
1,105 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03124160
Sponsor's protocol ID
CCN016
Status last verified
Sep 2024
First submitted
9 Feb 2017
Last updated
25 Sep 2024
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Sivin I, Stern J. Long-acting, more effective copper T IUDs: a summary of U.S. experience, 1970-75. Stud Fam Plann. 1979 Oct;10(10):263-81. No abstract available.

    PubMed 516121
  • Sivin I, Tatum HJ. Four years of experience with the TCu 380A intrauterine contraceptive device. Fertil Steril. 1981 Aug;36(2):159-63.

    PubMed 7262334
  • Sivin I, Stern J, Coutinho E, Mattos CE, el Mahgoub S, Diaz S, Pavez M, Alvarez F, Brache V, Thevenin F, et al. Prolonged intrauterine contraception: a seven-year randomized study of the levonorgestrel 20 mcg/day (LNg 20) and the Copper T380 Ag IUDS. Contraception. 1991 Nov;44(5):473-80. doi: 10.1016/0010-7824(91)90149-a.

    PubMed 1797462
  • The TCu380A, TCu220C, multiload 250 and Nova T IUDS at 3,5 and 7 years of use--results from three randomized multicentre trials. World Health Organization. Special Programme of Research, Development and Research Training in Human Reproduction: Task Force on the Safety and Efficacy of Fertility Regulating Methods. Contraception. 1990 Aug;42(2):141-58.

    PubMed 2085966
  • Hubacher D. Copper intrauterine device use by nulliparous women: review of side effects. Contraception. 2007 Jun;75(6 Suppl):S8-11. doi: 10.1016/j.contraception.2006.12.005. Epub 2007 Feb 20.

    PubMed 17531622
  • Abraham M, Zhao Q, Peipert JF. Young Age, Nulliparity, and Continuation of Long-Acting Reversible Contraceptive Methods. Obstet Gynecol. 2015 Oct;126(4):823-829. doi: 10.1097/AOG.0000000000001036.

    PubMed 26348177
  • Benacerraf BR, Shipp TD, Lyons JG, Bromley B. Width of the normal uterine cavity in premenopausal women and effect of parity. Obstet Gynecol. 2010 Aug;116(2 Pt 1):305-310. doi: 10.1097/AOG.0b013e3181e6cc10.

    PubMed 20664389
  • Koch P, Reinhardt P, Soyka E. Intrauterine contraception using the Copper Mini-Gravigard 7 IUD: summary of 328 case histories. Contracept Deliv Syst. 1981 Apr;2(1):171-6.

    PubMed 12336868
  • Petersen KR, Brooks L, Jacobsen N, Skoby SO. Clinical performance of intrauterine devices in nulligravidae: is the length of the endometrial cavity of significance? Acta Eur Fertil. 1991 Jul-Aug;22(4):225-8.

    PubMed 1844327
  • Otero-Flores JB, Guerrero-Carreno FJ, Vazquez-Estrada LA. A comparative randomized study of three different IUDs in nulliparous Mexican women. Contraception. 2003 Apr;67(4):273-6. doi: 10.1016/s0010-7824(02)00519-x.

    PubMed 12684147
  • Ott MA, Sucato GS; Committee on Adolescence. Contraception for adolescents. Pediatrics. 2014 Oct;134(4):e1257-81. doi: 10.1542/peds.2014-2300.

    PubMed 25266435
  • Committee on Adolescent Health Care Long-Acting Reversible Contraception Working Group, The American College of Obstetricians and Gynecologists. Committee opinion no. 539: adolescents and long-acting reversible contraception: implants and intrauterine devices. Obstet Gynecol. 2012 Oct;120(4):983-8. doi: 10.1097/AOG.0b013e3182723b7d.

    PubMed 22996129
  • Curtis KM, Tepper NK, Jatlaoui TC, Berry-Bibee E, Horton LG, Zapata LB, Simmons KB, Pagano HP, Jamieson DJ, Whiteman MK. U.S. Medical Eligibility Criteria for Contraceptive Use, 2016. MMWR Recomm Rep. 2016 Jul 29;65(3):1-103. doi: 10.15585/mmwr.rr6503a1.

    PubMed 27467196
  • Heinemann K, Reed S, Moehner S, Minh TD. Risk of uterine perforation with levonorgestrel-releasing and copper intrauterine devices in the European Active Surveillance Study on Intrauterine Devices. Contraception. 2015 Apr;91(4):274-9. doi: 10.1016/j.contraception.2015.01.007. Epub 2015 Jan 16.

    PubMed 25601352
  • Farley TM, Rosenberg MJ, Rowe PJ, Chen JH, Meirik O. Intrauterine devices and pelvic inflammatory disease: an international perspective. Lancet. 1992 Mar 28;339(8796):785-8. doi: 10.1016/0140-6736(92)91904-m.

    PubMed 1347812

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Mona Lisa® NT Cu380 Mini and ParaGard® TCu380A in people with Healthy Women and Female Contraception, run by FHI 360 at 16 sites in United States.

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 10 inclusion and 34 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 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States. 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 25 Sep 2024). 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?

Pregnancy Rate of Mona Lisa Copper IUD Over 3 Years (time frame: 3 years). 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 NCT03124160, which also lists 17 linked publications.

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 2024.

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