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ContraceptionPhase 3NCT00266032

Study on Safety and Efficacy of an Oral Contraceptive in Long Cycles

A Phase 3 study testing Flexible (extended) treatment of EE20/DRSP (YAZ, BAY86-5300), Fixed extended treatment of EE20/DRSP (YAZ, BAY86-5300) and Standard 24+4 treatment of EE20/DRSP (YAZ, BAY86-5300) in people with Contraception, run by Bayer at 35 sites in 3 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of the study is to determine safety and efficacy of long-cycle regimens of an oral contraceptive. 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?
Flexible (extended) treatment of EE20/DRSP (YAZ, BAY86-5300), Fixed extended treatment of EE20/DRSP (YAZ, BAY86-5300) and Standard 24+4 treatment of EE20/DRSP (YAZ, BAY86-5300)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,166 participants
Where
35 sitesin 3 countries
Study dates
Dec 2005to Oct 2008
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 35 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy women who desire contraception
  • smokers ≤ 30 Years old

Who cannot join

  • Contraindication against use of hormonal contraceptives

Trial locations and contacts

35 sites in 3 countries.

35 sites in 3 countries

Germany28 sites
  • Study site

    Ansbach, Bavaria, 91522

  • Study site

    Berlin, State of Berlin, 10115

  • Study site

    Berlin, State of Berlin, 10247

  • Study site

    Berlin, State of Berlin, 12435

  • Study site

    Berlin, State of Berlin, 13187

  • Study site

    Bernburg, Saxony-Anhalt, 06406

  • Study site

    Bovenden, Lower Saxony, 37120

  • Study site

    Dietzenbach, Hesse, 63128

  • Study site

    Ettlingen, Baden-Wurttemberg, 76275

  • Study site

    Frankfurt am Main, Hesse, 60322

  • Study site

    Frankfurt am Main, Hesse, 60439

  • Study site

    Frankfurt am Main, Hesse, 65929

  • Study site

    Frankfurt am Main, Hesse, 65936

  • Study site

    Gera, Thuringia, 07545

  • Study site

    Hamburg, Free and Hanseatic City of Hamburg, 21073

  • Study site

    Hanover, Lower Saxony, 30459

  • Study site

    Jena, Thuringia, 07747

  • Study site

    Jessen, Saxony-Anhalt, 06917

  • Study site

    Kahla, Thuringia, 07768

  • Study site

    Karlsruhe, Baden-Wurttemberg, 76199

  • Study site

    Krumbach, Bavaria, 86381

  • Study site

    Magdeburg, Saxony-Anhalt, 39104

  • Study site

    Magdeburg, Saxony-Anhalt, 39126

  • Study site

    Magdeburg, Saxony-Anhalt, 39130

  • Study site

    Mühlheim am Main, Hesse, 63165

  • Study site

    Nuremberg, Bavaria, 90491

  • Study site

    Osnabrück, Lower Saxony, 49074

  • Study site

    Wurzen, Saxony, 04808

Other trials in Germany

Canada6 sites
  • Study site

    Drummondville, Quebec, J2B 1H8

  • Study site

    Montreal, Quebec, H1T 1P6

  • Study site

    Pointe-Claire, Quebec, H9R 4S3

  • Study site

    Québec, Quebec, G1S 2L6

  • Study site

    Shawinigan, Quebec, G9N 2H6

  • Study site

    Ste-Foy, Quebec, G1V 4X7

Other trials in Canada

Netherlands1 site
  • Study site

    Groningen, 9713 GZ

Other trials in Netherlands

About this study

Official title: A Multicenter, Open, Randomized, Parallel Group Comparison to Assess the Safety and Efficacy of the Oral Contraceptive SH T00186D (0.02 mg Ethinylestradiol as Betadex Clathrate and 3 mg Drospirenone) in Two Variations of an Extended Regimen vs. a Standard Regimen (24 + 4 Days) in 1122 Healthy Female Volunteers for One Year, Followed by a One Year Safety Extension

The purpose of the study is to determine safety and efficacy of long-cycle regimens of an oral contraceptive.

Read the detailed description

The study has previously been posted by Schering AG, Germany. Schering AG, Germany has been renamed to Bayer Schering Pharma AG (BSP AG), Germany.

Bayer Schering Pharma AG, Germany is the sponsor of the trial.

The previously posted secondary Outcome Measure "Parameters of safety and tolerability" has been removed from result posting as it is covered by the Adverse Event section.

Conditions
Contraception
Being tested
Flexible (extended) treatment of EE20/DRSP (YAZ, BAY86-5300), Fixed extended treatment of EE20/DRSP (YAZ, BAY86-5300), Standard 24+4 treatment of EE20/DRSP (YAZ, BAY86-5300)

What participants receive

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

  • Flexible (extended) treatment of EE20/DRSP (YAZ, BAY86-5300)Drug

    3 cycles of treatment, each cycle comprising 120 days intended treatment with one tablet daily of 20µg ethinyl estradiol as betadex clathrate (EE20) plus 3 mg drospirenone (DRSP) followed by a 4 day tablet-free interval. If 3 consecutive days of bleeding and/or spotting occurred during the 120 day treatment period, a 4 day tablet free interval was advised. The minimum period between 2 tablet free intervals was 24 days. After each 4 day tablet free interval, a new 120 day intended treatment period was to be restarted, resulting in a minimum of 3 and maximum of 13 withdrawal bleeding episodes during one year of treatment.

  • Fixed extended treatment of EE20/DRSP (YAZ, BAY86-5300)Drug

    3 cycles of treatment, each cycle comprising 120 days uninterrupted treatment with one tablet daily of 20µg ethinyl estradiol as betadex clathrate plus 3 mg drospirenone followed by a 4 day tablet free interval, 3 withdrawal bleeding episodes during one year of treatment were expected.

  • Standard 24+4 treatment of EE20/DRSP (YAZ, BAY86-5300)Drug

    13 cycles of treatment, each cycle comprising an intake of one tablet daily with 24 days of active tablets (20µg ethinyl estradiol as betadex clathrate plus 3 mg drospirenone) followed by 4 days of placebo tablets, 13 withdrawal bleeding episodes during one year of treatment were expected.

Study groups in NCT00266032
Study groupRoleWhat they receive
Flexible (extended) treatment of EE20/DRSP (YAZ, BAY86-5300)Experimental3 cycles of treatment, each cycle comprising 120 days intended treatment with one tablet daily of 20µg ethinyl estradiol as betadex clathrate (EE20) plus 3 mg drospirenone (DRSP) followed by a 4 day tablet-free interval. If 3 consecutive days of bleeding and/or spotting occurred during the 120 day treatment period, a 4 day tablet free interval was advised. The minimum period between 2 tablet free intervals was 24 days. After each 4 day tablet free interval, a new 120 day intended treatment period was to be restarted, resulting in a minimum of 3 and maximum of 13 withdrawal bleeding episodes during one year of treatment.
Receives: Drug: Flexible (extended) treatment of EE20/DRSP (YAZ, BAY86-5300)
Fixed extended treatment of EE20/DRSP (YAZ, BAY86-5300)Experimental3 cycles of treatment, each cycle comprising 120 days uninterrupted treatment with one tablet daily of 20µg ethinyl estradiol as betadex clathrate plus 3 mg drospirenone followed by a 4 day tablet free interval, 3 withdrawal bleeding episodes during one year of treatment were expected.
Receives: Drug: Fixed extended treatment of EE20/DRSP (YAZ, BAY86-5300)
Standard 24+4 treatment of EE20/DRSP (YAZ, BAY86-5300)Active comparator13 cycles of treatment, each cycle comprising an intake of one tablet daily with 24 days of active tablets (20µg ethinyl estradiol as betadex clathrate plus 3 mg drospirenone) followed by 4 days of placebo tablets, 13 withdrawal bleeding episodes during one year of treatment were expected.
Receives: Drug: Standard 24+4 treatment of EE20/DRSP (YAZ, BAY86-5300)

What is being measured

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

  1. Number of Days With Bleeding Including Spotting

    The number of bleeding days per volunteer was calculated by summing up all days with bleeding intensity spotting or worse. The primary evaluation was the comparison of the flexible extended vs the standard regimen for this primary target variable, which was done for data within the first year of treatment only. As no further comparison or testing was done, no multiplicity issue arose.

    Measured: up to 1 year

  2. Number of Unintended Pregnancies in Yaz Flexible Arm

    Pregnancies with conception date within 4 days after end of study medication were regarded as during treatment.

    Measured: up to 2 years

  3. Pearl Index

    The Pearl Index (PI) is defined as the number of pregnancies per 100 woman years. The 2-year PI was obtained by dividing the number of pregnancies that occurred during the two years of treatment by the time (in 100 women years) that the women were under risk of getting pregnant. 95% confidence interval according to European Medicine Agency Note for guidance on clinical investigation of steroid contraceptives in women.

    Measured: Up to 2 years

  4. Number of Unintended Pregnancies Due to Method Failure

    Not included in this analysis are pregnancies due to subject failure eg. non-compliance with tablet intake rules.

    Measured: Up to 2 years

  5. Adjusted Pearl Index

    The adjusted Pearl Index was based on pregnancies due to method failures and compliant treatment cycles, i.e. cycle length between 24 and 124 day, pill break not longer than 7 days, and number of pills taken not smaller than 90% of the number of days in that cycle minus 7 days.

    Measured: Up to 2 years

Secondary outcomes (5)
  1. Number of Days With Bleeding Excluding Spotting

    The number of bleeding days per volunteer was calculated by summing up all days with bleeding intensity light, normal, or heavy.

    Measured: up to 1 year

  2. Number of Bleeding Days During One Year of Treatment in Subjects With at Least 248 Days of Exposure Normalized to 372 Days

    For early dropouts and pregnant subjects with an exposure period of less than 1 year but at least 248 days, the number of bleeding/spotting days was normalized to correspond to a 1-year exposure period.

    Measured: up to 1 year

  3. Number of Bleeding / Spotting Days by 90-day Reference Period

    The mean number of bleeding / spotting days, spotting-only and bleeding days was analyzed using reference periods of 90 days as recommended by the WHO.

    Measured: up to 1 year

  4. Number of Bleeding / Spotting Episodes in 90 Day Reference Period

    The mean number of bleeding / spotting episodes was analyzed using reference periods of 90 days as recommended by the WHO.

    Measured: Up to one year

  5. Days With Scheduled Versus Unscheduled Bleeding

    Days with scheduled and unscheduled bleeding were evaluated for extended regimens only. Unscheduled is any bleeding/spotting that occurred while taking active hormones regardless of the duration of intake, unless they occurred after tablet-free interval during days 1-4 of subsequent treatment cycle, or unless they occurred during days 1-7 of first treatment cycle. Scheduled is any bleeding/spotting that occurred during tablet-free interval, regardless of duration of tablet intake, or during next 4 days of subsequent treatment cycle.

    Measured: Up to one year

Timeline

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

  1. First posted15 Dec 2005 (estimated)
  2. Study startDec 2005
  3. Primary completionOct 2008
  4. Study completionOct 2008

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,166 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00266032
Sponsor's protocol ID
91450
Other IDs
2005-002125-32, 308683, 2005
Status last verified
Oct 2014
First submitted
14 Dec 2005
Last updated
3 Nov 2014
Data monitoring committee
No

Publications

  • Klipping C, Duijkers I, Fortier MP, Marr J, Trummer D, Elliesen J. Long-term tolerability of ethinylestradiol 20 mug/drospirenone 3 mg in a flexible extended regimen: results from a randomised, controlled, multicentre study. J Fam Plann Reprod Health Care. 2012 Apr;38(2):84-93. doi: 10.1136/jfprhc-2011-100214.

    PubMed 22454004
  • Klipping C, Duijkers I, Fortier MP, Marr J, Trummer D, Elliesen J. Contraceptive efficacy and tolerability of ethinylestradiol 20 mug/drospirenone 3 mg in a flexible extended regimen: an open-label, multicentre, randomised, controlled study. J Fam Plann Reprod Health Care. 2012 Apr;38(2):73-83. doi: 10.1136/jfprhc-2011-100213.

    PubMed 22454003
  • Reif S, Snelder N, Blode H. Characterisation of the pharmacokinetics of ethinylestradiol and drospirenone in extended-cycle regimens: population pharmacokinetic analysis from a randomised Phase III study. J Fam Plann Reprod Health Care. 2013 Apr;39(2):e1-13. doi: 10.1136/jfprhc-2012-100397.

    PubMed 23493606

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Flexible (extended) treatment of EE20/DRSP (YAZ, BAY86-5300), Fixed extended treatment of EE20/DRSP (YAZ, BAY86-5300) and Standard 24+4 treatment of EE20/DRSP (YAZ, BAY86-5300) in people with Contraception, run by Bayer at 35 sites in 3 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 2 inclusion and 1 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 3 Nov 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in Germany, Canada, Netherlands. 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 3 Mar 2010). 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?

Number of Days With Bleeding Including Spotting (time frame: up to 1 year). The study lists 5 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 NCT00266032, which also lists 3 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 3 Nov 2014.

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