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Effects on Hemostasis, Lipids, Carbohydrate Metabolism, Adrenal & Thyroid Function of the Combined Oral Contraceptive NOMAC-E2 Compared to a COC Containing LNG-EE (292004)(COMPLETED)(P05764)

A Randomized, Open-Label, Comparative, Multi -Center Trial to Evaluate the Effects on Hemostasis, Lipids and Carbohydrate Metabolism, and on Adrenal and Thyroid Function of a Monophasic COC Containing 2.5 mg NOMAC and 1.5 mg E2 Compared to a Monophasic COC Containing 150 ug LNG and 30 ug EE

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00511355
Enrollment
121
Registered
2007-08-03
Start date
2006-10-31
Completion date
2008-01-31
Last updated
2022-02-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Contraception

Brief summary

The primary purpose of this study is to evaluate the effects of the combined oral contraceptive (COC) NOMAC-E2 on hemostasis, lipids, carbohydrate metabolism, adrenal function, and thyroid function.

Interventions

Nomegestrol Acetate and Estradiol (NOMAC-E2) Tablets, 2.5 mg NOMAC and 1.5 mg E2 taken once daily from Day 1 of menstrual period up to and including Day 28 for 6 consecutive 28-day cycles.

Levonorgestrel and Ethinyl Estradiol (LNG-EE) Tablets, 150 mcg LNG and 30 mcg EE taken once daily from Day 1 of menstrual period up to and including Day 28 for 6 consecutive 28-day cycles.

Sponsors

Organon and Co
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 50 Years
Healthy volunteers
Yes

Inclusion criteria

* Sexually active women, at risk for pregnancy and not planning to use during trial medication use; * Women in need for contraception and willing to use an oral contraceptive (OC) for 6 months (6 cycles); * At least 18 but not older than 50 years of age at the time of screening; * Body mass index = 17 and = 29 kg/m\^2; * Good physical and mental health; * Willing to give informed consent in writing

Exclusion criteria

* Present use or use within 2 months prior to screening of any other hormonal treatment including sex hormones (other than contraceptives), insulin, thyroid and corticosteroid hormones (with the exception for local dermatological use); * Contraindications for contraceptive steroids * Presence or history (within 1 year before screening) of alcohol or drug abuse as judged by the (sub)investigator. * An abnormal cervical smear (i.e.: dysplasia, cervical intraepithelial neoplasia \[CIN\], SIL, carcinoma in situ, invasive carcinoma) at screening or documentation of an abnormal smear performed within 6 months before screening; * Clinically relevant abnormal laboratory result at screening as judged by the (sub) investigator; * Use of an injectable hormonal method of contraception prior to screening; within 6 months of an injection with a 3 -month duration, within 4 months to screening of an injection with a 2-month duration, within 2 months of an injection with a 1-month duration; * Before spontaneous menstruation has occurred following a delivery or abortion; * Breastfeeding or within 2 months after stopping breastfeeding prior to the start of trial medication; * Present use or use within 2 months prior to the start of the trial medication of the following drugs: phenytoin, barbiturates, primidone, carbamazepine, oxcarbazepine, topiramate, felbamate, rifampicin, nelfinavir, ritonavir, griseofulvin, ketoconazole, lipid-lowering drugs, anticoagulants and herbal remedies containing Hypericum perforatum (St John's Wort); * Use of pharmacological agents which affect the hemostatic system during the pretreatment blood sampling: vitamin K (only prohibited within two weeks prior to sampling), nonsteroidal anti-inflammatory drugs (NSAIDS) and aspirin (both only prohibited during the week prior to sampling); * Administration of investigational drugs and/or participation in another clinical trial within 2 months prior to the start of the trial medication or during the trial period.

Design outcomes

Primary

MeasureTime frameDescription
Serum Concentration of Thyroxin Binding Globulin (TBG)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Low Density Lipoprotein (LDL)-CholesterolBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Apolipoprotein A-1Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Apolipoprotein BBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Lipoprotein(a)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Total TriglyceridesBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Area Under the Curve Over 3 Hours (AUC3) for Glucose (Oral Glucose Tolerance Test [OGTT])Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Blood glucose levels were determined as fasting values just before oral glucose intake and each half hour thereafter for 2 hours and again after 3 hours. Oral glucose tolerance was analysed using the (unadjusted) area under the curve over the 3 hours (AUC3). Each cycle consists of 28 days.
Incremental AUC3 for Glucose (OGTT)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Blood glucose levels were determined as fasting values just before oral glucose intake and each half hour thereafter for 2 hours and again after 3 hours. Oral glucose tolerance was analysed using the (unadjusted) area under the curve over the 3 hours (AUC3). Incremental area under the curve was defined as incremental AUC3 = AUC3 - 3\*fasting concentration. Each cycle consists of 28 days.
AUC3 for Insulin (OGTT)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Blood insulin levels were determined as fasting values just before oral glucose intake and each half hour thereafter for 2 hours and again after 3 hours. Oral glucose tolerance was analysed using the (unadjusted) area under the curve over the 3 hours (AUC3). Each cycle consists of 28 days.
Incremental AUC3 for Insulin (OGTT)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Blood insulin levels were determined as fasting values just before oral glucose intake and each half hour thereafter for 2 hours and again after 3 hours. Oral glucose tolerance was analysed using the (unadjusted) area under the curve over the 3 hours (AUC3). Incremental area under the curve was defined as incremental AUC3 = AUC3 - 3\*fasting concentration. Each cycle consists of 28 days.
Serum Concentration of Hemoglobin Type A1c (HbA1c)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). HbA1c was determined before glucose loading. Each cycle consists of 28 days.
Serum Concentration of Total CortisolBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Corticosteroid Binding Globulin (CBG)Baseline to Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Thyroid Stimulating Hormone (TSH)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Free Thyroxine (T4)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Prothrombin Fragments 1 + 2Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of D-DimerBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Activated Protein C (APC) Resistance Ratio (Endogenous Thrombin Potential [ETP]-Based)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). APC resistance ratio (ETP-based) measures the anticoagulation response of plasma to APC after activation of the extrinsic coagulation pathway. An increase in the ratio indicates a reduced responsiveness to APC. Each cycle consists of 28 days.
Serum Concentration of Clotting Factor VIIaBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Clotting Factor VIIcBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Clotting Factor VIIIBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Clotting Factor IIBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Antithrombin IIIBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Protein S (Free)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Protein S (Total)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Protein CBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
APC Resistance Ratio (Activated Partial Thromboplastin Time [APTT]-Based)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). APC resistance ratio (APTT-based) measures the anticoagulation response of plasma to APC after activation of the intrinsic coagulation pathway. An increase in the ratio indicates a increased responsiveness to APC. Each cycle consists of 28 days.
Serum Concentration of Sex Hormone Binding Globulin (SHBG)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of C-Reactive Protein (CRP)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Total CholesterolBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of High Density Lipoprotein (HDL)-CholesterolBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of HDL2-cholesterolBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of HDL3-cholesterolBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Secondary

MeasureTime frameDescription
Serum Concentration of Free TestosteroneBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Dehydroepiandrosterone Sulphate (DHEAS)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of AndrostenedioneBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Serum Concentration of Dihydrotestosterone (DHT)Baseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.
Number of In-treatment Pregnancies (With +2 Day Window) Per 100 Woman Years of Exposure (Pearl Index)6 cyclesIn-treatment pregnancies were pregnancies with an estimated date of conception from the day of first intake of trial medication up to and including the day of last (active or placebo) intake of trial medication extended with a maximum of 2 days. Each 13 cycles (28 days per cycle) constitutes a woman year. The Pearl Index was obtained by dividing the number of in-treatment pregnancies that occurred by the time (in 100 women years) that the women were under risk of becoming pregnant.
Number of Participants With an Occurrence of Breakthrough Bleeding/SpottingEvery 28-day cycle for 6 cyclesCycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Breakthrough bleeding/spotting was defined as any episode that occurred during the expected non-bleeding period that was neither an early nor a continued withdrawal bleeding. Expected non-bleeding period: NOMAC-E2: 21-day period starting on Day 4 of the cycle; LNG-EE: 21-day period starting on Day 1 of the cycle.
Number of Participants With an Occurrence of Absence of Withdrawal BleedingEvery 28-day cycle for 6 cyclesCycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Absence of withdrawal bleeding was defined as no bleeding/spotting episode that began during or continued into the expected bleeding period. Expected bleeding period: NOMAC-E2: 7-day period starting on Day 25 of the cycle and ending on Day 3 of the next cycle; LNG-EE: 7-day period starting on Day 22 of the cycle.
Number of Participants With an Occurrence of Breakthrough BleedingEvery 28-day cycle for 6 cyclesCycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Breakthrough bleeding was defined as any bleeding episode that occurred during the expected non-bleeding period that was neither part of an early nor continued withdrawal bleeding. Expected non-bleeding period: NOMAC-E2: 21-day period starting on Day 4 of the cycle; LNG-EE: 21-day period starting on Day 1 of the cycle.
Number of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)Every 28-day cycle for 6 cyclesCycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Breakthrough spotting was defined as any spotting episode that occurred during the expected non-bleeding period that was neither part of an early nor continued withdrawal bleeding. Expected non-bleeding period: NOMAC-E2: 21-day period starting on Day 4 of the cycle; LNG-EE: 21-day period starting on Day 1 of the cycle.
Number of Participants With an Occurrence of Early Withdrawal BleedingEvery 28-day cycle for 6 cyclesCycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Early withdrawal bleeding was defined as any withdrawal bleeding that started before the current expected bleeding period. Expected bleeding period: NOMAC-E2: 7-day period starting on Day 25 of the cycle and ending on Day 3 of the next cycle; LNG-EE: 7-day period starting on Day 22 of the cycle.
Number of Participants With an Occurrence of Continued Withdrawal BleedingEvery 28-day cycle for 5 cyclesCycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Continued withdrawal bleeding was defined as any withdrawal bleeding that continued into the expected non-bleeding period of the next cycle. Expected non-bleeding period: NOMAC-E2: 21-day period starting on Day 4 of the cycle; LNG-EE: 21-day period starting on Day 1 of the cycle.
Average Number of Breakthrough Bleeding/Spotting DaysEvery 28-day cycle for 6 cyclesCycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Breakthrough bleeding/spotting was defined as any episode that occurred during the expected non-bleeding period that was neither an early nor a continued withdrawal bleeding. Expected non-bleeding period: NOMAC-E2: 21-day period starting on Day 4 of the cycle; LNG-EE: 21-day period starting on Day 1 of the cycle.
Average Number of Withdrawal Bleeding/Spotting DaysEvery 28-day cycle for 6 cyclesCycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Withdrawal bleeding/spotting was defined as any episode that occurred during the expected bleeding period. Expected bleeding period: NOMAC-E2: 7-day period starting on Day 25 of the cycle and ending on Day 3 of the next cycle; LNG-EE: 7-day period starting on Day 22 of the cycle.
Serum Concentration of Total TestosteroneBaseline and Cycle 6 (between Days 15 and 21 of the cycle)Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Participant flow

Participants by arm

ArmCount
NOMAC-E2
All-participants-treated group. Monophasic combined oral contraceptive (COC) tablets containing 2.5 mg Nomegestrol Acetate (NOMAC) and 1.5 mg Estradiol (E2) taken once daily from Day 1 of menstrual period up to and including Day 28 (Days 1-24, active tablets; Days 25-28, placebo tablets) for 6 consecutive 28-day cycles
60
LNG-EE
All-participants-treated group. Monophasic combined oral contraceptive (COC) tablets containing 0.150 mg levonorgestrel (LNG) and 0.030 mg ethinylestradiol (EE) taken once daily from Day 1 of menstrual period up to and including Day 28 (Days 1-21, active tablets; Days 22-28, placebo tablets) for 6 consecutive 28-day cycles
58
Total118

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event44
Overall StudyLost to Follow-up21
Overall StudyOther Reason01
Overall StudyOther reason pre-treatment01
Overall StudyPregnancy Wish10
Overall StudyPre-treatment (serious) adverse event01
Overall StudyWithdrawal of informed consent01

Baseline characteristics

CharacteristicNOMAC-E2LNG-EETotal
Age, Continuous28.2 years
STANDARD_DEVIATION 8.2
29.1 years
STANDARD_DEVIATION 7.8
28.7 years
STANDARD_DEVIATION 8
Sex: Female, Male
Female
60 Participants58 Participants118 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
9 / 6018 / 58
serious
Total, serious adverse events
1 / 600 / 58

Outcome results

Primary

Activated Protein C (APC) Resistance Ratio (Endogenous Thrombin Potential [ETP]-Based)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). APC resistance ratio (ETP-based) measures the anticoagulation response of plasma to APC after activation of the extrinsic coagulation pathway. An increase in the ratio indicates a reduced responsiveness to APC. Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Activated Protein C (APC) Resistance Ratio (Endogenous Thrombin Potential [ETP]-Based)Baseline (n=59 NOMAC-E2; n=58 LNG-EE)0.80 RatioStandard Deviation 0.33
NOMAC-E2Activated Protein C (APC) Resistance Ratio (Endogenous Thrombin Potential [ETP]-Based)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)1.14 RatioStandard Deviation 0.45
LNG-EEActivated Protein C (APC) Resistance Ratio (Endogenous Thrombin Potential [ETP]-Based)Baseline (n=59 NOMAC-E2; n=58 LNG-EE)0.83 RatioStandard Deviation 0.4
LNG-EEActivated Protein C (APC) Resistance Ratio (Endogenous Thrombin Potential [ETP]-Based)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)1.99 RatioStandard Deviation 0.76
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: <0.0001Cochran-Mantel-Haenszel
Primary

APC Resistance Ratio (Activated Partial Thromboplastin Time [APTT]-Based)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). APC resistance ratio (APTT-based) measures the anticoagulation response of plasma to APC after activation of the intrinsic coagulation pathway. An increase in the ratio indicates a increased responsiveness to APC. Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2APC Resistance Ratio (Activated Partial Thromboplastin Time [APTT]-Based)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)1.01 RatioStandard Deviation 0.13
NOMAC-E2APC Resistance Ratio (Activated Partial Thromboplastin Time [APTT]-Based)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)1.05 RatioStandard Deviation 0.13
LNG-EEAPC Resistance Ratio (Activated Partial Thromboplastin Time [APTT]-Based)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)1.00 RatioStandard Deviation 0.13
LNG-EEAPC Resistance Ratio (Activated Partial Thromboplastin Time [APTT]-Based)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)1.03 RatioStandard Deviation 0.12
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.9662Cochran-Mantel-Haenszel
Primary

Area Under the Curve Over 3 Hours (AUC3) for Glucose (Oral Glucose Tolerance Test [OGTT])

Blood glucose levels were determined as fasting values just before oral glucose intake and each half hour thereafter for 2 hours and again after 3 hours. Oral glucose tolerance was analysed using the (unadjusted) area under the curve over the 3 hours (AUC3). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Area Under the Curve Over 3 Hours (AUC3) for Glucose (Oral Glucose Tolerance Test [OGTT])Baseline (n=59 NOMAC-E2; n=55 LNG-EE)15.82 hrs*mmol/LStandard Deviation 3.27
NOMAC-E2Area Under the Curve Over 3 Hours (AUC3) for Glucose (Oral Glucose Tolerance Test [OGTT])Cycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)16.09 hrs*mmol/LStandard Deviation 3.05
LNG-EEArea Under the Curve Over 3 Hours (AUC3) for Glucose (Oral Glucose Tolerance Test [OGTT])Baseline (n=59 NOMAC-E2; n=55 LNG-EE)14.44 hrs*mmol/LStandard Deviation 2.47
LNG-EEArea Under the Curve Over 3 Hours (AUC3) for Glucose (Oral Glucose Tolerance Test [OGTT])Cycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)16.69 hrs*mmol/LStandard Deviation 3.15
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.0016Cochran-Mantel-Haenszel
Primary

AUC3 for Insulin (OGTT)

Blood insulin levels were determined as fasting values just before oral glucose intake and each half hour thereafter for 2 hours and again after 3 hours. Oral glucose tolerance was analysed using the (unadjusted) area under the curve over the 3 hours (AUC3). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2AUC3 for Insulin (OGTT)Baseline (n=51 NOMAC-E2; n=50 LNG-EE)650 hrs*pmol/LStandard Deviation 298
NOMAC-E2AUC3 for Insulin (OGTT)Cycle 6 (n=46 NOMAC-E2; n=47 LNG-EE)658 hrs*pmol/LStandard Deviation 281
LNG-EEAUC3 for Insulin (OGTT)Baseline (n=51 NOMAC-E2; n=50 LNG-EE)558 hrs*pmol/LStandard Deviation 182
LNG-EEAUC3 for Insulin (OGTT)Cycle 6 (n=46 NOMAC-E2; n=47 LNG-EE)721 hrs*pmol/LStandard Deviation 264
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.0009Cochran-Mantel-Haenszel
Primary

Incremental AUC3 for Glucose (OGTT)

Blood glucose levels were determined as fasting values just before oral glucose intake and each half hour thereafter for 2 hours and again after 3 hours. Oral glucose tolerance was analysed using the (unadjusted) area under the curve over the 3 hours (AUC3). Incremental area under the curve was defined as incremental AUC3 = AUC3 - 3\*fasting concentration. Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Incremental AUC3 for Glucose (OGTT)Baseline (n=59 NOMAC-E2; n=55 LNG-EE)1.58 hrs*mmol/LStandard Deviation 3.05
NOMAC-E2Incremental AUC3 for Glucose (OGTT)Cycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)1.76 hrs*mmol/LStandard Deviation 2.72
LNG-EEIncremental AUC3 for Glucose (OGTT)Baseline (n=59 NOMAC-E2; n=55 LNG-EE)1.06 hrs*mmol/LStandard Deviation 2.55
LNG-EEIncremental AUC3 for Glucose (OGTT)Cycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)3.19 hrs*mmol/LStandard Deviation 3.03
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.0003Cochran-Mantel-Haenszel
Primary

Incremental AUC3 for Insulin (OGTT)

Blood insulin levels were determined as fasting values just before oral glucose intake and each half hour thereafter for 2 hours and again after 3 hours. Oral glucose tolerance was analysed using the (unadjusted) area under the curve over the 3 hours (AUC3). Incremental area under the curve was defined as incremental AUC3 = AUC3 - 3\*fasting concentration. Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Incremental AUC3 for Insulin (OGTT)Baseline (n=51 NOMAC-E2; n=50 LNG-EE)517 hrs*pmol/LStandard Deviation 268
NOMAC-E2Incremental AUC3 for Insulin (OGTT)Cycle 6 (n=46 NOMAC-E2; n=47 LNG-EE)534 hrs*pmol/LStandard Deviation 239
LNG-EEIncremental AUC3 for Insulin (OGTT)Baseline (n=51 NOMAC-E2; n=50 LNG-EE)451 hrs*pmol/LStandard Deviation 160
LNG-EEIncremental AUC3 for Insulin (OGTT)Cycle 6 (n=46 NOMAC-E2; n=47 LNG-EE)603 hrs*pmol/LStandard Deviation 237
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.0024Cochran-Mantel-Haenszel
Primary

Serum Concentration of Antithrombin III

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Antithrombin IIIBaseline (n=60 NOMAC-E2; n=58 LNG-EE)100 Percent of normalStandard Deviation 10
NOMAC-E2Serum Concentration of Antithrombin IIICycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)102 Percent of normalStandard Deviation 9
LNG-EESerum Concentration of Antithrombin IIIBaseline (n=60 NOMAC-E2; n=58 LNG-EE)99 Percent of normalStandard Deviation 11
LNG-EESerum Concentration of Antithrombin IIICycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)96 Percent of normalStandard Deviation 12
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.0041Cochran-Mantel-Haenszel
Primary

Serum Concentration of Apolipoprotein A-1

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Apolipoprotein A-1Baseline (n=60 NOMAC-E2; n=58 LNG-EE)1.58 g/LStandard Deviation 0.27
NOMAC-E2Serum Concentration of Apolipoprotein A-1Cycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)1.78 g/LStandard Deviation 0.27
LNG-EESerum Concentration of Apolipoprotein A-1Baseline (n=60 NOMAC-E2; n=58 LNG-EE)1.60 g/LStandard Deviation 0.25
LNG-EESerum Concentration of Apolipoprotein A-1Cycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)1.67 g/LStandard Deviation 0.2
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.0063Cochran-Mantel-Haenszel
Primary

Serum Concentration of Apolipoprotein B

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Apolipoprotein BBaseline (n=60 NOMAC-E2; n=58 LNG-EE)0.64 g/LStandard Deviation 0.17
NOMAC-E2Serum Concentration of Apolipoprotein BCycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)0.68 g/LStandard Deviation 0.17
LNG-EESerum Concentration of Apolipoprotein BBaseline (n=60 NOMAC-E2; n=58 LNG-EE)0.64 g/LStandard Deviation 0.15
LNG-EESerum Concentration of Apolipoprotein BCycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)0.80 g/LStandard Deviation 0.21
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: <0.0001Cochran-Mantel-Haenszel
Primary

Serum Concentration of Clotting Factor II

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Clotting Factor IIBaseline (n=60 NOMAC-E2; n=58 LNG-EE)94 Percent of normalStandard Deviation 11
NOMAC-E2Serum Concentration of Clotting Factor IICycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)95 Percent of normalStandard Deviation 13
LNG-EESerum Concentration of Clotting Factor IIBaseline (n=60 NOMAC-E2; n=58 LNG-EE)94 Percent of normalStandard Deviation 12
LNG-EESerum Concentration of Clotting Factor IICycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)97 Percent of normalStandard Deviation 11
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.5027Cochran-Mantel-Haenszel
Primary

Serum Concentration of Clotting Factor VIIa

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Clotting Factor VIIaBaseline (n=60 NOMAC-E2; n=58 LNG-EE)84 U/LStandard Deviation 32
NOMAC-E2Serum Concentration of Clotting Factor VIIaCycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)118 U/LStandard Deviation 180
LNG-EESerum Concentration of Clotting Factor VIIaBaseline (n=60 NOMAC-E2; n=58 LNG-EE)85 U/LStandard Deviation 37
LNG-EESerum Concentration of Clotting Factor VIIaCycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)98 U/LStandard Deviation 66
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.4191Cochran-Mantel-Haenszel
Primary

Serum Concentration of Clotting Factor VIIc

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Clotting Factor VIIcBaseline (n=60 NOMAC-E2; n=58 LNG-EE)105 Percent of normalStandard Deviation 24
NOMAC-E2Serum Concentration of Clotting Factor VIIcCycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)109 Percent of normalStandard Deviation 31
LNG-EESerum Concentration of Clotting Factor VIIcBaseline (n=60 NOMAC-E2; n=58 LNG-EE)105 Percent of normalStandard Deviation 22
LNG-EESerum Concentration of Clotting Factor VIIcCycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)96 Percent of normalStandard Deviation 25
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.001Cochran-Mantel-Haenszel
Primary

Serum Concentration of Clotting Factor VIII

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Clotting Factor VIIIBaseline (n=60 NOMAC-E2; n=58 LNG-EE)93 Percent of normalStandard Deviation 32
NOMAC-E2Serum Concentration of Clotting Factor VIIICycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)89 Percent of normalStandard Deviation 34
LNG-EESerum Concentration of Clotting Factor VIIIBaseline (n=60 NOMAC-E2; n=58 LNG-EE)95 Percent of normalStandard Deviation 32
LNG-EESerum Concentration of Clotting Factor VIIICycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)98 Percent of normalStandard Deviation 30
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.3779Cochran-Mantel-Haenszel
Primary

Serum Concentration of Corticosteroid Binding Globulin (CBG)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline to Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Corticosteroid Binding Globulin (CBG)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)910 nmol/LStandard Deviation 201
NOMAC-E2Serum Concentration of Corticosteroid Binding Globulin (CBG)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)1116 nmol/LStandard Deviation 252
LNG-EESerum Concentration of Corticosteroid Binding Globulin (CBG)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)932 nmol/LStandard Deviation 163
LNG-EESerum Concentration of Corticosteroid Binding Globulin (CBG)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)1980 nmol/LStandard Deviation 389
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: <0.0001Cochran-Mantel-Haenszel
Primary

Serum Concentration of C-Reactive Protein (CRP)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of C-Reactive Protein (CRP)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)0.82 mg/LStandard Deviation 1.16
NOMAC-E2Serum Concentration of C-Reactive Protein (CRP)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)1.32 mg/LStandard Deviation 2.36
LNG-EESerum Concentration of C-Reactive Protein (CRP)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)0.98 mg/LStandard Deviation 1.35
LNG-EESerum Concentration of C-Reactive Protein (CRP)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)4.43 mg/LStandard Deviation 8.43
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: <0.0001Cochran-Mantel-Haenszel
Primary

Serum Concentration of D-Dimer

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of D-DimerBaseline (n=60; NOMAC-E2; n=58)0.21 mg/L Fibrinogen Equivalent Units (FEU)Standard Deviation 0.16
NOMAC-E2Serum Concentration of D-DimerCycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)0.18 mg/L Fibrinogen Equivalent Units (FEU)Standard Deviation 0.14
LNG-EESerum Concentration of D-DimerBaseline (n=60; NOMAC-E2; n=58)0.19 mg/L Fibrinogen Equivalent Units (FEU)Standard Deviation 0.14
LNG-EESerum Concentration of D-DimerCycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)0.26 mg/L Fibrinogen Equivalent Units (FEU)Standard Deviation 0.21
Primary

Serum Concentration of Free Thyroxine (T4)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Free Thyroxine (T4)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)14.0 pmol/LStandard Deviation 1.5
NOMAC-E2Serum Concentration of Free Thyroxine (T4)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)15.9 pmol/LStandard Deviation 2
LNG-EESerum Concentration of Free Thyroxine (T4)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)14.1 pmol/LStandard Deviation 1.5
LNG-EESerum Concentration of Free Thyroxine (T4)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)15.7 pmol/LStandard Deviation 2.1
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.177Cochran-Mantel-Haenszel
Primary

Serum Concentration of HDL2-cholesterol

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of HDL2-cholesterolBaseline (n=58 NOMAC-E2; n=50 LNG-EE)0.63 mmol/LStandard Deviation 0.26
NOMAC-E2Serum Concentration of HDL2-cholesterolCycle 6 (n=52 NOMAC-E2; n=51 LNG-EE)0.55 mmol/LStandard Deviation 0.25
LNG-EESerum Concentration of HDL2-cholesterolBaseline (n=58 NOMAC-E2; n=50 LNG-EE)0.69 mmol/LStandard Deviation 0.29
LNG-EESerum Concentration of HDL2-cholesterolCycle 6 (n=52 NOMAC-E2; n=51 LNG-EE)0.40 mmol/LStandard Deviation 0.18
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: <0.0001Cochran-Mantel-Haenszel
Primary

Serum Concentration of HDL3-cholesterol

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of HDL3-cholesterolBaseline (n=58 NOMAC-E2; n=50 LNG-EE)1.10 mmol/LStandard Deviation 0.16
NOMAC-E2Serum Concentration of HDL3-cholesterolCycle 6 (n=52 NOMAC-E2; n=51 LNG-EE)1.16 mmol/LStandard Deviation 0.16
LNG-EESerum Concentration of HDL3-cholesterolBaseline (n=58 NOMAC-E2; n=50 LNG-EE)1.14 mmol/LStandard Deviation 0.19
LNG-EESerum Concentration of HDL3-cholesterolCycle 6 (n=52 NOMAC-E2; n=51 LNG-EE)1.10 mmol/LStandard Deviation 0.14
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.0083Cochran-Mantel-Haenszel
Primary

Serum Concentration of Hemoglobin Type A1c (HbA1c)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). HbA1c was determined before glucose loading. Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Hemoglobin Type A1c (HbA1c)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)5.3 Percent of glycosylated hemoglobinStandard Deviation 0.3
NOMAC-E2Serum Concentration of Hemoglobin Type A1c (HbA1c)Cycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)5.3 Percent of glycosylated hemoglobinStandard Deviation 0.2
LNG-EESerum Concentration of Hemoglobin Type A1c (HbA1c)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)5.3 Percent of glycosylated hemoglobinStandard Deviation 0.2
LNG-EESerum Concentration of Hemoglobin Type A1c (HbA1c)Cycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)5.4 Percent of glycosylated hemoglobinStandard Deviation 0.2
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.3653Cochran-Mantel-Haenszel
Primary

Serum Concentration of High Density Lipoprotein (HDL)-Cholesterol

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of High Density Lipoprotein (HDL)-CholesterolBaseline (n=60 NOMAC-E2; n=58 LNG-EE)1.63 mmol/LStandard Deviation 0.36
NOMAC-E2Serum Concentration of High Density Lipoprotein (HDL)-CholesterolCycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)1.65 mmol/LStandard Deviation 0.34
LNG-EESerum Concentration of High Density Lipoprotein (HDL)-CholesterolBaseline (n=60 NOMAC-E2; n=58 LNG-EE)1.68 mmol/LStandard Deviation 0.33
LNG-EESerum Concentration of High Density Lipoprotein (HDL)-CholesterolCycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)1.41 mmol/LStandard Deviation 0.26
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: <0.0001Cochran-Mantel-Haenszel
Primary

Serum Concentration of Lipoprotein(a)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Lipoprotein(a)Baseline (n=60 NOMAC-E2; n=57 LNG-EE)0.15 g/LStandard Deviation 0.18
NOMAC-E2Serum Concentration of Lipoprotein(a)Cycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)0.17 g/LStandard Deviation 0.22
LNG-EESerum Concentration of Lipoprotein(a)Baseline (n=60 NOMAC-E2; n=57 LNG-EE)0.15 g/LStandard Deviation 0.14
LNG-EESerum Concentration of Lipoprotein(a)Cycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)0.12 g/LStandard Deviation 0.11
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: <0.0001Cochran-Mantel-Haenszel
Primary

Serum Concentration of Low Density Lipoprotein (LDL)-Cholesterol

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Low Density Lipoprotein (LDL)-CholesterolBaseline (n=60 NOMAC-E2; n=58 LNG-EE)2.41 mmol/LStandard Deviation 0.73
NOMAC-E2Serum Concentration of Low Density Lipoprotein (LDL)-CholesterolCycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)2.40 mmol/LStandard Deviation 0.71
LNG-EESerum Concentration of Low Density Lipoprotein (LDL)-CholesterolBaseline (n=60 NOMAC-E2; n=58 LNG-EE)2.47 mmol/LStandard Deviation 0.66
LNG-EESerum Concentration of Low Density Lipoprotein (LDL)-CholesterolCycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)2.61 mmol/LStandard Deviation 0.74
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.0455Cochran-Mantel-Haenszel
Primary

Serum Concentration of Protein C

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Protein CBaseline (n=60 NOMAC-E2; n=58 LNG-EE)107 Percent of normalStandard Deviation 18
NOMAC-E2Serum Concentration of Protein CCycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)108 Percent of normalStandard Deviation 21
LNG-EESerum Concentration of Protein CBaseline (n=60 NOMAC-E2; n=58 LNG-EE)103 Percent of normalStandard Deviation 19
LNG-EESerum Concentration of Protein CCycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)113 Percent of normalStandard Deviation 20
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.0019Cochran-Mantel-Haenszel
Primary

Serum Concentration of Protein S (Free)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Protein S (Free)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)85 Percent of normalStandard Deviation 16
NOMAC-E2Serum Concentration of Protein S (Free)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)99 Percent of normalStandard Deviation 20
LNG-EESerum Concentration of Protein S (Free)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)86 Percent of normalStandard Deviation 14
LNG-EESerum Concentration of Protein S (Free)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)99 Percent of normalStandard Deviation 17
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.9662Cochran-Mantel-Haenszel
Primary

Serum Concentration of Protein S (Total)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Protein S (Total)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)78 Percent of normalStandard Deviation 12
NOMAC-E2Serum Concentration of Protein S (Total)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)83 Percent of normalStandard Deviation 12
LNG-EESerum Concentration of Protein S (Total)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)79 Percent of normalStandard Deviation 10
LNG-EESerum Concentration of Protein S (Total)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)76 Percent of normalStandard Deviation 9
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.0004Cochran-Mantel-Haenszel
Primary

Serum Concentration of Prothrombin Fragments 1 + 2

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Prothrombin Fragments 1 + 2Baseline (n=60 NOMAC-E2; n=58 LNG-EE)0.18 nmol/LStandard Deviation 0.2
NOMAC-E2Serum Concentration of Prothrombin Fragments 1 + 2Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)0.31 nmol/LStandard Deviation 1.06
LNG-EESerum Concentration of Prothrombin Fragments 1 + 2Baseline (n=60 NOMAC-E2; n=58 LNG-EE)0.19 nmol/LStandard Deviation 0.08
LNG-EESerum Concentration of Prothrombin Fragments 1 + 2Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)0.42 nmol/LStandard Deviation 1.17
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.0849Cochran-Mantel-Haenszel
Primary

Serum Concentration of Sex Hormone Binding Globulin (SHBG)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Sex Hormone Binding Globulin (SHBG)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)74 nmol/LStandard Deviation 34
NOMAC-E2Serum Concentration of Sex Hormone Binding Globulin (SHBG)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)108 nmol/LStandard Deviation 44
LNG-EESerum Concentration of Sex Hormone Binding Globulin (SHBG)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)77 nmol/LStandard Deviation 26
LNG-EESerum Concentration of Sex Hormone Binding Globulin (SHBG)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)100 nmol/LStandard Deviation 31
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.0187Cochran-Mantel-Haenszel
Primary

Serum Concentration of Thyroid Stimulating Hormone (TSH)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Thyroid Stimulating Hormone (TSH)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)2.69 mU/LStandard Deviation 1.28
NOMAC-E2Serum Concentration of Thyroid Stimulating Hormone (TSH)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)2.96 mU/LStandard Deviation 2.05
LNG-EESerum Concentration of Thyroid Stimulating Hormone (TSH)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)2.20 mU/LStandard Deviation 1.08
LNG-EESerum Concentration of Thyroid Stimulating Hormone (TSH)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)2.75 mU/LStandard Deviation 3.36
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.5668Cochran-Mantel-Haenszel
Primary

Serum Concentration of Thyroxin Binding Globulin (TBG)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Thyroxin Binding Globulin (TBG)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)20.3 mg/LStandard Deviation 2.9
NOMAC-E2Serum Concentration of Thyroxin Binding Globulin (TBG)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)24.2 mg/LStandard Deviation 3.6
LNG-EESerum Concentration of Thyroxin Binding Globulin (TBG)Baseline (n=60 NOMAC-E2; n=58 LNG-EE)20.3 mg/LStandard Deviation 3.3
LNG-EESerum Concentration of Thyroxin Binding Globulin (TBG)Cycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)28.4 mg/LStandard Deviation 5.3
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: <0.0001Cochran-Mantel-Haenszel
Primary

Serum Concentration of Total Cholesterol

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Total CholesterolBaseline (n=60 NOMAC-E2; n=58 LNG-EE)4.48 mmol/LStandard Deviation 0.87
NOMAC-E2Serum Concentration of Total CholesterolCycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)4.51 mmol/LStandard Deviation 0.83
LNG-EESerum Concentration of Total CholesterolBaseline (n=60 NOMAC-E2; n=58 LNG-EE)4.53 mmol/LStandard Deviation 0.82
LNG-EESerum Concentration of Total CholesterolCycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)4.48 mmol/LStandard Deviation 0.75
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.6886Cochran-Mantel-Haenszel
Primary

Serum Concentration of Total Cortisol

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Total CortisolBaseline (n=60 NOMAC-E2; n=58 LNG-EE)482 nmol/LStandard Deviation 128
NOMAC-E2Serum Concentration of Total CortisolCycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)608 nmol/LStandard Deviation 167
LNG-EESerum Concentration of Total CortisolBaseline (n=60 NOMAC-E2; n=58 LNG-EE)502 nmol/LStandard Deviation 153
LNG-EESerum Concentration of Total CortisolCycle 6 (n=53 NOMAC-E2; n=52 LNG-EE)944 nmol/LStandard Deviation 183
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: <0.0001Cochran-Mantel-Haenszel
Primary

Serum Concentration of Total Triglycerides

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Total TriglyceridesBaseline (n=60 NOMAC-E2; n=58 LNG-EE)0.94 mmol/LStandard Deviation 0.3
NOMAC-E2Serum Concentration of Total TriglyceridesCycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)1.00 mmol/LStandard Deviation 0.37
LNG-EESerum Concentration of Total TriglyceridesBaseline (n=60 NOMAC-E2; n=58 LNG-EE)0.82 mmol/LStandard Deviation 0.23
LNG-EESerum Concentration of Total TriglyceridesCycle 6 (n=53 NOMAC-E2; n=51 LNG-EE)1.02 mmol/LStandard Deviation 0.32
Comparison: P-value compares the change from baseline to Cycle 6 between treatment groups.p-value: 0.0078Cochran-Mantel-Haenszel
Secondary

Average Number of Breakthrough Bleeding/Spotting Days

Cycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Breakthrough bleeding/spotting was defined as any episode that occurred during the expected non-bleeding period that was neither an early nor a continued withdrawal bleeding. Expected non-bleeding period: NOMAC-E2: 21-day period starting on Day 4 of the cycle; LNG-EE: 21-day period starting on Day 1 of the cycle.

Time frame: Every 28-day cycle for 6 cycles

Population: ITT analyses of vaginal bleeding patterns were based on all participants in the ITT group who had at least one evaluable cycle. Cycles were considered to be non-evaluable in case of insufficient bleeding data or improper cycle length.~n=number of participants who had breakthrough bleeding/spotting for the respective cycle.

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Average Number of Breakthrough Bleeding/Spotting DaysCycle 1 (n=18 NOMAC-E2; n=16 LNG-EE)3.5 DaysStandard Error 2.7
NOMAC-E2Average Number of Breakthrough Bleeding/Spotting DaysCycle 2 (n=11 NOMAC-E2; n=9 LNG-EE)4.3 DaysStandard Error 1.4
NOMAC-E2Average Number of Breakthrough Bleeding/Spotting DaysCycle 3 (n=5 NOMAC-E2; n=5 LNG-EE)4.6 DaysStandard Error 2.5
NOMAC-E2Average Number of Breakthrough Bleeding/Spotting DaysCycle 4 (n=8 NOMAC-E2; n=2 LNG-EE)3.8 DaysStandard Error 2.3
NOMAC-E2Average Number of Breakthrough Bleeding/Spotting DaysCycle 5 (n=6 NOMAC-E2; n=4 LNG-EE)3.3 DaysStandard Error 2.5
NOMAC-E2Average Number of Breakthrough Bleeding/Spotting DaysCycle 6 (n=6 NOMAC-E2; n=3 LNG-EE)4.7 DaysStandard Error 3.7
LNG-EEAverage Number of Breakthrough Bleeding/Spotting DaysCycle 5 (n=6 NOMAC-E2; n=4 LNG-EE)2.0 DaysStandard Error 2
LNG-EEAverage Number of Breakthrough Bleeding/Spotting DaysCycle 1 (n=18 NOMAC-E2; n=16 LNG-EE)4.6 DaysStandard Error 3.6
LNG-EEAverage Number of Breakthrough Bleeding/Spotting DaysCycle 4 (n=8 NOMAC-E2; n=2 LNG-EE)4.0 DaysStandard Error 0
LNG-EEAverage Number of Breakthrough Bleeding/Spotting DaysCycle 2 (n=11 NOMAC-E2; n=9 LNG-EE)3.3 DaysStandard Error 2.2
LNG-EEAverage Number of Breakthrough Bleeding/Spotting DaysCycle 6 (n=6 NOMAC-E2; n=3 LNG-EE)3.0 DaysStandard Error 2
LNG-EEAverage Number of Breakthrough Bleeding/Spotting DaysCycle 3 (n=5 NOMAC-E2; n=5 LNG-EE)3.2 DaysStandard Error 2.2
Secondary

Average Number of Withdrawal Bleeding/Spotting Days

Cycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Withdrawal bleeding/spotting was defined as any episode that occurred during the expected bleeding period. Expected bleeding period: NOMAC-E2: 7-day period starting on Day 25 of the cycle and ending on Day 3 of the next cycle; LNG-EE: 7-day period starting on Day 22 of the cycle.

Time frame: Every 28-day cycle for 6 cycles

Population: ITT analyses of vaginal bleeding patterns were based on all participants in the ITT group who had at least one evaluable cycle. Cycles were considered to be non-evaluable in case of insufficient bleeding data or improper cycle length.~n=number of participants who had withdrawal bleeding/spotting for the respective cycle.

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Average Number of Withdrawal Bleeding/Spotting DaysCycle 1 (n=50 NOMAC-E2; n=53 LNG-EE)4.8 DaysStandard Deviation 2.3
NOMAC-E2Average Number of Withdrawal Bleeding/Spotting DaysCycle 2 (n=47 NOMAC-E2; n=50 LNG-EE)4.7 DaysStandard Deviation 3.6
NOMAC-E2Average Number of Withdrawal Bleeding/Spotting DaysCycle 3 (n=49 NOMAC-E2); n=52 LNG-EE)3.9 DaysStandard Deviation 2
NOMAC-E2Average Number of Withdrawal Bleeding/Spotting DaysCycle 4 (n=46 NOMAC-E2; n=52 LNG-EE)4.0 DaysStandard Deviation 2.5
NOMAC-E2Average Number of Withdrawal Bleeding/Spotting DaysCycle 5 (n=47 NOMAC-E2; n=51 LNG-EE)3.8 DaysStandard Deviation 1.7
NOMAC-E2Average Number of Withdrawal Bleeding/Spotting DaysCycle 6 (n=42 NOMAC-E2; n=49 LNG-EE)3.5 DaysStandard Deviation 1.2
LNG-EEAverage Number of Withdrawal Bleeding/Spotting DaysCycle 5 (n=47 NOMAC-E2; n=51 LNG-EE)4.9 DaysStandard Deviation 1.5
LNG-EEAverage Number of Withdrawal Bleeding/Spotting DaysCycle 1 (n=50 NOMAC-E2; n=53 LNG-EE)5.8 DaysStandard Deviation 3.6
LNG-EEAverage Number of Withdrawal Bleeding/Spotting DaysCycle 4 (n=46 NOMAC-E2; n=52 LNG-EE)5.0 DaysStandard Deviation 1.5
LNG-EEAverage Number of Withdrawal Bleeding/Spotting DaysCycle 2 (n=47 NOMAC-E2; n=50 LNG-EE)4.9 DaysStandard Deviation 1.2
LNG-EEAverage Number of Withdrawal Bleeding/Spotting DaysCycle 6 (n=42 NOMAC-E2; n=49 LNG-EE)4.2 DaysStandard Deviation 1.7
LNG-EEAverage Number of Withdrawal Bleeding/Spotting DaysCycle 3 (n=49 NOMAC-E2); n=52 LNG-EE)4.9 DaysStandard Deviation 1.4
Secondary

Number of In-treatment Pregnancies (With +2 Day Window) Per 100 Woman Years of Exposure (Pearl Index)

In-treatment pregnancies were pregnancies with an estimated date of conception from the day of first intake of trial medication up to and including the day of last (active or placebo) intake of trial medication extended with a maximum of 2 days. Each 13 cycles (28 days per cycle) constitutes a woman year. The Pearl Index was obtained by dividing the number of in-treatment pregnancies that occurred by the time (in 100 women years) that the women were under risk of becoming pregnant.

Time frame: 6 cycles

Population: The restricted ITT set included all participants treated and excluded nonpregnant participants who didn't have \>=1 cycle expected to be at risk for pregnancy (with recorded use of condoms or w/o sexual intercourse per diary card data).

ArmMeasureValue (NUMBER)
NOMAC-E2Number of In-treatment Pregnancies (With +2 Day Window) Per 100 Woman Years of Exposure (Pearl Index)0 Pregnancies per 100 woman years
LNG-EENumber of In-treatment Pregnancies (With +2 Day Window) Per 100 Woman Years of Exposure (Pearl Index)0 Pregnancies per 100 woman years
Secondary

Number of Participants With an Occurrence of Absence of Withdrawal Bleeding

Cycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Absence of withdrawal bleeding was defined as no bleeding/spotting episode that began during or continued into the expected bleeding period. Expected bleeding period: NOMAC-E2: 7-day period starting on Day 25 of the cycle and ending on Day 3 of the next cycle; LNG-EE: 7-day period starting on Day 22 of the cycle.

Time frame: Every 28-day cycle for 6 cycles

Population: The ITT group consisted of all participants who were treated; ITT analyses of vaginal bleeding patterns were based on all participants in the ITT group who had at least one evaluable cycle. Cycles were considered to be non-evaluable in case of insufficient bleeding data or improper cycle length.~n=number of participants with evaluable cycles.

ArmMeasureGroupValue (NUMBER)
NOMAC-E2Number of Participants With an Occurrence of Absence of Withdrawal BleedingCycle 1 (n=56 NOMAC-E2; n=53 LNG-EE)6 Participants
NOMAC-E2Number of Participants With an Occurrence of Absence of Withdrawal BleedingCycle 2 (n=55 NOMAC-E2; n=51 LNG-EE)8 Participants
NOMAC-E2Number of Participants With an Occurrence of Absence of Withdrawal BleedingCycle 3 (n=54 NOMAC-E2; n=52 LNG-EE)5 Participants
NOMAC-E2Number of Participants With an Occurrence of Absence of Withdrawal BleedingCycle 4 (n=54 NOMAC-E2; n=52 LNG-EE)8 Participants
NOMAC-E2Number of Participants With an Occurrence of Absence of Withdrawal BleedingCycle 5 (n=52 NOMAC-E2; n=51 LNG-EE)5 Participants
NOMAC-E2Number of Participants With an Occurrence of Absence of Withdrawal BleedingCycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)10 Participants
LNG-EENumber of Participants With an Occurrence of Absence of Withdrawal BleedingCycle 5 (n=52 NOMAC-E2; n=51 LNG-EE)0 Participants
LNG-EENumber of Participants With an Occurrence of Absence of Withdrawal BleedingCycle 1 (n=56 NOMAC-E2; n=53 LNG-EE)0 Participants
LNG-EENumber of Participants With an Occurrence of Absence of Withdrawal BleedingCycle 4 (n=54 NOMAC-E2; n=52 LNG-EE)0 Participants
LNG-EENumber of Participants With an Occurrence of Absence of Withdrawal BleedingCycle 2 (n=55 NOMAC-E2; n=51 LNG-EE)1 Participants
LNG-EENumber of Participants With an Occurrence of Absence of Withdrawal BleedingCycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)1 Participants
LNG-EENumber of Participants With an Occurrence of Absence of Withdrawal BleedingCycle 3 (n=54 NOMAC-E2; n=52 LNG-EE)0 Participants
Secondary

Number of Participants With an Occurrence of Breakthrough Bleeding

Cycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Breakthrough bleeding was defined as any bleeding episode that occurred during the expected non-bleeding period that was neither part of an early nor continued withdrawal bleeding. Expected non-bleeding period: NOMAC-E2: 21-day period starting on Day 4 of the cycle; LNG-EE: 21-day period starting on Day 1 of the cycle.

Time frame: Every 28-day cycle for 6 cycles

Population: The ITT group consisted of all participants who were treated; ITT analyses of vaginal bleeding patterns were based on all participants in the ITT group who had at least one evaluable cycle. Cycles were considered to be non-evaluable in case of insufficient bleeding data or improper cycle length.~n=number of participants with evaluable cycles.

ArmMeasureGroupValue (NUMBER)
NOMAC-E2Number of Participants With an Occurrence of Breakthrough BleedingCycle 1 (n=56 NOMAC-E2; n=53 LNG-EE)3 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough BleedingCycle 2 (n=55 NOMAC-E2; n=51 LNG-EE)1 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough BleedingCycle 3 (n=54 NOMAC-E2; n=52 LNG-EE)1 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough BleedingCycle 4 (n=54 NOMAC-E2; n=52 LNG-EE)1 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough BleedingCycle 5 (n=52 NOMAC-E2; n=51 LNG-EE)2 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough BleedingCycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)3 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough BleedingCycle 5 (n=52 NOMAC-E2; n=51 LNG-EE)0 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough BleedingCycle 1 (n=56 NOMAC-E2; n=53 LNG-EE)1 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough BleedingCycle 4 (n=54 NOMAC-E2; n=52 LNG-EE)0 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough BleedingCycle 2 (n=55 NOMAC-E2; n=51 LNG-EE)0 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough BleedingCycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)0 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough BleedingCycle 3 (n=54 NOMAC-E2; n=52 LNG-EE)0 Participants
Secondary

Number of Participants With an Occurrence of Breakthrough Bleeding/Spotting

Cycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Breakthrough bleeding/spotting was defined as any episode that occurred during the expected non-bleeding period that was neither an early nor a continued withdrawal bleeding. Expected non-bleeding period: NOMAC-E2: 21-day period starting on Day 4 of the cycle; LNG-EE: 21-day period starting on Day 1 of the cycle.

Time frame: Every 28-day cycle for 6 cycles

Population: The ITT group consisted of all participants who were treated; ITT analyses of vaginal bleeding patterns were based on all participants in the ITT group who had at least one evaluable cycle. Cycles were considered to be non-evaluable in case of insufficient bleeding data or improper cycle length.~n=number of participants with evaluable cycles.

ArmMeasureGroupValue (NUMBER)
NOMAC-E2Number of Participants With an Occurrence of Breakthrough Bleeding/SpottingCycle 1 (n=56 NOMAC-E2; n=53 LNG-EE)18 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough Bleeding/SpottingCycle 2 (n=55 NOMAC-E2; n=51 LNG-EE)11 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough Bleeding/SpottingCycle 3 (n=54 NOMAC-E2; n=52 LNG-EE)5 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough Bleeding/SpottingCycle 4 (n=54 NOMAC-E2; n=52 LNG-EE)8 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough Bleeding/SpottingCycle 5 (n=52 NOMAC-E2; n=51 LNG-EE)6 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough Bleeding/SpottingCycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)6 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough Bleeding/SpottingCycle 5 (n=52 NOMAC-E2; n=51 LNG-EE)4 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough Bleeding/SpottingCycle 1 (n=56 NOMAC-E2; n=53 LNG-EE)16 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough Bleeding/SpottingCycle 4 (n=54 NOMAC-E2; n=52 LNG-EE)2 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough Bleeding/SpottingCycle 2 (n=55 NOMAC-E2; n=51 LNG-EE)9 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough Bleeding/SpottingCycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)3 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough Bleeding/SpottingCycle 3 (n=54 NOMAC-E2; n=52 LNG-EE)5 Participants
Secondary

Number of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)

Cycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Breakthrough spotting was defined as any spotting episode that occurred during the expected non-bleeding period that was neither part of an early nor continued withdrawal bleeding. Expected non-bleeding period: NOMAC-E2: 21-day period starting on Day 4 of the cycle; LNG-EE: 21-day period starting on Day 1 of the cycle.

Time frame: Every 28-day cycle for 6 cycles

Population: The ITT group consisted of all participants who were treated; ITT analyses of vaginal bleeding patterns were based on all participants in the ITT group who had at least one evaluable cycle. Cycles were considered to be non-evaluable in case of insufficient bleeding data or improper cycle length.~n=number of participants with evaluable cycles.

ArmMeasureGroupValue (NUMBER)
NOMAC-E2Number of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)Cycle 1 (n=56 NOMAC-E2; n=53 LNG-EE)17 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)Cycle 2 (n=55 NOMAC-E2; n=51 LNG-EE)10 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)Cycle 3 (n=54 NOMAC-E2; n=52 LNG-EE)4 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)Cycle 4 (n=54 NOMAC-E2; n=52 LNG-EE)7 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)Cycle 5 (n=52 NOMAC-E2; n=51 LNG-EE)4 Participants
NOMAC-E2Number of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)Cycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)4 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)Cycle 5 (n=52 NOMAC-E2; n=51 LNG-EE)4 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)Cycle 1 (n=56 NOMAC-E2; n=53 LNG-EE)16 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)Cycle 4 (n=54 NOMAC-E2; n=52 LNG-EE)2 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)Cycle 2 (n=55 NOMAC-E2; n=51 LNG-EE)9 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)Cycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)3 Participants
LNG-EENumber of Participants With an Occurrence of Breakthrough Spotting (Spotting Only)Cycle 3 (n=54 NOMAC-E2; n=52 LNG-EE)5 Participants
Secondary

Number of Participants With an Occurrence of Continued Withdrawal Bleeding

Cycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Continued withdrawal bleeding was defined as any withdrawal bleeding that continued into the expected non-bleeding period of the next cycle. Expected non-bleeding period: NOMAC-E2: 21-day period starting on Day 4 of the cycle; LNG-EE: 21-day period starting on Day 1 of the cycle.

Time frame: Every 28-day cycle for 5 cycles

Population: The ITT group consisted of all participants who were treated; ITT analyses of vaginal bleeding patterns were based on all participants in the ITT group who had at least one evaluable cycle. Cycles were considered to be non-evaluable in case of insufficient bleeding data or improper cycle length.

ArmMeasureGroupValue (NUMBER)
NOMAC-E2Number of Participants With an Occurrence of Continued Withdrawal BleedingCycle 2 (n=54 NOMAC-E2; n=50 LNG-EE)11 Participants
NOMAC-E2Number of Participants With an Occurrence of Continued Withdrawal BleedingCycle 4 (n=53 NOMAC-E2; n=52 LNG-EE)11 Participants
NOMAC-E2Number of Participants With an Occurrence of Continued Withdrawal BleedingCycle 3 (n=54 NOMAC-E2; n=52 LNG-EE)13 Participants
NOMAC-E2Number of Participants With an Occurrence of Continued Withdrawal BleedingCycle 5 (n=52 NOMAC-E2; n=51 LNG-EE)13 Participants
NOMAC-E2Number of Participants With an Occurrence of Continued Withdrawal BleedingCycle 1 (n=56 NOMAC-E2; n=53 LNG-EE)15 Participants
LNG-EENumber of Participants With an Occurrence of Continued Withdrawal BleedingCycle 5 (n=52 NOMAC-E2; n=51 LNG-EE)29 Participants
LNG-EENumber of Participants With an Occurrence of Continued Withdrawal BleedingCycle 1 (n=56 NOMAC-E2; n=53 LNG-EE)25 Participants
LNG-EENumber of Participants With an Occurrence of Continued Withdrawal BleedingCycle 2 (n=54 NOMAC-E2; n=50 LNG-EE)28 Participants
LNG-EENumber of Participants With an Occurrence of Continued Withdrawal BleedingCycle 3 (n=54 NOMAC-E2; n=52 LNG-EE)26 Participants
LNG-EENumber of Participants With an Occurrence of Continued Withdrawal BleedingCycle 4 (n=53 NOMAC-E2; n=52 LNG-EE)27 Participants
Secondary

Number of Participants With an Occurrence of Early Withdrawal Bleeding

Cycle control was evaluated on the basis of vaginal bleeding pattern as recorded daily by participants using diary booklets. Participants documented whether vaginal bleeding was present, and if present, indicated whether it was considered to be spotting or bleeding. Early withdrawal bleeding was defined as any withdrawal bleeding that started before the current expected bleeding period. Expected bleeding period: NOMAC-E2: 7-day period starting on Day 25 of the cycle and ending on Day 3 of the next cycle; LNG-EE: 7-day period starting on Day 22 of the cycle.

Time frame: Every 28-day cycle for 6 cycles

Population: The ITT group consisted of all participants who were treated; ITT analyses of vaginal bleeding patterns were based on all participants in the ITT group who had at least one evaluable cycle. Cycles were considered to be non-evaluable in case of insufficient bleeding data or improper cycle length.~n=number of participants with evaluable cycles.

ArmMeasureGroupValue (NUMBER)
NOMAC-E2Number of Participants With an Occurrence of Early Withdrawal BleedingCycle 1 (n=56 NOMAC-E2; n=53 LNG-EE)5 Participants
NOMAC-E2Number of Participants With an Occurrence of Early Withdrawal BleedingCycle 2 (n=55 NOMAC-E2; n=51 LNG-EE)4 Participants
NOMAC-E2Number of Participants With an Occurrence of Early Withdrawal BleedingCycle 3 (n=54 NOMAC-E2; n=52 LNG-EE)3 Participants
NOMAC-E2Number of Participants With an Occurrence of Early Withdrawal BleedingCycle 4 (n=54 NOMAC-E2; n=52 LNG-EE)2 Participants
NOMAC-E2Number of Participants With an Occurrence of Early Withdrawal BleedingCycle 5 (n=52 NOMAC-E2; n=51 LNG-EE)1 Participants
NOMAC-E2Number of Participants With an Occurrence of Early Withdrawal BleedingCycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)2 Participants
LNG-EENumber of Participants With an Occurrence of Early Withdrawal BleedingCycle 5 (n=52 NOMAC-E2; n=51 LNG-EE)0 Participants
LNG-EENumber of Participants With an Occurrence of Early Withdrawal BleedingCycle 1 (n=56 NOMAC-E2; n=53 LNG-EE)4 Participants
LNG-EENumber of Participants With an Occurrence of Early Withdrawal BleedingCycle 4 (n=54 NOMAC-E2; n=52 LNG-EE)0 Participants
LNG-EENumber of Participants With an Occurrence of Early Withdrawal BleedingCycle 2 (n=55 NOMAC-E2; n=51 LNG-EE)1 Participants
LNG-EENumber of Participants With an Occurrence of Early Withdrawal BleedingCycle 6 (n=52 NOMAC-E2; n=50 LNG-EE)2 Participants
LNG-EENumber of Participants With an Occurrence of Early Withdrawal BleedingCycle 3 (n=54 NOMAC-E2; n=52 LNG-EE)1 Participants
Secondary

Serum Concentration of Androstenedione

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of AndrostenedioneBaseline (n=60, NOMAC-E2; n=58 LNG-EE)9.60 nmol/LStandard Deviation 3.45
NOMAC-E2Serum Concentration of AndrostenedioneCycle 6 (n=53, NOMAC-E2; n=52 LNG-EE)8.23 nmol/LStandard Deviation 3.01
LNG-EESerum Concentration of AndrostenedioneBaseline (n=60, NOMAC-E2; n=58 LNG-EE)10.27 nmol/LStandard Deviation 3.91
LNG-EESerum Concentration of AndrostenedioneCycle 6 (n=53, NOMAC-E2; n=52 LNG-EE)6.96 nmol/LStandard Deviation 3.37
Secondary

Serum Concentration of Dehydroepiandrosterone Sulphate (DHEAS)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Dehydroepiandrosterone Sulphate (DHEAS)Baseline (n=60, NOMAC-E2; n=58 LNG-EE)4.94 umol/LStandard Deviation 2.24
NOMAC-E2Serum Concentration of Dehydroepiandrosterone Sulphate (DHEAS)Cycle 6 (n=53, NOMAC-E2; n=52 LNG-EE)4.32 umol/LStandard Deviation 1.82
LNG-EESerum Concentration of Dehydroepiandrosterone Sulphate (DHEAS)Baseline (n=60, NOMAC-E2; n=58 LNG-EE)5.19 umol/LStandard Deviation 2.26
LNG-EESerum Concentration of Dehydroepiandrosterone Sulphate (DHEAS)Cycle 6 (n=53, NOMAC-E2; n=52 LNG-EE)4.00 umol/LStandard Deviation 1.91
Secondary

Serum Concentration of Dihydrotestosterone (DHT)

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Dihydrotestosterone (DHT)Baseline (n=60, NOMAC-E2; n=58 LNG-EE)0.59 nmol/LStandard Deviation 0.21
NOMAC-E2Serum Concentration of Dihydrotestosterone (DHT)Cycle 6 (n=53, NOMAC-E2; n=52 LNG-EE)0.53 nmol/LStandard Deviation 0.28
LNG-EESerum Concentration of Dihydrotestosterone (DHT)Baseline (n=60, NOMAC-E2; n=58 LNG-EE)0.62 nmol/LStandard Deviation 0.26
LNG-EESerum Concentration of Dihydrotestosterone (DHT)Cycle 6 (n=53, NOMAC-E2; n=52 LNG-EE)0.36 nmol/LStandard Deviation 0.19
Secondary

Serum Concentration of Free Testosterone

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Free TestosteroneBaseline (n=60, NOMAC-E2; n=58 LNG-EE)24.5 pmol/LStandard Deviation 14.9
NOMAC-E2Serum Concentration of Free TestosteroneCycle 6 (n=53, NOMAC-E2; n=52 LNG-EE)12.8 pmol/LStandard Deviation 8.8
LNG-EESerum Concentration of Free TestosteroneBaseline (n=60, NOMAC-E2; n=58 LNG-EE)26.3 pmol/LStandard Deviation 16.6
LNG-EESerum Concentration of Free TestosteroneCycle 6 (n=53, NOMAC-E2; n=52 LNG-EE)9.9 pmol/LStandard Deviation 6.7
Secondary

Serum Concentration of Total Testosterone

Serum samples were obtained under fasting conditions (no food or alcoholic beverages within 12 hours of serum sampling). Each cycle consists of 28 days.

Time frame: Baseline and Cycle 6 (between Days 15 and 21 of the cycle)

Population: All-participants-treated group; n = number of participants with non-missing baseline value and non-missing change from baseline to Cycle 6

ArmMeasureGroupValue (MEAN)Dispersion
NOMAC-E2Serum Concentration of Total TestosteroneBaseline (n=60, NOMAC-E2; n=58 LNG-EE)1.68 nmol/LStandard Deviation 0.75
NOMAC-E2Serum Concentration of Total TestosteroneCycle 6 (n=53, NOMAC-E2; n=52 LNG-EE)1.23 nmol/LStandard Deviation 0.86
LNG-EESerum Concentration of Total TestosteroneBaseline (n=60, NOMAC-E2; n=58 LNG-EE)1.90 nmol/LStandard Deviation 0.94
LNG-EESerum Concentration of Total TestosteroneCycle 6 (n=53, NOMAC-E2; n=52 LNG-EE)0.91 nmol/LStandard Deviation 0.57

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026