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Efficacy and Safety of Two Flexible Extended Regimens of BAY86-5300 (SH T00186D) in Comparison With the Conventional Regimen of YAZ

A Multicenter, Open-label, Three-arm, Active-controlled Study to Assess the Efficacy and Safety of the Oral Contraceptive SH T00186D (0.02 mg Ethinyl Estradiol as Betadex Clathrate and 3 mg Drospirenone) in Two Flexible Extended Regimens and a Conventional Regimen of YAZ in 1756 Healthy Females for 1 Year

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00567164
Enrollment
1887
Registered
2007-12-04
Start date
2007-10-31
Completion date
2009-11-30
Last updated
2014-03-12

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

Conditions

Contraception, Contraceptives, Oral, Ovulation Inhibition

Keywords

Oral Contraception, Birth Control pill, Healthy women requesting oral contraception, Contraceptive efficacy

Brief summary

The purpose of this study is to determine whether the study drug is safe and effective.

Detailed description

The primary efficacy parameter is the number of observed unintended pregnancy during 1 year of treatment. Secondary efficacy parameter include bleeding parameters and menstrual related symptoms Safety parameters included assessment of adverse events, laboratory evaluations.

Interventions

Combination tablet containing 0.02 mg ethinyl estradiol as betadex clathrate and 3.0 mg drospirenone

Fixed package per cycle containing combination tablets containing 0.02 mg ethinyl estradiol as betadex clathrate and 3.0 mg drospirenone (24 per cycle) + tablets without active substance (4 per cycle)

Sponsors

Bayer
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes

Inclusion criteria

\- Healthy women between 18 and 45 requesting oral contraception. Smokers may not exceed 35 years of age.

Exclusion criteria

\- The use of steroidal oral contraceptives, or any drug that could alter oral contraception metabolism will be prohibited during the study.

Design outcomes

Primary

MeasureTime frameDescription
Pearl IndexUp to 1 yearThe Pearl Index (PI) is the number of pregnancies per 100 woman years. The PI is obtained by dividing the number of pregnancies during treatment (conception date on/after the 1st day of treatment and not later than last day of treatment +14 days) by the treatment exposure time (in 100 women years) that the women were under risk of getting pregnant. The Pearl Index was not calculated individually for either the Flexible (Extended) Regimen no. 2 of EE20/DRSP (BAY86-5300) treatment arm, nor for the Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300) treatment arm, because the low sample size in these treatment arms (approximately. 200 subjects per group) did not allow a reliable PI calculation of these groups alone.

Secondary

MeasureTime frameDescription
Number of Bleeding Days (Excluding Spotting Days)Up to 1 yearNumber of days per participant with bleeding (excluding spotting days)
Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 1.Day 1 to Day 90Number of days per participant with bleeding (including and excluding spotting) within 90-day reference period 1. Reference period 1 (Day 1 to Day 90) was a 90 day period starting with the initial intake of study medication (protocol-specified to occur on first day of menstrual or withdrawal bleeding after screening). Therefore, the first 90-day reference period contains additional bleeding days (associated with the menstrual cycle prior to the start of study medication) when compared to any other reference period.
Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 2.Day 91 to Day 180Number of days per participant with bleeding (including and excluding spotting) within 90-day reference period 2. Reference period 2 (Day 91 to Day 180) was a 90-day period that started with the intake of study medication at the beginning of Cycle 4.
Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 3Day 181 to Day 270Number of days per participant with bleeding (including and excluding spotting) within 90-day reference period 3. Reference period 3 (Day 181 to Day 270) was a 90-day period that started with the intake of study medication at the beginning of Cycle 7.
Number of Days With Bleeding/ (Including and Excluding Spotting) Within 90-day Reference Period 4Day 271 to Day 360Number of days per participant with bleeding (including and excluding spotting) within 90-day reference period 4. Reference period 4 (Day 271 to Day 360) was a 90-day period that started with the intake of study medication at the beginning of Cycle 10.
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 1Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 2Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 3Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 4Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 5Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 6Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.
Number of Bleeding Days (Including Spotting Days)Up to 1 yearNumber of days per participant with bleeding or spotting
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 8Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 9Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 10Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 11Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 12Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 13Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE. There were no participants who provided bleeding data for cycle 13 in the Flexible (extended) regimen no.1 of EE20/DRSP (BAY86-5300), although one women did receive 13 cycles of treatment.
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 14Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE. There were no participants who received treatment in cycle 14 in the Flexible (extended) regimen no.1 of EE20/DRSP (BAY86-5300). There were no participants who provided bleeding data for cycle 14 in the Flexible (extended) regimen no.2 of EE20/DRSP (BAY86-5300), although one woman did receive 14 cycles of treatment.
Number of Intracyclic Bleeding DaysUp to 1 yearIntracyclic bleeding was considered any bleeding/spotting that occurred between withdrawal bleedings.
Number of Scheduled and Unscheduled Bleeding DaysUp to 1 yearScheduled bleeding is any bleeding/spotting (bl/sp) that occurs during the tablet free interval through the next 4 days of the subsequent treatment cycle. Unscheduled bleeding is any bl/sp that occurs while taking active hormones, except for bl/sp that occurs during the tablet free interval through day 4 of the subsequent treatment cycle or bl/sp on days 1-7 of treatment cycle 1.
Length of CyclesUp to 1 yearCycle length per cycle. For the flexible and stop and go extended treatment arms, a treatment cycle started with the first day of pill intake after a tablet-free interval and ended with the last day of the subsequent tablet-free interval. A tablet-free interval (treatment withdrawal) was defined as at least 3 consecutive days without tablet intake. For the standard 24+4 treatment arm, a new cycle started each time a new blister pack of medication was started.
Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 7Up to 1 yearA withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.

Countries

United States

Participant flow

Recruitment details

The date of first subject, first visit was 22 Oct 2007. The date of last subject, last visit was 11 Nov 2009.

Pre-assignment details

A total of 2450 subjects were screened ; 563 failed screening. The remaining 1887 subjects were assigned to treatment. Of these, 1864 (98.8%) were in the Full Analysis Set (FAS), ie, study medication was dispensed to them and they had at least 1 post-baseline observation. A total of 1196 (63.4%) subjects completed the study.

Participants by arm

ArmCount
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)
Minimum of 3 cycles of treatment, each cycle comprising 120 days (maximum) intended treatment with one tablet daily of BAY86-5300 (SH T00186D) followed by a 4-day tablet-free interval. If 3 consecutive days of bleeding and/or spotting occurred between days 25 to 120 of the treatment cycle, 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 124-day intended treatment cycle was to be restarted, resulting in a minimum of 3 and maximum of 13 withdrawal bleeding episodes during one year of treatment
1,406
Flexible (Extended) Regimen no. 2 of EE20/DRSP (BAY86-5300)
Minimum of 3 cycles of treatment, each cycle comprising 120 days (maximum) uninterrupted treatment with one tablet daily of BAY86-5300 (SH T00186D) and a 4-day tablet-free interval. Subjects were permitted to schedule their withdrawal bleeding (ie, 4-day tablet-free interval) at any time between days 25 to 120 of the cycle. Subjects had the option to follow the bleeding rules of the flexible (extended) regimen no. 1 of BAY86-5300. The minimum period between 2 tablet-free intervals was 24 days. After each 4-day tablet-free interval, a new 124-day intended treatment cycle was to be restarted, resulting in a minimum of 3 and maximum of 13 withdrawal bleeding episodes during one year of treatment.
232
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)
13 cycles of treatment, each cycle comprising an intake of one tablet daily with 24 days of active tablets of BAY86-5300 (YAZ, SH T00186D) followed by 4 days of placebo tablets (SH T470PD). 13 withdrawal bleeding episodes during one year of treatment were expected.
226
Total1,864

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event92139
Overall StudyDeath001
Overall StudyLost to Follow-up2022321
Overall StudyMissing100
Overall StudyPregnancy2046
Overall StudyPrimary Reason coded as 'Other'37816
Overall StudyProtocol Violation2342
Overall StudyWithdrawal by Subject1712117

Baseline characteristics

CharacteristicFlexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Flexible (Extended) Regimen no. 2 of EE20/DRSP (BAY86-5300)Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Total
Age, Continuous25.2 years
STANDARD_DEVIATION 4.5
26.8 years
STANDARD_DEVIATION 6.8
27.3 years
STANDARD_DEVIATION 6.4
25.7 years
STANDARD_DEVIATION 5.2
Sex: Female, Male
Female
1406 Participants232 Participants226 Participants1864 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
330 / 1,40668 / 23265 / 226
serious
Total, serious adverse events
12 / 1,4066 / 2322 / 226

Outcome results

Primary

Pearl Index

The Pearl Index (PI) is the number of pregnancies per 100 woman years. The PI is obtained by dividing the number of pregnancies during treatment (conception date on/after the 1st day of treatment and not later than last day of treatment +14 days) by the treatment exposure time (in 100 women years) that the women were under risk of getting pregnant. The Pearl Index was not calculated individually for either the Flexible (Extended) Regimen no. 2 of EE20/DRSP (BAY86-5300) treatment arm, nor for the Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300) treatment arm, because the low sample size in these treatment arms (approximately. 200 subjects per group) did not allow a reliable PI calculation of these groups alone.

Time frame: Up to 1 year

Population: Full Analysis Set of Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300) treatment arm. Pooled Full Analysis Sets of Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300) and Regimen no. 2 of EE20/DRSP (BAY86-5300) treatment arms.

ArmMeasureValue (MEAN)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Pearl Index1.65 Pregnancies per 100 years of exposure
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Pearl Index1.92 Pregnancies per 100 years of exposure
Secondary

Length of Cycles

Cycle length per cycle. For the flexible and stop and go extended treatment arms, a treatment cycle started with the first day of pill intake after a tablet-free interval and ended with the last day of the subsequent tablet-free interval. A tablet-free interval (treatment withdrawal) was defined as at least 3 consecutive days without tablet intake. For the standard 24+4 treatment arm, a new cycle started each time a new blister pack of medication was started.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). Only cycle data from participants with sufficient data to calculate cycle length are included.

ArmMeasureValue (MEAN)Dispersion
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Length of Cycles70.9 DaysStandard Deviation 41.3
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Length of Cycles67.6 DaysStandard Deviation 39.1
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Length of Cycles28.8 DaysStandard Deviation 10.8
Secondary

Number of Bleeding Days (Excluding Spotting Days)

Number of days per participant with bleeding (excluding spotting days)

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data.

ArmMeasureValue (MEAN)Dispersion
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Bleeding Days (Excluding Spotting Days)19.4 DaysStandard Deviation 15.7
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Bleeding Days (Excluding Spotting Days)21.4 DaysStandard Deviation 15.6
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Number of Bleeding Days (Excluding Spotting Days)32.9 DaysStandard Deviation 23.5
Secondary

Number of Bleeding Days (Including Spotting Days)

Number of days per participant with bleeding or spotting

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data.

ArmMeasureValue (MEAN)Dispersion
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Bleeding Days (Including Spotting Days)39.9 DaysStandard Deviation 29.6
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Bleeding Days (Including Spotting Days)46.8 DaysStandard Deviation 33.1
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Number of Bleeding Days (Including Spotting Days)51.8 DaysStandard Deviation 34.6
p-value: 0.000195% CI: [-16.3, -7.394]t-test, 2 sided
Secondary

Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 1.

Number of days per participant with bleeding (including and excluding spotting) within 90-day reference period 1. Reference period 1 (Day 1 to Day 90) was a 90 day period starting with the initial intake of study medication (protocol-specified to occur on first day of menstrual or withdrawal bleeding after screening). Therefore, the first 90-day reference period contains additional bleeding days (associated with the menstrual cycle prior to the start of study medication) when compared to any other reference period.

Time frame: Day 1 to Day 90

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for reference period 1.

ArmMeasureGroupValue (MEAN)Dispersion
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 1.Including days with spotting16.6 DaysStandard Deviation 12.2
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 1.Excluding days with spotting8.3 DaysStandard Deviation 6.9
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 1.Including days with spotting18.5 DaysStandard Deviation 12.9
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 1.Excluding days with spotting9.1 DaysStandard Deviation 7.2
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 1.Including days with spotting19.7 DaysStandard Deviation 9.8
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 1.Excluding days with spotting12.6 DaysStandard Deviation 6.5
Secondary

Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 2.

Number of days per participant with bleeding (including and excluding spotting) within 90-day reference period 2. Reference period 2 (Day 91 to Day 180) was a 90-day period that started with the intake of study medication at the beginning of Cycle 4.

Time frame: Day 91 to Day 180

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for reference period 2.

ArmMeasureGroupValue (MEAN)Dispersion
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 2.Including days with spotting11.0 DaysStandard Deviation 9.7
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 2.Excluding days with spotting5.1 DaysStandard Deviation 5.2
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 2.Excluding days with spotting5.4 DaysStandard Deviation 5.5
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 2.Including days with spotting12.5 DaysStandard Deviation 10.5
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 2.Including days with spotting14.8 DaysStandard Deviation 8
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 2.Excluding days with spotting9.7 DaysStandard Deviation 6.3
Secondary

Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 3

Number of days per participant with bleeding (including and excluding spotting) within 90-day reference period 3. Reference period 3 (Day 181 to Day 270) was a 90-day period that started with the intake of study medication at the beginning of Cycle 7.

Time frame: Day 181 to Day 270

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for reference period 3.

ArmMeasureGroupValue (MEAN)Dispersion
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 3Including days with spotting10.0 DaysStandard Deviation 8.7
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 3Excluding days with spotting4.7 DaysStandard Deviation 4.8
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 3Including days with spotting11.4 DaysStandard Deviation 10.8
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 3Excluding days with spotting4.9 DaysStandard Deviation 5
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 3Including days with spotting14.8 DaysStandard Deviation 8
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Number of Days With Bleeding (Including and Excluding Spotting) Within 90-day Reference Period 3Excluding days with spotting9.4 DaysStandard Deviation 6.5
Secondary

Number of Days With Bleeding/ (Including and Excluding Spotting) Within 90-day Reference Period 4

Number of days per participant with bleeding (including and excluding spotting) within 90-day reference period 4. Reference period 4 (Day 271 to Day 360) was a 90-day period that started with the intake of study medication at the beginning of Cycle 10.

Time frame: Day 271 to Day 360

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for reference period 4.

ArmMeasureGroupValue (MEAN)Dispersion
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Days With Bleeding/ (Including and Excluding Spotting) Within 90-day Reference Period 4Including days with spotting9.0 DaysStandard Deviation 9.2
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Days With Bleeding/ (Including and Excluding Spotting) Within 90-day Reference Period 4Excluding days with spotting4.2 DaysStandard Deviation 4.8
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Days With Bleeding/ (Including and Excluding Spotting) Within 90-day Reference Period 4Including days with spotting9.5 DaysStandard Deviation 10.3
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Days With Bleeding/ (Including and Excluding Spotting) Within 90-day Reference Period 4Excluding days with spotting4.0 DaysStandard Deviation 4.8
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Number of Days With Bleeding/ (Including and Excluding Spotting) Within 90-day Reference Period 4Including days with spotting13.6 DaysStandard Deviation 7.3
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Number of Days With Bleeding/ (Including and Excluding Spotting) Within 90-day Reference Period 4Excluding days with spotting8.4 DaysStandard Deviation 5.5
Secondary

Number of Intracyclic Bleeding Days

Intracyclic bleeding was considered any bleeding/spotting that occurred between withdrawal bleedings.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding and tablet intake data sufficient to calculate intracyclic bleeding.

ArmMeasureGroupValue (MEAN)Dispersion
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Intracyclic Bleeding DaysIncluding spotting only episodes8.0 DaysStandard Deviation 11.8
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Intracyclic Bleeding DaysExcluding spotting only episodes3.6 DaysStandard Deviation 7.9
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Intracyclic Bleeding DaysIncluding spotting only episodes14.4 DaysStandard Deviation 19.1
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Intracyclic Bleeding DaysExcluding spotting only episodes7.3 DaysStandard Deviation 12.8
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Number of Intracyclic Bleeding DaysIncluding spotting only episodes7.1 DaysStandard Deviation 12.7
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Number of Intracyclic Bleeding DaysExcluding spotting only episodes5.2 DaysStandard Deviation 11.4
Secondary

Number of Scheduled and Unscheduled Bleeding Days

Scheduled bleeding is any bleeding/spotting (bl/sp) that occurs during the tablet free interval through the next 4 days of the subsequent treatment cycle. Unscheduled bleeding is any bl/sp that occurs while taking active hormones, except for bl/sp that occurs during the tablet free interval through day 4 of the subsequent treatment cycle or bl/sp on days 1-7 of treatment cycle 1.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding and tablet intake data sufficient to calculate scheduled/unscheduled bleeding. Analysis was only performed for the flexible and stop-and-go extended regimens.

ArmMeasureGroupValue (MEAN)Dispersion
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Scheduled and Unscheduled Bleeding DaysScheduled bleeding days20.6 DaysStandard Deviation 14.1
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Number of Scheduled and Unscheduled Bleeding DaysUnscheduled bleeding days20.0 DaysStandard Deviation 20.4
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Scheduled and Unscheduled Bleeding DaysScheduled bleeding days21.9 DaysStandard Deviation 13.9
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Number of Scheduled and Unscheduled Bleeding DaysUnscheduled bleeding days25.3 DaysStandard Deviation 27.8
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 1

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 1.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 184.2 Percentage of Participants
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 183.8 Percentage of Participants
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 166.8 Percentage of Participants
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 10

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 10.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 1078.9 Percentage of Participants
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 1070.0 Percentage of Participants
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 1084.6 Percentage of Participants
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 11

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 11.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 1155.6 Percentage of Participants
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 1162.5 Percentage of Participants
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 1185.9 Percentage of Participants
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 12

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 12.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 120 Percentage of Participants
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 1233.3 Percentage of Participants
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 1278.6 Percentage of Participants
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 13

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE. There were no participants who provided bleeding data for cycle 13 in the Flexible (extended) regimen no.1 of EE20/DRSP (BAY86-5300), although one women did receive 13 cycles of treatment.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 13.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 130 Percentage of Participants
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 1320.5 Percentage of Participants
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 14

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE. There were no participants who received treatment in cycle 14 in the Flexible (extended) regimen no.1 of EE20/DRSP (BAY86-5300). There were no participants who provided bleeding data for cycle 14 in the Flexible (extended) regimen no.2 of EE20/DRSP (BAY86-5300), although one woman did receive 14 cycles of treatment.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 14.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 149.1 Percentage of Participants
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 2

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 2.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 285.9 Percentage of Participants
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 284.7 Percentage of Participants
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 286.7 Percentage of Participants
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 3

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 3.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 378.6 Percentage of Participants
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 379.2 Percentage of Participants
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 384.6 Percentage of Participants
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 4

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 4.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 473.4 Percentage of Participants
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 466.1 Percentage of Participants
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 486.3 Percentage of Participants
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 5

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 5.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 578.0 Percentage of Participants
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 569.0 Percentage of Participants
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 585.8 Percentage of Participants
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 6

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 6.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 677.7 Percentage of Participants
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 669.8 Percentage of Participants
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 685.2 Percentage of Participants
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 7

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 7.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 778.3 Percentage of Participants
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 770.0 Percentage of Participants
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 784.0 Percentage of Participants
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 8

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 8.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 882.1 Percentage of Participants
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 869.2 Percentage of Participants
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 886.7 Percentage of Participants
Secondary

Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 9

A withdrawal bleeding episode (WBE) for the two flexible (extended) treatment arms 1) Ended at the earliest 4 days before the first day of the pill break of that cycle or later, AND 2) Started before or at the latest on the 4th day of the next cycle. For the conventional 24+4 treatment arm, a WBE 1) Started on or after Day 21 of that cycle, and lasted at least until Day 25 of the same cycle, OR 2) Started on or after Day 25 of that cycle, but before Day 25 of the next cycle. If more than one episode satisfied the above criteria, the first episode to occur was considered to be the WBE.

Time frame: Up to 1 year

Population: Full Analysis Set (ie, all treated participants). The number of participants analyzed only includes women who provided bleeding data for cycle 9.

ArmMeasureValue (NUMBER)
Flexible (Extended) Regimen no. 1 of EE20/DRSP (BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 973.9 Percentage of Participants
Pooled Analysis of Flexible Regimen no. 1 and Regimen no. 2Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 980.0 Percentage of Participants
Conventional Regimen of EE20/DRSP (YAZ, BAY86-5300)Percentage of Participants With a Withdrawal Bleeding Episode for Cycle 985.5 Percentage of Participants

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