Contraception
Conditions
Keywords
birth control pills, oral contraceptives, brand name, generic, side effects, oral contraceptive side effects, dysfunctional uterine bleeding, pre-menstrual symptoms
Brief summary
This is a randomized control trial of Ortho tricyclen versus Trinessa (generic equivalent) to determine if they have similar effects. Women will be randomized to receive either Ortho tricyclen or Trinessa oral contraceptives and will be asked to keep a daily dairy of any symptoms or bleeding experienced. Once a month, participants will be asked to complete a survey. The objective is to compare generic oral contraceptives (OCPs) and brand name OCPs with respect to side effect profiles including bleeding patterns, mood changes, nausea and vomiting, frequency of menstrual cramps, breast tenderness, elevation in blood pressure, stroke, blood clots and patient compliance.
Detailed description
This is a double blind randomized controlled trial of Ortho tricyclen™ vs. Trinessa™ (generic equivalent) to determine if they have similar effects on bleeding patterns, namely days of menstrual flow, amount of bleeding, and intermenstrual bleeding. Women will score these parameters using a survey with objective measures for days of bleeding, amount of flow, and days of breakthrough bleeding. As secondary outcomes, we will compare the side effect profiles of each in regards to nausea, vomiting, breast tenderness, menstrual cramps, mood changes, and thromboembolic events. Patients will record in their daily diary if one of the outcomes occurs or not. We will observe whether the events occur and the number of occurrences within the six month time period.
Interventions
brand name oral contraceptive
generic oral contraceptive
Sponsors
Study design
Eligibility
Inclusion criteria
* nonsmoker * not pregnant * not planning to become pregnant in the next 6 months * not taking hormonal birth control for at least 3 months previous to entering the study * no history of fibroids * no history of ovarian cysts * no history of dysfunctional uterine bleeding
Exclusion criteria
* pregnant * under the age of 18 * over the age of 35 * history of irregular uterine bleeding * history of ovarian cysts * history of fibroids * history of migraines with aura * history of liver disease * family or personal history of Blood clots (thromboembolism) * mental disabilities * desire to become pregnant in the next six months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Amount of Bleeding | 6 Months | Measures how light or heavy the menstrual flow on a 1 to 3 Likert scale. (Light, Medium, Heavy). |
| Incidence of Breakthrough Bleeding | 6 months | Any breakthrough bleeding during reporting period. |
| Days of Bleeding | 6 months | Number of days with bleeding during each menstrual period. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Side Effects (Mood Changes) | 6 months | Self reported changes in mood during each month over the time frame. |
| Side Effects (Nausea) | 6 months | Number of days of nausea |
| Side Effects (Incidence of Thromboembolic Events) | 6 months | Occurrence of any thromboembolic events during the study time frame. |
| Side Effects (Menstrual Cramps) | 6 months | Intensity of menstrual cramps reported on a 4 point Likert scale. |
| Side Effects (Vomiting) | 6 Months | Number of episodes of vomitting |
| Side Effects (Breast Tenderness) | 6 Months | Incidence of breast tenderness during the study time frame |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Ortho Tricyclen™ ortho tricyclen: brand name oral contraceptive | 7 |
| Trinessa™ Trinessa: generic oral contraceptive | 5 |
| Total | 12 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 2 | 3 |
| Overall Study | Protocol Violation | 1 | 0 |
| Overall Study | Withdrawal by Subject | 1 | 2 |
Baseline characteristics
| Characteristic | Trinessa™ | Ortho Tricyclen™ | Total |
|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 5 Participants | 7 Participants | 12 Participants |
| Age, Continuous | 24 years | 24 years | 24 years |
| Region of Enrollment United States | 5 participants | 7 participants | 12 participants |
| Sex: Female, Male Female | 5 Participants | 7 Participants | 12 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 7 | 0 / 5 |
| other Total, other adverse events | 0 / 7 | 0 / 5 |
| serious Total, serious adverse events | 0 / 7 | 0 / 5 |
Outcome results
Amount of Bleeding
Measures how light or heavy the menstrual flow on a 1 to 3 Likert scale. (Light, Medium, Heavy).
Time frame: 6 Months
Population: Study Terminated with no data analysis.
Days of Bleeding
Number of days with bleeding during each menstrual period.
Time frame: 6 months
Population: Study Terminated with no data analysis
Incidence of Breakthrough Bleeding
Any breakthrough bleeding during reporting period.
Time frame: 6 months
Population: Study Terminated with no data analysis
Side Effects (Breast Tenderness)
Incidence of breast tenderness during the study time frame
Time frame: 6 Months
Population: Study Terminated with no data analysis
Side Effects (Incidence of Thromboembolic Events)
Occurrence of any thromboembolic events during the study time frame.
Time frame: 6 months
Population: Study Terminated with no data analysis
Side Effects (Menstrual Cramps)
Intensity of menstrual cramps reported on a 4 point Likert scale.
Time frame: 6 months
Population: Study Terminated with no data analysis
Side Effects (Mood Changes)
Self reported changes in mood during each month over the time frame.
Time frame: 6 months
Population: Study Terminated with no data analysis
Side Effects (Nausea)
Number of days of nausea
Time frame: 6 months
Population: Study Terminated with no data analysis
Side Effects (Vomiting)
Number of episodes of vomitting
Time frame: 6 Months
Population: Study Terminated with no data analysis