Contraception
Conditions
Brief summary
The objective of this three-arm study is to evaluate the effect of a flexible extended regimen of an EE+DRSP containing OC on bleeding pattern and to investigate the compliance with daily pill intake when the investigational product is provided in a blister package or a compliance aiding dispenser with a pill reminder function. The third treatment arm will be a reference comparator arm of a standard 24+4 regimen of the identical hormone combination.
Interventions
Day 1-120: 0.02 mg EE as ß-CDC / 3 mg DRSP (1 tablet/day); up to 120-day treatment period followed by a 4-day tablet-free interval
Day 1-120: 0.02 mg EE as ß-CDC / 3 mg DRSP / 0.451 mg levomefolate calcium (1 tablet/day) up to 120-day treatment period followed by a 4-day tablet-free interval
Day 1-24: 0.02 mg EE as ß-CDC / 3 mg DRSP / 0.451 mg levomefolate calcium per tablet (1 tablet/day) Day 25-28: tablets with 0.451 mg levomefolate calcium (1 tablet/day)
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy female volunteers between 18 and 35 years of age (smokers up to 30 years, inclusive) who request contraceptive protection
Exclusion criteria
* Pregnancy or lactation (less than 3 months since delivery, abortion, or lactation before start of treatment) * Body mass index (BMI) \>/= 30.0 kg/m2 * Presence or a history of venous or arterial thrombotic/thromboembolic events * Repeated measurements of systolic blood pressure \> 140 mmHg and/or diastolic blood pressure \> 90 mmHg * Presence or history of liver tumors (benign or malignant), severe hepatic disease, jaundice and/or pruritus related to cholestasis, cholestatic jaundice associated with pregnancy or previous combined oral contraceptive (COC) use * Uncontrolled diabetes mellitus and/or diabetes mellitus with vascular involvement * Severe dyslipoproteinemia * Malignant or premalignant disease * Uncontrolled thyroid disorder * Chronic inflammatory bowel disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of bleeding days | Approximately 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Difference in the number of missed tablets between Arms A and B | Approximately 1 year |
| Bleeding pattern and cycle control parameters | Approximately 1 year |
| Number of cycles per subject | Approximately 1 year |