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Study of the Use of a Contraceptive Vaginal Ring (NuvaRing) in Normal Daily Practice in Indian Women (P07733)

Contraceptive Vaginal Ring Releasing Etonogestrel and Ethinylestradiol (NuvaRing): Cycle Control, Acceptability and Tolerability Study in Indian Women

Status
Completed
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01490190
Enrollment
252
Registered
2011-12-12
Start date
2011-12-26
Completion date
2012-12-05
Last updated
2024-05-24

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

Conditions

Contraception

Brief summary

This study will collect information on cycle control, acceptability and tolerability of the vaginal contraceptive ring (NuvaRing) as used in normal daily practice by Indian women.

Interventions

DRUGEthinylestradiol + Etonogestrel Vaginal Ring (NuvaRing)

Three cycles of NuvaRing use, each cycle consisting of etonogestrel 0.120 mg and ethinylestradiol 0.015 mg over a period of 21 days followed by 7 ring-free days.

Sponsors

Organon and Co
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Women at risk of pregnancy and seeking contraception

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants Who Would Recommend Vaginal Ring to OthersUp to 84 days (three 28-day cycles)Participants were asked at follow-up visits after every cycle whether they would recommend NuvaRing to other women, and their answers were reported.
Frequency of Partner Objecting to Vaginal Ring UseUp to 84 days (three 28-day cycles)Participants were asked if their partners objected to their using the NuvaRing during intercourse and to characterize the frequency of their partners' objections as one of the following: never, rarely, occasionally, mostly, or always. The number of participants who responded to each category was reported.
Participants' Overall Satisfaction With Vaginal RingUp to 84 days (three 28-day cycles)Participants were asked to characterize their overall satisfaction with the NuvaRing as one of the following: very satisfied, satisfied, neutral, unsatisfied, or very unsatisfied. The number of participants who responded to each category was reported.
Number of Participants Who Plan to Continue Using Vaginal RingUp to 84 days (three 28-day cycles)Participants were asked at follow-up visits after every cycle whether they planned to continue using NuvaRing, and their answers were recorded.
Number of Participants With Regular Menstrual CyclesUp to 84 days (three 28-day cycles)The number of participants who experienced regular menstrual bleeding patterns throughout the period of NuvaRing use. Bleeding patterns were to be characterized by particpants as regular or irregular.
Average Number of Bleeding Days Per CycleUp to 84 days (three 28-day cycles)Mean duration of menstruation, per day, per cycle, during the study period.
Average Number of Pads Used Per Day, Per Cycle, During Menstruation While Using RingUp to 84 days (three 28-day cycles)Intensity of menstruation, as indicated by the median number of pads used per day by participants during each cycle of NuvaRing use.
Number of Participants With Intermenstrual Bleeding/SpottingUp to 84 days (three 28-day cycles)Number of participants who experienced vaginal bleeding, which includes BLEEDING or SPOTTING, at any time during a cycle other than normal menstruation while in the study. Vaginal bleeding that required \>=2 pads per day was classified as BLEEDING. Vaginal bleeding that required \<=1 pad per day was classified as SPOTTING.
Number of Bleeding Days Per CycleUp to 84 days (three 28-day cycles)Intermenstrual vaginal bleeding that required \>=2 pads per day was classified as BLEEDING.
Number of Spotting Days Per CycleUp to 84 days (three 28-day cycles)Intermenstrual vaginal bleeding that required \<=1 pad per day was classified as SPOTTING.
Participants' Assessment of Ease of Insertion of Vaginal RingUp to 84 days (three 28-day cycles)Participants were asked to classify their ability to insert the NuvaRing as very easy, easy, neutral, difficult, very difficult, or failed. The number of participants who responded to each category was reported.
Participants' Assessment of Ease of Removal of Vaginal RingUp to 84 days (three 28-day cycles)Participants were asked to classify their ability to remove the NuvaRing as very easy, easy, neutral, difficult, very difficult, or failed. The number of participants who responded to each category was reported.
Participants' Assessment of Feeling Vaginal Ring at Any TimeUp to 84 days (three 28-day cycles)Participants were asked to assess whether they could feel the NuvaRing at any time and to characterize how often as one of the following: never, rarely, occasionally, mostly, or always. The number of participants who responded to each category was reported.
Participants' Assessment of Feeling Vaginal Ring During IntercourseUp to 84 days (three 28-day cycles)Participants were asked to assess whether they could feel the NuvaRing during intercourse and to characterize how often as one the following: never, rarely, occasionally, mostly, or always. The number of participants who responded to each category was reported.
Frequency of Partner Feeling Vaginal Ring During IntercourseUp to 84 days (three 28-day cycles)Participants were asked if their partners could feel the NuvaRing during intercourse and to characterize their partners' experience as one of the following: never, rarely, occasionally, mostly, or always. The number of participants who responded to each category was reported.

Secondary

MeasureTime frameDescription
Number of Participants Who Reported at Least One Adverse Event During the StudyUp to 84 days (three 28-day cycles)An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product, biologic, or medical device, which does not necessarily have a causal relationship with the treatment.
Number of Participants Who Reported a Serious Adverse Event During the StudyUp to 84 days (three 28-day cycles)A serious adverse event is any adverse drug or biologic or device experience that results in death, a life-threatening adverse event, persistent or significant disability or incapacity; requires in-patient hospitalization, or prolonged hospitalization; or causes a congenital anomaly or birth defect.
Number of Pregnancies Due to Contraceptive Method Failure During the StudyUp to 84 days (three 28-day cycles)For participants with suspected pregnancy during in-treatment period, pregnancy was to be confirmed by hCG qualitative analysis using strip and/or other test(s) at the discretion of the treating physician.

Participant flow

Participants by arm

ArmCount
NuvaRing: Safety Population
Safety Population, which included all participants who met inclusion and exclusion criteria and who inserted NuvaRing at least once during the study period.
252
Total252

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event17
Overall StudyInconvenience1
Overall StudyLost to Follow-up13
Overall StudyProtocol Violation5
Overall StudyRelocation1
Overall StudyRing expulsion2
Overall StudyWithdrawal by Subject9

Baseline characteristics

CharacteristicNuvaRing: Safety Population
Age, Continuous29.5 Years
STANDARD_DEVIATION 5.32
Sex: Female, Male
Female
252 Participants
Sex: Female, Male
Male
0 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
โ€” / โ€”
other
Total, other adverse events
13 / 252
serious
Total, serious adverse events
0 / 252

Outcome results

Primary

Average Number of Bleeding Days Per Cycle

Mean duration of menstruation, per day, per cycle, during the study period.

Time frame: Up to 84 days (three 28-day cycles)

Population: Per Protocol Population, which included all participants who completed the study as per protocol. Of the total Per Protocol Population (N = 204), data for this outcome measure were missing for 3 partcipants in the first cycle, 1 participant in the second cycle, and 1 participant in the third cycle.

ArmMeasureGroupValue (MEAN)Dispersion
NuvaRingAverage Number of Bleeding Days Per CycleThird cycle (N = 203)3.6 DaysStandard Deviation 0.98
NuvaRingAverage Number of Bleeding Days Per CycleFirst cycle (N = 201)3.8 DaysStandard Deviation 1.24
NuvaRingAverage Number of Bleeding Days Per CycleSecond cycle (N = 203)3.7 DaysStandard Deviation 1.13
Primary

Average Number of Pads Used Per Day, Per Cycle, During Menstruation While Using Ring

Intensity of menstruation, as indicated by the median number of pads used per day by participants during each cycle of NuvaRing use.

Time frame: Up to 84 days (three 28-day cycles)

Population: Per Protocol Population, which included all participants who completed the study as per protocol. Of the total Per Protocol Population (N = 204), data for this outcome measure were missing for 3 partcipants in the first cycle, 1 participant in the second cycle, and 1 participant in the third cycle.

ArmMeasureGroupValue (MEDIAN)
NuvaRingAverage Number of Pads Used Per Day, Per Cycle, During Menstruation While Using RingFirst cycle (N = 201)2 Pads
NuvaRingAverage Number of Pads Used Per Day, Per Cycle, During Menstruation While Using RingSecond cycle (N = 203)2 Pads
NuvaRingAverage Number of Pads Used Per Day, Per Cycle, During Menstruation While Using RingThird cycle (N = 203)2 Pads
Primary

Frequency of Partner Feeling Vaginal Ring During Intercourse

Participants were asked if their partners could feel the NuvaRing during intercourse and to characterize their partners' experience as one of the following: never, rarely, occasionally, mostly, or always. The number of participants who responded to each category was reported.

Time frame: Up to 84 days (three 28-day cycles)

Population: Per Protocol Population, which included all participants who completed the study as per protocol.

ArmMeasureGroupValue (NUMBER)
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseFirst cycle: Never88 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseFirst cycle: Rarely75 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseFirst cycle: Occasionally34 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseFirst cycle: Mostly5 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseFirst cycle: Always2 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseSecond cycle: Never112 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseSecond cycle: Rarely65 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseSecond cycle: Occasionally23 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseSecond cycle: Mostly3 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseSecond cycle: Always1 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseThird cycle: Never121 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseThird cycle: Rarely69 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseThird cycle: Occasionally10 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseThird cycle: Mostly3 Participants
NuvaRingFrequency of Partner Feeling Vaginal Ring During IntercourseThird cycle: Always1 Participants
Primary

Frequency of Partner Objecting to Vaginal Ring Use

Participants were asked if their partners objected to their using the NuvaRing during intercourse and to characterize the frequency of their partners' objections as one of the following: never, rarely, occasionally, mostly, or always. The number of participants who responded to each category was reported.

Time frame: Up to 84 days (three 28-day cycles)

Population: Per Protocol Population, which included all participants who completed the study as per protocol.

ArmMeasureGroupValue (NUMBER)
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseFirst cycle: Never129 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseFirst cycle: Rarely70 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseFirst cycle: Occasionally4 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseFirst cycle: Mostly1 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseFirst cycle: Always0 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseSecond cycle: Never143 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseSecond cycle: Rarely55 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseSecond cycle: Occasionally5 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseSecond cycle: Mostly1 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseSecond cycle: Always0 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseThird cycle: Never153 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseThird cycle: Rarely45 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseThird cycle: Occasionally3 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseThird cycle: Mostly3 Participants
NuvaRingFrequency of Partner Objecting to Vaginal Ring UseThird cycle: Always0 Participants
Primary

Number of Bleeding Days Per Cycle

Intermenstrual vaginal bleeding that required \>=2 pads per day was classified as BLEEDING.

Time frame: Up to 84 days (three 28-day cycles)

Population: One participant in Per Protocol Population who experienced vaginal bleeding was evaluated for duration of bleeding.

ArmMeasureGroupValue (MEAN)Dispersion
NuvaRingNumber of Bleeding Days Per CycleFirst cycle4 DaysStandard Deviation 0
NuvaRingNumber of Bleeding Days Per CycleSecond cycle0 DaysStandard Deviation 0
NuvaRingNumber of Bleeding Days Per CycleThird cycle0 DaysStandard Deviation 0
Primary

Number of Participants Who Plan to Continue Using Vaginal Ring

Participants were asked at follow-up visits after every cycle whether they planned to continue using NuvaRing, and their answers were recorded.

Time frame: Up to 84 days (three 28-day cycles)

Population: Safety Population, which included all participants who met inclusion and exclusion criteria and who inserted NuvaRing at least once during the study period.

ArmMeasureGroupValue (NUMBER)
NuvaRingNumber of Participants Who Plan to Continue Using Vaginal RingFirst cycle (N = 252): Yes216 Participants
NuvaRingNumber of Participants Who Plan to Continue Using Vaginal RingFirst cycle (N = 252): No9 Participants
NuvaRingNumber of Participants Who Plan to Continue Using Vaginal RingFirst cycle (N = 252): Missing data27 Participants
NuvaRingNumber of Participants Who Plan to Continue Using Vaginal RingSecond cycle (N = 213): Yes205 Participants
NuvaRingNumber of Participants Who Plan to Continue Using Vaginal RingSecond cycle (N = 213): No5 Participants
NuvaRingNumber of Participants Who Plan to Continue Using Vaginal RingSecond cycle (N = 213): Missing data3 Participants
NuvaRingNumber of Participants Who Plan to Continue Using Vaginal RingThird cycle (N = 207): Yes159 Participants
NuvaRingNumber of Participants Who Plan to Continue Using Vaginal RingThird cycle (N = 207): No47 Participants
NuvaRingNumber of Participants Who Plan to Continue Using Vaginal RingThird cycle (N = 207): Missing data1 Participants
Primary

Number of Participants Who Would Recommend Vaginal Ring to Others

Participants were asked at follow-up visits after every cycle whether they would recommend NuvaRing to other women, and their answers were reported.

Time frame: Up to 84 days (three 28-day cycles)

Population: Safety Population, which included all participants who met inclusion and exclusion criteria and who inserted NuvaRing at least once during the study period.

ArmMeasureGroupValue (NUMBER)
NuvaRingNumber of Participants Who Would Recommend Vaginal Ring to OthersFirst cycle (N = 252): Yes208 Participants
NuvaRingNumber of Participants Who Would Recommend Vaginal Ring to OthersFirst cycle (N = 252): No16 Participants
NuvaRingNumber of Participants Who Would Recommend Vaginal Ring to OthersFirst cycle (N = 252): Missing data28 Participants
NuvaRingNumber of Participants Who Would Recommend Vaginal Ring to OthersSecond cycle (N = 213): Yes197 Participants
NuvaRingNumber of Participants Who Would Recommend Vaginal Ring to OthersSecond cycle (N = 213): No13 Participants
NuvaRingNumber of Participants Who Would Recommend Vaginal Ring to OthersSecond cycle (N = 213): Missing data3 Participants
NuvaRingNumber of Participants Who Would Recommend Vaginal Ring to OthersThird cycle (N = 207): Yes193 Participants
NuvaRingNumber of Participants Who Would Recommend Vaginal Ring to OthersThird cycle (N = 207): No13 Participants
NuvaRingNumber of Participants Who Would Recommend Vaginal Ring to OthersThird cycle (N = 207): Missing data1 Participants
Primary

Number of Participants With Intermenstrual Bleeding/Spotting

Number of participants who experienced vaginal bleeding, which includes BLEEDING or SPOTTING, at any time during a cycle other than normal menstruation while in the study. Vaginal bleeding that required \>=2 pads per day was classified as BLEEDING. Vaginal bleeding that required \<=1 pad per day was classified as SPOTTING.

Time frame: Up to 84 days (three 28-day cycles)

Population: Per Protocol Population, which included all participants who completed the study as per protocol.

ArmMeasureGroupValue (NUMBER)
NuvaRingNumber of Participants With Intermenstrual Bleeding/SpottingFirst cycle: Total bleeding/spotting5 Participants
NuvaRingNumber of Participants With Intermenstrual Bleeding/SpottingFirst cycle: Bleeding1 Participants
NuvaRingNumber of Participants With Intermenstrual Bleeding/SpottingFirst cycle: Spotting4 Participants
NuvaRingNumber of Participants With Intermenstrual Bleeding/SpottingSecond cycle: Total bleeding/spotting0 Participants
NuvaRingNumber of Participants With Intermenstrual Bleeding/SpottingSecond cycle: Bleeding0 Participants
NuvaRingNumber of Participants With Intermenstrual Bleeding/SpottingSecond cycle: Spotting0 Participants
NuvaRingNumber of Participants With Intermenstrual Bleeding/SpottingThird cycle: Total bleeding/spotting1 Participants
NuvaRingNumber of Participants With Intermenstrual Bleeding/SpottingThird cycle: Bleeding0 Participants
NuvaRingNumber of Participants With Intermenstrual Bleeding/SpottingThird cycle: Spotting1 Participants
Primary

Number of Participants With Regular Menstrual Cycles

The number of participants who experienced regular menstrual bleeding patterns throughout the period of NuvaRing use. Bleeding patterns were to be characterized by particpants as regular or irregular.

Time frame: Up to 84 days (three 28-day cycles)

Population: Per Protocol Population, which included all participants who completed the study as per protocol.

ArmMeasureGroupValue (NUMBER)
NuvaRingNumber of Participants With Regular Menstrual CyclesFirst cycle: Regular192 Participants
NuvaRingNumber of Participants With Regular Menstrual CyclesFirst cycle: Irregular9 Participants
NuvaRingNumber of Participants With Regular Menstrual CyclesFirst cycle: Missing data3 Participants
NuvaRingNumber of Participants With Regular Menstrual CyclesSecond cycle: Regular199 Participants
NuvaRingNumber of Participants With Regular Menstrual CyclesSecond cycle: Irregular4 Participants
NuvaRingNumber of Participants With Regular Menstrual CyclesSecond cycle: Missing data1 Participants
NuvaRingNumber of Participants With Regular Menstrual CyclesThird cycle: Regular200 Participants
NuvaRingNumber of Participants With Regular Menstrual CyclesThird cycle: Irregular3 Participants
NuvaRingNumber of Participants With Regular Menstrual CyclesThird cycle: Missing data1 Participants
Primary

Number of Spotting Days Per Cycle

Intermenstrual vaginal bleeding that required \<=1 pad per day was classified as SPOTTING.

Time frame: Up to 84 days (three 28-day cycles)

Population: Participants in the Per Protocol Population who experienced spotting were evaluated for duration of spotting.

ArmMeasureGroupValue (MEAN)Dispersion
NuvaRingNumber of Spotting Days Per CycleFirst cycle (N = 4)5.5 DaysStandard Deviation 4.2
NuvaRingNumber of Spotting Days Per CycleSecond cycle (N = 0)0 DaysStandard Deviation 0
NuvaRingNumber of Spotting Days Per CycleThird cycle (N = 1)3 DaysStandard Deviation 0
Primary

Participants' Assessment of Ease of Insertion of Vaginal Ring

Participants were asked to classify their ability to insert the NuvaRing as very easy, easy, neutral, difficult, very difficult, or failed. The number of participants who responded to each category was reported.

Time frame: Up to 84 days (three 28-day cycles)

Population: Per Protocol Population, which included all participants who completed the study as per protocol.

ArmMeasureGroupValue (NUMBER)
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingFirst cycle: Very easy59 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingFirst cycle: Easy82 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingFirst cycle: Neutral59 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingFirst cycle: Difficult4 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingFirst cycle: Very difficult0 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingFirst cycle: Failed0 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingSecond cycle: Very easy73 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingSecond cycle: Easy105 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingSecond cycle: Neutral20 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingSecond cycle: Difficult6 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingSecond cycle: Very difficult0 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingSecond cycle: Failed0 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingThird cycle: Very easy78 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingThird cycle: Easy113 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingThird cycle: Neutral12 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingThird cycle: Difficult1 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingThird cycle: Very difficult0 Participants
NuvaRingParticipants' Assessment of Ease of Insertion of Vaginal RingThird cycle: Failed0 Participants
Primary

Participants' Assessment of Ease of Removal of Vaginal Ring

Participants were asked to classify their ability to remove the NuvaRing as very easy, easy, neutral, difficult, very difficult, or failed. The number of participants who responded to each category was reported.

Time frame: Up to 84 days (three 28-day cycles)

Population: Per Protocol Population, which included all participants who completed the study as per protocol.

ArmMeasureGroupValue (NUMBER)
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingFirst cycle: Very easy70 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingFirst cycle: Easy128 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingFirst cycle: Neutral6 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingFirst cycle: Difficult0 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingFirst cycle: Very difficult0 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingFirst cycle: Failed0 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingSecond cycle: Very easy81 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingSecond cycle: Easy119 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingThird cycle: Difficult1 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingSecond cycle: Neutral4 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingSecond cycle: Difficult0 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingSecond cycle: Very difficult0 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingSecond cycle: Failed0 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingThird cycle: Very easy88 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingThird cycle: Easy113 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingThird cycle: Neutral2 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingThird cycle: Very different0 Participants
NuvaRingParticipants' Assessment of Ease of Removal of Vaginal RingThird cycle: Failed0 Participants
Primary

Participants' Assessment of Feeling Vaginal Ring at Any Time

Participants were asked to assess whether they could feel the NuvaRing at any time and to characterize how often as one of the following: never, rarely, occasionally, mostly, or always. The number of participants who responded to each category was reported.

Time frame: Up to 84 days (three 28-day cycles)

Population: Per Protocol Population, which included all participants who completed the study as per protocol.

ArmMeasureGroupValue (NUMBER)
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeFirst cycle: Never87 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeFirst cycle: Rarely89 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeFirst cycle: Occasionally25 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeFirst cycle: Always2 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeSecond cycle: Never107 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeSecond cycle: Rarely86 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeSecond cycle: Occasionally8 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeSecond cycle: Mostly2 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeSecond cycle: Always1 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeThird cycle: Never117 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeThird cycle: Rarely79 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeThird cycle: Occasionally5 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeThird cycle: Mostly3 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeThird cycle: Always0 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring at Any TimeFirst cycle: Mostly1 Participants
Primary

Participants' Assessment of Feeling Vaginal Ring During Intercourse

Participants were asked to assess whether they could feel the NuvaRing during intercourse and to characterize how often as one the following: never, rarely, occasionally, mostly, or always. The number of participants who responded to each category was reported.

Time frame: Up to 84 days (three 28-day cycles)

Population: Per Protocol Population, which included all participants who completed the study as per protocol.

ArmMeasureGroupValue (NUMBER)
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseFirst cycle: Never85 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseFirst cycle: Rarely81 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseFirst cycle: Occasionally33 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseFirst cycle: Mostly3 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseFirst cycle: Always2 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseSecond cycle: Never100 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseSecond cycle: Rarely82 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseSecond cycle: Occasionally21 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseSecond cycle: Mostly0 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseSecond cycle: Always1 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseThird cycle: Never125 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseThird cycle: Rarely69 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseThird cycle: Occasionally9 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseThird cycle: Mostly0 Participants
NuvaRingParticipants' Assessment of Feeling Vaginal Ring During IntercourseThird cycle: Always1 Participants
Primary

Participants' Overall Satisfaction With Vaginal Ring

Participants were asked to characterize their overall satisfaction with the NuvaRing as one of the following: very satisfied, satisfied, neutral, unsatisfied, or very unsatisfied. The number of participants who responded to each category was reported.

Time frame: Up to 84 days (three 28-day cycles)

Population: Safety Population, which included all participants who met inclusion and exclusion criteria and who inserted NuvaRing at least once during the study period.

ArmMeasureGroupValue (NUMBER)
NuvaRingParticipants' Overall Satisfaction With Vaginal RingFirst cycle (N = 252): Very satisfied68 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingFirst cycle (N = 252): Satisfied119 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingFirst cycle (N = 252): Neutral28 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingFirst cycle (N = 252): Unsatisfied9 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingFirst cycle (N = 252): Very unsatisfied1 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingFirst cycle (N = 252): Missing data27 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingSecond cycle (N = 213): Very satisfied82 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingSecond cycle (N = 213): Satisfied112 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingSecond cycle(N = 213): Neutral15 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingSecond cycle (N = 213): Unsatisfied1 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingSecond cycle (N = 213): Very unsatisfied0 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingSecond cycle (N = 213): Missing data3 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingThird cycle (N = 207): Very satisfied88 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingThird cycle (N = 207): Satisfied107 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingThird cycle (N = 207): Neutral9 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingThird cycle (N = 207): Unsatisfied1 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingThird cycle (N = 207): Very unsatisfied1 Participants
NuvaRingParticipants' Overall Satisfaction With Vaginal RingThird cycle (N = 207): Missing data1 Participants
Secondary

Number of Participants Who Reported a Serious Adverse Event During the Study

A serious adverse event is any adverse drug or biologic or device experience that results in death, a life-threatening adverse event, persistent or significant disability or incapacity; requires in-patient hospitalization, or prolonged hospitalization; or causes a congenital anomaly or birth defect.

Time frame: Up to 84 days (three 28-day cycles)

Population: Safety Population, which included all participants who met inclusion and exclusion criteria and who inserted NuvaRing at least once during the study period.

ArmMeasureValue (NUMBER)
NuvaRingNumber of Participants Who Reported a Serious Adverse Event During the Study0 Participants
Secondary

Number of Participants Who Reported at Least One Adverse Event During the Study

An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product, biologic, or medical device, which does not necessarily have a causal relationship with the treatment.

Time frame: Up to 84 days (three 28-day cycles)

Population: Safety Population, which included all participants who met inclusion and exclusion criteria and who inserted NuvaRing at least once during the study period.

ArmMeasureValue (NUMBER)
NuvaRingNumber of Participants Who Reported at Least One Adverse Event During the Study47 Participants
Secondary

Number of Pregnancies Due to Contraceptive Method Failure During the Study

For participants with suspected pregnancy during in-treatment period, pregnancy was to be confirmed by hCG qualitative analysis using strip and/or other test(s) at the discretion of the treating physician.

Time frame: Up to 84 days (three 28-day cycles)

Population: Safety Population, which included all participants who met inclusion and exclusion criteria and who inserted NuvaRing at least once during the study period.

ArmMeasureGroupValue (NUMBER)
NuvaRingNumber of Pregnancies Due to Contraceptive Method Failure During the StudyFirst cycle (N = 252): Yes0 Pregnancies
NuvaRingNumber of Pregnancies Due to Contraceptive Method Failure During the StudyFirst cycle (N = 252): No226 Pregnancies
NuvaRingNumber of Pregnancies Due to Contraceptive Method Failure During the StudyFirst cycle (N = 252): Missing data26 Pregnancies
NuvaRingNumber of Pregnancies Due to Contraceptive Method Failure During the StudySecond cycle (N = 213): Yes0 Pregnancies
NuvaRingNumber of Pregnancies Due to Contraceptive Method Failure During the StudySecond cycle (N = 213): No210 Pregnancies
NuvaRingNumber of Pregnancies Due to Contraceptive Method Failure During the StudySecond cycle (N = 213): Missing data3 Pregnancies
NuvaRingNumber of Pregnancies Due to Contraceptive Method Failure During the StudyThird cycle (N = 207): Yes0 Pregnancies
NuvaRingNumber of Pregnancies Due to Contraceptive Method Failure During the StudyThird cycle (N = 207): No207 Pregnancies
NuvaRingNumber of Pregnancies Due to Contraceptive Method Failure During the StudyThird cycle (N = 207): Missing data0 Pregnancies

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