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Treatment Regimen in Menstrual Cycle Regularization and Persistence in Routine Clinical Practice in Russia, Ukraine, Kazakhstan and Uzbekistan

A Post-Marketing, Prospective, Multicenter, Observational Program: Treatment Regimen in Menstrual Cycle Regularization and Persistence in Routine Clinical Practice in Russia, Ukraine, Kazakhstan and Uzbekistan

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01711216
Enrollment
999
Registered
2012-10-22
Start date
2012-08-31
Completion date
2014-08-31
Last updated
2015-12-22

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

Conditions

Irregular Menstrual Cycle

Keywords

Dydrogesterone, Irregular Menstrual Cycle, Progestins

Brief summary

Dydrogesterone is approved in more than 100 countries including Russia, Ukraine, Kazakhstan and Uzbekistan and widely used for the treatment of progesterone deficiencies such as for management of dysmenorrhea, endometriosis, secondary amenorrhea, irregular cycles, dysfunctional uterine bleeding, pre-menstrual syndrome, threatened and habitual miscarriage, infertility due to luteal insufficiency, as well as part of hormone replacement therapy. There are limited data regarding dydrogesterone's role in achieving cycle regularization from post-marketing settings. There is need to assess the persistence of dydrogesterone therapy in a post-marketing setting after cessation of treatment and whether the persistence, if any, is related to the duration of dydrogesterone therapy. Hence, in this observational program, the goal is to observe the possible implications of such treatment in terms of treatment length and response pattern.

Detailed description

The program is designed as a prospective, multicentre, observational, non-interventional, non-randomized, non-controlled, single arm, post-marketing program. Being an observational program, the assignment of patients to dydrogesterone therapy will not be decided with an intention to include patients in the program, but will be guided as per standard clinical practice of the treating physician. Hence the prescribing of dydrogesterone will be clearly separate from the decision to include patients in this program. All dydrogesterone prescriptions will be made in accordance with locally approved package insert for dydrogesterone.

Interventions

None listed

Sponsors

Abbott
Lead SponsorINDUSTRY

Study design

Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
No

Inclusion criteria

* Women aged 18-40 years * Irregular menstrual cycle due to progesterone deficiency for at least 3 months * Dydrogesterone prescribed in accordance with locally approved package insert * Signed written authorization to provide data for the program

Exclusion criteria

* Known hypersensitivity to the active ingredient or excipients * Known or suspected progesterone-dependent neoplasms * Vaginal bleeding of unknown etiology * Administration of oral contraceptives * Any other condition that precludes use of dydrogesterone in a particular patient, in accordance with the contraindication, precautions and special warnings listed in the locally approve package insert (for example, patients with rare hereditary problems of galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption)

Design outcomes

Primary

MeasureTime frame
Number of Patients Received Dydrogesterone Therapy Cycles (by Cycle Number)up to 6 months
Number of Patients With Regular Menstrual Cycles During Follow-up (by Number of Cycles)up to 6 months

Secondary

MeasureTime frameDescription
Proportion of Patients Reporting at Least One Regular Cycle Over the Treatment PeriodUp to 6 monthsRegular cycle is defined as cycle duration between 21 to 35 days, inclusive. Treatment period in this observational program can be from 1 cycle to 6 consecutive cycles. This program does not include patients who required dydrogesterone therapy, according to physician's decision, more than 6 consecutive cycles
Change of Cycle Duration From Baseline to End of Treatment in Days in Group of Patients With PolymenorrheaFrom 1 month to 6 monthsPolymenorrhea was defined as cycle duration \< 21 days and the change in duration of the menstrual cycle during treatment was evaluated
Change of Cycle Duration From Baseline to End of Treatment in Days in Group of Patients With OligomenorrheaFrom 1 month to 6 monthsOligomenorrhea is defined as cycle duration \> 35 days and the change in duration of the menstrual cycle during treatment was evaluated
Change of Duration of Menstrual Bleeding in Group of Patients With PolymenorrheaFrom 1 month to 6 monthsPolymenorrhea is defined as cycle duration \< 21 days and the duration of menstrual bleeding was evaluated from baseline to end of treatment in days
Change of Duration of Menstrual Bleeding in Group of Patients With OligomenorrheaFrom 1 month to 6 monthsOligomenorrhea is defined as cycle duration \> 35 days and the duration of menstrual bleeding was evaluated from baseline to end of treatment in days
Change of Pain Intensity During Menstruation From Baseline to End of TreatmentFrom 1 month to 6 monthsPain intensity will be measured using 11-point Likert scale where 0 means no pain and 10 means worst pain
Change of Intensity of Anxiety From Baseline to the End of TreatmentFrom 1 month to 6 monthsIntensity of anxiety will be measured using 11-point scale where 0 means no anxiety and 10 means maximum anxiety
Patient Satisfaction With the TreatmentUp to 6 monthsPatient satisfaction will be determined based on a 5-point Clinical Global Impression of Severity scale, where 1 = very dissatisfied, 2 = dissatisfied, 3 = somewhat satisfied, 4 = satisfied, 5 = very satisfied.
Overall Clinical Response on Treatment Assessed by PhysicianUp to 6 monthsOverall clinical response assessed by physician will be determined based on a four-point-scale, where 4 = excellent, 3 = good, 2 = fair, and 1 = poor response.
Proportion of Patients With 3 Consecutive Regular Cycles Out of Total Number of Patients Who Had Achieved Cycle Regularization at the End of Treatment PeriodUp to 9 monthsMeasured only for patients who had achieved cycle regularization at the end of treatment period. Regular cycle is defined as cycle duration 21-35 days, inclusive
Proportion of Patients With 6 Consecutive Regular Cycles Out of Total Number of Patients Who Had Achieved Cycle Regularization at the End of Treatment PeriodUp to 12 monthsMeasured only for patients who had achieved cycle regularization at the end of treatment period. Regular cycle is defined as cycle duration 21-35 days, inclusive
Change of Duration of Menstrual Bleeding in Days in Group of Patients With PolymenorrheaFrom 1 month to 12 monthsMeasured only for patients who had achieved cycle regularization at the end of treatment period. Polymenorrhea is defined as cycle duration \< 21 days
Change of Duration of Menstrual Bleeding in Days in Group of Patients With OligomenorrheaFrom 1 month to 12 monthsMeasured only for patients who had achieved cycle regularization at the end of treatment period. Oligomenorrhea is defined as cycle duration \> 35 days
Change of Pain Intensity During MenstruationFrom 1 month to 12 monthsMeasured only for patients who had achieved cycle regularization at the end of treatment period. Pain intensity will be measured using 11-point Likert scale where 0 means no pain and 10 means worst pain
Change of Intensity of AnxietyFrom 1 month to 12 monthsWill be measured only for patients who had achieved cycle regularization at the end of treatment period. Intensity of anxiety will be measured using 11-point scale where 0 means no anxiety and 10 means maximum anxiety
Time to RelapseUp to 6 months or longer after ended treatmentThe intention was to measure time to relapse, but since a regular cycle was maintained longer than the period of follow up observation, no resulting variable counted in time was received. Instead, what was measured was the percentage of participants who maintained a regular cycle. Measured only for patients who had achieved cycle regularization at the end of treatment period.

Countries

Kazakhstan, Russia, Ukraine, Uzbekistan

Participant flow

Pre-assignment details

A total of 1000 patients were screened. 1 Patient failed screening and 999 were enrolled into the program.

Participants by arm

ArmCount
Women Received Dydrogesterone for Irregular Menstrual Cycle
Adult women received dydrogesterone for irregular menstrual cycle as per standard clinical practice of the treating physician
955
Total955

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event4
Overall StudyLost to Follow-up46
Overall Studyno reason specified22
Overall StudyPregnancy56
Overall Studyvariety of other minor reasons83
Overall StudyWithdrawal by Subject6

Baseline characteristics

CharacteristicWomen Received Dydrogesterone for Irregular Menstrual Cycle
Age, Continuous28.3 years
STANDARD_DEVIATION 5.8
Region of Enrollment
Kazakhstan
129 participants
Region of Enrollment
Russian Federation
382 participants
Region of Enrollment
Ukraine
284 participants
Region of Enrollment
Uzbekistan
160 participants
Sex: Female, Male
Female
955 Participants
Sex: Female, Male
Male
0 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
— / —
other
Total, other adverse events
14 / 986
serious
Total, serious adverse events
2 / 986

Outcome results

Primary

Number of Patients Received Dydrogesterone Therapy Cycles (by Cycle Number)

Time frame: up to 6 months

Population: Follow-up analysis set 915 patients. Follow-up Analysis Set (subset of FAS): Patients in the FAS for whom the last reported menstrual cycle during the treatment period was regular. Data for 55 patients was missing. Therefore, 860 patients were analyzed.

ArmMeasureGroupValue (NUMBER)
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients Received Dydrogesterone Therapy Cycles (by Cycle Number)1 therapy cycle1 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients Received Dydrogesterone Therapy Cycles (by Cycle Number)2 therapy cycles4 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients Received Dydrogesterone Therapy Cycles (by Cycle Number)3 therapy cycles269 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients Received Dydrogesterone Therapy Cycles (by Cycle Number)4 therapy cycles66 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients Received Dydrogesterone Therapy Cycles (by Cycle Number)5 therapy cycles53 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients Received Dydrogesterone Therapy Cycles (by Cycle Number)6 therapy cycles467 participants
Primary

Number of Patients With Regular Menstrual Cycles During Follow-up (by Number of Cycles)

Time frame: up to 6 months

Population: Follow-up analysis set 915 patients. Follow-up Analysis Set (subset of FAS): Patients in the FAS for whom the last reported menstrual cycle during the treatment period was regular. Data for 55 patients was missing. Therefore, 860 patients were analyzed.

ArmMeasureGroupValue (NUMBER)
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients With Regular Menstrual Cycles During Follow-up (by Number of Cycles)0 regular cycles6 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients With Regular Menstrual Cycles During Follow-up (by Number of Cycles)1 regular cycle32 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients With Regular Menstrual Cycles During Follow-up (by Number of Cycles)2 regular cycles31 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients With Regular Menstrual Cycles During Follow-up (by Number of Cycles)3 regular cycles29 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients With Regular Menstrual Cycles During Follow-up (by Number of Cycles)4 regular cycles26 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients With Regular Menstrual Cycles During Follow-up (by Number of Cycles)5 regular cycles56 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients With Regular Menstrual Cycles During Follow-up (by Number of Cycles)6 regular cycles545 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients With Regular Menstrual Cycles During Follow-up (by Number of Cycles)7 regular cycles84 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients With Regular Menstrual Cycles During Follow-up (by Number of Cycles)8 regular cycles40 participants
Women Received Dydrogesterone for Irregular Menstrual CycleNumber of Patients With Regular Menstrual Cycles During Follow-up (by Number of Cycles)9 regular cycles11 participants
Comparison: Test of association between the number of regular menstrual cycles during the follow-up period and the number of dydrogesterone therapy cycles received during the treatment period (Follow-up Analysis Set) Follow-up Analysis Set (N=915)p-value: 0.3181Mantel Haenszel
Secondary

Change of Cycle Duration From Baseline to End of Treatment in Days in Group of Patients With Oligomenorrhea

Oligomenorrhea is defined as cycle duration \> 35 days and the change in duration of the menstrual cycle during treatment was evaluated

Time frame: From 1 month to 6 months

Population: Full Analysis Set (FAS): All eligible patients who received at least 1 dose of program drug and at most 6 treatment cycles. Patients with oligomenorrhoea in FAS

ArmMeasureValue (MEAN)Dispersion
Women Received Dydrogesterone for Irregular Menstrual CycleChange of Cycle Duration From Baseline to End of Treatment in Days in Group of Patients With Oligomenorrhea-15.7 daysStandard Deviation 19.8
Secondary

Change of Cycle Duration From Baseline to End of Treatment in Days in Group of Patients With Polymenorrhea

Polymenorrhea was defined as cycle duration \< 21 days and the change in duration of the menstrual cycle during treatment was evaluated

Time frame: From 1 month to 6 months

Population: Full Analysis Set (FAS): All eligible patients who received at least 1 dose of program drug and at most 6 treatment cycles. Patients with polymenorrhoea in FAS

ArmMeasureValue (MEAN)Dispersion
Women Received Dydrogesterone for Irregular Menstrual CycleChange of Cycle Duration From Baseline to End of Treatment in Days in Group of Patients With Polymenorrhea4.9 daysStandard Deviation 5.9
Secondary

Change of Duration of Menstrual Bleeding in Days in Group of Patients With Oligomenorrhea

Measured only for patients who had achieved cycle regularization at the end of treatment period. Oligomenorrhea is defined as cycle duration \> 35 days

Time frame: From 1 month to 12 months

Population: Follow-up Analysis Set (subset of FAS): Patients in the FAS for whom the last reported menstrual cycle during the treatment period was regular. Patients with oligomenorrhea in subset of FAS.

ArmMeasureValue (MEAN)Dispersion
Women Received Dydrogesterone for Irregular Menstrual CycleChange of Duration of Menstrual Bleeding in Days in Group of Patients With Oligomenorrhea0.1 daysStandard Deviation 1.1
Secondary

Change of Duration of Menstrual Bleeding in Days in Group of Patients With Polymenorrhea

Measured only for patients who had achieved cycle regularization at the end of treatment period. Polymenorrhea is defined as cycle duration \< 21 days

Time frame: From 1 month to 12 months

Population: Follow-up Analysis Set (subset of FAS): Patients in the FAS for whom the last reported menstrual cycle during the treatment period was regular. Patients with polymenorrhea in subset of FAS.

ArmMeasureValue (MEAN)Dispersion
Women Received Dydrogesterone for Irregular Menstrual CycleChange of Duration of Menstrual Bleeding in Days in Group of Patients With Polymenorrhea-0.0 daysStandard Deviation 1.2
Secondary

Change of Duration of Menstrual Bleeding in Group of Patients With Oligomenorrhea

Oligomenorrhea is defined as cycle duration \> 35 days and the duration of menstrual bleeding was evaluated from baseline to end of treatment in days

Time frame: From 1 month to 6 months

Population: Full Analysis Set (FAS): All eligible patients who received at least 1 dose of program drug and at most 6 treatment cycles. Patients with oligomenorrhoea in FAS

ArmMeasureValue (MEAN)Dispersion
Women Received Dydrogesterone for Irregular Menstrual CycleChange of Duration of Menstrual Bleeding in Group of Patients With Oligomenorrhea-1.4 daysStandard Deviation 2
Secondary

Change of Duration of Menstrual Bleeding in Group of Patients With Polymenorrhea

Polymenorrhea is defined as cycle duration \< 21 days and the duration of menstrual bleeding was evaluated from baseline to end of treatment in days

Time frame: From 1 month to 6 months

Population: Full Analysis Set (FAS): All eligible patients who received at least 1 dose of program drug and at most 6 treatment cycles. Patients with polymenorrhoea in FAS

ArmMeasureValue (MEAN)Dispersion
Women Received Dydrogesterone for Irregular Menstrual CycleChange of Duration of Menstrual Bleeding in Group of Patients With Polymenorrhea-1.7 daysStandard Deviation 2.5
Secondary

Change of Intensity of Anxiety

Will be measured only for patients who had achieved cycle regularization at the end of treatment period. Intensity of anxiety will be measured using 11-point scale where 0 means no anxiety and 10 means maximum anxiety

Time frame: From 1 month to 12 months

Population: Follow-up Analysis Set (subset of FAS): Patients in the FAS for whom the last reported menstrual cycle during the treatment period was regular. Data for 55 patients was missing.

ArmMeasureValue (MEAN)Dispersion
Women Received Dydrogesterone for Irregular Menstrual CycleChange of Intensity of Anxiety-0.1 units on a scaleStandard Deviation 1.7
Secondary

Change of Intensity of Anxiety From Baseline to the End of Treatment

Intensity of anxiety will be measured using 11-point scale where 0 means no anxiety and 10 means maximum anxiety

Time frame: From 1 month to 6 months

Population: Full Analysis Set (FAS): All eligible patients who received at least 1 dose of program drug and at most 6 treatment cycles. Data for 51 patients missing.

ArmMeasureValue (MEAN)Dispersion
Women Received Dydrogesterone for Irregular Menstrual CycleChange of Intensity of Anxiety From Baseline to the End of Treatment-2.7 units on a scaleStandard Deviation 2.8
Secondary

Change of Pain Intensity During Menstruation

Measured only for patients who had achieved cycle regularization at the end of treatment period. Pain intensity will be measured using 11-point Likert scale where 0 means no pain and 10 means worst pain

Time frame: From 1 month to 12 months

Population: Follow-up Analysis Set (subset of FAS): Patients in the FAS for whom the last reported menstrual cycle during the treatment period was regular. Data for 55 patients was missing.

ArmMeasureValue (MEAN)Dispersion
Women Received Dydrogesterone for Irregular Menstrual CycleChange of Pain Intensity During Menstruation-0.3 units on a scaleStandard Deviation 1.8
Secondary

Change of Pain Intensity During Menstruation From Baseline to End of Treatment

Pain intensity will be measured using 11-point Likert scale where 0 means no pain and 10 means worst pain

Time frame: From 1 month to 6 months

Population: Full Analysis Set (FAS): All eligible patients who received at least 1 dose of program drug and at most 6 treatment cycles. Data from 39 patients missing

ArmMeasureValue (MEAN)Dispersion
Women Received Dydrogesterone for Irregular Menstrual CycleChange of Pain Intensity During Menstruation From Baseline to End of Treatment-2.8 units on a scaleStandard Deviation 2.8
Secondary

Overall Clinical Response on Treatment Assessed by Physician

Overall clinical response assessed by physician will be determined based on a four-point-scale, where 4 = excellent, 3 = good, 2 = fair, and 1 = poor response.

Time frame: Up to 6 months

Population: Full Analysis Set (FAS): 955 patients. All eligible patients who received at least 1 dose of program drug and at most 6 treatment cycles. Data for 36 patients were missing. Therefore, 919 patients were analyzed.

ArmMeasureGroupValue (NUMBER)
Women Received Dydrogesterone for Irregular Menstrual CycleOverall Clinical Response on Treatment Assessed by Physicianexcellent320 participants
Women Received Dydrogesterone for Irregular Menstrual CycleOverall Clinical Response on Treatment Assessed by Physiciangood499 participants
Women Received Dydrogesterone for Irregular Menstrual CycleOverall Clinical Response on Treatment Assessed by Physicianfair90 participants
Women Received Dydrogesterone for Irregular Menstrual CycleOverall Clinical Response on Treatment Assessed by Physicianpoor10 participants
Secondary

Patient Satisfaction With the Treatment

Patient satisfaction will be determined based on a 5-point Clinical Global Impression of Severity scale, where 1 = very dissatisfied, 2 = dissatisfied, 3 = somewhat satisfied, 4 = satisfied, 5 = very satisfied.

Time frame: Up to 6 months

Population: Full Analysis Set (FAS): 955 patients. All eligible patients who received at least 1 dose of program drug and at most 6 treatment cycles. Data for 36 patients were missing. Therefore, 919 patients were analyzed.

ArmMeasureGroupValue (NUMBER)
Women Received Dydrogesterone for Irregular Menstrual CyclePatient Satisfaction With the TreatmentVery satisfied288 participants
Women Received Dydrogesterone for Irregular Menstrual CyclePatient Satisfaction With the Treatmentsatisfied568 participants
Women Received Dydrogesterone for Irregular Menstrual CyclePatient Satisfaction With the Treatmentsomewhat satisfied55 participants
Women Received Dydrogesterone for Irregular Menstrual CyclePatient Satisfaction With the Treatmentdissatisfied7 participants
Women Received Dydrogesterone for Irregular Menstrual CyclePatient Satisfaction With the Treatmentvery dissatisfied1 participants
Secondary

Proportion of Patients Reporting at Least One Regular Cycle Over the Treatment Period

Regular cycle is defined as cycle duration between 21 to 35 days, inclusive. Treatment period in this observational program can be from 1 cycle to 6 consecutive cycles. This program does not include patients who required dydrogesterone therapy, according to physician's decision, more than 6 consecutive cycles

Time frame: Up to 6 months

Population: Full Analysis Set (FAS): All eligible patients who received at least 1 dose of program drug and at most 6 treatment cycles

ArmMeasureValue (NUMBER)
Women Received Dydrogesterone for Irregular Menstrual CycleProportion of Patients Reporting at Least One Regular Cycle Over the Treatment Period99.1 percentage of subjects
Secondary

Proportion of Patients With 3 Consecutive Regular Cycles Out of Total Number of Patients Who Had Achieved Cycle Regularization at the End of Treatment Period

Measured only for patients who had achieved cycle regularization at the end of treatment period. Regular cycle is defined as cycle duration 21-35 days, inclusive

Time frame: Up to 9 months

Population: Follow-up Analysis Set (subset of FAS): Patients in the FAS for whom the last reported menstrual cycle during the treatment period was regular. Data for 55 patients was missing.

ArmMeasureGroupValue (NUMBER)
Women Received Dydrogesterone for Irregular Menstrual CycleProportion of Patients With 3 Consecutive Regular Cycles Out of Total Number of Patients Who Had Achieved Cycle Regularization at the End of Treatment Periodyes91.7 percentage of subjects
Women Received Dydrogesterone for Irregular Menstrual CycleProportion of Patients With 3 Consecutive Regular Cycles Out of Total Number of Patients Who Had Achieved Cycle Regularization at the End of Treatment Periodno8.3 percentage of subjects
Secondary

Proportion of Patients With 6 Consecutive Regular Cycles Out of Total Number of Patients Who Had Achieved Cycle Regularization at the End of Treatment Period

Measured only for patients who had achieved cycle regularization at the end of treatment period. Regular cycle is defined as cycle duration 21-35 days, inclusive

Time frame: Up to 12 months

Population: Follow-up Analysis Set (subset of FAS): Patients in the FAS for whom the last reported menstrual cycle during the treatment period was regular. Data for 55 patients was missing.

ArmMeasureGroupValue (NUMBER)
Women Received Dydrogesterone for Irregular Menstrual CycleProportion of Patients With 6 Consecutive Regular Cycles Out of Total Number of Patients Who Had Achieved Cycle Regularization at the End of Treatment Periodyes78.5 percentage of subjects
Women Received Dydrogesterone for Irregular Menstrual CycleProportion of Patients With 6 Consecutive Regular Cycles Out of Total Number of Patients Who Had Achieved Cycle Regularization at the End of Treatment Periodno21.5 percentage of subjects
Secondary

Time to Relapse

The intention was to measure time to relapse, but since a regular cycle was maintained longer than the period of follow up observation, no resulting variable counted in time was received. Instead, what was measured was the percentage of participants who maintained a regular cycle. Measured only for patients who had achieved cycle regularization at the end of treatment period.

Time frame: Up to 6 months or longer after ended treatment

Population: Follow-up Analysis Set (subset of FAS): Patients in the FAS for whom the last reported menstrual cycle during the treatment period was regular. Data for 55 patients was missing.~Among the patients who achieved cycle regularization (Follow-up Analysis Set), a majority (\>85%) maintained regular cycles for the whole follow-up period

ArmMeasureValue (NUMBER)
Women Received Dydrogesterone for Irregular Menstrual CycleTime to Relapse85 percentage of subjects

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