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A Study of Oral Contraception Under Simulated OTC Conditions

A Multi-Center Oral Contraceptive Pill Use Trial Conducted In an OTC Naturalistic Environment (OPTION)

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03559010
Acronym
OPTION
Enrollment
189
Registered
2018-06-15
Start date
2018-04-27
Completion date
2018-11-14
Last updated
2022-04-04

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

Conditions

Contraception

Keywords

Daily birth control

Brief summary

This study is designed to assess whether consumers select and use norgestrel 0.075 mg, a progestin only pill for contraception, in a manner consistent with the OTC package directions in an Over-the-Counter (OTC)-like setting.

Detailed description

Subjects will be primarily recruited via passive recruiting methods, such as in-store posters, direct mail postcards, and digital space advertising. Respondents to advertisements will either call Clinical Research Organization (CRO) call center or visit the study website for initial screening (during which data regarding age, gender, and minimal study exclusion criteria will be collected) and scheduling of an in-person enrollment visit at a local participating research site. During the face-to-face enrollment visit, potential subjects who meet the inclusion and exclusion criteria for the study will be given an (empty) study medication package and will be allowed as much time as they need to review the information on the outside of the entire package. Subjects will then be asked if the product is OK or not OK for them to use. Qualified subjects then will be allowed to purchase (pharmacy sites) or be given (clinic sites) the study product. Approximately 47 sites will be used, comprising retail pharmacy research sites and women's health clinics or adolescents' clinics.

Interventions

All subjects enrolled in the use phase of this open-label study will be given the opportunity to purchase and take one Norgestrel 0.075 mg tablet daily up to 16 weeks. Subjects will use the investigational product based on their understanding of the directions on the outer packaging called the Drug Facts Label and information inside the product packaging called the Consumer Information Leaflet.

Sponsors

HRA Pharma
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE

Eligibility

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

Inclusion criteria

-Women who are willing purchase (in the pharmacies) or be provided (in the clinics) oral contraception for their own use for the purposes of the study

Exclusion criteria

* Cannot read, speak and understand English * Cannot see well enough to read information on the label

Design outcomes

Primary

MeasureTime frameDescription
Self-selectionDay OneProportion of self-selection population who make a correct selection decision regarding use of the product Study prematuraly discontinued No Self-selection endpoint calculations were made.
Actual Use: Use of the Study Medication Every DayUp to 16 weeksMeasurement tool: electronic diary Study prematurely discontinued No Actual Use primary Endpoint calculations were made
Actual Use: Use of the Study Medication at the Same Time of DayUp to 16 weeksMeasurement tool: electronic diary Study prematurely discontinued No Actual Use endpoint calculations were made.
Actual Use: Use of the Study Medication Without an Extended Break or Any Break Between PacksUp to 16 weeksMeasurement tool: electronic diary Study prematurely discontinued No Actual Use endpoint calculations were made

Secondary

MeasureTime frameDescription
Proportion of User Population Who Experience One of the Talk to a Doctor Conditions Listed Within the When Using This Product or Stop Use and Ask a Doctor SectionsUp to 16 weeksProportion of user population who experience one of the Talk to a doctor conditions listed within the When using this product or Stop use and ask a doctor sections Measurement tool: phone interview Study prematurely discontinued No User endpoint calculations were made.
Actual Use: Proportion of User Population Who do Not Use Study Medication Together With Another Form of Hormone-containing Birth Control.Up to 16 weeksProportion of user population who do not use study medication together with another form of hormone-containing birth control. Measurement tool: electronic diary Study prematurely discontinued No Actual Use endpoint calculations were made
Safety Population: Number of Pregnancies Reported During the Course of the StudyUp to 16 weeksNumber of pregnancies reported during the course of the study Measurement tool: phone interview
Actual Use: Proportion of User Population Who Report Using a Barrier Method of Contraception (or Abstaining From Intercourse) for the First 48 Hours After Starting to Use the Study MedicationUp to 16 weeksProportion of user population who report using a barrier method of contraception (or abstaining from intercourse) for the first 48 hours after starting to use the study medication Measurement tool: electronic diary Study prematurely discontinued No Actual Use endpoint calculations were made
Proportion of Self-selection Population Taking One of the Ask a Doctor or Pharmacist Before Use Products Who do Not Select, Who Select But do Not Use, or Who Report Contacting a Healthcare Provider or Pharmacist About Use of the ProductUp to 16 weeksProportion of self-selection population taking one of the ask a doctor or pharmacist before use products who do not select, who select but do not use, or who report contacting a healthcare provider Measurement tool: phone interview Study prematurely discontinued No Self-selection endpoint calculations were made
Proportion of Self-selection Population Who Report Having Liver Problems Who Either do Not Select ,Who Select But do Not Use, or Who Report Contacting a Healthcare Provider About Use of the Product.Up to 16 weeksProportion of self-selection population who report having liver problems who either do not select ,who select but do not use, or who report contacting a healthcare provider about use of the product. Measurement tool: phone interview Study prematurely discontinued No Self-selection endpoint calculations were made.

Countries

United States

Participant flow

Pre-assignment details

Self-selection population: participants who accept the invitation to participate and meet study inclusion criteria, participate in a face-to-face interview at the study site, make a self-selection decision, and provide responses to all relevant medical history questions. Purchaser Population: responders who meet study enrollment criteria and purchase/obtain the study medication. Use Phase Norgestrel 0.075 mg: subjects who take at least one dose of study medication during the study.

Participants by arm

ArmCount
All Participants
Males or females at least 12 years of age who presented at a pharmacy study site in response to advertising or who presented to a clinic site seeking an oral contraceptive could be enrolled in the Self-Selection population of the study. The total number of subjects enrolled is 189. Out of the 189 subjects, 113 were included in the Purchaser population. And in 113 subjects included in Purchaser Population, 109 were in Use Phase (Users).
189
Total189

Baseline characteristics

CharacteristicAll Participants
Age, Continuous
All participants
29.0 years
Ethnicity (NIH/OMB)
All participants
Hispanic or Latino
31 Participants
Ethnicity (NIH/OMB)
All participants
Not Hispanic or Latino
156 Participants
Ethnicity (NIH/OMB)
All participants
Unknown or Not Reported
2 Participants
Literacy using REALM test pr REALM Teen test
Litercay Unknown
1 Participants
Literacy using REALM test pr REALM Teen test
Low Literacy
21 Participants
Literacy using REALM test pr REALM Teen test
Normal Literacy
167 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
7 Participants
Race (NIH/OMB)
Black or African American
43 Participants
Race (NIH/OMB)
More than one race
16 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants
Race (NIH/OMB)
White
117 Participants
Region of Enrollment
United States
189 Participants
Sex: Female, Male
All participants
Female
188 Participants
Sex: Female, Male
All participants
Male
1 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 116
other
Total, other adverse events
28 / 116
serious
Total, serious adverse events
4 / 116

Outcome results

Primary

Actual Use: Use of the Study Medication at the Same Time of Day

Measurement tool: electronic diary Study prematurely discontinued No Actual Use endpoint calculations were made.

Time frame: Up to 16 weeks

Population: the clinical trial was terminated before data are collected. No endpoints calculations were made.

Primary

Actual Use: Use of the Study Medication Every Day

Measurement tool: electronic diary Study prematurely discontinued No Actual Use primary Endpoint calculations were made

Time frame: Up to 16 weeks

Population: the clinical trial was terminated before data are collected. No endpoints calculations were made.

Primary

Actual Use: Use of the Study Medication Without an Extended Break or Any Break Between Packs

Measurement tool: electronic diary Study prematurely discontinued No Actual Use endpoint calculations were made

Time frame: Up to 16 weeks

Population: the clinical trial was terminated before data are collected. No endpoints calculations were made.

Primary

Self-selection

Proportion of self-selection population who make a correct selection decision regarding use of the product Study prematuraly discontinued No Self-selection endpoint calculations were made.

Time frame: Day One

Population: The clinical trial was terminated before data are collected. No Endpoints calculations were made

Secondary

Actual Use: Proportion of User Population Who do Not Use Study Medication Together With Another Form of Hormone-containing Birth Control.

Proportion of user population who do not use study medication together with another form of hormone-containing birth control. Measurement tool: electronic diary Study prematurely discontinued No Actual Use endpoint calculations were made

Time frame: Up to 16 weeks

Population: the clinical trial was terminated before data are collected. No endpoints calculations were made.

Secondary

Actual Use: Proportion of User Population Who Report Using a Barrier Method of Contraception (or Abstaining From Intercourse) for the First 48 Hours After Starting to Use the Study Medication

Proportion of user population who report using a barrier method of contraception (or abstaining from intercourse) for the first 48 hours after starting to use the study medication Measurement tool: electronic diary Study prematurely discontinued No Actual Use endpoint calculations were made

Time frame: Up to 16 weeks

Population: the clinical trial was terminated before data are collected. No endpoints calculations were made.

Secondary

Proportion of Self-selection Population Taking One of the Ask a Doctor or Pharmacist Before Use Products Who do Not Select, Who Select But do Not Use, or Who Report Contacting a Healthcare Provider or Pharmacist About Use of the Product

Proportion of self-selection population taking one of the ask a doctor or pharmacist before use products who do not select, who select but do not use, or who report contacting a healthcare provider Measurement tool: phone interview Study prematurely discontinued No Self-selection endpoint calculations were made

Time frame: Up to 16 weeks

Population: the clinical trial was terminated before data are collected. No endpoints calculations were made.

Secondary

Proportion of Self-selection Population Who Report Having Liver Problems Who Either do Not Select ,Who Select But do Not Use, or Who Report Contacting a Healthcare Provider About Use of the Product.

Proportion of self-selection population who report having liver problems who either do not select ,who select but do not use, or who report contacting a healthcare provider about use of the product. Measurement tool: phone interview Study prematurely discontinued No Self-selection endpoint calculations were made.

Time frame: Up to 16 weeks

Population: the clinical trial was terminated before data are collected. No endpoints calculations were made.

Secondary

Proportion of User Population Who Experience One of the Talk to a Doctor Conditions Listed Within the When Using This Product or Stop Use and Ask a Doctor Sections

Proportion of user population who experience one of the Talk to a doctor conditions listed within the When using this product or Stop use and ask a doctor sections Measurement tool: phone interview Study prematurely discontinued No User endpoint calculations were made.

Time frame: Up to 16 weeks

Population: the clinical trial was terminated before data are collected. No endpoints calculations were made.

Secondary

Safety Population: Number of Pregnancies Reported During the Course of the Study

Number of pregnancies reported during the course of the study Measurement tool: phone interview

Time frame: Up to 16 weeks

Population: Arms are combined in the safety population. The safety population included 116 subjects who provided informed consent, 113 of whom purchased the IP and entered the use phase of the study.

ArmMeasureValue (NUMBER)
Self Selection PopulationSafety Population: Number of Pregnancies Reported During the Course of the Study1 participants

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