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Adherence With Continuous-dose Oral Contraceptive: Evaluation of Self-Selection and Use

Adherence With Continuous-dose Oral Contraceptive: Evaluation of Self-Selection and Use (ACCESS)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04112095
Acronym
ACCESS
Enrollment
962
Registered
2019-10-02
Start date
2019-09-06
Completion date
2021-08-05
Last updated
2022-05-20

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 the study phone line or visit the study website for prescreening 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 obtain (pharmacy sites) or be given (clinic sites) the study product. Approximately 35 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 24 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

Intervention model description

Drug: Norgestrel 0.075 mg tablets 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 24 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.

Eligibility

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

Inclusion criteria

* Women who are willing to purchase (in the pharmacies) or be provided (in the clinics, for women younger than 18 years old) 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-Selection: Proportion of self-selection population who make a correct selection decision regarding use of the product.One DayMeasurement tool: interview
Actual Use: Proportion of Active Use Study Days on which a subject reported taking the product.Up to 24 WeeksMeasurement tool: electronic diary
Actual Use: Proportion of subjects who are adherent to daily dosing instructions.Up to 24 WeeksMeasurement tool: electronic diary
Actual Use: Proportion of Active Use Study Days on which a subject reported taking the product at the same time of the day.Up to 24 WeeksMeasurement tool: electronic diary

Secondary

MeasureTime frameDescription
Actual Use: Actual Use: Proportion of packs transitions without any missed pills between packs.Up to 24 WeeksMeasurement tool: electronic diary
Actual Use: Proportion of user population who do not use study medication together with another form of hormone containing birth control.Up to 24 WeeksMeasurement tool: phone interview and electronic diary
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.Two DaysMeasurement tool: electronic diary
Self-Select/Use: Proportion of self-select population taking products listed in the ask a doctor or pharmacist before use section of the label who do not select, who select but do not use, or who report contacting a HCP on product use.Up to 24 WeeksMeasurement tool: phone interview
Actual Use: Proportion of user population who become pregnant during the course of the study who report stopping use and seeking healthcare as directed by the label.Up to 24 WeeksMeasurement tool: phone interview
Actual Use: Proportion of user population who develop sudden or severe pain in their lower belly during the course of the study who report seeking healthcare as directed by the label.Up to 24 WeeksMeasurement tool: phone interview
Self-Selection: Proportion of self-selection population who are inappropriate for use who make a correct decision regarding non-selection of the product.One DayMeasurement tool: interview
Actual Use: Proportion of user population who experience periods that last more than 8 days or are unusually heavy during the course of the study who report seeking healthcare as directed by the label or who stop use.Up to 24 WeeksMeasurement tool: phone interview
Actual Use: Proportion of user population who experience repeated vaginal bleeding brought on by sex during the course of the study who report seeking healthcare as directed by the label or who stop use.Up to 24 WeeksMeasurement tool: phone interview
Actual Use: Proportion of user population who start having migraines with aura or whose migraines get worse during the course of the study who report seeking healthcare as directed by the label or who stop use.Up to 24 WeeksMeasurement tool: phone interview
Actual Use: Proportion of user population who develop yellowing of the skin or whites of the eyes during the course of the study who report seeking healthcare as directed by the label.Up to 24 WeeksMeasurement tool: phone interview
Actual Use: Number of pregnancies reported during the course of the study that occur while taking the product.Up to 24 WeeksMeasurement tool: phone interview
Use: Proportion of users having a late period after missing any pills in the last month, not having a period for 2 months during the course of the study who report doing a pregnancy test or seeking healthcare as directed by the label or who stop use.Up to 24 WeeksMeasurement tool: phone interview
Actual Use: Proportion of Active Use Study Days on which a subject reported taking the product, accounting for appropriate mitigating behaviors.Up to 24 WeeksMeasurement tool: electronic diary
Actual Use: Proportion of subjects who are adherent to daily dosing instructions, accounting for appropriate mitigating behaviors.Up to 24 WeeksMeasurement tool: electronic diary
Actual Use: Proportion of Active Use Study Days on which a subject reported taking the product within 27 hours of the previous dose, accounting for appropriate mitigating behaviors.Up to 24 WeeksMeasurement tool: electronic diary

Countries

United States

Outcome results

None listed

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