Trial Outcomes & Findings for A Study to Evaluate Bleeding Patterns With Three Different Doses of DR-1031 Compared to Seasonale (NCT NCT00394771)

NCT ID: NCT00394771

Last Updated: 2013-07-26

Results Overview

Bleeding is defined as a flow heavy enough to require sanitary protection. Spotting does not require sanitary protection.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

567 participants

Primary outcome timeframe

Day 1-84

Results posted on

2013-07-26

Participant Flow

A total of 988 subjects were screened for participation in this study, and 567 took at least one dose of investigational product (Safety population).

Participant milestones

Participant milestones
Measure
Low Dose DR-1031
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Overall Study
STARTED
140
136
143
148
Overall Study
Intent to Treat (ITT) Population
110
110
108
120
Overall Study
COMPLETED
99
102
96
109
Overall Study
NOT COMPLETED
41
34
47
39

Reasons for withdrawal

Reasons for withdrawal
Measure
Low Dose DR-1031
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Overall Study
Did not meet protocol requirements
1
0
2
0
Overall Study
Protocol Violation
2
4
9
7
Overall Study
Withdrawal by Subject
10
6
8
12
Overall Study
Adverse Event
10
5
12
8
Overall Study
Participant pregnant
0
1
2
2
Overall Study
Lost to Follow-up
15
15
13
10
Overall Study
Other
3
3
1
0

Baseline Characteristics

A Study to Evaluate Bleeding Patterns With Three Different Doses of DR-1031 Compared to Seasonale

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Low Dose DR-1031
n=110 Participants
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=110 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=108 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=120 Participants
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Total
n=448 Participants
Total of all reporting groups
Age Continuous
30.1 years
STANDARD_DEVIATION 6.88 • n=5 Participants
30.5 years
STANDARD_DEVIATION 7.02 • n=7 Participants
30.7 years
STANDARD_DEVIATION 7.61 • n=5 Participants
30.6 years
STANDARD_DEVIATION 6.90 • n=4 Participants
30.5 years
STANDARD_DEVIATION 7.08 • n=21 Participants
Sex: Female, Male
Female
110 Participants
n=5 Participants
110 Participants
n=7 Participants
108 Participants
n=5 Participants
120 Participants
n=4 Participants
448 Participants
n=21 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race/Ethnicity, Customized
African-American
21 participants
n=5 Participants
20 participants
n=7 Participants
18 participants
n=5 Participants
17 participants
n=4 Participants
76 participants
n=21 Participants
Race/Ethnicity, Customized
Asian
1 participants
n=5 Participants
4 participants
n=7 Participants
1 participants
n=5 Participants
3 participants
n=4 Participants
9 participants
n=21 Participants
Race/Ethnicity, Customized
Caucasian
72 participants
n=5 Participants
68 participants
n=7 Participants
69 participants
n=5 Participants
82 participants
n=4 Participants
291 participants
n=21 Participants
Race/Ethnicity, Customized
Hispanic
13 participants
n=5 Participants
17 participants
n=7 Participants
19 participants
n=5 Participants
16 participants
n=4 Participants
65 participants
n=21 Participants
Race/Ethnicity, Customized
Other
3 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
7 participants
n=21 Participants
Weight
156.6 lbs
STANDARD_DEVIATION 28.84 • n=5 Participants
153.6 lbs
STANDARD_DEVIATION 27.18 • n=7 Participants
156.0 lbs
STANDARD_DEVIATION 30.79 • n=5 Participants
151.9 lbs
STANDARD_DEVIATION 30.03 • n=4 Participants
154.4 lbs
STANDARD_DEVIATION 29.22 • n=21 Participants
Body Mass Index
26.6 kg/m^2
STANDARD_DEVIATION 4.13 • n=5 Participants
25.7 kg/m^2
STANDARD_DEVIATION 4.24 • n=7 Participants
26.0 kg/m^2
STANDARD_DEVIATION 4.59 • n=5 Participants
25.5 kg/m^2
STANDARD_DEVIATION 4.41 • n=4 Participants
25.9 kg/m^2
STANDARD_DEVIATION 4.35 • n=21 Participants
Systolic Blood Pressure
114.2 mmHg
STANDARD_DEVIATION 10.74 • n=5 Participants
114.4 mmHg
STANDARD_DEVIATION 10.34 • n=7 Participants
115.6 mmHg
STANDARD_DEVIATION 9.31 • n=5 Participants
112.8 mmHg
STANDARD_DEVIATION 10.23 • n=4 Participants
114.2 mmHg
STANDARD_DEVIATION 10.19 • n=21 Participants
Diastolic Blood Pressure
72.3 mmHg
STANDARD_DEVIATION 8.85 • n=5 Participants
72.9 mmHg
STANDARD_DEVIATION 7.46 • n=7 Participants
71.8 mmHg
STANDARD_DEVIATION 7.72 • n=5 Participants
71.4 mmHg
STANDARD_DEVIATION 8.44 • n=4 Participants
72.1 mmHg
STANDARD_DEVIATION 8.14 • n=21 Participants
Heart Rate
73.9 beats/minute
STANDARD_DEVIATION 9.85 • n=5 Participants
73.7 beats/minute
STANDARD_DEVIATION 8.90 • n=7 Participants
73.7 beats/minute
STANDARD_DEVIATION 9.17 • n=5 Participants
71.9 beats/minute
STANDARD_DEVIATION 9.07 • n=4 Participants
73.3 beats/minute
STANDARD_DEVIATION 9.26 • n=21 Participants
Smoking Status
Current Smoker
13 participants
n=5 Participants
16 participants
n=7 Participants
11 participants
n=5 Participants
11 participants
n=4 Participants
51 participants
n=21 Participants
Smoking Status
Past Smoker
20 participants
n=5 Participants
11 participants
n=7 Participants
12 participants
n=5 Participants
21 participants
n=4 Participants
64 participants
n=21 Participants
Smoking Status
Non-Smoker
77 participants
n=5 Participants
83 participants
n=7 Participants
85 participants
n=5 Participants
88 participants
n=4 Participants
333 participants
n=21 Participants
Oral Contraceptive Use History
Missing
1 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
1 participants
n=21 Participants
Oral Contraceptive Use History
Continuous User
44 participants
n=5 Participants
46 participants
n=7 Participants
42 participants
n=5 Participants
49 participants
n=4 Participants
181 participants
n=21 Participants
Oral Contraceptive Use History
Prior User
44 participants
n=5 Participants
45 participants
n=7 Participants
49 participants
n=5 Participants
52 participants
n=4 Participants
190 participants
n=21 Participants
Oral Contraceptive Use History
Fresh-Start
21 participants
n=5 Participants
19 participants
n=7 Participants
17 participants
n=5 Participants
19 participants
n=4 Participants
76 participants
n=21 Participants

PRIMARY outcome

Timeframe: Day 1-84

Population: Intent to treat (ITT) population of participants who completed the relevant pages in the patient diary.

Bleeding is defined as a flow heavy enough to require sanitary protection. Spotting does not require sanitary protection.

Outcome measures

Outcome measures
Measure
Low Dose DR-1031
n=110 Participants
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=110 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=108 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=120 Participants
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Days With Bleeding and/or Spotting During Active Cycle 1 (Day 1-84)
13 days
Interval 0.0 to 67.0
13.5 days
Interval 0.0 to 65.0
15 days
Interval 0.0 to 69.0
15 days
Interval 0.0 to 56.0

PRIMARY outcome

Timeframe: Day 92-176

Population: Intent to treat (ITT) population of participants who were still active in the study and who completed the relevant pages in the patient diary.

Bleeding is defined as a flow heavy enough to require sanitary protection. Spotting does not require sanitary protection.

Outcome measures

Outcome measures
Measure
Low Dose DR-1031
n=109 Participants
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=108 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=107 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=120 Participants
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Days With Bleeding and/or Spotting During Active Cycle 2 (Day 92-176)
6 days
Interval 0.0 to 74.0
7 days
Interval 0.0 to 70.0
5 days
Interval 0.0 to 74.0
6 days
Interval 0.0 to 55.0

SECONDARY outcome

Timeframe: Day 1-84

Population: Intent to treat (ITT) population of participants who completed the relevant pages in the patient diary.

Bleeding is defined as a flow heavy enough to require sanitary protection.

Outcome measures

Outcome measures
Measure
Low Dose DR-1031
n=110 Participants
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=110 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=108 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=120 Participants
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Days With Bleeding During Active Cycle 1 (Day 1-84)
3.5 days
Interval 0.0 to 24.0
2.5 days
Interval 0.0 to 49.0
4 days
Interval 0.0 to 47.0
2 days
Interval 0.0 to 24.0

SECONDARY outcome

Timeframe: Day 92-176

Population: Intent to treat (ITT) population of participants who were still active in the study and who completed the relevant pages in the patient diary.

Bleeding is defined as a flow heavy enough to require sanitary protection.

Outcome measures

Outcome measures
Measure
Low Dose DR-1031
n=109 Participants
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=108 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=107 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=120 Participants
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Days With Bleeding During Active Cycle 2 (Day 92-176)
1 days
Interval 0.0 to 24.0
2 days
Interval 0.0 to 49.0
1 days
Interval 0.0 to 27.0
2 days
Interval 0.0 to 23.0

SECONDARY outcome

Timeframe: Day 1-84

Population: ITT population. However this data was not summarized due to limitations in the diary data.

Time to first bleeding day was defined as the time between the start of intervention until the first day when bleeding was heavy enough to require the use of sanitary protection. Data are not summarized due to limitations in the diary data and an inability to accurately determine a participant's first day of bleeding.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 1-84

Population: ITT population. However data was not summarized due to limitations in the diary data.

Bleeding is defined as a flow heavy enough to require sanitary protection. Participants recorded in the diary days when they had bleeding, and whether they considered the bleeding to be light, moderate or heavy. Data was not summarized due to limitations in the diary data, and an inability to accurately determine the maximum bleeding severity. See pre-specified analyses for Number of Moderate to Heavy Bleeding Days.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Day 85-91

Population: Intent to treat (ITT) population of participants who completed the relevant pages in the patient diary.

Participants are categorized by the duration of bleeding that occurred during the scheduled 7-day withdrawal period for Cycle 1.

Outcome measures

Outcome measures
Measure
Low Dose DR-1031
n=109 Participants
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=108 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=106 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=120 Participants
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Participants With Bleeding and/or Spotting Days During the 7-day Withdrawal During Cycle 1 (Day 85-91)
0 day
14 participants
28 participants
25 participants
27 participants
Participants With Bleeding and/or Spotting Days During the 7-day Withdrawal During Cycle 1 (Day 85-91)
1-3 days
36 participants
17 participants
27 participants
18 participants
Participants With Bleeding and/or Spotting Days During the 7-day Withdrawal During Cycle 1 (Day 85-91)
4-7 days
59 participants
63 participants
54 participants
75 participants

SECONDARY outcome

Timeframe: Day 177-183

Population: Intent to treat (ITT) population of participants who were still active in the study and who completed the relevant pages in the patient diary.

Participants are categorized by the duration of bleeding that occurred during the scheduled 7-day withdrawal period for Cycle 2.

Outcome measures

Outcome measures
Measure
Low Dose DR-1031
n=97 Participants
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=96 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=94 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=105 Participants
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Participants With Bleeding and/or Spotting Days During the 7-day Withdrawal During Cycle 2 (Day 177-183)
0 day
15 participants
20 participants
23 participants
21 participants
Participants With Bleeding and/or Spotting Days During the 7-day Withdrawal During Cycle 2 (Day 177-183)
1-3 days
32 participants
32 participants
26 participants
24 participants
Participants With Bleeding and/or Spotting Days During the 7-day Withdrawal During Cycle 2 (Day 177-183)
4-7 days
50 participants
44 participants
45 participants
60 participants

SECONDARY outcome

Timeframe: Day 1-84

Population: Intent to treat (ITT) population of participants who completed the relevant pages in the patient diary.

Hormone-related symptoms include breast tenderness/pain, headache, bloating, pelvic pain, anxiety, depression, and irritability.

Outcome measures

Outcome measures
Measure
Low Dose DR-1031
n=110 Participants
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=110 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=108 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=120 Participants
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Participants Reporting Hormone-Related Symptoms During Active Cycle 1 (Day 1-84)
Breast tenderness/pain
58 participants
57 participants
50 participants
64 participants
Participants Reporting Hormone-Related Symptoms During Active Cycle 1 (Day 1-84)
Headache
83 participants
84 participants
86 participants
92 participants
Participants Reporting Hormone-Related Symptoms During Active Cycle 1 (Day 1-84)
Bloating
80 participants
76 participants
72 participants
84 participants
Participants Reporting Hormone-Related Symptoms During Active Cycle 1 (Day 1-84)
Pelvic pain
72 participants
65 participants
61 participants
67 participants
Participants Reporting Hormone-Related Symptoms During Active Cycle 1 (Day 1-84)
Anxiety
42 participants
43 participants
34 participants
59 participants
Participants Reporting Hormone-Related Symptoms During Active Cycle 1 (Day 1-84)
Depression
51 participants
40 participants
36 participants
52 participants
Participants Reporting Hormone-Related Symptoms During Active Cycle 1 (Day 1-84)
Irritability
72 participants
69 participants
66 participants
78 participants

SECONDARY outcome

Timeframe: Day 92-176

Population: Intent to treat (ITT) population of participants who were still active in the study and who completed the relevant pages in the patient diary.

Hormone-related symptoms include breast tenderness/pain, headache, bloating, pelvic pain, anxiety, depression, and irritability.

Outcome measures

Outcome measures
Measure
Low Dose DR-1031
n=109 Participants
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=108 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=107 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=120 Participants
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Participants Reporting Hormone-Related Symptoms During Active Cycle 2 (Day 92-176)
Breast tenderness/pain
46 participants
47 participants
44 participants
44 participants
Participants Reporting Hormone-Related Symptoms During Active Cycle 2 (Day 92-176)
Headache
74 participants
72 participants
72 participants
78 participants
Participants Reporting Hormone-Related Symptoms During Active Cycle 2 (Day 92-176)
Bloating
64 participants
64 participants
57 participants
70 participants
Participants Reporting Hormone-Related Symptoms During Active Cycle 2 (Day 92-176)
Pelvic pain
58 participants
57 participants
45 participants
57 participants
Participants Reporting Hormone-Related Symptoms During Active Cycle 2 (Day 92-176)
Anxiety
40 participants
40 participants
31 participants
47 participants
Participants Reporting Hormone-Related Symptoms During Active Cycle 2 (Day 92-176)
Depression
41 participants
39 participants
30 participants
44 participants
Participants Reporting Hormone-Related Symptoms During Active Cycle 2 (Day 92-176)
Irritability
55 participants
63 participants
54 participants
65 participants

SECONDARY outcome

Timeframe: Day 85-91

Population: Intent to treat (ITT) population of participants who completed the relevant pages in the patient diary.

Hormone-related symptoms include breast tenderness/pain, headache, bloating, pelvic pain, anxiety, depression, and irritability.

Outcome measures

Outcome measures
Measure
Low Dose DR-1031
n=110 Participants
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=110 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=108 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=120 Participants
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 1 (Day 85-91)
Headache
57 participants
50 participants
57 participants
50 participants
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 1 (Day 85-91)
Bloating
61 participants
51 participants
46 participants
62 participants
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 1 (Day 85-91)
Pelvic pain
50 participants
49 participants
37 participants
53 participants
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 1 (Day 85-91)
Anxiety
26 participants
17 participants
14 participants
22 participants
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 1 (Day 85-91)
Depression
25 participants
21 participants
17 participants
23 participants
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 1 (Day 85-91)
Irritability
44 participants
43 participants
23 participants
36 participants
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 1 (Day 85-91)
Breast tenderness/pain
33 participants
28 participants
17 participants
33 participants

SECONDARY outcome

Timeframe: Day 177-183

Population: Intent to treat (ITT) population of participants who were still active in the study and who completed the relevant pages in the patient diary.

Hormone-related symptoms include breast tenderness/pain, headache, bloating, pelvic pain, anxiety, depression, and irritability.

Outcome measures

Outcome measures
Measure
Low Dose DR-1031
n=97 Participants
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=96 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=94 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=105 Participants
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 2 (Day 177-183)
Breast tenderness/pain
29 participants
25 participants
15 participants
25 participants
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 2 (Day 177-183)
Headache
39 participants
42 participants
37 participants
48 participants
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 2 (Day 177-183)
Bloating
51 participants
53 participants
38 participants
60 participants
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 2 (Day 177-183)
Pelvic pain
52 participants
42 participants
31 participants
51 participants
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 2 (Day 177-183)
Anxiety
21 participants
22 participants
13 participants
22 participants
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 2 (Day 177-183)
Depression
18 participants
21 participants
15 participants
17 participants
Participants Reporting Hormone-Related Symptoms During the 7-day Withdrawal Cycle 2 (Day 177-183)
Irritability
39 participants
37 participants
25 participants
39 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 1-84

Population: Intent to treat (ITT) population of participants who completed the relevant pages in the patient diary.

Bleeding is defined as a flow heavy enough to require sanitary protection. Participants recorded in the diary days when they had bleeding, and whether they considered the bleeding to be light, moderate or heavy.

Outcome measures

Outcome measures
Measure
Low Dose DR-1031
n=110 Participants
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=110 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=108 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=120 Participants
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Number of Moderate to Heavy Bleeding Days During Active Cycle 1 (Day 1-84)
0 days
Interval 0.0 to 12.0
0 days
Interval 0.0 to 19.0
0 days
Interval 0.0 to 16.0
0 days
Interval 0.0 to 21.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Day 92-176

Population: Intent to treat (ITT) population of participants who were still active in the study and who completed the relevant pages in the patient diary.

Bleeding is defined as a flow heavy enough to require sanitary protection. Participants recorded in the diary days when they had bleeding, and whether they considered the bleeding to be light, moderate or heavy.

Outcome measures

Outcome measures
Measure
Low Dose DR-1031
n=109 Participants
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=108 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=107 Participants
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=120 Participants
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Number of Moderate to Heavy Bleeding Days During Active Cycle 2 (Day 92-176)
0 days
Interval 0.0 to 11.0
0 days
Interval 0.0 to 13.0
0 days
Interval 0.0 to 8.0
0 days
Interval 0.0 to 7.0

Adverse Events

Low Dose DR-1031

Serious events: 1 serious events
Other events: 61 other events
Deaths: 0 deaths

Midrange Dose DR-1031

Serious events: 2 serious events
Other events: 44 other events
Deaths: 0 deaths

High Dose DR-1031

Serious events: 3 serious events
Other events: 49 other events
Deaths: 0 deaths

Seasonale

Serious events: 5 serious events
Other events: 53 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Low Dose DR-1031
n=140 participants at risk
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=136 participants at risk
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=143 participants at risk
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=148 participants at risk
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Gastrointestinal disorders
Small intestinal obstruction
0.00%
0/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.68%
1/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Gastrointestinal disorders
Vomiting
0.00%
0/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.68%
1/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Hepatobiliary disorders
Cholecystitis
0.00%
0/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.74%
1/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Infections and infestations
Pyelonephritis
0.00%
0/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.74%
1/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Injury, poisoning and procedural complications
Road traffic accident
0.00%
0/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
1.4%
2/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Injury, poisoning and procedural complications
Multiple fractures
0.00%
0/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.68%
1/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Injury, poisoning and procedural complications
Polytraumatism
0.00%
0/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.68%
1/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Injury, poisoning and procedural complications
Post procedural bile leak
0.00%
0/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.74%
1/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Musculoskeletal and connective tissue disorders
Intervertebral disc protrusion
0.00%
0/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.70%
1/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Nervous system disorders
Hemiparesis
0.71%
1/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Nervous system disorders
Hypoaesthesia
0.71%
1/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Pregnancy, puerperium and perinatal conditions
Ectopic pregnancy
0.00%
0/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.68%
1/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous
0.00%
0/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
1.4%
2/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.00%
0/148 • Day 1 up to Day 256 (longest treatment plus 14 days)

Other adverse events

Other adverse events
Measure
Low Dose DR-1031
n=140 participants at risk
42 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Midrange Dose DR-1031
n=136 participants at risk
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 42 days combination active tablets (25 mcg EE/ 150 mcg LNG) followed by 21 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
High Dose DR-1031
n=143 participants at risk
21 days combination active tablets (20 mcg EE /150 mcg LNG) followed by 21 days combination active tablets (25 mcg EE/150 mcg LNG) followed by 42 days combination active tablets (30 mcg EE/ 150 mcg LNG) followed by 7 days of 10 mcg EE tablets.
Seasonale
n=148 participants at risk
84 days of combination active tablets, each containing 30 mcg EE and 150 mcg LNG, followed by 7 days of placebo tablets.
Nervous system disorders
Headache
13.6%
19/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
14.0%
19/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
16.1%
23/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
12.8%
19/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Nervous system disorders
Migraine
1.4%
2/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
5.1%
7/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.70%
1/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
1.4%
2/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Infections and infestations
Nasopharyngitis
10.7%
15/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
5.1%
7/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
5.6%
8/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
5.4%
8/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Infections and infestations
Upper respiratory tract infection
6.4%
9/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
5.1%
7/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
3.5%
5/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
6.1%
9/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Infections and infestations
Sinusitis
7.1%
10/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
4.4%
6/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
1.4%
2/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
4.1%
6/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Infections and infestations
Urinary tract infection
5.7%
8/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
0.74%
1/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
3.5%
5/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
1.4%
2/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Reproductive system and breast disorders
Dysmenorrhoea
9.3%
13/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
4.4%
6/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
3.5%
5/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
4.7%
7/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Investigations
Weight increased
4.3%
6/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
2.9%
4/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
6.3%
9/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
5.4%
8/148 • Day 1 up to Day 256 (longest treatment plus 14 days)
Musculoskeletal and connective tissue disorders
Back pain
5.0%
7/140 • Day 1 up to Day 256 (longest treatment plus 14 days)
5.1%
7/136 • Day 1 up to Day 256 (longest treatment plus 14 days)
3.5%
5/143 • Day 1 up to Day 256 (longest treatment plus 14 days)
4.1%
6/148 • Day 1 up to Day 256 (longest treatment plus 14 days)

Additional Information

Director, Clinical Research

Teva Branded Pharmaceutical Products, R&D Inc.

Phone: 215-591-3000

Results disclosure agreements

  • Principal investigator is a sponsor employee Details of the study and its results shall not be publicized or published in any form to cooperative publication without prior, written consent of sponsor. Such approval is necessary to prevent premature disclosure of trade secrets and other confidential information.
  • Publication restrictions are in place

Restriction type: OTHER