Trial Outcomes & Findings for SH T00186 Phase II/ III Optimal Drospirenone (DRSP) Dose Finding and Placebo-controlled Comparative Study (NCT NCT00511797)

NCT ID: NCT00511797

Last Updated: 2017-01-26

Results Overview

Total dysmenorrheal score was defined as sum of 2 sub-scores: severity of dysmenorrhea (none: 0, mild: 1, moderate: 2, severe: 3) and use of analgesics (none: 0, mild: 1, moderate: 2, severe: 3). Total possible best is 0, and total possible worst is 6. Note: used with permission of Nobelpharma Co., Ltd. from the phase 3 clinical study protocol (Prog Med 2005:25 (3):739-758) of IKH-01 in dysmenorrhea (associated with endometriosis) (Nobelpharma Co., Ltd.)

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

249 participants

Primary outcome timeframe

Baseline and up to 4 Cycles (28 days per cycle)

Results posted on

2017-01-26

Participant Flow

Full Analysis Set (FAS) consisted of all patients who received at least one dose of study drug. Patients were analyzed as treated. FAS was the primary analysis set for all efficacy endpoints and safety analyses. Per Protocol Set (PPS) was a subgroup of the FAS. The PPS consisted of patients in the FAS who did not have major protocol deviations.

Participant milestones

Participant milestones
Measure
DRSP 1 mg/EE 20 μg
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
1 tablet per day placebo for 28 days in each 28-day cycle
Overall Study
STARTED
62
63
62
62
Overall Study
Subjects Dispensed Drugs
61
63
61
59
Overall Study
Subjects Received Treatment
61
62
61
58
Overall Study
COMPLETED
55
55
51
47
Overall Study
NOT COMPLETED
7
8
11
15

Reasons for withdrawal

Reasons for withdrawal
Measure
DRSP 1 mg/EE 20 μg
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
1 tablet per day placebo for 28 days in each 28-day cycle
Overall Study
Adverse Event
1
2
2
2
Overall Study
Lost to Follow-up
1
0
0
1
Overall Study
Pregnancy
0
0
0
1
Overall Study
Protocol Violation
0
2
2
3
Overall Study
Withdrawal by Subject
3
3
4
2
Overall Study
Never dispensed
1
0
1
3
Overall Study
Study drug not taken
0
1
0
1
Overall Study
Partially missing diary
0
0
1
0
Overall Study
Other (moving etc)
1
0
1
2

Baseline Characteristics

SH T00186 Phase II/ III Optimal Drospirenone (DRSP) Dose Finding and Placebo-controlled Comparative Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
DRSP 1 mg/EE 20 μg
n=61 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=62 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=61 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=58 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Total
n=242 Participants
Total of all reporting groups
Age, Continuous
31.0 years
n=5 Participants
30.6 years
n=7 Participants
30.9 years
n=5 Participants
30.8 years
n=4 Participants
30.8 years
n=21 Participants
Gender
Female
61 Participants
n=5 Participants
62 Participants
n=7 Participants
61 Participants
n=5 Participants
58 Participants
n=4 Participants
242 Participants
n=21 Participants
Gender
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
Diagnosis type
Functional dysmenorrhea
47 participants
n=5 Participants
48 participants
n=7 Participants
42 participants
n=5 Participants
41 participants
n=4 Participants
178 participants
n=21 Participants
Diagnosis type
Organic dysmenorrhea
14 participants
n=5 Participants
14 participants
n=7 Participants
19 participants
n=5 Participants
17 participants
n=4 Participants
64 participants
n=21 Participants
Details of organic dysmenorrhea
Endometriosis
1 participants
n=5 Participants
3 participants
n=7 Participants
4 participants
n=5 Participants
5 participants
n=4 Participants
13 participants
n=21 Participants
Details of organic dysmenorrhea
Uterine fibroids
9 participants
n=5 Participants
7 participants
n=7 Participants
10 participants
n=5 Participants
9 participants
n=4 Participants
35 participants
n=21 Participants
Details of organic dysmenorrhea
Uterine adenomyosis
6 participants
n=5 Participants
7 participants
n=7 Participants
11 participants
n=5 Participants
8 participants
n=4 Participants
32 participants
n=21 Participants
Details of organic dysmenorrhea
Bicornuate uterus
2 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
2 participants
n=21 Participants
Average length of menstrual cycle
28.6 days
n=5 Participants
28.7 days
n=7 Participants
28.3 days
n=5 Participants
28.7 days
n=4 Participants
28.6 days
n=21 Participants
Body mass index (BMI)
21.05 kg/m^2
n=5 Participants
20.41 kg/m^2
n=7 Participants
20.67 kg/m^2
n=5 Participants
21.19 kg/m^2
n=4 Participants
20.82 kg/m^2
n=21 Participants

PRIMARY outcome

Timeframe: Baseline and up to 4 Cycles (28 days per cycle)

Population: FAS

Total dysmenorrheal score was defined as sum of 2 sub-scores: severity of dysmenorrhea (none: 0, mild: 1, moderate: 2, severe: 3) and use of analgesics (none: 0, mild: 1, moderate: 2, severe: 3). Total possible best is 0, and total possible worst is 6. Note: used with permission of Nobelpharma Co., Ltd. from the phase 3 clinical study protocol (Prog Med 2005:25 (3):739-758) of IKH-01 in dysmenorrhea (associated with endometriosis) (Nobelpharma Co., Ltd.)

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=61 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=62 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=61 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=58 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation
-2.5 scores on a scale
Standard Deviation 1.52
-2.1 scores on a scale
Standard Deviation 1.51
-1.9 scores on a scale
Standard Deviation 1.63
-1.0 scores on a scale
Standard Deviation 1.53

SECONDARY outcome

Timeframe: Baseline and up to 4 Cycles (28 days per cycle)

Population: FAS

Total dysmenorrheal score was defined as sum of 2 sub-scores: severity of dysmenorrhea (none: 0, mild: 1, moderate: 2, severe: 3) and use of analgesics (none: 0, mild: 1, moderate: 2, severe: 3). Total possible best is 0, and total possible worst is 6.

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=61 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=62 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=61 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=58 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Change From Baseline in Total Dysmenorrheal Score at Cycle 1 up to Cycle 4
Cycle 1
-2.4 scores on a scale
Standard Deviation 1.40
-2.1 scores on a scale
Standard Deviation 1.49
-1.8 scores on a scale
Standard Deviation 1.67
-0.8 scores on a scale
Standard Deviation 1.50
Change From Baseline in Total Dysmenorrheal Score at Cycle 1 up to Cycle 4
Cycle 2
-2.1 scores on a scale
Standard Deviation 1.40
-2.3 scores on a scale
Standard Deviation 1.57
-1.9 scores on a scale
Standard Deviation 1.50
-1.1 scores on a scale
Standard Deviation 1.59
Change From Baseline in Total Dysmenorrheal Score at Cycle 1 up to Cycle 4
Cycle 3
-2.5 scores on a scale
Standard Deviation 1.34
-2.3 scores on a scale
Standard Deviation 1.52
-2.1 scores on a scale
Standard Deviation 1.34
-1.0 scores on a scale
Standard Deviation 1.59
Change From Baseline in Total Dysmenorrheal Score at Cycle 1 up to Cycle 4
Cycle 4
-2.5 scores on a scale
Standard Deviation 1.55
-2.3 scores on a scale
Standard Deviation 1.41
-2.1 scores on a scale
Standard Deviation 1.54
-1.0 scores on a scale
Standard Deviation 1.63

SECONDARY outcome

Timeframe: Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

Severity of lower abdominal pain during menstruation was rated as none (none), mild (can be easily tolerated), moderate (noticeable, but does not interfere with daily activities), or severe (interferes with daily activities).

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=53 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=51 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=46 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Number of Participants With Severity of Lower Abdominal Pain During Menstruation at Cycle 4
none
15 participants
17 participants
11 participants
3 participants
Number of Participants With Severity of Lower Abdominal Pain During Menstruation at Cycle 4
mild
28 participants
27 participants
19 participants
11 participants
Number of Participants With Severity of Lower Abdominal Pain During Menstruation at Cycle 4
moderate
9 participants
7 participants
14 participants
21 participants
Number of Participants With Severity of Lower Abdominal Pain During Menstruation at Cycle 4
severe
3 participants
2 participants
7 participants
11 participants

SECONDARY outcome

Timeframe: Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

Severity of low back pain during menstruation was rated as none (none), mild (can be easily tolerated), moderate (noticeable, but does not interfere with daily activities), or severe (interferes with daily activities).

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=53 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=51 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=46 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Number of Participants With Severity of Low Back Pain During Menstruation at Cycle 4
none
34 participants
36 participants
30 participants
18 participants
Number of Participants With Severity of Low Back Pain During Menstruation at Cycle 4
mild
15 participants
12 participants
18 participants
14 participants
Number of Participants With Severity of Low Back Pain During Menstruation at Cycle 4
moderate
5 participants
4 participants
2 participants
9 participants
Number of Participants With Severity of Low Back Pain During Menstruation at Cycle 4
severe
1 participants
1 participants
1 participants
5 participants

SECONDARY outcome

Timeframe: Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

Severity of headache during menstruation was rated as none (none), mild (can be easily tolerated), moderate (noticeable, but does not interfere with daily activities), or severe (interferes with daily activities).

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=53 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=51 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=46 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Number of Participants With Severity of Headache During Menstruation at Cycle 4
none
47 participants
35 participants
39 participants
29 participants
Number of Participants With Severity of Headache During Menstruation at Cycle 4
mild
5 participants
10 participants
5 participants
6 participants
Number of Participants With Severity of Headache During Menstruation at Cycle 4
moderate
1 participants
6 participants
3 participants
6 participants
Number of Participants With Severity of Headache During Menstruation at Cycle 4
severe
2 participants
2 participants
4 participants
5 participants

SECONDARY outcome

Timeframe: Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

Severity of nausea or vomiting during menstruation was rated as none (none), mild (can be easily tolerated), moderate (noticeable, but does not interfere with daily activities), or severe (interferes with daily activities).

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=53 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=51 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=46 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Number of Participants With Severity of Nausea or Vomiting During Menstruation at Cycle 4
none
51 participants
47 participants
47 participants
40 participants
Number of Participants With Severity of Nausea or Vomiting During Menstruation at Cycle 4
mild
2 participants
4 participants
4 participants
4 participants
Number of Participants With Severity of Nausea or Vomiting During Menstruation at Cycle 4
moderate
2 participants
1 participants
0 participants
2 participants
Number of Participants With Severity of Nausea or Vomiting During Menstruation at Cycle 4
severe
0 participants
1 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

Total pelvic pain score was defined as sum of 2 sub-scores: severity of dysmenorrhea and use of analgesics. Higher score means it is more severe. 0=None, 6=Severest.

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=53 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=51 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=46 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Number of Participants With Total Pelvic Pain Score at Times Other Than During Menstruation at Cycle 4
0
40 participants
41 participants
42 participants
30 participants
Number of Participants With Total Pelvic Pain Score at Times Other Than During Menstruation at Cycle 4
1
11 participants
10 participants
7 participants
6 participants
Number of Participants With Total Pelvic Pain Score at Times Other Than During Menstruation at Cycle 4
2
3 participants
2 participants
1 participants
5 participants
Number of Participants With Total Pelvic Pain Score at Times Other Than During Menstruation at Cycle 4
3
0 participants
0 participants
0 participants
3 participants
Number of Participants With Total Pelvic Pain Score at Times Other Than During Menstruation at Cycle 4
4
0 participants
0 participants
0 participants
1 participants
Number of Participants With Total Pelvic Pain Score at Times Other Than During Menstruation at Cycle 4
5
1 participants
0 participants
1 participants
1 participants
Number of Participants With Total Pelvic Pain Score at Times Other Than During Menstruation at Cycle 4
6
0 participants
0 participants
0 participants
0 participants

SECONDARY outcome

Timeframe: From baseline up to Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

VAS is an unmarked scale on a line 100 mm in length, indicating from 0 mm (no pain) to 100 mm (worst pain a participant has ever experienced).

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=53 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=51 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=46 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Change From Baseline in Visual Analogue Scale (VAS) for Dysmenorrhea at Times Other Than During Menstruation at Cycle 4
-43.0 scores on a scale
Standard Deviation 23.44
-39.5 scores on a scale
Standard Deviation 22.12
-31.8 scores on a scale
Standard Deviation 23.55
-10.3 scores on a scale
Standard Deviation 24.53

SECONDARY outcome

Timeframe: Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

VAS is an unmarked scale on a line 100 mm in length, indicating from 0 mm (no pain) to 100 mm (worst pain a participant has ever experienced).

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=53 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=51 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=46 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Visual Analogue Scale (VAS) for Pelvic Pain at Times Other Than During Menstruation at Cycle 4
5.9 scores on a scale
Standard Deviation 11.52
5.4 scores on a scale
Standard Deviation 11.78
4.0 scores on a scale
Standard Deviation 14.26
11.5 scores on a scale
Standard Deviation 20.22

SECONDARY outcome

Timeframe: From baseline to Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

Endometrial thickness was measured via transvaginal ultrasound examination. The endometrium is the inner membrane of the uterus. During the menstrual cycle, the endometrium grows to a thick, blood vessel-rich, glandular tissue layer.

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=53 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=53 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=50 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=47 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Change From Baseline in Endometrial Thickness After 4-cycle Treatment
-5.5 mm
Standard Deviation 4.11
-7.1 mm
Standard Deviation 3.25
-6.3 mm
Standard Deviation 4.07
-0.1 mm
Standard Deviation 2.79

SECONDARY outcome

Timeframe: For the first 90 days

Population: FAS (Participants with the defined data)

Bleeding data were captured from the diary a participant recorded by herself. Bleeding is a genital bleeding. Spotting is a slight genital bleeding with participant's experience. An episode means a series of bleeding and/or spotting. The bleeding /spotting analyses are by intensity.

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=59 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=60 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=57 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=56 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Number of Bleeding / Spotting Episodes
bleeding / spotting
3.3 number of episodes
Standard Deviation 0.9
3.3 number of episodes
Standard Deviation 1.3
3.4 number of episodes
Standard Deviation 0.9
2.9 number of episodes
Standard Deviation 0.9
Number of Bleeding / Spotting Episodes
bleeding only
0.5 number of episodes
Standard Deviation 0.9
0.4 number of episodes
Standard Deviation 0.8
0.3 number of episodes
Standard Deviation 0.5
0.4 number of episodes
Standard Deviation 0.8
Number of Bleeding / Spotting Episodes
spotting only
0.3 number of episodes
Standard Deviation 0.6
0.4 number of episodes
Standard Deviation 1.1
0.4 number of episodes
Standard Deviation 0.8
0.2 number of episodes
Standard Deviation 0.6

SECONDARY outcome

Timeframe: For the first 90 days

Population: FAS (Participants with the defined data)

Bleeding data were captured from the diary a participant recorded by herself. Bleeding is a genital bleeding. Spotting is a slight genital bleeding with participant's experience. The bleeding /spotting analyses are by intensity.

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=59 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=60 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=57 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=56 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Number of Bleeding / Spotting Days
bleeding / spotting
32.3 days
Standard Deviation 8.7
31.2 days
Standard Deviation 11.4
29.2 days
Standard Deviation 11.0
22.6 days
Standard Deviation 5.5
Number of Bleeding / Spotting Days
bleeding only
21.3 days
Standard Deviation 5.9
19.3 days
Standard Deviation 8.8
18.6 days
Standard Deviation 6.5
17.4 days
Standard Deviation 4.9
Number of Bleeding / Spotting Days
spotting only
11.1 days
Standard Deviation 7.0
11.9 days
Standard Deviation 7.6
10.5 days
Standard Deviation 8.2
5.2 days
Standard Deviation 2.5

SECONDARY outcome

Timeframe: At Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

Withdrawal bleedings were defined as bleedings while a participant takes placebo tablets.

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=52 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=48 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Participants With Withdrawal Bleeding
50 participants
50 participants
49 participants
47 participants

SECONDARY outcome

Timeframe: At Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

Intracyclic bleedings were defined as bleedings while a participant takes active drugs.

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=52 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=48 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Participants With Intracyclic Bleeding
14 participants
8 participants
8 participants
4 participants

SECONDARY outcome

Timeframe: At Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

Non-heavy bleedings were defined as those other than heavy bleeding (less or normal bleeding).

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=14 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=8 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=8 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=4 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Participants With Non-heavy Intracyclic Bleeding
14 participants
8 participants
7 participants
2 participants

SECONDARY outcome

Timeframe: At Cycle 4 (28 dyas per cycle)

Population: FAS (Participants with data at Cycle 4)

Non-heavy bleedings were defined as those other than heavy bleeding (less or normal bleeding).

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=50 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=50 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=49 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=47 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Participants With Non-heavy Withdrawal Bleeding
45 participants
44 participants
42 participants
38 participants

SECONDARY outcome

Timeframe: From baseline to Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

CA125 is a laboratory parameter giving an indication of having tumor, whose elevated levels that were defined by a lab suggest a potential tumor.

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=51 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=47 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Change From Baseline in Serum Carbohydrate Antigen-125 (CA125) After 4-cycle Treatment
-2.78 Units/L
Interval -26.4 to 5.5
0.53 Units/L
Interval -17.4 to 184.9
-3.79 Units/L
Interval -35.6 to 32.5
0.89 Units/L
Interval -7.8 to 15.8

SECONDARY outcome

Timeframe: From baseline to Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

CRP is a laboratory parameter giving an indication of inflammation, whose elevated levels that were defined by a lab suggest a potential inflammation.

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=51 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=47 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Change From Baseline in Serum C-reactive Protein (CRP) After 4-cycle Treatment
0.015 mg/dL
Interval -0.31 to 0.85
0.042 mg/dL
Interval -0.09 to 0.77
-0.014 mg/dL
Interval -2.73 to 0.35
-0.175 mg/dL
Interval -7.38 to 0.62

SECONDARY outcome

Timeframe: From baseline to Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

Estradiol is a predominant sex hormone that presents in female.

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=51 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=48 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Change From Baseline in Serum Estradiol Level After 4-cycle Treatment
-18.32 pg/mL
Interval -341.5 to 968.9
-42.23 pg/mL
Interval -336.8 to 329.0
-98.02 pg/mL
Interval -477.8 to 231.2
49.20 pg/mL
Interval -182.7 to 310.3

SECONDARY outcome

Timeframe: From baseline to Cycle 4 (28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

Progesterone is a steroid hormone involving in the female menstrual cycle, pregnancy, etc.

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=54 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=53 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=50 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=47 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Change From Baseline in Serum Progesterone Level at Cycle 4
-7.93 ng/mL
Interval -22.2 to 6.3
-8.23 ng/mL
Interval -23.6 to 5.7
-9.37 ng/mL
Interval -22.3 to 6.7
-0.27 ng/mL
Interval -20.6 to 18.7

POST_HOC outcome

Timeframe: From baseline to Cycle 4(28 days per cycle)

Population: FAS (Participants with data at Cycle 4)

Total pelvic pain score was defined as sum of 2 sub-scores: severity of dysmenorrhea (none: 0, mild: 1, moderate: 2, severe: 3) and use of analgesics (none: 0, mild: 1, moderate: 2, severe: 3). Total possible best is 0, and total possible worst is 6.

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=55 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=53 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=51 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=46 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Change From Baseline for Total Pelvic Pain Score at Times Other Than During Menstruation at Cycle 4
-0.1 scores on a scale
Standard Deviation 1.19
-0.3 scores on a scale
Standard Deviation 1.12
-0.1 scores on a scale
Standard Deviation 1.06
0.1 scores on a scale
Standard Deviation 1.22

POST_HOC outcome

Timeframe: Baseline and up to Cycle 4 (28 days per cycle)

Population: FAS

Total dysmenorrheal score was defined as sum of 2 sub-scores: severity of dysmenorrhea (none: 0, mild: 1, moderate: 2, severe: 3) and use of analgesics (none: 0, mild: 1, moderate: 2, severe: 3). Total possible best is 0, and total possible worst is 6. Note: used with permission of Nobelpharma Co., Ltd. from the phase 3 clinical study protocol (Prog Med 2005:25 (3):739-758) of IKH-01 in dysmenorrhea (associated with endometriosis) (Nobelpharma Co., Ltd.)

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=61 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=62 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=61 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=58 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (1)
age: < 30 years
-2.2 scores on a scale
Standard Deviation 1.46
-2.4 scores on a scale
Standard Deviation 1.50
-1.9 scores on a scale
Standard Deviation 1.49
-1.2 scores on a scale
Standard Deviation 1.45
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (1)
age: >= 30 years
-2.8 scores on a scale
Standard Deviation 1.54
-1.9 scores on a scale
Standard Deviation 1.49
-1.9 scores on a scale
Standard Deviation 1.75
-0.8 scores on a scale
Standard Deviation 1.60
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (1)
weight: < 50 kg
-3.0 scores on a scale
Standard Deviation 1.30
-2.4 scores on a scale
Standard Deviation 0.99
-1.5 scores on a scale
Standard Deviation 1.39
-0.7 scores on a scale
Standard Deviation 1.65
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (1)
weight: >= 50kg
-2.1 scores on a scale
Standard Deviation 1.57
-2.0 scores on a scale
Standard Deviation 1.64
-2.2 scores on a scale
Standard Deviation 1.74
-1.1 scores on a scale
Standard Deviation 1.50
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (1)
functional dysmenorrhea
-2.3 scores on a scale
Standard Deviation 1.63
-2.1 scores on a scale
Standard Deviation 1.52
-1.8 scores on a scale
Standard Deviation 1.73
-1.0 scores on a scale
Standard Deviation 1.47
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (1)
organic dysmenorrhea
-2.9 scores on a scale
Standard Deviation 1.00
-2.1 scores on a scale
Standard Deviation 1.49
-2.3 scores on a scale
Standard Deviation 1.37
-1.0 scores on a scale
Standard Deviation 1.70
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (1)
with medical surgical history
-2.3 scores on a scale
Standard Deviation 1.62
-2.0 scores on a scale
Standard Deviation 1.50
-2.1 scores on a scale
Standard Deviation 1.61
-1.1 scores on a scale
Standard Deviation 1.68
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (1)
without medical surgical history
-2.6 scores on a scale
Standard Deviation 1.42
-2.3 scores on a scale
Standard Deviation 1.53
-1.8 scores on a scale
Standard Deviation 1.66
-0.8 scores on a scale
Standard Deviation 1.27

POST_HOC outcome

Timeframe: Baseline and up to 4 Cycles (28 days per cycle)

Population: FAS

Total dysmenorrheal score was defined as sum of 2 sub-scores: severity of dysmenorrhea (none: 0, mild: 1, moderate: 2, severe: 3) and use of analgesics (none: 0, mild: 1, moderate: 2, severe: 3). Total possible best is 0, and total possible worst is 6. Note: used with permission of Nobelpharma Co., Ltd. from the phase 3 clinical study protocol (Prog Med 2005:25 (3):739-758) of IKH-01 in dysmenorrhea (associated with endometriosis) (Nobelpharma Co., Ltd.)

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=61 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=62 Participants
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=61 Participants
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=58 Participants
1 tablet per day placebo for 28 days in each 28-day cycle
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (2)
with previous medication
-2.5 scores on a scale
Standard Deviation 1.53
-2.1 scores on a scale
Standard Deviation 1.51
-1.9 scores on a scale
Standard Deviation 1.63
-1.0 scores on a scale
Standard Deviation 1.53
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (2)
with pregnancy history
-2.7 scores on a scale
Standard Deviation 1.62
-1.9 scores on a scale
Standard Deviation 1.32
-2.2 scores on a scale
Standard Deviation 1.72
-1.0 scores on a scale
Standard Deviation 2.03
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (2)
without pregnancy history
-2.3 scores on a scale
Standard Deviation 1.47
-2.2 scores on a scale
Standard Deviation 1.62
-1.8 scores on a scale
Standard Deviation 1.61
-1.0 scores on a scale
Standard Deviation 1.22
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (2)
with birth history
-2.9 scores on a scale
Standard Deviation 1.59
-2.1 scores on a scale
Standard Deviation 1.28
-2.3 scores on a scale
Standard Deviation 1.96
-1.1 scores on a scale
Standard Deviation 2.00
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (2)
without birth history
-2.3 scores on a scale
Standard Deviation 1.49
-2.1 scores on a scale
Standard Deviation 1.62
-1.9 scores on a scale
Standard Deviation 1.55
-1.0 scores on a scale
Standard Deviation 1.35
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (2)
total dysmenorrheal score at baseline: 3 or 4
-2.1 scores on a scale
Standard Deviation 1.28
-1.9 scores on a scale
Standard Deviation 1.36
-1.8 scores on a scale
Standard Deviation 1.44
-1.0 scores on a scale
Standard Deviation 1.49
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Subgroups (2)
total dysmenorrheal score at baseline: 5 or 6
-3.4 scores on a scale
Standard Deviation 1.75
-2.6 scores on a scale
Standard Deviation 1.77
-2.4 scores on a scale
Standard Deviation 2.06
-1.1 scores on a scale
Standard Deviation 1.65

POST_HOC outcome

Timeframe: Baseline and up to 4 Cycles (28 days per cycle)

Population: The number of subjects without previous medication in DRSP 1 mg/EE 20 μg group was 1, so the standard deviation was not measurable. The number of subjects without previous medication in the other three groups were 0, so the data were not applicable.

Total dysmenorrheal score was defined as sum of 2 sub-scores: severity of dysmenorrhea (none: 0, mild: 1, moderate: 2, severe: 3) and use of analgesics (none: 0, mild: 1, moderate: 2, severe: 3). Total possible best is 0, and total possible worst is 6. Note: used with permission of Nobelpharma Co., Ltd. from the phase 3 clinical study protocol (Prog Med 2005:25 (3):739-758) of IKH-01 in dysmenorrhea (associated with endometriosis) (Nobelpharma Co., Ltd.)

Outcome measures

Outcome measures
Measure
DRSP 1 mg/EE 20 μg
n=1 Participants
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
1 tablet per day placebo for 28 days in each 28-day cycle
Change From Baseline in Total Dysmenorrheal Score at Final Evaluation in Patients Without Previous Medication
-2.0 scores on a scale

Adverse Events

DRSP 1 mg/EE 20 μg

Serious events: 1 serious events
Other events: 56 other events
Deaths: 0 deaths

DRSP 2 mg/EE 20 μg

Serious events: 2 serious events
Other events: 58 other events
Deaths: 0 deaths

DRSP 3 mg/EE 20 μg

Serious events: 0 serious events
Other events: 60 other events
Deaths: 0 deaths

Placebo

Serious events: 1 serious events
Other events: 53 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
DRSP 1 mg/EE 20 μg
n=62 participants at risk
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=63 participants at risk
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=62 participants at risk
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=62 participants at risk
1 tablet per day placebo for 28 days in each 28-day cycle
Skin and subcutaneous tissue disorders
Henoch-Schonlein purpura
1.6%
1/62 • Number of events 1
0.00%
0/63
0.00%
0/62
0.00%
0/62
Infections and infestations
Appendicitis
0.00%
0/62
1.6%
1/63 • Number of events 1
0.00%
0/62
0.00%
0/62
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lipoma
0.00%
0/62
0.00%
0/63
0.00%
0/62
1.6%
1/62 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cervix carcinoma stage 0
0.00%
0/62
1.6%
1/63 • Number of events 1
0.00%
0/62
0.00%
0/62

Other adverse events

Other adverse events
Measure
DRSP 1 mg/EE 20 μg
n=62 participants at risk
1 tablet per day Drospirenone (DRSP) 1 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 2 mg/EE 20 μg
n=63 participants at risk
1 tablet per day Drospirenone (DRSP) 2 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
DRSP 3 mg/EE 20 μg
n=62 participants at risk
1 tablet per day Drospirenone (DRSP) 3 mg/Ethinylestradiol (EE) 20 μg for 24 days and 1 tablet per day placebo for 4 days in each 28-day cycle
Placebo
n=62 participants at risk
1 tablet per day placebo for 28 days in each 28-day cycle
Gastrointestinal disorders
Abdominal pain lower
8.1%
5/62 • Number of events 5
11.1%
7/63 • Number of events 10
14.5%
9/62 • Number of events 10
4.8%
3/62 • Number of events 4
Gastrointestinal disorders
Abdominal pain upper
3.2%
2/62 • Number of events 6
7.9%
5/63 • Number of events 6
1.6%
1/62 • Number of events 1
1.6%
1/62 • Number of events 1
Musculoskeletal and connective tissue disorders
Back pain
6.5%
4/62 • Number of events 4
12.7%
8/63 • Number of events 10
4.8%
3/62 • Number of events 3
6.5%
4/62 • Number of events 4
Investigations
Blood triglycerides increased
8.1%
5/62 • Number of events 5
1.6%
1/63 • Number of events 1
4.8%
3/62 • Number of events 3
0.00%
0/62
Gastrointestinal disorders
Constipation
6.5%
4/62 • Number of events 5
3.2%
2/63 • Number of events 2
4.8%
3/62 • Number of events 3
1.6%
1/62 • Number of events 2
Nervous system disorders
Dizziness
1.6%
1/62 • Number of events 1
1.6%
1/63 • Number of events 1
8.1%
5/62 • Number of events 7
3.2%
2/62 • Number of events 2
Reproductive system and breast disorders
Dysmenorrhoea
25.8%
16/62 • Number of events 30
28.6%
18/63 • Number of events 26
35.5%
22/62 • Number of events 47
41.9%
26/62 • Number of events 58
Nervous system disorders
Headache
33.9%
21/62 • Number of events 48
44.4%
28/63 • Number of events 84
48.4%
30/62 • Number of events 63
37.1%
23/62 • Number of events 68
General disorders
Malaise
3.2%
2/62 • Number of events 3
6.3%
4/63 • Number of events 4
4.8%
3/62 • Number of events 4
0.00%
0/62
Reproductive system and breast disorders
Metrorrhagia
32.3%
20/62 • Number of events 34
28.6%
18/63 • Number of events 32
12.9%
8/62 • Number of events 12
6.5%
4/62 • Number of events 7
Infections and infestations
Nasopharyngitis
27.4%
17/62 • Number of events 24
38.1%
24/63 • Number of events 35
38.7%
24/62 • Number of events 32
41.9%
26/62 • Number of events 32
Gastrointestinal disorders
Nausea
25.8%
16/62 • Number of events 28
28.6%
18/63 • Number of events 32
35.5%
22/62 • Number of events 31
27.4%
17/62 • Number of events 30
Investigations
Prothrombin time shortened
0.00%
0/62
3.2%
2/63 • Number of events 2
0.00%
0/62
6.5%
4/62 • Number of events 6
Immune system disorders
Seasonal allergy
6.5%
4/62 • Number of events 5
3.2%
2/63 • Number of events 2
6.5%
4/62 • Number of events 4
8.1%
5/62 • Number of events 5
Reproductive system and breast disorders
Breast discomfort
0.00%
0/62
4.8%
3/63 • Number of events 3
6.5%
4/62 • Number of events 4
1.6%
1/62 • Number of events 1
Injury, poisoning and procedural complications
Post procedural haemorrhage
12.9%
8/62 • Number of events 8
12.7%
8/63 • Number of events 8
12.9%
8/62 • Number of events 9
12.9%
8/62 • Number of events 8
Reproductive system and breast disorders
Genital haemorrhage
32.3%
20/62 • Number of events 32
30.2%
19/63 • Number of events 31
37.1%
23/62 • Number of events 33
12.9%
8/62 • Number of events 8
Investigations
Coagulation test abnormal
14.5%
9/62 • Number of events 9
9.5%
6/63 • Number of events 6
21.0%
13/62 • Number of events 13
6.5%
4/62 • Number of events 4
Injury, poisoning and procedural complications
Procedural pain
4.8%
3/62 • Number of events 3
3.2%
2/63 • Number of events 2
6.5%
4/62 • Number of events 4
4.8%
3/62 • Number of events 3

Additional Information

Therapeutic Area Head

BAYER

Results disclosure agreements

  • Principal investigator is a sponsor employee Sponsor will confirm the contents before disclosure.
  • Publication restrictions are in place

Restriction type: OTHER