Trial Outcomes & Findings for Effect on Primary Dysmenorrhea (NCT NCT00909857)

NCT ID: NCT00909857

Last Updated: 2015-08-24

Results Overview

Dysmenorrheic pain was defined as pelvic pain during the menstrual/withdrawal bleeding episode and the 2 days before this episode. Baseline period: 2 days before the first menstrual bleeding until 3rd day before the 3rd menstrual bleeding (normalized to a standard 56-day period). Treatment period: 2 days before the withdrawal bleeding (WB) of the 1st evaluable treatment cycle until 3rd day before the WB of the cycle after the 2nd evaluable treatment cycle (normalized to a standard 56-day period).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

507 participants

Primary outcome timeframe

baseline period (2 baseline cycles, usually 56 days) vs. treatment period (on-treatment cycles 2 and 3, usually 56 days)

Results posted on

2015-08-24

Participant Flow

Participants aged 14 to 50 years with a need for oral contraception suffering from primary dysmenorrhea were recruited at specialized study sites.

Out of 771 participants screened, 264 failed screening, mostly due to not meeting in-/exclusion criteria (155), withdrawal of consent (49), loss to follow-up (36) or pregnancy (10). Thus, 507 participants were randomized (253 to Estradiol valerate/Dienogest and 254 to Ethinyl estradiol/Levonorgestrel).

Participant milestones

Participant milestones
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Overall Study
STARTED
253
254
Overall Study
Treated
234
230
Overall Study
COMPLETED
217
209
Overall Study
NOT COMPLETED
36
45

Reasons for withdrawal

Reasons for withdrawal
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Overall Study
Withdrawal by Subject
6
10
Overall Study
Adverse Event
5
5
Overall Study
Lost to Follow-up
2
5
Overall Study
Protocol Violation
2
1
Overall Study
Pregnancy
1
0
Overall Study
Other
1
0
Overall Study
Did not receive study medication
19
24

Baseline Characteristics

Effect on Primary Dysmenorrhea

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=230 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Total
n=464 Participants
Total of all reporting groups
Age, Continuous
28.0 Years
STANDARD_DEVIATION 7.9 • n=5 Participants
27.6 Years
STANDARD_DEVIATION 8.0 • n=7 Participants
27.8 Years
STANDARD_DEVIATION 7.9 • n=5 Participants
Age, Customized
less than 18 years of age
11 Participants
n=5 Participants
13 Participants
n=7 Participants
24 Participants
n=5 Participants
Age, Customized
18 years of age or older
223 Participants
n=5 Participants
217 Participants
n=7 Participants
440 Participants
n=5 Participants
Sex: Female, Male
Female
234 Participants
n=5 Participants
230 Participants
n=7 Participants
464 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: baseline period (2 baseline cycles, usually 56 days) vs. treatment period (on-treatment cycles 2 and 3, usually 56 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Dysmenorrheic pain was defined as pelvic pain during the menstrual/withdrawal bleeding episode and the 2 days before this episode. Baseline period: 2 days before the first menstrual bleeding until 3rd day before the 3rd menstrual bleeding (normalized to a standard 56-day period). Treatment period: 2 days before the withdrawal bleeding (WB) of the 1st evaluable treatment cycle until 3rd day before the WB of the cycle after the 2nd evaluable treatment cycle (normalized to a standard 56-day period).

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=225 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=219 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Change Between Baseline Evaluation Period and Treatment Evaluation Period in the Number of Days With Dysmenorrheic Pain
-4.6 Days
Standard Deviation 4.6
-4.2 Days
Standard Deviation 4.2

SECONDARY outcome

Timeframe: baseline period (2 baseline cycles, usually 56 days) vs. treatment period (on-treatment cycles 2 and 3, usually 56 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Dysmenorrheic pain: pelvic pain during menstrual/withdrawal bleeding (WB) episode and 2 days before. Scores per day: 0 No pain; 1 Mild pain with no need for painkiller; 2 Moderate pain with need for painkiller; 3 Severe pain with need for painkiller. Baseline period: 2 days before 1st menstrual bleeding until 3rd day before 3rd menstrual bleeding (normalized to standard 56-day period). Treatment period: 2 days before WB of 1st treatment cycle until 3rd day before WB of the cycle after 2nd treatment cycle (normalized to standard 56-day period). Score difference min -168 (best), max 168 (worst)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=225 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=219 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Change Between Baseline Evaluation Period and Treatment Evaluation Period in the Sum of Score Points of Dysmenorrheic Pain
-10.6 Scores on a scale
Standard Deviation 9.7
-10.0 Scores on a scale
Standard Deviation 8.9

SECONDARY outcome

Timeframe: baseline period (2 baseline cycles, usually 56 days) vs. treatment period (on-treatment cycles 2 and 3, usually 56 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Baseline period: 2 days before the first menstrual bleeding until 3rd day before the 3rd menstrual bleeding (normalized to a standard 56-day period). Treatment period: 2 days before the withdrawal bleeding (WB) of the 1st evaluable treatment cycle until 3rd day before the WB of the cycle after the 2nd evaluable treatment cycle (normalized to a standard 56-day period).

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=225 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=219 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Change Between Baseline Evaluation Period and Treatment Evaluation Period in Number of Days With Pelvic Pain Independent of Occurrence of Vaginal Bleeding
-4.0 Days
Standard Deviation 5.7
-3.7 Days
Standard Deviation 5.7

SECONDARY outcome

Timeframe: baseline period (2 baseline cycles, usually 56 days) vs. treatment period (on-treatment cycles 2 and 3, usually 56 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Evaluated was the number of days with bleeding-associated pelvic pain, excluding days during withdrawal bleeding (WB) and the 2 days preceding such WB, and during administration deviation bleeding and the 2 days preceding such bleeding (normalized to a standard 56-day period). Baseline period: 2 days before first menstrual bleeding until 3rd day before 3rd menstrual bleeding (normalized to standard 56-day period). Treatment period: 2 days before WB of the 1st treatment cycle until 3rd day before the WB of the cycle after the 2nd treatment cycle (normalized to standard 56-day period).

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=225 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=219 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Change Between Baseline Evaluation Period and Treatment Evaluation Period in Number of Days With Pelvic Pain During Unscheduled Bleeding
0.3 Days
Standard Deviation 2.6
0.1 Days
Standard Deviation 2.0

SECONDARY outcome

Timeframe: baseline period (2 baseline cycles, usually 56 days) vs. treatment period (on-treatment cycles 2 and 3, usually 56 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Rescue medication use was standardized intake of 200 mg Ibuprofen tablets. Baseline period: 2 days before the first menstrual bleeding until 3rd day before the 3rd menstrual bleeding (normalized to a standard 56-day period). Treatment period: 2 days before the withdrawal bleeding (WB) of the 1st evaluable treatment cycle until 3rd day before the WB of the cycle after the 2nd evaluable treatment cycle (normalized to a standard 56-day period).

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=225 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=219 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Change Between Baseline Evaluation Period and Treatment Evaluation Period in Rescue Medication Use (Only Bleeding Episodes Used Including the Two Days Before the Episode)
-6.2 Tablets
Standard Deviation 14.8
-6.6 Tablets
Standard Deviation 12.3

SECONDARY outcome

Timeframe: baseline period (2 baseline cycles, usually 56 days) vs. treatment period (on-treatment cycles 2 and 3, usually 56 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Rescue medication use was standardized intake of 200 mg Ibuprofen tablets. Baseline period: 2 days before the first menstrual bleeding until 3rd day before the 3rd menstrual bleeding (normalized to a standard 56-day period). Treatment period: 2 days before the withdrawal bleeding (WB) of the 1st evaluable treatment cycle until 3rd day before the WB of the cycle after the 2nd evaluable treatment cycle (normalized to a standard 56-day period).

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=225 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=219 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Change Between Baseline Evaluation Period and Treatment Evaluation Period in Rescue Medication Use (Entire Evaluation Period Used)
-4.5 Tablets
Standard Deviation 19.9
-5.6 Tablets
Standard Deviation 14.3

SECONDARY outcome

Timeframe: baseline period (2 baseline cycles, usually 56 days) vs. treatment period (on-treatment cycles 2 and 3, usually 56 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available

Interference of dysmenorrheic pain with work/school and social or other activity was assessed (yes/no). Baseline period: 2 days before the first menstrual bleeding until 3rd day before the 3rd menstrual bleeding (normalized to a standard 56-day period). Treatment period: 2 days before the withdrawal bleeding (WB) of the 1st evaluable treatment cycle until 3rd day before the WB of the cycle after the 2nd evaluable treatment cycle (normalized to a standard 56-day period).

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=230 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Percentage of Participants With Interference of Dysmenorrheic Pain With Work/School and Social or Other Activity (Only Bleeding Episodes Used Including the Two Days Before)
Baseline period- leisure activities impaired
90.6 Percentage of participants
89.6 Percentage of participants
Percentage of Participants With Interference of Dysmenorrheic Pain With Work/School and Social or Other Activity (Only Bleeding Episodes Used Including the Two Days Before)
Treatment period-daily activities impaired
51.7 Percentage of participants
56.5 Percentage of participants
Percentage of Participants With Interference of Dysmenorrheic Pain With Work/School and Social or Other Activity (Only Bleeding Episodes Used Including the Two Days Before)
Baseline period-daily activities impaired
92.3 Percentage of participants
91.3 Percentage of participants
Percentage of Participants With Interference of Dysmenorrheic Pain With Work/School and Social or Other Activity (Only Bleeding Episodes Used Including the Two Days Before)
Treatment period- leisure activities impaired
47.9 Percentage of participants
56.5 Percentage of participants

SECONDARY outcome

Timeframe: baseline period (2 baseline cycles, usually 56 days) vs. treatment period (on-treatment cycles 2 and 3, usually 56 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available

Interference of dysmenorrheic pain with work/school and social or other activity was assessed (yes/no). Baseline period: 2 days before the first menstrual bleeding until 3rd day before the 3rd menstrual bleeding (normalized to a standard 56-day period). Treatment period: 2 days before the withdrawal bleeding (WB) of the 1st evaluable treatment cycle until 3rd day before the WB of the cycle after the 2nd evaluable treatment cycle (normalized to a standard 56-day period).

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=230 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Percentage of Participants With Interference of Dysmenorrheic Pain With Work/School and Social or Other Activity (Entire Evaluation Period Used)
Baseline period-daily activities impaired
93.2 Percentage of Participants
92.2 Percentage of Participants
Percentage of Participants With Interference of Dysmenorrheic Pain With Work/School and Social or Other Activity (Entire Evaluation Period Used)
Baseline period- leisure activities impaired
92.3 Percentage of Participants
90.0 Percentage of Participants
Percentage of Participants With Interference of Dysmenorrheic Pain With Work/School and Social or Other Activity (Entire Evaluation Period Used)
Treatment period-daily activities impaired
54.7 Percentage of Participants
60.0 Percentage of Participants
Percentage of Participants With Interference of Dysmenorrheic Pain With Work/School and Social or Other Activity (Entire Evaluation Period Used)
Treatment period- leisure activities impaired
52.6 Percentage of Participants
61.3 Percentage of Participants

SECONDARY outcome

Timeframe: From cycle 1 to cycle 3 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Participants were asked to express the degree of their satisfaction with study treatment.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=225 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=216 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Percentage of Participants Satisfied With Study Treatment
Missing
0.9 Percentage of participants
1.3 Percentage of participants
Percentage of Participants Satisfied With Study Treatment
Very satisfied
53.4 Percentage of participants
50.4 Percentage of participants
Percentage of Participants Satisfied With Study Treatment
Saatisfied
32.1 Percentage of participants
30.0 Percentage of participants
Percentage of Participants Satisfied With Study Treatment
Neither satisfied nor dissatisfied
7.3 Percentage of participants
8.3 Percentage of participants
Percentage of Participants Satisfied With Study Treatment
Dissatisfied
2.1 Percentage of participants
3.5 Percentage of participants
Percentage of Participants Satisfied With Study Treatment
Very dissatisfied
0.4 Percentage of participants
0.4 Percentage of participants

SECONDARY outcome

Timeframe: From day 1 to day 90

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Bleeding/spotting episodes (day\[s\] with bleeding/spotting preceded and followed by at least 2 bleeding/spotting-free days) were described using the reference period (RP) method (length of RP: 90 days) recommended by the World Health Organization. 1st RP started on the 1st day of study medication. The total number of days during bleeding or spotting episodes was counted. Spotting = less than associated with normal menstruation relative to the subject's experience with no need for sanitary protection (except for panty liners). Bleeding = any bleeding of greater intensity than spotting.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=201 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=197 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Number of Days With Bleeding or Spotting
20.0 Days
Standard Deviation 8.8
23.6 Days
Standard Deviation 9.7

SECONDARY outcome

Timeframe: From day 1 to day 90

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Bleeding/spotting episodes (day\[s\] with bleeding/spotting preceded and followed by at least 2 bleeding/spotting-free days) were described using the reference period (RP) method (length of RP: 90 days) recommended by the World Health Organization. 1st RP started on the 1st day of study medication. The total number of days during bleeding or spotting episodes was counted. Spotting = less than associated with normal menstruation relative to the subject's experience with no need for sanitary protection (except for panty liners). Bleeding = any bleeding of greater intensity than spotting.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=201 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=197 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Number of Episodes With Bleeding or Spotting
3.9 Episodes
Standard Deviation 1.0
4.1 Episodes
Standard Deviation 0.8

SECONDARY outcome

Timeframe: From day 1 to day 90

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Bleeding/spotting episodes (day\[s\] with bleeding/spotting preceded and followed by at least 2 bleeding/spotting-free days) were described using the reference period (RP) method (length of RP: 90 days) recommended by the World Health Organization. 1st RP started on the 1st day of study medication. The total number of days during bleeding or spotting episodes was counted. Spotting = less than associated with normal menstruation relative to the subject's experience with no need for sanitary protection (except for panty liners). Bleeding = any bleeding of greater intensity than spotting.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=201 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=197 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Mean Length of Bleeding or Spotting Episodes
5.17 Days
Standard Deviation 2.26
5.83 Days
Standard Deviation 2.35

SECONDARY outcome

Timeframe: From day 1 to day 90

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Bleeding/spotting episodes (day\[s\] with bleeding/spotting preceded and followed by at least 2 bleeding/spotting-free days) were described using the reference period (RP) method (length of RP: 90 days) recommended by the World Health Organization. 1st RP started on the 1st day of study medication. The total number of days during bleeding or spotting episodes was counted. Spotting = less than associated with normal menstruation relative to the subject's experience with no need for sanitary protection (except for panty liners). Bleeding = any bleeding of greater intensity than spotting.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=201 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=197 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Maximum Length of Bleeding or Spotting Episodes
7.1 Days
Standard Deviation 3.8
8.4 Days
Standard Deviation 5.6

SECONDARY outcome

Timeframe: From day 1 to day 90

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Bleeding/spotting episodes (day\[s\] with bleeding/spotting preceded and followed by at least 2 bleeding/spotting-free days) were described using the reference period (RP) method (length of RP: 90 days) recommended by the World Health Organization. 1st RP started on the 1st day of study medication. The total number of days during bleeding or spotting episodes was counted. Spotting = less than associated with normal menstruation relative to the subject's experience with no need for sanitary protection (except for panty liners). Bleeding = any bleeding of greater intensity than spotting.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=201 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=197 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Difference in Duration Between Longest and Shortest Bleeding or Spotting Episode
3.6 Days
Standard Deviation 3.6
4.6 Days
Standard Deviation 5.6

SECONDARY outcome

Timeframe: From day 1 to day 90

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Bleeding/spotting episodes (day\[s\] with bleeding/spotting preceded and followed by at least 2 bleeding/spotting-free days) were described using the reference period (RP) method (length of RP: 90 days) recommended by the World Health Organization. 1st RP started on the 1st day of study medication. The total number of days during bleeding or spotting episodes was counted. Spotting = less than associated with normal menstruation relative to the subject's experience with no need for sanitary protection (except for panty liners). Bleeding = any bleeding of greater intensity than spotting.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=201 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=197 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Number of Days With Spotting-only
7.3 Days
Standard Deviation 6.9
7.6 Days
Standard Deviation 7.5

SECONDARY outcome

Timeframe: From day 1 to day 90

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Bleeding/spotting episodes (day\[s\] with bleeding/spotting preceded and followed by at least 2 bleeding/spotting-free days) were described using the reference period (RP) method (length of RP: 90 days) recommended by the World Health Organization. 1st RP started on the 1st day of study medication. The total number of days during bleeding or spotting episodes was counted. Spotting = less than associated with normal menstruation relative to the subject's experience with no need for sanitary protection (except for panty liners). Bleeding = any bleeding of greater intensity than spotting.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=201 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=197 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Number of Episodes With Spotting-only
0.5 Episodes
Standard Deviation 0.8
0.4 Episodes
Standard Deviation 0.7

SECONDARY outcome

Timeframe: From day 1 to day 90

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Bleeding/spotting episodes (day\[s\] with bleeding/spotting preceded and followed by at least 2 bleeding/spotting-free days) were described using the reference period (RP) method (length of RP: 90 days) recommended by the World Health Organization. 1st RP started on the 1st day of study medication. The total number of days during bleeding or spotting episodes was counted. Spotting = less than associated with normal menstruation relative to the subject's experience with no need for sanitary protection (except for panty liners). Bleeding = any bleeding of greater intensity than spotting.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=67 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=51 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Mean Length of Spotting Only Episodes
3.29 Days
Standard Deviation 2.39
3.26 Days
Standard Deviation 2.79

SECONDARY outcome

Timeframe: From day 1 to day 90

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Bleeding/spotting episodes (day\[s\] with bleeding/spotting preceded and followed by at least 2 bleeding/spotting-free days) were described using the reference period (RP) method (length of RP: 90 days) recommended by the World Health Organization. 1st RP started on the 1st day of study medication. The total number of days during bleeding or spotting episodes was counted. Spotting = less than associated with normal menstruation relative to the subject's experience with no need for sanitary protection (except for panty liners). Bleeding = any bleeding of greater intensity than spotting.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=67 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=51 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Maximum Length of Spotting Only Episodes
3.9 Days
Standard Deviation 3.1
3.6 Days
Standard Deviation 3.0

SECONDARY outcome

Timeframe: From day 1 to day 90

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Bleeding/spotting episodes (day\[s\] with bleeding/spotting preceded and followed by at least 2 bleeding/spotting-free days) were described using the reference period (RP) method (length of RP: 90 days) recommended by the World Health Organization. 1st RP started on the 1st day of study medication. The total number of days during bleeding or spotting episodes was counted. Spotting = less than associated with normal menstruation relative to the subject's experience with no need for sanitary protection (except for panty liners). Bleeding = any bleeding of greater intensity than spotting.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=67 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=51 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Difference in Duration Between Longest and Shortest Spotting Only Episode
1.2 Days
Standard Deviation 2.5
0.7 Days
Standard Deviation 1.5

SECONDARY outcome

Timeframe: At cycle 1 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Withdrawal bleeding was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=226 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=222 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Percentage of Participants With Withdrawal Bleeding at Cycle 1
91.2 Percentage of Participants
93.2 Percentage of Participants

SECONDARY outcome

Timeframe: At cycle 3 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Withdrawal bleeding was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=204 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=198 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Percentage of Participants With Withdrawal Bleeding at Cycle 3
68.1 Percentage of Participants
79.3 Percentage of Participants

SECONDARY outcome

Timeframe: At cycle 1 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Withdrawal bleeding was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=206 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=207 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Length of Withdrawal Bleeding Episodes at Cycle 1
5.2 Days
Standard Deviation 2.7
5.4 Days
Standard Deviation 2.4

SECONDARY outcome

Timeframe: At cycle 3 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Withdrawal bleeding was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=139 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=157 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Length of Withdrawal Bleeding Episodes at Cycle 3
4.5 Days
Standard Deviation 1.7
5.2 Days
Standard Deviation 2.0

SECONDARY outcome

Timeframe: At cycle 1 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Withdrawal bleeding was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal. Intensity was defined as: 1 = none, 2 = spotting, 3 = light, 4 = normal, 5 = heavy.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=206 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=207 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Maximum Intensity of Withdrawal Bleeding Episodes at Cycle 1
3.7 Scores on a scale
Standard Deviation 1.0
4.0 Scores on a scale
Standard Deviation 0.9

SECONDARY outcome

Timeframe: At cycle 3 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Withdrawal bleeding was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal. Intensity was defined as: 1 = none, 2 = spotting, 3 = light, 4 = normal, 5 = heavy.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=139 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=157 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Maximum Intensity of Withdrawal Bleeding Episodes at Cycle 3
3.7 Scores on a scale
Standard Deviation 0.8
4.1 Scores on a scale
Standard Deviation 0.8

SECONDARY outcome

Timeframe: At cycle 1 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Withdrawal bleeding was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=206 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=207 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Onset of Withdrawal Bleeding Episodes at Cycle 1
4.8 Days
Standard Deviation 7.0
4.9 Days
Standard Deviation 5.9

SECONDARY outcome

Timeframe: At cycle 3 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Withdrawal bleeding was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=139 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=157 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Onset of Withdrawal Bleeding Episodes at Cycle 3
3.1 Days
Standard Deviation 3.7
4.3 Days
Standard Deviation 4.4

SECONDARY outcome

Timeframe: At cycle 1 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Intracyclic bleeding episodes were any bleeding episodes not qualifying as withdrawal bleeding. The latter was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=226 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=222 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Percentage of Participants With Intracyclic Bleeding at Cycle 1
19.0 Percentage of Participants
16.7 Percentage of Participants

SECONDARY outcome

Timeframe: At cycle 3 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Intracyclic bleeding episodes were any bleeding episodes not qualifying as withdrawal bleeding. The latter was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=204 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=198 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Percentage of Participants With Intracyclic Bleeding at Cycle 3
10.8 Percentage of Participants
11.6 Percentage of Participants

SECONDARY outcome

Timeframe: At cycle 1 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Intracyclic bleeding episodes were any bleeding episodes not qualifying as withdrawal bleeding. The latter was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=226 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=222 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Number of Intracyclic Bleeding Episodes at Cycle 1
0.2 Episodes
Standard Deviation 0.5
0.2 Episodes
Standard Deviation 0.4

SECONDARY outcome

Timeframe: At cycle 3 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Intracyclic bleeding episodes were any bleeding episodes not qualifying as withdrawal bleeding. The latter was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=204 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=198 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Number of Intracyclic Bleeding Episodes at Cycle 3
0.1 Episodes
Standard Deviation 0.3
0.1 Episodes
Standard Deviation 0.4

SECONDARY outcome

Timeframe: At cycle 1 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Intracyclic bleeding episodes were any bleeding episodes not qualifying as withdrawal bleeding. The latter was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=43 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=37 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Maximum Length of Intracyclic Bleeding Episodes at Cycle 1
6.0 Days
Standard Deviation 5.4
6.2 Days
Standard Deviation 5.7

SECONDARY outcome

Timeframe: At cycle 3 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Intracyclic bleeding episodes were any bleeding episodes not qualifying as withdrawal bleeding. The latter was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=22 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=23 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Maximum Length of Intracyclic Bleeding Episodes at Cycle 3
5.5 Days
Standard Deviation 4.7
4.9 Days
Standard Deviation 4.1

SECONDARY outcome

Timeframe: At cycle 1 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Intracyclic bleeding episodes were any bleeding episodes not qualifying as withdrawal bleeding. The latter was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal. The total number of days during intracyclic bleeding episodes was counted.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=226 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=222 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Number of Intracyclic Bleeding Days at Cycle 1
1.2 Days
Standard Deviation 3.5
1.0 Days
Standard Deviation 3.3

SECONDARY outcome

Timeframe: At cycle 3 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Intracyclic bleeding episodes were any bleeding episodes not qualifying as withdrawal bleeding. The latter was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal. The total number of days during intracyclic bleeding episodes was counted.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=204 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=198 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Number of Intracyclic Bleeding Days at Cycle 3
0.6 Days
Standard Deviation 2.3
0.6 Days
Standard Deviation 2.1

SECONDARY outcome

Timeframe: At cycle 1 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Intracyclic bleeding episodes were any bleeding episodes not qualifying as withdrawal bleeding. The latter was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal. Intensity could be described as spotting, light, normal or heavy.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=43 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=37 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Percentage of Participants With Maximum Intensity of Intracyclic Bleeding Episodes at Cycle 1
Spotting
53.5 Percentage of participants
62.2 Percentage of participants
Percentage of Participants With Maximum Intensity of Intracyclic Bleeding Episodes at Cycle 1
Light
30.2 Percentage of participants
10.8 Percentage of participants
Percentage of Participants With Maximum Intensity of Intracyclic Bleeding Episodes at Cycle 1
Normal
9.3 Percentage of participants
13.5 Percentage of participants
Percentage of Participants With Maximum Intensity of Intracyclic Bleeding Episodes at Cycle 1
Heavy
7.0 Percentage of participants
13.5 Percentage of participants

SECONDARY outcome

Timeframe: At cycle 3 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

Intracyclic bleeding episodes were any bleeding episodes not qualifying as withdrawal bleeding. The latter was defined as the first bleeding episode after complete or partial progestogen withdrawal (i.e. the first episode starting after the last day of progestogen intake). If a bleeding episode was ongoing on the last day of progestogen intake and the following day, this episode was regarded as the withdrawal bleeding episode, as long as it had started not more than 4 days before the progestogen withdrawal. Intensity could be described as spotting, light, normal or heavy.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=22 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=23 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Percentage of Participants With Maximum Intensity of Intracyclic Bleeding Episodes at Cycle 3
Spotting
45.5 Percentage of participants
30.4 Percentage of participants
Percentage of Participants With Maximum Intensity of Intracyclic Bleeding Episodes at Cycle 3
Light
27.3 Percentage of participants
21.7 Percentage of participants
Percentage of Participants With Maximum Intensity of Intracyclic Bleeding Episodes at Cycle 3
Normal
13.6 Percentage of participants
30.4 Percentage of participants
Percentage of Participants With Maximum Intensity of Intracyclic Bleeding Episodes at Cycle 3
Heavy
13.6 Percentage of participants
17.4 Percentage of participants

SECONDARY outcome

Timeframe: At screening (28 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available

The investigator was asked to interview the participant and record the number of missed hours/days from work due to dysmenorrheic pain in the previous menstrual cycle.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=230 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Screening
Missing
0.4 Percentage of Participants
0.0 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Screening
Never
38.0 Percentage of Participants
40.4 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Screening
4 working hours
16.2 Percentage of Participants
16.1 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Screening
1 working day
26.5 Percentage of Participants
29.6 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Screening
>= 2 working days
18.8 Percentage of Participants
13.9 Percentage of Participants

SECONDARY outcome

Timeframe: At Baseline (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The investigator was asked to interview the participant and record the number of missed hours/days from work due to dysmenorrheic pain in the previous menstrual cycle.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=229 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Baseline Cycle
Missing
0.0 Percentage of Participants
0.0 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Baseline Cycle
Never
47.9 Percentage of Participants
51.7 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Baseline Cycle
4 working hours
13.2 Percentage of Participants
11.7 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Baseline Cycle
1 working day
20.9 Percentage of Participants
23.9 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Baseline Cycle
>= 2 working days
17.9 Percentage of Participants
12.2 Percentage of Participants

SECONDARY outcome

Timeframe: At cycle 2 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The investigator was asked to interview the participant and record the number of missed hours/days from work due to dysmenorrheic pain in the previous menstrual cycle.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=224 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=212 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Cycle 2
Missing
0.0 Percentage of Participants
0.0 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Cycle 2
Never
78.6 Percentage of Participants
72.6 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Cycle 2
4 working hours
8.5 Percentage of Participants
6.5 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Cycle 2
1 working day
6.4 Percentage of Participants
8.7 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Cycle 2
>= 2 working days
2.1 Percentage of Participants
4.3 Percentage of Participants

SECONDARY outcome

Timeframe: At final examination (28 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The investigator was asked to interview the participant and record the number of missed hours/days from work due to dysmenorrheic pain in the previous menstrual cycle.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=226 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=217 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Final Examination
Missing
0.4 Percentage of Participants
0.0 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Final Examination
Never
85.9 Percentage of Participants
85.2 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Final Examination
4 working hours
5.6 Percentage of Participants
2.6 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Final Examination
1 working day
3.0 Percentage of Participants
4.8 Percentage of Participants
Percentage of Participants Missing Time From Work Due to Dysmenorrheic Pain at Final Examination
>= 2 working days
1.7 Percentage of Participants
1.7 Percentage of Participants

SECONDARY outcome

Timeframe: At screening (average over 3 months before screening)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The participants were asked to complete a resource use questionnaire indicating their own costs of physiotherapy per treatment of dysmenorrheic pain. Costs were converted to U.S. dollars.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=173 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=174 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Own Costs of Physiotherapy Per Treatment Converted to U.S. Dollars as Measured by Resource Use Questionnaire
0.00 Dollars
Interval 0.0 to 0.0
0.00 Dollars
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: At screening (average over 3 months before screening)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The participants were asked to complete a resource use questionnaire indicating their own costs of pain medication per treatment of dysmenorrheic pain. Costs were converted to U.S. dollars.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=206 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=195 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Own Costs of Pain Medication Per Treatment Converted to U.S. Dollars as Measured by Resource Use Questionnaire
5.46 Dollars
Interval 0.0 to 30.0
5.04 Dollars
Interval 0.0 to 27.49

SECONDARY outcome

Timeframe: At screening (average over 3 months before screening)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The participants were asked to complete a resource use questionnaire indicating their own costs of vitamins per treatment of dysmenorrheic pain. Costs were converted to U.S. dollars.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=173 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=176 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Own Costs of Vitamins Per Treatment Converted to U.S. Dollars as Measured by Resource Use Questionnaire
0.00 Dollars
Interval 0.0 to 65.45
0.00 Dollars
Interval 0.0 to 65.45

SECONDARY outcome

Timeframe: At screening (average over 3 months before screening)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The participants were asked to complete a resource use questionnaire indicating their own costs of massages per treatment of dysmenorrheic pain. Costs were converted to U.S. dollars.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=172 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=172 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Own Costs of Massages Per Treatment Converted to U.S. Dollars as Measured by Resource Use Questionnaire
0.00 Dollars
Interval 0.0 to 60.0
0.00 Dollars
Interval 0.0 to 295.98

SECONDARY outcome

Timeframe: At screening (average over 3 months before screening)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The participants were asked to complete a resource use questionnaire indicating their own costs of acupuncture per treatment of dysmenorrheic pain. Costs were converted to U.S. dollars.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=174 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=174 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Own Costs of Acupuncture Per Treatment Converted to U.S. Dollars as Measured by Resource Use Questionnaire
0.00 Dollars
Interval 0.0 to 150.0
0.00 Dollars
Interval 0.0 to 74.0

SECONDARY outcome

Timeframe: At screening (average over 3 months before screening)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The participants were asked to complete a resource use questionnaire indicating their own costs of medical counseling per treatment of dysmenorrheic pain. Costs were converted to U.S. dollars.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=170 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=170 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Own Costs of Medical Counseling Per Treatment Converted to U.S. Dollars as Measured by Resource Use Questionnaire
0.00 Dollars
Interval 0.0 to 271.68
0.00 Dollars
Interval 0.0 to 98.17

SECONDARY outcome

Timeframe: At screening (average over 3 months before screening)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The participants were asked to complete a resource use questionnaire indicating their own costs of alternative medicine per treatment of dysmenorrheic pain. Costs were converted to U.S. dollars.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=177 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=175 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Own Costs of Alternative Medicine Per Treatment Converted to U.S. Dollars as Measured by Resource Use Questionnaire
0.00 Dollars
Interval 0.0 to 196.34
0.00 Dollars
Interval 0.0 to 110.0

SECONDARY outcome

Timeframe: At screening (average over 3 months before screening)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The participants were asked to complete a resource use questionnaire indicating their own costs of herbs/teas per treatment of dysmenorrheic pain. Costs were converted to U.S. dollars.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=183 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=179 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Own Costs of Herbs/Teas Per Treatment Converted to U.S. Dollars as Measured by Resource Use Questionnaire
0.00 Dollars
Interval 0.0 to 30.0
0.00 Dollars
Interval 0.0 to 10.0

SECONDARY outcome

Timeframe: At screening (average over 3 months before screening)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The participants were asked to complete a resource use questionnaire indicating their other own costs per treatment of dysmenorrheic pain. Costs were converted to U.S. dollars.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=192 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=194 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Other Own Costs Per Treatment Converted to U.S. Dollars as Measured by Resource Use Questionnaire
0.00 Dollars
Interval 0.0 to 15.0
0.00 Dollars
Interval 0.0 to 42.0

SECONDARY outcome

Timeframe: At cycle 2 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The Clinical Global Impression Scale (CGI) is a widely used rating scale/assessment instrument in psychopharmacology research in general, and in studies on women's health in particular. Investigators were asked to rate the participants' improvement during the course of the study.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=223 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=210 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Participants With Improvement in the Investigators' Assessment in the Clinical Global Impression
Missing
0 Participants
0 Participants
Participants With Improvement in the Investigators' Assessment in the Clinical Global Impression
Not assessed
1 Participants
1 Participants
Participants With Improvement in the Investigators' Assessment in the Clinical Global Impression
Very much improved
63 Participants
42 Participants
Participants With Improvement in the Investigators' Assessment in the Clinical Global Impression
Much improved
87 Participants
84 Participants
Participants With Improvement in the Investigators' Assessment in the Clinical Global Impression
Minimally improved
49 Participants
54 Participants
Participants With Improvement in the Investigators' Assessment in the Clinical Global Impression
No change
17 Participants
23 Participants
Participants With Improvement in the Investigators' Assessment in the Clinical Global Impression
Minimally worse
6 Participants
3 Participants
Participants With Improvement in the Investigators' Assessment in the Clinical Global Impression
Much worse
0 Participants
6 Participants

SECONDARY outcome

Timeframe: At cycle 2 (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The Clinical Global Impression Scale (CGI) is a widely used rating scale/assessment instrument in psychopharmacology research in general, and in studies on women's health in particular. Participants were asked to rate their improvement during the course of the study.

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=223 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=210 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Participants With Improvement in Participants' Assessment in the Clinical Global Impression
Missing
1 Participants
0 Participants
Participants With Improvement in Participants' Assessment in the Clinical Global Impression
Not assessed
1 Participants
1 Participants
Participants With Improvement in Participants' Assessment in the Clinical Global Impression
Very much improved
60 Participants
46 Participants
Participants With Improvement in Participants' Assessment in the Clinical Global Impression
Much improved
91 Participants
75 Participants
Participants With Improvement in Participants' Assessment in the Clinical Global Impression
Minimally improved
47 Participants
57 Participants
Participants With Improvement in Participants' Assessment in the Clinical Global Impression
No change
18 Participants
24 Participants
Participants With Improvement in Participants' Assessment in the Clinical Global Impression
Minimally worse
5 Participants
4 Participants
Participants With Improvement in Participants' Assessment in the Clinical Global Impression
Much worse
0 Participants
3 Participants

SECONDARY outcome

Timeframe: At baseline cycle (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=229 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Physical Functioning as Measured by General Health and Well-being Questionnaire SF-36 at Baseline Cycle
90.2 Scores on a scale
Standard Deviation 16.7
89.6 Scores on a scale
Standard Deviation 17.5

SECONDARY outcome

Timeframe: at final examination (28 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=226 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=217 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Physical Functioning as Measured by General Health and Well-being Questionnaire SF-36 at Final Examination
93.7 Scores on a scale
Standard Deviation 14.2
92.5 Scores on a scale
Standard Deviation 15.0

SECONDARY outcome

Timeframe: At baseline cycle (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=229 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Social Functioning as Measured by General Health and Well-being Questionnaire SF-36 at Baseline Cycle
78.85 Scores on a scale
Standard Deviation 18.99
77.35 Scores on a scale
Standard Deviation 20.56

SECONDARY outcome

Timeframe: At final examination (28 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=226 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=217 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Social Functioning as Measured by General Health and Well-being Questionnaire SF-36 at Final Examination
85.95 Scores on a scale
Standard Deviation 19.09
84.79 Scores on a scale
Standard Deviation 17.36

SECONDARY outcome

Timeframe: At baseline cycle (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants wit assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=229 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Mental Health as Measured by General Health and Well-being Questionnaire SF-36 at Baseline Cycle
73.6 Scores on a scale
Standard Deviation 15.6
72.6 Scores on a scale
Standard Deviation 16.3

SECONDARY outcome

Timeframe: At final examination (28 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=226 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=217 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Mental Health as Measured by General Health and Well-being Questionnaire SF-36 at Final Examination
77.3 Scores on a scale
Standard Deviation 14.9
76.4 Scores on a scale
Standard Deviation 14.7

SECONDARY outcome

Timeframe: At baseline cycle (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=229 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Vitality as Measured by General Health and Well-being Questionnaire SF-36 at Baseline Cycle
62.6 Scores on a scale
Standard Deviation 18.0
62.2 Scores on a scale
Standard Deviation 18.2

SECONDARY outcome

Timeframe: At final examination (28 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=226 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=217 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Vitality as Measured by General Health and Well-being Questionnaire SF-36 at Final Examination
68.2 Scores on a scale
Standard Deviation 17.0
67.2 Scores on a scale
Standard Deviation 16.8

SECONDARY outcome

Timeframe: At baseline cycle (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=229 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
General Health as Measured by General Health and Well-being Questionnaire SF-36 at Baseline Cycle
75.8 Scores on a scale
Standard Deviation 17.5
72.7 Scores on a scale
Standard Deviation 16.9

SECONDARY outcome

Timeframe: At final examination (28 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=226 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=217 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
General Health as Measured by General Health and Well-being Questionnaire SF-36 at Final Examination
77.2 Scores on a scale
Standard Deviation 17.9
76.5 Scores on a scale
Standard Deviation 16.6

SECONDARY outcome

Timeframe: At baseline cycle (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=229 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Role Physical as Measured by General Health and Well-being Questionnaire SF-36 at Baseline Cycle
77.8 Scores on a scale
Standard Deviation 33.6
79.4 Scores on a scale
Standard Deviation 32.7

SECONDARY outcome

Timeframe: At final examination (28 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=226 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=217 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Role Physical as Measured by General Health and Well-being Questionnaire SF-36 at Final Examination
89.6 Scores on a scale
Standard Deviation 23.0
87.9 Scores on a scale
Standard Deviation 25.9

SECONDARY outcome

Timeframe: At baseline cycle (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=229 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Role Emotional as Measured by General Health and Well-being Questionnaire SF-36 at Baseline Cycle
81.91 Scores on a scale
Standard Deviation 31.50
79.18 Scores on a scale
Standard Deviation 34.74

SECONDARY outcome

Timeframe: At final examination (28 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=226 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=217 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Role Emotional as Measured by General Health and Well-being Questionnaire SF-36 at Final Examination
88.64 Scores on a scale
Standard Deviation 26.36
83.87 Scores on a scale
Standard Deviation 30.28

SECONDARY outcome

Timeframe: At baseline cycle (28 days per cycle)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=229 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Bodily Pain as Measured by General Health and Well-being Questionnaire SF-36 at Baseline Cycle
50.7 Scores on a scale
Standard Deviation 24.4
51.8 Scores on a scale
Standard Deviation 23.0

SECONDARY outcome

Timeframe: At final examination (28 days)

Population: Full analysis set (FAS): all subjects admitted to the treatment phase who took at least 1 tablet of study medication or comparator, and for whom at least 1 observation after admission to treatment was available, all participants with assessment for this outcome measure

The standard questionnaire SF-36v1, a general health status measure used to evaluate patient populations and to compare health status across different populations, was completed by participants as a self-administered native language version. Percentages of absolute scores were calculated such that 0 represents the lowest possible score (worst outcome) and 100 the highest possible score (best outcome)

Outcome measures

Outcome measures
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=226 Participants
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=217 Participants
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Bodily Pain as Measured by General Health and Well-being Questionnaire SF-36 at Final Examination
77.0 Scores on a scale
Standard Deviation 21.5
74.0 Scores on a scale
Standard Deviation 22.1

Adverse Events

Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)

Serious events: 2 serious events
Other events: 131 other events
Deaths: 0 deaths

Ethinyl Estradiol, Levonorgestrel (Miranova)

Serious events: 2 serious events
Other events: 122 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 participants at risk
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=230 participants at risk
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Injury, poisoning and procedural complications
Animal bite
0.00%
0/234
0.43%
1/230 • Number of events 1
Infections and infestations
Helminthic infection
0.43%
1/234 • Number of events 1
0.00%
0/230
Psychiatric disorders
Depression
0.00%
0/234
0.43%
1/230 • Number of events 1
Reproductive system and breast disorders
Ovarian torsion
0.43%
1/234 • Number of events 1
0.00%
0/230

Other adverse events

Other adverse events
Measure
Estradiol Valerate, Dienogest (Natazia, Qlaira, BAY86-5027)
n=234 participants at risk
Daily oral administration of one tablet SH T00658ID (BAY86-5027) plus one tablet placebo for 28 days without tablet-free interval for 3 treatment cycles
Ethinyl Estradiol, Levonorgestrel (Miranova)
n=230 participants at risk
Daily oral administration of one tablet placebo plus one tablet SH D593B (Miranova) for 28 days without tablet-free interval for 3 treatment cycles
Gastrointestinal disorders
Dental caries
2.1%
5/234 • Number of events 10
0.87%
2/230 • Number of events 7
Gastrointestinal disorders
Nausea
0.85%
2/234 • Number of events 2
2.2%
5/230 • Number of events 6
General disorders
Inflammation
3.0%
7/234 • Number of events 7
1.3%
3/230 • Number of events 3
Infections and infestations
Influenza
0.85%
2/234 • Number of events 2
2.2%
5/230 • Number of events 5
Infections and infestations
Upper respiratory tract infection
1.7%
4/234 • Number of events 6
3.0%
7/230 • Number of events 10
Nervous system disorders
Headache
13.7%
32/234 • Number of events 55
14.8%
34/230 • Number of events 55
Nervous system disorders
Tension headache
6.0%
14/234 • Number of events 40
3.9%
9/230 • Number of events 43
Reproductive system and breast disorders
Cervical dysplasia
3.0%
7/234 • Number of events 7
3.9%
9/230 • Number of events 9
Reproductive system and breast disorders
Dysfunctional uterine bleeding
1.3%
3/234 • Number of events 4
2.2%
5/230 • Number of events 6
Reproductive system and breast disorders
Dysmenorrhoea
37.2%
87/234 • Number of events 208
35.7%
82/230 • Number of events 210
Reproductive system and breast disorders
Metrorrhagia
7.7%
18/234 • Number of events 28
5.7%
13/230 • Number of events 17
Reproductive system and breast disorders
Cervix inflammation
3.8%
9/234 • Number of events 9
1.7%
4/230 • Number of events 4

Additional Information

Therapeutic Area Head

BAYER

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60