Trial Outcomes & Findings for Study of Safety and Efficacy of an Oral Contraceptive (NCT NCT00932321)

NCT ID: NCT00932321

Last Updated: 2013-04-22

Results Overview

Pearl Index = 1300 \* number of pregnancies/number of women-cycles of treatment

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

938 participants

Primary outcome timeframe

5.6 months (6 - 28 day cycles)

Results posted on

2013-04-22

Participant Flow

32 investigational study sites recruited 938 women aged 18 - 45 years of age beginning Feb '04

MITT Population defined as subset of All Treated Subjects who were evaluated for pregnancy, either positive or negative, at least once after beginning the study medication. Completed subjects - subset of MITT subjects completing at least 161 days of treatment based on returned drug or diary.

Participant milestones

Participant milestones
Measure
24 Day NA/EE
Norethindrone acetate/ethinyl estradiol 1 tablet daily for 24 days followed by 4 placebo tablets
21 Day NA/EE
Norethindrone acetate/ethinyl estradiol 1 tablet daily for 21 days followed by 7 placebo tablets
Overall Study
STARTED
751
187
Overall Study
MITT Population
705
181
Overall Study
COMPLETED
580
141
Overall Study
NOT COMPLETED
171
46

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Safety and Efficacy of an Oral Contraceptive

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
24 Day NA/EE
n=751 Participants
Norethindrone acetate/ethinyl estradiol 1 tablet daily for 24 days followed by 4 placebo tablets
21 Day NA/EE
n=187 Participants
Norethindrone acetate/ethinyl estradiol 1 tablet daily for 21 days followed by 7 placebo tablets
Total
n=938 Participants
Total of all reporting groups
Age, Customized
Age, Unknown
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Age, Customized
18-35 years
579 Participants
n=5 Participants
151 Participants
n=7 Participants
730 Participants
n=5 Participants
Age, Customized
> 35 years
125 Participants
n=5 Participants
29 Participants
n=7 Participants
154 Participants
n=5 Participants
Sex: Female, Male
Female
751 Participants
n=5 Participants
187 Participants
n=7 Participants
938 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
751 participants
n=5 Participants
187 participants
n=7 Participants
938 participants
n=5 Participants

PRIMARY outcome

Timeframe: 5.6 months (6 - 28 day cycles)

Population: Modified intention to treat (MITT) subset of all treat subjects - evaluated for pregnancy at least once after beginning study medication.

Pearl Index = 1300 \* number of pregnancies/number of women-cycles of treatment

Outcome measures

Outcome measures
Measure
24 Day NA/EE
n=705 Participants
Norethindrone acetate/ethinyl estradiol 1 tablet daily for 24 days followed by 4 placebo tablets
21 Day NA/EE
n=181 Participants
Norethindrone acetate/ethinyl estradiol 1 tablet daily for 21 days followed by 7 placebo tablets
Pregnancy Rate (Expressed as Pearl Index) for Women 18 to 45 Years Old, MITT Population
1.823 Pearl Index
2.978 Pearl Index

SECONDARY outcome

Timeframe: 5.6 months (6 - 28 day cycles)

Population: Modified Intent to Treat (MITT)

Self-reported via patient completed diary (none - no vaginal bleeding, light - less than normal menstruation, normal - like normal menstruation, heavy - more than normal menstruation) along with daily use of sanitary protection (other than panty liners). Light bleeding requiring no more than single pad or tampon will be spotting.

Outcome measures

Outcome measures
Measure
24 Day NA/EE
n=705 Participants
Norethindrone acetate/ethinyl estradiol 1 tablet daily for 24 days followed by 4 placebo tablets
21 Day NA/EE
n=181 Participants
Norethindrone acetate/ethinyl estradiol 1 tablet daily for 21 days followed by 7 placebo tablets
Mean Number of Intracyclic Bleeding (IB)/Spotting Days in Cycles 2-6, MITT Population
6.31 Days
Standard Deviation 9.16
7.31 Days
Standard Deviation 10.51

Adverse Events

24 Day NA/EE

Serious events: 3 serious events
Other events: 457 other events
Deaths: 0 deaths

21 Day NA/EE

Serious events: 0 serious events
Other events: 99 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
24 Day NA/EE
n=743 participants at risk
Norethindrone acetate/ethinyl estradiol 1 tablet daily for 24 days followed by 4 placebo tablets
21 Day NA/EE
n=186 participants at risk
Norethindrone acetate/ethinyl estradiol 1 tablet daily for 21 days followed by 7 placebo tablets
Surgical and medical procedures
Partial Thyroidectomy
0.13%
1/743 • Number of events 1 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
0.00%
0/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Thyroid Cancer
0.13%
1/743 • Number of events 1 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
0.00%
0/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Injury, poisoning and procedural complications
Back Injury
0.13%
1/743 • Number of events 1 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
0.00%
0/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.

Other adverse events

Other adverse events
Measure
24 Day NA/EE
n=743 participants at risk
Norethindrone acetate/ethinyl estradiol 1 tablet daily for 24 days followed by 4 placebo tablets
21 Day NA/EE
n=186 participants at risk
Norethindrone acetate/ethinyl estradiol 1 tablet daily for 21 days followed by 7 placebo tablets
Nervous system disorders
Headache
6.3%
47/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
7.0%
13/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Infections and infestations
Vaginal Candidiasis
6.1%
45/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
5.4%
10/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Infections and infestations
Upper Respiratory Tract Infection
5.1%
38/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
4.8%
9/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Infections and infestations
Sinusitis
3.1%
23/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
2.2%
4/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Infections and infestations
Vaginitis bacterial
3.1%
23/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
1.6%
3/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Infections and infestations
Urinary Tract Infection
2.4%
18/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
2.7%
5/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Infections and infestations
Pharyngitis streptococcal
1.5%
11/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
1.1%
2/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Infections and infestations
Gastroenteritis, Viral
1.1%
8/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
2.2%
4/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Gastrointestinal disorders
Nausea
4.6%
34/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
3.2%
6/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Gastrointestinal disorders
Vomiting
1.9%
14/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
0.54%
1/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Gastrointestinal disorders
Diarrhea
1.2%
9/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
0.54%
1/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Gastrointestinal disorders
Dyspepsia
1.1%
8/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
1.1%
2/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Reproductive system and breast disorders
Dysmenorrhea
4.4%
33/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
2.7%
5/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Reproductive system and breast disorders
Breast Tenderness
3.4%
25/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
1.1%
2/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Reproductive system and breast disorders
Metorrhagia
1.9%
14/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
1.1%
2/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Reproductive system and breast disorders
Pelvic Pain
1.3%
10/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
1.1%
2/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Investigations
Smear Cervix Abnormal
3.1%
23/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
3.2%
6/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Investigations
Weight Increased
2.0%
15/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
1.6%
3/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Skin and subcutaneous tissue disorders
Acne
2.7%
20/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
2.7%
5/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Psychiatric disorders
Mood Swings
2.2%
16/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
2.7%
5/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Psychiatric disorders
Depression
1.1%
8/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
2.2%
4/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
Musculoskeletal and connective tissue disorders
Back Pain
0.94%
7/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
1.6%
3/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
General disorders
Fatigue
1.1%
8/743 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.
1.1%
2/186 • 10 months, between 5 Feb 2004 and 30 Nov 2004
Nine randomized subjects returned all study medication unused resulting in the following treated subjects: 743 in 24 day NA/EE group and 186 in 21 day NA/EE group. Adverse Events were collected on this population.

Additional Information

Grexan Wulff, Manager Regulatory Affairs

Warner Chilcott

Phone: 973-442-3376

Results disclosure agreements

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

Restriction type: LTE60