The Effect of Hormonal Contraceptives on Androgens and Glucose Metabolism

NCT ID: NCT01087879

Last Updated: 2011-09-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-10-31

Study Completion Date

2011-01-31

Brief Summary

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The impact of different administration routes of hormonal contraceptives on androgen secretion, glucose metabolism and inflammation. A prospective randomized trial.

The investigators assume, that transdermal or transvaginal hormonal contraception would have less effects on androgen levels, glucose metabolism and inflammatory markers than oral contraceptives.

Detailed Description

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45 patients are recruited in the study. Each study group will consist of 15 women (aged 20-35 years) receiving oral, transdermal or transvaginal hormonal contraception continuously for 9 weeks. The subjects should have at least 2 months wash out period from all hormonal medication prior to the study.

The measurements for serum sampling and OGTT will be performed before and after 9 weeks of medication.

Conditions

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Contraception

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Oral contraceptive pill

9 weeks treatment with contraceptive pill.

Group Type ACTIVE_COMPARATOR

Desogestrel-Ethinyl Estradiol contraceptive pill

Intervention Type DRUG

150 microg Desogestrel and 20 microg Ethinyl Estradiol combination. One pill once a day for 9 weeks, continual administration.

Contraception vaginal ring

9 weeks treatment with vaginal ring.

Group Type ACTIVE_COMPARATOR

Etonogestrel-Ethinyl Estradiol vaginal ring

Intervention Type DRUG

Etonogestrel-Ethinyl Estradiol vaginal ring, which consists of 11,7 mg etonogestrel and 2,7 mg ethinyl estradiol. It delivers 0,120 mg etonogestrel and 0,015 mg ethinyl estradiol per day. Treatment continues continual for 9 weeks and the vaginal ring is changed every three weeks.

Transdermal contraceptive patch

9 weeks treatment with a transdermal contraceptive patch.

Group Type ACTIVE_COMPARATOR

Norelgestromin-Ethinyl Estradiol contraceptive patch

Intervention Type DRUG

A combination transdermal contraceptive patch with 6 mg of norelgestromin and 600 microg of ethinyl estradiol. It delivers 203 microg of norelgestromin and 33,9 microg ethinyl estradiol per day. A continual use of patch for 9 weeks and the patch is changed every week.

Interventions

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Desogestrel-Ethinyl Estradiol contraceptive pill

150 microg Desogestrel and 20 microg Ethinyl Estradiol combination. One pill once a day for 9 weeks, continual administration.

Intervention Type DRUG

Etonogestrel-Ethinyl Estradiol vaginal ring

Etonogestrel-Ethinyl Estradiol vaginal ring, which consists of 11,7 mg etonogestrel and 2,7 mg ethinyl estradiol. It delivers 0,120 mg etonogestrel and 0,015 mg ethinyl estradiol per day. Treatment continues continual for 9 weeks and the vaginal ring is changed every three weeks.

Intervention Type DRUG

Norelgestromin-Ethinyl Estradiol contraceptive patch

A combination transdermal contraceptive patch with 6 mg of norelgestromin and 600 microg of ethinyl estradiol. It delivers 203 microg of norelgestromin and 33,9 microg ethinyl estradiol per day. A continual use of patch for 9 weeks and the patch is changed every week.

Intervention Type DRUG

Other Intervention Names

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Mercilon NuvaRing Evra

Eligibility Criteria

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Inclusion Criteria

* healthy women aged from 20 to 35 years
* regular menstruation
* no use of hormonal contraception or two months wash-out period
* no contraindications for using hormonal contraception

Exclusion Criteria

* irregular menstruation
* smoking
* alcohol addiction
* pregnancy or nursing
* hypersensitivity to any components of the products
* headaches with focal neurological symptoms
* serious or multiple risk factors for artery disease
* undiagnosed abnormal genital bleeding
* impaired glucose tolerance or DM-T2
Minimum Eligible Age

20 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Oulu

OTHER

Sponsor Role lead

Responsible Party

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Dept Ob-Gyn, University of Oulu

Principal Investigators

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Juha S. Tapanainen, Professor

Role: STUDY_CHAIR

Dept Ob-Gyn, University of Oulu

Terhi T. Piltonen, MD

Role: STUDY_DIRECTOR

Dept Ob-Gyn, University of Oulu

Johanna M. Puurunen, MD

Role: PRINCIPAL_INVESTIGATOR

Dept Ob-Gyn, Univeristy of Oulu

Locations

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Department of Obstetrics and Gynaecology, University of Oulu

Oulu, , Finland

Site Status

Countries

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Finland

References

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Kallio S, Puurunen J, Ruokonen A, Vaskivuo T, Piltonen T, Tapanainen JS. Antimullerian hormone levels decrease in women using combined contraception independently of administration route. Fertil Steril. 2013 Apr;99(5):1305-10. doi: 10.1016/j.fertnstert.2012.11.034. Epub 2012 Dec 20.

Reference Type DERIVED
PMID: 23260855 (View on PubMed)

Piltonen T, Puurunen J, Hedberg P, Ruokonen A, Mutt SJ, Herzig KH, Nissinen A, Morin-Papunen L, Tapanainen JS. Oral, transdermal and vaginal combined contraceptives induce an increase in markers of chronic inflammation and impair insulin sensitivity in young healthy normal-weight women: a randomized study. Hum Reprod. 2012 Oct;27(10):3046-56. doi: 10.1093/humrep/des225. Epub 2012 Jul 18.

Reference Type DERIVED
PMID: 22811306 (View on PubMed)

Other Identifiers

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191/2006

Identifier Type: -

Identifier Source: org_study_id

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