Trial Outcomes & Findings for LCS12 vs Combined Oral Contraceptive (COC) User Satisfaction Study (NCT NCT01254292)

NCT ID: NCT01254292

Last Updated: 2017-09-25

Results Overview

Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

567 participants

Primary outcome timeframe

At 18 months

Results posted on

2017-09-25

Participant Flow

The study was conducted in 42 centers across 4 countries in Austria, Belgium, Germany and United States.

644 subjects were screened, of which 77 were screen failures and 567 were randomized, 282 subjects to LCS12 and 285 subjects to Yasmin. 279 subjects randomized to LCS12 while 281 subjects randomized to Yasmin received treatment and started comparative phase up to 18 months. 200 subjects randomized to LCS12 entered extension phase up to 36 months.

Participant milestones

Participant milestones
Measure
LCS12 (Skyla, BAY86-5028)
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
EE30/DRSP (Yasmin, BAY86-5131)
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
Comparative Phase
STARTED
282
285
Comparative Phase
Participants Received Treatment
279
281
Comparative Phase
COMPLETED
227
204
Comparative Phase
NOT COMPLETED
55
81
LCS12 Extension Phase
STARTED
200
0
LCS12 Extension Phase
COMPLETED
163
0
LCS12 Extension Phase
NOT COMPLETED
37
0

Reasons for withdrawal

Reasons for withdrawal
Measure
LCS12 (Skyla, BAY86-5028)
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
EE30/DRSP (Yasmin, BAY86-5131)
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
Comparative Phase
Adverse Event
25
25
Comparative Phase
Lost to Follow-up
3
21
Comparative Phase
Pregnancy
2
6
Comparative Phase
Withdrawal by Subject
20
21
Comparative Phase
Protocol Violation
1
2
Comparative Phase
Wish for pregnancy
4
6
LCS12 Extension Phase
Wish for pregnancy
14
0
LCS12 Extension Phase
Adverse Event
9
0
LCS12 Extension Phase
Withdrawal by Subject
7
0
LCS12 Extension Phase
Other unknown
4
0
LCS12 Extension Phase
Pregnancy
2
0
LCS12 Extension Phase
Lost to Follow-up
1
0

Baseline Characteristics

LCS12 vs Combined Oral Contraceptive (COC) User Satisfaction Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
LCS12 (Skyla, BAY86-5028)
n=279 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
EE30/DRSP (Yasmin, BAY86-5131)
n=281 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
Total
n=560 Participants
Total of all reporting groups
Age, Continuous
23.7 Years
STANDARD_DEVIATION 3.0 • n=5 Participants
23.9 Years
STANDARD_DEVIATION 3.0 • n=7 Participants
23.8 Years
STANDARD_DEVIATION 3.0 • n=5 Participants
Sex: Female, Male
Female
279 Participants
n=5 Participants
281 Participants
n=7 Participants
560 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Number of births
0
216 Participants
n=5 Participants
206 Participants
n=7 Participants
422 Participants
n=5 Participants
Number of births
1
39 Participants
n=5 Participants
49 Participants
n=7 Participants
88 Participants
n=5 Participants
Number of births
2
19 Participants
n=5 Participants
24 Participants
n=7 Participants
43 Participants
n=5 Participants
Number of births
3
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Number of births
4
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: At 18 months

Population: Full analysis set (only subjects with at least one assessment of the overall satisfaction rating)

Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=260 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=274 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Overall Satisfaction Rate at 18 Months (Last Observation Carried Forward, LOCF)
81.9 Percentage of participants
82.1 Percentage of participants

SECONDARY outcome

Timeframe: At 6 months

Population: Full analysis set (only subjects with an assessment of overall satisfaction rating at 6 months)

Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=260 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=273 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Overall Satisfaction Rating by the 5-point Likert Item at 6 Months
Very Satisfied
48.1 Percentage of participants
60.4 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at 6 Months
Satisfied
35.8 Percentage of participants
27.5 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at 6 Months
Neither satisfied nor dissatisfied
9.6 Percentage of participants
7.3 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at 6 Months
Dissatisfied
6.2 Percentage of participants
1.8 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at 6 Months
Very Dissatisfied
0.4 Percentage of participants
2.9 Percentage of participants

SECONDARY outcome

Timeframe: At 12 months

Population: Full analysis set (only subjects with an assessment of overall satisfaction rating at 12 months)

Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=238 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=253 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Overall Satisfaction Rating by the 5-point Likert Item at 12 Months
Very Satisfied
45.0 Percentage of participants
66.8 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at 12 Months
Satisfied
44.1 Percentage of participants
22.9 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at 12 Months
Neither satisfied nor dissatisfied
5.9 Percentage of participants
5.9 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at 12 Months
Dissatisfied
3.8 Percentage of participants
4.3 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at 12 Months
Very Dissatisfied
1.3 Percentage of participants
0.0 Percentage of participants

SECONDARY outcome

Timeframe: At 18 months

Population: Full analysis set (only subjects with an assessment of overall satisfaction rating at 18 months)

Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=217 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=235 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Overall Satisfaction Rating by the 5-point Likert Item at 18 Months
Very Satisfied
52.5 Percentage of participants
64.3 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at 18 Months
Satisfied
37.8 Percentage of participants
25.1 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at 18 Months
Neither satisfied nor dissatisfied
6.9 Percentage of participants
6.4 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at 18 Months
Dissatisfied
2.8 Percentage of participants
3.0 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at 18 Months
Very Dissatisfied
0.0 Percentage of participants
1.3 Percentage of participants

SECONDARY outcome

Timeframe: At 18 months/EOS

Population: Full analysis set (only subjects with an assessment of overall satisfaction rating at 18 months/end of study)

Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question. The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=251 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=268 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Overall Satisfaction Rating by the 5-point Likert Item at End of Study (EOS)
Very Satisfied
46.6 Percentage of participants
58.6 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at End of Study (EOS)
Satisfied
35.1 Percentage of participants
23.5 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at End of Study (EOS)
Neither satisfied nor dissatisfied
9.6 Percentage of participants
8.6 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at End of Study (EOS)
Dissatisfied
7.6 Percentage of participants
5.6 Percentage of participants
Overall Satisfaction Rating by the 5-point Likert Item at End of Study (EOS)
Very Dissatisfied
1.2 Percentage of participants
3.7 Percentage of participants

SECONDARY outcome

Timeframe: At 6 months

Population: Full analysis set (only subjects with an assessment of overall satisfaction rating at 6 months or before)

Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=260 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=273 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Overall Satisfaction Rate at 6 Months (LOCF)
83.8 Percentage of participants
87.9 Percentage of participants

SECONDARY outcome

Timeframe: At 12 months

Population: Full analysis set (only subjects with an assessment of overall satisfaction rating at 12 months)

Satisfaction was to be assessed by the subject based on a 5-point Likert item, using the following question: How satisfied are you with the birth control method used during the study? 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied The overall satisfaction rate was to be the percentage of subjects selecting "1. Very satisfied" or "2. Satisfied" for the above question.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=260 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=274 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Overall Satisfaction Rate at 12 Months (LOCF)
83.8 Percentage of participants
84.3 Percentage of participants

SECONDARY outcome

Timeframe: At 18 months/EOS

Population: Full analysis set (only subjects with an assessment of this questions of the user satisfaction questionnaire at 18 months/end of study)

The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=250 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=263 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
User Satisfaction - Acceptability of the Administration of Study Treatment
Acc. without inconvenience/discomfort
186 Participants
153 Participants
User Satisfaction - Acceptability of the Administration of Study Treatment
Acc. with some inconv/discomfort
46 Participants
87 Participants
User Satisfaction - Acceptability of the Administration of Study Treatment
Not acc. with moderate inconv./discomf.
15 Participants
11 Participants
User Satisfaction - Acceptability of the Administration of Study Treatment
Not acc. with extreme inconv./discomf
3 Participants
12 Participants

SECONDARY outcome

Timeframe: At 18 months/EOS

Population: Full analysis set (only subjects with an assessment of this questions of the user satisfaction questionnaire at 18 months/end of study)

The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=248 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=263 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
User Satisfaction - Choices Upon Completion of the Study
Continue with study treatment
122 Participants
174 Participants
User Satisfaction - Choices Upon Completion of the Study
Use a different hormonal contraceptive
51 Participants
34 Participants
User Satisfaction - Choices Upon Completion of the Study
Use a different contraceptive method
27 Participants
17 Participants
User Satisfaction - Choices Upon Completion of the Study
Discont. use of all types of contracept.
14 Participants
6 Participants
User Satisfaction - Choices Upon Completion of the Study
No need for contraceptive at this time
12 Participants
5 Participants
User Satisfaction - Choices Upon Completion of the Study
Undecided
22 Participants
27 Participants

SECONDARY outcome

Timeframe: At 18 months/EOS

Population: Full analysis set (only subjects with an assessment of this questions of the user satisfaction questionnaire at 18 months/end of study)

The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=250 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=260 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
User Satisfaction - Amount of Menstrual Bleeding
Decreased
35 Participants
80 Participants
User Satisfaction - Amount of Menstrual Bleeding
Not Changed
207 Participants
163 Participants
User Satisfaction - Amount of Menstrual Bleeding
Increased
8 Participants
17 Participants

SECONDARY outcome

Timeframe: At 18 months/EOS

Population: Full analysis set (only subjects with an assessment of this questions of the user satisfaction questionnaire at 18 months/end of study)

The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=250 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=263 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
User Satisfaction - Satisfaction With Menstrual Bleeding Pattern
Very satisfied
91 Participants
101 Participants
User Satisfaction - Satisfaction With Menstrual Bleeding Pattern
Somewhat satisfied
84 Participants
65 Participants
User Satisfaction - Satisfaction With Menstrual Bleeding Pattern
Neither satisfied nor dissatisfied
68 Participants
48 Participants
User Satisfaction - Satisfaction With Menstrual Bleeding Pattern
Dissatisfied
4 Participants
19 Participants
User Satisfaction - Satisfaction With Menstrual Bleeding Pattern
Very dissatisfied
1 Participants
10 Participants
User Satisfaction - Satisfaction With Menstrual Bleeding Pattern
Not applicable
2 Participants
20 Participants

SECONDARY outcome

Timeframe: At 18 months/EOS

Population: Full analysis set (only subjects with an assessment of this questions of the user satisfaction questionnaire at 18 months/end of study)

The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=250 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=263 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
User Satisfaction - Frequency of Experiencing Unexpected Bleeding
Never
219 Participants
145 Participants
User Satisfaction - Frequency of Experiencing Unexpected Bleeding
Seldom
25 Participants
92 Participants
User Satisfaction - Frequency of Experiencing Unexpected Bleeding
Often
5 Participants
17 Participants
User Satisfaction - Frequency of Experiencing Unexpected Bleeding
Very Often
1 Participants
9 Participants

SECONDARY outcome

Timeframe: At 18 months/EOS

Population: Full analysis set (only subjects with an assessment of this questions of the user satisfaction questionnaire at 18 months/end of study)

The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=14 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=130 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
User Satisfaction - Satisfaction With Menstrual Bleeding Absence
Very satisfied
6 Participants
96 Participants
User Satisfaction - Satisfaction With Menstrual Bleeding Absence
Somewhat satisfied
0 Participants
18 Participants
User Satisfaction - Satisfaction With Menstrual Bleeding Absence
Neither satisfied nor dissatisfied
8 Participants
14 Participants
User Satisfaction - Satisfaction With Menstrual Bleeding Absence
Dissatisfied
0 Participants
1 Participants
User Satisfaction - Satisfaction With Menstrual Bleeding Absence
Very dissatisfied
0 Participants
1 Participants

SECONDARY outcome

Timeframe: At 18 months/EOS

Population: Full analysis set (only subjects with an assessment of this questions of the user satisfaction questionnaire at 18 months/end of study)

The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=247 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=259 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
User Satisfaction - Comparison of Menstrual Pain Intensity Between Now and Before Treatment
Decreased
61 Participants
118 Participants
User Satisfaction - Comparison of Menstrual Pain Intensity Between Now and Before Treatment
Not changed
169 Participants
102 Participants
User Satisfaction - Comparison of Menstrual Pain Intensity Between Now and Before Treatment
Increased
17 Participants
39 Participants

SECONDARY outcome

Timeframe: At 18 months/EOS

Population: Full analysis set (only subjects with an assessment of this questions of the user satisfaction questionnaire at 18 months/end of study)

The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=249 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=261 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
User Satisfaction - Rating of Usual Menstrual Pain Intensity
None
82 Participants
124 Participants
User Satisfaction - Rating of Usual Menstrual Pain Intensity
Mild
92 Participants
78 Participants
User Satisfaction - Rating of Usual Menstrual Pain Intensity
Moderate
67 Participants
43 Participants
User Satisfaction - Rating of Usual Menstrual Pain Intensity
Severe
8 Participants
16 Participants

SECONDARY outcome

Timeframe: At screening

Population: Full analysis set (only subjects with an assessment of the EVAPIL questionnaire at screening where the composite score could be calculated)

The EVAPIL-R scale is a self-questionnaire aimed to assess tolerability of oral contraceptives. A composite score was derived from 16 items and the ratings for presence/absence (rated as 1/0), frequency (rated with values from 0 to 2), intensity (rated from 1 to 3) and bother (rated from 1 to 4) for each item. To calculate the composite score, the bother rating of each item was multiplied by an item- specific multiplier and a weight. Range is 0-12, with higher values indicating more severe symptoms/less tolerability.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=275 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=273 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
EVAPIL-R Scores at Screening - Composite Score
0.8846 Scores on a scale
Standard Deviation 0.8231
0.9386 Scores on a scale
Standard Deviation 0.8036

SECONDARY outcome

Timeframe: At screening

Population: Full analysis set (only subjects with an assessment of the EVAPIL questionnaire at screening where the bother score could be calculated)

The EVAPIL-R scale is a self-questionnaire aimed to assess tolerability of oral contraceptives. A composite score was derived from 16 items and the ratings for presence/absence (rated as 1/0), frequency (rated with values from 0 to 2), intensity (rated from 1 to 3) and bother (rated from 1 to 4) for each item. To calculate the composite score, the bother rating of each item was multiplied by an item- specific multiplier and a weight. Range is 0-12, , with higher values indicating more severe symptoms/less tolerability.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=276 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=273 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
EVAPIL-R Scores at Screening - Bother Score
0.5188 Scores on a scale
Standard Deviation 0.4406
0.5569 Scores on a scale
Standard Deviation 0.4451

SECONDARY outcome

Timeframe: At 6 months

Population: Full analysis set (only subjects with an assessment of the EVAPIL questionnaire at 6 months where the scores could be calculated)

The EVAPIL-R scale is a self-questionnaire aimed to assess tolerability of oral contraceptives. A composite score was derived from 16 items and the ratings for presence/absence (rated as 1/0), frequency (rated with values from 0 to 2), intensity (rated from 1 to 3) and bother (rated from 1 to 4) for each item. To calculate the composite score, the bother rating of each item was multiplied by an item- specific multiplier and a weight. Range is 0-12, with higher values indicating more severe symptoms/less tolerability.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=243 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=252 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
EVAPIL-R Scores at 6 Months
Composite score
1.1537 Scores on a scale
Standard Deviation 0.9947
1.3187 Scores on a scale
Standard Deviation 0.9888
EVAPIL-R Scores at 6 Months
Bother score
0.6550 Scores on a scale
Standard Deviation 0.5148
0.7364 Scores on a scale
Standard Deviation 0.4940

SECONDARY outcome

Timeframe: At 12 months

Population: Full analysis set (only subjects with an assessment of the EVAPIL questionnaire at 12 months where the bother score could be calculated)

The EVAPIL-R scale is a self-questionnaire aimed to assess tolerability of oral contraceptives. A composite score was derived from 16 items and the ratings for presence/absence (rated as 1/0), frequency (rated with values from 0 to 2), intensity (rated from 1 to 3) and bother (rated from 1 to 4) for each item. To calculate the composite score, the bother rating of each item was multiplied by an item- specific multiplier and a weight. Range is 0-12, with higher values indicating more severe symptoms/less tolerability.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=218 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=233 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
EVAPIL-R Scores at 12 Months - Bother Score
0.6015 Scores on a scale
Standard Deviation 0.4663
0.7789 Scores on a scale
Standard Deviation 0.5120

SECONDARY outcome

Timeframe: At 12 months

Population: Full analysis set (only subjects with an assessment of the EVAPIL questionnaire at 12 months where the composite score could be calculated)

The EVAPIL-R scale is a self-questionnaire aimed to assess tolerability of oral contraceptives. A composite score was derived from 16 items and the ratings for presence/absence (rated as 1/0), frequency (rated with values from 0 to 2), intensity (rated from 1 to 3) and bother (rated from 1 to 4) for each item. To calculate the composite score, the bother rating of each item was multiplied by an item- specific multiplier and a weight. Range is 0-12, with higher values indicating more severe symptoms/less tolerability.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=218 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=229 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
EVAPIL-R Scores at 12 Months - Composite Score
1.0535 Scores on a scale
Standard Deviation 0.8698
1.4022 Scores on a scale
Standard Deviation 1.0126

SECONDARY outcome

Timeframe: At 18 months/EOS

Population: Full analysis set (only subjects with an assessment of the EVAPIL questionnaire at 18 months/end of study where the scores could be calculated)

The EVAPIL-R scale is a self-questionnaire aimed to assess tolerability of oral contraceptives. A composite score was derived from 16 items and the ratings for presence/absence (rated as 1/0), frequency (rated with values from 0 to 2), intensity (rated from 1 to 3) and bother (rated from 1 to 4) for each item. To calculate the composite score, the bother rating of each item was multiplied by an item- specific multiplier and a weight. Range is 0-12, with higher values indicating more severe symptoms/less tolerability. The 18-month Treatment Visit served as the End-of-Study (EOS) Visit for participant in the COC group and LCS12 participant who did not enter the Extension Phase.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=250 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=260 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
EVAPIL-R Scores at 18 Months/EOS
Composite score
1.0246 Scores on a scale
Standard Deviation 0.9546
1.4804 Scores on a scale
Standard Deviation 1.1926
EVAPIL-R Scores at 18 Months/EOS
Bother score
0.5908 Scores on a scale
Standard Deviation 0.4836
0.8113 Scores on a scale
Standard Deviation 0.5765

SECONDARY outcome

Timeframe: Up to 6, 12, 18, 24 and 36 months

Population: Full analysis set

The drop-out rate is the amount of participants that could not complete the study for various reasons. Discontinuation rates due to the following reasons and overall discontinuations were calculated: • LCS12 expulsions • Bleeding pattern alterations • Bleeding pattern alterations with increased bleeding (amount) • Bleeding pattern alterations with decreased bleeding (amount) • Adverse Events The analyses described above were also done by parity. Furthermore, overall discontinuation rates were analyzed by Kaplan-Meier analyses and presented as cumulative half-yearly drop-out rates.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=281 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=279 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Cumulative Drop-out Rate
Up to 6 months
11.39 Percentage of participants
7.53 Percentage of participants
Cumulative Drop-out Rate
Up to 12 months
21.71 Percentage of participants
13.26 Percentage of participants
Cumulative Drop-out Rate
Up to 18 months
27.40 Percentage of participants
18.64 Percentage of participants
Cumulative Drop-out Rate
Up to 24 months
NA Percentage of participants
Extension phase was only for LCS12 group
30.85 Percentage of participants
Cumulative Drop-out Rate
Up to 36 months
NA Percentage of participants
Extension phase was only for LCS12 group
33.34 Percentage of participants

SECONDARY outcome

Timeframe: Up to 18, 24, 36 months

Population: Full analysis set

The Pearl Index was defined as the number of pregnancies per 100 woman years (WYs). Given the assumption that the number of pregnancies follows a Poisson distribution, the Pearl Index thus is the mean of this distribution.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=281 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=279 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Pearl Index (PI)
Pearl index up to 18 months
1.82 Pregnancies per 100 women years
Interval 0.67 to 3.97
0.57 Pregnancies per 100 women years
Interval 0.07 to 2.05
Pearl Index (PI)
Pearl index up to 24 months
NA Pregnancies per 100 women years
Extension phase was only for LCS12 group.
0.67 Pregnancies per 100 women years
Interval 0.14 to 1.95
Pearl Index (PI)
Pearl index up to 36 months
NA Pregnancies per 100 women years
Extension phase was only for LCS12 group.
0.65 Pregnancies per 100 women years
Interval 0.18 to 1.67

SECONDARY outcome

Timeframe: Up to 18 months

Population: Full analysis set

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=281 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Compliance Rate for Yasmin Pill Intake
Missing
2.8 Percentage of participants
Compliance Rate for Yasmin Pill Intake
Compliance <=75%
2.1 Percentage of participants
Compliance Rate for Yasmin Pill Intake
Compliance >75%
95.0 Percentage of participants

SECONDARY outcome

Timeframe: At 6 months

Population: Full analysis set (only subjects with an assessment of these questions of the user satisfaction questionnaire at 6 months)

The degree of user satisfaction was assessed at the end-of-study visit using an eight item questionnaire. One of the items assessed was acceptability of study treatment which was categorized into the following: acceptable without I/D, acceptable with some I/D, not acceptable with moderate I/D, and not acceptable with extreme I/D.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=244 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=256 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
User Satisfaction - Acceptability of the Administration of Study Treatment
Acc. without inconvenience/discomfort
192 Participants
163 Participants
User Satisfaction - Acceptability of the Administration of Study Treatment
Acc. with some inconv/discomfort
48 Participants
87 Participants
User Satisfaction - Acceptability of the Administration of Study Treatment
Not acc. with moderate inconv./discomf.
4 Participants
4 Participants
User Satisfaction - Acceptability of the Administration of Study Treatment
Not acc. with extreme inconv./discomf.
0 Participants
2 Participants

SECONDARY outcome

Timeframe: At 12 months

Population: Full analysis set (only subjects with an assessment of these questions of the user satisfaction questionnaire at 12 months)

The degree of user satisfaction was assessed at the end-of-study visit using an eight item questionnaire. One of the items assessed was acceptability of study treatment which was categorized into the following: acceptable without I/D, acceptable with some I/D, not acceptable with moderate I/D, and not acceptable with extreme I/D.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
n=220 Participants
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=237 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
User Satisfaction - Acceptability of the Administration of Study Treatment
Acc. without inconvenience/discomfort
185 Participants
152 Participants
User Satisfaction - Acceptability of the Administration of Study Treatment
Acc. with some inconv/discomfort
33 Participants
74 Participants
User Satisfaction - Acceptability of the Administration of Study Treatment
Not acc. with moderate inconv./discomf.
2 Participants
9 Participants
User Satisfaction - Acceptability of the Administration of Study Treatment
Not acc. with extreme inconv./discomf.
0 Participants
1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 18, 24, 36 months

Population: Full analysis set

Total expulsion is confirmed if the IUS is observed in the vagina, the IUS is not shown in the uterine cavity by ultrasound, and / or the subject confirms that the system was expelled. Partial expulsion is diagnosed if the IUS can be partially seen in the vagina or is displaced in the cervical canal.

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=279 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Cumulative Number of Participants With Partial or Total Expulsion
Partial expulsion up to 18 months
0 Participants
Cumulative Number of Participants With Partial or Total Expulsion
Total expulsion up to 18 months
0 Participants
Cumulative Number of Participants With Partial or Total Expulsion
Partial expulsion up to 24 months
1 Participants
Cumulative Number of Participants With Partial or Total Expulsion
Total expulsion up to 24 months
0 Participants
Cumulative Number of Participants With Partial or Total Expulsion
Partial expulsion up to 36 months
1 Participants
Cumulative Number of Participants With Partial or Total Expulsion
Total expulsion up to 36 months
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 18 months

Population: Full analysis set

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=279 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Investigator's Evaluation of Successful IUS Insertion Procedure
Easy
247 Participants
Investigator's Evaluation of Successful IUS Insertion Procedure
Slightly difficult
31 Participants
Investigator's Evaluation of Successful IUS Insertion Procedure
Very difficult
1 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 18 months

Population: Full analysis set

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=279 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Participants' Evaluation of Pain During Successful IUS Insertion Procedure
Severe
25 Participants
Participants' Evaluation of Pain During Successful IUS Insertion Procedure
None
49 Participants
Participants' Evaluation of Pain During Successful IUS Insertion Procedure
Mild
125 Participants
Participants' Evaluation of Pain During Successful IUS Insertion Procedure
Moderate
80 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 36 months

Population: Full analysis set (only subjects in the LCS12 arm with documented removal of the IUS)

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=267 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Investigator's Evaluation of IUS Removal Procedure
Easy
252 Participants
Investigator's Evaluation of IUS Removal Procedure
Slightly difficult
11 Participants
Investigator's Evaluation of IUS Removal Procedure
Very difficult
4 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 36 months

Population: Full analysis set (only subjects in the LCS12 arm with documented removal of the IUS)

Outcome measures

Outcome measures
Measure
EE30/DRSP (Yasmin, BAY86-5131)
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
LCS12 (Skyla, BAY86-5028)
n=267 Participants
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
Participants' Evaluation of Pain During IUS Removal Procedure
None
136 Participants
Participants' Evaluation of Pain During IUS Removal Procedure
Mild
96 Participants
Participants' Evaluation of Pain During IUS Removal Procedure
Moderate
30 Participants
Participants' Evaluation of Pain During IUS Removal Procedure
Severe
5 Participants

Adverse Events

LCS12 (Skyla, BAY86-5028)

Serious events: 22 serious events
Other events: 215 other events
Deaths: 0 deaths

EE30/DRSP (Yasmin, BAY86-5131)

Serious events: 5 serious events
Other events: 148 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
LCS12 (Skyla, BAY86-5028)
n=279 participants at risk
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
EE30/DRSP (Yasmin, BAY86-5131)
n=281 participants at risk
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
Endocrine disorders
Basedow's disease
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Gastrointestinal disorders
Colitis ulcerative
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Gastrointestinal disorders
Femoral hernia
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
General disorders
Impaired healing
0.00%
0/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Appendicitis
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.71%
2/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Infectious mononucleosis
0.00%
0/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
Injury, poisoning and procedural complications
Incisional hernia
0.00%
0/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
Injury, poisoning and procedural complications
Laceration
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Injury, poisoning and procedural complications
Muscle injury
0.00%
0/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
Injury, poisoning and procedural complications
Ligament rupture
0.72%
2/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Musculoskeletal and connective tissue disorders
Exostosis
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Musculoskeletal and connective tissue disorders
Nose deformity
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Malignant melanoma
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cervix carcinoma stage 0
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Pregnancy, puerperium and perinatal conditions
Ectopic pregnancy
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Cervical dysplasia
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Ovarian cyst
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Breast abscess
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Borderline ovarian tumour
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Breast fibrosis
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Surgical and medical procedures
Breast prosthesis implantation
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Surgical and medical procedures
Myomectomy
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Surgical and medical procedures
Mammoplasty
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.

Other adverse events

Other adverse events
Measure
LCS12 (Skyla, BAY86-5028)
n=279 participants at risk
Participants received LCS12 (low dose levonorgestrel \[LNG\] intrauterine delivery system \[IUS\]) with an initial in vitro release rate of 12 μg LNG per day for 18 months with optional extension to 36 months
EE30/DRSP (Yasmin, BAY86-5131)
n=281 participants at risk
Participants received combined oral contraceptive (COC) tablet Yasmin containing 30 μg ethinyl estradiol (EE) and 3 mg drospirenone (DRSP) for 18 months/19 cycles
Ear and labyrinth disorders
Vertigo
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Endocrine disorders
Hypothyroidism
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.71%
2/281 • From start of treatment until 36 months/EOS visit.
Gastrointestinal disorders
Abdominal pain
7.5%
21/279 • From start of treatment until 36 months/EOS visit.
1.4%
4/281 • From start of treatment until 36 months/EOS visit.
Gastrointestinal disorders
Abdominal pain lower
4.3%
12/279 • From start of treatment until 36 months/EOS visit.
1.8%
5/281 • From start of treatment until 36 months/EOS visit.
Gastrointestinal disorders
Abdominal pain upper
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
2.1%
6/281 • From start of treatment until 36 months/EOS visit.
Gastrointestinal disorders
Constipation
0.00%
0/279 • From start of treatment until 36 months/EOS visit.
1.4%
4/281 • From start of treatment until 36 months/EOS visit.
Gastrointestinal disorders
Diarrhoea
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
3.2%
9/281 • From start of treatment until 36 months/EOS visit.
Gastrointestinal disorders
Gastritis
1.8%
5/279 • From start of treatment until 36 months/EOS visit.
1.4%
4/281 • From start of treatment until 36 months/EOS visit.
Gastrointestinal disorders
Gastrooesophageal reflux disease
1.8%
5/279 • From start of treatment until 36 months/EOS visit.
1.1%
3/281 • From start of treatment until 36 months/EOS visit.
Gastrointestinal disorders
Nausea
3.2%
9/279 • From start of treatment until 36 months/EOS visit.
5.0%
14/281 • From start of treatment until 36 months/EOS visit.
Gastrointestinal disorders
Toothache
1.4%
4/279 • From start of treatment until 36 months/EOS visit.
0.71%
2/281 • From start of treatment until 36 months/EOS visit.
Gastrointestinal disorders
Vomiting
1.4%
4/279 • From start of treatment until 36 months/EOS visit.
2.8%
8/281 • From start of treatment until 36 months/EOS visit.
General disorders
Irritability
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
General disorders
Pyrexia
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.71%
2/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Acute tonsillitis
1.8%
5/279 • From start of treatment until 36 months/EOS visit.
2.1%
6/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Bronchitis
1.8%
5/279 • From start of treatment until 36 months/EOS visit.
1.4%
4/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Cystitis
8.2%
23/279 • From start of treatment until 36 months/EOS visit.
5.3%
15/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Gastroenteritis
1.8%
5/279 • From start of treatment until 36 months/EOS visit.
1.4%
4/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Influenza
1.8%
5/279 • From start of treatment until 36 months/EOS visit.
1.1%
3/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Nasopharyngitis
7.9%
22/279 • From start of treatment until 36 months/EOS visit.
4.6%
13/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Sinusitis
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
2.1%
6/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Tonsillitis
2.5%
7/279 • From start of treatment until 36 months/EOS visit.
1.4%
4/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Urinary tract infection
5.0%
14/279 • From start of treatment until 36 months/EOS visit.
1.4%
4/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Vaginal infection
3.9%
11/279 • From start of treatment until 36 months/EOS visit.
2.5%
7/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Vulvitis
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Vulvovaginal candidiasis
5.4%
15/279 • From start of treatment until 36 months/EOS visit.
2.1%
6/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Vulvovaginitis
1.4%
4/279 • From start of treatment until 36 months/EOS visit.
1.1%
3/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Tooth infection
0.00%
0/279 • From start of treatment until 36 months/EOS visit.
1.1%
3/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Vaginitis bacterial
3.2%
9/279 • From start of treatment until 36 months/EOS visit.
1.1%
3/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Vulvovaginal mycotic infection
3.6%
10/279 • From start of treatment until 36 months/EOS visit.
2.5%
7/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Vulvovaginitis streptococcal
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Injury, poisoning and procedural complications
Contusion
0.00%
0/279 • From start of treatment until 36 months/EOS visit.
1.1%
3/281 • From start of treatment until 36 months/EOS visit.
Injury, poisoning and procedural complications
Procedural pain
3.6%
10/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
Investigations
Smear cervix abnormal
1.8%
5/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Investigations
Weight decreased
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
1.1%
3/281 • From start of treatment until 36 months/EOS visit.
Investigations
Weight increased
3.6%
10/279 • From start of treatment until 36 months/EOS visit.
2.8%
8/281 • From start of treatment until 36 months/EOS visit.
Investigations
Human papilloma virus test positive
1.8%
5/279 • From start of treatment until 36 months/EOS visit.
1.1%
3/281 • From start of treatment until 36 months/EOS visit.
Musculoskeletal and connective tissue disorders
Back pain
2.9%
8/279 • From start of treatment until 36 months/EOS visit.
1.4%
4/281 • From start of treatment until 36 months/EOS visit.
Nervous system disorders
Headache
9.3%
26/279 • From start of treatment until 36 months/EOS visit.
11.4%
32/281 • From start of treatment until 36 months/EOS visit.
Nervous system disorders
Migraine
0.72%
2/279 • From start of treatment until 36 months/EOS visit.
1.8%
5/281 • From start of treatment until 36 months/EOS visit.
Psychiatric disorders
Depression
0.72%
2/279 • From start of treatment until 36 months/EOS visit.
1.4%
4/281 • From start of treatment until 36 months/EOS visit.
Psychiatric disorders
Insomnia
0.00%
0/279 • From start of treatment until 36 months/EOS visit.
1.4%
4/281 • From start of treatment until 36 months/EOS visit.
Psychiatric disorders
Libido decreased
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
1.1%
3/281 • From start of treatment until 36 months/EOS visit.
Psychiatric disorders
Mood altered
0.36%
1/279 • From start of treatment until 36 months/EOS visit.
1.1%
3/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Breast pain
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Breast tenderness
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.71%
2/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Cervical dysplasia
12.5%
35/279 • From start of treatment until 36 months/EOS visit.
5.7%
16/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Dysmenorrhoea
16.8%
47/279 • From start of treatment until 36 months/EOS visit.
9.3%
26/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Menorrhagia
2.2%
6/279 • From start of treatment until 36 months/EOS visit.
1.8%
5/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Metrorrhagia
3.6%
10/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Ovarian cyst
6.5%
18/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Pelvic pain
4.7%
13/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Vaginal discharge
4.3%
12/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Vaginal haemorrhage
2.9%
8/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Genital haemorrhage
2.2%
6/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Coital bleeding
1.8%
5/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
Respiratory, thoracic and mediastinal disorders
Cough
0.72%
2/279 • From start of treatment until 36 months/EOS visit.
1.1%
3/281 • From start of treatment until 36 months/EOS visit.
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
2.5%
7/279 • From start of treatment until 36 months/EOS visit.
0.71%
2/281 • From start of treatment until 36 months/EOS visit.
Skin and subcutaneous tissue disorders
Acne
12.2%
34/279 • From start of treatment until 36 months/EOS visit.
2.1%
6/281 • From start of treatment until 36 months/EOS visit.
Skin and subcutaneous tissue disorders
Skin disorder
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Surgical and medical procedures
Wisdom teeth removal
1.8%
5/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Bacterial vaginosis
6.5%
18/279 • From start of treatment until 36 months/EOS visit.
1.1%
3/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Ear infection
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Gonorrhoea
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Vaginitis gardnerella
1.4%
4/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Chlamydial infection
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Vaginitis chlamydial
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Infections and infestations
Candida infection
1.4%
4/279 • From start of treatment until 36 months/EOS visit.
0.71%
2/281 • From start of treatment until 36 months/EOS visit.
Injury, poisoning and procedural complications
Joint dislocation
1.4%
4/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Investigations
Chlamydia test positive
1.4%
4/279 • From start of treatment until 36 months/EOS visit.
0.71%
2/281 • From start of treatment until 36 months/EOS visit.
Psychiatric disorders
Irritability
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Dyspareunia
1.4%
4/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Ovarian cyst ruptured
1.4%
4/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.
Reproductive system and breast disorders
Vulvovaginal pruritus
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.36%
1/281 • From start of treatment until 36 months/EOS visit.
Skin and subcutaneous tissue disorders
Rash
1.1%
3/279 • From start of treatment until 36 months/EOS visit.
0.00%
0/281 • From start of treatment until 36 months/EOS visit.

Additional Information

Therapeutic Area Head

Bayer AG

Results disclosure agreements

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

Restriction type: LTE60