Acceptability and Continuation Rate of Implanon in a Brazilian Public Sector

NCT ID: NCT01392157

Last Updated: 2013-11-27

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

PHASE4

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-06-30

Study Completion Date

2013-07-31

Brief Summary

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The main side-effect of Implanon is the changes induces in bleeding patterns including amenorrhea, infrequent to irregular bleeding and frequent and prolonged bleeding; without any previous symptom and it was characterized as "breakthrough bleeding" (BTB). BTB is the main causes of early discontinuations. Unfortunately, there is no indication to predict prior to insertion what sort of bleeding pattern any individual woman may have after insertion and the proposed treatments were disappointed. Nevertheless, previous studies with other progestin-only contraceptives (including Implanon) provide evidence that the provision of adequate and intensive counseling to potential users and new acceptors about bleeding changes can help to improve method continuation.

The availability of Implanon in the public sector could help in the development of strategies to introduce the method in the public sector network and the training of medical residents.

Detailed Description

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100 women were either allocated to received Implanon contraceptive implant, the LNG-IUS or TCu380A copper-IUD. The women were allocated according to their preference on each of the contraceptive methods.

half of the women will receive the common counseling at the clinic and the other 50% will receive intense counselling about menstrual changes induced by these three contraceptive methods. The continuation rate up to one year will be evaluated through life-table analysis

Conditions

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Contraceptive Usage Bleeding Due to Intrauterine Contraceptive Device

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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copper intrauterine device

100 women will be allocated to receive a TCu380A intrauterine device

Group Type ACTIVE_COMPARATOR

copper-releasing intrauterine device

Intervention Type DEVICE

100 women received a 380 mm2 of copper releasing intrauterine device

ENG-releasing implant

Intervention Type DEVICE

60 mcg/day releasing etonogestrel implant

LNG-releasing intrauterine system

Intervention Type DEVICE

a LNG-IUS releasing 20 mcd/day of LNG

LNG-IUS

Intervention Type DEVICE

100 women will receive an LNG-IUS

LNG-releasing intrauterine system

100 women were allocated to receive a LNG-IUS

Group Type ACTIVE_COMPARATOR

ENG-releasing implant

Intervention Type DEVICE

60 mcg/day releasing etonogestrel implant

LNG-releasing intrauterine system

Intervention Type DEVICE

a LNG-IUS releasing 20 mcd/day of LNG

LNG-IUS

Intervention Type DEVICE

100 women will receive an LNG-IUS

ENG-releasing implant

100 women will receive an LNG-IUS

Group Type ACTIVE_COMPARATOR

ENG-releasing implant

Intervention Type DEVICE

60 mcg/day releasing etonogestrel implant

LNG-releasing intrauterine system

Intervention Type DEVICE

a LNG-IUS releasing 20 mcd/day of LNG

LNG-IUS

Intervention Type DEVICE

100 women will receive an LNG-IUS

Interventions

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copper-releasing intrauterine device

100 women received a 380 mm2 of copper releasing intrauterine device

Intervention Type DEVICE

ENG-releasing implant

60 mcg/day releasing etonogestrel implant

Intervention Type DEVICE

LNG-releasing intrauterine system

a LNG-IUS releasing 20 mcd/day of LNG

Intervention Type DEVICE

LNG-IUS

100 women will receive an LNG-IUS

Intervention Type DEVICE

Other Intervention Names

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Optima, Injeflex, Brazil Implanion, MSD, Os, The Nedherland Mirena, Bayer Oy, Turku, Finland Mirena, Bayer Oy, Turku, Finland

Eligibility Criteria

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Inclusion Criteria

* Women 18 to 40 years
* New users of Implanon, IUDs and the LNG-IUS TCu380A

Exclusion Criteria

* Contraindications to contraceptive methods
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Campinas, Brazil

OTHER

Sponsor Role lead

Responsible Party

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Luis Bahamondes

MD Medical Doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Luis Bahamondes, MD

Role: PRINCIPAL_INVESTIGATOR

University of Campinas, Brazil

Locations

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University of Campinas

Campinas, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Modesto W, Bahamondes MV, Bahamondes L. A randomized clinical trial of the effect of intensive versus non-intensive counselling on discontinuation rates due to bleeding disturbances of three long-acting reversible contraceptives. Hum Reprod. 2014 Jul;29(7):1393-9. doi: 10.1093/humrep/deu089. Epub 2014 May 8.

Reference Type DERIVED
PMID: 24812309 (View on PubMed)

Other Identifiers

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07/2011/PC

Identifier Type: -

Identifier Source: org_study_id