Oral Contraceptives and Subantimicrobial Doxycycline: Effect on Endometrial Matrix Metalloproteinases

NCT ID: NCT01469585

Last Updated: 2020-12-17

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-11-30

Study Completion Date

2012-05-31

Brief Summary

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The purpose of this study is to compare the effects (good and bad) of subantimicrobial dose doxycycline on the irregular bleeding women experience when taking continuous oral contraceptive pills. This research is being done because currently, there is no effective treatment for this condition. Findings from this study could help to decrease the side effects of birth control pills and decrease unplanned pregnancies.

Detailed Description

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Continuous oral contraceptive administration entails women taking hormonally active pills for 28 days without a seven day placebo week to avoid hormonal withdrawal bleeding. Unfortunately, with continuous administration, timed, regular bleeding can be replace by irregular, unscheduled bleeding, which often leads to dissatisfaction, discontinuation and the possibility of unplanned pregnancy.

Matrix Metalloproteinases, a group of zinc-dependant proteases, are hypothesized to play a role in endometrial degradation. The purpose of this study is to describe the expression of Matrix Metalloproteinases in endometrial biopsy specimens collected 1) prior to initiating oral contraceptives 2) while taking cyclic oral contraceptive 3) while taking continuous oral contraceptives and 4) while taking continuous oral contraceptives along with sub-antimicrobial doxycycline.

Conditions

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Breakthrough Bleeding

Keywords

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continuous oral contraceptives Matrix Metalloproteinase expression

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Sub-antimicrobial doxycycline

Women will take sub-antimicrobial doxycyline in addition to the continuous oral contraceptive pill.

Group Type ACTIVE_COMPARATOR

Doxycycline

Intervention Type DRUG

40 mg orally at the start of cycle 3 (study day 57) for 28 days.

Continuous Oral Contraceptive Pill

Women will take only the continuous oral contraceptive.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Doxycycline

40 mg orally at the start of cycle 3 (study day 57) for 28 days.

Intervention Type DRUG

Other Intervention Names

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Oracea

Eligibility Criteria

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Inclusion Criteria

* Women between the ages 18 and 45 who are ovulatory as demonstrated by a pre-treatment Progesterone (P) greater than or equal to 3.0 ng/mL prior to oral contraceptive use

Exclusion Criteria

* Women with any absolute contraindications to ethinyl estradiol and levonorgestrel;
* Women who are pregnant or breastfeeding
* Use of oral contraceptives, patch, ring, intrauterine or implantable hormonal contraception within 4-weeks;
* Medroxyprogesterone acetate use within six months;
* Current use of drugs that interfere with sex steroid metabolism.
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Charles Drew University of Medicine and Science

OTHER

Sponsor Role collaborator

Meharry Medical College

OTHER

Sponsor Role collaborator

University of Hawaii

OTHER

Sponsor Role lead

Responsible Party

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Bliss Kaneshiro

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bliss Kaneshiro, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Hawaii John A. Burns School of Medicine Department of Obstetrics and Gynecology

Locations

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Kapiolani Medical Center for Women and Children

Honolulu, Hawaii, United States

Site Status

Countries

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United States

Other Identifiers

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UH DOXY RTRN

Identifier Type: -

Identifier Source: org_study_id