Trial Outcomes & Findings for Levonorgestrel Intrauterine System For Emergency Contraception (NCT NCT01539720)

NCT ID: NCT01539720

Last Updated: 2024-02-20

Results Overview

Observed pregnancies at 5 weeks and at 6 months in the LNG-IUD group will be compared to those in the oral UPA group.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

274 participants

Primary outcome timeframe

5 weeks post-randomization

Results posted on

2024-02-20

Participant Flow

Participant milestones

Participant milestones
Measure
Levonorgestrel Intrauterine System
Participants randomized to the levonorgestrel IUS will undergo placement at the time of randomization. They will follow-up with a self-administered urine pregnancy test 5-6 weeks following. levonorgestrel IUS: Levonorgestrel IUS, 52mg placed intrauterine
Ulipristal Acetate
Women in this arm will receive the oral Ulipristal acetate (Ella) regimen, which is currently the most effective method of oral emergency contraception. Ulipristal acetate: 30 mg tablet
Overall Study
STARTED
198
76
Overall Study
5 WEEKS
183
73
Overall Study
6 MONTHS
169
66
Overall Study
COMPLETED
169
66
Overall Study
NOT COMPLETED
29
10

Reasons for withdrawal

Reasons for withdrawal
Measure
Levonorgestrel Intrauterine System
Participants randomized to the levonorgestrel IUS will undergo placement at the time of randomization. They will follow-up with a self-administered urine pregnancy test 5-6 weeks following. levonorgestrel IUS: Levonorgestrel IUS, 52mg placed intrauterine
Ulipristal Acetate
Women in this arm will receive the oral Ulipristal acetate (Ella) regimen, which is currently the most effective method of oral emergency contraception. Ulipristal acetate: 30 mg tablet
Overall Study
Screen Fail
15
3
Overall Study
Lost to Follow-up
14
7

Baseline Characteristics

Levonorgestrel Intrauterine System For Emergency Contraception

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Levonorgestrel Intrauterine System
n=183 Participants
Participants randomized to the levonorgestrel IUS will undergo placement at the time of randomization. They will follow-up with a self-administered urine pregnancy test 5-6 weeks following. levonorgestrel IUS: Levonorgestrel IUS, 52mg placed intrauterine
Ulipristal Acetate
n=73 Participants
Women in this arm will receive the oral Ulipristal acetate (Ella) regimen, which is currently the most effective method of oral emergency contraception. Ulipristal acetate: 30 mg tablet
Total
n=256 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
183 Participants
n=5 Participants
73 Participants
n=7 Participants
256 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
27.7 years
STANDARD_DEVIATION 6.1 • n=5 Participants
27.1 years
STANDARD_DEVIATION 6.5 • n=7 Participants
27.5 years
STANDARD_DEVIATION 6.2 • n=5 Participants
Sex: Female, Male
Female
183 Participants
n=5 Participants
73 Participants
n=7 Participants
256 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
15 Participants
n=5 Participants
5 Participants
n=7 Participants
20 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
168 Participants
n=5 Participants
68 Participants
n=7 Participants
236 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
66 Participants
n=5 Participants
40 Participants
n=7 Participants
106 Participants
n=5 Participants
Race/Ethnicity, Customized
White
93 Participants
n=5 Participants
26 Participants
n=7 Participants
119 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
23 Participants
n=5 Participants
7 Participants
n=7 Participants
30 Participants
n=5 Participants
Race/Ethnicity, Customized
Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
183 participants
n=5 Participants
73 participants
n=7 Participants
256 participants
n=5 Participants

PRIMARY outcome

Timeframe: 5 weeks post-randomization

Population: total eligible for analysis after 5-6 weeks post randomization = 256; total eligible for analysis after 6 months post randomization = 235

Observed pregnancies at 5 weeks and at 6 months in the LNG-IUD group will be compared to those in the oral UPA group.

Outcome measures

Outcome measures
Measure
Levonorgestrel Intrauterine System
n=183 Participants
Participants randomized to the levonorgestrel IUS will undergo placement at the time of randomization. They will follow-up with a self-administered urine pregnancy test 5-6 weeks following. levonorgestrel IUS: Levonorgestrel IUS, 52mg placed intrauterine
Ulipristal Acetate
n=73 Participants
Women in this arm will receive the oral Ulipristal acetate (Ella) regimen, which is currently the most effective method of oral emergency contraception. Ulipristal acetate: 30 mg tablet
Number of Participants With Pregnancy Following Emergency Contraception
Pregnancy at 5 weeks post randomization.
0 Participants
0 Participants
Number of Participants With Pregnancy Following Emergency Contraception
Pregnancy at 6 months post randomization.
0 Participants
6 Participants

SECONDARY outcome

Timeframe: 6 months post randomization

The number of participants who reported using any type of long acting reversible contraception (LARC) use at 6 months following method allocation will be evaluated, whether or not it was their allocated LNG-IUS.

Outcome measures

Outcome measures
Measure
Levonorgestrel Intrauterine System
n=169 Participants
Participants randomized to the levonorgestrel IUS will undergo placement at the time of randomization. They will follow-up with a self-administered urine pregnancy test 5-6 weeks following. levonorgestrel IUS: Levonorgestrel IUS, 52mg placed intrauterine
Ulipristal Acetate
n=66 Participants
Women in this arm will receive the oral Ulipristal acetate (Ella) regimen, which is currently the most effective method of oral emergency contraception. Ulipristal acetate: 30 mg tablet
Number of Participants Using Any LARC Method at 6 Months Post Randomization
95 Participants
13 Participants

SECONDARY outcome

Timeframe: 6 months post randomization

Population: 169 = total eligible for analysis from randomized LNG-IUS arm; at 6 months post randomization, 92 of 169 were still using LNG-IUS, so only 92 eligible to analyze satisfaction with LNG-IUS at 6 months post randomization.

Continuation and satisfaction among participants in the LNG-IUS arm who reported still using their LNG-IUS at 6 month post randomization.

Outcome measures

Outcome measures
Measure
Levonorgestrel Intrauterine System
n=169 Participants
Participants randomized to the levonorgestrel IUS will undergo placement at the time of randomization. They will follow-up with a self-administered urine pregnancy test 5-6 weeks following. levonorgestrel IUS: Levonorgestrel IUS, 52mg placed intrauterine
Ulipristal Acetate
Women in this arm will receive the oral Ulipristal acetate (Ella) regimen, which is currently the most effective method of oral emergency contraception. Ulipristal acetate: 30 mg tablet
Number of Participants Reporting Continuation and Satisfaction With Their Study Allocated LNG-IUS
Continuation of LNG-IUS at 6 months
92 Participants
Number of Participants Reporting Continuation and Satisfaction With Their Study Allocated LNG-IUS
Satisfaction with LNG-IUS at 6 months
82 Participants

Adverse Events

Levonorgestrel Intrauterine System

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

Ulipristal Acetate

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Director of Research

Planned Parenthood of the St. Louis Region and Southwest Missouri

Phone: 314-531-7526

Results disclosure agreements

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