Trial Outcomes & Findings for RAPID EC - Rct Assessing Pregnancy With Intrauterine Devices for EC (NCT NCT02175030)

NCT ID: NCT02175030

Last Updated: 2022-06-29

Results Overview

Urine pregnancy tests within 30 days after IUD insertion will be performed either at home or in clinic. We will use the total number of pregnancies per ARM and the overall number of participants analyzed per ARM to calculate, for each ARM, the percentage of participants reporting a pregnancy in the first month of use of the IUD.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

711 participants

Primary outcome timeframe

1 month after enrollment

Results posted on

2022-06-29

Participant Flow

Participant milestones

Participant milestones
Measure
Copper T380 IUD
Randomized to copper T380 IUD for EC (emergency contraception) Copper IUD: Randomization to copper/Paragard IUD for emergency contraception
LNG20 IUD
Randomized to LNG20 IUD for EC (emergency contraception) Levonorgestrel IUD: Randomization to Levonorgestrel/Mirena IUD for emergency contraception
Overall Study
STARTED
356
355
Overall Study
COMPLETED
321
317
Overall Study
NOT COMPLETED
35
38

Reasons for withdrawal

Reasons for withdrawal
Measure
Copper T380 IUD
Randomized to copper T380 IUD for EC (emergency contraception) Copper IUD: Randomization to copper/Paragard IUD for emergency contraception
LNG20 IUD
Randomized to LNG20 IUD for EC (emergency contraception) Levonorgestrel IUD: Randomization to Levonorgestrel/Mirena IUD for emergency contraception
Overall Study
Failed screen after consent
7
6
Overall Study
Failed IUD Insertion
20
21
Overall Study
Physician Decision
1
1
Overall Study
Lost to Follow-up
6
6
Overall Study
Withdrawal by Subject
1
4

Baseline Characteristics

RAPID EC - Rct Assessing Pregnancy With Intrauterine Devices for EC

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Copper T380 IUD
n=328 Participants
Randomized to copper T380 IUD for EC (emergency contraception) Copper IUD: Randomization to copper/Paragard IUD for emergency contraception
LNG20 IUD
n=327 Participants
Randomized to LNG20 IUD for EC (emergency contraception) Levonorgestrel IUD: Randomization to Levonorgestrel/Mirena IUD for emergency contraception
Total
n=655 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
328 Participants
n=5 Participants
327 Participants
n=7 Participants
655 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
23.9 years
STANDARD_DEVIATION 4.6 • n=5 Participants
24.0 years
STANDARD_DEVIATION 4.9 • n=7 Participants
24.0 years
STANDARD_DEVIATION 4.7 • n=5 Participants
Sex: Female, Male
Female
328 Participants
n=5 Participants
327 Participants
n=7 Participants
655 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
White
182 Participants
n=5 Participants
171 Participants
n=7 Participants
353 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic / Latina
101 Participants
n=5 Participants
111 Participants
n=7 Participants
212 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
11 Participants
n=5 Participants
11 Participants
n=7 Participants
22 Participants
n=5 Participants
Race/Ethnicity, Customized
Native Hawaiian / Pacific Islander
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian / Alaska Native
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Race/Ethnicity, Customized
Black / African American
12 Participants
n=5 Participants
12 Participants
n=7 Participants
24 Participants
n=5 Participants
Race/Ethnicity, Customized
More than one race
4 Participants
n=5 Participants
7 Participants
n=7 Participants
11 Participants
n=5 Participants
Region of Enrollment
United States
328 participants
n=5 Participants
327 participants
n=7 Participants
655 participants
n=5 Participants

PRIMARY outcome

Timeframe: 1 month after enrollment

Population: Urine pregnancy tests within 30 days after IUD insertion will be performed either at home or in clinic.

Urine pregnancy tests within 30 days after IUD insertion will be performed either at home or in clinic. We will use the total number of pregnancies per ARM and the overall number of participants analyzed per ARM to calculate, for each ARM, the percentage of participants reporting a pregnancy in the first month of use of the IUD.

Outcome measures

Outcome measures
Measure
Copper T380 IUD
n=321 Participants
Randomized to copper T380 IUD for EC (emergency contraception) Copper IUD: Randomization to copper/Paragard IUD for emergency contraception
LNG20 IUD
n=317 Participants
Randomized to LNG20 IUD for EC (emergency contraception) Levonorgestrel IUD: Randomization to Levonorgestrel/Mirena IUD for emergency contraception
Percentage of Participants Reporting a Pregnancy
0 % of participants reporting pregnancy
Interval 0.0 to 1.1
0.3 % of participants reporting pregnancy
Interval 0.01 to 1.7

SECONDARY outcome

Timeframe: 1 year after enrollment

Population: This denominator excludes participants lost to follow-up and participants who cited a desire for pregnancy as their reason for removing their IUD, but includes all other participants who removed their IUD throughout the 12 months follow-up and all participants with an expelled IUD.

Participants will be followed for pregnancies at regular intervals throughout the year and pregnancies will be recorded.

Outcome measures

Outcome measures
Measure
Copper T380 IUD
n=313 Participants
Randomized to copper T380 IUD for EC (emergency contraception) Copper IUD: Randomization to copper/Paragard IUD for emergency contraception
LNG20 IUD
n=315 Participants
Randomized to LNG20 IUD for EC (emergency contraception) Levonorgestrel IUD: Randomization to Levonorgestrel/Mirena IUD for emergency contraception
Number of Participants With Unintended Pregnancy After Initiating the Levonorgestrel IUD Versus the Copper T380 IUD for EC at One Year.
7 Participants
7 Participants

Adverse Events

Copper T380 IUD

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

LNG20 IUD

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Copper T380 IUD
n=328 participants at risk
Randomized to copper T380 IUD for EC (emergency contraception) Copper IUD: Randomization to copper/Paragard IUD for emergency contraception
LNG20 IUD
n=327 participants at risk
Randomized to LNG20 IUD for EC (emergency contraception) Levonorgestrel IUD: Randomization to Levonorgestrel/Mirena IUD for emergency contraception
Reproductive system and breast disorders
Adverse events experienced related to IUD at 1-Month
4.9%
16/328 • Number of events 16 • Adverse event data was collected during the year of follow-up collectively and defined as all events requiring additional medical care in the first month of use of IUD.
Definition of adverse events does not differ from definition used by clinical trials.gov. Adverse events were collected as part of routine follow-up surveys completed by participants and reviewed by PI for determination of Serious Adverse Event collectively and reported collectively as all events requiring additional medical care in the first month of use after IUD insertion.
5.2%
17/327 • Number of events 17 • Adverse event data was collected during the year of follow-up collectively and defined as all events requiring additional medical care in the first month of use of IUD.
Definition of adverse events does not differ from definition used by clinical trials.gov. Adverse events were collected as part of routine follow-up surveys completed by participants and reviewed by PI for determination of Serious Adverse Event collectively and reported collectively as all events requiring additional medical care in the first month of use after IUD insertion.

Additional Information

David Turok, MD, PI

University of Utah

Phone: 801-581-5160

Results disclosure agreements

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