Trial Outcomes & Findings for Evaluation of Efficacy, Safety and Tolerability of VeraCept IUS (NCT NCT03633799)

NCT ID: NCT03633799

Last Updated: 2025-08-22

Results Overview

Contraceptive efficacy through 3 years of use, as assessed by the Pearl Index. The Pearl Index is calculated as the number of on-treatment pregnancies per 100 woman-years of exposure. On-treatment pregnancy is defined as the estimated conception date being on or after the insertion date (must be a successful insertion) and no more than 7 days after the study drug is removed or expelled. One women year is defined as comprising thirteen 28-day cycles. A lower Pearl Index indicates greater contraceptive effectiveness.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE3

Target enrollment

1620 participants

Primary outcome timeframe

3 years

Results posted on

2025-08-22

Participant Flow

Participant milestones

Participant milestones
Measure
VeraCept
VeraCept® Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Overall Study
STARTED
1620
Overall Study
COMPLETED
689
Overall Study
NOT COMPLETED
931

Reasons for withdrawal

Reasons for withdrawal
Measure
VeraCept
VeraCept® Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Overall Study
Adverse Event
349
Overall Study
Withdrawal by Subject
288
Overall Study
Lost to Follow-up
97
Overall Study
Physician Decision
9
Overall Study
Protocol Violation
4
Overall Study
Pregnancy
20
Overall Study
other
39
Overall Study
ongoing within third year of study
106
Overall Study
unsuccessful study drug placement
19

Baseline Characteristics

Evaluation of Efficacy, Safety and Tolerability of VeraCept IUS

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
VeraCept
n=1620 Participants
VeraCept® Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Age, Continuous
27.6 years
STANDARD_DEVIATION 5.77 • n=5 Participants
Sex: Female, Male
Female
1620 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
308 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1312 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
18 Participants
n=5 Participants
Race (NIH/OMB)
Asian
86 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
10 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
238 Participants
n=5 Participants
Race (NIH/OMB)
White
1196 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
62 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
10 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 years

Population: Evaluable for pregnancy population

Contraceptive efficacy through 3 years of use, as assessed by the Pearl Index. The Pearl Index is calculated as the number of on-treatment pregnancies per 100 woman-years of exposure. On-treatment pregnancy is defined as the estimated conception date being on or after the insertion date (must be a successful insertion) and no more than 7 days after the study drug is removed or expelled. One women year is defined as comprising thirteen 28-day cycles. A lower Pearl Index indicates greater contraceptive effectiveness.

Outcome measures

Outcome measures
Measure
VeraCept
n=1397 Participants
VeraCept® Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Contraceptive Efficacy Through 3 Years of Use
1.06 Pearl Index
Interval 0.67 to 1.61

SECONDARY outcome

Timeframe: Years 4, 5, 6, 7, and 8 and cumulatively through Years 4, 5, 6, 7, and 8

Pearl Index will be calculated for Years 4, 5, 6, 7, and 8 as well as cumulatively through Years 4, 5, 6, 7, and 8

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: Years 1 through 3

Population: evaluable for pregnancy population

A life table analysis (using Kaplan-Meier) of pregnancies will be performed for the EP population to present the cumulative pregnancy percentage

Outcome measures

Outcome measures
Measure
VeraCept
n=1397 Participants
VeraCept® Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Cumulative Pregnancy Percentage
Year 1
0.013 Probability
Cumulative Pregnancy Percentage
Year 2
0.024 Probability
Cumulative Pregnancy Percentage
Year 3
0.028 Probability

SECONDARY outcome

Timeframe: Visit 1 (Day 1) / VeraCept placement

Population: Number of subjects in ITT population with available information regarding ease of placement at first attempt.

Ease of VeraCept placement will be summarized for the ITT population as reported by the investigator (Very easy, Easy, Neither Easy nor Hard, Hard, Very Hard). (First Attempt)

Outcome measures

Outcome measures
Measure
VeraCept
n=1609 Participants
VeraCept® Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Ease of VeraCept Placement
very easy
844 Participants
Ease of VeraCept Placement
easy
502 Participants
Ease of VeraCept Placement
neither easy nor hard
160 Participants
Ease of VeraCept Placement
hard
77 Participants
Ease of VeraCept Placement
very hard
26 Participants

SECONDARY outcome

Timeframe: Visit 1 (Day 1) / VeraCept placement

The number and percentage of subjects with either a successful or unsuccessful placement will be summarized for the ITT

Outcome measures

Outcome measures
Measure
VeraCept
n=1620 Participants
VeraCept® Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
VeraCept Placement Success
successful first attempt of placement
1549 Participants
VeraCept Placement Success
successful second attempt of placement
52 Participants
VeraCept Placement Success
failed placement
7 Participants
VeraCept Placement Success
second attempt not tried
12 Participants

SECONDARY outcome

Timeframe: Through year 1

Population: evaluable for cycle control population

Bleeding and spotting patterns will be summarized for the first year of treatment by the number of days in each 28-day cycle with bleeding or spotting, bleeding only, and spotting only

Outcome measures

Outcome measures
Measure
VeraCept
n=1587 Participants
VeraCept® Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Bleeding and Spotting Patterns
cycle 1: bleeding or spotting
11.2 days
Standard Deviation 4.93
Bleeding and Spotting Patterns
cycle 1: bleeding only
6.4 days
Standard Deviation 3.44
Bleeding and Spotting Patterns
cycle 1: spotting only
4.8 days
Standard Deviation 3.37
Bleeding and Spotting Patterns
cycle 2: bleeding or spotting
7.8 days
Standard Deviation 3.76
Bleeding and Spotting Patterns
cycle 2: bleeding only
5.1 days
Standard Deviation 2.57
Bleeding and Spotting Patterns
cycle 2: spotting only
2.7 days
Standard Deviation 2.56
Bleeding and Spotting Patterns
cycle 3: bleeding or spotting
7.6 days
Standard Deviation 3.73
Bleeding and Spotting Patterns
cycle 3: bleeding only
5.0 days
Standard Deviation 2.69
Bleeding and Spotting Patterns
cycle 3: spotting only
2.5 days
Standard Deviation 2.43
Bleeding and Spotting Patterns
cycle 4: bleeding or spotting
7.3 days
Standard Deviation 3.77
Bleeding and Spotting Patterns
cycle 4: bleeding only
4.9 days
Standard Deviation 2.66
Bleeding and Spotting Patterns
cycle 4: spotting only
2.4 days
Standard Deviation 2.54
Bleeding and Spotting Patterns
cycle 5: bleeding or spotting
7.2 days
Standard Deviation 3.63
Bleeding and Spotting Patterns
cycle 5: bleeding only
4.8 days
Standard Deviation 2.60
Bleeding and Spotting Patterns
cycle 5: spotting only
2.4 days
Standard Deviation 2.33
Bleeding and Spotting Patterns
cycle 6: bleeding or spotting
7.0 days
Standard Deviation 3.48
Bleeding and Spotting Patterns
cycle 6: bleeding only
4.8 days
Standard Deviation 2.64
Bleeding and Spotting Patterns
cycle 6: spotting only
2.2 days
Standard Deviation 2.27
Bleeding and Spotting Patterns
cycle 7: bleeding or spotting
7.2 days
Standard Deviation 3.79
Bleeding and Spotting Patterns
cycle 7: bleeding only
4.7 days
Standard Deviation 2.73
Bleeding and Spotting Patterns
cycle 7: spotting only
2.4 days
Standard Deviation 2.52
Bleeding and Spotting Patterns
cycle 8: bleeding or spotting
7.0 days
Standard Deviation 3.54
Bleeding and Spotting Patterns
cycle 8: bleeding only
4.7 days
Standard Deviation 2.43
Bleeding and Spotting Patterns
cycle 8: spotting only
2.3 days
Standard Deviation 2.51
Bleeding and Spotting Patterns
cycle 9: bleeding or spotting
6.9 days
Standard Deviation 3.60
Bleeding and Spotting Patterns
cycle 9: bleeding only
4.6 days
Standard Deviation 2.58
Bleeding and Spotting Patterns
cycle 9: spotting only
2.2 days
Standard Deviation 2.36
Bleeding and Spotting Patterns
cycle 10: bleeding or spotting
6.9 days
Standard Deviation 3.40
Bleeding and Spotting Patterns
cycle 10: bleeding only
4.6 days
Standard Deviation 2.44
Bleeding and Spotting Patterns
cycle 10: spotting only
2.3 days
Standard Deviation 2.19
Bleeding and Spotting Patterns
cycle 11: bleeding or spotting
6.8 days
Standard Deviation 3.48
Bleeding and Spotting Patterns
cycle 11: bleeding only
4.5 days
Standard Deviation 2.38
Bleeding and Spotting Patterns
cycle 11: spotting only
2.2 days
Standard Deviation 2.60
Bleeding and Spotting Patterns
cycle 12: bleeding or spotting
6.8 days
Standard Deviation 3.38
Bleeding and Spotting Patterns
cycle 12: bleeding only
4.7 days
Standard Deviation 2.55
Bleeding and Spotting Patterns
cycle 12: spotting only
2.2 days
Standard Deviation 2.24
Bleeding and Spotting Patterns
cycle 13: bleeding or spotting
6.9 days
Standard Deviation 3.50
Bleeding and Spotting Patterns
cycle 13: bleeding only
4.6 days
Standard Deviation 2.50
Bleeding and Spotting Patterns
cycle 13: spotting only
2.2 days
Standard Deviation 2.40

SECONDARY outcome

Timeframe: Visit 1 (Day 1), immediately after insertion

Population: Number of subjects in ITT population with available information regarding device placement pain at first attempt.

Insertion pain summarized for subjects at first attempt as reported by the subjects

Outcome measures

Outcome measures
Measure
VeraCept
n=1600 Participants
VeraCept® Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Insertion Pain Assessed Immediately After Insertion (First Attempt)
no pain
85 Participants
Insertion Pain Assessed Immediately After Insertion (First Attempt)
some pain
363 Participants
Insertion Pain Assessed Immediately After Insertion (First Attempt)
moderately painful
661 Participants
Insertion Pain Assessed Immediately After Insertion (First Attempt)
painful
406 Participants
Insertion Pain Assessed Immediately After Insertion (First Attempt)
very painful
85 Participants

SECONDARY outcome

Timeframe: Years 1 through 3

Population: safety population

Cumulative VeraCept discontinuation rates will be summarized using Kaplan-Meier methods for the Safety population.

Outcome measures

Outcome measures
Measure
VeraCept
n=1601 Participants
VeraCept® Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Cumulative VeraCept Discontinuation Rates
Year 1
0.195 Probability
Cumulative VeraCept Discontinuation Rates
Year 2
0.329 Probability
Cumulative VeraCept Discontinuation Rates
Year 3
0.419 Probability

SECONDARY outcome

Timeframe: Years 1 through 3

Population: safety population

Cumulative VeraCept expulsion rates will be summarized using Kaplan-Meier methods for the Safety population.

Outcome measures

Outcome measures
Measure
VeraCept
n=1601 Participants
VeraCept® Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Cumulative VeraCept Expulsion Rates
Year 1
0.025 Probability
Cumulative VeraCept Expulsion Rates
Year 2
0.040 Probability
Cumulative VeraCept Expulsion Rates
Year 3
0.051 Probability

SECONDARY outcome

Timeframe: Subjects will be followed for either 1 year, until they decide to no longer try to conceive or they become pregnant, whichever comes first.

Population: Number of subjects requesting VeraCept removal to become pregnant with known fertility outcomes

The number and percentage of subjects with each return to fertility response will be summarized for the Safety population.

Outcome measures

Outcome measures
Measure
VeraCept
n=51 Participants
VeraCept® Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Return to Fertility. Only for Subjects Requesting VeraCept Removal to Become Pregnant.
pregnancy occurred
37 Participants
Return to Fertility. Only for Subjects Requesting VeraCept Removal to Become Pregnant.
pregnancy did not occur
14 Participants

SECONDARY outcome

Timeframe: 3 years

Population: safety population

Outcome measures

Outcome measures
Measure
VeraCept
n=1601 Participants
VeraCept® Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Safety Adverse Events of Special Interest: Pelvic Infection (PID or Endometriosis), Uterine Perforations, and Abdominal Pain
uterine perforation
2 participants
Safety Adverse Events of Special Interest: Pelvic Infection (PID or Endometriosis), Uterine Perforations, and Abdominal Pain
pelvic infection (PID or endometriosis)
19 participants
Safety Adverse Events of Special Interest: Pelvic Infection (PID or Endometriosis), Uterine Perforations, and Abdominal Pain
abdominal pain
111 participants

Adverse Events

VeraCept

Serious events: 52 serious events
Other events: 1551 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
VeraCept
n=1601 participants at risk;n=1620 participants at risk
VeraCept™ Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Infections and infestations
pyelonephritis
0.19%
3/1620 • Number of events 3 • 3 years
Infections and infestations
cellulitis
0.12%
2/1620 • Number of events 2 • 3 years
Infections and infestations
pneumonia
0.12%
2/1620 • Number of events 2 • 3 years
Infections and infestations
sepsis
0.12%
2/1620 • Number of events 2 • 3 years
Psychiatric disorders
anxiety
0.12%
2/1620 • Number of events 2 • 3 years
Psychiatric disorders
depression
0.12%
2/1620 • Number of events 2 • 3 years
Psychiatric disorders
suicidal ideation
0.12%
2/1620 • Number of events 2 • 3 years
Injury, poisoning and procedural complications
intentional overdose
0.12%
2/1620 • Number of events 2 • 3 years
Pregnancy, puerperium and perinatal conditions
ectopic pregnancy
0.19%
3/1620 • Number of events 3 • 3 years
Pregnancy, puerperium and perinatal conditions
ruptured ectopic pregnancy
0.12%
2/1620 • Number of events 2 • 3 years
Infections and infestations
appendicitis
0.06%
1/1620 • Number of events 1 • 3 years
Infections and infestations
bacterial colitis
0.06%
1/1620 • Number of events 1 • 3 years
Infections and infestations
COVID-19
0.06%
1/1620 • Number of events 1 • 3 years
Infections and infestations
infectious mononucleosis
0.06%
1/1620 • Number of events 1 • 3 years
Infections and infestations
pelvic inflammatory disease
0.06%
1/1620 • Number of events 1 • 3 years
Infections and infestations
tonsillitis
0.06%
1/1620 • Number of events 1 • 3 years
Infections and infestations
urinary tract infection
0.06%
1/1620 • Number of events 1 • 3 years
Psychiatric disorders
drug use disorder
0.06%
1/1620 • Number of events 1 • 3 years
Psychiatric disorders
intentional self-injury
0.06%
1/1620 • Number of events 1 • 3 years
Psychiatric disorders
psychotic disorder
0.06%
1/1620 • Number of events 1 • 3 years
Psychiatric disorders
substance use disorder
0.06%
1/1620 • Number of events 1 • 3 years
Psychiatric disorders
substance-induced psychotic disorder
0.06%
1/1620 • Number of events 1 • 3 years
Psychiatric disorders
suicide attempt
0.06%
1/1620 • Number of events 1 • 3 years
Injury, poisoning and procedural complications
accidental overdose
0.06%
1/1620 • Number of events 1 • 3 years
Injury, poisoning and procedural complications
road traffic accident
0.06%
1/1620 • Number of events 1 • 3 years
Injury, poisoning and procedural complications
tibia fracture
0.06%
1/1620 • Number of events 1 • 3 years
Injury, poisoning and procedural complications
uterine perforation
0.06%
1/1620 • Number of events 1 • 3 years
Gastrointestinal disorders
abdominal pain
0.06%
1/1620 • Number of events 1 • 3 years
Gastrointestinal disorders
food poisoning
0.06%
1/1620 • Number of events 1 • 3 years
Gastrointestinal disorders
gastric stenosis
0.06%
1/1620 • Number of events 1 • 3 years
Gastrointestinal disorders
pancreatitis acute
0.06%
1/1620 • Number of events 1 • 3 years
Hepatobiliary disorders
cholecystitis
0.06%
1/1620 • Number of events 1 • 3 years
Hepatobiliary disorders
cholecystitis acute
0.06%
1/1620 • Number of events 1 • 3 years
Hepatobiliary disorders
cholelithiasis
0.06%
1/1620 • Number of events 1 • 3 years
Hepatobiliary disorders
hepatitis
0.06%
1/1620 • Number of events 1 • 3 years
Nervous system disorders
hemiparesis
0.06%
1/1620 • Number of events 1 • 3 years
Nervous system disorders
migraine
0.06%
1/1620 • Number of events 1 • 3 years
Nervous system disorders
seizure
0.06%
1/1620 • Number of events 1 • 3 years
Nervous system disorders
syncope
0.06%
1/1620 • Number of events 1 • 3 years
Reproductive system and breast disorders
haemorrhagic ovarian cyst
0.06%
1/1620 • Number of events 1 • 3 years
Reproductive system and breast disorders
ovarian cyst ruptured
0.06%
1/1620 • Number of events 2 • 3 years
Reproductive system and breast disorders
uterine haemorrhage
0.06%
1/1620 • Number of events 1 • 3 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
pituitary tumour benign
0.06%
1/1620 • Number of events 1 • 3 years
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
uterine leiomyoma
0.06%
1/1620 • Number of events 1 • 3 years
Blood and lymphatic system disorders
anaemia
0.06%
1/1620 • Number of events 1 • 3 years
Congenital, familial and genetic disorders
choledochal cyst
0.06%
1/1620 • Number of events 1 • 3 years
General disorders
chest pain
0.06%
1/1620 • Number of events 1 • 3 years
Immune system disorders
anaphylactic reaction
0.06%
1/1620 • Number of events 1 • 3 years
Metabolism and nutrition disorders
diabetic complication
0.06%
1/1620 • Number of events 1 • 3 years
Metabolism and nutrition disorders
hypoclycaemia
0.06%
1/1620 • Number of events 1 • 3 years
Musculoskeletal and connective tissue disorders
tenosynovitis
0.06%
1/1620 • Number of events 1 • 3 years
Product Issues
device breakage
0.06%
1/1620 • Number of events 1 • 3 years
Respiratory, thoracic and mediastinal disorders
asthma
0.06%
1/1620 • Number of events 1 • 3 years
Vascular disorders
hypertension
0.06%
1/1620 • Number of events 1 • 3 years

Other adverse events

Other adverse events
Measure
VeraCept
n=1601 participants at risk;n=1620 participants at risk
VeraCept™ Intrauterine Contraceptive VeraCept: VeraCept Intrauterine Contraceptive is a hormone free, low dose, copper-releasing birth control method
Reproductive system and breast disorders
heavy menstrual bleeding
77.8%
1246/1601 • Number of events 3117 • 3 years
Reproductive system and breast disorders
dysmenorrhoea
73.2%
1172/1601 • Number of events 2775 • 3 years
Reproductive system and breast disorders
pelvic discomfort
34.5%
552/1601 • Number of events 1161 • 3 years
Reproductive system and breast disorders
intermenstrual bleeding
30.7%
491/1601 • Number of events 864 • 3 years
Reproductive system and breast disorders
pelvic pain
20.2%
324/1601 • Number of events 559 • 3 years
Reproductive system and breast disorders
dyspareunia
8.0%
128/1601 • Number of events 160 • 3 years
Reproductive system and breast disorders
vaginal discharge
5.4%
87/1601 • Number of events 103 • 3 years
Infections and infestations
urinary tract infection
14.7%
235/1601 • Number of events 338 • 3 years
Infections and infestations
bacterial vaginosis
13.7%
219/1601 • Number of events 350 • 3 years
Infections and infestations
nasopharyngitis
12.2%
196/1601 • Number of events 279 • 3 years
Infections and infestations
vulvovaginal mycotic infection
12.0%
192/1601 • Number of events 298 • 3 years
Infections and infestations
upper respiratory tract infection
8.2%
132/1601 • Number of events 184 • 3 years
Infections and infestations
COVID-19
7.7%
124/1601 • Number of events 128 • 3 years
Injury, poisoning and procedural complications
procedural pain
18.2%
292/1601 • Number of events 317 • 3 years
Injury, poisoning and procedural complications
post procedural haemorrhage
16.7%
267/1601 • Number of events 268 • 3 years
Injury, poisoning and procedural complications
post procedural discomfort
6.1%
97/1601 • Number of events 98 • 3 years
Gastrointestinal disorders
nausea
7.7%
123/1601 • Number of events 168 • 3 years
Nervous system disorders
headache
7.3%
117/1601 • Number of events 216 • 3 years
Musculoskeletal and connective tissue disorders
back pain
6.3%
101/1601 • Number of events 128 • 3 years

Additional Information

Elizabeth Gray, Manager, Clinical Operations

Sebela Women's Health

Phone: 760-593-8383

Results disclosure agreements

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