A Study to Assess Contraceptive Efficacy and Safety of Etonogestrel (ENG) Implant Beyond 3 Years of Use (MK-8415-060)

NCT ID: NCT04626596

Last Updated: 2025-12-30

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

PHASE3

Total Enrollment

498 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-19

Study Completion Date

2024-12-30

Brief Summary

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The primary purpose of this study is to assess the efficacy and safety of the etonogestrel (ENG) contraceptive implant during participants' fourth and fifth years of use when used as the only method of contraception. The ENG implant is currently approved for a 3-year duration, and this study aims to confirm available evidence suggesting that the ENG implant remains highly effective when used up to 5 years.

Detailed Description

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Conditions

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Contraception

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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ENG implant

Participants will have the ENG 68 mg implant inserted and in place for 36 months before enrollment. The ENG implant will remain in place for an additional 24 months.

Group Type EXPERIMENTAL

Radiopaque Etonogestrel (ENG) Implant

Intervention Type COMBINATION_PRODUCT

68 mg subdermal implant

Interventions

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Radiopaque Etonogestrel (ENG) Implant

68 mg subdermal implant

Intervention Type COMBINATION_PRODUCT

Other Intervention Names

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Org 32222 Nexplanon Implanon-NXT SCH900415 MK-8415

Eligibility Criteria

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Inclusion Criteria

* Not diagnosed with perimenopause or menopause.
* Heterosexually active with a partner who is not known to be subfertile, sterilized, or infertile, and is seeking contraception for pregnancy.
* Palpable intact ENG implant in the upper inner-arm for 36 months from the date of insertion at the time of enrollment, and has documentation of the insertion date (for example, Nexplanon user card or medical record completed on the date of insertion).
* Does not desire a pregnancy within the 24 months after enrollment, is willing to continue use of the implant for an additional 24 months, and is not intending to use any other form of contraception (eg, condoms) from enrollment until after implant removal at 24 months post enrollment.
* Good physical and mental health in the medical judgment of the investigator.
* History of regular menstrual cycles of 21 to 35 days before the insertion of the ENG implant or before hormonal contraceptive use (which may have preceded the current implant use).
* Able and willing to adhere to all required study procedures, including study visits and eDiary entries, and not planning to relocate during the study.

Exclusion Criteria

* Conceived a pregnancy during use of the current implant or a past contraceptive implant.
* Known or suspected pregnancy at the time of screening or enrollment visit.
* History of subfertility or infertility.
* Breastfeeding.
* Untreated gonorrhea, chlamydia, or trichomonas or symptomatic vaginitis/cervicitis.
* Significantly abnormal cervical cytology (Pap) or pathology results either at screening or documented in the 36-month period prior to enrollment.
* Current use of an intrauterine device/intrauterine system (IUD/IUS).
* Presence of more than one ENG implant.
* Use of daily/monthly hormonal contraceptives, sex steroids, or GnRH agonist/antagonist within 3 months prior to enrollment.
* Use of injectable hormonal contraceptive with 3-month duration within 9 months prior to enrollment.
* Use of injectable GnRH agonist with 3-month duration within 10 months prior to enrollment .
* Use of medications that induce liver enzymes within 2 months prior to enrollment.
* Untreated or unresolved vaginal bleeding or spotting attributable to underlying pathology in the 12 months before screening.
* Frequent, prolonged, or excessive vaginal bleeding/spotting in the 12 months prior to screening which has not been evaluated to detect underlying pathology.
* History of venous thromboembolism or arterial thromboembolism, transient ischemic attack, angina pectoris, or claudication.
* Any condition associated with an increased risk of venous thromboembolism.
* Uncontrolled or severe hypertension at screening visit.
* Clinically significant liver disease, including active viral hepatitis or cirrhosis.
* History of malignancy within 5 years before screening, except treated skin cancer.
* History of sex steroid-influenced malignancies (eg, genital organs, breasts).
* History or presence of liver tumors (benign or malignant).
* Known allergy/sensitivity or contraindication to the ENG implant or lidocaine with epinephrine.
* History of drug or alcohol abuse or dependence within 24 months prior to enrollment. Routine use of alcohol or marijuana that is not considered abuse or dependence is not exclusionary.
* Use of an investigational drug within 2 months prior to enrollment. Long-term follow up of an investigational compound for COVID-19 is allowed 2 months after the last administered dose.
* Staff or immediate family members of the investigational site or Sponsor directly involved with this study.
Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Organon and Co

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Lead

Role: STUDY_DIRECTOR

Organon and Co

Locations

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Alabama Clinical Therapeutics (Site 0222)

Birmingham, Alabama, United States

Site Status

Desert Star Family Planning (Site 0193)

Phoenix, Arizona, United States

Site Status

Precision Trials (Site 0187)

Phoenix, Arizona, United States

Site Status

Visions Clinical Research Tucson (Site 0134)

Tucson, Arizona, United States

Site Status

Essential Access Health (Site 0163)

Los Angeles, California, United States

Site Status

Matrix Clinical Research Inc (Site 0105)

Los Angeles, California, United States

Site Status

University of California Los Angeles (Site 0119)

Los Angeles, California, United States

Site Status

University of California, Davis (Site 0124)

Sacramento, California, United States

Site Status

Stanford University (Site 0112)

Stanford, California, United States

Site Status

Planned Parenthood of the Rocky Mountains (Site 0196)

Denver, Colorado, United States

Site Status

Comprehensive Womens Health Center (Site 0194)

Denver, Colorado, United States

Site Status

Physicians' Research Options, LLC (Site 0166)

Lakewood, Colorado, United States

Site Status

University Of Florida (Site 0144)

Jacksonville, Florida, United States

Site Status

Emerald Coast Obstetrics and Gynecology (Site 0203)

Panama City, Florida, United States

Site Status

Lenus Research & Medical Group Llc (Site 0102)

Sweetwater, Florida, United States

Site Status

Comprehensive Clinical Trials LLC (Site 0101)

West Palm Beach, Florida, United States

Site Status

Mount Vernon Clinical Research (Site 0111)

Sandy Springs, Georgia, United States

Site Status

Rosemark (Site 0177)

Idaho Falls, Idaho, United States

Site Status

Planned Parenthood of Illinois (PPIL) (Site 0200)

Chicago, Illinois, United States

Site Status

Indiana University (Site 0220)

Indianapolis, Indiana, United States

Site Status

McFarland Clinic, PC (Site 0217)

Ames, Iowa, United States

Site Status

Cypress Medical Research Center (Site 0226)

Wichita, Kansas, United States

Site Status

Southern Clinical Research Associates (Site 0219)

Metairie, Louisiana, United States

Site Status

Johns Hopkins Bayview Medical Center (Site 0225)

Baltimore, Maryland, United States

Site Status

Boston University Medical Center (Site 0167)

Boston, Massachusetts, United States

Site Status

Planned Parenthood League of Massachusetts (Site 0135)

Boston, Massachusetts, United States

Site Status

Michigan Medicine (Site 0108)

Ann Arbor, Michigan, United States

Site Status

Saginaw Valley Medical Research Group, LLC (Site 0198)

Saginaw, Michigan, United States

Site Status

Planned Parenthood of North Central States (PPNCS) (Site 0113)

Minneapolis, Minnesota, United States

Site Status

Metro Jackson OBGYN/SKYCRNG (Site 0233)

Jackson, Mississippi, United States

Site Status

Planned Parenthood of the Saint Louis Region & Southwest Missouri (Site 0158)

St Louis, Missouri, United States

Site Status

Washington University (Site 0129)

St Louis, Missouri, United States

Site Status

Office of Edmond Pack, MD (Site 0168)

Las Vegas, Nevada, United States

Site Status

Capital Health OB/GYN- Lawrenceville (Site 0190)

Lawrenceville, New Jersey, United States

Site Status

Albuquerque Clinical Trials (Site 0210)

Albuquerque, New Mexico, United States

Site Status

Bosque Women's Care (Site 0211)

Albuquerque, New Mexico, United States

Site Status

Icahn School of Medicine at Mount Sinai (Site 0155)

New York, New York, United States

Site Status

Columbia Univ. Medical Center (Site 0118)

New York, New York, United States

Site Status

Montefiore Medical Center (Site 0103)

The Bronx, New York, United States

Site Status

Carolina Women's Research and Wellness Center (Site 0154)

Durham, North Carolina, United States

Site Status

Eastern Carolina Women's Center (Site 0159)

New Bern, North Carolina, United States

Site Status

Velocity Clinical Research, Cincinnati (Site 0230)

Cincinnati, Ohio, United States

Site Status

The Ohio State University (Site 0176)

Columbus, Ohio, United States

Site Status

HWC Women's Research Center (Site 0199)

Englewood, Ohio, United States

Site Status

Oregon Health Sciences University Hospital (Site 0128)

Portland, Oregon, United States

Site Status

OB/GYN Associates of Erie (Site 0183)

Erie, Pennsylvania, United States

Site Status

University of Pittsburgh - Magee Womens Hospital (Site 0100)

Pittsburgh, Pennsylvania, United States

Site Status

Palmetto Clinical Research (Site 0133)

Summerville, South Carolina, United States

Site Status

University of Tennessee Medical Center Knoxville (Site 0218)

Knoxville, Tennessee, United States

Site Status

Gadolin Research (Site 0232)

Beaumont, Texas, United States

Site Status

Signature Gyn Services (Site 0201)

Fort Worth, Texas, United States

Site Status

Planned Parenthood of the Gulf Coast (Site 0106)

Houston, Texas, United States

Site Status

University of Texas Health Science Center (Site 0178)

Houston, Texas, United States

Site Status

Centex Studies, Inc. (Site 0171)

Houston, Texas, United States

Site Status

Advances in Health, Inc. (Site 0209)

Pearland, Texas, United States

Site Status

Tekton Research - Floyd Curl Drive (Site 0228)

San Antonio, Texas, United States

Site Status

Physicians' Research Options, LLC (Site 0204)

Pleasant Grove, Utah, United States

Site Status

JBR Clinical Research (Site 0174)

Salt Lake City, Utah, United States

Site Status

Tidewater Clinical Research Inc (Site 0162)

Norfolk, Virginia, United States

Site Status

Eastern Virginia Medical School (Site 0146)

Norfolk, Virginia, United States

Site Status

Multicare Health System Institute for Research and Innovation (Site 0188)

Cheney, Washington, United States

Site Status

Seattle Women's: Health, Research, Gynecology (Site 0149)

Seattle, Washington, United States

Site Status

Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky (Site 0110)

Seattle, Washington, United States

Site Status

North Spokane Women's Clinic (Site 0137)

Spokane, Washington, United States

Site Status

Advance Medical Concept PSC (Site 0313)

Cidra, PR, Puerto Rico

Site Status

Clinical Research Puerto Rico Inc (Site 0302)

San Juan, PR, Puerto Rico

Site Status

FDI Clinical Research (Site 0305)

San Juan, PR, Puerto Rico

Site Status

Countries

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United States Puerto Rico

Other Identifiers

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2020-001232-95

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MK-8415-060

Identifier Type: OTHER

Identifier Source: secondary_id

8415-060

Identifier Type: -

Identifier Source: org_study_id