Progestin-Only Pill Use and Breastfeeding Study

NCT ID: NCT04965116

Last Updated: 2024-04-19

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-25

Study Completion Date

2022-11-04

Brief Summary

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This study will assess the impact of early initiation (less than one week postpartum) and delayed initiation (4 weeks postpartum) of two types of progestin-only contraceptive pills (POPs) on maternal, breastmilk, and infant outcomes.

Detailed Description

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This is a placebo-controlled randomized controlled trial enrolling dyads of birthing people and their newborn infants. We will explore if the type and timing of initiation of pills is acceptable to the user with minimal side effects, impacts the supply or composition of breastmilk, and/or affects infant growth.

Birthing people will be randomly assigned to 1 of 3 groups and will be blinded to group assignment:

1. immediate initiation of drospirenone-containing progestin-only pills (d-POPs),
2. immediate initiation of norethindrone-containing progestin-only pills (n-POPs)
3. immediate initiation of a placebo pill for one month followed by d-POPs.

Conditions

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Contraception Breastfeeding

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Early Initiation d-POPs

Initiation of d-POPs 120-160 hours after delivery. Dosing is 4mg daily for 24 days followed by 4 daily inactive tablets for 2 months.

Group Type EXPERIMENTAL

Progestin Only Contraceptive Pills

Intervention Type DRUG

Daily pill (placebo or active tablet)

Early Initiation n-POPs

Initiation of n-POPs 120-160 hours after delivery. Dosing is 0.35mg daily for 28 days for 2 months.

Group Type EXPERIMENTAL

Progestin Only Contraceptive Pills

Intervention Type DRUG

Daily pill (placebo or active tablet)

Interval Initiation of d-POPs

Placebo starting 120-160 hours after delivery, continuing for 28 days. Followed by 24 days of 4mg daily of d-POPs and 4 daily inactive tablets.

Group Type PLACEBO_COMPARATOR

Progestin Only Contraceptive Pills

Intervention Type DRUG

Daily pill (placebo or active tablet)

Interventions

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Progestin Only Contraceptive Pills

Daily pill (placebo or active tablet)

Intervention Type DRUG

Other Intervention Names

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Slynd Camila Micronor Errin

Eligibility Criteria

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Inclusion Criteria

* 18 years of age and older
* Desires to use POPs for 3 months
* Speak English or Spanish
* Had a vaginal or cesarean delivery of a singleton full term (≥37 weeks) infant less than 168 hours prior
* Intends to breastfeed exclusively for 6 months

Exclusion Criteria

* Desire another pregnancy in less than 6 months
* Do not intend to exclusively breastfeed
* Do not have access to a telephone
* Have any medical contraindication to POPs
* Have any contraindication to breastfeeding, including maternal illegal drug use, history of augmentation or reduction, infant with major congenital anomaly
* Cognitively impaired
* Currently incarcerated
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of California, San Diego

OTHER

Sponsor Role lead

Responsible Party

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Sarah Averbach, MD MAS

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sarah Averbach, MD, MAS

Role: PRINCIPAL_INVESTIGATOR

University of California, San Diego

Locations

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University of California, San Diego

La Jolla, California, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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210357

Identifier Type: -

Identifier Source: org_study_id

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