Phase 3
N=121
Effects on Hemostasis, Lipids, Carbohydrate Metabolism, Adrenal & Thyroid Function of the Combined Oral Contraceptive NOMAC-E2 Compared to a COC Containing LNG-EE (292004)(COMPLETED)(P05764)
Contraception
Bottom Line
View on ClinicalTrials.gov: NCT00511355 ↗Enrolled (actual)
121
Serious AEs
0.9%
Results posted
Aug 2011
Primary outcome: Primary: Serum Concentration of Prothrombin Fragments 1 + 2 — 0.18; 0.19; 0.31; 0.42 nmol/L — p=0.0849
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 3
- Interventions
- NOMAC-E2 (Drug); Levonorgestrel and Ethinyl Estradiol (Drug)
- Age
- Adult · 18+ yrs
- Sex
- Female
- Sponsor
- Organon and Co
- Primary completion
- Jan 2008
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Serum Concentration of Prothrombin Fragments 1 + 2 |
0.18; 0.19; 0.31; 0.42 | 0.0849 |
| PRIMARY Serum Concentration of D-Dimer |
0.21; 0.19; 0.18; 0.26 | — |
| PRIMARY Activated Protein C (APC) Resistance Ratio (Endogenous Thrombin Potential [ETP]-Based) |
0.80; 0.83; 1.14; 1.99 | <.0001 sig |
| PRIMARY Serum Concentration of Clotting Factor VIIa |
84; 85; 118; 98 | 0.4191 |
| PRIMARY Serum Concentration of Clotting Factor VIIc |
105; 105; 109; 96 | 0.0010 sig |
| PRIMARY Serum Concentration of Clotting Factor VIII |
93; 95; 89; 98 | 0.3779 |
| PRIMARY Serum Concentration of Clotting Factor II |
94; 94; 95; 97 | 0.5027 |
| PRIMARY Serum Concentration of Antithrombin III |
100; 99; 102; 96 | 0.0041 sig |
| PRIMARY Serum Concentration of Protein S (Free) |
85; 86; 99; 99 | 0.9662 |
| PRIMARY Serum Concentration of Protein S (Total) |
78; 79; 83; 76 | 0.0004 sig |
| PRIMARY Serum Concentration of Protein C |
107; 103; 108; 113 | 0.0019 sig |
| PRIMARY APC Resistance Ratio (Activated Partial Thromboplastin Time [APTT]-Based) |
1.01; 1.00; 1.05; 1.03 | 0.9662 |
| PRIMARY Serum Concentration of Sex Hormone Binding Globulin (SHBG) |
74; 77; 108; 100 | 0.0187 sig |
| PRIMARY Serum Concentration of C-Reactive Protein (CRP) |
0.82; 0.98; 1.32; 4.43 | <.0001 sig |
| PRIMARY Serum Concentration of Total Cholesterol |
4.48; 4.53; 4.51; 4.48 | 0.6886 |
| PRIMARY Serum Concentration of High Density Lipoprotein (HDL)-Cholesterol |
1.63; 1.68; 1.65; 1.41 | <.0001 sig |
| PRIMARY Serum Concentration of HDL2-cholesterol |
0.63; 0.69; 0.55; 0.40 | <.0001 sig |
| PRIMARY Serum Concentration of HDL3-cholesterol |
1.10; 1.14; 1.16; 1.10 | 0.0083 sig |
| PRIMARY Serum Concentration of Low Density Lipoprotein (LDL)-Cholesterol |
2.41; 2.47; 2.40; 2.61 | 0.0455 sig |
| PRIMARY Serum Concentration of Apolipoprotein A-1 |
1.58; 1.60; 1.78; 1.67 | 0.0063 sig |
| PRIMARY Serum Concentration of Apolipoprotein B |
0.64; 0.64; 0.68; 0.80 | <.0001 sig |
| PRIMARY Serum Concentration of Lipoprotein(a) |
0.15; 0.15; 0.17; 0.12 | <.0001 sig |
| PRIMARY Serum Concentration of Total Triglycerides |
0.94; 0.82; 1.00; 1.02 | 0.0078 sig |
| PRIMARY Area Under the Curve Over 3 Hours (AUC3) for Glucose (Oral Glucose Tolerance Test [OGTT]) |
15.82; 14.44; 16.09; 16.69 | 0.0016 sig |
| PRIMARY Incremental AUC3 for Glucose (OGTT) |
1.58; 1.06; 1.76; 3.19 | 0.0003 sig |
| PRIMARY AUC3 for Insulin (OGTT) |
650; 558; 658; 721 | 0.0009 sig |
| PRIMARY Incremental AUC3 for Insulin (OGTT) |
517; 451; 534; 603 | 0.0024 sig |
| PRIMARY Serum Concentration of Hemoglobin Type A1c (HbA1c) |
5.3; 5.3; 5.3; 5.4 | 0.3653 |
| PRIMARY Serum Concentration of Total Cortisol |
482; 502; 608; 944 | <.0001 sig |
| PRIMARY Serum Concentration of Corticosteroid Binding Globulin (CBG) |
910; 932; 1116; 1980 | <.0001 sig |
| PRIMARY Serum Concentration of Thyroid Stimulating Hormone (TSH) |
2.69; 2.20; 2.96; 2.75 | 0.5668 |
| PRIMARY Serum Concentration of Free Thyroxine (T4) |
14.0; 14.1; 15.9; 15.7 | 0.1770 |
| PRIMARY Serum Concentration of Thyroxin Binding Globulin (TBG) |
20.3; 20.3; 24.2; 28.4 | <.0001 sig |
| SECONDARY Serum Concentration of Total Testosterone |
1.68; 1.90; 1.23; 0.91 | — |
| SECONDARY Serum Concentration of Free Testosterone |
24.5; 26.3; 12.8; 9.9 | — |
| SECONDARY Serum Concentration of Dehydroepiandrosterone Sulphate (DHEAS) |
4.94; 5.19; 4.32; 4.00 | — |
| SECONDARY Serum Concentration of Androstenedione |
9.60; 10.27; 8.23; 6.96 | — |
| SECONDARY Serum Concentration of Dihydrotestosterone (DHT) |
0.59; 0.62; 0.53; 0.36 | — |
| SECONDARY Number of In-treatment Pregnancies (With +2 Day Window) Per 100 Woman Years of Exposure (Pearl Index) |
0; 0 | — |
| SECONDARY Number of Participants With an Occurrence of Breakthrough Bleeding/Spotting |
18; 16; 11; 9; 5; 5 | — |
| SECONDARY Number of Participants With an Occurrence of Absence of Withdrawal Bleeding |
6; 0; 8; 1; 5; 0 | — |
| SECONDARY Number of Participants With an Occurrence of Breakthrough Bleeding |
3; 1; 1; 0; 1; 0 | — |
| SECONDARY Number of Participants With an Occurrence of Breakthrough Spotting (Spotting Only) |
17; 16; 10; 9; 4; 5 | — |
| SECONDARY Number of Participants With an Occurrence of Early Withdrawal Bleeding |
5; 4; 4; 1; 3; 1 | — |
| SECONDARY Number of Participants With an Occurrence of Continued Withdrawal Bleeding |
15; 25; 11; 28; 13; 26 | — |
| SECONDARY Average Number of Breakthrough Bleeding/Spotting Days |
3.5; 4.6; 4.3; 3.3; 4.6; 3.2 | — |
| SECONDARY Average Number of Withdrawal Bleeding/Spotting Days |
4.8; 5.8; 4.7; 4.9; 3.9; 4.9 | — |
Summary
The primary purpose of this study is to evaluate the effects of the combined oral contraceptive (COC) NOMAC-E2 on hemostasis, lipids, carbohydrate metabolism, adrenal function, and thyroid function.
Eligibility Criteria
Inclusion Criteria
- Sexually active women, at risk for pregnancy and not planning to use during trial medication use;
- Women in need for contraception and willing to use an oral contraceptive (OC) for 6 months (6 cycles);
- At least 18 but not older than 50 years of age at the time of screening;
- Body mass index = 17 and = 29 kg/m^2;
- Good physical and mental health;
- Willing to give informed consent in writing
Exclusion Criteria
- Present use or use within 2 months prior to screening of any other hormonal treatment including sex hormones (other than contraceptives), insulin, thyroid and corticosteroid hormones (with the exception for local dermatological use);
- Contraindications for contraceptive steroids
- Presence or history (within 1 year before screening) of alcohol or drug abuse as judged by the (sub)investigator.
- An abnormal cervical smear (i.e.: dysplasia, cervical intraepithelial neoplasia [CIN], SIL, carcinoma in situ, invasive carcinoma) at screening or documentation of an abnormal smear performed within 6 months before screening;
- Clinically relevant abnormal laboratory result at screening as judged by the (sub) investigator;
- Use of an injectable hormonal method of contraception prior to screening; within 6 months of an injection with a 3 -month duration, within 4 months to screening of an injection with a 2-month duration, within 2 months of an injection with a 1-month duration;
- Before spontaneous menstruation has occurred following a delivery or abortion;
- Breastfeeding or within 2 months after stopping breastfeeding prior to the start of trial medication;
- Present use or use within 2 months prior to the start of the trial medication of the following drugs: phenytoin, barbiturates, primidone, carbamazepine, oxcarbazepine, topiramate, felbamate, rifampicin, nelfinavir, ritonavir, griseofulvin, ketoconazole, lipid-lowering drugs, anticoagulants and herbal remedies containing Hypericum perforatum (St John's Wort);
- Use of pharmacological agents which affect the hemostatic system during the pretreatment blood sampling: vitamin K (only prohibited within two weeks prior to sampling), nonsteroidal anti-inflammatory drugs (NSAIDS) and aspirin (both only prohibited during the week prior to sampling);
- Administration of investigational drugs and/or participation in another clinical trial within 2 months prior to the start of the trial medication or during the trial period.
Data sourced from ClinicalTrials.gov (NCT00511355). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.