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Phase 3 N=121 Randomized Prevention

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

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

OutcomeResultp-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.
View full record on ClinicalTrials.gov →

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.

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