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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01480778
Other study ID # LEEUNI0811
Secondary ID
Status Completed
Phase Phase 3
First received November 25, 2011
Last updated March 2, 2016
Start date July 2014
Est. completion date June 2015

Study information

Verified date March 2016
Source L.A.L Clinica Pesquisa e Desenvolvimento Ltda.
Contact n/a
Is FDA regulated No
Health authority Brazil: National Health Surveillance Agency
Study type Interventional

Clinical Trial Summary

Assessment of the pharmacodynamic profile of the drug Ciclo 21 ®, marketed by União Química Farmacêutica Nacional S / A, compared to the drug Nordette ® Laboratory Wyeth Pharmaceutical Ltda. Through the modulation of hormonal response (inhibition of the pituitary) evidenced by measurement serum LH and FSH for 28 days, as well as by the absence of follicle formation demonstrated by transvaginal ultrasound examinations


Description:

secondary objective

- Evaluation of the safety aspects of medicines such as type, frequency and intensity of adverse events between groups during the 28 day trial.

exploratory objective

- Evaluation of the pharmacokinetics of the drug administered through the dosage of serum hormone levonorgestrel and ethinyl estradiol for 28 days.


Recruitment information / eligibility

Status Completed
Enrollment 62
Est. completion date June 2015
Est. primary completion date April 2015
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Female
Age group 18 Years to 35 Years
Eligibility Inclusion Criteria:

1. Comply with all study procedures, sign, initial and date back, of their own free will, the IC;

2. Women aged between 18 and 35 years, regardless of race and class;

3. Make use of safe non-hormonal method of contraception such as tubal ligation, non-hormonal IUDs or condoms, or be hysterectomised or be vasectomized sexual partner;

4. Examination of Beta-HCG negative;

5. with regular menstrual cycles every 24 to 32 days, at least the last three months;

6. present normal Pap test (current or during the past 02 years);

7. Present or vaginal examination found that the changes do not interfere in the study;

8. present levels of FSH, LH, estradiol and TT for the normal menstrual cycle, as well as normal transvaginal sonographic reports.

Exclusion Criteria:

1. Provide a contraindication to the use of steroids;

2. Use regular or prediction of drugs that interfere with the metabolism of the investigational products, such as antibiotics, anticonvulsants, anticoagulants and hypoglycemic drugs;

3. smokers or have stopped smoking less than 12 months;

4. Diabetic;

5. Toxic-dependent;

6. BMI <18 and> 25;

7. have made use of topical or systemic sex hormone for at least two months before the start of the study;

8. Background and personal or family history of thrombosis or bleeding disorders or vascular disorders or cardiovascular disease;

9. Laboratory tests, gynecological ultrasound or changed, the medical criteria;

10. Individuals with allergies or rheumatic diseases for which is indicated the use of cortico-steroid medication;

11. carry any endocrine changes, especially pituitary and gonadal and / or who are advised to use hormones;

12. with lesions or abnormalities suspected or confirmed in the gonads.

13. personal or family history of breast cancer or other hormone-dependent breast pathology;

14. with hypertension or diabetes mellitus (for drug interactions between the COC and hypoglycemic agents and antihypertensives);

a) History of nausea with oral use of COCs; p) Any condition that may interfere with the discretion of the investigator in the study data as well as being the measurement of the study be deleterious to the patient.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Drug:
LNG+EE2
Administration of one pill contained 0.15 mg of levonosgestrel and 0.03 mg of ethynil estradiol per day over 21 days.
Nordette
Administration of one pill contained 0.15 mg of levonosgestrel and 0.03 mg of ethynil estradiol per day over 21 days.

Locations

Country Name City State
Brazil LAL Clínica Pesquisa e Desenvolvimento Ltda Valinhos São Paulo

Sponsors (2)

Lead Sponsor Collaborator
L.A.L Clinica Pesquisa e Desenvolvimento Ltda. União Química Farmacêutica Nacional S.A.

Country where clinical trial is conducted

Brazil, 

References & Publications (7)

Benagiano G, Carrara S, Filippi V. Safety, efficacy and patient satisfaction with continuous daily administration of levonorgestrel/ethinylestradiol oral contraceptives. Patient Prefer Adherence. 2009 Nov 3;3:131-43. — View Citation

Crosignani PG, Testa G, Vegetti W, Parazzini F. Ovarian activity during regular oral contraceptive use. Contraception. 1996 Nov;54(5):271-3. — View Citation

Hemrika DJ, Slaats EH, Kennedy JC, de Vries Robles-Korsen TJ, Schoemaker J. Pulsatile luteinizing hormone patterns in long term oral contraceptive users. J Clin Endocrinol Metab. 1993 Aug;77(2):420-6. — View Citation

Kroll R, Reape KZ, Margolis M. The efficacy and safety of a low-dose, 91-day, extended-regimen oral contraceptive with continuous ethinyl estradiol. Contraception. 2010 Jan;81(1):41-8. doi: 10.1016/j.contraception.2009.07.003. Epub . — View Citation

Rossmanith WG, Steffens D, Schramm G. A comparative randomized trial on the impact of two low-dose oral contraceptives on ovarian activity, cervical permeability, and endometrial receptivity. Contraception. 1997 Jul;56(1):23-30. — View Citation

Twaddle NC, Churchwell MI, Newbold RR, Delclos KB, Doerge DR. Determination using liquid-chromatography-electrospray tandem mass spectroscopy of ethinylestradiol serum pharmacokinetics in adult Sprague-Dawley rats. J Chromatogr B Analyt Technol Biomed Lif — View Citation

van Heusden AM, Fauser BC. Activity of the pituitary-ovarian axis in the pill-free interval during use of low-dose combined oral contraceptives. Contraception. 1999 Apr;59(4):237-43. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary The primary efficacy endpoint will be the changes in FSH and LH secretion induced by daily administration of the drug for 21 consecutive days during the 28 days of participation in the trial. 1, 2, 4, 7, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 24 and 28 days Yes
Secondary Safety of drugs: type, frequency and intensity of adverse events between groups during the 28 day trial. Exploratory investigation of the pharmacokinetics of the drug administered through the dosage of hormones in serum LNG and EE2 for 28 days. PK: 1 (0, 1, 2, 3, 4, 5, 6, 12 e 18 hours after administration), 2, 7, 14, 21 and 28 days Yes