Contraception Clinical Trial
Official title:
A Pharmacokinetic Study to Compare Sino-implant (II) During Four Years of Use to Jadelle During Five Years of Use by Kenyan Women
A cross-sectional study to compare pharmacokinetics of Sino-implant (II) during four years of used and Jadelle during five years of use by Kenyan women.
A cross-sectional study to compare the pharmacokinetics of Sino-implant (II) during four
years of use and Jadelle during five years of use by Kenyan women. The active ingredient in
both implants is levonorgestrel (LNG) which is a synthetic progestin that has been used in
combined oral contraceptives and in progestin-only pills for more than 30 years.
Population: A total of 280 women between the ages of 18 to 44 years who are currently using
Sino-implant (II) or Jadelle contraceptive implants will be enrolled in one of six cohorts
of women:
Cohort 1: (n=20 Sino-implant (II), n=20 Jadelle) women enrolled 1-3 months before their
6-month insertion anniversary.
Cohort 2: (n=20 Sino-implant (II), n=20 Jadelle) women enrolled 1-3 months before their
12-month insertion anniversary.
Cohort 3: (n=20 Sino-implant (II), n=20 Jadelle) women enrolled 1-3 months before their
24-month insertion anniversary.
Cohort 4: (n=20 Sino-implant (II), n=20 Jadelle) women enrolled 1-3 months before their
36-month insertion anniversary.
Cohort 5: (n=40 Sino-implant (II), n=40 Jadelle) women enrolled 1-3 months before their
48-month insertion anniversary.
Cohort 6: (n=40 Jadelle) women enrolled 2-6 months before their 60-month insertion
anniversary.
Women in all cohorts will be followed for up to 6 months.
Study Duration: Up to 6 months of participant recruitment and up to 6 months elapsed after
the baseline visit for the second study visits. 15 months total in the field including
training, study initiation, recruitment, follow-up, and close-out.
Two blood samples spaced 2 to 6 months apart will be drawn from each woman for hormone
measurements.
Primary Objective: To compare total and free levonorgestrel (LNG) plasma concentrations at
four years of Sino-implant (II) use to total and free LNG plasma concentrations at five
years of Jadelle use in Kenyan women
Secondary Objectives:
1. To compare total and free LNG plasma concentrations at four years of Sino-implant (II)
use to total and free LNG plasma concentrations at four years of Jadelle use
2. To characterize the total and free LNG plasma concentration-time profiles over four
years following Sino-implant (II) and over five years following Jadelle insertion
3. To characterize the sex hormone binding globulin (SHBG) serum concentration-time
profile over four years following Sino-implant (II) and over five years following
Jadelle insertion
;
Observational Model: Cohort, Time Perspective: Retrospective
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