Efficacy Trial of CDB 2914 for Emergency Contraception

This study has been completed.
Sponsor:
Collaborator:
Information provided by:
University of Pittsburgh
ClinicalTrials.gov Identifier:
NCT00271583
First received: December 29, 2005
Last updated: December 13, 2007
Last verified: December 2007
  Purpose

Objective: To compare the efficacy, safety and tolerance of a 50 mg dose of a new antiprogestin, CDB-2914 with a 0.75 mg bid dose of levonorgestrel as emergency contraception

Design: Multicenter, randomized, double blind Phase II study to compare a 50 mg dose of CDB-2914 to a 0.75 mg bid dose of levonorgestrel as emergency contraception

Subjects are randomized to receive a one-time treatment with either one dose of 50 mg CDB-2914 (followed 12 hours later by a placebo) or 2 doses of 0.75 mg of levonorgestrel with follow-up visits at 5-7 days after expected onset of menses and another visit at 12-14 days after expected onset of menses (if needed)

The primary aim is to evaluate the efficacy of CDB-2914 used by subjects as an emergency postcoital contraceptive in comparison to a group of subjects receiving levonorgestrel.


Condition Intervention Phase
Emergency Contraception
Drug: CDB-2914
Drug: levonorgestrel
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Double-Blind
Primary Purpose: Treatment
Official Title: A Prospective, Randomized, Double Blind, Multicenter Study to Compare the Efficacy, Safety and Tolerance of CDB-2914 With Levonorgestrel as Emergency Contraception

Resource links provided by NLM:


Further study details as provided by University of Pittsburgh:

Primary Outcome Measures:
  • Pregnancy (efficacy) [ Time Frame: until follow-up about one week after next menses ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Tolerability (side effects) [ Time Frame: until follow-up about one week after next menses ]
  • Menstrual cycle effects [ Time Frame: until follow-up about one week after next menses ]

Enrollment: 1672
Study Start Date: September 1999
Study Completion Date: September 2001
Detailed Description:

Objective: To compare the efficacy, safety and tolerance of a 50 mg dose of a new antiprogestin, CDB-2914 with a 0.75 mg bid dose of levonorgestrel as emergency contraception

Design: Multicenter, randomized, double blind Phase II study to compare a 50 mg dose of CDB-2914 to a 0.75 mg bid dose of levonorgestrel as emergency contraception

Duration: A one-time treatment with either CDB-2914 or levonorgestrel with follow-up visits at 5-7 days after expected onset of menses and another visit at 12-14 days after expected onset of menses (if needed)

Treatment: A one-time treatment with one of the following:

  • Two doses of 0.75 mg of levonorgestrel to be taken 12 hours apart
  • One dose of 50 mg CDB-2914 and a second placebo dose to be taken 12 hours later

Study Sites: Multicenter study in the United States

Subjects: Women of reproductive age (at least 18 years) at risk of pregnancy within 72 hours of unprotected coitus

Sample Size: Approximately 811 women will be enrolled in each treatment group to obtain 1540 evaluable subjects

Outcome Evaluations

Primary: To evaluate the efficacy of CDB-2914 used by subjects as an emergency postcoital contraceptive in comparison to a group of subjects receiving levonorgestrel.

Secondary: To compare the tolerability (as measured by vomiting and nausea) of CDB-2914 used by subjects as an emergency postcoital contraceptive with that of a group of subjects receiving levonorgestrel.

Safety/Other: To assess the frequency and intensity of adverse events and the effects on the menstrual cycle of subjects administered CDB-2914 in comparison to subjects given levonorgestrel.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Menstruating women at least 18 years old;
  • Give voluntary, written informed consent, and agree to observe all study requirements;
  • Request emergency contraception within 72 hours (3 days) after unprotected coitus, as defined by lack of contraceptive use, or condom breakage (including condoms lubricated with spermicide) or other barrier contraceptive method failure;
  • Reports that all acts of unprotected coitus during the current cycle are within 72 hours prior to enrollment;
  • Willing to abstain from further acts of unprotected intercourse during that cycle;
  • History of regular menstrual cycles (mean length of 24-42 days with intra-individual variation of ±5 days);
  • At least one normal menstrual cycle (2 menses) post delivery or abortion;
  • If subject recently discontinued hormonal contraception, one normal menstrual cycle (2 menses) must have been completed before entry in the study
  • For women with a recent history of Depo Provera use, the most recent injection must be at least 3 months before study entry and the subject must have had at least one normal menstrual cycle (2 menses);
  • Available for follow-up for at least the next four weeks.

Exclusion Criteria:

  • Currently pregnant (positive high-sensitivity urine pregnancy test);
  • pregnant or breast-feeding within the past two months;
  • use of hormonal methods of contraception during the current or previous two cycles;
  • current user of IUD;
  • tubal ligation;
  • partners with history of vasectomy;
  • unsure about the date of the last menstrual period (+3 days);
  • irregular menstrual cycles as defined in the inclusion criteria;
  • nausea and vomiting within the previous two weeks;
  • impaired hypothalamic-pituitary-adrenal reserve or oral glucocorticoid replacement therapy in the last year.

Subjects cannot be currently enrolled in any other investigational trial or re-enrolled in this study.

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00271583

Locations
United States, California
California Family Health Council
Los Angeles, California, United States
United States, Colorado
University of Colorado
Denver, Colorado, United States
United States, New York
New York University
New York, New York, United States
United States, Ohio
University of Cincinnati
Cincinnati, Ohio, United States
United States, Pennsylvania
University of Pittsburgh
Pittsburgh, Pennsylvania, United States, 15215
United States, Virginia
Eastern Virginia Medical School
Norfolk, Virginia, United States
Sponsors and Collaborators
University of Pittsburgh
Investigators
Principal Investigator: Diana Blithe, PhD Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
  More Information

Publications:
ClinicalTrials.gov Identifier: NCT00271583     History of Changes
Other Study ID Numbers: CCN002, N01-HD-9-3298
Study First Received: December 29, 2005
Last Updated: December 13, 2007
Health Authority: United States: Food and Drug Administration
United States: Institutional Review Board

Keywords provided by University of Pittsburgh:
emergency contraception
antiprogestin

Additional relevant MeSH terms:
Emergencies
Disease Attributes
Pathologic Processes
Levonorgestrel
Contraceptive Agents, Female
Contraceptive Agents
Reproductive Control Agents
Physiological Effects of Drugs
Pharmacologic Actions
Therapeutic Uses
Contraceptives, Oral, Synthetic
Contraceptives, Oral

ClinicalTrials.gov processed this record on July 22, 2014