| E.1 Medical condition or disease under investigation | 
| E.1.1 | Medical condition(s) being investigated | 
| Hormonal oral contraception in healthy women |  | 
| MedDRA Classification | 
| E.1.3 | Condition being studied is a rare disease | No | 
| E.2 Objective of the trial | 
| E.2.1 | Main objective of the trial | 
| To assess contraceptive efficacy, vaginal bleeding patterns (cycle control), general safety and acceptability of the NOMAC-E2 COC in a large group of women aged 18-50 years. 
 |  | 
| E.2.2 | Secondary objectives of the trial | 
| - To evaluate the effect of the NOMAC-E2 COC on satisfaction and health related quality of life, libido, acne, menstrual symptoms, and body weight;
 - To explore the aforementioned characteristics of the NOMAC-E2 COC in comparison
 with the DRSP-EE COC.
 
 Optional pharmacogenetic component:
 - To collect and store blood samples for further anonymized pharmacogenetic assessment.
 
 |  | 
| E.2.3 | Trial contains a sub-study | No | 
| E.3 | Principal inclusion criteria | 
| - Sexually active women, at risk for pregnancy and not planning to use condoms; - Women in need for contraception and willing to use an OC for 12 months
 (13  cycles);
 - At least 18 but not older than 50 years of age at the time of screening;
 - Body mass index ≥17 and ≤35;
 - Good physical and mental health;
 - Willing to give informed consent in writing.
 
 |  | 
| E.4 | Principal exclusion criteria | 
| - Contraindications for contraceptive steroids: • Presence or a history of venous or arterial thrombotic/thromboembolic events
 (e.g. deep venous thrombosis, pulmonary embolism, myocardial infarction) or of a
 cerebrovascular accident;
 • Presence or history of prodromi of a thrombosis (e.g. transient ischaemic attack,
 angina pectoris);
 • History of migraine with focal neurological symptoms;
 • Diabetes mellitus with vascular involvement;
 • The presence of a severe or multiple risk factor(s) for venous or arterial
 thrombosis (to be judged by the (sub)-investigator).
 e.g. increasing age; smoking (with heavier smoking and increasing age the risk
 further increases, especially in women over 35 years of age); a positive family
 history (i.e. venous or arterial thromboembolism ever in a sibling or parent at a
 relatively early age); obesity (body mass index over 30 kg/m2);
 dyslipoproteinaemia; hypertension, migraine, valvular heart disease, atrial
 fibrillation; prolonged immobilization, major surgery any surgery to the legs, or
 major trauma until two weeks after full remobilization; systemic lupus
 erythematosus; haemolytic uraemic syndrome; chronic inflammatory bowel disease
 (Crohn’s disease or ulcerative colitis); sickle cell disease;
 • Severe dyslipoproteinemia
 • Severe hypertension
 • Hereditary or acquired predisposition for venous or arterial thrombosis, such as APC resistance,
 antithrombin-III-deficiency, protein C deficiency, protein S deficiency, hyperhomocysteinaemia and
 antiphospholipid antibodies (anticardiolipin antibodies, lupus anticoagulant);
 • Pancreatitis or a history thereof if associated with severe hypertriglyceridaemia;
 • Presence or history of severe hepatic disease as long as liver function values have not returned to normal;
 • Presence or history of liver tumors (benign or malignant);
 • Known or suspected sex steroid-influenced malignancies (e.g. of the genital
 organs or the breasts);
 • Undiagnosed vaginal bleeding;
 • Known or suspected pregnancy;
 • Hypersensitivity to the active substances or to any of the excipients of the
 investigational product.
 - In accordance with the SmPC/Package Insert of DRSP-EE, additional
 contraindications related to the antimineralocorticoid activity of drospirenone
 (conditions that predipose to hyperkalemia):
 • Renal insufficiency;
 • Hepatic dysfunction;
 • Adrenal insufficiency.
 - An abnormal cervical smear (i.e.: dysplasia, cervical intraepithelial neoplasia (CIN),
 SIL, carcinoma in situ, invasive carcinoma) at screening;
 - Clinically relevant abnormal laboratory result at screening as judged by the
 investigator;
 - Use of an injectable hormonal method of contraception; within 6 months of an
 injection with a 3-month duration, within 4 months 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, carbamazapine,
 oxcarbazepine, topiramate, felbamate, rifampicin, nelfinavir, ritonavir, griseofulvin,
 ketoconazole, sex steroids (other than pre- and posttreatment contraceptive
 method) and herbal remedies containing Hypericum perforatum (St John’s Wort);
 - 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.
 
 |  | 
| E.5 End points | 
| E.5.1 | Primary end point(s) | 
| Pearl Index (PI), i.e. the number of pregnancies per 100 woman years of exposure for the restricted ITT analysis set; Vaginal bleeding (most relevant parameters: breakthrough bleeding/spotting and absence of withdrawal bleeding)
 
 |  | 
| E.6 and E.7 Scope of the trial | 
| E.6 | Scope of the trial | 
| E.6.1 | Diagnosis | No | 
| E.6.2 | Prophylaxis | No | 
| E.6.3 | Therapy | No | 
| E.6.4 | Safety | Yes | 
| E.6.5 | Efficacy | Yes | 
| E.6.6 | Pharmacokinetic | No | 
| E.6.7 | Pharmacodynamic | No | 
| E.6.8 | Bioequivalence | No | 
| E.6.9 | Dose response | No | 
| E.6.10 | Pharmacogenetic | Yes | 
| E.6.11 | Pharmacogenomic | No | 
| E.6.12 | Pharmacoeconomic | No | 
| E.6.13 | Others | Yes | 
| E.6.13.1 | Other scope of the trial description | 
| satisfaction and health related quality of life |  | 
| E.7 | Trial type and phase | 
| E.7.1 | Human pharmacology (Phase I) | No | 
| E.7.1.1 | First administration to humans | No | 
| E.7.1.2 | Bioequivalence study | No | 
| E.7.1.3 | Other | No | 
| E.7.1.3.1 | Other trial type description |  | 
| E.7.2 | Therapeutic exploratory (Phase II) | No | 
| E.7.3 | Therapeutic confirmatory (Phase III) | Yes | 
| E.7.4 | Therapeutic use (Phase IV) | No | 
| E.8 Design of the trial | 
| E.8.1 | Controlled | Yes | 
| E.8.1.1 | Randomised | Yes | 
| E.8.1.2 | Open | Yes | 
| E.8.1.3 | Single blind | No | 
| E.8.1.4 | Double blind | No | 
| E.8.1.5 | Parallel group | Yes | 
| E.8.1.6 | Cross over | No | 
| E.8.1.7 | Other | No | 
| E.8.2 | Comparator of controlled trial | 
| E.8.2.1 | Other medicinal product(s) | Yes | 
| E.8.2.2 | Placebo | No | 
| E.8.2.3 | Other | No | 
| E.8.3 | The trial involves single site in the Member State concerned | No | 
| E.8.4 | The trial involves multiple sites in the Member State concerned | Yes | 
| E.8.4.1 | Number of sites anticipated in Member State concerned | 12 | 
| E.8.5 | The trial involves multiple Member States | Yes | 
| E.8.5.1 | Number of sites anticipated in the EEA | 88 | 
| E.8.6 Trial involving sites outside the EEA | 
| E.8.6.1 | Trial being conducted both within and outside the EEA | Yes | 
| E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT | 
| E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |  | 
| E.8.7 | Trial has a data monitoring committee | No | 
| E.8.8 | Definition of the end of the trial and justification where it is not the last
                        visit of the last subject undergoing the trial | 
| The date of the last assessment of the last subject undergoing the trial. Pregnancy follow-up may continue after the end of trial. |  | 
| E.8.9 Initial estimate of the duration of the trial | 
| E.8.9.1 | In the Member State concerned years | 1 | 
| E.8.9.1 | In the Member State concerned months | 11 | 
| E.8.9.1 | In the Member State concerned days |  | 
| E.8.9.2 | In all countries concerned by the trial years | 1 | 
| E.8.9.2 | In all countries concerned by the trial months | 11 |