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    The EU Clinical Trials Register currently displays   43881   clinical trials with a EudraCT protocol, of which   7295   are clinical trials conducted with subjects less than 18 years old.   The register also displays information on   18700   older paediatric trials (in scope of Article 45 of the Paediatric Regulation (EC) No 1901/2006).

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    Summary
    EudraCT Number:2006-004899-13
    Sponsor's Protocol Code Number:310882
    National Competent Authority:Germany - BfArM
    Clinical Trial Type:EEA CTA
    Trial Status:Completed
    Date on which this record was first entered in the EudraCT database:2007-09-28
    Trial results View results
    Index
    A. PROTOCOL INFORMATION
    B. SPONSOR INFORMATION
    C. APPLICANT IDENTIFICATION
    D. IMP IDENTIFICATION
    D.8 INFORMATION ON PLACEBO
    E. GENERAL INFORMATION ON THE TRIAL
    F. POPULATION OF TRIAL SUBJECTS
    G. INVESTIGATOR NETWORKS TO BE INVOLVED IN THE TRIAL
    N. REVIEW BY THE COMPETENT AUTHORITY OR ETHICS COMMITTEE IN THE COUNTRY CONCERNED
    P. END OF TRIAL
    Expand All   Collapse All
    A. Protocol Information
    A.1Member State ConcernedGermany - BfArM
    A.2EudraCT number2006-004899-13
    A.3Full title of the trial
    A multi-center, open-label, randomized, controlled, parallel-group study to assess efficacy and safety of an extended flexible regimen of the combined oral contraceptive SH T00186D (0.02 mg ethinylestradiol as beta-cyclodextrin clathrate and 3 mg drospirenone) compared to the conventional regimen of SH T00186D in the treatment of primary dysmenorrhea
    A.3.2Name or abbreviated title of the trial where available
    SH T00186 in the treatment of primary dysmenorrhea
    A.4.1Sponsor's protocol code number310882
    A.7Trial is part of a Paediatric Investigation Plan Information not present in EudraCT
    A.8EMA Decision number of Paediatric Investigation Plan
    B. Sponsor Information
    B.Sponsor: 1
    B.1.1Name of SponsorBayer Schering Pharma AG
    B.1.3.4CountryUnited States
    B.3.1 and B.3.2Status of the sponsorCommercial
    B.4 Source(s) of Monetary or Material Support for the clinical trial:
    B.4.1Name of organisation providing support
    B.4.2Country
    B.5 Contact point designated by the sponsor for further information on the trial
    B.5.1Name of organisation
    B.5.2Functional name of contact point
    D. IMP Identification
    D.IMP: 1
    D.1.2 and D.1.3IMP RoleTest
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Yasminelle (Aida; Liofora)
    D.2.1.1.2Name of the Marketing Authorisation holderBayer Vital GmbH
    D.2.1.2Country which granted the Marketing AuthorisationEuropean Union
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameYaz flex
    D.3.2Product code SH T00186D
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNdrospirenone
    D.3.9.1CAS number 67392-87-4
    D.3.9.2Current sponsor codeZK30595
    D.3.10 Strength
    D.3.10.1Concentration unit IU/mg international unit(s)/milligram
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number3.0
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNethinylestradiol as betadex clathrate
    D.3.9.1CAS number 256463-26-0
    D.3.9.2Current sponsor codeZK227269
    D.3.10 Strength
    D.3.10.1Concentration unit IU/mg international unit(s)/milligram
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number0.020
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.IMP: 2
    D.1.2 and D.1.3IMP RoleComparator
    D.2 Status of the IMP to be used in the clinical trial
    D.2.1IMP to be used in the trial has a marketing authorisation Yes
    D.2.1.1.1Trade name Yaz
    D.2.1.1.2Name of the Marketing Authorisation holderBayer BV
    D.2.1.2Country which granted the Marketing AuthorisationNetherlands
    D.2.5The IMP has been designated in this indication as an orphan drug in the Community No
    D.2.5.1Orphan drug designation number
    D.3 Description of the IMP
    D.3.1Product nameYaz
    D.3.2Product code SH T00186D
    D.3.4Pharmaceutical form Tablet
    D.3.4.1Specific paediatric formulation Information not present in EudraCT
    D.3.7Routes of administration for this IMPOral use
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNdrospirenone
    D.3.9.1CAS number 67392-87-4
    D.3.9.2Current sponsor codeZK30595
    D.3.10 Strength
    D.3.10.1Concentration unit IU/mg international unit(s)/milligram
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number3.0
    D.3.8 to D.3.10 IMP Identification Details (Active Substances)
    D.3.8INN - Proposed INNethinylestradiol as betadex clathrate
    D.3.9.1CAS number 256463-26-0
    D.3.9.2Current sponsor codeZK227269
    D.3.10 Strength
    D.3.10.1Concentration unit IU/mg international unit(s)/milligram
    D.3.10.2Concentration typeequal
    D.3.10.3Concentration number0.020
    D.3.11 The IMP contains an:
    D.3.11.1Active substance of chemical origin Yes
    D.3.11.2Active substance of biological/ biotechnological origin (other than Advanced Therapy IMP (ATIMP) No
    The IMP is a:
    D.3.11.3Advanced Therapy IMP (ATIMP) Information not present in EudraCT
    D.3.11.3.1Somatic cell therapy medicinal product No
    D.3.11.3.2Gene therapy medical product No
    D.3.11.3.3Tissue Engineered Product Information not present in EudraCT
    D.3.11.3.4Combination ATIMP (i.e. one involving a medical device) Information not present in EudraCT
    D.3.11.3.5Committee on Advanced therapies (CAT) has issued a classification for this product Information not present in EudraCT
    D.3.11.4Combination product that includes a device, but does not involve an Advanced Therapy Information not present in EudraCT
    D.3.11.5Radiopharmaceutical medicinal product No
    D.3.11.6Immunological medicinal product (such as vaccine, allergen, immune serum) No
    D.3.11.7Plasma derived medicinal product No
    D.3.11.8Extractive medicinal product No
    D.3.11.9Recombinant medicinal product Information not present in EudraCT
    D.3.11.10Medicinal product containing genetically modified organisms No
    D.3.11.11Herbal medicinal product No
    D.3.11.12Homeopathic medicinal product No
    D.3.11.13Another type of medicinal product No
    D.8 Information on Placebo
    D.8 Placebo: 1
    D.8.1Is a Placebo used in this Trial?Yes
    D.8.3Pharmaceutical form of the placeboFilm-coated tablet
    D.8.4Route of administration of the placeboOral use
    E. General Information on the Trial
    E.1 Medical condition or disease under investigation
    E.1.1Medical condition(s) being investigated
    women suffering from primary dysmenorrhea
    MedDRA Classification
    E.1.3Condition being studied is a rare disease No
    E.2 Objective of the trial
    E.2.1Main objective of the trial
    To evaluate efficacy and safety of the combined oral contraceptive [COC] SH T00186D (0.02 mg ethinylestradiol [EE]; 3 mg drospirenone [DRSP]) applied in a conventional and an extended flexible regimen in the treatment of moderate to severe primary dysmenorrhea
    Primary efficacy variables:
    • Number of days with dysmenorrheic pain over 140 days of treatment
    E.2.2Secondary objectives of the trial
    Secondary efficacy variables:
    • Number of days with at least moderate dysmenorrheic pain over 140 days of treatment
    • Number of days with pelvic pain (independent of occurrence of vaginal bleeding) over 140 days of treatment
    • Number of days with dysmenorrheic pain associated with withdrawal bleedings over 140 days of treatment
    • Number of days with dysmenorrheic pain associated with unscheduled bleedings over 140 days of treatment
    • Use of rescue medication (standardized intake of ibuprofen)
    • Interference with daily activity
    • Bleeding patterns
    • Investigator assessment of total improvement of primary dysmenorrhea by Clinical Global Impression (CGI) scale
    • Subjective assessment of treatment by the patient
    E.2.3Trial contains a sub-study No
    E.3Principal inclusion criteria
    1. Medical history of moderate to severe primary dysmenorrhea (i.e., moderate to severe menstruation-related pelvic pain in at least 4 out of 6 preceding cycles)
    2. Prospective self-rated sum pain score of  8 over the 2 baseline cycles
    3. Age between 18 and 40 years (inclusive) with smoking habits regulated as follows
    - Between 18 and 30 years of age, daily cigarette consumption not above 10
    - Above 30 years of age, no smoking
    4. Non-suspicious cervical smear taken at Visit 1 or within the last 3 months before Visit 1
    5. Signed and dated informed consent.
    E.4Principal exclusion criteria
    1. Current signs or history of any forms of secondary dysmenorrhea (e.g., due to underlying endometriosis, fibroids, adenomyosis of the uterus, hematometra)
    2. Any concomitant disease or condition that requires any intake of analgesic medication
    3. Occurrence of less than six menstrual cycles before Visit 1 following delivery, abortion, or lactation
    4. Known hypersensitivity to any ingredient of the study drug and/or rescue medication (see Section 5.1)
    5. Any known diseases or conditions that compromise the function of the body systems and could result in altered absorption, excessive accumulation, impaired metabolism, or altered excretion of the study medication
    6. Any known severe systemic disease that might interfere with the conduct of the study or the interpretation of the results
    7. Known uncontrolled thyroid disorders
    8. Clinically significant depression (current or in the last year)
    9. Any known abnormal clinically significant findings which, according to the assessment of the investigator, may worsen under hormonal treatment
    10. Laboratory values outside inclusion range at Screening
    11. Participation in another clinical study or administration of an investigational drug within 1 month prior to study entry (Visit 1) (or 6 months in case of long-acting progestins)
    12. Surgeries scheduled in the study period
    13. Known liver diseases:
    Previous, acute and chronic progressive liver diseases, e.g., disturbances of bilirubin excretion in the bile (Dubin-Johnson and Rotor syndromes), disturbances of bile secretion, disturbances of bile flow (cholestasis, also a history thereof), idiopathic icterus or pruritus during a former pregnancy or estrogen-progestin treatment
    Between the subsidence of a viral hepatitis (normalization of liver parameters) and the beginning of the study there must be an interval of at least 6 months.
    Previous or current liver tumors
    14. Known vascular diseases:
    Existing or previous venous thromboembolic diseases (deep vein thrombosis, pulmonary embolism), existing or previous arterial thromboembolic diseases (myocardial infarction, stroke), as well as any condition increasing the disposition to any of the above, e.g., coagulation disorders with tendency to blood clot formation, hereditary anti-thrombin III deficiency, protein-C and/or protein-S deficiency, any venous thromboembolic event occurred in a sibling or a parent at an early age ( 50 years), valvular heart disease, atrial fibrillation, cardiac dysfunction (NYHA I-IV) , strong predisposition to varicose veins, previous phlebitis.
    Uncontrolled arterial hypertension (confirmed systolic blood pressure > 140 mmHg and/or confirmed diastolic blood pressure > 90 mmHg).
    Known diabetes mellitus, impaired glucose tolerance
    Known disturbances of lipid metabolism
    15. Known sickle-cell anemia
    16. Known or suspected malignant or premalignant disease, in particular steroid-hormone dependent malignant or premalignant diseases (e.g., endometrial cancer, ovarian cancer, breast cancer), also a history thereof
    17. Known other diseases:
    Pemphigoid gestationis during a previous pregnancy, middle-ear deafness (otosclerosis), endometrial hyperplasia, migraine with neurological symptoms (complicated migraine), genital bleeding of unknown origin, manifest kidney disease with impaired renal function, porphyria, past or current uterus myomatosus, worsening of chronic bowel disease (Crohn’s disease or ulcerative colitis) under hormonal treatment
    18. Known alcohol, drug, or medicine abuse (e.g., laxatives)
    19. Prohibited concomitant medication:
    Additional sex steroids (excluding topical use of Progestogel®), anticoagulants (e.g., heparin, coumarin); antiepileptics (hydantoin derivatives [e.g., phenytoin] or carboxamide derivatives [e.g., carbamazepine, oxcarbamazepine], other antiepileptics [e.g., felbamate, topiramate]); hypnotics and sedatives (e.g., barbiturate derivatives, primidone); tuberculostatics (e.g., rifampicin); oral antimycotics (except for a so-called single shot treatment)(e.g., griseofulvin, ketoconazole, itraconazole, fluoconazole); virostatic agents (except for topical use) (e.g., ritonavir); phenylbutazone; products containing St. John’s wort (Hypericum perforatum); and consecutive systemic use of antibiotics for >10 days
    20. Sex hormones prior to start of treatment:
    Oral, transdermal or intravaginal administration within 3 cycles prior to start of treatment
    Use of hormone implants within 1 month prior to Visit 1
    Use of intrauterine devices (IUDs) with or without hormone release within 1 month prior to Visit 1
    Use of long-acting progestins within 6 months prior to Visit 1
    21. Considerable overweight (body mass index [BMI] > 30)
    22. Requirement of special surveillance due to the following risk factors: Epilepsy, asthma, multiple sclerosis, chorea minor, tetany
    23. Patient is a dependent person, e.g., a relative, family member, or member of the investigator’s staff
    E.5 End points
    E.5.1Primary end point(s)
    Primary efficacy variables:
    • Number of days with dysmenorrheic pain over 140 days of treatment
    It is assumed, that the primary variable is equally distributed in both treatment groups with an at least approximately normal distribution.
    Let µt denote the mean number of days with dysmenorrheic pain during 140 days of treatment with an extended flexible regimen of SH T 00186 D, and µp denote the mean number of days with dysmenorrheic pain with the conventional regimen (24 + 4 days) of SH T00186D.For the primary target variable, the hypothesis
    H0: | µt - µp | = 0
    will be tested against the alternative hypothesis
    H1: | µt - µp | > 0 at a 2-sided level of significance of alpha = 0.05.
    E.6 and E.7 Scope of the trial
    E.6Scope of the trial
    E.6.1Diagnosis No
    E.6.2Prophylaxis No
    E.6.3Therapy No
    E.6.4Safety Yes
    E.6.5Efficacy Yes
    E.6.6Pharmacokinetic No
    E.6.7Pharmacodynamic No
    E.6.8Bioequivalence No
    E.6.9Dose response No
    E.6.10Pharmacogenetic No
    E.6.11Pharmacogenomic No
    E.6.12Pharmacoeconomic No
    E.6.13Others No
    E.7Trial type and phase
    E.7.1Human pharmacology (Phase I) No
    E.7.1.1First administration to humans Information not present in EudraCT
    E.7.1.2Bioequivalence study Information not present in EudraCT
    E.7.1.3Other Information not present in EudraCT
    E.7.1.3.1Other trial type description
    E.7.2Therapeutic exploratory (Phase II) No
    E.7.3Therapeutic confirmatory (Phase III) Yes
    E.7.4Therapeutic use (Phase IV) No
    E.8 Design of the trial
    E.8.1Controlled Yes
    E.8.1.1Randomised Yes
    E.8.1.2Open Yes
    E.8.1.3Single blind No
    E.8.1.4Double blind No
    E.8.1.5Parallel group Yes
    E.8.1.6Cross over No
    E.8.1.7Other No
    E.8.2 Comparator of controlled trial
    E.8.2.1Other medicinal product(s) Yes
    E.8.2.2Placebo Information not present in EudraCT
    E.8.2.3Other Information not present in EudraCT
    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.8.4.1Number of sites anticipated in Member State concerned35
    E.8.5The trial involves multiple Member States No
    E.8.6 Trial involving sites outside the EEA
    E.8.6.1Trial being conducted both within and outside the EEA No
    E.8.6.2Trial being conducted completely outside of the EEA Information not present in EudraCT
    E.8.7Trial 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
    E.8.9 Initial estimate of the duration of the trial
    E.8.9.1In the Member State concerned years1
    E.8.9.1In the Member State concerned months4
    E.8.9.1In the Member State concerned days
    F. Population of Trial Subjects
    F.1 Age Range
    F.1.1Trial has subjects under 18 No
    F.1.1.1In Utero Information not present in EudraCT
    F.1.1.2Preterm newborn infants (up to gestational age < 37 weeks) Information not present in EudraCT
    F.1.1.3Newborns (0-27 days) Information not present in EudraCT
    F.1.1.4Infants and toddlers (28 days-23 months) Information not present in EudraCT
    F.1.1.5Children (2-11years) Information not present in EudraCT
    F.1.1.6Adolescents (12-17 years) Information not present in EudraCT
    F.1.2Adults (18-64 years) Yes
    F.1.3Elderly (>=65 years) No
    F.2 Gender
    F.2.1Female Yes
    F.2.2Male No
    F.3 Group of trial subjects
    F.3.1Healthy volunteers No
    F.3.2Patients Yes
    F.3.3Specific vulnerable populations Yes
    F.3.3.1Women of childbearing potential not using contraception For clinical trials recorded in the database before the 10th March 2011 this question read: "Women of childbearing potential" and did not include the words "not using contraception". An answer of yes could have included women of child bearing potential whether or not they would be using contraception. The answer should therefore be understood in that context. This trial was recorded in the database on 2007-09-28. Yes
    F.3.3.2Women of child-bearing potential using contraception Information not present in EudraCT
    F.3.3.3Pregnant women No
    F.3.3.4Nursing women No
    F.3.3.5Emergency situation No
    F.3.3.6Subjects incapable of giving consent personally No
    F.3.3.7Others No
    F.4 Planned number of subjects to be included
    F.4.1In the member state216
    F.5 Plans for treatment or care after the subject has ended the participation in the trial (if it is different from the expected normal treatment of that condition)
    During Visit 4 the investigator will discuss options for follow-up contraception and treatment of primary dysmenorrhea with the patients.
    G. Investigator Networks to be involved in the Trial
    N. Review by the Competent Authority or Ethics Committee in the country concerned
    N.Competent Authority Decision Authorised
    N.Date of Competent Authority Decision2007-10-23
    N.Ethics Committee Opinion of the trial applicationFavourable
    N.Ethics Committee Opinion: Reason(s) for unfavourable opinion
    N.Date of Ethics Committee Opinion2008-01-16
    P. End of Trial
    P.End of Trial StatusCompleted
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