E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10010808 |
E.1.2 | Term | Contraception |
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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 |
The main objective of this study is to assess the safety and efficacy of 2 doses of LNG, delivered locally by a new intrauterine contraceptive system suitable for use by women 18 to 35 years of age. |
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E.2.2 | Secondary objectives of the trial |
To assesss the pharmacokinetics of the 2 doses |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Has signed informed consent. 2. Is of age between 18 and 35 years (inclusive), in good general health and requesting contraception. 3. Has, in the opinion of the investigator, suitable general and uterine conditions for inserting the LCS. 4. Has clinically normal safety laboratory results (i.e., inside the specified range for inclusion). 5. Is willing and able to attend the scheduled visits and to comply with the study procedures. Has regular menstrual cycles (length of cycle 21-35 days) (i.e., endogenous cyclicity without hormonal contraceptive use).
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E.4 | Principal exclusion criteria |
1. Known or suspected pregnancy or is lactating. 2. Vaginal delivery, cesarean delivery, or abortion within 6 weeks prior to visit 1. 3. History of ectopic pregnancies. 4. Infected abortion or postpartum endometritis within 3 months prior to visit 1. 5. Abnormal uterine bleeding of unknown origin. 6. Any genital infection (until successfully treated). 7. Descriptive diagnoses of epithelial cell atypias (not benign atypias) or more serious disorder in cervical smear (according to the Bethesda System) at screening and not responding to treatment. 8. History of, or current, pelvic inflammatory disease. 9. Congenital or acquired uterine anomaly. 10. Any distortion of the uterine cavity (by e.g., fibroids) likely to cause problems (in the opinion of the investigator) during insertion, retention or removal of the LCS. 11. History of, diagnosed or suspected genital malignancy, and untreated cervical dysplasia. 12. Current deep venous thrombosis or thrombophlebitis; history of deep venous thrombosis. 13. Current endometrial polyp(s). 14. Ovarian cyst(s) with diameter > 3 cm. 15. Concomitant use of other sex-hormone containing preparations or intrauterine device. 16. Use of any long-acting injectable sex-hormone preparations within 12 months prior to start of study medication, and if entering subset 2 or subset 3: any sex-hormone administration within one month prior to start of the study medication 17. If entering subset 2: any drug that might affect the blood coagulation (e.g., heparin, coumarin) within one month prior to start of the study medication 18. If entering subset 2: any known condition that might affect the blood coagulation. 19. Established immunodeficiency. 20. Any known hypersensitivity to the constituents of the LCS. 21. Diagnosed or suspected malignant or premalignant disease at the screening. 22. Arterial hypertension not responding to treatment, with systolic pressure > 140 mmHg or diastolic pressure > 90 mmHg. 23. Current (or history of) severe hepatic diseases including benign or malignant tumors. There should be an interval of at least 3 months between the start of study treatment (i.e., LCS insertion) and the return of liver function values to normal. 24. History of chronic alcoholism, drug dependence or abuse, psychotic states or severe neurosis or any other condition that, by judgment of the investigator, might impair subject's ability to cooperate. 25. Known or suspected HIV infection or high risk for STD. 26. Any clinically significant condition or laboratory result that, in the opinion of the investigator, compromises subject’s safety, might interfere with the evaluations or prevents the completion of the study. Non-inclusion laboratory values will be flagged by the laboratory based on predefined ranges . 27. Participated in another clinical study or consumed another experimental drug within 1 month prior to visit 1. 28. Previous participation in this study. A person with close affiliation with the investigational site; e.g., close relative of the investigator, dependent person, employee or student of the investigational site.
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E.5 End points |
E.5.1 | Primary end point(s) |
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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 | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
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) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
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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.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 51 |
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 |
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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
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Last visit of the last subject |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 10 |