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    Clinical Trial Results:
    Randomized Clinical Trial to Compare the Pregnancy Rates of Vaginally Applied Cyclogest® Pessary and Crinone® 8% Gel After In-vitro Fertilization

    Summary
    EudraCT number
    2013-001105-81
    Trial protocol
    HU   BE   BG   CZ  
    Global end of trial date
    08 Aug 2014

    Results information
    Results version number
    v1(current)
    This version publication date
    26 Mar 2020
    First version publication date
    26 Mar 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    ACT-CYC-300-2013-01
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Actavis Group PTC ehf.
    Sponsor organisation address
    Reykjavikurvegur 76-78, Hafnarfjordur, Iceland, 220
    Public contact
    Reproductive Team, L.D. Collins & Co. Ltd., +44 (0) 1442 345067, enquiries@ldcollins.com
    Scientific contact
    Helen Saunders, Gedeon Richter Plc, +44 (0)22 884 0354, helen.saunders@preglem.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    05 Mar 2015
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    08 Aug 2014
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To evaluate non-inferiority in the achievement of pregnancy rate (fetal heart movement measured by TVUS) after 38 days of luteal phase support using Cyclogest® 400 mg bid compared to Crinone® 8% (90 mg) once daily.
    Protection of trial subjects
    The conduct of this clinical study met all local legal and regulatory requirements. The clinical study was conducted in accordance with the ethical principles that have their origins in the Declaration of Helsinki, and in accordance with the national legal requirements as well as the principles of ICH-GCP. Before entering the study, the informed consent form was read by and explained to all subjects and/or their legally authorized representative. Participating subjects signed informed consent form and could withdraw from the study at any time without any disadvantage and without having to provide a reason for this decision. Only investigators qualified by training and experience were selected as appropriate experts to investigate the study drug.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    09 Oct 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Belgium: 21
    Country: Number of subjects enrolled
    Bulgaria: 100
    Country: Number of subjects enrolled
    Czech Republic: 255
    Country: Number of subjects enrolled
    Hungary: 152
    Country: Number of subjects enrolled
    Serbia: 240
    Worldwide total number of subjects
    768
    EEA total number of subjects
    528
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    768
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Pre-menopausal woman (18 to 40 years old) undergoing fresh embryo transfer after in vitro fertilization, were enrolled in this multi-center, multi-national, open, randomized, two-parallel groups, non-inferiority study from October 2013 to August 2014. The study was conducted at 17 study sites in Belgium, Bulgaria, Czech Republic, Hungary and Serbia

    Pre-assignment
    Screening details
    A total of 812 women were enrolled in this study. Out of a total of 769 randomized patients, 385 patients (50,1%) were treated with Cyclogest® and 384 patients (49,9%) with Crinone®. 44 patients were enrolled but not treated of which 43 patients were screening failures and one patient was randomized but violated an exclusion criterion.

    Period 1
    Period 1 title
    Baseline (Visit 1/ Day 0) (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded
    Blinding implementation details
    This trial was performed in an open label manner.

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Treatment A: Cyclogest® 400 mg bid
    Arm description
    Subjects were randomized to receive Cyclogest®, intravaginal 400mg pessaries (twice daily for a period of 10 weeks) from Visit 1 (Day 0). Patients self-administered the allocated investigational medicinal product (IMP) on each study day for up to 70 (±3) days (corresponding to the last scheduled visit), or until they terminated the study in case they did not become pregnant or until they discontinued on their own decision, or until they were withdrawn from the study by the investigator for other reasons. Embryo transfer was performed at Visit 2 (Day 2/ 3). Pregnancy was confirmed 2 weeks after embryo transfer at Visit 3 (Day 18 - 19) by a serum pregnancy test. In case of negative serum pregnancy test at visit Day 18 (±1) or absence of pregnancy confirmed by transvaginal ultrasonography (TVUS) on Day 38 (+7), a final study assessment was to be performed at the respective visit or within 7 days after the scheduled visit. If positive, luteal support was continued up to Visit 5 (Week 10).
    Arm type
    Experimental

    Investigational medicinal product name
    Cyclogest® 400 mg bid
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Pessary
    Routes of administration
    Vaginal use
    Dosage and administration details
    400 mg Cyclogest® pessaries were self-administered by the patients twice a day. Drug administration started in the evening of Day 0, preferably before going to bed, and ended in the morning of Day 70 (±3). Administrations were recommended at approximately 12 hours intervals, preferably always around the same time (e.g. if a patient was scheduled for first administration at 21:00, the subsequent drug administrations were to take place at 09:00 and 21:00) each day during the treatment period. In case a patient forgot to administer Cyclogest®, she had to administer it as soon as possible, unless it was nearly time (less than 2 hours) for the next dose. She was not allowed to use two doses together. The next dose had to be administered at the usual time. However, more than 2 pessaries per day should not have been used. The patient had to record this in her diary.

    Arm title
    Treatment B: Crinone® 8% (90mg) od
    Arm description
    Subjects were randomized to receive Crinone® 8%, intra-vaginal micronized progesterone gel 90 mg, once daily from Visit 1 (Day 0). Patients self-administered the allocated investigational medicinal product (IMP) on each study day for up to 70 (±3) days (corresponding to the last scheduled visit), or until they terminated the study in case they did not become pregnant or until they discontinued on their own decision, or until they were withdrawn from the study by the investigator for other reasons. Embryo transfer was performed at Visit 2 (Day 2/ 3). Pregnancy was confirmed 2 weeks after embryo transfer at Visit 3 (Day 18 - 19) by a serum pregnancy test. If positive, luteal support was continued up to Visit 5 (Week 10). In case of negative serum pregnancy test at visit Day 18 (±1) or absence of pregnancy confirmed by transvaginal ultrasonography (TVUS) on Day 38 (+7), a final study assessment was to be performed at the respective visit or within 7 days after the scheduled visit.
    Arm type
    Active comparator

    Investigational medicinal product name
    Crinone® 8% (90mg) od
    Investigational medicinal product code
    Other name
    Crinone 8% w/w Progesterone Vaginal Gel, Micronized progesterone
    Pharmaceutical forms
    Vaginal gel
    Routes of administration
    Vaginal use
    Dosage and administration details
    Crinone® 8% gel (90 mg) was self-administered by the patients once daily. Drug administration started in the evening of Day 0 and ended in the evening of Day 70 (±3). Crinone® was to be administered before going to bed each night during the treatment period and was always to be administered at approximately the same time. In case a patient forgot to administer Crinone®, she had to administer it as soon as possible, but no more than one applicator per day was to be used. The patient had to record this in her diary.

    Number of subjects in period 1
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Started
    385
    383
    Completed
    360
    364
    Not completed
    25
    19
         Consent withdrawn by subject
    1
    1
         Adverse event, non-fatal
    8
    2
         Other
    7
    13
         Investigators decision
    1
    -
         Lost to follow-up
    5
    2
         Development of exclusion criterion
    2
    -
         Protocol deviation
    1
    1

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Treatment A: Cyclogest® 400 mg bid
    Reporting group description
    Subjects were randomized to receive Cyclogest®, intravaginal 400mg pessaries (twice daily for a period of 10 weeks) from Visit 1 (Day 0). Patients self-administered the allocated investigational medicinal product (IMP) on each study day for up to 70 (±3) days (corresponding to the last scheduled visit), or until they terminated the study in case they did not become pregnant or until they discontinued on their own decision, or until they were withdrawn from the study by the investigator for other reasons. Embryo transfer was performed at Visit 2 (Day 2/ 3). Pregnancy was confirmed 2 weeks after embryo transfer at Visit 3 (Day 18 - 19) by a serum pregnancy test. In case of negative serum pregnancy test at visit Day 18 (±1) or absence of pregnancy confirmed by transvaginal ultrasonography (TVUS) on Day 38 (+7), a final study assessment was to be performed at the respective visit or within 7 days after the scheduled visit. If positive, luteal support was continued up to Visit 5 (Week 10).

    Reporting group title
    Treatment B: Crinone® 8% (90mg) od
    Reporting group description
    Subjects were randomized to receive Crinone® 8%, intra-vaginal micronized progesterone gel 90 mg, once daily from Visit 1 (Day 0). Patients self-administered the allocated investigational medicinal product (IMP) on each study day for up to 70 (±3) days (corresponding to the last scheduled visit), or until they terminated the study in case they did not become pregnant or until they discontinued on their own decision, or until they were withdrawn from the study by the investigator for other reasons. Embryo transfer was performed at Visit 2 (Day 2/ 3). Pregnancy was confirmed 2 weeks after embryo transfer at Visit 3 (Day 18 - 19) by a serum pregnancy test. If positive, luteal support was continued up to Visit 5 (Week 10). In case of negative serum pregnancy test at visit Day 18 (±1) or absence of pregnancy confirmed by transvaginal ultrasonography (TVUS) on Day 38 (+7), a final study assessment was to be performed at the respective visit or within 7 days after the scheduled visit.

    Reporting group values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od Total
    Number of subjects
    385 383 768
    Age categorical
    Age (calculated from date of birth) at randomization between 18 and 40 years
    Units: Subjects
        ≤35
    273 268 541
        >35
    112 115 227
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    32.8 ( 4.14 ) 33.2 ( 3.95 ) -
    Gender categorical
    The study population consist of pre-menopausal woman.
    Units: Subjects
        Female
    385 383 768
        Male
    0 0 0
    Race
    Units: Subjects
        Caucasian/ White
    382 383 765
        Black
    0 0 0
        Asian
    3 0 3
        Hispanic
    0 0 0
        Other
    0 0 0
    Type of fertilization
    Units: Subjects
        Without ICSI
    66 64 130
        With ICSI
    305 305 610
        Missing
    14 14 28
    Embryo cleavage stage
    In case a patient has embryos from both stages, she will be counted towards.
    Units: Subjects
        2-4 cells
    126 127 253
        ≥5 cells
    245 242 487
        Missing
    14 14 28
    Number of transferred embryos
    Units: Subjects
        1 Embryo
    112 111 223
        2 Embryo
    200 195 395
        3 Embryo
    59 63 122
        0 Embryo
    14 14 28
    Country
    Units: Subjects
        Belgium
    12 9 21
        Bulgaria
    50 50 100
        Czech Republic
    127 128 255
        Hungary
    75 77 152
        Serbia
    121 119 240
    Bleeding until Day 18
    Yes = Any bleeding prior to the assessment of pregnancy planned at Day 18 No = No bleeding prior to the assessment of pregnancy planned at Day 18
    Units: Subjects
        Yes
    251 263 514
        No
    118 105 223
        Missing
    16 15 31
    Bleeding until Day 38
    Yes = Any bleeding prior to the assessment of pregnancy planned at Day 38 No = No bleeding prior to the assessment of pregnancy planned at Day 18
    Units: Subjects
        Yes
    272 273 545
        No
    96 93 189
        Missing
    17 17 34
    Bleeding until Day 70
    Yes = Any bleeding prior to the assessment of pregnancy planned at Day 70 No = No bleeding prior to the assessment of pregnancy planned at Day 70
    Units: Subjects
        Yes
    275 278 553
        No
    90 86 176
        Missing
    20 19 39
    Body weight (kg)
    Units: kg
        arithmetic mean (standard deviation)
    64.34 ( 9.405 ) 64.61 ( 9.955 ) -
    Height (cm)
    Units: cm
        arithmetic mean (standard deviation)
    167.4 ( 6.46 ) 167.5 ( 6.38 ) -
    Body mass index (kg/m2)
    Units: kg/m2
        arithmetic mean (standard deviation)
    22.95 ( 3.011 ) 23.00 ( 3.086 ) -
    Systolic blood pressure (mmHg)
    Units: mmHg
        arithmetic mean (standard deviation)
    116.4 ( 10.82 ) 116.8 ( 11.15 ) -
    Diastolic blood pressure (mmHg)
    Units: mmHg
        arithmetic mean (standard deviation)
    73.0 ( 7.67 ) 72.9 ( 7.81 ) -
    Pulse rate (/min)
    Units: /min
        arithmetic mean (standard deviation)
    75.4 ( 8.47 ) 74.9 ( 7.96 ) -
    Number of retrieved oocytes
    Units: number
        arithmetic mean (standard deviation)
    11.0 ( 5.95 ) 10.6 ( 5.72 ) -
    Subject analysis sets

    Subject analysis set title
    FAS
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All patients who received at least one dose of medication

    Subject analysis sets values
    FAS
    Number of subjects
    768
    Age categorical
    Age (calculated from date of birth) at randomization between 18 and 40 years
    Units: Subjects
        ≤35
        >35
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    ( )
    Gender categorical
    The study population consist of pre-menopausal woman.
    Units: Subjects
        Female
        Male
    Race
    Units: Subjects
        Caucasian/ White
        Black
        Asian
        Hispanic
        Other
    Type of fertilization
    Units: Subjects
        Without ICSI
        With ICSI
        Missing
    Embryo cleavage stage
    In case a patient has embryos from both stages, she will be counted towards.
    Units: Subjects
        2-4 cells
        ≥5 cells
        Missing
    Number of transferred embryos
    Units: Subjects
        1 Embryo
        2 Embryo
        3 Embryo
        0 Embryo
    Country
    Units: Subjects
        Belgium
        Bulgaria
        Czech Republic
        Hungary
        Serbia
    Bleeding until Day 18
    Yes = Any bleeding prior to the assessment of pregnancy planned at Day 18 No = No bleeding prior to the assessment of pregnancy planned at Day 18
    Units: Subjects
        Yes
        No
        Missing
    Bleeding until Day 38
    Yes = Any bleeding prior to the assessment of pregnancy planned at Day 38 No = No bleeding prior to the assessment of pregnancy planned at Day 18
    Units: Subjects
        Yes
        No
        Missing
    Bleeding until Day 70
    Yes = Any bleeding prior to the assessment of pregnancy planned at Day 70 No = No bleeding prior to the assessment of pregnancy planned at Day 70
    Units: Subjects
        Yes
        No
        Missing
    Body weight (kg)
    Units: kg
        arithmetic mean (standard deviation)
    64.47 ( 9.687 )
    Height (cm)
    Units: cm
        arithmetic mean (standard deviation)
    167.4 ( 6.41 )
    Body mass index (kg/m2)
    Units: kg/m2
        arithmetic mean (standard deviation)
    ( )
    Systolic blood pressure (mmHg)
    Units: mmHg
        arithmetic mean (standard deviation)
    ( )
    Diastolic blood pressure (mmHg)
    Units: mmHg
        arithmetic mean (standard deviation)
    72.9 ( 7.73 )
    Pulse rate (/min)
    Units: /min
        arithmetic mean (standard deviation)
    75.1 ( 8.22 )
    Number of retrieved oocytes
    Units: number
        arithmetic mean (standard deviation)
    10.8 ( 5.84 )

    End points

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    End points reporting groups
    Reporting group title
    Treatment A: Cyclogest® 400 mg bid
    Reporting group description
    Subjects were randomized to receive Cyclogest®, intravaginal 400mg pessaries (twice daily for a period of 10 weeks) from Visit 1 (Day 0). Patients self-administered the allocated investigational medicinal product (IMP) on each study day for up to 70 (±3) days (corresponding to the last scheduled visit), or until they terminated the study in case they did not become pregnant or until they discontinued on their own decision, or until they were withdrawn from the study by the investigator for other reasons. Embryo transfer was performed at Visit 2 (Day 2/ 3). Pregnancy was confirmed 2 weeks after embryo transfer at Visit 3 (Day 18 - 19) by a serum pregnancy test. In case of negative serum pregnancy test at visit Day 18 (±1) or absence of pregnancy confirmed by transvaginal ultrasonography (TVUS) on Day 38 (+7), a final study assessment was to be performed at the respective visit or within 7 days after the scheduled visit. If positive, luteal support was continued up to Visit 5 (Week 10).

    Reporting group title
    Treatment B: Crinone® 8% (90mg) od
    Reporting group description
    Subjects were randomized to receive Crinone® 8%, intra-vaginal micronized progesterone gel 90 mg, once daily from Visit 1 (Day 0). Patients self-administered the allocated investigational medicinal product (IMP) on each study day for up to 70 (±3) days (corresponding to the last scheduled visit), or until they terminated the study in case they did not become pregnant or until they discontinued on their own decision, or until they were withdrawn from the study by the investigator for other reasons. Embryo transfer was performed at Visit 2 (Day 2/ 3). Pregnancy was confirmed 2 weeks after embryo transfer at Visit 3 (Day 18 - 19) by a serum pregnancy test. If positive, luteal support was continued up to Visit 5 (Week 10). In case of negative serum pregnancy test at visit Day 18 (±1) or absence of pregnancy confirmed by transvaginal ultrasonography (TVUS) on Day 38 (+7), a final study assessment was to be performed at the respective visit or within 7 days after the scheduled visit.

    Subject analysis set title
    FAS
    Subject analysis set type
    Full analysis
    Subject analysis set description
    All patients who received at least one dose of medication

    Primary: Clinical Pregnancy Rate at Visit 4 (Day 38): Full Analysis (FA)

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    End point title
    Clinical Pregnancy Rate at Visit 4 (Day 38): Full Analysis (FA)
    End point description
    The clinical pregnancy rate at Visit 4 was defined as the number of subjects with the presence of fetal heart beats at 5 weeks of pregnancy as determined by TVUS (transvaginal ultrasound). The primary efficacy analysis was performed on the Full Analysis (FA) subject sample and repeated for the 'Per Protocol' subject sample. Results are presented here for the Full Analysis subject sample which consisted of all subjects who received at least one dose of study drug and had a successful embryo transfer performed at Visit 2 (Day 2 or 3) or prematurely discontinued prior to embryo transfer at Visit 2 (Day 2 or 3) due to study drug-related issues.
    End point type
    Primary
    End point timeframe
    At Visit 4 (Day 38)
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    368
    366
    Units: number of subjects
    368
    366
    Statistical analysis title
    Clinical Pregnancy Rate at Day 38: FA
    Comparison groups
    Treatment A: Cyclogest® 400 mg bid v Treatment B: Crinone® 8% (90mg) od
    Number of subjects included in analysis
    734
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    Parameter type
    Frequency difference
    Point estimate
    -1.6
    Confidence interval
         level
    97.5%
         sides
    1-sided
         lower limit
    -8.6
         upper limit
    -

    Primary: Clinical Pregnancy Rate at Visit 4 (Day 38): Per Protocol (PP)

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    End point title
    Clinical Pregnancy Rate at Visit 4 (Day 38): Per Protocol (PP)
    End point description
    The clinical pregnancy rate at Visit 4 was defined as the number of subjects with the presence of fetal heart beats at 5 weeks of pregnancy as determined by TVUS (transvaginal ultrasound). The primary efficacy analysis was performed on the Full Analysis subject sample and repeated for the PP subject sample. Results are presented here for the PP subject sample which was defined through blind data review and consisted of all subjects who were included in the Full Analysis sample, did not present any major protocol deviations, and had a successful embryo transfer at Visit 2 (Day 2 or 3).
    End point type
    Primary
    End point timeframe
    At Visit 4 (Day 38)
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    357
    356
    Units: number of subjects
    357
    356
    Statistical analysis title
    Pregnancy Rate at Day 38: PP
    Comparison groups
    Treatment A: Cyclogest® 400 mg bid v Treatment B: Crinone® 8% (90mg) od
    Number of subjects included in analysis
    713
    Analysis specification
    Pre-specified
    Analysis type
    other [1]
    Method
    Parameter type
    Frequency difference
    Point estimate
    -2.4
    Confidence interval
         level
    97.5%
         sides
    1-sided
         lower limit
    -9.5
         upper limit
    -
    Notes
    [1] - Non-inferiority not shown.

    Secondary: Clinical Pregnancy Rate at Visit 5 (Day 70): Full analysis (FA)

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    End point title
    Clinical Pregnancy Rate at Visit 5 (Day 70): Full analysis (FA)
    End point description
    The clinical pregnancy rate at Visit 5 was defined as the number of subjects with the presence of fetal heart beats at 10 weeks of pregnancy as determined by TVUS (transvaginal ultrasound). The secondary efficacy analysis was performed on the Full Analysis (FA) subject sample and repeated for the PP subject sample. Results are presented here for the Full Analysis subject sample which consisted of all subjects who received at least one dose of study drug and had a successful embryo transfer performed at Visit 2 (Day 2 or 3) or prematurely discontinued prior to embryo transfer at Visit 2 (Day 2 or 3) due to study drug-related issues.
    End point type
    Secondary
    End point timeframe
    At Visit 5 (Day 70)
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    365
    364
    Units: number of subjects
    365
    364
    Statistical analysis title
    Pregnancy Rate at Day 70: FA
    Comparison groups
    Treatment A: Cyclogest® 400 mg bid v Treatment B: Crinone® 8% (90mg) od
    Number of subjects included in analysis
    729
    Analysis specification
    Pre-specified
    Analysis type
    other [2]
    Method
    Parameter type
    Frequency difference
    Point estimate
    -3.1
    Confidence interval
         level
    97.5%
         sides
    1-sided
         lower limit
    -10.1
         upper limit
    -
    Notes
    [2] - Non - inferiority not shown.

    Secondary: Clinical Pregnancy Rate at Visit 5 (Day 70): Per Protocol (PP)

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    End point title
    Clinical Pregnancy Rate at Visit 5 (Day 70): Per Protocol (PP)
    End point description
    The clinical pregnancy rate at Visit 5 was defined as the number of subjects with the presence of fetal heart beats at 10 weeks of pregnancy as determined by TVUS (transvaginal ultrasound). The secondary efficacy analysis was performed on the Full Analysis (FA) subject sample and repeated for the PP subject sample. Results are presented here for the PP subject sample which was defined through blind data review and consisted of all subjects who were included in the Full Analysis sample, did not present any major protocol deviations, and had a successful embryo transfer at Visit 2 (Day 2 or 3).
    End point type
    Secondary
    End point timeframe
    At Visit 5 (Day 70)
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    355
    355
    Units: number of subjects
    355
    355
    Statistical analysis title
    Pregnancy Rate at Day 70: PP
    Comparison groups
    Treatment A: Cyclogest® 400 mg bid v Treatment B: Crinone® 8% (90mg) od
    Number of subjects included in analysis
    710
    Analysis specification
    Pre-specified
    Analysis type
    other [3]
    Method
    Parameter type
    Frequency difference
    Point estimate
    -3.4
    Confidence interval
         level
    97.5%
         sides
    1-sided
         lower limit
    -10.5
         upper limit
    -
    Notes
    [3] - Non - inferiority not shown.

    Secondary: Biochemical Pregnancy Rate at Visit 3 (Day 18): Full Analysis (FA)

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    End point title
    Biochemical Pregnancy Rate at Visit 3 (Day 18): Full Analysis (FA)
    End point description
    The biochemical pregnancy rate at Visit 3 was defined as the number of with the presence of fetal heart beats determined by TVUS (transvaginal ultrasound). The secondary efficacy analysis was performed on the Full Analysis (FA) subject sample and repeated for the PP subject sample. Results are presented here for the Full Analysis subject sample.
    End point type
    Secondary
    End point timeframe
    At Visit 3 (Day 18)
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    369
    368
    Units: number of subjects
    369
    368
    Statistical analysis title
    Biochemical Pregnancy Rate at Day 18: FA
    Comparison groups
    Treatment A: Cyclogest® 400 mg bid v Treatment B: Crinone® 8% (90mg) od
    Number of subjects included in analysis
    737
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    Parameter type
    Frequency difference
    Point estimate
    -1.2
    Confidence interval
         level
    97.5%
         sides
    1-sided
         lower limit
    -8.4
         upper limit
    -

    Secondary: Biochemical Pregnancy Rate at Visit 3 (Day 18): Per Protocol (PP)

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    End point title
    Biochemical Pregnancy Rate at Visit 3 (Day 18): Per Protocol (PP)
    End point description
    The biochemical pregnancy rate at Visit 3 was defined as the number of subjects with the presence of fetal heart beats determined by TVUS (transvaginal ultrasound). The secondary efficacy analysis was performed on the Full Analysis (FA) subject sample and repeated for the PP subject sample. Results are presented here for the PP subject sample.
    End point type
    Secondary
    End point timeframe
    At Visit 3 (Day 18)
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    357
    356
    Units: number of subjects
    357
    356
    Statistical analysis title
    Biochemical Pregnancy Rate at Day 18: PP
    Comparison groups
    Treatment A: Cyclogest® 400 mg bid v Treatment B: Crinone® 8% (90mg) od
    Number of subjects included in analysis
    713
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    Parameter type
    Frequency difference
    Point estimate
    -1.3
    Confidence interval
         level
    97.5%
         sides
    1-sided
         lower limit
    -8.6
         upper limit
    -

    Secondary: Biochemical Pregnancy Rate at Visit 4 (Day 38): Full Analysis (FA)

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    End point title
    Biochemical Pregnancy Rate at Visit 4 (Day 38): Full Analysis (FA)
    End point description
    The biochemical pregnancy rate at Visit 4 was defined as the number of subjects with the presence of fetal heart beats determined by TVUS (transvaginal ultrasound). The secondary efficacy analysis was performed on the Full Analysis (FA) subject sample and repeated for the PP subject sample. Results are presented here for the Full Analysis subject sample.
    End point type
    Secondary
    End point timeframe
    At Visit 4 (Day 38)
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    368
    366
    Units: number of subjects
    368
    366
    Statistical analysis title
    Biochemical Pregnancy Rate at Day 38: FA
    Comparison groups
    Treatment A: Cyclogest® 400 mg bid v Treatment B: Crinone® 8% (90mg) od
    Number of subjects included in analysis
    734
    Analysis specification
    Pre-specified
    Analysis type
    non-inferiority
    Method
    Parameter type
    Frequency difference
    Point estimate
    -2.1
    Confidence interval
         level
    97.5%
         sides
    1-sided
         lower limit
    -9.3
         upper limit
    -

    Secondary: Biochemical Pregnancy Rate at Visit 4 (Day 38): Per Protocol (PP)

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    End point title
    Biochemical Pregnancy Rate at Visit 4 (Day 38): Per Protocol (PP)
    End point description
    The biochemical pregnancy rate at Visit 4 was defined as the number of subjects with the presence of fetal heart beats determined by TVUS (transvaginal ultrasound). The secondary efficacy analysis was performed on the Full Analysis (FA) subject sample and repeated for the PP subject sample. Results are presented here for the PP subject sample.
    End point type
    Secondary
    End point timeframe
    At Visit 4 (Day 38)
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    357
    356
    Units: number of subjects
    357
    356
    Statistical analysis title
    Biochemical Pregnancy Rate at Day 38: PP
    Comparison groups
    Treatment A: Cyclogest® 400 mg bid v Treatment B: Crinone® 8% (90mg) od
    Number of subjects included in analysis
    713
    Analysis specification
    Pre-specified
    Analysis type
    other [4]
    Method
    Parameter type
    Frequency difference
    Point estimate
    -2.9
    Confidence interval
         level
    97.5%
         sides
    1-sided
         lower limit
    -10.2
         upper limit
    -
    Notes
    [4] - Non - inferiority not shown.

    Secondary: Abnormal Vaginal Discharge (Day 18): FA

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    End point title
    Abnormal Vaginal Discharge (Day 18): FA
    End point description
    The abnormal vaginal discharge at Day 18 was defined as number of days to document the subjects vaginal discharge either as 'normal', 'less than normal or no vaginal discharge', or 'increased'. The secondary efficacy analysis was performed on the Full Analysis (FA) subject sample and repeated for the PP subject sample. Results are presented here for the Full Analysis subject sample.
    End point type
    Secondary
    End point timeframe
    Day 18
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    366
    368
    Units: percentage of days
    arithmetic mean (standard deviation)
        Abnormal Days
    37.31 ( 37.596 )
    46.05 ( 36.262 )
        High Discharge Days
    11.39 ( 23.218 )
    12.67 ( 21.957 )
        Low Discharge Days
    25.92 ( 36.266 )
    33.38 ( 37.609 )
    No statistical analyses for this end point

    Secondary: Abnormal Vaginal Discharge (Day 18): PP

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    End point title
    Abnormal Vaginal Discharge (Day 18): PP
    End point description
    The abnormal vaginal discharge at Day 18 was defined as number of days to document the subjects vaginal discharge either as 'normal', 'less than normal or no vaginal discharge', or 'increased'. The secondary efficacy analysis was performed on the Full Analysis (FA) subject sample and repeated for the PP subject sample. Results are presented here for the PP subject sample.
    End point type
    Secondary
    End point timeframe
    Day 18
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    355
    356
    Units: percentage of days
    arithmetic mean (standard deviation)
        Abnormal Days
    37.76 ( 37.760 )
    45.84 ( 36.134 )
        High Discharge Days
    11.32 ( 23.021 )
    12.78 ( 21.967 )
        Low Discharge Days
    26.44 ( 36.632 )
    33.06 ( 37.458 )
    No statistical analyses for this end point

    Secondary: Abnormal Vaginal Discharge (Day 38): FA

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    End point title
    Abnormal Vaginal Discharge (Day 38): FA
    End point description
    The abnormal vaginal discharge at Day 38 was defined as number of days to document the subjects vaginal discharge either as 'normal', 'less than normal or no vaginal discharge', or 'increased'. The secondary efficacy analysis was performed on the Full Analysis (FA) subject sample and repeated for the PP subject sample. Results are presented here for the Full Analysis subject sample.
    End point type
    Secondary
    End point timeframe
    Day 38
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    366
    366
    Units: percentage of days
    arithmetic mean (standard deviation)
        Abnormal Days
    37.26 ( 37.589 )
    46.30 ( 37.135 )
        High Discharge Days
    11.47 ( 23.076 )
    13.65 ( 23.835 )
        Low Discharge Days
    25.79 ( 36.202 )
    32.65 ( 38.194 )
    No statistical analyses for this end point

    Secondary: Abnormal Vaginal Discharge (Day 38): PP

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    End point title
    Abnormal Vaginal Discharge (Day 38): PP
    End point description
    The abnormal vaginal discharge at Day 38 was defined as number of days to document the subjects vaginal discharge either as 'normal', 'less than normal or no vaginal discharge', or 'increased'. The secondary efficacy analysis was performed on the Full Analysis (FA) subject sample and repeated for the PP subject sample. Results are presented here for the PP subject sample.
    End point type
    Secondary
    End point timeframe
    Day 38
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    355
    356
    Units: percentage of days
    arithmetic mean (standard deviation)
        Abnormal Days
    37.73 ( 37.740 )
    46.05 ( 37.046 )
        High Discharge Days
    11.42 ( 22.871 )
    13.69 ( 23.776 )
        Low Discharge Days
    26.32 ( 36.559 )
    32.36 ( 38.090 )
    No statistical analyses for this end point

    Secondary: Abnormal Vaginal Discharge (Day 70): FA

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    End point title
    Abnormal Vaginal Discharge (Day 70): FA
    End point description
    The abnormal vaginal discharge at Day 70 was defined as number of days to document the subjects vaginal discharge either as 'normal', 'less than normal or no vaginal discharge', or 'increased'. The secondary efficacy analysis was performed on the Full Analysis (FA) subject sample and repeated for the PP subject sample. Results are presented here for the Full Analysis subject sample.
    End point type
    Secondary
    End point timeframe
    Day 70
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    363
    365
    Units: percentage of days
    arithmetic mean (standard deviation)
        Abnormal Days
    37.28 ( 37.988 )
    46.29 ( 37.758 )
        High Discharge Days
    11.44 ( 23.380 )
    13.74 ( 24.327 )
        Low Discharge Days
    25.84 ( 36.482 )
    32.54 ( 38.458 )
    No statistical analyses for this end point

    Secondary: Abnormal Vaginal Discharge (Day 70): PP

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    End point title
    Abnormal Vaginal Discharge (Day 70): PP
    End point description
    The abnormal vaginal discharge at Day 70 was defined as number of days to document the subjects vaginal discharge either as 'normal', 'less than normal or no vaginal discharge', or 'increased'. The secondary efficacy analysis was performed on the Full Analysis (FA) subject sample and repeated for the PP subject sample. Results are presented here for the PP subject sample
    End point type
    Secondary
    End point timeframe
    Day 70
    End point values
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Number of subjects analysed
    353
    356
    Units: percentage of days
    arithmetic mean (standard deviation)
        Abnormal Days
    37.68 ( 38.136 )
    45.90 ( 37.713 )
        High Discharge Days
    11.32 ( 23.164 )
    13.75 ( 24.261 )
        Low Discharge Days
    26.36 ( 36.813 )
    32.15 ( 38.345 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse events (AEs) were collected from the date of informed consent signed (Day -6 to -2) until last follow-up visit.
    Adverse event reporting additional description
    The Safety subject sample consisted of all subjects who were allocated to treatment and received at least one administration of study drug.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    16.1
    Reporting groups
    Reporting group title
    Treatment A: Cyclogest® 400 mg bid
    Reporting group description
    Multiple intra-vaginal or rectal dose (twice daily for a period of 10 weeks) of 400 mg Cyclogest® (pessary) as therapeutic indication for premenstrual syndrome and puerperal depression.

    Reporting group title
    Treatment B: Crinone® 8% (90mg) od
    Reporting group description
    Treatment of infertility due to inadequate luteal phase. For use during in-vitro fertilisation, where infertility is mainly due to tubal, idiopathic or endometriosis linked sterility associated with normal ovulatory cycles.

    Serious adverse events
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Total subjects affected by serious adverse events
         subjects affected / exposed
    6 / 385 (1.56%)
    13 / 383 (3.39%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Vascular disorders
    Post procedural hemorrhage
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 13
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Deep vein thrombosis
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 13
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Congenital, familial and genetic disorders
    Trisomy 18
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 13
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Surgical and medical procedures
    Selective abortion
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 13
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Bartholin’s cyst removal
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 13
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Pregnancy, puerperium and perinatal conditions
    Ectopic pregnancy
         subjects affected / exposed
    3 / 385 (0.78%)
    2 / 383 (0.52%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 13
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Reproductive system and breast disorders
    Ovarian hyperstimulation syndrome
         subjects affected / exposed
    1 / 385 (0.26%)
    5 / 383 (1.31%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 13
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Adnexal torsion
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 13
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Renal and urinary disorders
    Nephritis
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 13
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Hyponatraemia
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences causally related to treatment / all
    0 / 6
    0 / 13
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Treatment A: Cyclogest® 400 mg bid Treatment B: Crinone® 8% (90mg) od
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    162 / 385 (42.08%)
    158 / 383 (41.25%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Rectal neoplasm
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Vascular disorders
    Hot flush
         subjects affected / exposed
    16 / 385 (4.16%)
    9 / 383 (2.35%)
         occurrences all number
    162
    158
    Haemorrhage
         subjects affected / exposed
    5 / 385 (1.30%)
    6 / 383 (1.57%)
         occurrences all number
    162
    158
    Deep vein thrombosis
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Exsanguination
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Surgical and medical procedures
    Bartholin's cyst removal
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Selective abortion
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Pregnancy, puerperium and perinatal conditions
    Ectopic pregnancy
         subjects affected / exposed
    4 / 385 (1.04%)
    3 / 383 (0.78%)
         occurrences all number
    162
    158
    Abortion missed
         subjects affected / exposed
    5 / 385 (1.30%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Vomiting in pregnancy
         subjects affected / exposed
    4 / 385 (1.04%)
    2 / 383 (0.52%)
         occurrences all number
    162
    158
    Abortion spontaneous
         subjects affected / exposed
    1 / 385 (0.26%)
    2 / 383 (0.52%)
         occurrences all number
    162
    158
    Abortion
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Abortion incomplete
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Blighted OVUM
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Imminent Abortion
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    40 / 385 (10.39%)
    39 / 383 (10.18%)
         occurrences all number
    162
    158
    Malaise
         subjects affected / exposed
    8 / 385 (2.08%)
    6 / 383 (1.57%)
         occurrences all number
    162
    158
    Pyrexia
         subjects affected / exposed
    2 / 385 (0.52%)
    2 / 383 (0.52%)
         occurrences all number
    162
    158
    Secretion discharge
         subjects affected / exposed
    1 / 385 (0.26%)
    3 / 383 (0.78%)
         occurrences all number
    162
    158
    Swelling
         subjects affected / exposed
    2 / 385 (0.52%)
    2 / 383 (0.52%)
         occurrences all number
    162
    158
    Asthenia
         subjects affected / exposed
    3 / 385 (0.78%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Feeling cold
         subjects affected / exposed
    2 / 385 (0.52%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Feeling of body temperature change
         subjects affected / exposed
    1 / 385 (0.26%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Irritability
         subjects affected / exposed
    1 / 385 (0.26%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Pain
         subjects affected / exposed
    1 / 385 (0.26%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Application site pruritus
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Discomfort
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Feeling hot
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Influenza like illness
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Immune system disorders
    Hypersensitivity
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Reproductive system and breast disorders
    Breast discomfort
         subjects affected / exposed
    29 / 385 (7.53%)
    28 / 383 (7.31%)
         occurrences all number
    162
    158
    Breast tenderness
         subjects affected / exposed
    22 / 385 (5.71%)
    23 / 383 (6.01%)
         occurrences all number
    162
    158
    Vaginal haemorrhage
         subjects affected / exposed
    16 / 385 (4.16%)
    12 / 383 (3.13%)
         occurrences all number
    162
    158
    Ovarian hyperstimulation syndrome
         subjects affected / exposed
    8 / 385 (2.08%)
    14 / 383 (3.66%)
         occurrences all number
    162
    158
    Pelvic pain
         subjects affected / exposed
    16 / 385 (4.16%)
    5 / 383 (1.31%)
         occurrences all number
    162
    158
    Metrorrhagia
         subjects affected / exposed
    12 / 385 (3.12%)
    8 / 383 (2.09%)
         occurrences all number
    162
    158
    Ovarian enlargement
         subjects affected / exposed
    4 / 385 (1.04%)
    5 / 383 (1.31%)
         occurrences all number
    162
    158
    Breast pain
         subjects affected / exposed
    4 / 385 (1.04%)
    4 / 383 (1.04%)
         occurrences all number
    162
    158
    Vaginal discharge
         subjects affected / exposed
    0 / 385 (0.00%)
    6 / 383 (1.57%)
         occurrences all number
    162
    158
    Vulvovaginal pruritus
         subjects affected / exposed
    2 / 385 (0.52%)
    2 / 383 (0.52%)
         occurrences all number
    162
    158
    Breast enlargement
         subjects affected / exposed
    1 / 385 (0.26%)
    2 / 383 (0.52%)
         occurrences all number
    162
    158
    Uterine haemorrhage
         subjects affected / exposed
    1 / 385 (0.26%)
    2 / 383 (0.52%)
         occurrences all number
    162
    158
    Uterine spasm
         subjects affected / exposed
    1 / 385 (0.26%)
    2 / 383 (0.52%)
         occurrences all number
    162
    158
    Adnexal torsion
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Ovarian cyst
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Pruritus genital
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Uterine pain
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Respiratory, thoracic and mediastinal disorders
    Oropharyngeal pain
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Psychiatric disorders
    Mood swings
         subjects affected / exposed
    13 / 385 (3.38%)
    7 / 383 (1.83%)
         occurrences all number
    162
    158
    Mood altered
         subjects affected / exposed
    10 / 385 (2.60%)
    9 / 383 (2.35%)
         occurrences all number
    162
    158
    Abnormal dreams
         subjects affected / exposed
    6 / 385 (1.56%)
    11 / 383 (2.87%)
         occurrences all number
    162
    158
    Somatoform disorder pregnancy
         subjects affected / exposed
    4 / 385 (1.04%)
    9 / 383 (2.35%)
         occurrences all number
    162
    158
    Anxiety
         subjects affected / exposed
    3 / 385 (0.78%)
    3 / 383 (0.78%)
         occurrences all number
    162
    158
    Fear
         subjects affected / exposed
    3 / 385 (0.78%)
    3 / 383 (0.78%)
         occurrences all number
    162
    158
    Self esteem decreased
         subjects affected / exposed
    2 / 385 (0.52%)
    4 / 383 (1.04%)
         occurrences all number
    162
    158
    Insomnia
         subjects affected / exposed
    3 / 385 (0.78%)
    2 / 383 (0.52%)
         occurrences all number
    162
    158
    Decreased activity
         subjects affected / exposed
    2 / 385 (0.52%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Depression
         subjects affected / exposed
    0 / 385 (0.00%)
    2 / 383 (0.52%)
         occurrences all number
    162
    158
    Emotional disorder
         subjects affected / exposed
    1 / 385 (0.26%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Impatience
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Mental disorder
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Stress
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Investigations
    Weight increased
         subjects affected / exposed
    8 / 385 (2.08%)
    6 / 383 (1.57%)
         occurrences all number
    162
    158
    Laboratory test abnormal
         subjects affected / exposed
    1 / 385 (0.26%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Menstruation normal
         subjects affected / exposed
    1 / 385 (0.26%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Transaminases increased
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Urine output decreased
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Injury, poisoning and procedural complications
    Procedural pain
         subjects affected / exposed
    11 / 385 (2.86%)
    4 / 383 (1.04%)
         occurrences all number
    162
    158
    Post procedural haemorrhage
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Congenital, familial and genetic disorders
    Trisomy 18
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Nervous system disorders
    Somnolence
         subjects affected / exposed
    45 / 385 (11.69%)
    27 / 383 (7.05%)
         occurrences all number
    162
    158
    Headache
         subjects affected / exposed
    23 / 385 (5.97%)
    24 / 383 (6.27%)
         occurrences all number
    162
    158
    Dizziness
         subjects affected / exposed
    14 / 385 (3.64%)
    11 / 383 (2.87%)
         occurrences all number
    162
    158
    Lethargy
         subjects affected / exposed
    2 / 385 (0.52%)
    2 / 383 (0.52%)
         occurrences all number
    162
    158
    Dysgeusia
         subjects affected / exposed
    2 / 385 (0.52%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Migraine
         subjects affected / exposed
    0 / 385 (0.00%)
    2 / 383 (0.52%)
         occurrences all number
    162
    158
    Paraesthesia
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Poor quality sleep
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Syncope
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Vertigo positional
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Gastrointestinal disorders
    Abdominal distension
         subjects affected / exposed
    39 / 385 (10.13%)
    40 / 383 (10.44%)
         occurrences all number
    162
    158
    Abdominal pain
         subjects affected / exposed
    33 / 385 (8.57%)
    37 / 383 (9.66%)
         occurrences all number
    162
    158
    Constipation
         subjects affected / exposed
    21 / 385 (5.45%)
    22 / 383 (5.74%)
         occurrences all number
    162
    158
    Nausea
         subjects affected / exposed
    14 / 385 (3.64%)
    21 / 383 (5.48%)
         occurrences all number
    162
    158
    Abdominal pain upper
         subjects affected / exposed
    12 / 385 (3.12%)
    6 / 383 (1.57%)
         occurrences all number
    162
    158
    Diarrhoea
         subjects affected / exposed
    11 / 385 (2.86%)
    7 / 383 (1.83%)
         occurrences all number
    162
    158
    Vomiting
         subjects affected / exposed
    4 / 385 (1.04%)
    9 / 383 (2.35%)
         occurrences all number
    162
    158
    Flatulence
         subjects affected / exposed
    5 / 385 (1.30%)
    6 / 383 (1.57%)
         occurrences all number
    162
    158
    Gastric Dilatation
         subjects affected / exposed
    6 / 385 (1.56%)
    3 / 383 (0.78%)
         occurrences all number
    162
    158
    Abdominal pain lower
         subjects affected / exposed
    6 / 385 (1.56%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Toothache
         subjects affected / exposed
    1 / 385 (0.26%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Abdominal discomfort
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Abdominal rigidity
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Abdominal tenderness
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Duodenal ulcer
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Intestinal congestion
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Hepatobiliary disorders
    Biliary colic
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Skin and subcutaneous tissue disorders
    Rash
         subjects affected / exposed
    4 / 385 (1.04%)
    2 / 383 (0.52%)
         occurrences all number
    162
    158
    Alopecia
         subjects affected / exposed
    5 / 385 (1.30%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Pruritus
         subjects affected / exposed
    3 / 385 (0.78%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Hyperhidrosis
         subjects affected / exposed
    1 / 385 (0.26%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Night sweats
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Renal and urinary disorders
    Pollakiuria
         subjects affected / exposed
    3 / 385 (0.78%)
    3 / 383 (0.78%)
         occurrences all number
    162
    158
    Urinary retention
         subjects affected / exposed
    2 / 385 (0.52%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Dysuria
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Incontinence
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Nephritis
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Renal pain
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Urinary incontinence
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    5 / 385 (1.30%)
    3 / 383 (0.78%)
         occurrences all number
    162
    158
    Infections and infestations
    Urinary tract infection
         subjects affected / exposed
    3 / 385 (0.78%)
    5 / 383 (1.31%)
         occurrences all number
    162
    158
    Vaginal infection
         subjects affected / exposed
    2 / 385 (0.52%)
    3 / 383 (0.78%)
         occurrences all number
    162
    158
    Vulvovaginal mycotic infection
         subjects affected / exposed
    0 / 385 (0.00%)
    3 / 383 (0.78%)
         occurrences all number
    162
    158
    Fungal infection
         subjects affected / exposed
    1 / 385 (0.26%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Influenza
         subjects affected / exposed
    1 / 385 (0.26%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Sinusitis
         subjects affected / exposed
    1 / 385 (0.26%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Viral infection
         subjects affected / exposed
    1 / 385 (0.26%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Gastroenteritis
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158
    Nasopharyngitis
         subjects affected / exposed
    1 / 385 (0.26%)
    0 / 383 (0.00%)
         occurrences all number
    162
    158
    Metabolism and nutrition disorders
    Hyponatraemia
         subjects affected / exposed
    0 / 385 (0.00%)
    1 / 383 (0.26%)
         occurrences all number
    162
    158

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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