Status:

COMPLETED

Effects of Hormonal Contraceptives on Liver Proteins and Coagulation Factors: A Comparison of a Contraceptive Vaginal Ring and an Oral Contraceptive

Lead Sponsor:

Population Council

Collaborating Sponsors:

United States Agency for International Development (USAID)

Conditions:

Contraception

Eligibility:

FEMALE

18-34 years

Phase:

PHASE2

Brief Summary

The purpose of this 3-month (cycle) study was to evaluate the effects of hormonal contraceptives containing a progestin and an estrogen on liver proteins and coagulation factors that are sensitive to ...

Detailed Description

The purpose of this 3-month (cycle) study was to evaluate the effects of hormonal contraceptives containing a progestin and an estrogen on liver proteins and coagulation factors that are sensitive to ...

Eligibility Criteria

Inclusion

  • Healthy women, aged 18-34 years, who did not wish to become pregnant for 3 months (or 5 months if first discontinuing oral contraceptives
  • Intact uterus and at least 1 ovary
  • Have regular menstrual cycles (28 ± 7 days) or 2 regular cycles after parturition or abortion
  • Willing to use condoms while having sexual intercourse during the 3 month study (or 5 months if discontinuing oral contraceptives), or
  • Willing to continue use of a specified non-hormonal method of birth control including permanent sterilization, non-hormone-containing IUD, male condoms, or abstinence during the study or to use condoms if discontinuing one of these methods
  • Willing and able to comply with the protocol
  • Willing and able to sign informed consent prior to entry into the study and prior to discontinuing another method of contraception
  • Easy venous access

Exclusion

  • Pregnancy
  • Known hypersensitivity to estrogens or progestins
  • Known hypersensitivity to silicone rubber
  • Undiagnosed vaginal discharge or vaginal lesions or abnormalities
  • Smoking status: \>15 cigarettes per day
  • Breastfeeding
  • Current or past thrombophlebitis or thromboembolic disorders
  • Family history of venous thrombosis or embolism (1st degree relatives \<55 years of age)
  • Known history of Factor V Leiden or positive screening test for APC-resistance
  • Current or past cerebrovascular or coronary artery disease
  • Carcinoma (hormone-dependent tumor; past history of any carcinoma not in remission for \>5 years)
  • Medically diagnosed severe depression
  • Headaches with focal neurological symptoms
  • Undiagnosed abnormal genital bleeding
  • History of cholestatic jaundice of pregnancy or jaundice with prior steroid use
  • Benign or malignant liver tumors; active liver disease
  • Diastolic/systolic BP ≥90/140 mmHg after 5 min. rest
  • Known or suspected alcoholism (\>2 drinks/day)or drug abuse
  • Positive for hepatitis B \& C and/or HIV 1 or 2, abnormal screening CBC, serum chemistry values (including fasting, total cholesterol and triglycerides), abnormal Pap smear, abnormal findings on dipstick urinalysis, or an abnormal electrocardiogram (ECG)
  • Participation in a clinical trial within last 3 months or more than 1 trial in the last year
  • BMI (kg/m2) \>28
  • Use of injectable contraceptives in last 6 months (e.g. cyclofem or DMPA)
  • Unwilling to stop oral contraceptives for 2 months prior to study initiation
  • Use of implanted hormonal contraceptives, including Mirena or Implanon, in last 2 years
  • Not living in the catchment area of the clinic\*Severe cystoceles or rectoceles

Key Trial Info

Start Date :

March 1 2003

Trial Type :

INTERVENTIONAL

End Date :

February 1 2004

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT00213096

Start Date

March 1 2003

End Date

February 1 2004

Last Update

August 14 2017

Active Locations (1)

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Center for Human Drug Research

Leiden, Netherlands