A multicenter efficacy and safety study of an oral contraceptive containing 150 micrograms desogestrel and 30 micrograms ethinyl estradiol.

Abstract:

:The study reported herein is the primary efficacy and safety study conducted to support U.S. registration of an oral contraceptive containing 150 micrograms desogestrel and 30 micrograms ethinyl estradiol. A large multicenter study enrolled 1,221 women at 50 centers in the United Kingdom. A total of 11,656 cycles of exposure was accumulated, corresponding to approximately 879 women-years of use. Contraceptive efficacy was high; no subject conceived as a result of method failure. The product was generally well tolerated with excellent cycle control, causing fewer than 2% of the subjects to discontinue because of bleeding irregularities. The study medication demonstrated no adverse effects on cervical cytology, blood pressure, body weight or laboratory variables, while pre-existing benign breast disease generally improved. The study did not identify any medication-related adverse experiences. This study confirmed that the monophasic oral contraceptive with 150 micrograms desogestrel and 30 micrograms ethinylestradiol is a safe and effective oral contraceptive with excellent cycle control and patient acceptability. :This multicenter efficacy and safety study was conducted to support US registration of an oral contraceptive (OC) containing 150 mcg desogestrel and 30 mcg ethinyl estradiol. A total of 11,656 cycles of exposure were accumulated, corresponding to about 879 women-years of use. The absence of any method failure confirms its high contraceptive efficacy. The product was generally well tolerated with excellent cycle control, causing fewer than 2% of the subjects to discontinue because of bleeding irregularities. The study medication demonstrated no adverse effects on cervical cytology, blood pressure, body weight or laboratory variables, while pre-existing benign breast disease generally improved. Furthermore, the study did not identify any medication-related adverse experiences. In conclusion, a monophasic OC with 150 mcg desogestrel and 30 mcg ethinyl estradiol is a safe and effective OC with excellent cycle control and patient acceptability.

journal_name

Contraception

journal_title

Contraception

authors

Walling M

doi

10.1016/0010-7824(92)90094-a

subject

Has Abstract

pub_date

1992-10-01 00:00:00

pages

313-26

issue

4

eissn

0010-7824

issn

1879-0518

pii

0010-7824(92)90094-A

journal_volume

46

pub_type

临床试验,杂志文章,多中心研究
  • Levonorgestrel plasma concentrations and hormone profiles after insertion and after one year of treatment with a levonorgestrel-IUD.

    abstract::Plasma concentrations of levonorgestrel, progesterone, estradiol, FSH and LH were measured in seven volunteers who had a levonorgestrel-releasing IUD inserted postmenstrually. Blood samples were collected twice weekly during a mean of 93 days immediately postmenstrually and during a mean of 41 days over the twelfth to...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(80)90003-7

    authors: Nilsson CG,Lähteenmäki P,Luukkainen T

    更新日期:1980-03-01 00:00:00

  • The anti-glycolytic activity of 3-bromopyruvate on mature boar spermatozoa in vitro.

    abstract::Mature epididymal boar spermatozoa converted fructose, glycerol and glycerol-3-phosphate to carbon dioxide, but in the presence of 0.5 mM 3-bromopyruvate, these oxidations were inhibited while that of lactate was unaffected. Inhibition of the oxidation of these substrates results in a decrease in the content of ATP an...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(95)00217-x

    authors: Jones AR,Gillan L,Milmlow D

    更新日期:1995-11-01 00:00:00

  • Recent progress in research on Tripterygium: a male antifertility plant.

    abstract::The discovery of the reversible antifertility action of an extract from Tripterygium wilfordii both in male rats and in men in 1986 stimulated worldwide interest. International and national collaborations aimed at the bioassay-directed sub-fractionation of materials extracted from the plant was then organized and to d...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(94)00018-r

    authors: Zhen QS,Ye X,Wei ZJ

    更新日期:1995-02-01 00:00:00

  • Kinetics of bromhexine-mediated down-regulation of focal adhesive molecules of uterus and trophectoderm affecting conception in the rat.

    abstract:PURPOSE:Quantitative evaluation of properties of bromhexine (B) for expression of uterine proteins in ovariectomized (OVX) and pregnant rats. MATERIALS AND METHODS:Expression of proteins through SDS-PAGE, along with incorporation of glycosidic moieties, was conducted in pregnant and OVX rats under B influence. These f...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2005.11.006

    authors: Singh N,Malaviya B

    更新日期:2006-06-01 00:00:00

  • Intrauterine devices and endometrial cancer. The WHO Collaborative Study of Neoplasia and Steroid Contraceptives.

    abstract::The relationship between intrauterine device (IUD) use and the development of endometrial cancer was assessed in data from seven countries that were collected between 1979 and 1988 for a multinational hospital-based case-control study. Two hundred twenty-six cases of endometrial cancer were compared with 1,529 control...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/s0010-7824(96)00199-0

    authors: Rosenblatt KA,Thomas DB

    更新日期:1996-12-01 00:00:00

  • Long-term use of depot-norethisterone enanthate: effect on blood coagulation factors and menstrual bleeding patterns.

    abstract::Fifty-six women using depot-norethisterone enanthate injections for contraception for 2 years or more were compared with a control group of 48 women not using hormonal contraception. No significant difference was found between the study group and controls for Factors VIIc and Antithrombin III. Factor Xc was reduced in...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(91)90083-r

    authors: McEwan JA,Griffin M

    更新日期:1991-12-01 00:00:00

  • Interest in nonsurgical female permanent contraception among men in Portland, Oregon and eastern Maharashtra, India.

    abstract:OBJECTIVE:We examined the men's attitudes and perceptions toward the concept of female nonsurgical permanent contraception (NSPC) or novel approaches to permanent contraception (PC) that do not require incisions or surgical equipment/hysteroscope. STUDY DESIGN:Cross-sectional survey of married/partnered men in Portlan...

    journal_title:Contraception

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.contraception.2015.03.006

    authors: Harrington EK,Gordon D,Bahulekar P,Garg BS,Osgood-Roach I,Jensen JT,Aengst J

    更新日期:2015-08-01 00:00:00

  • Not seeking yet trying long-acting reversible contraception: a 24-month randomized trial on continuation, unintended pregnancy and satisfaction.

    abstract:OBJECTIVES:To measure the 24-month impact on continuation, unintended pregnancy and satisfaction of trying long-acting reversible contraception (LARC) in a population seeking short-acting reversible contraception (SARC). STUDY DESIGN:We enrolled 916 women aged 18-29 who were seeking pills or injectables in a partially...

    journal_title:Contraception

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.contraception.2018.02.001

    authors: Hubacher D,Spector H,Monteith C,Chen PL

    更新日期:2018-06-01 00:00:00

  • Sperm immobilizing effect of triterpene saponins from Acacia auriculiformis.

    abstract::A mixture of two partially triterpenoid saponins (Tg), isolated from Acacia auriculiformis was tested for sperm immobilizing activity by using in vitro system. The lowest concentration (ED) required for an obvious immobilization of human sperm by using a modified Sander-Cramer test was found to be 0.35 mg/ml in physio...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(91)90137-5

    authors: Pakrashi A,Ray H,Pal BC,Mahato SB

    更新日期:1991-05-01 00:00:00

  • Plasma lipoproteins and fatty acid composition after "minipill".

    abstract::A study of the effect of a low-dose oral contraceptive, Adepal (ethinyl estradiol and levonorgestrel, 30 and 150 micrograms on the 5th to 12th, 40 and 200 micrograms on the 13th to 28th, respectively) on the blood lipids, lipoproteins and fatty acid composition has been conducted on 13 young women before and after six...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(83)90038-0

    authors: Sassolas A,Lagarde M,Guichardant M,Quincy C,Dechavanne M

    更新日期:1983-10-01 00:00:00

  • Time-controlled injectable occlusion of the vas deferens.

    abstract::An injectable method of obtaining vas deferens occlusion is presented. The agent used is styrene maleic anhydride (SMA) with dimethyl sulphoxide as the solvent. The special feature of the approach is that after a period of time, spermatozoa passage is spontaneously reestablished. By varying the dose of SMA administere...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(90)90073-5

    authors: Guha SK,Anand S,Ansari S,Farooq A,Sharma DN

    更新日期:1990-03-01 00:00:00

  • Doxycycline serum levels at the time of dilation and evacuation with two dosing regimens.

    abstract:BACKGROUND:Doxycycline is commonly used for antibiotic prophylaxis before dilation and evacuation (D&E) but frequently causes nausea and emesis which may affect absorption and effectiveness. Taking doxycycline the night prior to surgery may result in adequate absorption with better tolerance. STUDY DESIGN:We enrolled ...

    journal_title:Contraception

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.contraception.2008.09.006

    authors: Reeves MF,Lohr PA,Hayes JL,Harwood BJ,Creinin MD

    更新日期:2009-02-01 00:00:00

  • The probability of side effects with ovral, norinyl 1/50 and norlestrin.

    abstract::This report provides specific information on the prevalence rates of the most common side effects during the first 3 cycles of use of 3 combination oral contraceptives (OCs) containing 50 mcg estrogen. The probabilities of a symptom occurring for the first time, or persisting once present, during the initial cycles of...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0010-7824(79)90050-7

    authors: Berger GS,Edelman DA,Talwar PP

    更新日期:1979-11-01 00:00:00

  • Follicular development in a 7-day versus 4-day hormone-free interval with an oral contraceptive containing 20 mcg ethinyl estradiol and 1 mg norethindrone acetate.

    abstract:BACKGROUND:Combined oral contraceptive (COC) formulations with 20 mcg ethinyl estradiol (EE) have a greater incidence of ovarian hormone production and follicular development, which can be managed by shortening the number of hormone-free days per COC cycle. This study evaluates differences in follicular development dur...

    journal_title:Contraception

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.contraception.2008.10.005

    authors: Rible RD,Taylor D,Wilson ML,Stanczyk FZ,Mishell DR Jr

    更新日期:2009-03-01 00:00:00

  • Vaginal misoprostol for late first trimester abortion.

    abstract::A group of 120 women with gestations from 64 to 84 days received 800 micrograms of vaginal misoprostol every 24 h for a maximum of three doses without performing postexpulsion systematic preventive curettage. Outcome measures included successful abortion (complete abortion without requiring a surgical procedure), side...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/s0010-7824(98)00037-7

    authors: Carbonell Esteve JL,Varela L,Velazco A,Cabezas E,Tanda R,Sánchez C

    更新日期:1998-05-01 00:00:00

  • Ethinyl estradiol-to-desogestrel ratio impacts endothelial function in young women.

    abstract:BACKGROUND:Ethinyl estradiol (EE) and progestins have the ability to alter endothelial function. The type of progestin and the ratio of EE to progestin used in oral contraceptive pills (OCPs) may determine how they affect the arterial vasculature. STUDY DESIGN:In this study, we investigated endothelial function across...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2008.07.025

    authors: Meendering JR,Torgrimson BN,Miller NP,Kaplan PF,Minson CT

    更新日期:2009-01-01 00:00:00

  • Increased exposure of norethindrone in HIV+ women treated with ritonavir-boosted atazanavir therapy.

    abstract:OBJECTIVE:Pharmacokinetics of norethindrone in combination oral contraceptive regimen are well described among HIV+ women treated with ritonavir-boosted protease inhibitor therapies; however, such characterization is lacking in women using progestin-only contraception. Our objective is to characterize pharmacokinetics ...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2014.08.009

    authors: DuBois BN,Atrio J,Stanczyk FZ,Cherala G

    更新日期:2015-01-01 00:00:00

  • Ovarian cysts: presence and persistence with use of a 13.5mg levonorgestrel-releasing intrauterine system.

    abstract:OBJECTIVE:The aim of this study was to assess the presence of ovarian cysts in women using a new low-dose levonorgestrel-releasing intrauterine contraceptive system (LNG-IUS 13.5mg [total content]). STUDY DESIGN:A Phase 3 study assessed LNG-IUS 13.5mg use in healthy women with regular menstrual cycles who requested co...

    journal_title:Contraception

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.contraception.2015.01.021

    authors: Nahum GG,Kaunitz AM,Rosen K,Schmelter T,Lynen R

    更新日期:2015-05-01 00:00:00

  • Mobile phone ownership, text messages, and contraceptive use: Is there a digital revolution in family planning?

    abstract:OBJECTIVES:This study aims to clarify the associations between mobile phone ownership use on family planning outcomes. Secondary analysis of DHS data finds that in certain contexts, mobile phone ownership may be related to increased FP uptake. STUDY DESIGN:Using recent data for women 15-49 from the Demographic and Hea...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2019.10.004

    authors: Jadhav A,Weis J

    更新日期:2020-02-01 00:00:00

  • The efficacy and acceptability of a low-dose levonorgestrel intravaginal ring for contraception in a UK cohort.

    abstract::The efficacy and acceptability of a levonorgestrel-releasing intravaginal ring (IVR) for contraception was assessed in a British cohort studied as part of a multicentre, multinational clinical trial performed under the auspices of the World Health Organisation. One-hundred-and-fifty women took part in the study in two...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1016/0010-7824(91)90040-m

    authors: Elder MG,Lawson JP,Elstein M,Nuttall ID

    更新日期:1991-02-01 00:00:00

  • Hormonal effects of the 300 microgram norethisterone (NET) minipill. 3. Comparison of the short-term (2nd month) and medium-term (6th month) effects in 21 subjects.

    abstract::Levels of immunoreactive follitropin (FSH), lutropin (LH), estradiol, progesterone, 17-hydroxyprogesterone and 20 alpha-dihydroprogesterone were analyzed in peripheral plasma samples collected daily from 21 normally menstruating women during a pretreatment (control) cycle and during months 2 and 6 of administration of...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(81)90049-4

    authors: Landgren BM,Lager S,Diczfalusy E

    更新日期:1981-03-01 00:00:00

  • Menses induction and second-trimester pregnancy termination using a polymeric controlled release vaginal delivery system containing (15S)15-methyl PGF2 alpha methyl ester.

    abstract::A polymeric controlled release vaginal delivery system was developed for 15(S)15-methyl PGF2 alpha methyl ester. This delivery system is a reservoir-type device consisting of laminated membranes that are mounted on an inert holder. The delivery systems were designed to have in vitro steady-state release rates of 50 or...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(83)90085-9

    authors: Bygdeman M,Christenssen N,Gréen K,Vesterqvist O,Roseman TJ,Tuttle ME,Spilman CH

    更新日期:1983-02-01 00:00:00

  • Contraceptive efficacy of lactational amenorrhea in urban Chilean women.

    abstract::The contraceptive efficacy of breastfeeding was assessed in 236 healthy urban women who were followed at monthly intervals during the first postpartum year. Proportional hazard models were used to evaluate the influence of time postpartum, menstrual status and breastfeeding pattern upon the risk of pregnancy. Time and...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(91)90072-n

    authors: Díaz S,Aravena R,Cárdenas H,Casado ME,Miranda P,Schiappacasse V,Croxatto HB

    更新日期:1991-04-01 00:00:00

  • Mechanism of emergency contraception with gestrinone: a preliminary investigation.

    abstract:BACKGROUND:A previous investigation showed that among 120 healthy women treated with a single oral dose of gestrinone for emergency contraception (EC), there was only one pregnancy. The effect of a single oral dose of gestrinone given for EC on ovarian function and endometrial development was studied. STUDY DESIGN:Hea...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.contraception.2007.05.089

    authors: Gao X,Wu E,Chen G

    更新日期:2007-09-01 00:00:00

  • Effects of combined oral contraceptive steroids on pituitary-ovarian function during the menstrual cycle of lactating women.

    abstract::The object of this study was to investigate the effects of combined oral contraceptives on pituitary-ovarian function during the menstrual cycle of lactating women whose prolactin levels were usually elevated. Five of six lactating women studied were considered to have the normal menstrual cycle which was comparable t...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(83)90008-2

    authors: Ryu K,Yu HK,Kwak HM,Hong SS

    更新日期:1983-03-01 00:00:00

  • Assessment of contraceptive use in Puerto Rico during the 2016 Zika virus outbreak.

    abstract:OBJECTIVES:The objectives of this analysis were to 1) estimate prevalence of contraceptive use among women at risk for unintended pregnancy and 2) identify correlates of contraceptive use among women with ongoing or potential need for contraceptive services in Puerto Rico during the 2016 Zika virus (ZIKV) outbreak. ST...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2020.03.001

    authors: Ellington SR,Rodriguez RS,Goldberg H,Bertolli J,Simeone RM,Mercado AS,Pazol K,Jamieson DJ,Honein MA,Swartzendruber A,Miles T,Cordero JF,Shapiro-Mendoza CK

    更新日期:2020-06-01 00:00:00

  • Evaluation of the effect of a patient decision aid about vasectomy on the decision-making process: a randomized trial.

    abstract:BACKGROUND:Between 7% and 10% of men who choose vasectomy as a contraceptive method regret their decision. This study evaluates the effect of a patient decision aid (PtDA) designed to help men decide whether or not to have a vasectomy. STUDY DESIGN:Men considering vasectomy were randomized to an experimental group tha...

    journal_title:Contraception

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.contraception.2010.05.003

    authors: Labrecque M,Paunescu C,Plesu I,Stacey D,Légaré F

    更新日期:2010-12-01 00:00:00

  • Interaction between broad-spectrum antibiotics and the combined oral contraceptive pill. A literature review.

    abstract::There is considerable variation in opinion about the importance of drug interactions between the combined oral contraceptive pill (COCP) and broad-spectrum antibiotics. Clinical practice varies widely, especially between doctors in Europe and those in the US. Rifampicin and griseofulvin induce hepatic enzymes and do a...

    journal_title:Contraception

    pub_type: 杂志文章,评审

    doi:10.1016/s0010-7824(99)00009-8

    authors: Weaver K,Glasier A

    更新日期:1999-02-01 00:00:00

  • Intraoperative placement of the Copper T-380 intrauterine devices in women undergoing elective cesarean delivery: a pilot study.

    abstract:BACKGROUND:The purpose of this pilot project was to test the feasibility of a technique designed to place a copper intrauterine device (IUD) through the hysterotomy incision of an elective cesarean delivery to minimize possible contamination and to guarantee that tailstrings were visible in the vagina for easy removal ...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2009.01.014

    authors: Nelson AL,Chen S,Eden R

    更新日期:2009-07-01 00:00:00

  • Pregnancy outcomes associated with extended use of the 52-mg 20 μg/day levonorgestrel-releasing intrauterine system beyond 60 months: A chart review of 776 women in Brazil.

    abstract:OBJECTIVE:To assess the contraceptive performance of the 52-mg 20 μg/day levonorgestrel-releasing intrauterine system (LNG-IUS, Mirena; Bayer Oy, Turku, Finland) among women who maintain the same device without changes after 60 months. STUDY DESIGN:This is a chart review study in which we assessed the charts of 766 wo...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2017.10.007

    authors: Bahamondes L,Fernandes A,Bahamondes MV,Juliato CT,Ali M,Monteiro I

    更新日期:2018-03-01 00:00:00