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The data cutoff date of 05 April 2021 was chosen as it coincides with all subjects completing through Year 8 of use (intended duration of use for the product).
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The primary objective of this study is to assess the efficacy of a levonorgestrel-releasing intrauterine system (LNG20) in nulliparous and parous females of child-bearing potential who request long-term, reversible contraception for up to 10 years.
This is a Phase 3, randomized, open-label, multicenter evaluation of the efficacy of a levonorgestrel-releasing intrauterine system (LNG20). The goals of the study include provision of information to understand efficacy and safety within the widest range of possible users of the LNG20. Typically, intrauterine contraceptive studies only include women 18-35 years of age for efficacy and safety, and place limits on parity and larger body size. Women outside of these characteristics also desire an effective intrauterine contraceptive. Accordingly, this study will include women who are both nulliparous and parous as well as women less than 18 years of age in the primary efficacy and safety analyses
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LNG20 (16-35 Year Olds) | Experimental | LNG20 levonorgestrel-releasing intrauterine system in subjects 16-35 years of age |
|
| Mirena | Active Comparator | Levonorgestrel-releasing intrauterine system for contraception |
|
| LNG20 (36-45 Year Olds) | Experimental | LNG20 levonorgestrel-releasing intrauterine system in subjects 36-45 years of age |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LNG20 | Drug | levonorgestrel-releasing intrauterine system for contraception |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Pregnancies Per Year | Number of pregnancies per year in each treatment arm. | 10 years |
| Cumulative Pearl Index | The Pearl Index (PI) is an estimate of the number of pregnancies per 100 women-years of contraceptive exposure. The Pearl Index is calculated as the number of "on treatment" pregnancies in the study divided by the total number of complete 28-day cycles of use in the study multiplied by 1,300 (13 cycles/yr x 100 years). Cycles where other birth control methods were used were excluded from this measure. The Pearl Index for MIRENA was not a pre-specified primary outcome measure and is therefore not included. There is only 8 years of data due to the early termination of the study. | 8 years |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability | The safety and tolerability based on the report of adverse events and serious adverse events | 10 Years |
| Distribution of Bleeding Amenorrhea by 90 Day Interval | The incidence of diary reported bleeding and/or spotting by 90-day interval, as an assessment of IUS-induced amenorrhea, is summarized as the number of subjects reporting no bleeding and/or spotting. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Andrea Olariu, MD, PhD | COO | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Phoenix | Arizona | United States | ||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38969201 | Derived | Kerns JL, Keder LM, Cwiak CA, Westhoff CL, Creinin MD. Hormone-related side effects in new users of a levonorgestrel 52-mg intrauterine device. Am J Obstet Gynecol. 2024 Dec;231(6):628.e1-628.e10. doi: 10.1016/j.ajog.2024.06.049. Epub 2024 Jul 3. | |
| 37023451 | Derived | Chen BA, Kimble T, Harris LH, Kerns JL, Olariu AI, Creinin MD. Levonorgestrel 52-mg Intrauterine Device Efficacy and Safety After More Than 8 Years of Use. Obstet Gynecol. 2023 May 1;141(5):1004-1006. doi: 10.1097/AOG.0000000000005147. Epub 2023 Apr 5. |
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Enrollment into the Mirena arm was stopped when it was determined that sufficient comparative safety data for LILETTA vs. Mirena was already available; thereafter, subjects were only assigned to LILETTA. The data cutoff date of 05 April 2021 was chosen for all LILETTA subjects as it coincides with all subjects completing through Year 8 of use (intended duration of use for the product). All Mirena participants were discontinued by the end of Year 5.
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| ID | Title | Description |
|---|---|---|
| FG000 | LNG20 (16-35 Yr Olds) | LNG20 levonorgestrel-releasing intrauterine system LNG20: levonorgestrel-releasing intrauterine system for contraception sub-population (16-35 years old) |
| FG001 | Mirena |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 2, 2017 | Oct 31, 2023 |
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| Mirena | Drug | Mirena intrauterine system |
|
| 8 Years |
| Continuation Rates | The rate of continuation of usage over time. | 10 Years |
| Return of Menses After Discontinuation | Subjects who discontinued from the trial and who were not pregnant or did not start a hormonal contraceptive were followed to assess the return of menses after IUS removal. If after three months menses had not occurred, the subject was to be evaluated for the cause of their secondary amenorrhea and continued to be followed monthly until the diagnosis was established. | 5 months |
| Return to Fertility After Discontinuation | Subjects who discontinued from the trial and desired pregnancy were followed for up to 12 months to assess fertility after IUS removal. | 12 months |
| Mean Plasma Levonorgestrel Concentrations (pg/mL) for Subjects in the PK Substudy | The Mean Plasma Pharmacokinetics of LNG in a Subset of Subjects through 60 Months of Use. "Non-obese" was defined as a BMI less than 30 kg/m^2. "Obese" was defined as a BMI of 30 kg/m^2 or higher. | 5 Years |
| Plasma LNG Levels in All Subjects With Continuing Use From Month 36 Through Month 120 | The Plasma LNG Levels in All Subjects With Continuing Use From Month 36 Through Month 120. | month 36 through 120 |
| Changes in Endometrial Thickness Based on Transvaginal Ultrasonography at One Year, Five Years and Ten Years | The Changes in Endometrial Thickness Based on Transvaginal Ultrasonography at One Year, Five Years and Ten Years. | 10 Years |
| Ex Vivo Analysis of IUSs That Are Removed or Expelled During the Study | Analysis of residual LNG content from an appropriate sampling of IUSs that were removed or expelled during the study was to be summarized and plotted as a function of time of removal/expulsion. Residual drug content analysis was performed on a sampling of removed or expelled samples to determine the average in vivo drug release rate during the time the samples were implanted. All available samples were sorted and grouped by duration of use in 90-day intervals. The drug content and time of exposure of the samples analyzed were fit by an exponential regression to calculate the initial and average in vivo release rate over the duration of the study. NOTE: Year = 360 day intervals | 8 Years |
| Incidence of Bleeding and/or Spotting | From data based on the daily diary log, number of IUS subjects experiencing some bleeding and/or spotting. | 8 Years |
| Cumulative Pregnancy Rates | Life table methods were used to estimate the cumulative pregnancy rate after each year. Confirmed pregnancy was the failure outcome and the corresponding time to pregnancy was the failure time. Time to pregnancy was calculated as the date a confirmed pregnancy was initially reported minus the date of IUS placement plus one. | 8 years |
| Expulsion Rate | The expulsion rate includes the number of subjects with reported expulsions or removal of the IUS, regardless of reason. | 10 years |
| Change in Hemoglobin Values | Measuring the change in hemoglobin results from the screening visit and following 12 months, 60 months and 120 months of product use. | 10 years |
| Discontinuation for Safety Reasons | Time to event was calculated as the date of continuation/expulsion/removal minus the date of IUS placement plus one. Subjects without a continuation/expulsion/removal were censored at the last contact date and failure time was calculated as the last contact date minus the date of IUS placement plus one. | 10 years |
| Palo Alto |
| California |
| United States |
| San Francisco | California | United States |
| Vista | California | United States |
| Denver | Colorado | United States |
| Atlanta | Georgia | United States |
| Idaho Falls | Idaho | United States |
| Chicago | Illinois | United States |
| Des Moines | Iowa | United States |
| Ann Arbor | Michigan | United States |
| St Louis | Missouri | United States |
| New York | New York | United States |
| Chapel Hill | North Carolina | United States |
| Cincinnati | Ohio | United States |
| Cleveland | Ohio | United States |
| Columbus | Ohio | United States |
| Tulsa | Oklahoma | United States |
| Portland | Oregon | United States |
| Philadelphia | Pennsylvania | United States |
| Magee Women's Hospital, University of Pittsburgh | Pittsburgh | Pennsylvania | 15213 | United States |
| Dallas | Texas | United States |
| Houston | Texas | United States |
| Salt Lake City | Utah | United States |
| Norfolk | Virginia | United States |
| Seattle | Washington | United States |
| 31866516 | Derived | Chen BA, Eisenberg DL, Schreiber CA, Turok DK, Olariu AI, Creinin MD. Bleeding changes after levonorgestrel 52-mg intrauterine system insertion for contraception in women with self-reported heavy menstrual bleeding. Am J Obstet Gynecol. 2020 Apr;222(4S):S888.e1-S888.e6. doi: 10.1016/j.ajog.2019.11.1288. Epub 2019 Dec 19. |
| 30531565 | Derived | Teal SB, Turok DK, Chen BA, Kimble T, Olariu AI, Creinin MD. Five-Year Contraceptive Efficacy and Safety of a Levonorgestrel 52-mg Intrauterine System. Obstet Gynecol. 2019 Jan;133(1):63-70. doi: 10.1097/AOG.0000000000003034. |
| 29560743 | Derived | Schreiber CA, Teal SB, Blumenthal PD, Keder LM, Olariu AI, Creinin MD. Bleeding patterns for the Liletta(R) levonorgestrel 52 mg intrauterine system. Eur J Contracept Reprod Health Care. 2018 Apr;23(2):116-120. doi: 10.1080/13625187.2018.1449825. Epub 2018 Mar 21. |
| 29038072 | Derived | Darney PD, Stuart GS, Thomas MA, Cwiak C, Olariu A, Creinin MD. Amenorrhea rates and predictors during 1 year of levonorgestrel 52 mg intrauterine system use. Contraception. 2018 Mar;97(3):210-214. doi: 10.1016/j.contraception.2017.10.005. Epub 2017 Oct 13. |
| 27125892 | Derived | Creinin MD, Jansen R, Starr RM, Gobburu J, Gopalakrishnan M, Olariu A. Levonorgestrel release rates over 5 years with the Liletta(R) 52-mg intrauterine system. Contraception. 2016 Oct;94(4):353-6. doi: 10.1016/j.contraception.2016.04.010. Epub 2016 Apr 25. |
| 25934164 | Derived | Eisenberg DL, Schreiber CA, Turok DK, Teal SB, Westhoff CL, Creinin MD; ACCESS IUS Investigators. Three-year efficacy and safety of a new 52-mg levonorgestrel-releasing intrauterine system. Contraception. 2015 Jul;92(1):10-6. doi: 10.1016/j.contraception.2015.04.006. Epub 2015 Apr 28. |
Levonorgestrel-releasing intrauterine system for contraception
Mirena: Mirena intrauterine system
| FG002 | LNG20 (36-45 Yr Olds) | LNG20 levonorgestrel-releasing intrauterine system LNG20: levonorgestrel-releasing intrauterine system for contraception sub-population (36-45 years old) |
| COMPLETED |
|
| NOT COMPLETED |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | LNG20 (16-35 Yr Olds) | LNG20 levonorgestrel-releasing intrauterine system LNG20: levonorgestrel-releasing intrauterine system for contraception sub-population (16-35 years old) |
| BG001 | Mirena | Levonorgestrel-releasing intrauterine system for contraception Mirena: Mirena intrauterine system |
| BG002 | LNG20 (36-45 Yr Olds) | LNG20 levonorgestrel-releasing intrauterine system LNG20: levonorgestrel-releasing intrauterine system for contraception sub-population (36-45 years old) |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Count of Participants | Participants |
| |||||||||||
| Age, Customized | Mean | Standard Deviation | years |
| ||||||||||
| Sex: Female, Male | Count of Participants | Participants |
| |||||||||||
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| |||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| |||||||||||
| BMI | Count of Participants | Participants |
| |||||||||||
| Partner Status | Count of Participants | Participants |
| |||||||||||
| Parity | Count of Participants | Participants |
| |||||||||||
| BMI | 4 participants' weights in the LNG20 (16-35 year olds) arm were not measured at baseline and therefore were not analyzed in the mean | Mean | Standard Deviation | (kg/m^2) |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Pregnancies Per Year | Number of pregnancies per year in each treatment arm. | All Mirena participants were discontinued by end of Year 5; therefore, Years 6-10 are considered "not available" for that arm. | Posted | Number | pregnancies | 10 years |
|
|
| |||||||||||||||||||||||||||||||||||
| Primary | Cumulative Pearl Index | The Pearl Index (PI) is an estimate of the number of pregnancies per 100 women-years of contraceptive exposure. The Pearl Index is calculated as the number of "on treatment" pregnancies in the study divided by the total number of complete 28-day cycles of use in the study multiplied by 1,300 (13 cycles/yr x 100 years). Cycles where other birth control methods were used were excluded from this measure. The Pearl Index for MIRENA was not a pre-specified primary outcome measure and is therefore not included. There is only 8 years of data due to the early termination of the study. | The Pearl Index for MIRENA was not a pre-specified primary outcome measure and is therefore not included. The number of participants analyzed for this measure is the MITT population. | Posted | Number | 95% Confidence Interval | pregnancies per 100 women-years | 8 years |
| ||||||||||||||||||||||||||||||||||||
| Secondary | Safety and Tolerability | The safety and tolerability based on the report of adverse events and serious adverse events | All Mirena participants were discontinued by end of Year 5. | Posted | Count of Participants | Participants | 10 Years |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Distribution of Bleeding Amenorrhea by 90 Day Interval | The incidence of diary reported bleeding and/or spotting by 90-day interval, as an assessment of IUS-induced amenorrhea, is summarized as the number of subjects reporting no bleeding and/or spotting. | All Mirena participants were discontinued by end of Year 5. | Posted | Count of Participants | Participants | 8 Years |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Continuation Rates | The rate of continuation of usage over time. | All Mirena participants were discontinued by the end of Year 5 per the study protocol. All LNG20 (36-45 Yr Old) participants were discontinued by the end of Year 8 per the study protocol. Month 6 is defined as 182 days of use, Year 1= 365 days, Year 2= 730 days, Year 3= 1095 days, Year 4= 1460 days, Year 5= 1825 days, Year 6= 2190 days, Year 7= 2555 days, Year 8= 2920 days, Year 9= 3285 days, and Year 10= 3650 days of product use. | Posted | Count of Participants | Participants | 10 Years |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Return of Menses After Discontinuation | Subjects who discontinued from the trial and who were not pregnant or did not start a hormonal contraceptive were followed to assess the return of menses after IUS removal. If after three months menses had not occurred, the subject was to be evaluated for the cause of their secondary amenorrhea and continued to be followed monthly until the diagnosis was established. | Only those subjects who completed this evaluation are included. | Posted | Count of Participants | Participants | 5 months |
| |||||||||||||||||||||||||||||||||||||
| Secondary | Return to Fertility After Discontinuation | Subjects who discontinued from the trial and desired pregnancy were followed for up to 12 months to assess fertility after IUS removal. | Distribution of Pregnancies (Months Post-IUS Removal) [N(%)] | Posted | Count of Participants | Participants | 12 months |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Mean Plasma Levonorgestrel Concentrations (pg/mL) for Subjects in the PK Substudy | The Mean Plasma Pharmacokinetics of LNG in a Subset of Subjects through 60 Months of Use. "Non-obese" was defined as a BMI less than 30 kg/m^2. "Obese" was defined as a BMI of 30 kg/m^2 or higher. | Mean Plasma Levonorgestrel Concentrations (pg/mL) for All Subjects in the PK Substudy. | Posted | Mean | Standard Deviation | (pg/mL) | 5 Years |
|
| |||||||||||||||||||||||||||||||||||
| Secondary | Plasma LNG Levels in All Subjects With Continuing Use From Month 36 Through Month 120 | The Plasma LNG Levels in All Subjects With Continuing Use From Month 36 Through Month 120. | Plasma Levonorgestrel Concentrations for All Subjects Beginning at Month 36. All Mirena participants were discontinued by the end of Year 5. | Posted | Mean | Standard Deviation | Levonorgestrel Concentration (pg/mL) | month 36 through 120 |
|
| |||||||||||||||||||||||||||||||||||
| Secondary | Changes in Endometrial Thickness Based on Transvaginal Ultrasonography at One Year, Five Years and Ten Years | The Changes in Endometrial Thickness Based on Transvaginal Ultrasonography at One Year, Five Years and Ten Years. | Endometrial thickness (ET) was evaluated in 52 LILETTA Efficacy Group subjects in the LNG20 (16-35 Yr Olds) arm only, with data both at Baseline and Month 12 (ET population) as part of a substudy conducted within the main protocol. | Posted | Mean | Standard Deviation | Endometrial Thickness (mm) | 10 Years |
|
| |||||||||||||||||||||||||||||||||||
| Secondary | Ex Vivo Analysis of IUSs That Are Removed or Expelled During the Study | Analysis of residual LNG content from an appropriate sampling of IUSs that were removed or expelled during the study was to be summarized and plotted as a function of time of removal/expulsion. Residual drug content analysis was performed on a sampling of removed or expelled samples to determine the average in vivo drug release rate during the time the samples were implanted. All available samples were sorted and grouped by duration of use in 90-day intervals. The drug content and time of exposure of the samples analyzed were fit by an exponential regression to calculate the initial and average in vivo release rate over the duration of the study. NOTE: Year = 360 day intervals | In this substudy, a sampling of removed or expelled LNG20 IUSs were evaluated for residual drug content from Day 1 through Year 8. The total number of IUSs analyzed was 130 units from a total of 130 participants. All IUSs came from participants in the LNG20 (16-35 Yr Olds) arm. IUSs from participants in the Mirena arm were not evaluated in this substudy. | Posted | Mean | Standard Deviation | mg/day | 8 Years | IUS | IUS |
|
| |||||||||||||||||||||||||||||||||
| Secondary | Incidence of Bleeding and/or Spotting | From data based on the daily diary log, number of IUS subjects experiencing some bleeding and/or spotting. | Any incidences of bleeding and/or spotting were self-reported via daily diary log by remaining participants at regular intervals throughout the length of the study. All Mirena participants were discontinued by the end of Year 5. | Posted | Count of Participants | Participants | 8 Years |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Cumulative Pregnancy Rates | Life table methods were used to estimate the cumulative pregnancy rate after each year. Confirmed pregnancy was the failure outcome and the corresponding time to pregnancy was the failure time. Time to pregnancy was calculated as the date a confirmed pregnancy was initially reported minus the date of IUS placement plus one. | Note: a year is considered 364 days (13 women-months). Only the efficacy population (LNG20 16-35 years old) was evaluated, per protocol. | Posted | Number | 95% Confidence Interval | number of pregnancies per year | 8 years |
|
| |||||||||||||||||||||||||||||||||||
| Secondary | Expulsion Rate | The expulsion rate includes the number of subjects with reported expulsions or removal of the IUS, regardless of reason. | All Mirena participants were discontinued by end of Year 5 per the study protocol. All LNG20 (36-45 Yr Old) participants were discontinued by end of Year 8 per the study protocol. | Posted | Count of Participants | Participants | 10 years |
|
| ||||||||||||||||||||||||||||||||||||
| Secondary | Change in Hemoglobin Values | Measuring the change in hemoglobin results from the screening visit and following 12 months, 60 months and 120 months of product use. | No standard deviation since there was only one Mirena participant measured at month 120 | Posted | Mean | Standard Deviation | g/dL | 10 years |
|
| |||||||||||||||||||||||||||||||||||
| Secondary | Discontinuation for Safety Reasons | Time to event was calculated as the date of continuation/expulsion/removal minus the date of IUS placement plus one. Subjects without a continuation/expulsion/removal were censored at the last contact date and failure time was calculated as the last contact date minus the date of IUS placement plus one. | All Mirena participants were discontinued by end of Year 5 per the study protocol. All LNG20 (36-45 Yr Old) participants were discontinued by Year 8 per the study protocol. | Posted | Count of Participants | Participants | 10 years |
|
10 years
An Adverse Event (AE) was defined as any untoward medical occurrence in a patient or clinical investigation subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. An AE could be any unfavorable and unintended sign (including a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | LNG20 (16-35 Yr Olds) | LNG20 levonorgestrel-releasing intrauterine system LNG20: levonorgestrel-releasing intrauterine system for contraception sub-population (16-35 years old) | 1 | 1,600 | 78 | 1,600 | 1,441 | 1,600 |
| EG001 | Mirena | Levonorgestrel-releasing intrauterine system for contraception Mirena: Mirena intrauterine system | 0 | 159 | 6 | 159 | 138 | 159 |
| EG002 | LNG20 (36-45 Yr Olds) | LNG20 levonorgestrel-releasing intrauterine system LNG20: levonorgestrel-releasing intrauterine system for contraception sub-population (36-45 years old) | 0 | 151 | 8 | 151 | 137 | 151 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Arnold-Chiari malformation | Congenital, familial and genetic disorders | Non-systematic Assessment |
| ||
| Hamartoma | Congenital, familial and genetic disorders | Non-systematic Assessment |
| ||
| Abdominal pain | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Colitis ulcerative | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Crohn's disease | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Diarrhoea | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Enteritis | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Oesophageal achalasia | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Pancreatitis | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Small intestinal obstruction | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Catheter related complication | General disorders | Non-systematic Assessment |
| ||
| Non-cardiac chest pain | General disorders | Non-systematic Assessment |
| ||
| Bile duct obstruction | Hepatobiliary disorders | Non-systematic Assessment |
| ||
| Cholecystitis | Hepatobiliary disorders | Non-systematic Assessment |
| ||
| Cholecystitis acute | Hepatobiliary disorders | Non-systematic Assessment |
| ||
| Cholelithiasis | Hepatobiliary disorders | Non-systematic Assessment |
| ||
| Portal vein thrombosis | Hepatobiliary disorders | Non-systematic Assessment |
| ||
| Anaphylactic reaction | Immune system disorders | Non-systematic Assessment |
| ||
| Appendicitis | Infections and infestations | Non-systematic Assessment |
| ||
| Appendix perforated | Infections and infestations | Non-systematic Assessment |
| ||
| Cellulitis | Infections and infestations | Non-systematic Assessment |
| ||
| Clostridial infection | Infections and infestations | Non-systematic Assessment |
| ||
| Diverticulitis | Infections and infestations | Non-systematic Assessment |
| ||
| Herpes Simplex | Infections and infestations | Non-systematic Assessment |
| ||
| Lobar pneumonia | Infections and infestations | Non-systematic Assessment |
| ||
| Pelvic inflammatory disease | Infections and infestations | Non-systematic Assessment |
| ||
| Pneumonia streptococcal | Infections and infestations | Non-systematic Assessment |
| ||
| Postoperative abscess | Infections and infestations | Non-systematic Assessment |
| ||
| Respiratory tract infection | Infections and infestations | Non-systematic Assessment |
| ||
| Tooth abscess | Infections and infestations | Non-systematic Assessment |
| ||
| Ankle fracture | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Laceration | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Multiple drug overdose | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Pelvic fracture | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Rib fracture | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Road traffic accident | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Traumatic liver injury | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Diabetic ketoacidosis | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Hyperkalaemia | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Arthralgia | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Rhabdomyolysis | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Chronic lymphocytic leukaemia | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Dermatofibrosarcoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Ewing's sarcoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Lipoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Malignant melanoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Malignant melanoma stage IV | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Neoplasm of appendix | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Squamous cell carcinoma of the cervix | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Thyroid cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | Non-systematic Assessment |
| ||
| Carotid artery thrombosis | Nervous system disorders | Non-systematic Assessment |
| ||
| Intracranial hypotension | Nervous system disorders | Non-systematic Assessment |
| ||
| Ischaemic stroke | Nervous system disorders | Non-systematic Assessment |
| ||
| Multiple sclerosis | Nervous system disorders | Non-systematic Assessment |
| ||
| Nervous system disorder | Nervous system disorders | Non-systematic Assessment |
| ||
| Syncope | Nervous system disorders | Non-systematic Assessment |
| ||
| Ectopic pregnancy | Pregnancy, puerperium and perinatal conditions | Non-systematic Assessment |
| ||
| Affective disorder | Psychiatric disorders | Non-systematic Assessment |
| ||
| Alcohol withdrawal syndrome | Psychiatric disorders | Non-systematic Assessment |
| ||
| Bipolar I disorder | Psychiatric disorders | Non-systematic Assessment |
| ||
| Bipolar disorder | Psychiatric disorders | Non-systematic Assessment |
| ||
| Completed suicide | Psychiatric disorders | Non-systematic Assessment |
| ||
| Delusional disorder, unspecified type | Psychiatric disorders | Non-systematic Assessment |
| ||
| Drug abuse | Psychiatric disorders | Non-systematic Assessment |
| ||
| Mania | Psychiatric disorders | Non-systematic Assessment |
| ||
| Psychiatric symptom | Psychiatric disorders | Non-systematic Assessment |
| ||
| Substance abuse | Psychiatric disorders | Non-systematic Assessment |
| ||
| Suicidal ideation | Psychiatric disorders | Non-systematic Assessment |
| ||
| Suicide attempt | Psychiatric disorders | Non-systematic Assessment |
| ||
| Calculus ureteric | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Nephrolithiasis | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Renal failure chronic | Psychiatric disorders | Non-systematic Assessment |
| ||
| Renal vasculitis | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Ovarian cyst | Reproductive system and breast disorders | Non-systematic Assessment |
| ||
| Ovarian cyst ruptured | Reproductive system and breast disorders | Non-systematic Assessment |
| ||
| Ovarian torsion | Reproductive system and breast disorders | Non-systematic Assessment |
| ||
| Vaginal laceration | Reproductive system and breast disorders | Non-systematic Assessment |
| ||
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Pulmonary Oedema | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Deep vein thrombosis | Vascular disorders | Non-systematic Assessment |
| ||
| Haematoma | Vascular disorders | Non-systematic Assessment |
| ||
| Pneumothorax | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Diaphragmatic hernia | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Chronic respiratory failure | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Ovarian rupture | Reproductive system and breast disorders | Non-systematic Assessment |
| ||
| Self-injurious ideation | Psychiatric disorders | Non-systematic Assessment |
| ||
| Carotid artery dissection | Nervous system disorders | Non-systematic Assessment |
| ||
| Intervertebral disc protrusion | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Traumatic lung injury | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Skull fractured base | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Extradural haematoma | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Cervical vertebral fracture | Injury, poisoning and procedural complications | Non-systematic Assessment |
| ||
| Gastritis | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Anaemia | Blood and lymphatic system disorders | Non-systematic Assessment |
| ||
| Coagulopathy | Blood and lymphatic system disorders | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | Systematic Assessment |
| ||
| Bronchitis | Infections and infestations | Systematic Assessment |
| ||
| Influenza | Infections and infestations | Systematic Assessment |
| ||
| Nasopharyngitis | Infections and infestations | Systematic Assessment |
| ||
| Pharyngitis streptococcal | Infections and infestations | Systematic Assessment |
| ||
| Sinusitis | Infections and infestations | Systematic Assessment |
| ||
| Upper respiratory tract infection | Infections and infestations | Systematic Assessment |
| ||
| Urinary tract infection | Infections and infestations | Systematic Assessment |
| ||
| Vaginitis bacterial | Infections and infestations | Systematic Assessment |
| ||
| Vulvovaginal mycotic infection | Infections and infestations | Systematic Assessment |
| ||
| Human papilloma virus test positive | Investigations | Systematic Assessment |
| ||
| Weight increased | Investigations | Systematic Assessment |
| ||
| Back pain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
| ||
| Headache | Nervous system disorders | Systematic Assessment |
| ||
| Anxiety | Psychiatric disorders | Systematic Assessment |
| ||
| Depression | Psychiatric disorders | Systematic Assessment |
| ||
| Breast tenderness | Reproductive system and breast disorders | Systematic Assessment |
| ||
| Cervical dysplasia | Reproductive system and breast disorders | Systematic Assessment |
| ||
| Dysmenorrhoea | Reproductive system and breast disorders | Systematic Assessment |
| ||
| Dyspareunia | Reproductive system and breast disorders | Systematic Assessment |
| ||
| Pelvic pain | Reproductive system and breast disorders | Systematic Assessment |
| ||
| Vaginal discharge | Reproductive system and breast disorders | Systematic Assessment |
| ||
| Acne | Skin and subcutaneous tissue disorders | Systematic Assessment |
| ||
| Seasonal allergy | Immune system disorders | Non-systematic Assessment |
| ||
| Insomnia | Psychiatric disorders | Non-systematic Assessment |
|
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Emily Morris | Medicines360 | 415.951.8700 | emorris@medicines360.org |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Oct 2, 2017 | Oct 31, 2023 | SAP_001.pdf |
| ID | Term |
|---|---|
| D016912 | Levonorgestrel |
| ID | Term |
|---|---|
| D009644 | Norgestrel |
| D009652 | Norpregnenes |
| D009650 | Norpregnanes |
| D009654 | Norsteroids |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
Not provided
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