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Evaluate the adequacy of ovulation suppression, cycle control, and safety of three transdermal contraceptive delivery systems (TCDSs).
The primary objective was to evaluate the adequacy of ovulation suppression, cycle control, and safety of three transdermal contraceptive delivery systems (TCDSs) containing 2 different doses of levonorgestrel (LNG) and 3 different doses of ethinyl estradiol (EE) during 3 consecutive cycles of administration of each treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AG200-15 | Experimental | Drug intervention with levonorgestrel and ethinyl estradiol : AG200-15 a transdermal contraceptive system containing 2.60 mg of levonorgestrel and 2.30 mg of ethinyl estradiol. |
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| AG200 | Experimental | Drug intervention with levonorgestrel and ethinyl estradiol: AG200 a transdermal contraceptive system containing 2.17 mg of levonorgestrel and 1.92 of ethinyl estradiol. |
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| AG200LE | Experimental | Drug intervention with levonorgestrel and ethinyl estradiol: AG200LE a transdermal contraceptive system containing 2.17 mg of levonorgestrel and 1.28 mg of ethinyl estradiol. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| levonorgestrel and ethinyl estradiol | Drug | pregnancy prevention |
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| Measure | Description | Time Frame |
|---|---|---|
| Ovulation Suppression in Three Treatment Groups Over 3 Cycles | Ovulation suppression measured by possible ovulation. Possible ovulation is defined as cycles with greatest progesterone level ≥4.7 ng/mL across Cycles 1-3 combined for each Arm/Group. The following four primary analysis datasets are: Intent-to-treat (ITT): At least 1 study patch was applied and at least 1 progesterone measurement is available at 1 of the nominal data collection points. Complete progesterone: At least 1 study patch was applied and at least 3 progesterone measurements are available across any of the data collection points. Perfect compliance: If no patch has been off >1 day and no more than 1 day has elapsed between patch changes. Verifiable compliance: is a cycle during which at least 1 study patch was applied and where LNG and EE measurements were available at each of the nominal data collection points of Days 8, 15, and 22, and all values were above the lower detection limit. | 3 months |
| Cycle Control | The incidence of breakthrough bleeding (BTB) and/or spotting (S) episodes in Cycle 3 for ITT cycles. A BTB/S episode was defined as any number of days with BTB and/or BTS preceded and followed by at least 2 bleeding-free days. | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Elizabeth Garner, MD, MPH | Agile Therapeutics | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tucson | Arizona | 85712 | United States | |||
: Subjects enrolled were healthy adult women aged 18-45 years with a history of regular menstrual cycles (i.e., lasting between 21 and 35 days) and no disorders precluding hormonal contraceptive use.
Planned enrollment included: approximately 30 subjects in the AG200LE treatment group, 30 subjects in the AG200 treatment group and 20 to 30 subjects in the AG200 15 treatment group. Actual enrollment included: 45 subjects in the AG200 treatment group; 45 subjects in the AG200LE treatment group; and 33 subjects in the AG200-15 treatment group.
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| ID | Title | Description |
|---|---|---|
| FG000 | AG200LE Transdermal Contraceptive Delivery System | a 12.5 cm2 patch (Lot #27621) containing 2.17 LNG/1.28 EE mg (designed to deliver approximately: 0.075 LNG/0.015 EE mg/day). |
| FG001 | AG200 Transdermal Contraceptive Delivery System |
| Title | Milestones | Reasons Not Completed | ||||
|---|---|---|---|---|---|---|
| Overall Study |
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| San Diego |
| California |
| 92108 |
| United States |
| Denver | Colorado | 80218 | United States |
| Pembroke Pines | Florida | 33026 | United States |
| Tampa | Florida | 33607 | United States |
| Sandy Springs | Georgia | 30328 | United States |
| Cary | North Carolina | 27518 | United States |
| Winston-Salem | North Carolina | 27103 | United States |
| Jenkintown | Pennsylvania | 19046 | United States |
| Philadelphia | Pennsylvania | 19114 | United States |
| Bristol | Tennessee | 37620 | United States |
a 12.5 cm2 patch (Lot #27620) containing 2.17 LNG/1.92 EE mg (designed to deliver approximately: 0.1 LNG/0.02 EE mg/day).
| FG002 | AG200-15 Transdermal Contraceptive System | a 15 cm2 patch (Lot #27620) containing 2.60 LNG/2.30 EE mg (designed to deliver approximately: 0.12 LNG/0.025 EE mg/day). |
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| COMPLETED |
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| NOT COMPLETED |
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Safety Population
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| ID | Title | Description |
|---|---|---|
| BG000 | AG200LE Transdermal Contraceptive Delivery System | a 12.5 cm2 patch (Lot #27621) containing 2.17 LNG/1.28 EE mg (designed to deliver approximately: 0.075 LNG/0.015 EE mg/day). |
| BG001 | AG200 Transdermal Contraceptive Delivery System | a 12.5 cm2 patch (Lot #27620) containing 2.17 LNG/1.92 EE mg (designed to deliver approximately: 0.1 LNG/0.02 EE mg/day). |
| BG002 | AG200-15 Transdermal Contraceptive System | a 15 cm2 patch (Lot #27620) containing 2.60 LNG/2.30 EE mg (designed to deliver approximately: 0.12 LNG/0.025 EE mg/day). |
| BG003 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age, Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Count of Participants | Participants |
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| 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 | Ovulation Suppression in Three Treatment Groups Over 3 Cycles | Ovulation suppression measured by possible ovulation. Possible ovulation is defined as cycles with greatest progesterone level ≥4.7 ng/mL across Cycles 1-3 combined for each Arm/Group. The following four primary analysis datasets are: Intent-to-treat (ITT): At least 1 study patch was applied and at least 1 progesterone measurement is available at 1 of the nominal data collection points. Complete progesterone: At least 1 study patch was applied and at least 3 progesterone measurements are available across any of the data collection points. Perfect compliance: If no patch has been off >1 day and no more than 1 day has elapsed between patch changes. Verifiable compliance: is a cycle during which at least 1 study patch was applied and where LNG and EE measurements were available at each of the nominal data collection points of Days 8, 15, and 22, and all values were above the lower detection limit. | ITT, perfect compliance, complete progesterone, verifiable compliance | Posted | Number | %of cycles with possible ovulation | 3 months | Total number of cycles | Total number of cycles |
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| Primary | Cycle Control | The incidence of breakthrough bleeding (BTB) and/or spotting (S) episodes in Cycle 3 for ITT cycles. A BTB/S episode was defined as any number of days with BTB and/or BTS preceded and followed by at least 2 bleeding-free days. | ITT population | Posted | Mean | Standard Deviation | number of episodes | 3 months |
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Adverse Events were analyzed for the Safety population. Adverse Events analyzed are based on Organ System class only.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | AG200LE | a 12.5 cm2 patch (Lot #27621) containing 2.17 LNG/1.28 EE mg (designed to deliver approximately: 0.075 LNG/0.015 EE mg/day). | 0 | 43 | 0 | 43 | 19 | 43 |
| EG001 | AG200 | a 12.5 cm2 patch (Lot #27620) containing 2.17 LNG/1.92 EE mg (designed to deliver approximately: 0.1 LNG/0.02 EE mg/day). | 0 | 44 | 0 | 44 | 29 | 44 |
| EG002 | AG200-15 | a 15 cm2 patch (Lot #27620) containing 2.60 LNG/2.30 EE mg (designed to deliver approximately: 0.12 LNG/0.025 EE mg/day). | 0 | 31 | 0 | 31 | 19 | 31 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Gastrointestinal disorders | Gastrointestinal disorders | Non-systematic Assessment |
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| General disorders and administration site conditions | General disorders | Non-systematic Assessment |
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| Immune system disorders | Immune system disorders | Non-systematic Assessment |
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| Infections and infestations | Infections and infestations | Non-systematic Assessment |
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| Investigations | Investigations | Non-systematic Assessment |
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| Musculoskeletal and connective tissue disorders | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
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| Nervous system disorders | Nervous system disorders | Non-systematic Assessment |
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| Renal and urinary disorders | Renal and urinary disorders | Non-systematic Assessment |
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| Reproductive system and breast disorders | Reproductive system and breast disorders | Non-systematic Assessment |
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| Respiratory, thoracic and mediastinal disorders | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
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| Skin and subcutaneous tissue disorders | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
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| Vascular disorders | Vascular disorders | Non-systematic Assessment |
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All publications must be reviewed and approved by sponsor
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Joseph Chiodo III, Senior Medical Director | Agile Therapeutics | 609-683-1880 | jachiodo@agiletherapeutics.com |
| ID | Term |
|---|---|
| C072593 | ethinyl estradiol, levonorgestrel drug combination |
| D003267 | Contraception |
| D000080282 | Hormonal Contraception |
| D000279 | Administration, Cutaneous |
| ID | Term |
|---|---|
| D012099 | Reproductive Techniques |
| D013812 | Therapeutics |
| D000287 | Administration, Topical |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
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| Between 18 and 65 years |
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| >=65 years |
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| Male |
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| ITT, verifiable compliance |
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| Complete progesterone, verifiable compliance |
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