Efficacy and Safety Study for an Oral Contraceptive Containing Folate
Multi-Center, Randomized, Double-Blind Active-Controlled, Parallel Group Study to Investigate Plasma Folate, Red Blood Cell Folate and Homocysteine Levels During a 24 Week Oral Administration of an OC Containing Folate Compared to OC Alone
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
California
-
Anaheim, California, United States, 92801
- Orange County Clinical Trials
-
San Diego, California, United States, 92108
- Medical Center for Clinical Research
-
-
Maryland
-
Baltimore, Maryland, United States, 21201
- SNBL Clinical Pharmacology Center, Inc.
-
-
New York
-
New York, New York, United States, 10032
- Columbia University Medical Center
-
-
North Carolina
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Morrisville, North Carolina, United States, 27560
- AAIPharma, Inc.
-
Winston-Salem, North Carolina, United States, 27103
- Lyndhurst Gynecologic Associates
-
-
South Carolina
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Mt. Pleasant, South Carolina, United States, 29464
- Coastal Carolina Research Center
-
-
Tennessee
-
Knoxville, Tennessee, United States, 37920
- New Orleans Center for Clinical Research
-
-
Washington
-
Tacoma, Washington, United States, 98418
- Northwest Kinetics
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Healthy women between 18 and 40 requesting oral contraception
Exclusion Criteria:
- The use of steroidal oral contraceptives, or any drug that could alter Oral Contraception metabolism will be prohibited during the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Drospirenone (DRSP)/Ethinylestradiol (EE)/Metafolin (MTHF)
1 tablet 0.020 mg EE/3.0 mg DRSP/0.451
mg L-5-MTHF as calcium salt given orally/daily for 24 days followed by 1 tablet 0.451 mg L-5-MTHF as calcium salt given orally/daily for 4 days over a time period of 24 weeks
|
0.020 mg ethinylestradiol with 3.0 mg drospirenone and 0.451 mg L-5-methyltetrahydrofolate (L-5-MTHF)
|
|
Active Comparator: Drospirenone (DRSP)/Ethinylestradiol (EE)
1 tablet 0.020 mg EE/3.0 mg DRSP [YAZ] given orally/daily for 24 days followed by 1 placebo tablet given orally/daily for 4 days over a time period of 24 weeks
|
0.020 mg ethinylestradiol with 3.0 mg drospirenone
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Red Blood Cell (RBC) Folate Level at 24 Weeks
Time Frame: Week 24
|
RBC folate=([whole blood folate*100]-[plasma folate*(100-hematocrit)])/hematocrit
|
Week 24
|
|
Plasma Folate Level at 24 Weeks
Time Frame: Week 24
|
Folate concentrations in plasma were determined by an appropriately validated microbiological assay.
|
Week 24
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Mean Neural Tube Defect (NTD) Risk Reduction at Week 24
Time Frame: Baseline and week 24
|
The mean NTD risk reduction evaluated as the change from Baseline to Week 24 in NTD risk based on the formula of Daly et al (J Amer Med Assoc 1995;274(21):1698-702); NTD risk=exp (1.6463-1.2193
x natural log [RBC folate]) where natural log [RBC folate] is the natural log of RBC folate measured in nmol/L; Change from Baseline to Week 24 in NTD risk=NTD risk at Week 24 - NTD risk at Baseline
|
Baseline and week 24
|
|
Mean Change From Baseline in Red Blood Cell (RBC) Folate Levels at Week 4
Time Frame: baseline and up to week 4
|
RBC folate=([whole blood folate*100]-[plasma folate*(100-hematocrit)])/hematocrit
|
baseline and up to week 4
|
|
Mean Change From Baseline in Red Blood Cell (RBC) Folate Levels at Week 8
Time Frame: baseline and up to week 8
|
RBC folate=([whole blood folate*100]-[plasma folate*(100-hematocrit)])/hematocrit
|
baseline and up to week 8
|
|
Mean Change From Baseline in Red Blood Cell (RBC) Folate Levels at Week 12
Time Frame: baseline and up to week 12
|
RBC folate=([whole blood folate*100]-[plasma folate*(100-hematocrit)])/hematocrit
|
baseline and up to week 12
|
|
Mean Change From Baseline in Red Blood Cell (RBC) Folate Levels at Week 16
Time Frame: baseline and up to week 16
|
RBC folate=([whole blood folate*100]-[plasma folate*(100-hematocrit)])/hematocrit
|
baseline and up to week 16
|
|
Mean Change From Baseline in Red Blood Cell (RBC) Folate Levels at Week 20
Time Frame: baseline and up to week 20
|
RBC folate=([whole blood folate*100]-[plasma folate*(100-hematocrit)])/hematocrit
|
baseline and up to week 20
|
|
Mean Change From Baseline in Plasma Folate Levels at Week 4
Time Frame: baseline and up to week 4
|
Folate concentrations in plasma were determined by an appropriately validated microbiological assay.
|
baseline and up to week 4
|
|
Mean Change From Baseline in Plasma Folate Levels at Week 8
Time Frame: baseline and up to week 8
|
Folate concentrations in plasma were determined by an appropriately validated microbiological assay.
|
baseline and up to week 8
|
|
Mean Change From Baseline in Plasma Folate Levels at Week 12
Time Frame: baseline and up to week 12
|
Folate concentrations in plasma were determined by an appropriately validated microbiological assay.
|
baseline and up to week 12
|
|
Mean Change From Baseline in Plasma Folate Levels at Week 16
Time Frame: baseline and up to week 16
|
Folate concentrations in plasma were determined by an appropriately validated microbiological assay.
|
baseline and up to week 16
|
|
Mean Change From Baseline in Plasma Folate Levels at Week 20
Time Frame: baseline and up to week 20
|
Folate concentrations in plasma were determined by an appropriately validated microbiological assay.
|
baseline and up to week 20
|
|
Mean Change From Baseline in Plasma Homocysteine Levels at Week 4
Time Frame: baseline and up to week 4
|
Homocysteine concentrations in plasma were determined by Fluorescence Polarization Immunoassays (FPIA) using the Abbot AxSym analyzer in a clinical laboratory setting.
|
baseline and up to week 4
|
|
Mean Change From Baseline in Plasma Homocysteine Levels at Week 8
Time Frame: baseline and up to week 8
|
Homocysteine concentrations in plasma were determined by Fluorescence Polarization Immunoassays (FPIA) using the Abbot AxSym analyzer in a clinical laboratory setting.
|
baseline and up to week 8
|
|
Mean Change From Baseline in Plasma Homocysteine Levels at Week 12
Time Frame: baseline and up to week 12
|
Homocysteine concentrations in plasma were determined by Fluorescence Polarization Immunoassays (FPIA) using the Abbot AxSym analyzer in a clinical laboratory setting.
|
baseline and up to week 12
|
|
Mean Change From Baseline in Plasma Homocysteine Levels at Week 16
Time Frame: baseline and up to week 16
|
Homocysteine concentrations in plasma were determined by Fluorescence Polarization Immunoassays (FPIA) using the Abbot AxSym analyzer in a clinical laboratory setting.
|
baseline and up to week 16
|
|
Mean Change From Baseline in Plasma Homocysteine Levels at Week 20
Time Frame: baseline and up to week 20
|
Homocysteine concentrations in plasma were determined by Fluorescence Polarization Immunoassays (FPIA) using the Abbot AxSym analyzer in a clinical laboratory setting.
|
baseline and up to week 20
|
|
Mean Change From Baseline in Plasma Homocysteine Levels at Week 24
Time Frame: baseline and up to week 24
|
Homocysteine concentrations in plasma were determined by Fluorescence Polarization Immunoassays (FPIA) using the Abbot AxSym analyzer in a clinical laboratory setting.
|
baseline and up to week 24
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Campone M, Berton-Rigaud D, Joly-Lobbedez F, Baurain JF, Rolland F, Stenzl A, Fabbro M, van Dijk M, Pinkert J, Schmelter T, de Bont N, Pautier P. A double-blind, randomized phase II study to evaluate the safety and efficacy of acetyl-L-carnitine in the prevention of sagopilone-induced peripheral neuropathy. Oncologist. 2013;18(11):1190-1. doi: 10.1634/theoncologist.2013-0061. Epub 2013 Oct 8.
- Bart S Sr, Marr J, Diefenbach K, Trummer D, Sampson-Landers C. Folate status and homocysteine levels during a 24-week oral administration of a folate-containing oral contraceptive: a randomized, double-blind, active-controlled, parallel-group, US-based multicenter study. Contraception. 2012 Jan;85(1):42-50. doi: 10.1016/j.contraception.2011.05.013. Epub 2011 Jul 13.
- Castano PM, Aydemir A, Sampson-Landers C, Lynen R. The folate status of reproductive-aged women in a randomised trial of a folate-fortified oral contraceptive: dietary and blood assessments. Public Health Nutr. 2014 Jun;17(6):1375-83. doi: 10.1017/S1368980013000864. Epub 2013 Mar 27.
- Taylor TN, Farkouh RA, Graham JB, Colligs A, Lindemann M, Lynen R, Candrilli SD. Potential reduction in neural tube defects associated with use of Metafolin-fortified oral contraceptives in the United States. Am J Obstet Gynecol. 2011 Nov;205(5):460.e1-8. doi: 10.1016/j.ajog.2011.06.048. Epub 2011 Jun 21.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nervous System Diseases
- Congenital Abnormalities
- Nervous System Malformations
- Neural Tube Defects
- Spinal Dysraphism
- Physiological Effects of Drugs
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Estrogens
- Natriuretic Agents
- Diuretics
- Hormone Antagonists
- Contraceptive Agents, Hormonal
- Contraceptive Agents
- Reproductive Control Agents
- Contraceptives, Oral
- Contraceptive Agents, Female
- Contraceptives, Oral, Hormonal
- Mineralocorticoid Receptor Antagonists
- Diuretics, Potassium Sparing
- Ethinyl Estradiol
- Drospirenone
- Drospirenone and ethinyl estradiol combination
Other Study ID Numbers
Other Study ID Numbers
- 91523
- 310662 (Other Identifier: Company internal)
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