SH T00186 in the Treatment of Primary Dysmenorrhea
A Multi-center, Open-label, Randomized, Controlled, Parallel-group Study to Assess Efficacy and Safety of an Extended Flexible Regimen of the Combined Oral Contraceptive SH T00186D (0.02 mg Ethinylestradiol as Beta-cyclodextrin Clathrate and 3 mg Drospirenone) Compared to the Conventional Regimen of SH T00186D in the Treatment of Primary Dysmenorrhea
The investigational drug SH T00186D is an oral contraceptive. The investigational drug used in this study contains the estrogen ethinylestradiol (EE) and the progestogen drospirenone (DRSP).
The aim of the present study is to evaluate efficacy and safety of the investigational drug in the treatment of menstrual pain (pelvic pain occurring shortly before, at onset, during menstruation). Two different regimens of intake of the same investigational product will be compared.
Patients have to undergo 2 -3 Baseline cycles (depending on whether the patient was an OC user before), during which menstrual pain, bleeding events, and pain killer intake have to be documented. During this observation period, the intake of hormonal contraceptives is not allowed. Other contraceptive methods (condoms with spermicide, pessary with spermicide) have to be used. If the patient is eligible for the study, she will be randomly assigned to one of the two treatment groups. Treatment group A will take the medication according to an extended flexible regimen, i.e., tablet intake will be triggered by bleeding events. Treatment group B will take the study medication in the 24 + 4 days regimen. That means, tablets to be taken on cycle days 1 - 24 contain the hormone combination, whereas tablets 25 - 28 do not contain any active ingredients, i.e., these are so called placebo tablets.
Treatment will last at least 140 days, but can be prolonged in Treatment Group A depending of occurrence of menstrual bleeding. The overall study duration will be 10 months for each patient.
During the whole study period, 5 visits are planned. At Screening and Final examination, a thorough physical examination and a gynecological examination (including breath palpation and cervical smear ) will be performed. Blood samples will be taken for safety laboratory parameters.
Additional examinations can be performed any time, if this becomes necessary for medical reasons.
Patients will be provided with a patient diary to document the intake of study medication, any bleeding events and days without bleeding, pregnancy test results, any dysmenorrheic (menstrual) pain and its intensity and its interference with daily activity, and intake of pain medication. The pain medication (ibuprofen) will be provided.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Berlin, Germany, 13086
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Berlin, Germany, 10409
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Berlin, Germany, 10247
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Berlin, Germany, 12587
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Baden-Württemberg
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Heidelberg, Baden-Württemberg, Germany, 69120
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Bayern
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Nürnberg, Bayern, Germany, 90491
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Hessen
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Frankfurt, Hessen, Germany, 60439
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Fulda, Hessen, Germany, 36037
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Mühlheim, Hessen, Germany, 63165
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Niedersachsen
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Hannover, Niedersachsen, Germany, 30459
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Hannover, Niedersachsen, Germany, 30159
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Sachsen
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Leipzig, Sachsen, Germany, 04207
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Leipzig, Sachsen, Germany, 04299
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Leipzig, Sachsen, Germany, 04277
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Wurzen, Sachsen, Germany, 04808
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Sachsen-Anhalt
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Bernburg, Sachsen-Anhalt, Germany, 06406
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Blankenburg, Sachsen-Anhalt, Germany, 38889
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Burg, Sachsen-Anhalt, Germany, 39288
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Jessen, Sachsen-Anhalt, Germany, 06917
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Magdeburg, Sachsen-Anhalt, Germany, 39126
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Magdeburg, Sachsen-Anhalt, Germany, 39104
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Magdeburg, Sachsen-Anhalt, Germany, 39130
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Thüringen
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Gera, Thüringen, Germany, 07545
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Kahla, Thüringen, Germany, 07768
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London, United Kingdom, W12 0HS
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Derbyshire
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Chesterfield, Derbyshire, United Kingdom, S40 4TF
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Tyne and Wear
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Newcastle Upon Tyne, Tyne and Wear, United Kingdom, NE4 5BE
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Otherwise healthy female patients with moderate to severe primary dysmenorrhea
- Prospective self-rated sum pain score of >/= 8 during the 2 baseline cycles
Age between 18 and 40 years (inclusive) with smoking habits as follows:
- between 18 and 30 years of age. daily cigarette consumption not above 10
- above 30 years of age, no smoking
Exclusion Criteria:
- Current signs of history of any forms of secondary dysmenorrhea
- Any concomitant disease of condition that requires any intake of analgesic medication
- Occurrence of less than six menstrual cycles before Visit 1 following delivery, abortion, or lactation
- Clinically significant depression
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Arm 1
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Extended flexible regimen of YAZ (SH T00186D); triggered by bleeding events(Tablet p.o. (oral))
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ACTIVE_COMPARATOR: Arm 2
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YAZ (SH T 00186D) administered in the conventional regimen (24 days active + 4 days placebo) (Tablet p.o. (oral))
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of days with dysmenorrheic pain
Time Frame: 140 days
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140 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Use of rescue medication
Time Frame: 140 days
|
140 days
|
|
Interference with daily activity
Time Frame: 140 days
|
140 days
|
|
Number of days: with at least moderate dysmenorrheic pain
Time Frame: 140 days
|
140 days
|
|
Number of days with pelvic pain
Time Frame: 140 days
|
140 days
|
|
Number of days with dysmenorrheic pain associated with withdrawal bleeding
Time Frame: 140 days
|
140 days
|
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Number of days with dysmenorrheic pain associated with unscheduled bleeding
Time Frame: 140 days
|
140 days
|
|
Bleeding patterns
Time Frame: Whole treatment period
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Whole treatment period
|
|
Assessment of treatment
Time Frame: Whole treatment period
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Whole treatment period
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
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
Other Study ID Numbers
Other Study ID Numbers
- 91587
- 2006-004899-13 (EUDRACT_NUMBER)
- 310882 (OTHER: Company Internal)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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