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Contraceptive Effectiveness of Sino-implant (II) in China

16 de fevereiro de 2016 atualizado por: FHI 360

A Study to Evaluate the Contraceptive Effectiveness During the Third, Fourth and Fifth Year of Sino-implant (II) Use and the Pharmacokinetics Over Five Years of Use in Chinese Women

A cohort study to Evaluate the contraceptive effectiveness of Sino-implant (II) during the 3rd and 4th years of use in Chinese women

Visão geral do estudo

Status

Concluído

Condições

Contracepção

Descrição detalhada

A Study to Evaluate the Contraceptive Effectiveness during the Third, Fourth and Fifth Year of Sino-implant (II)Use and the Pharmacokinetics (PK) over Five Years of use in Chinese Women

Population: A total of 590 Chinese Sino-Implant (II) users between 20and 44 years of age enrolled in one of four prospective cohorts:

Cohort 1: n=20 women with insertion dates 3-5months prior to enrollment and followed for 2-6 months Cohort 2:n=20 women with insertion dates 9-11 months prior to enrollment and followed for 2-6 months Cohort 3: n=250 women with insertion dates 21-24 months prior to enrollment and followed through month 36 Cohort 4:n=300 women with insertion dates 33-36 months prior to enrollment and followed through month 6

Study Duration: 33 total months in the field: 3 months of participant recruitment(all cohorts); up to 27 months of pregnancy monitoring and PK blood sampling in Cohort 4 (up to 15 months in Cohort 3 and 6 months in Cohort 1 and Cohort 2);and 3 months of close-out activities.

For secondary PK outcomes, blood samples will be taken 2 to 6 months apart from each woman in Cohort 1 and Cohort 2; at enrollment, month 30 and month 36 from the first 20 consenting women in Cohort 3; and at enrollment and months 42, 48, 54, and 60 from the first 30 consenting women in Cohort 4.

Primary Objective: To evaluate the contraceptive effectiveness of Sino-implant (II) during the third and fourth years of use

Secondary Objectives:

To evaluate the contraceptive effectiveness of Sino-implant (II) during the fifth year of use.
To characterize the total and free levonorgestrel (LNG) plasma concentration-time profiles over five years following Sino-implant (II) insertion
To characterize the sex hormone binding globulin (SHBG) serum concentration-time profile and its relationship to total LNG levels over five years following Sino-implant (II) insertion

Tipo de estudo

Observacional

Inscrição (Real)

538

Contactos e Locais

Esta seção fornece os detalhes de contato para aqueles que conduzem o estudo e informações sobre onde este estudo está sendo realizado.

Locais de estudo

China
- - Anyang, China
    - An Yang Population and Family Planning Service Station
  - Lingbao, China
    - Lingbao Population and Family Planning Service
  - Lushi, China
    - Lushi Family Planning Technical Service Station
  - Shanghai, China
    - Shanghai Institute of Planned Parenthood
  - Tongxiang, China
    - Tongxiang Population and Family Planning Service Station

Critérios de participação

Os pesquisadores procuram pessoas que se encaixem em uma determinada descrição, chamada de critérios de elegibilidade. Alguns exemplos desses critérios são a condição geral de saúde de uma pessoa ou tratamentos anteriores.

Critérios de elegibilidade

Idades elegíveis para estudo

20 anos a 44 anos (Adulto)

Aceita Voluntários Saudáveis

Sim

Gêneros Elegíveis para o Estudo

Fêmea

Método de amostragem

Amostra Não Probabilística

População do estudo

Study Population: Women who have received contraceptive implants from the Tongxiang, An Yang, Lingbao, and Lushi Family Planning Service Stations.

Descrição

Inclusion Criteria:

Have a confirmed Sino-implant (II) set in place;
Have a confirmed contraceptive implant insertion date consistent with the criteria for the cohort she is to be enrolled in;
Be aged between 20 and 44 years, inclusive;
Not wish to become pregnant in the next year;
No desire to get implant removal within the next year;
Be able to understand the information given to them and to make personal decisions on whether to participate or not in the study;
Consent to participation and sign an informed consent form;
Agree and be able to return to the clinic for follow-up visit(s).

Exclusion Criteria:

Acute liver disease or cirrhosis by self-report;
Benign or malignant tumor of the liver by self-report;
Use of rifampicin, and/or anticonvulsants (barbiturates, phenytoin, phenobarbital, carbamazepine, oxcarbazepine, primidone, topiramate), and/or herbal products containing St. John's wort (Hypericum perforatum) by self-report;7
Use of medications containing LNG or other hormones that impact LNG or SHBG disposition, e.g. treatment with LNG or oral contraceptives for bleeding disturbances by self-report;
Known HIV-positive status by self-report;
Any condition (social or medical) which in the opinion of the Investigator would make study participation unsafe, would interfere with adherence to study requirements, or complicate data interpretation.

Plano de estudo

Esta seção fornece detalhes do plano de estudo, incluindo como o estudo é projetado e o que o estudo está medindo.

Como o estudo é projetado?

Detalhes do projeto

Número de grupos/coortes

Coortes e Intervenções

Grupo / Coorte
Cohort 1 n=20 women with insertion dates 3-5months prior to enrollment and followed for 2-6 months
Cohort 2 n=20 women with insertion dates 9-11 months prior to enrollment and followed for 2-6 months
Cohort 3 n=250 women with insertion dates 21-24 months prior to enrollment and followed through month 36
Cohort 4 n=300 women with insertion dates 33-36 months prior to enrollment and followed through month 6

O que o estudo está medindo?

Medidas de resultados primários

Medida de resultado	Descrição da medida	Prazo
Pregnancy Pearl Index Prazo: 27 months	Pregnancy Pearl Index (number of pregnancies per 100 woman-years) during the third and fourth years of use, respectively, in Cohort 3 and Cohort 4	27 months

Medidas de resultados secundários

Medida de resultado	Prazo
Pregnancy Pearl Index during the fifth year of Sino implant (II) use Prazo: 27 months	27 months
Total and free LNG plasma concentrations measured by a high-performance liquid chromatography with mass spectrometry assay Prazo: 27 months	27 months
Serum SHBG concentrations measured by a chemiluminescence immunoassay Prazo: 27 months	27 months

Colaboradores e Investigadores

É aqui que você encontrará pessoas e organizações envolvidas com este estudo.

Patrocinador

FHI 360

Colaboradores

Bill and Melinda Gates Foundation

Investigadores

Investigador principal: Markus Steiner, Ph.D., FHI 360

Datas de registro do estudo

Essas datas acompanham o progresso do registro do estudo e os envios de resumo dos resultados para ClinicalTrials.gov. Os registros do estudo e os resultados relatados são revisados pela National Library of Medicine (NLM) para garantir que atendam aos padrões específicos de controle de qualidade antes de serem publicados no site público.

Datas Principais do Estudo

Início do estudo

1 de julho de 2013

Conclusão Primária (Real)

1 de novembro de 2015

Conclusão do estudo (Real)

1 de janeiro de 2016

Datas de inscrição no estudo

Enviado pela primeira vez

3 de setembro de 2013

Enviado pela primeira vez que atendeu aos critérios de CQ