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A Multicenter Study to Evaluate the Effects of a 91-day Oral Contraceptive on Bone Mineral Density in Adolescent Females

Registration Number
NCT00924560
Lead Sponsor
Duramed Research
Brief Summary

This study is being conducted to compare the effects of a 91-day oral contraceptive (OC) to a 28-day OC regimen on bone mineral density (BMD) in adolescent females.

Detailed Description

Participants will be randomized to either a 91-day OC or a 28-day OC. Participants not seeking hormonal contraception who meet eligibility criteria will serve as a control group. Duration of the study for each study participant will be approximately 13 months.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
1361
Inclusion Criteria
  • Healthy postmenarchal adolescent female 12-18 years old, non-pregnant, nonlactating
  • Regular spontaneous menstrual cycles
  • Body mass index (BMI): 18 kg/m² to <30 kg/m², weight < 200 lbs
  • Others as dictated by the Food and Drug Administration (FDA)-approved protocol
Exclusion Criteria
  • Any contraindication to the use of oral contraceptives
  • History of previous clinically significant adverse event while taking hormonal contraceptives
  • Use of any medication which could significantly interfere with study assessments
  • Others as dictated by FDA-approved protocol

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
91-day Levonorgestrel Oral Contraceptive91-day Levonorgestrel Oral ContraceptiveParticipants received a 91-day regimen consisting of 84 consecutive days of active combination tablets containing 150 μg levonorgestrel (LNG)/30 μg ethinyl estradiol (EE), followed by 7 days of 10 μg EE tablets for a total of 52 weeks (4 consecutive 91-day cycles).
28-day Levonorgestrel Oral Contraceptive28-day Levonorgestrel Oral ContraceptiveParticipants received a 28-day regimen consisting of 21 consecutive days of active combination tablets containing 100 μg LNG/20 μg EE followed by 7 days of placebo tablets for a total of 52 weeks (13 consecutive 28-day cycles).
Primary Outcome Measures
NameTimeMethod
Percent Change From Baseline to 12 Months in Lumbar Spine Bone Mineral Density (BMD)Baseline and Month 12

Bone mineral density was measured by dual energy X-ray absorptiometry (DXA) scan. DXA scans were interpreted centrally by blinded, certified technologists.

Percent change from Baseline was calculated as (BMD at Month 12 - BMD at Baseline)/BMD at Baseline \* 100%.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Proximal Femur Bone Mineral DensityBaseline, Month 6 and Month 12

Bone mineral density was measured by dual energy X-ray absorptiometry (DXA) scan. DXA scans were interpreted centrally by blinded, certified technologists.

Change From Baseline in Lumbar Spine Bone Mineral DensityBaseline, Month 6 and Month 12

Bone mineral density was measured by dual energy X-ray absorptiometry (DXA) scan. DXA scans were interpreted centrally by blinded, certified technologists.

Change From Baseline in Lumbar Spine Bone Mineral Content (BMC)Baseline, Month 6 and Month 12

Bone mineral content was measured by dual energy X-ray absorptiometry (DXA) scans and interpreted centrally by blinded, certified technologists.

Change From Baseline in Total Body Bone Mineral Content (BMC)Baseline, Month 6 and Month 12

Bone mineral content was measured by dual energy X-ray absorptiometry (DXA) scans and interpreted centrally by blinded, certified technologists.

Change From Baseline in Bone-specific Alkaline PhosphataseBaseline, Month 6 and Month 12
Change From Baseline in Serum DeoxypyridinolineBaseline, Month 6 and Month 12
Change From Baseline in Serum OsteocalcinBaseline, Month 6 and Month 12
Change From Baseline in Serum Procollagen 1 N-terminal PropeptideBaseline, Month 6 and Month 12
Change From Baseline in Serum Type I Collagen N-telopeptideBaseline, Month 6 and Month 12
Number of Participants With Adverse Events (AEs)12 months

An adverse event was any untoward medical occurrence in a clinical investigation subject participating in the clinical study, and did not necessarily need to have a causal relationship with treatment or the clinical study. The relationship of each adverse event to study treatment or procedures, and the severity and seriousness of each adverse event was judged by the investigator, as described below.

A severe AE is defined as incapacitating, with inability to perform usual activities.

A serious adverse event is an adverse event occurring at any dose that resulted in any of the following outcomes or actions:

* fatal or life-threatening;

* required or prolonged inpatient hospitalization;

* resulted in persistent or significant disability/incapacity;

* congenital anomaly or birth defect;

* important medical event.

Change From Baseline in Proximal Femur Bone Mineral Content (BMC)Baseline, Month 6 and Month 12

Bone mineral content was measured by dual energy X-ray absorptiometry (DXA) scans and interpreted centrally by blinded, certified technologists.

Change From Baseline in Total Body Bone Mineral DensityBaseline, Month 6 and Month 12

Bone mineral density was measured by dual energy X-ray absorptiometry (DXA) scan. DXA scans were interpreted centrally by blinded, certified technologists.

Trial Locations

Locations (46)

Teva Investigational Site 025

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Torrance, California, United States

Teva Investigational Site 033

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Cleveland, Ohio, United States

Teva Investigational Site 013

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San Diego, California, United States

Teva Investigational Site 001

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Miami, Florida, United States

Teva Investigational Site 031

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Houston, Texas, United States

Teva Investigational Site 045

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Houston, Texas, United States

Teva Investigational Site 041

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West Palm Beach, Florida, United States

Teva Investigational Site 035

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Pittsburgh, Pennsylvania, United States

Teva Investigational Site 014

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Seattle, Washington, United States

Teva Investigational Site 019

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Norfolk, Virginia, United States

Teva Investigational Site 016

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Spokane, Washington, United States

Teva Investigational Site 002

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Durham, North Carolina, United States

Teva Investigational Site 015

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Salt Lake City, Utah, United States

Teva Investigational Site 030

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St. Louis, Missouri, United States

Teva Investigational Site 018

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Phoenix, Arizona, United States

Teva Investigational Site 046

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Dallas,, Texas, United States

Teva Investigational Site 047

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North Little Rock, Arkansas, United States

Teva Investigational Site 027

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La Mesa, California, United States

Teva Investigational Site 026

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DeLand, Florida, United States

Teva Investigational Site 043

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Kernersville, North Carolina, United States

Teva Investigational Site 023

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Louisville, Kentucky, United States

Teva Investigational Site 039

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Pottstown, Pennsylvania, United States

Teva Investigational Site 034

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Champaign, Illinois, United States

Teva Investigational Site 017

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San Diego, California, United States

Teva Investigational Site 007

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Phoenix, Arizona, United States

Teva Investigational Site 022

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Washington, District of Columbia, United States

Teva Investigational Site 040

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Los Angeles, California, United States

Teva Investigational Site 021

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Baton Rouge, Louisiana, United States

Teva Investigational Site 020

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Raleigh, North Carolina, United States

Teva Investigational Site 036

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Providence, Rhode Island, United States

Teva Investigational Site 032

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Charleston, South Carolina, United States

Teva Investigational Site 009

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Lincoln, Nebraska, United States

Teva Investigational Site 012

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Medford, Oregon, United States

Teva Investigational Site 024

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Columbia, South Carolina, United States

Teva Investigational Site 010

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Lawrenceville, New Jersey, United States

Teva Investigational Site 048

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Rochester, New York, United States

Teva Investigational Site 011

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Waco, Texas, United States

Teva Investigational Site 028

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Tampa, Florida, United States

Teva Investigational Site 003

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Miami, Florida, United States

Teva Investigational Site 005

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Tucson, Arizona, United States

Teva Investigational Site 037

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Mountain View, California, United States

Teva Investigational Site 044

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New Bern, North Carolina, United States

Teva Investigational Site 006

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Winston-Salem, North Carolina, United States

Teva Investigational Site 008

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Clearwater, Florida, United States

Teva Investigational Site 004

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Boynton Beach, Florida, United States

Teva Investigational Site 038

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Port Jefferson, New York, United States

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