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Contraceptives Containing Drospirenone and Blood Pressure

Phase 4
Completed
Conditions
Blood Pressure
Contraception
Interventions
Drug: 30EE+DRSP
Drug: 20EE+DRSP
Registration Number
NCT02342093
Lead Sponsor
University of Sao Paulo
Brief Summary

Background: Drospirenone (DRSP) seems to have a favorable effect on blood pressure (BP); however, when associated with ethinylestradiol (EE), this effect does not seem to occur. This study has the objective to assess possible differences in BP associated with the use of COCs containing DRSP with different doses of ethinylestradiol.

Materials and methods: This open-label parallel-group randomized clinical trial involved women randomized to use either 30 mcg of EE+DRSP (n=22) or 20 mcg of EE+DRSP (n=22). Daytime, nighttime and 24-hour BP were evaluated by ambulatory blood pressure monitoring (ABPM) at the beginning of the trial and six months after drug therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
44
Inclusion Criteria
  • sexually active women who did not wish to become pregnant,
  • aged between 18 and 35,
  • with menstrual cycles lasting between 24 and 32 days,
  • body mass index (BMI) between 18.0 and 29.9 kg/m2
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Exclusion Criteria
  • smoking,
  • use of drugs and/or alcohol,
  • clinical and/or laboratory signs of hyperandrogenism,
  • use of hormonal contraception within six months before the initiation of the study,
  • presence of chronic and/or acute inflammatory processes,
  • use of medications with endothelial effects (e.g., statins),
  • breastfeeding or having stopped breastfeeding within two months before the initiation of the study,
  • medical conditions classified as category 3 or 4 according to the WHO medical eligibility criteria for contraceptive prescription
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
30EE+DRSP30EE+DRSPCombined oral contraceptive containing 30 mcg of ethinylestradiol + 3 mg of drospirenone (30EE+DRSP), 1 pill once a day with a pause of seven days between the blisters for 6 months
20EE+DRSP20EE+DRSPCombined oral contraceptive containing 20 mcg of ethinylestradiol + 3 mg of drospirenone (20EE+DRSP), 1 pill once a day with a pause of four days between the blisters for 6 months
Primary Outcome Measures
NameTimeMethod
Blood pressure24 hours

Twenty-four-hour mean systolic blood pressure (SBP), 24-hour mean diastolic blood pressure (DBP), and day and nighttime SBP and DBP were measured by ambulatory blood pressure monitoring

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Sao Paulo

🇧🇷

Ribeirão Preto, SP, Brazil

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