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EV/DNG

Phase 3

Contraception | Small molecule | Endocrine |Bayer AG|Last Updated: Jan 14, 2016

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLED
Total Trials6
Total Enrollment3,919

FDA Designations

No designations recorded

Clinical trial landscape

EV/DNG · 10 trials · 8 indications

Phase 3 7Phase 2 3
NCT01638910Efficacy and Safety of a Combined Oral Contraceptive of Estradiol Valerate and Dienogest in Healthy Female SubjectsContraception
COMPLETED955 Analytics
NCT01638923Study of a 4-phasic Oral Contraceptive for the Treatment of Heavy Menstrual BleedingMetrorrhagia
COMPLETED339 Analytics
NCT00764881Effects of SH T00658ID on LibidoContraception
COMPLETED217 Analytics
NCT00778609Effect of a New Oral Contraceptive Pill on Hormone Related Symptoms Such as Pelvic Pain and HeadacheOral Contraceptive
COMPLETED449 Analytics
NCT00185367Comparative Cycle Control EuropeContraception
COMPLETED798 Analytics
NCT00206583Efficacy and Safety Study of an Oral Contraceptive in Healthy FemalesContraception
COMPLETED499 Analytics
NCT00185289Study to Investigate Efficacy and Safety of a New Oral ContraceptiveContraception
COMPLETED1,392 Analytics
PHASE3COMPLETED
Efficacy and Safety of a Combined Oral Contraceptive of Estradiol Valerate and Dienogest in Healthy Female Subjects
ContraceptionUnlock trial analytics
PHASE3COMPLETED
Study of a 4-phasic Oral Contraceptive for the Treatment of Heavy Menstrual Bleeding
MetrorrhagiaUnlock trial analytics
PHASE3COMPLETED
Effects of SH T00658ID on Libido
ContraceptionUnlock trial analytics
PHASE3COMPLETED
Effect of a New Oral Contraceptive Pill on Hormone Related Symptoms Such as Pelvic Pain and Headache
Oral ContraceptiveUnlock trial analytics
PHASE3COMPLETED
Comparative Cycle Control Europe
ContraceptionUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety Study of an Oral Contraceptive in Healthy Females
ContraceptionUnlock trial analytics
PHASE3COMPLETED
Study to Investigate Efficacy and Safety of a New Oral Contraceptive
ContraceptionUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of unintended pregnancies
Up to Cycle 13 (1 Cycle = 28 days)
Absolute change in Menstrual Blood Loss (MBL) at baseline and 90 days
90 day baseline period and 90 days during treatment period
Change From Baseline to Cycle 6 in the Total of Questions 1 to 6 of the Female Sexual Function Index (FSFI) - Full Analysis Set (FAS)
Baseline up to Cycle 6 (28 days per Cycle)

Change from Baseline FSFI domains in desire and arousal component scores at Cycle 6. The change in score ranges from -28 (worst) to 28 (best).

Change From Baseline to Cycle 6 in the Total of Questions 1 to 6 of the Female Sexual Function Index (FSFI) - Per Protocol Set (PPS)
Baseline up to Cycle 6 (28 days per Cycle)

Change from Baseline FSFI domains in desire and arousal component scores at Cycle 6. The change in score ranges from -28 (worst) to 28 (best).

To compare SH T00658ID (Qlaira) to Microgynon with regard to changes in frequency and intensity of the hormone withdrawal associated symptoms headache and pelvic pain on cycle days 22-28 combined into a single endpoint
Baseline to cycle 6
Bleeding pattern
7 treatment cycles each consisting of 28 days
Number of unintended pregnancies after 1 year
Throughout 1 year of treatment
Intraindividual absolute changes from Baseline in the Parameters of thrombin and fibrin turnover
Baseline, Cycle 3 of each treatment period
Impact on metabolic parameters (e.g. hemostatic parameters) after 6 month treatment
Baseline, Cycle 7
Proportion of subjects with a Hoogland score of 5-6 (luteinized unruptured follicle [LUF] or ovulation)
Treatment cycles 2 and 3

Secondary Endpoints

Number of expected bleeding days
Up to Cycle 13 (1 Cycle = 28 days)
Number of unexpected bleeding days
Up to Cycle 13 (1 Cycle = 28 days)
Number of expected bleeding episodes
Up to Cycle 13 (1 Cycle = 28 days)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposePREVENTION

Treatment Arms

ArmTypeDescription
EV/DNG (Qlaira, BAY86-5027)EXPERIMENTAL -
Arm 1EXPERIMENTAL -
Arm 2PLACEBO_COMPARATOR -
EV/DNG (Natazia, Qlaira, BAY86-5027, SH T00658ID)EXPERIMENTALDaily oral administration of one capsule BAY86-5027 \[estradiol valerate (EV) / dienogest (DNG)\] for 28 days per cycle in the sequential 4-phasic regimen for 6 treatment cycles.
EE/LNG (Microgynon) + PlaceboACTIVE_COMPARATORDaily oral administration of one capsule ethinylestradiol (EE) / levonorgestrel (LNG) for 21 days, followed by 1 capsule placebo for 7 days (28 days total per cycle) for 6 treatment cycles.

Interventions

NameTypeDescription
EV/DNG (Qlaira, BAY86-5027)DRUGOral estradiol valerate and dienogest (2 days 3.0 mg estradiol valerate (EV), 5 days 2.0 mg EV + 2.0 mg dienogest (DNG), 17 days 2.0 mg EV + 3.0 mg DNG, 2 days 1.0 mg EV, 2 days placebo), one table oral daily for 13 treatment cycles (1 cycle = 28days)
EV/DNG (Qlaira, Natazia, BAY86-5027)DRUG2 days of 3 mg estradiol valerate (EV);5 days of 2 mg EV + 2 mg dienogest (DNG);17 days of 2 mg EV + 3 mg DNG;2 days of 1 mg EV;2 days of placebo. A blister card consists of 28 pills, taken orally once a day for 7 cycles of 28 days each.
placeboDRUGMatching placebo to be taken orally daily for 7 cycles of 28 days each.
EV/DNG (Qlaira, BAY86-5027, SH T00658ID)DRUGEstradiol valerate (EV) and dienogest (DNG). Sequential 4-phasic regimen. Daily oral administration of one encapsulated SH T00658ID for 28 days per cycle, for 6 treatment cycles: Days 1-2, 3.0 mg EV; Days 3-7, 2.0 mg EV+2.0 mg DNG; Days 8-24, 2.0 mg EV+3.0 mg DNG; Days 25-26, 1.0 mg EV; Days 27-28, placebo, encapsulated for blinding purpose
MicrogynonDRUGDays 1 to 21: daily oral administration of one encapsulated Microgynon tablet; 0.03 mg ethinylestradiol (EE) + 0.15 mg levonorgestrel (LNG). Six 28-day treatment cycles.
Encapsulated Microgynon + PlaceboDRUGDay 1 to 21; 0.03 mg ethinylestradiol (EE) + 0.15 mg levonorgestrel (LNG). Day 22 to 28 placebo
EV/DNG (Qlaira, BAY86-5027, SH T00658K)DRUG7 cycles each consisting of 28 days (no tablet-free intervals); Day 1-2: 3.0 mg EV; Day 3-7: 2.0 mg EV + 2.0 mg DNG; Day 8-24: 2.0 mg EV + 3.0 mg DNG; Day 25-26: 1.0 mg EV; Day 27-28: placebo;In addition SH D 593 B (Miranova) matching placebo
SH D 593 B (Miranova)DRUG7 cycles each consisting of 28 days (no tablet-free intervals); Day 1-21: 0.02 mg EE + 0.10 mg LNG; Day 22-28: placebo; In addition EV/DNG (Qlaira, BAY86-5027, SH T00658K) matching placebo
SH D01155EDRUGper cycle: Days 1-21: 0.03 mg EE + 0.15 mg LNG; Days 22-28: Placebo
SH D00264A (Triquilar)DRUG7 treatment cycles of 28 days each (no tablet-free intervals);Days 1-6: 0.03 mg EE + 0.05 mg LNG; Days 7-11: 0.04 mg EE + 0.075 mg LNG; Days 12-21: 0.03 mg EE + 0.125 mg LNG;Days 22-28: Placebo
EV/DNG (SH T00658L)DRUGEstradiol valerate (EV) and dienogest (DNG) in a sequential 4-phasic regimen, EV 3, 2, and 1 mg and DNG 3 and 4 mg
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Eligibility Criteria

Age Range18 Years to 50 Years
SexFEMALE
Healthy VolunteersYes
Study Sites39

Inclusion Criteria: * Healthy women between 18 and 50 for the entire study, except women enrolled from India should be aged between 18 and 40 years, requesting contraception * Smokers may not exceed 35 years of age Exclusion Criteria: * Pregnancy or lactation (delivery, abortion, or lactation wit...

Countries:ChinaHong KongIndiaTaiwanThailandPhilippinesRussiaSingaporeAustraliaAustriaBelgiumGermanyItalySpainFinlandFranceMexicoSwitzerlandUnited KingdomCzechiaUnited StatesCanadaNetherlands
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Frequently asked questions about EV/DNG

What is EV/DNG used for?

EV/DNG is an investigational small molecule oral contraceptive being developed for contraception and the prevention of unplanned pregnancy. It is also studied for use in metrorrhagia and ovulation inhibition. The drug is a combined oral contraceptive containing estradiol valerate and dienogest, and it remains in clinical development.

Who makes EV/DNG?

EV/DNG is being developed by Bayer AG, a multinational pharmaceutical company headquartered in Germany. Bayer trades on the OTC market under the ticker symbol BAYRY. The company has conducted multiple clinical trials of EV/DNG for contraceptive indications across Europe and other regions.

What phase is EV/DNG in?

EV/DNG is in Phase 3 clinical development. It has completed Phase 2 and Phase 3 trials, including a large Phase 3 efficacy and safety study with 1,392 participants. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is EV/DNG in?

EV/DNG has been studied in six completed clinical trials with a total enrollment of 3,919 participants. Key trials include NCT00185224, a Phase 2 metabolism study in Germany; NCT00185289, a Phase 3 efficacy and safety study in Austria, Germany, and Spain; and NCT00778609, a Phase 3 study on hormone-related symptoms.

How does EV/DNG work?

EV/DNG is a combined oral contraceptive containing estradiol valerate, an estrogen, and dienogest, a progestin. It works by inhibiting ovulation and altering the uterine lining to prevent pregnancy. The combination of these hormones provides effective contraception through multiple mechanisms of action.

Is EV/DNG the same as SH T00658ID?

EV/DNG is the same drug as SH T00658ID, which is the code name used in clinical trial records. A Phase 2 study, NCT00318799, compared SH T00658ID to a monophasic contraceptive containing ethinylestradiol and levonorgestrel to evaluate effects on hemostatic parameters.