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Levonorgestrel

Phase 3

Contraception | Small molecule | Endocrine |Bayer AG|Last Updated: Nov 7, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials2
Total Enrollment1,616

FDA Designations

No designations recorded

Clinical trial landscape

Levonorgestrel · 3 trials · 2 indications

Phase 3 2Phase 2 1
NCT03074045LCS16 vs. COC User Satisfaction and Tolerability StudyContraception
COMPLETED145 Analytics
NCT02403401Safety and Contraceptive Efficacy of an Intravaginal Ring With LNG (Levonorgestrel) Over One Year in Healthy WomenContraception
COMPLETED1,471 Analytics
PHASE3COMPLETED
LCS16 vs. COC User Satisfaction and Tolerability Study
ContraceptionUnlock trial analytics
PHASE3COMPLETED
Safety and Contraceptive Efficacy of an Intravaginal Ring With LNG (Levonorgestrel) Over One Year in Healthy Women
ContraceptionUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall satisfaction rate
12 months

5-point Likert item 1. Very satisfied 2. Satisfied 3. Neither satisfied nor dissatisfied 4. Dissatisfied 5. Very dissatisfied

Pregnancy rate (Pearl Index)
Up to 12 months

Pearl Index = Number of pregnancies per 100 woman-years of exposure

Absolute Change in Mean Pain of the 7 Days With Worst EAPP From Baseline (Last 28 Days Before Randomization) to End of Treatment (Last 28 Days of Treatment Period, Days 57-84) as Measured on NRS by Question 1 of ESD
Baseline (last 28 days before randomization), end of treatment (Treatment 3) (last 28 days of the treatment period, Day 57-84)

Pain intensity was assessed on 11-point (0-10) NRS by question 1. In question 1, participants were asked to rate the pain in the target area during the past 24 hours, where 0= no pain and 10= worst imaginable pain and responses were recorded in ESD. The mean pain of the 7 days with worst EAPP within a 28-day window was calculated as the sum of ESD item 1 on 7 days with worst EAPP within that 28-day window divided by 7.

Secondary Endpoints

Number of adverse events
Up to 5 years
Discontinuation rates
Up to 5 years
Bleeding pattern
Up to 12 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TestEXPERIMENTALLCS16 (Low-dose LNG IUS)
ReferenceACTIVE_COMPARATORCOC (Yarina)
Levonorgestrel (BAY98-7196)EXPERIMENTALVaginal ring containing 170 mg levonorgestrel
PlaceboPLACEBO_COMPARATORPlacebo intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection
LevonorgestrelEXPERIMENTALLevonorgestrel 40 µg/d intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection
Anastrozole 300 µg/d + LevonorgestrelEXPERIMENTALAnastrozole 300 µg/d + Levonorgestrel 40 µg/d intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection
Anastrozole 600 µg/d + LevonorgestrelEXPERIMENTALAnastrozole 600 µg/d + Levonorgestrel 40 µg/d intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection
Anastrozole 1050 µg/d + LevonorgestrelEXPERIMENTALAnastrozole 1050 µg/d + Levonorgestrel 40 µg/d intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection
Lupron / Leuprolide acetateACTIVE_COMPARATORPlacebo intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Lupron / Leuprolide acetate 11.25 mg 3-months depot intramuscular injection

Interventions

NameTypeDescription
Levonorgestrel (Kyleena, BAY86-5028)DRUGLow-dose LNG IUS with an initial in vitro release rate of 16 μg LNG/day, used continuously. The total LNG content in LCS16 is 19.5 mg. Administered intrauterine, for 12 months with an option for extended use for up to 5 years
Ethinyl estradiol and drospirenone (Yarina, BAY86-5131)DRUGCOC tablet containing 30 μg ethinyl estradiol and 3 mg drospirenone (taken on cycle days 1-21, inclusive, followed by a 7-day tablet-free week) for 12 months
Levonorgestrel (BAY98-7196)DRUGLevonorgestrel 40 µg/d intravaginal ring (treatment for 365 days, 28 days wearing period for each ring)
PlaceboDRUGPlacebo intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection
LevonorgestrelDRUGLevonorgestrel 40 µg/d intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection
AnastrozoleDRUGParticipants received Anastrozole 300 µg/d or 600 µg/d or 1050 µg/d + Levonorgestrel 40 µg/d intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Placebo 3-months depot intramuscular injection
Lupron / Leuprolide acetateDRUGPlacebo intravaginal ring (treatment for 84 days, 28 days wearing period for each ring) and Lupron / Leuprolide acetate 11.25 mg 3-months depot intramuscular injection
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Eligibility Criteria

Age Range18 Years to 29 Years
SexFEMALE
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: * The subject has signed and dated the Informed Consent Form (ICF). * The subject is healthy when requesting contraception. * The subject is between 18 - 29 years of age (inclusive) at the time of signing the ICF. * The subject has normal or clinically insignificant cervical sme...

Countries:RussiaUnited StatesJapanAustriaBelgiumCanadaCzechiaDenmarkFinlandGermanyNetherlandsNorwayPolandSpainSwitzerland
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Frequently asked questions about Levonorgestrel

What is Levonorgestrel used for?

Levonorgestrel is a small molecule being studied for contraception, endometriosis, and biological availability. It is developed by Bayer AG. In clinical trials, it has been evaluated as an intravaginal ring for contraception and in a dose-finding study for endometriosis.

Who makes Levonorgestrel?

Levonorgestrel is developed by Bayer AG, a company traded under the ticker BAYRY. Bayer has conducted multiple clinical trials with Levonorgestrel, including Phase 3 studies for contraception and a Phase 2 study for endometriosis.

What phase is Levonorgestrel in?

Levonorgestrel has completed Phase 3 clinical trials for contraception and a Phase 2 trial for endometriosis. It remains an investigational drug in clinical development, as no approval status has been reported for these indications.

What clinical trials is Levonorgestrel in?

Levonorgestrel has been studied in several completed trials. NCT02403401 was a Phase 3 safety and efficacy study of an intravaginal ring with Levonorgestrel for contraception. NCT02203331 was a Phase 2 dose-finding study for endometriosis. NCT03074045 compared a levonorgestrel-releasing system to a combined oral contraceptive.

How does Levonorgestrel work?

Levonorgestrel is a progestin hormone. It works by suppressing ovulation and thickening cervical mucus to prevent sperm penetration, which is its mechanism for contraception. In endometriosis, it may reduce endometrial tissue growth through its progestogenic effects.

Is Levonorgestrel the same as LNG?

Yes, Levonorgestrel is commonly abbreviated as LNG. Clinical trial titles refer to it as LNG, such as in the study of an intravaginal ring with LNG for contraception. It is also known by the code name Bay98-7196 in some research contexts.