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Nomegestrol contraceptive vaginal ring

Phase 2

Dysmenorrhea | Small molecule | Other |Organon & Co.|Last Updated: May 28, 2024

Target and mechanism

ModalitySmall molecule

Also known as Nomegestrol acetate contraceptive vaginal ring (NOMAC-CVR)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment439

FDA Designations

No designations recorded

Clinical trial landscape

Nomegestrol contraceptive vaginal ring · 1 trial · 1 indication

Phase 2 1
NCT01670656A Study to Evaluate the Effect of Contraceptive Vaginal Rings on Primary Dysmenorrhea (P08257/MK-8175A/MK-8342B-057)Dysmenorrhea
COMPLETED439 Analytics
PHASE2COMPLETED
A Study to Evaluate the Effect of Contraceptive Vaginal Rings on Primary Dysmenorrhea (P08257/MK-8175A/MK-8342B-057)
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Study Endpoints

Primary Endpoints

Change From Baseline in Mean Menstrual Cramping Pain Score Through Cycle 2
Baseline and Day 29 to 56 (Cycle 2)

The Mean Menstrual Cramping Pain score was calculated as the average of the three highest daily menstrual cramping scores (item #3 of the Menstrual Distress Questionnaire: "Cramps") in the baseline cycle and treatment Cycle 2, respectively. The daily menstrual cramping pain score was based on five pain categories: none (0); mild (1); moderate (2); strong (3); and severe (4). In case of absence of withdrawal bleeding, or onset of menstruation, the mean of the three highest menstrual cramping pain scores recorded within Days 21-28 was used for analysis. The Mean Menstrual Cramping Pain Score in the baseline or subsequent cycles could range from 0 (none) to 4 (severe).

Secondary Endpoints

Change From Baseline in Total Mean Impact Score Through Cycle 2
Baseline and Day 29 to 56 (Cycle 2)
Change From Baseline in Number of Ibuprofen Tablets Taken Through Cycle 2
Baseline and Day 29 to 56 (Cycle 2)
Change From Baseline in Number of Days of Ibuprofen Intake Through Cycle 2
Baseline and Day 29 to 56 (Cycle 2)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
NOMAC-E2 700/300 mcgEXPERIMENTALNOMAC-E2 700/300 mcg will be administered for two 28-day treatment periods, each period (cycle) consisting of 21 days of vaginal ring use followed by 7 vaginal ring-free days.
NOMAC-E2 900/300 mcgEXPERIMENTALNOMAC-E2 900/300 mcg will be administered for two 28-day treatment periods, each period (cycle) consisting of 21 days of vaginal ring use followed by 7 vaginal ring-free days.
ENG-E2 100/300 mcgEXPERIMENTALENG-E2 100/300 mcg will be administered for two 28-day treatment periods, each period (cycle) consisting of 21 days of vaginal ring use followed by 7 vaginal ring-free days.
ENG-E2 125/300 mcgEXPERIMENTALENG-E2 125/300 mcg will be administered for two 28-day treatment periods, each period (cycle) consisting of 21 days of vaginal ring use followed by 7 vaginal ring-free days.
PlaceboPLACEBO_COMPARATORPlacebo will be administered for two 28-day treatment periods, each period (cycle) consisting of 21 days of vaginal ring use followed by 7 vaginal ring-free days.

Interventions

NameTypeDescription
Nomegestrol acetate contraceptive vaginal ring (NOMAC-CVR)DRUGEither 700 or 900 mcg NOMAC and 300 mcg E2 intravaginal ring for two 28-day cycles
Etonogestrel containing contraceptive vaginal ring (ENG-CVR)DRUGEither 100 or 125 mcg ENG and 300 mcg E2, intravaginally for two 28-day cycles
PlaceboDRUGPlacebo to match vaginal ring, intravaginally for two 28-day cycles
IbuprofenDRUGIbuprofen 400 mg will be dispensed throughout the entire study as needed as rescue medication for treating menstrual cramping pain. The maximum daily ibuprofen dose is 3200 mg (8 tablets)
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Eligibility Criteria

Age Range18 Years to 50 Years
SexFEMALE
Healthy VolunteersNo

Inclusion Criteria: * Body mass index (BMI) ≥18 and ≤35 * Established diagnosis of primary dysmenorrhea * If of child-bearing potential must agree to use condoms for contraception during the entire screening period, treatment period, and post-treatment period until the final study visit, unless she...

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