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91-day Levonorgestrel Contraceptive

Phase 2

Bone Mineral Density | Small molecule | Musculoskeletal |Teva Pharmaceutical Industries Limited|Trials Updated: Feb 6, 2017

91-day Levonorgestrel Contraceptive target and mechanism

ModalitySmall molecule

Also known as 91-day Levonorgestrel Oral Contraceptive

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials3
Total Enrollment1,735

FDA Designations

No designations recorded

91-day Levonorgestrel Contraceptive clinical trials

91-day Levonorgestrel Contraceptive · 3 trials · 4 indications

Phase 2 3
NCT00781456A Multicenter Study to Evaluate the Efficacy of a 91-Day Extended Cycle Oral Contraceptive for Menstrually-Related Migraine HeadachesMigraine
COMPLETED109 Analytics
NCT01252186A Multicenter Study to Evaluate the Effects of a 91-Day Extended Cycle Oral Contraceptive on Hemostatic Parameters in Healthy WomenHemostasis
COMPLETED265 Analytics
NCT00924560A Multicenter Study to Evaluate the Effects of a 91-day Oral Contraceptive on Bone Mineral Density in Adolescent FemalesBone Mineral Density
COMPLETED1,361 Analytics
PHASE2COMPLETED
A Multicenter Study to Evaluate the Efficacy of a 91-Day Extended Cycle Oral Contraceptive for Menstrually-Related Migraine Headaches
MigraineUnlock trial analytics
PHASE2COMPLETED
A Multicenter Study to Evaluate the Effects of a 91-Day Extended Cycle Oral Contraceptive on Hemostatic Parameters in Healthy Women
HemostasisUnlock trial analytics
PHASE2COMPLETED
A Multicenter Study to Evaluate the Effects of a 91-day Oral Contraceptive on Bone Mineral Density in Adolescent Females
Bone Mineral DensityUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With ≥ 50% Reduction in Migraine Frequency During the Treatment Period
Baseline (25-35 days before Day 1) and Days 1-91

The number of participants with at least 50% reduction in migraine frequency (average weekly number of migraine episodes) through the end of the 91-day treatment period compared with Baseline (the 25- to 35-day baseline qualification period). Participants recorded the incidence, timing and intensity of migraines in a migraine diary during the prequalification period and throughout the 91-day treatment period.

Change From Baseline to End of Month 6 in Prothrombin Fragment 1+2 Levels
Baseline to Month 6

Prothrombin fragment 1+2 is a coagulation factor, released when prothrombin is cleaved by activated factor X. Elevated plasma levels of prothrombin fragment 1+2 indicate high risk of thrombosis.

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 Endpoints

Percentage of Participants With ≥ 50% Reduction in Migraine Frequency During the First, Second and Third Months
Baseline, Month1, Month 2 and Month 3
Change From Baseline in Average Migraine Severity
Baseline and Month 1, Month 2 and Month 3
Percentage of Participants Who Required Rescue Medications During the Study Period
Baseline, Month 1, Month 2 and Month 3
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposePREVENTION

Treatment Arms

ArmTypeDescription
91-day Levonorgestrel Oral ContraceptiveEXPERIMENTALParticipants received 12 weeks (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 monotherapy, for a total of 13 weeks.
PlaceboPLACEBO_COMPARATORParticipants received placebo, 12 weeks (84 consecutive days) of inactive tablets, followed by an additional 7 days of inactive tablets, for a total of 13 weeks.
28-day Levonorgestrel Oral ContraceptiveACTIVE_COMPARATORParticipants received 21 days of active combination tablets containing 150 µg LNG/30 µg EE, followed by no treatment for 7 days in each 28-day cycle for a total of six 28-day cycles.
28-day Desogestrel Oral ContraceptiveACTIVE_COMPARATORParticipants received 21 days of active combination tablets (containing 150 µg desogestrel (DSG)/30 µg EE, followed by no treatment for 7 days in each 28-day cycle for a total of six 28-day cycles.
Untreated ControlNO_INTERVENTIONParticipants received no oral contraceptives during the study.

Interventions

NameTypeDescription
91-day Levonorgestrel Oral ContraceptiveDRUG91-day treatment consisting of 84 blue combination tablets containing 150 µg LNG/30 µg EE and 7 yellow tablets containing 10 µg EE.
PlaceboDRUG1 tablet daily to match experimental arm
28-day Levonorgestrel Oral ContraceptiveDRUG21 combination tablets containing 150 µg LNG/30 µg EE.
28-day Desogestrel Oral ContraceptiveDRUG21 combination tablets containing 150 µg DSG/30 µg EE.
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Eligibility Criteria

Age Range18 Years to 34 Years
SexFEMALE
Healthy VolunteersNo
Study Sites22

Inclusion Criteria: * Premenopausal, non-pregnant, non-lactating * History of migraine headaches without aura for at least 6 months * History of migraine headaches associated with menstruation * Others as directed by FDA-approved protocol Exclusion Criteria: * History of migraine headaches with a...

Countries:United StatesItaly
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Frequently asked questions about 91-day Levonorgestrel Contraceptive

What is the 91-day Levonorgestrel Contraceptive?

The 91-day Levonorgestrel Contraceptive is an extended-cycle oral contraceptive small molecule developed by Teva Pharmaceutical Industries Limited. It is designed to provide contraception across a 91-day cycle rather than the standard 28-day cycle. It has been studied in Phase 2 trials in healthy women and adolescent females.

What is the 91-day Levonorgestrel Contraceptive used for?

The 91-day Levonorgestrel Contraceptive is used for contraception and has been evaluated for effects on bone mineral density, hemostatic parameters, and menstrually-related migraine headaches. Its clinical development has focused on these areas in women and adolescent females.

Who makes the 91-day Levonorgestrel Contraceptive?

The 91-day Levonorgestrel Contraceptive is developed by Teva Pharmaceutical Industries Limited, which trades under the ticker TEVA. Teva is the sponsor of the clinical trials evaluating this extended-cycle oral contraceptive.

What phase is the 91-day Levonorgestrel Contraceptive in?

The 91-day Levonorgestrel Contraceptive is in Phase 2 clinical development. It is investigational and has not been approved by the FDA. All three of its Phase 2 trials have been completed, and no active trials are currently listed.

What clinical trials is the 91-day Levonorgestrel Contraceptive in?

The 91-day Levonorgestrel Contraceptive has been studied in three completed Phase 2 trials: NCT01252186, which evaluated hemostatic parameters in healthy women; NCT00924560, which assessed bone mineral density in adolescent females; and NCT00781456, which examined efficacy for menstrually-related migraine headaches.

Is the 91-day Levonorgestrel Contraceptive the same as the 91-day Levonorgestrel Oral Contraceptive?

Yes, the 91-day Levonorgestrel Contraceptive is also known as the 91-day Levonorgestrel Oral Contraceptive. Both names refer to the same extended-cycle oral contraceptive developed by Teva Pharmaceutical Industries Limited.