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91-day Levonorgestrel Contraceptive

Phase 2

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

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment1,361

FDA Designations

No designations recorded

Clinical trial landscape

91-day Levonorgestrel Contraceptive · 3 trials · 4 indications

Phase 2 3
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
NCT00781456A Multicenter Study to Evaluate the Efficacy of a 91-Day Extended Cycle Oral Contraceptive for Menstrually-Related Migraine HeadachesMigraine
COMPLETED109 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
PHASE2COMPLETED
A Multicenter Study to Evaluate the Efficacy of a 91-Day Extended Cycle Oral Contraceptive for Menstrually-Related Migraine Headaches
MigraineUnlock trial analytics

Study Endpoints

Primary Endpoints

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%.

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.

Secondary Endpoints

Change From Baseline to End of Month 6 in D-dimer
Baseline to Month 6
Change From Baseline to End of Month 6 in Plasmin-Antiplasmin (PAP) Complex
Baseline to Month 6
Change From Baseline to End of Month 6 in Activated Partial Thromboplastin Time (APTT) Based Activated Protein-C Resistance (APC)
Baseline to Month 6
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeBASIC_SCIENCE

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 in each 91-day cycle for a total of two 91-day cycles.
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.
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.

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.
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.
PlaceboDRUG1 tablet daily to match experimental arm
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Eligibility Criteria

Age Range18 Years to 40 Years
SexFEMALE
Healthy VolunteersYes
Study Sites24

Inclusion Criteria: * Premenopausal, non-pregnant, non-lactating women age 18-40 years old * Body Mass Index (BMI) ≥18 kg/m² and \<30 kg/m² * Regular spontaneous menstrual cycle * Others as dictated by FDA-approved protocol Exclusion Criteria: * Any condition which contraindicates the use of comb...

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

What is 91-day Levonorgestrel Contraceptive used for?

91-day Levonorgestrel Contraceptive is an investigational small molecule oral contraceptive being studied for effects on bone mineral density, menstrually-related migraine headaches, and hemostatic parameters in women. It is a 91-day extended cycle oral contraceptive, meaning it is designed to reduce the frequency of menstrual periods.

Who makes 91-day Levonorgestrel Contraceptive?

91-day Levonorgestrel Contraceptive is being developed by Teva Pharmaceutical Industries Limited, which trades under the ticker TEVA. The company is conducting clinical trials to evaluate the drug's effects on bone mineral density, migraine, and hemostasis.

What phase is 91-day Levonorgestrel Contraceptive in?

91-day Levonorgestrel Contraceptive is in Phase 2 clinical development. It is investigational and has not been approved by regulatory authorities. All three completed trials were Phase 2 studies, and the drug remains under investigation for its potential effects on bone mineral density, migraine, and hemostasis.

What clinical trials is 91-day Levonorgestrel Contraceptive in?

91-day Levonorgestrel Contraceptive has been studied in three completed Phase 2 trials: NCT00781456 evaluated its effect on menstrually-related migraine headaches in 109 women; NCT00924560 assessed bone mineral density in 1,361 adolescent females; and NCT01252186 examined hemostatic parameters in 265 healthy women.

What does 91-day Levonorgestrel Contraceptive target?

91-day Levonorgestrel Contraceptive is a small molecule that contains levonorgestrel, a progestin hormone. It works by suppressing ovulation and altering the uterine lining to prevent pregnancy, though the clinical trials listed focus on its secondary effects on bone mineral density, migraine, and hemostasis rather than contraceptive efficacy.

Is 91-day Levonorgestrel Contraceptive the same as Seasonale?

91-day Levonorgestrel Contraceptive is an extended cycle oral contraceptive regimen that uses levonorgestrel, similar to products like Seasonale. However, the specific formulation and dosing schedule may differ, and the drug is currently investigational in Phase 2 trials, so it is not yet marketed under a brand name.