Title
Is Cerazette Use Before Nexplanon Insertion Predictive for Bleeding Pattern?
A Randomized Study to Evaluate the Predictive Impact of Using Cerazette Progestin Only Pill Before Nexplanon Insertion Regarding Bleeding Pattern
Phase
Phase 4Lead Sponsor
VL-Medi OyStudy Type
InterventionalStatus
Unknown statusIndication/Condition
BleedingIntervention/Treatment
desogestrel ...Study Participants
90The purpose of the study is to examine how well three months preceding use of Cerazette progestin only pill predicts the bleeding pattern during following Nexplanon implant use.
Desogestrel 75 micrograms POP daily for 3 monts, followed by etonogestrel 68 mg subdermal implant for following 6 months
Etonogestrel 68 mg subdermal implant for 6 months
Arm 1: 75 microgr desogestrel POP (cerazette) daily for 3 months followed by etonogestrel implant (Nexplanon, 68 mg etonogestrel) for following 6 months
Arm 2: Women staring straight with Nexplanon implant for 6 months
Inclusion Criteria: Healthy women, 18-40 years of age regular menstrual cycle (period 23-35 days) Exclusion Criteria: -Immediate previous use of progestin only contraception within 2 months Known or suspected pregnancy Acute tromboembolic disorder Presence or history of hepatic disease, as long as the liver function values have not returned to normal Undiagnosed vaginal bleeding Known or suspected sex-steroid influenced malignancies (e.g. breast cancer) Hypersensitivity to the active substances or to any of the excipients of the medicines Pregnant or breast feeding within 6 weeks The use of other medicinal products that might interact with contraceptive steroids and affect the efficacy of contraceptives and/or might may lead to bleeding irregularities (especially medicines that induce the liver enzyme systems such as cytochrome P450). Examples of active substances are: phenytoin, phenobarbital, primidone, bosentan, carbamatzepine, rifampicin and medicinal products or herbal preparations containing ST.John's wort and to a lesser extend oxcarbazepine, topiramate, felbamate and griseofulvin.