A Phase 3 interventional study of Levonorgestrel IUS (Mirena, BAY86-5028) and Medroxyprogesterone acetate in Menorrhagia, sponsored by Bayer. Completed at 54 sites in 5 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-12-09.
Sponsored by Bayer · Phase 3, Interventional, and Treatment
The purpose of this study is to determine whether the levonorgestrel-releasing intrauterine system is effective in decreasing menstrual blood loss.
Acronyms in the Adverse Event Section:
This study has previously been posted by Berlex, Inc. and Schering AG, Germany. Berlex, Inc. has been renamed to Bayer HealthCare Pharmaceuticals, Inc., Schering AG Germany has been renamed to Bayer HealthCare AG, Germany.
182 studies on the registry are indexed under Menorrhagia; 33 are open to participants now.
This study's enrollment of 165 is above the median of 100 across 133 interventional studies indexed under Menorrhagia.
Browse Menorrhagia studies →Bayer is the lead sponsor of 1,643 studies on the registry; 57 are open to participants now.
Of its 209 completed or terminated interventional studies of FDA-regulated products, 129 (62%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Initial release rate of 20µg Levonorgestrel IUS (Mirena, BAY86-5028) per day for 6 cycles.
Drug: Levonorgestrel IUS (Mirena, BAY86-5028)
Medroxyprogesterone acetate (MPA, Provera), oral, 10mg per tablet on 10 consecutive days of each cycle for 6 cycles.
Drug: Medroxyprogesterone acetate
Initial release rate of 20µg Levonorgestrel IUS (Mirena, BAY86-5028) per day for 6 cycles.
Medroxyprogesterone acetate (MPA, Provera), oral, 10mg per tablet on 10 consecutive days of each cycle for 6 cycles.
The Change in Absolute Value From Baseline Menstrual Blood Loss (MBL) to the End-of-study MBL (Cycle 6)
The MBL for each cycle included intermenstrual bleeding in addition to withdrawal bleeding. Baseline MBL was the composite MBL measured during each of the cycles during the Screening Phase. End-of-study MBL was measured during Cycle 6 of the Treatment Phase.
Time frame: Baseline and up to 6 months
Percentage of Patients With Successful Treatment
End-of-study MBL \< 80 mL and a decrease to a value no greater than 50% of the Baseline MBL was considered to be treatment success.
Time frame: At 6 months
Percent Change From Baseline MBL to End of Study MBL (Cycle 6)
The percent change = {(End of Study MBL - Baseline MBL)/Baseline MBL} x 100.
Time frame: Baseline and up to 6 months
Absolute Change From Baseline MBL to Mid-study MBL (Cycle 3)
The MBL for each cycle included intermenstrual bleeding in addition to withdrawal bleeding. Mid-study MBL was measured during Cycle 3 of the Treatment Phase.
Time frame: Baseline and up to 3 months
Percent Change From Baseline MBL to Mid-study MBL (Cycle 3)
The percent change = {(Mid-study MBL - Baseline MBL)/Baseline MBL} x 100.
Time frame: Baseline and up to 3 months
Percentage of Subjects Who Completed the Study in Levonorgestrel Intrauterine System (LNG IUS) Group
Time frame: Baseline and up to 6 months
Total Number of Bleeding Days
In the LNG IUS group, each cycle has 30 days. In the MPA group, each menstrual cycle starts on the 1st bleeding day (withdrawal bleeding) and lasts until the last non-bleeding day before next withdrawal bleeding starts.
Time frame: Baseline and up to 6 months
Total Number of Spotting and Bleeding Days
In the LNG IUS group, each cycle has 30 days. In the MPA group, each menstrual cycle starts on the 1st bleeding day (withdrawal bleeding) and lasts until the last non-bleeding day before next withdrawal bleeding starts.
Time frame: Baseline and up to 6 months
Total Number of Spotting Days
In the LNG IUS group, each cycle has 30 days. In the MPA group, each menstrual cycle starts on the 1st bleeding day (withdrawal bleeding) and lasts until the last non-bleeding day before next withdrawal bleeding starts.
Time frame: Baseline and up to 6 months
Total Number of Bleeding Episodes
A bleeding episode is defined as a light, normal or heavy bleeding, during a minimum of one day. In the LNG IUS group, each cycle has 30 days. In the MPA group, each menstrual cycle starts on the 1st bleeding day (withdrawal bleeding) and lasts until the last non-bleeding day before next withdrawal bleeding starts.
Time frame: Baseline and up to 6 months
Percent Change in Hemoglobin
Time frame: Baseline and up to 6 months
Percent Change in Hematocrit
Time frame: Baseline and up to 6 months
Percent Change in Serum Ferritin
Time frame: Baseline and up to 6 months
Percentage of Patients With Improvement in the Investigator Global Assessment Scale
"Improved" is classified as 'very much improved', 'much improved', or 'improved' and "not improved" is classified as 'no change', 'worse', 'much worse', or 'very much worse'
Time frame: Up to 6 months
Percentage of Patients With Improvement in the Patients Overall Assessment Scale
"Improved" is classified as 'very much improved', 'much improved', or 'improved' and "not improved" is classified as 'no change', 'worse', 'much worse', or 'very much worse'.
Time frame: Up to 6 months
| Milestone | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Started | 82 | 83 |
| Completed | 73 | 72 |
| Not completed | 9 | 11 |
| Withdrew: Adverse event | 4 | 2 |
| Withdrew: Lost to follow-up | 2 | 1 |
| Withdrew: Physician decision | 2 | 1 |
| Withdrew: Protocol violation | 0 | 4 |
| Withdrew: Withdrawal by subject | 1 | 3 |
The MBL for each cycle included intermenstrual bleeding in addition to withdrawal bleeding. Baseline MBL was the composite MBL measured during each of the cycles during the Screening Phase. End-of-study MBL was measured during Cycle 6 of the Treatment Phase.
| milliliter (mL) | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| The Change in Absolute Value From Baseline Menstrual Blood Loss (MBL) to the End-of-study MBL (Cycle 6) | -128.78 (-393.6 to 1242.2) | -17.7 (-271.5 to 78.6) |
End-of-study MBL \< 80 mL and a decrease to a value no greater than 50% of the Baseline MBL was considered to be treatment success.
| Percentage of participants | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Percentage of Patients With Successful Treatment | 84.8 | 22.2 |
The percent change = {(End of Study MBL - Baseline MBL)/Baseline MBL} x 100.
| Percent change | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Percent Change From Baseline MBL to End of Study MBL (Cycle 6) | -70.75 ± 88.31 | -21.54 ± 35.79 |
The MBL for each cycle included intermenstrual bleeding in addition to withdrawal bleeding. Mid-study MBL was measured during Cycle 3 of the Treatment Phase.
| milliliter (mL) | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Absolute Change From Baseline MBL to Mid-study MBL (Cycle 3) | -115.13 (-405.8 to 54.4) | -3.15 (-270.9 to 146.7) |
The percent change = {(Mid-study MBL - Baseline MBL)/Baseline MBL} x 100.
| Percent change | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Percent Change From Baseline MBL to Mid-study MBL (Cycle 3) | -61.71 ± 41.76 | -11.11 ± 42.46 |
| percentage of participants | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours |
|---|---|
| 0 days | 97.53 |
| 30 days | 95.06 |
| 60 days | 93.83 |
| 90 days | 92.59 |
| 120 days | 91.36 |
| 150 days | 90.12 |
| 180 days | 90.12 |
In the LNG IUS group, each cycle has 30 days. In the MPA group, each menstrual cycle starts on the 1st bleeding day (withdrawal bleeding) and lasts until the last non-bleeding day before next withdrawal bleeding starts.
| days | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Baseline | 5.64 ± 1.573 | 5.64 ± 1.280 |
| Cycle 1 | 10.23 ± 5.784 | 5.17 ± 1.349 |
| Cycle 2 | 7.88 ± 5.256 | 5.15 ± 1.459 |
| Cycle 3 | 5.92 ± 4.505 | 5.25 ± 1.648 |
| Cycle 4 | 4.77 ± 4.455 | 4.82 ± 1.591 |
| Cycle 5 | 3.77 ± 4.560 | 4.89 ± 1.325 |
| Cycle 6 | 4.16 ± 4.631 | 5.29 ± 1.835 |
In the LNG IUS group, each cycle has 30 days. In the MPA group, each menstrual cycle starts on the 1st bleeding day (withdrawal bleeding) and lasts until the last non-bleeding day before next withdrawal bleeding starts.
| days | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Baseline | 6.30 ± 1.744 | 6.80 ± 1.990 |
| Cycle 1 | 19.70 ± 7.894 | 6.65 ± 2.265 |
| Cycle 2 | 17.46 ± 7.293 | 7.46 ± 2.294 |
| Cycle 3 | 11.89 ± 7.415 | 6.92 ± 2.569 |
| Cycle 4 | 10.42 ± 6.426 | 6.66 ± 2.372 |
| Cycle 5 | 10.25 ± 7.359 | 6.89 ± 2.482 |
| Cycle 6 | 8.58 ± 7.024 | 6.90 ± 2.834 |
In the LNG IUS group, each cycle has 30 days. In the MPA group, each menstrual cycle starts on the 1st bleeding day (withdrawal bleeding) and lasts until the last non-bleeding day before next withdrawal bleeding starts.
| days | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Baseline | 1.23 ± 1.191 | 1.84 ± 1.638 |
| Cycle 1 | 9.47 ± 6.933 | 1.48 ± 1.613 |
| Cycle 2 | 9.58 ± 7.073 | 2.31 ± 2.004 |
| Cycle 3 | 7.27 ± 6.421 | 2.27 ± 2.150 |
| Cycle 4 | 5.65 ± 5.079 | 1.84 ± 1.767 |
| Cycle 5 | 6.48 ± 5.869 | 2.00 ± 2.297 |
| Cycle 6 | 5.38 ± 6.330 | 2.23 ± 2.532 |
A bleeding episode is defined as a light, normal or heavy bleeding, during a minimum of one day. In the LNG IUS group, each cycle has 30 days. In the MPA group, each menstrual cycle starts on the 1st bleeding day (withdrawal bleeding) and lasts until the last non-bleeding day before next withdrawal bleeding starts.
| number of bleeding episodes | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Baseline | 1.01 ± 0.075 | 1.03 ± 0.115 |
| Cycle 1 | 1.75 ± 0.707 | 0.98 ± 0.222 |
| Cycle 2 | 0.88 ± 0.653 | 1.01 ± 0.194 |
| Cycle 3 | 0.99 ± 0.647 | 0.97 ± 0.228 |
| Cycle 4 | 0.76 ± 0.615 | 0.99 ± 0.202 |
| Cycle 5 | 0.77 ± 0.755 | 1.01 ± 0.208 |
| Cycle 6 | 0.70 ± 0.739 | 1.04 ± 0.359 |
| percent change | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Baseline to cycle 3 | 3.82 (-7.1 to 25.3) | 1.65 (-15.4 to 20.2) |
| Cycle 3 to cycle 6 | 3.28 (-7.9 to 18.0) | 0.83 (-11.0 to 16.9) |
| Baseline to cycle 6 | 7.50 (-3.6 to 44.0) | 1.87 (-17.9 to 33.3) |
| percent change | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Baseline to cycle 3 | 4.9 (-8 to 21) | 0.0 (-15 to 21) |
| Cycle 3 to cycle 6 | 2.4 (-11 to 13) | 0.0 (-14 to 18) |
| Baseline to cycle 6 | 5.4 (-7 to 26) | 0.0 (-21 to 26) |
| percent change | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Baseline to cycle 3 | 13.8 (-67 to 300) | 0.0 (-78 to 380) |
| Cycle 3 to cycle 6 | 48.3 (-51 to 293) | 16.7 (-78 to 560) |
| Baseline to cycle 6 | 68.8 (-52 to 1440) | 14.3 (-87 to 540) |
"Improved" is classified as 'very much improved', 'much improved', or 'improved' and "not improved" is classified as 'no change', 'worse', 'much worse', or 'very much worse'
| percentage | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Cycle 3 | 94.7 | 71.2 |
| Cycle 6 | 93.6 | 61.0 |
"Improved" is classified as 'very much improved', 'much improved', or 'improved' and "not improved" is classified as 'no change', 'worse', 'much worse', or 'very much worse'.
| percentage | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| Cycle 3 | 93.3 | 74.0 |
| Cycle 6 | 93.6 | 67.1 |
Non-serious events are listed at a 2% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | — | 1/82 (1.2%) | 67/82 (81.7%) |
| Medroxyprogesterone Acetate (MPA) | — | 0/83 (0%) | 52/83 (62.7%) |
| Event | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| EndometriosisReproductive system and breast disorders | 1/82 | 0/83 |
| Event | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) |
|---|---|---|
| HeadacheNervous system disorders | 13/82 | 9/83 |
| Ovarian cystReproductive system and breast disorders | 10/82 | 2/83 |
| Vaginitis bacterialInfections and infestations | 9/82 | 3/83 |
| Urinary tract infectionInfections and infestations | 6/82 | 3/83 |
| Weight increasedInvestigations | 5/82 | 6/83 |
| SinusitisInfections and infestations | 5/82 | 4/83 |
| Upper respiratory tract infectionInfections and infestations | 5/82 | 1/83 |
| AcneSkin and subcutaneous tissue disorders | 5/82 | 5/83 |
| HypertensionVascular disorders | 5/82 | 1/83 |
| Abdominal pain lowerGastrointestinal disorders | 3/82 | 5/83 |
| Age Continuous(years) | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) | Total |
|---|---|---|---|
| Mean | 38.3 (26 to 50) | 39.3 (26 to 53) | 38.8 (26 to 53) |
| Sex: Female, Male(Participants) | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) | Total |
|---|---|---|---|
| Female | 82 | 83 | 165 |
| Male | 0 | 0 | 0 |
| Body mass index(kg/m²) | Levonorgestrel Intrauterine System (LNG IUS) 20µg Per 24 Hours | Medroxyprogesterone Acetate (MPA) | Total |
|---|---|---|---|
| Mean | 27.19 ± 3.903 | 27.36 ± 4.610 | 27.28 ± 4.263 |
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