CClinicalTrials.gg
CompletedNCT01953211Updated Jul 26, 2019Results posted

Oral Contraceptive Hormone-free Interval Pituitary/ Ovarian Activity

An observational study in Hypothalamic-pituitary-ovarian Axis, Gonadotropins, Ethinyl Estradiol, Contraceptive Efficacy, sponsored by University of Southern California. Completed at 1 site in United States. Open to female participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2019-07-26.

Sponsored by University of Southern California · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
64
Ages
18 Years to 35 Years
Sex
Female
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Study summary

The degree of suppression and subsequent activation of the hypothalamic-pituitary-ovarian axis during the hormone-free interval in combined oral contraceptive (COC) hormone users varies depending on the dose of ethinyl estradiol in the formulation. This variation in activation may be associated with different side effects during the hormone free interval. Progesterone (P) remained suppressed during all 6 COC regimens (\<1.8 ng/mL), which indicates continuous contraceptive efficacy during the 7-day hormone free interval of all formulations studied.

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Conditions studied

  • Hypothalamic-pituitary-ovarian Axis, Gonadotropins, Ethinyl Estradiol, Contraceptive Efficacy

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03

In context

Pituitary Diseases

196 studies on the registry are indexed under Pituitary Diseases; 31 are open to participants now.

This study's enrollment of 64 is below the median of 126 across 76 observational studies indexed under Pituitary Diseases.

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Lead sponsor

University of Southern California is the lead sponsor of 773 studies on the registry; 135 are open to participants now.

Of its 68 completed or terminated interventional studies of FDA-regulated products, 32 (47%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
Female
Sampling method
Probability sample

Study population

Healthy, reproductive age women 18 to 35 years old, who were seeking contraception from the general gynecology clinics of the LAC and USC Medical Center were recruited. The research team identified potential candidates who were taking one of 6 possible monophasic COC formulations. Informed consent was obtained from participants by the research staff. To be eligible for participation, women reported regular menstrual cycles prior to COCs, and had taken at least 3 cycles of the same monophasic COC prior to enrollment.

Inclusion criteria

  • Healthy, reproductive age women
  • 18 to 35 years old,
  • seeking contraception from the general gynecology clinics of the LAC and USC Medical Center w
  • taking one of 6 possible monophasic COC formulations for at least 3 cycles prior to enrollment
  • regular menstrual cycles prior to COCs

Exclusion criteria

Exclusion Criteria:

  • Irregular bleeding
  • bilateral oophorectomy
  • amenorrhea
  • hormone-sensitive cancer
  • concurrent medications known to interfere with steroid metabolism (i.e., barbiturates, phenytoin, carbamazepine, ethosuximide, primidone, rifampin, tetracycline)
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
64 participants (actual)
Patient registry
No

Groups and cohorts

  • Healthy reproductive age women

    These volunteers were previously taking the oral contraceptives of interest for a minimum of 3 months

    Drug: combined oral contraceptives

Interventions

  • Drugcombined oral contraceptives

    Also known as: ALESSE, LOESTRIN, NORDETTE, ORTHOCEPT, ORTHOCYCLEN, ORTHO NOVUM

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What researchers measure

Primary outcomes

  1. Follicle-stimulating Hormone

    mean FSH on day 7 of the pill free interval

    Time frame: Serum blood samples were collected for hormone measurements at the same time daily during the 7 day hormone free interval.

07

Results

Posted Jul 26, 2019

Participant flow

clinic

Participant flow — Overall Study
MilestoneHealthy Reproductive Age Women
Started64
Completed64
Not completed0

Outcome measures

PrimaryFollicle-stimulating Hormone

mean FSH on day 7 of the pill free interval

Time frame:
Serum blood samples were collected for hormone measurements at the same time daily during the 7 day hormone free interval.
Reported as:
Mean · milli international units per milliliter
Follicle-stimulating Hormone
milli international units per milliliter20 mcg EE30 mcg EE35 mcg EE
Follicle-stimulating Hormone5.01 ± 0.255.86 ± 0.556.38 ± 0.60
Statistical analysis
  • 20 mcg EE · t-test, 2 sided · p = 0.88 · Slope: 0.02
  • 30 mcg EE · t-test, 2 sided · p = <0.01 · Slope: 0.63
  • 35 mcg EE · t-test, 2 sided · p = <0.01 · Slope: 0.83

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Healthy Reproductive Age Women—0/64 (0%)0/64 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Healthy Reproductive Age Women
<=18 years0
Between 18 and 65 years64
>=65 years0
Age, Continuous
Age, Continuous(years)Healthy Reproductive Age Women
Mean28 (18 to 35)
Sex: Female, Male
Sex: Female, Male(Participants)Healthy Reproductive Age Women
Female64
Male0
Region of Enrollment
Region of Enrollment(participants)Healthy Reproductive Age Women
United States64
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Study locations

1 site
  • LAC and USC Medical Center
    Los Angeles, California, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 26, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01953211
Lead sponsor
University of Southern California
Responsible party
Frank Stanczyk (Professor, University of Southern California) — Principal investigator
First posted
Sep 30, 2013
Primary completion
Dec 1998
Results posted
Jul 26, 2019
Last update
Jul 26, 2019

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2019. You cannot join it, but the record below documents what was studied.

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