ClinicalTrials.gg
CompletedNCT03354117Updated Jun 25, 2019

On Demand Contraception: Ulipristal Acetate Plus a COX-2 Inhibitor at Peak Fertility

A Phase 1 interventional study of Ulipristal Acetate 30 MG Oral Tablet in Contraception, sponsored by Stanford University. Completed at 1 site in United States. Open to female participants aged 18 Years to 38 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-06-25.

Sponsored by Stanford University · Phase 1, Interventional, and Prevention

From the registry’s dates

  • Primary completion was May 2019, 7 years 5 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years to 38 Years
Sex
Female
01

Study summary

This is an exploratory prospective study investigating if addition of a COX-2 inhibitor can increase efficacy of ulipristal in disrupting ovulation at peak fertility.

Read the detailed description

This is an exploratory prospective study investigating if addition of a COX-2 inhibitor can increase efficacy of ulipristal in disrupting ovulation at peak fertility. We will compare the proportion of women with ovulatory disruption after taking the study medications with those women's own placebo cycles and also to previously established/published rates of ovulatory disruption of ulipristal alone.9 Given the established efficacy of ulipristal during the follicular time period as well as the theoretical mechanism of meloxicam to disrupt cumulus-oocyte expansion is a late step in ovulation, we hypothesize that this medication could emerge as the best candidate for an oral on-demand contraceptive option.

02

Conditions studied

  • Contraception
03

In context

Lead sponsor

Stanford University is the lead sponsor of 2,168 studies on the registry; 431 are open to participants now.

Of its 267 completed or terminated interventional studies of FDA-regulated products, 207 (78%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 38 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Women, aged 18-38

  • English speaking
  • Able to consent, literate
  • Access to smart phone throughout study
  • History of regular menses
  • Documented baseline cycle with ovulation
  • Not currently using or needing hormonal
  • Not currently using or needing regular NSAIDS
  • Able to commit to frequency of study visits

Exclusion criteria

Exclusion Criteria:

  • Currently or recently (\<2months) pregnant
  • Currently or recent (\<2months) breastfeeding
  • Current or recent (\<2months) use of hormonal medication
  • Regular NSAID use
  • Known cardiac risk factors (e.g. personal history of obesity, HTN, cardiac disease, diabetes)
  • > 30, as some studies have shown decreased efficacy of ulipristal in obese women37
  • Allergy or previous unacceptable side effects with study medications
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Phase 1
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Ulipristal 30mg plus Meloxicam 15mg

    Each study participant will complete one menstrual cycle without medication. Her second menstrual cycle, each study participant will receive ulipristal acetate plus meloxicam at peak fertility.

    Drug: Ulipristal Acetate 30 MG Oral Tablet

Interventions

  • Each study participant will receive one dose of the study medication (ulipristal acetate 30mg plus meloxicam 15mg) at peak fertility in the treatment cycle.

    Also known as: Meloxicam

06

What researchers measure

Primary outcomes

  1. ovulatory disruption

    (1) no follicle rupture or (2) follicle rupture that was (a) not preceded within 24-48 hours by an LH peak, (b) preceded by a blunted LH peak (\<21IU/L), and/or (c) followed by a luteal phase progesterone peak of \<3ng/mL

    Time frame: 8 weeks from start of study, approximately

Secondary outcomes

  1. luteal hormone levels

    luteal hormone levels

    Time frame: 8 weeks from start of study, approximately

  2. progesterone hormone levels

    progesterone hormone levels

    Time frame: 8 weeks from start of study, approximately

  3. maximum follicle diameter

    maximum ovarian follicle diameter

    Time frame: 8 weeks from start of study, approximately

07

Study locations

1 site
  • Stanford University
    Stanford, California 94305, United States
08

References and documents

Publications

  • Cahill EP, Lerma K, Shaw KA, Blumenthal PD. Potential candidate for oral pericoital contraception: evaluating ulipristal acetate plus cyclo-oxygenase-2 inhibitor for ovulation disruption. BMJ Sex Reprod Health. 2022 Jul;48(3):217-221. doi: 10.1136/bmjsrh-2021-201446. Epub 2022 Apr 25. PubMed 35470225 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2018 to primary completion in May 2019, 14 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 21, 2017
First posted
Nov 27, 2017
StartActual
Mar 15, 2018
Primary completionActual
May 31, 2019
CompletionActual
May 31, 2019
Last update
Jun 25, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 25, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03354117
Responsible party
Erica Cahill (Clinical Instructor, Stanford University) — Principal investigator
First posted
Nov 27, 2017
Start date
Mar 15, 2018
Primary completion
May 31, 2019
Completion
May 31, 2019
Last update
Jun 25, 2019

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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

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Discussion

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Studies of the drug tested here: Ulipristal acetate

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