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CompletedNCT03493295BERTAUpdated Nov 2, 2023

Non-interventional, Real Life Study on Satisfaction With LNG-IUS in Spanish Young Women (18-30 Years Old) With Different Parity Status and Menstrual Bleeding Pattern

An observational study in Contraception, sponsored by Bayer. Completed at 1 site in Spain. Open to female participants aged 18 Years to 30 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-11-02.

Sponsored by Bayer · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
587
Ages
18 Years to 30 Years
Sex
Female
01

Study summary

The aim of this non-interventional study (NIS) is to assess, under real-life conditions, woman's satisfaction with Levonogestrel IntraUterine System (LNG-IUS) in a young (18-30 years old (y.o.)) Spanish population taking into account their parity status.

Furthermore, the study is aimed to evaluate the impact of: menstrual bleeding pattern and satisfaction with it at baseline, LNG-IUS chosen, previously used contraceptive method and reasons for change to/ choice of a LNG-IUS on overall satisfaction with LNG-IUS use.

02

Conditions studied

  • Contraception
03

Who can participate

Ages eligible
18 Years to 30 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Participants will be women in childbearing age between ≥18 to 30 years, who have freely chosen a LNG-IUS for contraception after being adequately counselled and informed of all contraceptive options by their physician at a routine visit prior to the first study visit (enrolment) in a routine clinical practice setting. Then, women eligible for the enrolment will be visiting the physician in a IUS insertion visit in a gynaecological clinical setting.

Inclusion criteria

  • Women in childbearing age, between 18-30 years old.
  • Women who have chosen a LNG-IUS as contraceptive method, after been adequately counselled by the physician about all contraceptive possible options.
  • Women who have chosen a LNG-IUS mainly for contraceptive reasons, not due to heavy menstrual bleeding.
  • Women with no desire to conceive for at least within the next 12 months.
  • Women capable of reading and writing

Exclusion criteria

Exclusion Criteria:

  • Women whose main reason to use a LNG-IUS is not a contraceptive reason.
  • Women with contraindication for LNG-IUS.
  • Women with previous experience with a IUS.
  • Women who have been diagnosed with heavy menstrual bleeding.
  • Women with degenerative or other kind of diseases that could directly negatively impact their daily life.
  • Women who have undergone a hysterectomy or irreversible contraceptive method.
  • Women participating in a clinical trial.
  • Women with a mental illness and unable to make decisions and follow instructions.
  • Women with amenorrhea
  • Women with clinical history of severe dysmenorrhea
  • Women with concomitant medication that may lead changes in bleeding pattern (e.g. antiplatelets and/or anticoagulants)
04

Study design

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

Groups and cohorts

  • Levonogestrel IntraUterine System (LNG-IUS)

    Women in childbearing age between 18 to 30 years old and who have freely chosen a LNG-IUS for contraception after being adequately counselled and informed of all contraceptive options by their physician at the routine clinical practice setting in Spain

    Drug: Levonogestrel IntraUterine System (LNG-IUS)

Interventions

  • DrugLevonogestrel IntraUterine System (LNG-IUS)

    At the routine clinical practice. Jaydess, Mirena, Kyleena Or any other levonogestrel intrauterine system (LNG-IUS) commercialized in Spain at the start of the study, only for contraception indication.

05

What researchers measure

Primary outcomes

  1. Percentage of subjects rating 1 (very dissatisfied) to 5 (very satisfied) in the 5-point Likert scale overall satisfaction with LNG-IUS

    Overall satisfaction with LNG-IUS at end of observation/final visit (i.e. after approximately 12 months or at premature discontinuation). 5 point Likert scale of overall satisfaction with LNG-IUS with end labelling "very dissatisfied" / "very satisfied"

    Time frame: At approximately 12 months(end of observation/final visit)

Secondary outcomes

  1. Percentage of women rating 1 (very dissatisfied) to 5 (very satisfied) in the 5-point Likert scale of overall satisfaction with the menstrual bleeding profile with LNG-IUS

    Overall satisfaction rate with LNG-IUS at end of observation/final visit. 5 point Likert scale of overall satisfaction with the menstrual bleeding pattern with LNG-IUS with end labelling "very dissatisfied" / "very satisfied".

    Time frame: At 4-12 weeks after insertion, At approximately 12 months(end of observation/final visit)

  2. 8 item user satisfaction questionnaire to assess the satisfaction with menstrual bleeding pattern with LNG-IUS

    Overall satisfaction with the menstrual bleeding profile with LNG-IUS at end of observation/final visit.

    Time frame: At approximately 12 months(end of observation/final visit)

  3. Spearman's correlation between overall satisfaction with LNG-IUS and overall satisfaction with menstrual bleeding pattern

    Time frame: At approximately 12 months(end of observation/final visit)

  4. Percentage of subjects rating 1 (very dissatisfied) to 5 (very satisfied) in the 5-point Likert scale overall satisfaction with LNG-IUS

    Overall satisfaction with LNG-IUS 4-12 weeks after insertion. 5 point Likert scale of overall satisfaction with LNG-IUS with end labelling "very dissatisfied" / "very satisfied"

    Time frame: At 4-12 weeks after insertion

  5. Overall satisfaction with the menstrual bleeding profile 4-12 weeks after insertion.

    Time frame: At 4-12 weeks after insertion

  6. Ease of LNG-IUS insertion will be measured by investigator on an ordinal scale of "easy", "slightly difficult", "very difficult"

    Ease of LNG-IUS insertion assessed by the investigator.

    Time frame: At initial visit (Day 0_LNG-IUS insertion)

  7. Pain at LNG-IUS insertion will be assessed by the clinician asking to the user on a ordinal scale of "none", "mild", "moderate" or "severe"

    Pain at LNG-IUS insertion assessed by the user.

    Time frame: At initial visit (Day 0_LNG-IUS insertion)

  8. Percentage of women that would recommend a LNG-IUS to peers

    Response in recommendation to peers item at final visit.

    Time frame: At approximately 12 months

  9. Reasons for change to/ choice a LNG-IUS assessed by a multiple choice item

    Time frame: At initial visit (Day 0_LNG-IUS insertion)

  10. Descriptive analysis of demographic data

    Women's profile defined by their sociodemographic and gynaecological characteristics.

    Time frame: At initial visit (Day 0_LNG-IUS insertion)

  11. Reasons for withdrawal

    Time frame: Up to approximately 12 months

  12. Percentage of withdrawal

    Time frame: Up to approximately 12 months

06

Study locations

1 site
  • Many locations
    Multiple Locations, Spain
07

References and documents

Publications

  • Perello Capo J, Lopez Gonzalez G, Rius-Tarruella J, Calaf Alsina J. Real-world satisfaction and menstrual bleeding pattern with available LNG-IUD among Spanish young women. Eur J Contracept Reprod Health Care. 2022 Dec;27(6):461-472. doi: 10.1080/13625187.2022.2112562. Epub 2022 Sep 23. PubMed 36148980 ↗

Individual participant data

Plan to share: Undecided — Availability of this study's data will be determined according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, timepoint and process of data access. As such, Bayer commits to sharing upon request from qualified researchers patient-level clinical trial data, study-level clinical trial data, and protocols from clinical trials in patients for medicines and indications approved in the US and EU as necessary for conducting legitimate research. This applies to data on new medicines and indications that have been approved by the EU and US regulatory agencies on or after January 01, 2014. Interested researchers can use www.clinicalstudydatarequest.com to request access to anonymized patient-level data and supporting documents from clinical studies to conduct research. Information on the Bayer criteria for listing studies and other relevant information is provided in the Study sponsors section of the portal.

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Registry details

Key details

Study ID
NCT03493295
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Apr 10, 2018
Start date
Apr 25, 2018
Primary completion
Nov 30, 2020
Completion
Mar 15, 2021
Last update
Nov 2, 2023

Oversight

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

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