ClinicalTrials.gg
RecruitingNCT07083635Updated Dec 10, 2025

Transdermal Ethinyl Estradiol and Norelgestromin for Irregular Bleeding in Contraceptive Implant Users

A Phase 2 interventional study of Transdermal Ethinyl Estradiol/Norelgestromin Patch and Placebo Patch in Menstruation Disturbances, Metrorrhagia and Uterine Hemorrhage, sponsored by Chulalongkorn University. Recruiting at 1 site in Thailand. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-10.

Sponsored by Chulalongkorn University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2025; still recruiting 1 year 3 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

The goal of this clinical trial is to evaluate the effectiveness of transdermal contraceptive patches in treating irregular vaginal bleeding in women over 18 years old who are using contraceptive implants and experiencing abnormal vaginal bleeding. The main questions it aims to answer are:

  • Does transdermal ethinyl estradiol and norelgestromin patch effectively treat irregular vaginal bleeding caused by contraceptive implants compared to placebo?
  • What proportion of participants will report cessation of vaginal bleeding during treatment and remain bleeding-free at day 14 of treatment?
  • What is the safety profile and adherence rate of the transdermal patch treatment?

Researchers will compare participants receiving active hormonal patches (ethinyl estradiol 600 mcg + norelgestromin 6 mg) to those receiving placebo patches to see if the hormonal treatment effectively stops irregular vaginal bleeding.

Participants will:

  • Apply transdermal patches for 21 days (changing patch every 7 days - total of 3 patches)
  • Attend follow-up visits at days 7, 14, 21, and 3 months (day 14 in-person, others via telephone)
  • Complete bleeding diaries and report any side effects
  • Follow-up schedule:

Day 7: Telephone follow-up to assess bleeding pattern, side effects, and patch adherence Day 14: In-person visit at the clinic for comprehensive evaluation including bleeding assessment, side effects monitoring, and adherence check Day 21: Telephone follow-up to evaluate treatment completion, ongoing bleeding status, and need for additional treatment 3 months: Final telephone follow-up to assess long-term outcomes and recurrence of bleeding

02

Conditions studied

  • Menstruation Disturbances
  • Metrorrhagia
  • Uterine Hemorrhage
  • Contraception Behavior

Keywords

  • Contraceptive implant
  • Abnormal vaginal bleeding
  • Bothersome vaginal bleeding
  • Irregular vaginal bleeding
  • Transdermal hormonal contraception
  • Ethinyl estradiol
  • Norelgestromin
  • Abnormal uterine bleeding
  • Contraceptive-induced bleeding
  • Combined hormonal contraception
  • Hormonal contraceptive patch
03

In context

Menstruation Disturbances

105 studies on the registry are indexed under Menstruation Disturbances; 23 are open to participants now.

This study's planned enrollment of 40 is below the median of 60 across 67 interventional studies indexed under Menstruation Disturbances.

Browse Menstruation Disturbances studies →

Lead sponsor

Chulalongkorn University is the lead sponsor of 322 studies on the registry; 66 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

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 years and older
  • Regular menstrual cycles : at least 1 cycle prior to implant insertion
  • Normal pelvic examination and transvaginal ultrasound results
  • Normal cervical cancer screening within the past 3 years
  • Irregular vaginal bleeding defined as: Bleeding for more than 8 consecutive days, or Bleeding-free intervals of 15 days or less

Exclusion criteria

Exclusion Criteria:

  • Previous treatment for irregular vaginal bleeding within the past 3 months
  • Pregnancy
  • to estrogen or progestin use
  • Allergy to estrogen or progestin
  • Allergy to hormonal patches
  • Heavy vaginal bleeding causing anemia symptoms such as: Fatigue/Fainting/Dizziness
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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Treatment

    Transdermal Hormonal Contraceptive Patch (Ethinyl Estradiol and Norelgestromin) Active Ingredients: Ethinyl Estradiol: 600 micrograms per patch Norelgestromin: 6 milligrams per patch Administration Schedule: 1 patch applied every 7 days Total treatment duration: 21 days (3 patches total) Application Site: Upper torso (same as active treatment)

    Drug: Transdermal Ethinyl Estradiol/Norelgestromin Patch

  • Placebo comparator
    Placebo

    Placebo Transdermal Patch Detailed Description: Active Ingredients: None (placebo patch with identical appearance) Administration Schedule: 1 patch applied every 7 days Total treatment duration: 21 days (3 patches total) Application Site: Upper torso (same as active treatment)

    Drug: Placebo Patch

Interventions

  • DrugTransdermal Ethinyl Estradiol/Norelgestromin Patch

    Drug pages: Ethinyl Estradiol · Norelgestromin

    Transdermal contraceptive patch containing ethinyl estradiol 600 micrograms and norelgestromin 6 milligrams per patch, manufactured by GEDEON RICHTER PLC and imported by Abbott.

    Also known as: Ethinyl Estradiol and Norelgestromin Transdermal Patch, Transdermal Contraceptive Patch, Combined Hormonal Contraceptive Patch, Hormonal Patch

  • DrugPlacebo Patch

    Identical-appearing transdermal patches without active hormonal ingredients , manufactured and imported by Convatec.

06

What researchers measure

Primary outcomes

  1. Proportion of participants reporting cessation of vaginal bleeding during treatment and remaining bleeding-free at day 14

    The proportion of study participants who report complete cessation of abnormal vaginal bleeding while receiving the transdermal contraceptive patch treatment and continue to report no vaginal bleeding on day 14 of the 21-day treatment period.

    Time frame: day 14 of treatment

Secondary outcomes

  1. Proportion of participants with at least 7 consecutive bleeding-free days during treatment month

    Time frame: Throughout the treatment month (days 1-21 of treatment)

  2. Proportion of participants reporting cessation of vaginal bleeding during treatment and remaining bleeding-free at day 7

    Time frame: day 7 of treatment

  3. Proportion of participants reporting cessation of vaginal bleeding during treatment and remaining bleeding-free at day 21

    Time frame: day 21 of treatment

  4. Number of days of treatment required before cessation of vaginal bleeding

    Time frame: From treatment initiation (day 1) until bleeding cessation, assessed throughout 21-day treatment period

  5. Number of days of spotting/breakthrough bleeding during treatment

    Time frame: Throughout the 21-day treatment period

  6. Number of days before recurrence of vaginal bleeding after treatment cessation

    Time frame: From end of treatment (day 21) until bleeding recurrence, assessed up to 3 months post-treatment

  7. Treatment-related adverse events

    Time frame: Throughout treatment period (21 days) and follow-up period (3 months post-treatment)

  8. Treatment adherence/compliance

    Time frame: Throughout the 21-day treatment period

07

Study locations

1 of 1 sites recruiting
  • Family Planning Clinic, King Chulalongkorn Memorial Hospital
    Pathum Wan, Bangkok 10400, Thailand
    Recruiting
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2025 (actual). Primary completion is estimated for Sep 2026, 14 months after the start.

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

Registered
Jul 13, 2025
First posted
Jul 24, 2025
StartActual
Jul 29, 2025
Primary completionEst.
Sep 2026
CompletionEst.
Dec 2026
Last update
Dec 10, 2025
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 Dec 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07083635
Responsible party
Tunchanok Juntamongkol, MD (Principal Investigator, Chulalongkorn University) — Principal investigator
First posted
Jul 24, 2025
Start date
Jul 29, 2025
Primary completion
Sep 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Dec 10, 2025

Study contacts

Tunchanok Juntamongkol, M.D.
Contact
tunchanok.junt@gmail.com
+6626494000

Oversight

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

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Studies of the drugs tested here: Ethinyl Estradiol · Norelgestromin

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