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NCT03154125

Sayana® Press Extension Study

Completed Phase 3 Results posted Last updated 30 August 2024
What this trial tests

Phase 3 trial testing Sayana® Press in Contraception in 750 participants. Completed in 18 November 2020.

Timeline
22 September 2017
Primary endpoint
30 May 2020
18 November 2020

Quick facts

Lead sponsorFHI 360
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposeother
Enrollment750
Start date22 September 2017
Primary completion30 May 2020
Estimated completion18 November 2020
Sites3 locations across Chile, Dominican Republic, Brazil

Drugs / interventions tested

Conditions studied

Sponsor

FHI 360 — full company profile →

Who can join

Adults 18 to 35, female only, with Contraception. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Occurrence of Pregnancy Primary · 12 months after treatment initiation

Pregnancy is defined as having a positive urine pregnancy test. Positive urine tests will be confirmed by ultrasound and/or serum hCG testing whenever possible. The primary efficacy analysis will be based on the pregnancy Pearl Index, computed as the number of pregnancies that occur during the treatment period multiplied by 100 and divided by the number of WY of treatment contributed to the Treated Analysis Set among women receiving injections in the abdomen or thigh.

GroupValue95% CI
Abdomen00 – 1.18
Upper Thigh00 – 1.17
Serum MPA Concentrations in a Subset of 120 Participants Secondary · 2, 3, 4, 8, and 12 months after treatment initiation

Pharmacokinetic endpoints include serum MPA concentrations at month 2, 3, 4, 8, and 12.

Trough concentration at Month 2
GroupValue95% CI
Abdomen0.503± 0.263
Upper Thigh0.355± 0.155
Back of the Upper Arm0.490± 0.264
Trough concentration at Month 3
GroupValue95% CI
Abdomen0.367± 0.145
Upper Thigh0.328± 0.160
Back of the Upper Arm0.337± 0.180
Trough concentration at Month 4
GroupValue95% CI
Abdomen0.299± 0.131
Upper Thigh0.267± 0.133
Back of the Upper Arm0.248± 0.105
Trough concentration at Month 8
GroupValue95% CI
Abdomen0.455± 0.159
Upper Thigh0.404± 0.145
Back of the Upper Arm0.305± 0.125
Trough concentration at Month 12
GroupValue95% CI
Abdomen0.502± 0.148
Upper Thigh0.431± 0.127
Back of the Upper Arm0.362± 0.155
Occurrence of Serious Adverse Events (SAEs) and Adverse Events (AEs) Leading to Product Withdrawal Secondary · 12 months after treatment initiation

The overall safety of study drug will be assessed throughout the study by evaluating the occurrence of SAEs and AEs leading to product discontinuation, blood pressure and weight at regularly scheduled visits, and changes in bleeding pattern.

Abdominal pain lower
GroupValue95% CI
Abdomen0
Upper Thigh2
Back of Upper Arm0
Injection site discolouration
GroupValue95% CI
Abdomen1
Upper Thigh0
Back of Upper Arm0
Injection site oedema
GroupValue95% CI
Abdomen0
Upper Thigh1
Back of Upper Arm0
Injection site reaction
GroupValue95% CI
Abdomen9
Upper Thigh6
Back of Upper Arm0
Lower limb fracture
GroupValue95% CI
Abdomen1
Upper Thigh0
Back of Upper Arm0
Weight decreased
GroupValue95% CI
Abdomen1
Upper Thigh3
Back of Upper Arm0
Weight increased
GroupValue95% CI
Abdomen2
Upper Thigh0
Back of Upper Arm1
Pain in extremity
GroupValue95% CI
Abdomen0
Upper Thigh1
Back of Upper Arm0
Acceptability of Sayana® Press Secondary · 12 months after treatment initiation

Perception of bleeding patterns and other responses to acceptability questions will be summarized using descriptive statistics based on routine questions asked at regularly scheduled visits (enrollment, months 4 and 8, and final). Acceptability data collected during unscheduled visits are not included in this table.

GroupValue95% CI
Abdomen306
Upper Thigh313
Back of Upper Arm34
Abdomen22
Upper Thigh23
Back of Upper Arm4
Return to Ovulation After 12 Months of Use of Sayana Press When Injected Every Four Months. Secondary · A maximum of 12 months from the last study injection.

Return to ovulation among a subset of study participants who received month 4 and month 8 injections and plan to use non-hormonal methods of contraception, or no contraception for up to a maximum of 12 months from the last study injection. Ovulation is defined as a single elevated serum progesterone (P ≥4.7 ng/mL) or a confirmed pregnancy test.

Women who ovulated or became pregnant by 42 weeks after final injection
GroupValue95% CI
Abdomen253.2 – 65.1
Upper Thigh18.22.3 – 51.8
Women who ovulated or became pregnant by 50 weeks after final injection
GroupValue95% CI
Abdomen5015.7 – 84.3
Upper Thigh54.523.4 – 83.3

Adverse events — posted to ClinicalTrials.gov

Time frame: 12 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Abdomen
Serious: 2/355 (1%)
Deaths: 0/355
Upper Thigh
Serious: 0/355 (0%)
Deaths: 0/355
Back of the Upper Arm
Serious: 0/40 (0%)
Deaths: 0/40

Serious adverse events (2 terms)

ReactionSystemAbdomenUpper ThighBack of the Upper Arm
Lower Limb FractureInjury, poisoning and procedural complications
Cerebrovascular accidentNervous system disorders
Other adverse events (18 terms — click to expand)

ReactionSystemAbdomenUpper ThighBack of the Upper Arm
Menstruation IrregularReproductive system and breast disorders
Injection Site ReactionGeneral disorders
AmenorrhoeaReproductive system and breast disorders
Weight DecreasedInvestigations
Abdominal Pain LowerGastrointestinal disorders
Weight IncreasedInvestigations
Libido DecreasedPsychiatric disorders
MetrorrhagiaReproductive system and breast disorders
AcneSkin and subcutaneous tissue disorders
Injection Site DiscolourationGeneral disorders
Injection Site OedemaGeneral disorders
Pain in ExtremityMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Mood AlteredPsychiatric disorders
MenometrorrhagiaReproductive system and breast disorders
OligomenorrhoeaReproductive system and breast disorders
Pelvic PainReproductive system and breast disorders
Vulvovaginal DrynessReproductive system and breast disorders

Most-reported serious reactions: Lower Limb Fracture, Cerebrovascular accident.

Data from ClinicalTrials.gov NCT03154125 adverse events section.

Sponsor's own description

This is a randomized clinical trial designed to evaluate the effectiveness, safety and acceptability of Sayana® Press when injected every 4 months (17-18 weeks) for 3 treatment cycles (12 months) of use.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Contraceptive effectiveness, pharmacokinetics, and safety of Sayana® Press when injected every four months: a multicenter phase 3 trial.
    Deese J, Brache V, Bahamondes L, Salinas A, et al · · 2022 · cited 9× · PMID 35128365 · DOI 10.1016/j.eclinm.2022.101273
  2. Suppression of ovulation and pharmacokinetics following subcutaneous administration of various doses of Depo-Provera®: a randomized trial.
    Halpern V, Fuchs R, Brache V, Bahamondes L, et al · · 2021 · cited 7× · PMID 34746745 · DOI 10.1016/j.conx.2021.100070
  3. Return to ovulation after Sayana Press is injected every 4 months for one year: Empirical and pharmacokinetic/pharmacodynamic modeling results.
    Taylor DJ, Deese J, Bahamondes L, Brache V, et al · · 2022 · cited 6× · PMID 35965654 · DOI 10.1016/j.conx.2022.100080

Verify or expand the search:

Other recruiting trials for Contraception

Currently open trials in the same condition.

Other FHI 360 trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03154125.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing