Nexplanon Application Post-Abortion (NAPA)
NAPA
Immediate vs. Delayed Insertion of Nexplanon After Termination of Pregnancy Over 14-weeks Gestation (NAPA)
1 other identifier
interventional
148
1 country
2
Brief Summary
Women who receive Nexplanon immediately post abortion will be significantly more likely to be using the device 6 months after the procedure than those assigned to receive the device 2-4 weeks after the procedure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jun 2014
Typical duration for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 14, 2014
CompletedFirst Posted
Study publicly available on registry
January 16, 2014
CompletedStudy Start
First participant enrolled
June 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2017
CompletedResults Posted
Study results publicly available
February 12, 2024
CompletedFebruary 12, 2024
February 1, 2024
2.9 years
January 14, 2014
September 10, 2018
February 7, 2024
Conditions
Outcome Measures
Primary Outcomes (2)
Intention-to-treat Analysis of Etonogestrel Implant Use
Current use of Etonogestrel implant, confirmed via phone by participant palpation, at 6 months post-insertion, with all entire sample used in calculations.
6 months
Per-protocol Analysis of Etonogestrel Implant Use
Current use of Etonogestrel implant, confirmed via phone by participant palpation, at 6 months post-insertion, with only participants who completed the 6-month follow-up used in calculations.
6 months
Secondary Outcomes (1)
Repeat Pregnancy
6 months
Other Outcomes (2)
Implant Inserted
Within 4 weeks of abortion
Completed 6-month Phone Call
6 months
Study Arms (2)
Immediate Nexplanon Insertion
EXPERIMENTALAn etonogestrel rod will be placed within 15 minutes following the abortion procedure.
Post-op Nexplanon Insertion
ACTIVE COMPARATORParticipants in the "delayed" placement group will be asked to return to Magee-Womens Hospital for a post-abortion visit 2-4 weeks following the procedure. Participants in the delayed group will be offered a method of contraception to use in the interim between their procedure and their insertion appointment. At this time an etonogestrel rod will be placed in her arm using standard procedure.
Interventions
Patient will have a Nexplanon inserted within 15 minutes of her abortion
Place Nexplanon at post operative visit rather than at surgery
Eligibility Criteria
You may qualify if:
- years of age and older,
- an intrauterine pregnancy \> 14 weeks and \<23 6/7 weeks gestation and desire termination of pregnancy
- desire a Nexplanon for contraception
- able to give informed consent in English
- no contraindications to Nexplanon (based on U.S. CDC Medical Eligibility Criteria for Contraception) or D\&E
You may not qualify if:
- unable to give informed consent
- have any of the following medical conditions: active venous thromboembolism, known or suspected sex-steroid sensitive malignancies, current hepatic disease with abnormal liver function tests, undiagnosed vaginal bleeding, hypersensitivity to any of the ingredients in Nexplanon.
- non-surgical management of pregnancy
- prior participation in this study
- breast cancer or a history of breast cancer
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Family Planning Associates Medical Group, LTDlead
- Merck Sharp & Dohme LLCcollaborator
- The Cleveland Cliniccollaborator
Study Sites (2)
Family Planning Associates Medical Grooup, LTD
Chicago, Illinois, 60661, United States
University of Pittsburgh
Pittsburgh, Pennsylvania, 15213, United States
Results Point of Contact
- Title
- Allison A. Cowett, MD MPH
- Organization
- Family Planning Associates Medical Group , Ltd.
Study Officials
- PRINCIPAL INVESTIGATOR
Miriam Cremer, MD, MPH
University of Pittsburgh
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Medical Director
Study Record Dates
First Submitted
January 14, 2014
First Posted
January 16, 2014
Study Start
June 1, 2014
Primary Completion
May 1, 2017
Study Completion
May 1, 2017
Last Updated
February 12, 2024
Results First Posted
February 12, 2024
Record last verified: 2024-02