NCT02175030

Brief Summary

This study is a randomized trial of two IUDs for emergency contraception: the copper IUD, the most effective method of emergency contraception vs. the levonorgestrel IUD, the most preferred IUD which has never been tested as an emergency contraceptive. This research has the potential to increase use of highly effective contraception in a high-risk population and lower the persistently elevated rate of U.S. unintended pregnancy.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
711

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Aug 2016

Longer than P75 for phase_4

Geographic Reach
1 country

6 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 23, 2014

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 26, 2014

Completed
2.1 years until next milestone

Study Start

First participant enrolled

August 1, 2016

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2020

Completed
10 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2020

Completed
1.6 years until next milestone

Results Posted

Study results publicly available

June 29, 2022

Completed
Last Updated

June 29, 2022

Status Verified

June 1, 2022

Enrollment Period

3.5 years

First QC Date

June 23, 2014

Results QC Date

March 31, 2022

Last Update Submit

June 27, 2022

Conditions

Keywords

Emergency contraceptionLevonorgestrel IUDCopper IUD

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants Reporting a Pregnancy

    Urine pregnancy tests within 30 days after IUD insertion will be performed either at home or in clinic. We will use the total number of pregnancies per ARM and the overall number of participants analyzed per ARM to calculate, for each ARM, the percentage of participants reporting a pregnancy in the first month of use of the IUD.

    1 month after enrollment

Secondary Outcomes (1)

  • Number of Participants With Unintended Pregnancy After Initiating the Levonorgestrel IUD Versus the Copper T380 IUD for EC at One Year.

    1 year after enrollment

Study Arms (2)

Copper T380 IUD

ACTIVE COMPARATOR

Randomized to copper T380 IUD for EC (emergency contraception)

Drug: Copper IUD

LNG20 IUD

ACTIVE COMPARATOR

Randomized to LNG20 IUD for EC (emergency contraception)

Drug: Levonorgestrel IUD

Interventions

Randomization to copper/Paragard IUD for emergency contraception

Also known as: Paragard IUD
Copper T380 IUD

Randomization to Levonorgestrel/Mirena IUD for emergency contraception

Also known as: Mirena IUD, LNG20 IUD, Levonorgestrel IUD, Liletta IUD
LNG20 IUD

Eligibility Criteria

Age18 Years - 35 Years
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Females between 18-35 years old
  • In need of EC (had unprotected intercourse within 120 hours - 5 days)
  • Desire to prevent pregnancy for 1 year
  • Fluent in English and/or Spanish
  • Have a regular menstrual cycle (21-35 days)
  • Know their last menstrual period (+/-3 days)
  • Be willing to comply with the study requirements
  • Desire to initiate an IUD
  • Negative urine pregnancy test

You may not qualify if:

  • Current pregnancy
  • Breastfeeding
  • Intrauterine infection within the past three months
  • Sterilization
  • Already have an IUD or contraception implant (Nexplanon) in place
  • Vaginal bleeding of unknown etiology
  • Known Gonorrhea or Chlamydia infection in the last 30 days (unless successfully treated at least 7 days prior to study entry)
  • Known abnormalities of the uterus that distort the uterine cavity
  • Allergy to copper
  • Use of oral Emergency Contraception in the preceeding 5 days

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Planned Parenthood Association of Utah

Logan, Utah, 84321, United States

Location

Planned Parenthood Association of Utah

Ogden, Utah, 84403, United States

Location

Planned Parenthood Association of Utah

Orem, Utah, 84057, United States

Location

Planned Parenthood Association of Utah

Salt Lake City, Utah, 84102, United States

Location

Planned Parenthood Association of Utah

South Jordan, Utah, 84095, United States

Location

Planned Parenthood Association of Utah

West Valley City, Utah, 84119, United States

Location

Related Publications (4)

  • Kaiser JE, Turok DK, Gero A, Gawron LM, Simmons RG, Sanders JN. One-year pregnancy and continuation rates after placement of levonorgestrel or copper intrauterine devices for emergency contraception: a randomized controlled trial. Am J Obstet Gynecol. 2023 Apr;228(4):438.e1-438.e10. doi: 10.1016/j.ajog.2022.11.1296. Epub 2022 Nov 23.

  • BakenRa A, Gero A, Sanders J, Simmons R, Fay K, Turok DK. Pregnancy Risk by Frequency and Timing of Unprotected Intercourse Before Intrauterine Device Placement for Emergency Contraception. Obstet Gynecol. 2021 Jul 1;138(1):79-84. doi: 10.1097/AOG.0000000000004433.

  • Boraas CM, Sanders JN, Schwarz EB, Thompson I, Turok DK. Risk of Pregnancy With Levonorgestrel-Releasing Intrauterine System Placement 6-14 Days After Unprotected Sexual Intercourse. Obstet Gynecol. 2021 Apr 1;137(4):623-625. doi: 10.1097/AOG.0000000000004118.

  • Turok DK, Gero A, Simmons RG, Kaiser JE, Stoddard GJ, Sexsmith CD, Gawron LM, Sanders JN. Levonorgestrel vs. Copper Intrauterine Devices for Emergency Contraception. N Engl J Med. 2021 Jan 28;384(4):335-344. doi: 10.1056/NEJMoa2022141.

MeSH Terms

Interventions

Intrauterine Devices, Copper

Intervention Hierarchy (Ancestors)

Intrauterine Devices, MedicatedIntrauterine DevicesContraceptive Devices, FemaleContraceptive DevicesEquipment and Supplies

Limitations and Caveats

This was a randomized trial. Implications for clinical care may vary when people choose their treatment options.

Results Point of Contact

Title
David Turok, MD, PI
Organization
University of Utah

Study Officials

  • David Turok, MD

    University of Utah

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
M.D.

Study Record Dates

First Submitted

June 23, 2014

First Posted

June 26, 2014

Study Start

August 1, 2016

Primary Completion

February 1, 2020

Study Completion

December 1, 2020

Last Updated

June 29, 2022

Results First Posted

June 29, 2022

Record last verified: 2022-06

Data Sharing

IPD Sharing
Will not share

Locations