RAPID EC - Rct Assessing Pregnancy With Intrauterine Devices for EC
RAPID EC - Randomized Controlled Trial Assessing Pregnancy With Intrauterine Devices for Emergency Contraception
1 other identifier
interventional
711
1 country
6
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_4
Started Aug 2016
Longer than P75 for phase_4
6 active sites
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
CompletedFirst Posted
Study publicly available on registry
June 26, 2014
CompletedStudy Start
First participant enrolled
August 1, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2020
CompletedResults Posted
Study results publicly available
June 29, 2022
CompletedJune 29, 2022
June 1, 2022
3.5 years
June 23, 2014
March 31, 2022
June 27, 2022
Conditions
Keywords
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 COMPARATORRandomized to copper T380 IUD for EC (emergency contraception)
LNG20 IUD
ACTIVE COMPARATORRandomized to LNG20 IUD for EC (emergency contraception)
Interventions
Randomization to copper/Paragard IUD for emergency contraception
Randomization to Levonorgestrel/Mirena IUD for emergency contraception
Eligibility Criteria
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
Planned Parenthood Association of Utah
Ogden, Utah, 84403, United States
Planned Parenthood Association of Utah
Orem, Utah, 84057, United States
Planned Parenthood Association of Utah
Salt Lake City, Utah, 84102, United States
Planned Parenthood Association of Utah
South Jordan, Utah, 84095, United States
Planned Parenthood Association of Utah
West Valley City, Utah, 84119, United States
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.
PMID: 36427600DERIVEDBakenRa 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.
PMID: 34259467DERIVEDBoraas 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.
PMID: 33706343DERIVEDTurok 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.
PMID: 33503342DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
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
- PRINCIPAL INVESTIGATOR
David Turok, MD
University of Utah
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