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SHOUPE DONNA MD
Obstetrics & Gynecology: May 1994
Multicenter Randomized Comparative Trial of Two Low-Dose Triphasic Combined Oral Contraceptives Containing Desogestrel or Norethindrone: PDF Only
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Objective: To compare a new triphasic oral contraceptive (OC) containing desogestrel and ethinyl estradiol (DSG/EE) with triphasic norethindrone/ethinyl estradiol (NE/EE) regarding effects on clinical efficacy, cycle control, and safety indices.

Methods: In an open-label, comparative multicenter study, 407 subjects were randomized to a triphasic preparation containing DSG/EE and 405 subjects to a triphasic preparation containing NE/EE. The women were observed during six cycles of OC use.

Results: The contraceptive efficacy of the triphasic DSG/EE OC was at least comparable to that of triphasic NE/EE. No pregnancies were reported with DSG/EE, whereas there were two pregnancies with NE/EE, both user failures. Cycle control with triphasic DSG/EE was statistically superior to that with triphasic NE/EE. Acceptability was excellent with both preparations as measured by the low discontinuation rates (particularly for adverse menstrual experiences). No thromboembolic or other serious drugrelated adverse experiences were reported. The incidence of other drug-related adverse experiences was generally low and decreased with time in both groups. No adverse effects were seen in terms of blood pressure, body weight, laboratory indices, cervical cytology, and breast nodularity.

Conclusion: Triphasic DSG/EE is an effective and safe OC with excellent acceptability and cycle control superior to that of triphasic NE/EE.(Obstet Gynecol 1994;83:679-85)

This study was conducted by ClinTrials, Inc., Research Triangle Park, NC, and sponsored by Organon Inc., West Orange, NJ. This manuscript was developed with scientific help from Organon Inc.

© 1994 The American College of Obstetricians and Gynecologists