Abstract

The study reported herein is the primary efficacy and safety study conducted to support U.S. registration of an oral contraceptive containing 150 μg desogestrel and 30 μg ethinyl estradiol. A large multicenter study enrolled 1,221 women at 50 centers in the United Kingdom. A total of 11,656 cycles of exposure was accumulated, corresponding to approximately 879 women-years of use. Contraceptive efficacy was high; no subject conceived as a result of method failure. The product was generally well tolerated with excellent cycle control, causing fewer than 2% of the subjects to discontinue because of bleeding irregularities. The study medication demonstrated no adverse effects on cervical cytology, blood pressure, body weight or laboratory variables, while pre-existing benign breast disease generally improved. The study did not identify any medication-related adverse experiences. This study confirmed that the monophasic oral contraceptive with 150 μg desogestrel and 30 μg ethinylestradiol is a safe and effective oral contraceptive with excellent cycle control and patient acceptability.

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