Effect of concomitant treatment with an androgen on sexual functioning in women using an oral contraception

ISRCTN ISRCTN03247616
DOI https://doi.org/10.1186/ISRCTN03247616
Secondary identifying numbers PR3042
Submission date
19/11/2009
Registration date
21/12/2009
Last edited
14/10/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Ellen Laan
Scientific

Meibergdreef 9
Amsterdam
1105 AZ
Netherlands

Study information

Study designDouble-blind placebo controlled randomised comparative 2-way crossover study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleA double-blind, placebo controlled, randomised, comparative 2-way crossover study to determine the effect of concomitant treatment with an androgen on sexual arousability and the vascular component of the sexual arousal response during self-induced erotic fantasy and visual stimulation in women using oral contraception
Study acronymARC-AMC study
Study objectivesTo determine the effect of concomitant dehydroepiandrosterone (DHEA) compared to placebo in the two treatment groups of oral contraception (OC) users on different aspects of sexual functioning.
Ethics approval(s)Medische Etische Commissie (AMC) approved on the 18th March 2007 and 13th September 2007
Health condition(s) or problem(s) studiedHormonal anticonception
InterventionEach cycle (28 days), daily intake of:
1. Microgynon® (150 µg levonorgestrel [LNG]/30 µg ethinyl estradiol [EE]) or Yasmin® (3 mg drospirenone [DRSP]/30 µg EE); on day 1 - 21
2. 50 mg DHEA or placebo in two tablets; on day 1 - 28

Pretest period: 1 cycle (no OC)
Treatment period 1: 5 cycles
Treatment period 2: 5 cycles
Total treatment duration: 10 cycles (each cycle: 28 days)
Intervention typeDrug
Pharmaceutical study type(s)
PhasePhase II
Drug / device / biological / vaccine name(s)Dehydroepiandrosterone, Microgynon® (levonorgestrel [LNG], ethinyl estradiol [EE]), Yasmin® (drospirenone [DRSP], EE)
Primary outcome measure1. Sexual arousability, sexual desire, and frequencies of sexual fantasies as assessed with the sexual function diary completed during the last two treatment cycle of each treatment period; each treatment period consists of 5 treatment cycles (each cycle: 28 days)
2. Sexual function as assessed with the Female Sexual Function Index (FSFI) and Female Sexual Distress Scale-Revised (FSDS-R), at screening, pretest, study visit at end of each treatment period
3. Vaginal pulse amplitude (VPA) during sexual stimulation and experience of sexual arousal during sexual stimulation, at pretest visit, study visit at end of each treatment period
Secondary outcome measures1. Androgen parameters, measured at screening, pretest visit, study visit at end of each treatment period
2. Daily hassles, completed during the last two treatment cycles of each treatment period
3. Health diary, completed during the last two treatment cycles of each treatment period
4. Haemostasis metabolism, measured at screening, pretest visit, study visit at end of each treatment period
5. Bleeding data, measured with diary keeping during both treatment periods
6. Safety assessment, measured throughout the study
Overall study start date01/05/2007
Completion date01/07/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants84
Total final enrolment81
Key inclusion criteria1. Healthy females between 20 and 35 years of age
2. Using OC for at least three consecutive cycles prior to screening
3. Stable, heterosexual relationship for at least 3 months prior to screening
4. Willing to interrupt OC use for a period of 4 weeks
5. Regular menstrual cycle (24 - 35 days) prior to last start of OC use
6. Body mass index (BMI) between (greater than or equal to) 18 and (less than or equal to) 35 kg/m^2
7. Good physical and mental health
8. Sign a written informed consent agreement
Key exclusion criteria1. Maudsley Marital Questionnaire (MMQ) General Marital Satisfaction Scale Score greater than or equal to 20; Symptoms Checklist-90 (SCL-90) Depression Scale score greater than or equal to 28; SCL-90 Anxiety Scale Score greater than or equal to 18
2. Hormonal contraception use during the 1 cycle prior to the start study medication
3. Use of non-oral hormonal contraception in the 3 months prior to the screening
4. Total T value greater than 5 nmol/L at time of screening or at the pre-test vaginal photoplethysmograph (VPP) session
5. Androgen therapy during the 6 months prior to screening
6. Intention to become pregnant during the study
7. Lactation and/or pregnancy in the previous 6 months prior to screening
8. Any clinically significant abnormality following review of medical history, laboratory results and physical examination at screening
9. Treatment for any major psychiatric disorder in the previous 12 months or use of antidepressant medication prior to screening
10. Use of one or more of the following medications: psychoactive drugs, anti-hypertensive drugs, sex steroids other than the current OC
11. Present use or use within 30 days before the start of the study medication of the following drugs: hydantoins, barbiturates, primidone, carbamazepine, oxcarbazepine, topiramate, troglitazone, felbamate, rifampicin, rifabutin, griseofulvin, nelfinavir, ritonavir and St John's wort (Hypericum perforatum)
12. Administration of any other investigational drug within 3 months prior to screening
Date of first enrolment01/05/2007
Date of final enrolment01/07/2009

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Meibergdreef 9
Amsterdam
1105 AZ
Netherlands

Sponsor information

Pantarhei Bioscience BV (Netherlands)
Industry

PO Box 464
Zeist
3700 AL
Netherlands

Website http://www.pantarheibio.com/
ROR logo "ROR" https://ror.org/03hagz796

Funders

Funder type

Industry

Pantarhei Bioscience BV (Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/07/2018 14/10/2019 Yes No

Editorial Notes

14/10/2019: The following changes were made to the trial record:
1. Publication reference added.
2. The total final enrolment was added.