Efficacy Trial of CDB 2914 for Emergency Contraception

Objective: To compare the efficacy, safety and tolerance of a 50 mg dose of a new antiprogestin, CDB-2914 with a 0.75 mg bid dose of levonorgestrel as emergency contraception

Design: Multicenter, randomized, double blind Phase II study to compare a 50 mg dose of CDB-2914 to a 0.75 mg bid dose of levonorgestrel as emergency contraception

Duration: A one-time treatment with either CDB-2914 or levonorgestrel with follow-up visits at 5-7 days after expected onset of menses and another visit at 12-14 days after expected onset of menses (if needed)

Treatment: A one-time treatment with one of the following:

• Two doses of 0.75 mg of levonorgestrel to be taken 12 hours apart
• One dose of 50 mg CDB-2914 and a second placebo dose to be taken 12 hours later

Study Sites: Multicenter study in the United States

Subjects: Women of reproductive age (at least 18 years) at risk of pregnancy within 72 hours of unprotected coitus

Sample Size: Approximately 811 women will be enrolled in each treatment group to obtain 1540 evaluable subjects

Outcome Evaluations

Primary: To evaluate the efficacy of CDB-2914 used by subjects as an emergency postcoital contraceptive in comparison to a group of subjects receiving levonorgestrel.

Secondary: To compare the tolerability (as measured by vomiting and nausea) of CDB-2914 used by subjects as an emergency postcoital contraceptive with that of a group of subjects receiving levonorgestrel.

Safety/Other: To assess the frequency and intensity of adverse events and the effects on the menstrual cycle of subjects administered CDB-2914 in comparison to subjects given levonorgestrel.

Inclusion criteria

• Menstruating women at least 18 years old;
• Give voluntary, written informed consent, and agree to observe all study requirements;
• Request emergency contraception within 72 hours (3 days) after unprotected coitus, as defined by lack of contraceptive use, or condom breakage (including condoms lubricated with spermicide) or other barrier contraceptive method failure;
• Reports that all acts of unprotected coitus during the current cycle are within 72 hours prior to enrollment;
• Willing to abstain from further acts of unprotected intercourse during that cycle;
• History of regular menstrual cycles (mean length of 24-42 days with intra-individual variation of ±5 days);
• At least one normal menstrual cycle (2 menses) post delivery or abortion;
• If subject recently discontinued hormonal contraception, one normal menstrual cycle (2 menses) must have been completed before entry in the study
• For women with a recent history of Depo Provera use, the most recent injection must be at least 3 months before study entry and the subject must have had at least one normal menstrual cycle (2 menses);
• Available for follow-up for at least the next four weeks.

Exclusion criteria

• Currently pregnant (positive high-sensitivity urine pregnancy test);
• pregnant or breast-feeding within the past two months;
• use of hormonal methods of contraception during the current or previous two cycles;
• current user of IUD;
• tubal ligation;
• partners with history of vasectomy;
• unsure about the date of the last menstrual period (+3 days);
• irregular menstrual cycles as defined in the inclusion criteria;
• nausea and vomiting within the previous two weeks;
• impaired hypothalamic-pituitary-adrenal reserve or oral glucocorticoid replacement therapy in the last year.

Subjects cannot be currently enrolled in any other investigational trial or re-enrolled in this study.