Evidence map›Paper›PMID 24923685›Full record

Trial reportThe European journal of contraception & reproductive health care : the official journal of the European Society of Contraception2014

Multinational, multicentre, randomised, open-label study evaluating the impact of a 91-day extended regimen combined oral contraceptive, compared with two 28-day traditional combined oral contraceptives, on haemostatic parameters in healthy women.

Rossella E Nappi, Anna Maria Paoletti, Annibale Volpe, Luca Chiovato, Brandon Howard, Herman Weiss, Nancy Ricciotti

Open access · bronzeAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Rossella E Nappi* Research Center for Reproductive Medicine, IRCCS Policlinico San Matteo Foundation, University of Pavia , Pavia , Italy.
Anna Maria Paoletti
Annibale Volpe
Luca Chiovato
Brandon Howard
Herman Weiss
Nancy Ricciotti
Teva Pharmaceuticals (United States) · USUniversity of Pavia · ITTeva Pharmaceuticals (Israel) · ILUniversity of Cagliari · ITUniversity of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the impact of a 91-day extended regimen combined oral contraceptive (150 μg levonorgestrel [LNG]/30 μg ethinylestradiol [EE] for 84 days, followed by 10 μg EE for seven days [Treatment 1]) compared with two traditional 21/7 regimens (21 days 150 μg LNG/30 μg EE [Treatment 2] or 150 μg desogestrel [DSG]/30 μg EE [Treatment 3], both with seven days' hormone free), on several coagulation factors and thrombin formation markers.

methodsRandomised, open-label, parallel-group comparative study involving healthy women (18-40 years). The primary endpoint was change from baseline in prothrombin fragment 1 + 2 (F1 + 2) levels over six months.

resultsA total of 187 subjects were included in the primary analysis. In all groups, mean F1 + 2 values were elevated after six months of treatment. Changes were comparable between Treatments 1 and 2 (least squares mean change: 170 pmol/L and 158 pmol/L, respectively) but noticeably larger after Treatment 3 (least squares mean change: 592 pmol/L). The haemostatic effects of Treatment 1 were comparable to those of Treatment 2 and noninferior to those of Treatment 3 (lower limit of 95% confidence interval [- 18.3 pmol/L] > - 130 pmol/L).

conclusionsThe LNG/EE regimens had similar effects on F1 + 2. Noninferiority was demonstrated between extended regimen LNG/EE and DSG/EE.

Indexed as

AdolescentAdultBlood CoagulationContraceptives, Oral, CombinedDelayed-Action PreparationsDesogestrelDrug Administration ScheduleEthinyl EstradiolFactor VIIFactor VIIIFemaleFibrin Fibrinogen Degradation ProductsHumansLevonorgestrelPartial Thromboplastin TimeProthrombinContraceptives, Oral, CombinedDelayed-Action PreparationsDesogestrelEthinyl EstradiolFactor VIIFactor VIIIFibrin Fibrinogen Degradation Productsfibrin fragment DLevonorgestrelProthrombinCoagulationCombined oral contraceptivesDesogestrelHaemostaticLevonorgestrel

Identifiers

PMID24923685
PMCPMC4134112
OpenAlexW2123844336

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.