Evidence map›Paper›PMID 34746745›Full record

ArticleContraception: X2021

Suppression of ovulation and pharmacokinetics following subcutaneous administration of various doses of Depo-Provera®: a randomized trial.

Vera Halpern, Rachael Fuchs, Vivian Brache, Luis Bahamondes, Maria Jose Miranda, Anja Lendvay, Leila Cochón, Douglas Taylor, Laneta J Dorflinger

Open access · goldAbstract read
In one paragraph

Article in Contraception: X, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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

9 authors at 4 institutions in 4 countries.

Vera HalpernFHI 360, Durham, NC, United States.
Rachael FuchsFHI 360, Durham, NC, United States.
Vivian BracheProfamilia, Biomedical Research Department, Santo Domingo, Dominican Republic.
Luis BahamondesHuman Reproduction Unit, Department of Obstetrics and Gynaecology, School of Medicine, University of Campinas (UNICAMP) Campinas, Brazil.
Maria Jose MirandaInstituto Chileno de Medicina Reproductiva (ICMER), Santiago, Chile.
Anja LendvayFHI 360, Durham, NC, United States.
Leila CochónProfamilia, Biomedical Research Department, Santo Domingo, Dominican Republic.
Douglas TaylorFHI 360, Durham, NC, United States.
Laneta J DorflingerFHI 360, Durham, NC, United States.
Family Health International 360 · USProfamilia · DOInstituto Chileno de Medicina Reproductiva · CLUniversidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify the lowest dose of Depo-Provera that, when administered off-label subcutaneously, suppressed ovulation and had a pharmacokinetic profile consistent with a 4-month contraceptive effect. STUDY

designWe conducted a randomized, multicenter, parallel-group study to evaluate the pharmacokinetics (PK) and pharmacodynamics (PD) of medroxyprogesterone acetate (MPA) after subcutaneous injection of three different doses of Depo-Provera. We randomized sixty women between 18 and 40 years of age at low risk of pregnancy with confirmed ovulation and body mass index of 18 to 35 kg/m

resultsFive women ovulated within four months of treatment initiation (three in the 45 mg group and two in the 75 mg group). MPA levels associated with ovulation were in general low, largely ≤ 0.2 ng/mL (the presumed contraceptive threshold). No women in either the 105 mg group or the Depo-subQ provera 104 group ovulated within four months. The PK parameters including C

conclusionA dose of 105 mg of Depo-Provera injected subcutaneously was the lowest tested dose that consistently suppressed ovulation and maintained serum MPA levels consistent with contraceptive effect for at least 4 months. The PK and PD results for the 105 mg dose were similar to Depo-subQ provera 104 over this period.

Indexed as

ContraceptionDepo-proveraDepot medroxyprogesterone acetateOvulationPharmacokineticsSubcutaneous

Identifiers

PMID34746745
PMCPMC8551587
OpenAlexW3204063903

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.