Evidence map›Paper›PMID 40693846›Full record

Trial reportNEJM evidence2025

Contraceptive Efficacy and Comparative Side Effects of a Mini Copper Intrauterine Device.

Courtney A Schreiber, Kavita Nanda, David Hubacher, David K Turok, Jeffrey T Jensen, Mitchell D Creinin, Katharine O White, Ila Dayananda, Stephanie B Teal, Pai-Lien Chen and 12 more

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in NEJM evidence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03124160 (A Multi-center, Single-blind, Randomized Clinical Trial to Compare Two Copper IUDs), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT03124160 phase3completednot on this map

A Multi-center, Single-blind, Randomized Clinical Trial to Compare Two Copper IUDs: Mona Lisa NT Cu380 Mini and ParaGard

TypeinterventionalSponsorFHI 360Ran2017 to 2022Enrolled1,105ConditionsHealthy Women, Female ContraceptionArmsMona Lisa® NT Cu380 Mini, ParaGard® TCu380A
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

22 authors.

Courtney A SchreiberDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia.
Kavita NandaFHI 360, Durham, NC.
David HubacherFHI 360, Durham, NC.
David K TurokDepartment of Obstetrics and Gynecology, University of Utah, Salt Lake City.
Jeffrey T JensenDepartment of Obstetrics and Gynecology, Oregon Health and Science University, Portland.
Mitchell D CreininDepartment of Obstetrics and Gynecology, University of California, Davis, Sacramento.
Katharine O WhiteDepartment of Obstetrics and Gynecology, Boston University, Boston.
Ila DayanandaPlanned Parenthood of Greater New York, New York.
Stephanie B TealDepartment of Obstetrics and Gynecology, University Hospitals Medical Center and Case Western Reserve University, Cleveland.
Pai-Lien ChenFHI 360, Durham, NC.
Beatrice A ChenDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh and Magee-Womens Research Institute, Pittsburgh.
Alisa B GoldbergPlanned Parenthood League of Massachusetts, Boston.
Jennifer L KernsDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco.
Clint DartPremier Research, Morrisville, NC.
Anita L NelsonEssential Access Health, Los Angeles.
Michael A ThomasDepartment of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati.
David F ArcherDepartment of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk.
Jill E BrownContraceptive Development Program, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD.
Paula M CastañoDepartment of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York.
Anne E BurkeDepartment of Gynecology and Obstetrics, Johns Hopkins University, Baltimore.
Bliss KaneshiroDepartment of Obstetrics, Gynecology, and Women's Health, University of Hawaii, Honolulu.
Diana L BlitheContraceptive Development Program, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD.

Funding

Development of novel contraceptive methods for men and womenZIBHD008987 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI BLITHE, DIANA · 2019 to 2025
$7.2M
Gates Foundation INV-007137Intramural NIH HHS Z99 HD999999Intramural NIH HHS ZIB HD008987
6 · The paper itself

Abstract

backgroundIntrauterine devices (IUDs) are highly effective, yet acceptability and continuation differ by user and device characteristics. We evaluated the efficacy of the NTCu380 Mini, a 380-mm

methodsWe randomly assigned participants between 16 and 40 years of age in a 4:1 ratio to the NTCu380 Mini or TCu380A and assessed over 37 months. The primary outcome was NTCu380 Mini efficacy measured by the Pearl Index (defined as the number of pregnancies per 100 woman-years) in participants 35 years of age and under. Additional outcomes included NTCu380 Mini time to pregnancy by survival analysis, and comparative adverse events (AEs) and continuation rates of NTCu380 Mini versus TCu380A.

resultsWe randomly assigned 887 participants to NTCu380 Mini (744 [83.9%] nulliparous) and 218 to TCu380A (183 [83.9%] nulliparous), of whom 875 (98.6%) and 213 (97.7%), respectively, had successful placement. The NTCu380 Mini IUD 3-year cumulative Pearl Index was 1.86 (95% confidence interval [CI], 1.20 to 2.74) pregnancies per 100 women-years; the cumulative rate of pregnancy through year 3 was 4.8% (95% CI, 2.8 to 6.9%). Serious AEs occurred in 31 (3.5%) NTCu380 Mini and 4 (1.9%) TCu380A users (P=0.28). Discontinuation occurred in 449 (51.3%) NTCu380 Mini and 122 (57.3%) TCu380A users (P=0.07). AEs led to discontinuation less frequently among NTCu380 Mini (152 [20.8%]) than TCu380A users (57 [33.2%]) (P=0.001), particularly bleeding or pelvic pain AEs (103 [14.5%] vs. 46 [27.3%], respectively; P<0.001).

conclusionsIn this predominantly nulliparous population, the NTCu380 Mini IUD had an approximate 5% pregnancy rate over 3 years, with fewer side effects leading to discontinuation than observed among TCu380A users. (Funded by the Bill and Melinda Gates Foundation and others; ClinicalTrials.gov number, NCT03124160.) The findings and conclusions in this article are those of the authors and do not necessarily reflect the views of the Planned Parenthood Federation of America, Inc.

Indexed as

Contraceptive EffectivenessIntrauterine Devices, CopperAdolescentAdultCanadaFemaleHumansPregnancyYoung Adult

Identifiers

PMID40693846
PMCPMC13033372

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Registered trials

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.