PMID- 19501211 OWN - NLM STAT- MEDLINE DCOM- 20090915 LR - 20220316 IS - 1879-0518 (Electronic) IS - 0010-7824 (Linking) VI - 80 IP - 1 DP - 2009 Jul TI - Efficacy and safety of a low-dose combined oral contraceptive containing drospirenone 3 mg and ethinylestradiol 20 mcg in a 24/4-day regimen. PG - 18-24 LID - 10.1016/j.contraception.2009.01.016 [doi] AB - OBJECTIVE: The study was conducted to assess the efficacy of a low-dose combined oral contraceptive (COC) containing drospirenone (drsp) 3 mg/ethinylestradiol (EE) 20 mcg administered for 24 days of active treatment followed by a 4-day hormone-free interval (24/4 regimen). STUDY DESIGN: In this open-label uncontrolled study conducted in 50 European centers, healthy females aged 18-35 years with a body mass index of less than 30 kg/m(2) received drsp 3 mg/EE 20 mcg 24/4 over 13 cycles. The primary efficacy variable was the number of unintended pregnancies. RESULTS: Five pregnancies occurred among 1101 women over 13,248 treatment cycles, resulting in a Pearl Index (PI) of 0.49 with an upper two-sided 95% CI limit of 1.14. Of these pregnancies, three were attributed to noncompliance with tablet use resulting in an adjusted PI for 'perfect use' of 0.22 (upper limit of two-sided 95% CI: 0.80) based on 11,755 cycles. CONCLUSION: Drospirenone 3 mg/EE 20 mcg 24/4 is a highly effective COC in nonobese women. FAU - Hernadi, Laszlo AU - Hernadi L AD - Department of Obstetrics and Gynaecology, Markhot F. Heves County Hospital, Eger, Hungary. FAU - Marr, Joachim AU - Marr J FAU - Trummer, Dietmar AU - Trummer D FAU - De Leo, Vincenzo AU - De Leo V FAU - Petraglia, Felice AU - Petraglia F LA - eng PT - Clinical Trial, Phase III PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20090318 PL - United States TA - Contraception JT - Contraception JID - 0234361 RN - 0 (Androstenes) RN - 0 (Delayed-Action Preparations) RN - 0 (Estrogens) RN - 0 (Progesterone Congeners) RN - 423D2T571U (Ethinyl Estradiol) RN - N295J34A25 (drospirenone) SB - IM MH - Adult MH - Androstenes/*administration & dosage/adverse effects MH - Delayed-Action Preparations/administration & dosage/adverse effects MH - Estrogens/*administration & dosage/adverse effects MH - Ethinyl Estradiol/*administration & dosage/adverse effects MH - Europe MH - Female MH - Humans MH - Medication Adherence MH - Patient Satisfaction MH - Progesterone Congeners/*administration & dosage/adverse effects MH - Women's Health MH - Young Adult EDAT- 2009/06/09 09:00 MHDA- 2009/09/16 06:00 CRDT- 2009/06/09 09:00 PHST- 2008/05/27 00:00 [received] PHST- 2009/01/23 00:00 [revised] PHST- 2009/01/28 00:00 [accepted] PHST- 2009/06/09 09:00 [entrez] PHST- 2009/06/09 09:00 [pubmed] PHST- 2009/09/16 06:00 [medline] AID - S0010-7824(09)00037-7 [pii] AID - 10.1016/j.contraception.2009.01.016 [doi] PST - ppublish SO - Contraception. 2009 Jul;80(1):18-24. doi: 10.1016/j.contraception.2009.01.016. Epub 2009 Mar 18.