PMID- 22067790 OWN - NLM STAT- MEDLINE DCOM- 20120406 LR - 20131121 IS - 1879-0518 (Electronic) IS - 0010-7824 (Linking) VI - 85 IP - 1 DP - 2012 Jan TI - Folate status and homocysteine levels during a 24-week oral administration of a folate-containing oral contraceptive: a randomized, double-blind, active-controlled, parallel-group, US-based multicenter study. PG - 42-50 LID - 10.1016/j.contraception.2011.05.013 [doi] AB - BACKGROUND: This study investigated the effects of adding levomefolate calcium 0.451 mg (the calcium salt of L-5-methyltetrahydrofolate; Metafolin(R)) to an oral contraceptive containing ethinylestradiol (EE) 20 mcg/drospirenone (drsp) 3 mg on folate levels in healthy women seeking contraception. STUDY DESIGN: In this randomized, double-blind, multicenter US-based study, women (18-40 years) received 24 weeks (six cycles) of EE/drsp/levomefolate calcium or EE/drsp for 24 days followed by 4 days of levomefolate calcium alone or placebo, respectively. The primary efficacy variables were red blood cell (RBC) and plasma folate levels at 24 weeks. RESULTS: At week 24, increases from baseline in mean RBC (990 +/- 390 nmol/L to 1406 +/- 440 nmol/L) and plasma folate (45.0 +/- 17.6 nmol/L to 60.8 +/- 19.9 nmol/L) levels were observed in women who received EE/drsp/levomefolate calcium [per protocol set (n=262); all values are displayed as mean +/- standard deviation]. In contrast, marginal fluctuations were observed with EE/drsp (p<.0001 for between-treatment differences at week 24). CONCLUSION: Clinically significant increases in folate status were observed with EE/drsp/levomefolate calcium compared with EE/drsp alone in US women of childbearing age. CI - Copyright (c) 2012 Elsevier Inc. All rights reserved. FAU - Bart, Stephan Sr AU - Bart S Sr AD - SNBL Clinical Pharmacology Center, Baltimore, MD 21163, USA. dokcyber@earthlink.net FAU - Marr, Joachim AU - Marr J FAU - Diefenbach, Konstanze AU - Diefenbach K FAU - Trummer, Dietmar AU - Trummer D FAU - Sampson-Landers, Carole AU - Sampson-Landers C LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20110713 PL - United States TA - Contraception JT - Contraception JID - 0234361 RN - 0 (Androstenes) RN - 0 (Contraceptives, Oral) RN - 0 (Estrogens) RN - 0 (Glutamates) RN - 0 (Mineralocorticoid Receptor Antagonists) RN - 0LVT1QZ0BA (Homocysteine) RN - 423D2T571U (Ethinyl Estradiol) RN - 935E97BOY8 (Folic Acid) RN - A9R10K3F2F (levomefolate calcium) RN - N295J34A25 (drospirenone) RN - SY7Q814VUP (Calcium) SB - IM MH - Adolescent MH - Adult MH - Androstenes/administration & dosage/adverse effects MH - Calcium/*administration & dosage/adverse effects MH - *Contraceptives, Oral/adverse effects MH - Double-Blind Method MH - Estrogens/administration & dosage/adverse effects MH - Ethinyl Estradiol/administration & dosage/adverse effects MH - Female MH - Folic Acid/*blood MH - Glutamates/*administration & dosage/adverse effects MH - Homocysteine/*blood MH - Humans MH - Mineralocorticoid Receptor Antagonists/administration & dosage/adverse effects MH - Neural Tube Defects/*prevention & control MH - Treatment Outcome MH - Young Adult EDAT- 2011/11/10 06:00 MHDA- 2012/04/07 06:00 CRDT- 2011/11/10 06:00 PHST- 2010/12/09 00:00 [received] PHST- 2011/05/18 00:00 [revised] PHST- 2011/05/20 00:00 [accepted] PHST- 2011/11/10 06:00 [entrez] PHST- 2011/11/10 06:00 [pubmed] PHST- 2012/04/07 06:00 [medline] AID - S0010-7824(11)00246-0 [pii] AID - 10.1016/j.contraception.2011.05.013 [doi] PST - ppublish SO - Contraception. 2012 Jan;85(1):42-50. doi: 10.1016/j.contraception.2011.05.013. Epub 2011 Jul 13.