Compare Two Copper IUDs: Mona Lisa NT Cu380 Mini and ParaGard

Completed · Phase 3

Conditions studied: Healthy Women, Female Contraception

In brief

This will be a multi-site, participant-blinded, randomized clinical trial. The investigators will randomize 1000 eligible participants in a 4:1 ratio to two different copper IUDs: 800 to Mona Lisa NT Cu380 Mini and 200 to ParaGard.

Key facts

Study ID

NCT03124160

Run by

FHI 360

People needed

1105

Starts

2017-05-26

Expected to finish

2022-06-06

Last updated by the study team

2024-09-25

Who can join

Age: 16 and older, up to 40. Sex: female. Healthy volunteers: accepted.

You may qualify if…

• 16-40 years
• o 16 and 17 year olds, where permissible by state regulations and local Institutional Review Board (IRB) approval
• Sexually active, anticipating at least one act of vaginal intercourse per menstrual cycle with a male partner and at risk for pregnancy
• seeking contraception, and willing to use the study IUD as the only contraception method
• willing to be randomized to one of the two copper IUDs
• has an intact uterus and at least one ovary
• has a history of regular menstrual cycles; defined as occurring every 21-35 days when not using hormones, and with a variation of typical cycle length of no more than 5 days
• able and willing to provide written informed consent
• agrees to follow all study requirements
• not currently pregnant or at risk for luteal phase pregnancy based on history of unprotected intercourse

You may not qualify if…

• abnormal Pap requiring treatment after enrollment
• known human immunodeficiency virus / acquired immunodeficiency syndrome (HIV/AIDS) infection
• intending to become pregnant in the 37 months after enrollment
• known infertility
• history of allergy or sensitivity to copper
• previous tubal sterilization
• has received an injectable contraceptive in the last 9 months and has not resumed regular menstrual cycles (as evidenced by 2 spontaneous menses)
• within 30 days of administration of mifepristone and/or misoprostol for medical abortion or for miscarriage management
• within 30 days of first, second, or third trimester abortion or miscarriage (note: potential abortion/miscarriage participants can be screened and return after 30 days for randomization and IUD insertion)
• within 30 days of delivery (for parous population)
• breastfeeding or recently breastfeeding women unless two consecutive normal menstrual periods have occurred after delivery and prior to enrollment.
• wants to use a copper IUD for emergency contraception
• has previously participated in the study
• participated in another clinical trial involving an investigational product within the last 30 days (before screening) or planning to participate in another clinical trial involving an intervention or treatment during this study
• not living in the catchment area of the study site or planning to move from the area within the year (unless known to be moving to the catchment area of another study site)
• known or suspected current alcohol or drug abuse
• planning to undergo major surgery during study participation
• current need for use of exogenous hormones or therapeutic anticoagulants (Note: subjects who start a therapeutic anticoagulant after enrolment will be allowed to continue in the study.)
• at high risk for sexually-transmitted infections or pelvic infection
• anticipated need for regular condom use (refer to Section 8.1).
• has any condition (social or medical) which in the opinion of the Investigator would make study participation unsafe or complicate data interpretation
• Reported medical contraindications (Medical Eligibility Criteria category 3 or 4)14 to copper IUDs, including:
• suspicious unexplained vaginal bleeding
• known cervical cancer
• known endometrial cancer

Where it is running

• Essential Access Health — Los Angeles, California, United States
• University of California, Davis — Sacramento, California, United States
• University of California, San Francisco — San Francisco, California, United States
• University of Colorado — Denver, Colorado, United States
• University of Hawaii — Honolulu, Hawaii, United States
• Johns Hopkins University — Baltimore, Maryland, United States
• Boston Medical Center Corporation — Boston, Massachusetts, United States
• Planned Parenthood League of Massachusetts — Boston, Massachusetts, United States
• Planned Parenthood of New York — New York, New York, United States
• Columbia University — New York, New York, United States
• University of Cincinnati — Cincinnati, Ohio, United States
• Oregon Health & Science University — Portland, Oregon, United States
• University of Pennsylvania — Philadelphia, Pennsylvania, United States
• University of Pittsburgh — Pittsburgh, Pennsylvania, United States
• University of Utah — Salt Lake City, Utah, United States
• Eastern Virginia Medical School — Norfolk, Virginia, United States

Full record on ClinicalTrials.gov

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