Trial Outcomes & Findings for Evaluation of the Efficacy and Safety of LevoCept (NCT NCT02882191)

NCT ID: NCT02882191

Last Updated: 2026-04-23

Results Overview

Contraceptive efficacy through 3 years of use, as assessed by the Pearl Index. The Pearl Index is calculated as the number of on-treatment pregnancies per 100 woman-years of exposure. On-treatment pregnancy is defined as the estimated conception date being on or after the insertion date (must be a successful insertion) and no more than 7 days after the study drug is removed or expelled. One women year is defined as comprising thirteen 28-day cycles. A lower Pearl Index indicates greater contraceptive effectiveness.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

279 participants

Primary outcome timeframe

1 Year, 2 Years, and 3 Years

Results posted on

2026-04-23

Participant Flow

Participant milestones

Participant milestones
Measure
LevoCept IUD
LevoCept IUD placement LevoCept: placement of LevoCept IUD
Overall Study
STARTED
279
Overall Study
COMPLETED
154
Overall Study
NOT COMPLETED
125

Reasons for withdrawal

Reasons for withdrawal
Measure
LevoCept IUD
LevoCept IUD placement LevoCept: placement of LevoCept IUD
Overall Study
Adverse Event
50
Overall Study
Lost to Follow-up
17
Overall Study
Pregnancy
1
Overall Study
Protocol Violation
2
Overall Study
Withdrawal by Subject
40
Overall Study
Physician Decision
6
Overall Study
Insertion Failure
2
Overall Study
moved from site (2), no longer interested in study (2), self-removed (2), unknown (1)
7

Baseline Characteristics

Evaluation of the Efficacy and Safety of LevoCept

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
LevoCept IUD
n=279 Participants
LevoCept IUD placement LevoCept: placement of LevoCept IUD
Age, Continuous
27.8 years
STANDARD_DEVIATION 5.16 • n=60 Participants
Sex: Female, Male
Female
279 Participants
n=60 Participants
Sex: Female, Male
Male
0 Participants
n=60 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
47 Participants
n=60 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
232 Participants
n=60 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=60 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=60 Participants
Race (NIH/OMB)
Asian
15 Participants
n=60 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=60 Participants
Race (NIH/OMB)
Black or African American
57 Participants
n=60 Participants
Race (NIH/OMB)
White
188 Participants
n=60 Participants
Race (NIH/OMB)
More than one race
15 Participants
n=60 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=60 Participants

PRIMARY outcome

Timeframe: 1 Year, 2 Years, and 3 Years

Population: All Evaluable for Pregnancy Subjects

Contraceptive efficacy through 3 years of use, as assessed by the Pearl Index. The Pearl Index is calculated as the number of on-treatment pregnancies per 100 woman-years of exposure. On-treatment pregnancy is defined as the estimated conception date being on or after the insertion date (must be a successful insertion) and no more than 7 days after the study drug is removed or expelled. One women year is defined as comprising thirteen 28-day cycles. A lower Pearl Index indicates greater contraceptive effectiveness.

Outcome measures

Outcome measures
Measure
LevoCept IUD
n=249 Participants
LevoCept IUD placement LevoCept: placement of LevoCept IUD
Contraceptive Efficacy Through During LevoCept Use
1 Year
0 Pregnancies per 100 woman-years
Interval to 1.88
Because no pregnancies occurred, the lower confidence interval cannot be estimated and is therefore reported as NA. This is the expected statistical result when zero events are observed.
Contraceptive Efficacy Through During LevoCept Use
Cumulative 2 Year
0 Pregnancies per 100 woman-years
Interval to 1.11
Because no pregnancies occurred, the lower confidence interval cannot be estimated and is therefore reported as NA. This is the expected statistical result when zero events are observed.
Contraceptive Efficacy Through During LevoCept Use
Cumulative 3 Year
0 Pregnancies per 100 woman-years
Interval to 0.83
Because no pregnancies occurred, the lower confidence interval cannot be estimated and is therefore reported as NA. This is the expected statistical result when zero events are observed.

PRIMARY outcome

Timeframe: Years 1-3

Population: evaluable for pregnancy population

A life table analysis (using Kaplan-Meier) of pregnancies will be performed for the EP population to present the cumulative pregnancy percentage

Outcome measures

Outcome measures
Measure
LevoCept IUD
n=249 Participants
LevoCept IUD placement LevoCept: placement of LevoCept IUD
Cumulative Pregnancy Percentage
Year 1
0 Percentage probability
Cumulative Pregnancy Percentage
Year 2
0 Percentage probability
Cumulative Pregnancy Percentage
Year 3
0 Percentage probability

SECONDARY outcome

Timeframe: Visit 1 (Day 1)/ LevoCept Placement

Population: Intent to Treat Population

The number and percentage of subjects with either a successful or unsuccessful placement will be summarized

Outcome measures

Outcome measures
Measure
LevoCept IUD
n=279 Participants
LevoCept IUD placement LevoCept: placement of LevoCept IUD
LevoCept Placement Success
Successfully Placed at First Attempt
260 Participants
LevoCept Placement Success
Successfully Placed at Second Attempt
17 Participants
LevoCept Placement Success
Not Successfully Placed
2 Participants

SECONDARY outcome

Timeframe: Visit 1 (Day 1)/ LevoCept Placement

Population: Intent to Treat Population

Ease of placement of the LevoCept was assessed by the clinician immediately following device placement. The clinician rated the ease of placement using the following options: "Very Easy," "Easy," "Neither Easy nor Hard," "Hard," or "Very Hard." This rating was based on the clinician's experience during the placement procedure.

Outcome measures

Outcome measures
Measure
LevoCept IUD
n=278 Participants
LevoCept IUD placement LevoCept: placement of LevoCept IUD
Ease of LevoCept Placement
Very Easy
137 Participants
Ease of LevoCept Placement
Easy
110 Participants
Ease of LevoCept Placement
Neither Easy Nor Hard
22 Participants
Ease of LevoCept Placement
Hard
8 Participants
Ease of LevoCept Placement
Very Hard
1 Participants

SECONDARY outcome

Timeframe: Cycle 1 to Cycle 13 (post IUD placement). Each cycle is 28 days.

Population: Safety Subjects - Enrolled subjects who had a successful device placement. The number of participants reported for each cycle reflects the number of safety subjects who submitted bleeding-related diary data during that specific cycle.

Bleeding and spotting patterns will be summarized for the first year of treatment (Cycle 1 to Cycle 13) by the mean number of days in each 28-day cycle with bleeding or spotting and spotting only

Outcome measures

Outcome measures
Measure
LevoCept IUD
n=277 Participants
LevoCept IUD placement LevoCept: placement of LevoCept IUD
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 2 - Spotting
6.4 Days
Standard Deviation 5.03
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 3 - Bleeding or Spotting
9.2 Days
Standard Deviation 6.08
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 5 - Spotting
3.5 Days
Standard Deviation 3.22
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 6 - Spotting
3.5 Days
Standard Deviation 3.74
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 7 - Bleeding or Spotting
6.2 Days
Standard Deviation 5.25
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 7 - Spotting
3.1 Days
Standard Deviation 3.23
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 8 - Bleeding or Spotting
5.7 Days
Standard Deviation 4.89
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 8 - Spotting
3.1 Days
Standard Deviation 3.24
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 9 - Bleeding or Spotting
5.5 Days
Standard Deviation 4.92
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 9 - Spotting
2.9 Days
Standard Deviation 2.9
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 10 - Bleeding or Spotting
5.1 Days
Standard Deviation 4.69
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 10 - Spotting
2.8 Days
Standard Deviation 3.3
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 11 - Spotting
2.6 Days
Standard Deviation 3.11
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 12 - Bleeding or Spotting
4.8 Days
Standard Deviation 4.55
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 12 - Spotting
2.4 Days
Standard Deviation 2.75
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 13 - Bleeding or Spotting
5.1 Days
Standard Deviation 5.09
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 13 - Spotting
2.9 Days
Standard Deviation 3.62
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 3 - Spotting
4.8 Days
Standard Deviation 4.16
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 4 - Bleeding or Spotting
7.6 Days
Standard Deviation 5.62
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 4 - Spotting
4.1 Days
Standard Deviation 3.43
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 5 - Bleeding or Spotting
6.7 Days
Standard Deviation 5.43
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 6 - Bleeding or Spotting
6.4 Days
Standard Deviation 5.17
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 11 - Bleeding or Spotting
5.0 Days
Standard Deviation 4.67
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 1 - Bleeding or Spotting
13.5 Days
Standard Deviation 7.41
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 1 - Spotting
6.6 Days
Standard Deviation 4.93
Bleeding and Spotting Patterns (Number of Bleeding and/or Spotting Days Per Cycle)
Cycle 2 - Bleeding or Spotting
12.0 Days
Standard Deviation 7.4

Adverse Events

LevoCept IUD

Serious events: 4 serious events
Other events: 264 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
LevoCept IUD
n=279 participants at risk
LevoCept IUD placement LevoCept: placement of LevoCept IUD
Injury, poisoning and procedural complications
intentional overdose
0.36%
1/279 • Number of events 1 • 36 Months
Renal and urinary disorders
renal failure acute
0.36%
1/279 • Number of events 1 • 36 Months
Gastrointestinal disorders
intussusception
0.36%
1/279 • Number of events 1 • 36 Months
Injury, poisoning and procedural complications
overdose
0.36%
1/279 • Number of events 1 • 36 Months

Other adverse events

Other adverse events
Measure
LevoCept IUD
n=279 participants at risk
LevoCept IUD placement LevoCept: placement of LevoCept IUD
Reproductive system and breast disorders
dysmenorrhoea
52.7%
147/279 • Number of events 297 • 36 Months
Reproductive system and breast disorders
menorrhagia
39.8%
111/279 • Number of events 189 • 36 Months
Reproductive system and breast disorders
dyspareunia
38.4%
107/279 • Number of events 194 • 36 Months
Reproductive system and breast disorders
metrorrhagia
31.2%
87/279 • Number of events 147 • 36 Months
Reproductive system and breast disorders
pelvic discomfort
20.1%
56/279 • Number of events 80 • 36 Months
Reproductive system and breast disorders
pelvic pain
14.7%
41/279 • Number of events 56 • 36 Months
Reproductive system and breast disorders
uterine spasm
10.4%
29/279 • Number of events 37 • 36 Months
Infections and infestations
upper respiratory tract infection
14.0%
39/279 • Number of events 84 • 36 Months
Infections and infestations
nasopharyngitis
12.9%
36/279 • Number of events 64 • 36 Months
Infections and infestations
bacterial vaginosis
11.5%
32/279 • Number of events 42 • 36 Months
Infections and infestations
influenza
8.2%
23/279 • Number of events 25 • 36 Months
Infections and infestations
urinary tract infection
7.2%
20/279 • Number of events 26 • 36 Months
Infections and infestations
vulvovaginal mycotic infection
6.5%
18/279 • Number of events 21 • 36 Months
Injury, poisoning and procedural complications
post-procedure discomfort
12.5%
35/279 • Number of events 35 • 36 Months
Injury, poisoning and procedural complications
post-procedure haemorrhage
8.2%
23/279 • Number of events 24 • 36 Months
Injury, poisoning and procedural complications
procedural pain
6.1%
17/279 • Number of events 20 • 36 Months
Gastrointestinal disorders
abdominal pain
5.7%
16/279 • Number of events 24 • 36 Months
Skin and subcutaneous tissue disorders
acne
6.5%
18/279 • Number of events 18 • 36 Months
Nervous system disorders
headache
5.0%
14/279 • Number of events 14 • 36 Months

Additional Information

Elizabeth Gray, Manager, Clinical Operations

Sebela Women's Health

Phone: 760-593-8383

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place