CoCo-PCOS - Comprehensive Health Effects of Combined Contraceptives: a 6-month randomized, controlled, open-label trial of E4+DRSP, EE20µg+DRSP, and DRSP-only in women with PCOS

2025-523358-15-00 Protocol CoCo3-PCOS Therapeutic use (Phase IV) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 2 sites · Protocol CoCo3-PCOS

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Authorised, recruitment pending
Participants planned 156
Countries 1
Sites 2

Contraception

The main objective of the study is to investigate whether E4+DRSP has a lesser impact on coagulation, measured by endogenous thrombin potential (ETP), than EE+DRSP. We hypothesize that DRSP-only does not significantly alter the in vitro coagulation-related outcomes.

Key facts

Sponsor
Pohjois-Pohjanmaan hyvinvointialue, University Of Oulu
Participant type
Healthy volunteers
Age range
18-64 years
Gender
Female
Therapeutic area
Phenomena and Processes [G] - Reproductive and Urinary Physiological Phenomena [G08]
Decision date (initial)
2026-04-20
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
National Medical Fund · Oulu University Hospital · University of Oulu · Novo Nordisk Foundation · University of Helsinki · The Finnish Medical Association · Gedeon Richter

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety

The main objective of the study is to investigate whether E4+DRSP has a lesser impact on coagulation, measured by endogenous thrombin potential (ETP), than EE+DRSP. We hypothesize that DRSP-only does not significantly alter the in vitro coagulation-related outcomes.

Secondary objectives 5

  1. Effects on coagulation-related markers: Impact on normalized Activated Protein C resistance ratio (nAPCsr), D-Dimer, and Prothrombin Fragment FI+II levels
  2. Effects on sex hormone-binding globulin (SHBG)
  3. Effects on metabolic and inflammatory markers: Lipid and glucose metabolism, low-grade inflammation, and serum proteome
  4. Effects on ovarian and pituitary hormones: Ovarian steroid hormone and pituitary gonadotrophin secretion
  5. Effects on adrenal steroid hormones

Conditions and MedDRA coding

Contraception

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 8

  1. Age: 18-40 years when entering the trial
  2. Willingness to use trial medication and to sign a written informed consent
  3. BMI: 18-29.9 kg/m2
  4. PCOS diagnosis according to Rotterdam criteria: clinical or biochemical hyperandrogenism, and/or PCOM, and/or menstrual irregularities.
  5. Healthy aside from PCOS, no clinically significant illnesses diagnosed by a health care provider, nor any continuous medical treatment
  6. Two-month withdrawal time from previous use of hormonal contraceptive medication
  7. Minimum of three months from pregnancy or breastfeeding
  8. Sufficient knowledge of Finnish to understand research documents and to communicate with research staff

Exclusion criteria 5

  1. Any contraindication for the use of combined contraceptives
  2. Clinically significant abnormalities in screening measurements or ultrasound
  3. Regular smoking/use of nicotine products, illicit drugs, or alcohol abuse
  4. The aim of becoming pregnant during the study period
  5. Any disease or condition that may interfere with the conduct of the study or the interpretation of the results

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. 6-month use of study preparation, endpoint visit

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Drovelis 3 mg/14.2 mg film-coated tablets

PRD8965736 · Product

Active substance
Drospirenone
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
2 DF dosage form
Max total dose
2 DF dosage form
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
G03AA18 — -
Marketing authorisation
EU/1/21/1547/001
MA holder
GEDEON RICHTER PLC.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Daylette 0,02 mg / 3 mg tabletti, kalvopäällysteinen

PRD6245092 · Product

Active substance
Drospirenone
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
2 DF dosage form
Max total dose
2 DF dosage form
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
G03AA12 — DROSPIRENONE AND ESTROGEN
Marketing authorisation
35525
MA holder
GEDEON RICHTER PLC.
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 1

Slinda 4 mg kalvopäällysteinen tabletti

PRD7756954 · Product

Active substance
Drospirenone
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
2 DF dosage form
Max total dose
2 DF dosage form
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
G03AC10 — -
Marketing authorisation
36346
MA holder
EXELTIS HEALTHCARE S.L
MA country
Finland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Pohjois-Pohjanmaan hyvinvointialue

4 Total trials 1 Recruiting
Academic / Non-commercial
Sponsor organisation
Pohjois-Pohjanmaan hyvinvointialue
Address
Kajaanintie 50
City
Oulu
Postcode
90220
Country
Finland

Scientific contact point

Organisation
Pohjois-Pohjanmaan hyvinvointialue
Contact name
Pohde Tutkimuspalvelut

Public contact point

Organisation
Pohjois-Pohjanmaan hyvinvointialue
Contact name
Pohde Tutkimuspalvelut

University Of Oulu

5 Total trials 2 Recruiting
Academic / Non-commercial
Sponsor organisation
University Of Oulu
Address
P. O. Box 23
City
Oulu
Postcode
90029
Country
Finland

Scientific contact point

Organisation
University Of Oulu
Contact name
Terhi Piltonen

Public contact point

Organisation
University Of Oulu
Contact name
Tutkimushoitaja Oulu

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Finland Authorised, recruitment pending 156 2
Rest of world 0

Investigational sites

Finland

2 sites · Authorised, recruitment pending
University Of Oulu
Obstetrics & Gynecology, P. O. Box 23, 90029, Oulu
HUS-yhtymae
Obstetrics & Gynecology, Haartmaninkatu 2, P. O. Box 140, Helsinki

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 13 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_protocol_CoCo3-PCOS_for-publication 1.1
Recruitment arrangements (for publication) K1_Recruitment arrangements_CoCo3-PCOS 1.1
Recruitment arrangements (for publication) K1_rekrytointi-ja-suostumusprosessi_ CoCo3-PCOS 1.1
Recruitment arrangements (for publication) K2_mainos_painettava_CoCo3 1.1
Recruitment arrangements (for publication) K2_mainos_some_Coco3 1.1
Subject information and informed consent form (for publication) L1_SIS-and-ICF_CoCo3-PCOS_Public 1.1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Daylette_eng 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Daylette_fi-sv 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Drovelis_en 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Drovelis_fi 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Drovelis_sv 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Slinda_en 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC Slinda_fi-sv 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-12-22 Finland Acceptable
2026-04-10
2026-04-20