Method for the management of dysmenorrhea and menstrual pain
a dysmenorrhea and menstrual pain technology, applied in the field of dysmenorrhea and menstrual pain management, can solve the problems of increased risk of undesirable side effects, increased risk of thromboembolism, nausea, etc., and achieve the reduction of the number, frequency and/or severity of breast pain events, and the number of headaches. and/or headaches. the effect of severity
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example 1
[0089]During that study, healthy female subjects were treated for one 28-day cycle with either 10 or 20 mg E4 alone (n=10 and 11, respectively) or with a combination of E4 with either Progesterone (P) or Desogestrel (DSG) (n=15 or 16, respectively).
[0090]At baseline, occasional dysmenorrhea was reported by 11 subjects (21.2%), and frequent dysmenorrhea was reported by 19 subjects (36.5%). The distribution of dysmenorrhea is shown in Table 2 below. Overall, dysmenorrhea was reported by 25% to 53.3% of the subjects included in this trial.
TABLE 2Reports at BaselineNumber (%) of subjects20 mg20 mg20 mg10 mg E4E4E4 / DSGE4 / P4Dysmenorrhea(n = 10)(n = 11)(n = 15)(n = 16)No4 (40.0)7 (63.6)5 (33.3)6 (37.5)Occasional2 (20.0)1 (9.1) 2 (13.3)6 (37.5)Frequent4 (40.0)3 (27.3)8 (53.3)4 (25.0)Total number of6 (60.0)4 (36.4)10 (66.7) 10 (62.5) subjects presentingdysmenorrhea atbaseline
[0091]As shown in Table 3 of Treatment-emergent adverse events (TE-AE) below, reporting of dysmenorrhea during the tre...
example 2
[0092]In this clinical study comparing different doses and different combinations of estrogenic components and progestogenic components according to the invention, overall, at baseline, 68.9% of subjects had previously experienced dysmenorrhea, which was occasional in 40.4% of subjects and frequent in 28.5% of subjects.
[0093]As illustrated in Table 4 below extracted from Treatment-emergent adverse events (TE-AE) reported by at least 2 subjects in any treatment group, dysmenorrhea was more rarely reported when the progestogenic component was drospirenone than when it was levonorgestrel.
[0094]Additionally, and quite surprisingly, it is also seen in Table 4 that the lowest dose of the estrogenic component (15 mg daily) leads to fewer reports of dysmenorrhea as TE-AE than the higher dose (20 mg daily).
TABLE 4Treatment-emergent adverse eventsNumber (%) of subjects20 mg E4 / 20 mg E4 / 15 mg E4 / 15 mg E4 / 150 μg LNG3 mg DRSP150 μg LNG3 mg DRSPTE-AE(n = 77)(n = 75)(n = 80)(n = 79)Dysmenorrhea5 (...
example 3
[0096]In this clinical study comparing the combination of estrogenic component and progestogenic component according to the invention with a commercially available contraceptive treatment using also a natural estrogen (estradiol valerate at a 1, 2 or 3 mg dose of with dienogest at a dose of 0, 2 or 3 mg, marketed as Qlaira ® by Bayer HealthCare, Germany), the number of drug-related adverse events (Treatment-emergent adverse events (TE-AE) reported by at least 2 subjects in any treatment group) and the levels of the SHBG marker were monitored.
[0097]As illustrated in Table 5 below, 13 subjects (corresponding to 16.7%) reported TE-AEs related to headache in the treatment arm with the commercial product based on estradiol valerate and dienogest, while only 6 subjects (corresponding to 7.6%) did so in the group treated with a combination of 15 mg of estetrol and 3 mg of drospirenone. The number of events related to headache was thus shown to be much lower for the treatment according to t...
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