Safety of estetrol (E4) combined with drospirenone (DRSP) birth control
Official title: International Active Surveillance Study: Safety of Estrogen Estetrol (E4) Contraceptive Study (INAS-SEECS)
Run by Center for Epidemiology and Health Research, Germany · NCT06186271 · Data updated 2026-11-12
This study will test whether a birth control pill combining estetrol (E4) and drospirenone (DRSP) has similar risks of blood clots compared with other commonly used combined oral contraceptives in women of reproductive age.
Quick facts
| Study type | Observational |
|---|---|
| Sex | Women only |
| Enrollment | 68100 (estimated) |
| Sponsor | Center for Epidemiology and Health Research, Germany Academic / other |
| Locations | 1 site (Berlin, State of Berlin) |
| Status | Recruiting |
| Started | April 24, 2025 |
| Main results expected | December 2028 |
| Study ends | June 2029 |
| Registry record updated | August 20, 2025 |
| Trial ID | NCT06186271 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Women of reproductive age who are new users of combined oral contraceptives—specifically those starting E4/DRSP, EE/DRSP, or EE combined with levonorgestrel, norethisterone/NETA, or norgestimate—are the intended participants.
✕Probably not a fit
Women who are not starting one of these combined oral pills, those who gave birth within the past six weeks, or users of non‑combined or non‑oral contraceptives are unlikely to benefit from joining.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an international observational post‑marketing safety study comparing new users of the estetrol/drospirenone (E4/DRSP) oral contraceptive with new users of EE/DRSP and with a pooled cohort of EE/LNG, EE/NETA, and EE/NGM users. The main clinical outcomes are venous thromboembolism (VTE) and arterial thromboembolism (ATE), measured in routine clinical practice across participating sites. The study enrolls new users, includes an adequate number of obese women for subgroup analyses, and is sized to rule out a two‑fold increase in VTE risk for the primary comparisons. It is being conducted to meet FDA post‑market requirements and is coordinated by the Center for Epidemiology and Health Research in Germany.
Why it matters
Potential benefit: If successful, the results could reassure patients and clinicians that E4/DRSP does not carry a higher risk of blood clots than other combined oral contraceptives, expanding safe contraceptive choices.
How similar studies have gone: Early clinical trials and laboratory data indicated E4/DRSP may have less impact on hepatic parameters and hemostasis than EE combinations, and E4/DRSP has regulatory approval in several regions, but large real‑world comparative safety data on clotting risks remain limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: • New users of E4/DRSP or EE/DRSP or EE/LNG or EE/NGM or EE/NETA Exclusion Criteria: • Women who have given birth six weeks before treatment starts will be excluded from the study.
Where it's running
-
Berlin Center for Epidemiology and Health Research
Berlin, State of Berlin, Germany Recruiting
Study contacts
- Principal investigator: Klaas Heinemann, Dr. — ZEG Berlin GmbH
- Study coordinator: Armin Papkalla, Dr.
- Email: a.papkalla@zeg-berlin.de
- Phone: +49 30 945 101 20
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.