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Last Updated: April 10, 2025

CLINICAL TRIALS PROFILE FOR PARAGARD T 380A


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All Clinical Trials for PARAGARD T 380A

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT01594476 ↗ Early Postpartum Intrauterine Device (IUD) Placement Terminated Society of Family Planning Phase 4 2012-03-01 Women who have just given birth are at high risk for rapid repeat pregnancy, which can lead to negative consequences during the subsequent pregnancy. Providers have traditionally delayed starting birth control, especially placement of intrauterine devices (IUDs), post-delivery for a number of reasons. The first postpartum visit after a woman has given birth is typically scheduled for 6 weeks after her delivery, during which she is typically provided with her chosen method of birth control. This study will evaluate two different IUD placement times: 3 weeks and 6 weeks after delivery. This will allow the researchers to determine if placement time affects a woman's follow-through obtaining the IUD and keeping it inserted in place. The researchers will also look at bleeding patterns and patient/provider satisfaction with the IUD placement
NCT01422226 ↗ Intra Uterine Device Insertion in Nulliparous Women Terminated University of Colorado, Denver N/A 2011-07-01 Over the last several years, more and more women are choosing intrauterine contraception (IUDs) to meet their birth control needs. The effectiveness of IUDs is very similar to tubal sterilization, with an overall unintended pregnancy rate of less than 1% in the first year, and lower failure rates in subsequent years. Intrauterine contraception has many attributes besides its effectiveness; it is easily reversible, has a low side-effect profile, and provides a long-term solution for contraception (10 years for the copper T380 and 5 years for the levonorgestrel IUD). In addition, using an IUD for birth control requires little on-going effort by the woman to be effective and offers immediate return to fertility with its removal. The biggest increase in users is among nulliparous women (women who have not had children), due to increased awareness of the safety of modern IUDs in this population, and the many benefits of the method. In fact, The copper IUD (Paragard) is now FDA approved for use in nulliparous women, and the American College of Obstetricians and Gynecologists supports the use of both copper and levonorgestrel IUDs in nulliparous women. The cervix of a nulliparous woman has a smaller diameter which can lead to more difficult and uncomfortable IUD insertions. Many providers avoid offering IUDs to nulliparas because of fears that the procedure will be more difficult, and may require cervical dilation, placement of a paracervical nerve block, or placement under ultrasound guidance, none of which are standard for parous women. The medication misoprostol is a prostaglandin E1 analog. Because of misoprostol's known ability to cause cervical dilation, some family planning providers give their nulliparous patients a dose of this drug prior to IUD insertion. Misoprostol is commonly used to dilate the cervix for similar procedures as in first trimester abortions, hysteroscopy and endometrial biopsies. Its efficacy in cervical priming for IUD insertion is unknown, and some concern exists that uterine contractions caused by the drug may lead to device expulsion or displacement. In this study, the investigators propose to ask nulliparous women who have undergone contraceptive counseling and decided to use an IUD for birth control to be randomized to the use of misoprostol or placebo prior to their scheduled IUD placement.
NCT01147497 ↗ Misoprostol Prior to Intrauterine Device (IUD) Insertion in Nulliparous Women Completed Emory University N/A 2010-06-01 Because of misoprostol's known ability to cause cervical dilation, some family planning providers give their patients a dose of this drug prior to insertion. The goal of this study is to evaluate whether misoprostol prior to IUD insertion in nulliparous women eases insertion and decreases pain.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 3 of 3 entries

Clinical Trial Conditions for PARAGARD T 380A

Condition Name

721001234567ContraceptionHIVLeft Atrial Appendage Occlusion[disabled in preview]
Condition Name for PARAGARD T 380A
Intervention Trials
Contraception 7
HIV 2
Left Atrial Appendage Occlusion 1
[disabled in preview] 0
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Condition MeSH

110-0.100.10.20.30.40.50.60.70.80.911.1MucositisInflammation[disabled in preview]
Condition MeSH for PARAGARD T 380A
Intervention Trials
Mucositis 1
Inflammation 1
[disabled in preview] 0
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Clinical Trial Locations for PARAGARD T 380A

Trials by Country

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Trials by Country for PARAGARD T 380A
Location Trials
United States 22
Kenya 1
Dominican Republic 1
Spain 1
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Trials by US State

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Trials by US State for PARAGARD T 380A
Location Trials
Oregon 3
Colorado 3
Virginia 2
Utah 2
Pennsylvania 2
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Clinical Trial Progress for PARAGARD T 380A

Clinical Trial Phase

57.1%28.6%14.3%000.511.522.533.54Phase 4Phase 3Phase 1[disabled in preview]
Clinical Trial Phase for PARAGARD T 380A
Clinical Trial Phase Trials
Phase 4 4
Phase 3 2
Phase 1 1
[disabled in preview] 0
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Clinical Trial Status

54.5%27.3%18.2%00123456CompletedActive, not recruitingTerminated[disabled in preview]
Clinical Trial Status for PARAGARD T 380A
Clinical Trial Phase Trials
Completed 6
Active, not recruiting 3
Terminated 2
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Clinical Trial Sponsors for PARAGARD T 380A

Sponsor Name

trials000111112222University of Colorado, DenverSociety of Family PlanningEunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)[disabled in preview]
Sponsor Name for PARAGARD T 380A
Sponsor Trials
University of Colorado, Denver 2
Society of Family Planning 2
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) 2
[disabled in preview] 0
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Sponsor Type

77.3%13.6%9.1%0024681012141618OtherIndustryNIH[disabled in preview]
Sponsor Type for PARAGARD T 380A
Sponsor Trials
Other 17
Industry 3
NIH 2
[disabled in preview] 0
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PARAGARD T 380A: Clinical Trials, Market Analysis, and Projections

Introduction

The PARAGARD T 380A, a copper-bearing intrauterine contraceptive device (IUD), has been a significant player in the long-term birth control market since its FDA approval in 1984. Here, we will delve into the clinical trials, market analysis, and future projections for this device.

Clinical Trials and Efficacy

Mechanism of Action

The PARAGARD T 380A works by continuously releasing copper into the uterine cavity, which interferes with sperm transport and fertilization, and possibly prevents implantation of an egg[1][4][5].

Clinical Trials Experience

Clinical trials have shown that the PARAGARD T 380A is highly effective, with a pregnancy prevention rate of 99%[4]. The incidence of pelvic inflammatory disease (PID) that resulted in the removal of the device was approximately 0.1%[3].

Adverse Reactions

Common adverse reactions reported in clinical trials include bleeding, cramps, anemia, dyspareunia, pelvic infection, and ectopic pregnancy. Less common but serious complications can include uterine or cervical perforation, embedment or fragmentation of the device, and septicemia during pregnancy[1][3][4].

Market Analysis

Market History

The introduction of the PARAGARD T 380A in 1984 marked a significant milestone in IUD technology. However, the market for IUDs had previously been marred by the Dalkon Shield controversy, which led to a sharp decline in IUD use and increased distrust among consumers. Despite this, the PARAGARD T 380A has managed to regain trust and become a popular choice for long-term, hormone-free birth control[2].

Current Market Position

The PARAGARD T 380A is one of the leading IUDs on the market, known for its effectiveness and long-term use of up to 10 years. It is particularly appealing to women seeking an alternative to hormonal birth control methods. The device is designed and manufactured by Teva Pharmaceuticals and is widely available in the United States and other countries[1][4].

Competitive Landscape

The IUD market is competitive, with other devices such as the Mirena and Skyla also available. However, the PARAGARD T 380A stands out due to its non-hormonal nature and long duration of action. This makes it a preferred choice for many women who want to avoid hormonal side effects or have contraindications to hormonal contraceptives[4].

Market Projections

Future Demand

Given the increasing awareness and acceptance of IUDs as a reliable and long-term birth control method, the demand for the PARAGARD T 380A is expected to remain strong. The device's non-hormonal nature and high efficacy rate are likely to continue attracting women who prefer this type of contraception[4].

Challenges and Opportunities

Despite its popularity, the PARAGARD T 380A faces challenges related to side effects and complications, particularly during the removal process. Fracture of the device, leaving broken pieces inside the uterus, is a significant concern that has led to numerous lawsuits. Addressing these issues through improved design and removal techniques could enhance the device's market position[4].

Regulatory Environment

The regulatory environment for IUDs is stringent, with the FDA closely monitoring safety and efficacy. Any future updates or improvements to the PARAGARD T 380A will need to comply with these regulations. The ongoing lawsuits and the need for continuous safety monitoring may influence future market projections[4].

Legal and Litigation Landscape

Ongoing Litigation

As of December 2024, nearly 2,900 pending lawsuits related to the PARAGARD T 380A are part of a multidistrict litigation (MDL). These lawsuits primarily concern complications and injuries during or after the device’s removal. Bellwether trials scheduled for 2025 will be crucial in determining the future legal landscape for the device[4].

Patient and Provider Perspectives

Patient Counseling

Effective patient counseling is crucial for the successful use of the PARAGARD T 380A. Patients need to be informed about the potential risks and benefits, including the possibility of heavier and longer menstrual bleeding, and the importance of regular follow-up to check the device's placement[1][3].

Provider Recommendations

Healthcare providers recommend the PARAGARD T 380A for women seeking long-term, hormone-free birth control. However, they must carefully evaluate each patient's suitability for the device, considering contraindications such as uterine abnormalities, active PID, and Wilson's disease[1][3].

Technological Advancements and Innovations

Future Improvements

Future improvements to the PARAGARD T 380A could include design modifications to reduce the risk of fracture and other complications during removal. Advances in materials and insertion/removal techniques could also enhance patient safety and comfort[4].

Key Takeaways

  • High Efficacy: The PARAGARD T 380A is 99% effective in preventing pregnancy.
  • Long-Term Use: Approved for use up to 10 years.
  • Non-Hormonal: A preferred choice for women avoiding hormonal contraceptives.
  • Clinical Trials: Low incidence of PID and other serious complications.
  • Market Position: Leading IUD in the market despite competitive landscape.
  • Challenges: Complications during removal, ongoing litigation.
  • Future Projections: Strong demand expected, but addressing safety concerns is crucial.

FAQs

Q: What is the mechanism of action of the PARAGARD T 380A?

A: The PARAGARD T 380A works by releasing copper into the uterine cavity, which interferes with sperm transport and fertilization, and possibly prevents implantation of an egg.

Q: How effective is the PARAGARD T 380A in preventing pregnancy?

A: The PARAGARD T 380A is 99% effective in preventing pregnancy.

Q: What are the common adverse reactions associated with the PARAGARD T 380A?

A: Common adverse reactions include bleeding, cramps, anemia, dyspareunia, and pelvic infection.

Q: Can the PARAGARD T 380A be used by women with uterine abnormalities?

A: No, the use of the PARAGARD T 380A is contraindicated in women with uterine abnormalities that distort the uterine cavity.

Q: What are the legal issues surrounding the PARAGARD T 380A?

A: There are ongoing lawsuits related to complications and injuries during or after the device’s removal, with nearly 2,900 pending cases as of December 2024.

Sources

  1. eMPR.com - PARAGARD T380A Prescription & Dosage Information
  2. Reproductive Health Access Project - A History: The IUD
  3. Paragard.com - FULL PRESCRIBING INFORMATION: PARAGARD
  4. TorHoerman Law - Paragard Lawsuit [December 2024 Update]
  5. FDA - Reference ID: 5405397 - PARAGARD Label

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