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CTRI Number  CTRI/2016/03/006781 [Registered on: 31/03/2016] Trial Registered Prospectively
Last Modified On: 15/11/2018
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study   Medical Device 
Study Design  Other 
Public Title of Study   Clinical registry to evaluate safety, tolerance, and performance of Fionaâ„¢ Levonorgestrel – Releasing Intrauterine System. 
Scientific Title of Study   An open label, post marketing, single arm, clinical registry to evaluate safety, tolerance, and performance of Fionaâ„¢ Levonorgestrel – Releasing Intrauterine System. 
Secondary IDs if Any
Modification(s)  
Secondary ID  Registry 
MES/Fiona-1 Version 1.0.0 dated 13 Feb 2016  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ashok Thakkar 
Address  Meril Life Sciences Pvt. Ltd., Bilakhia House, Survey No. 135/139, Muktanand Marg, Chala, Vapi – 396191, Gujarat, India
Meril Life Sciences Pvt. Ltd., Bilakhia House, Survey No. 135/139, Muktanand Marg, Chala, Vapi – 396191, Gujarat, India
Valsad
GUJARAT
396191
India 
Phone  912603052100  
Fax    
Email  ashok.thakkar@merillife.com  
 
Details Contact Person
Scientific Query
 
Name  Dr Ashok Thakkar 
Address  Meril Life Sciences Pvt. Ltd., Bilakhia House, Survey No. 135/139, Muktanand Marg, Chala, Vapi – 396191, Gujarat, India
Meril Life Sciences Pvt. Ltd., Bilakhia House, Survey No. 135/139, Muktanand Marg, Chala, Vapi – 396191, Gujarat, India
Valsad
GUJARAT
396191
India 
Phone  912603052100  
Fax    
Email  ashok.thakkar@merillife.com  
 
Details Contact Person
Public Query
 
Name  Dr Ashok Thakkar 
Address  Meril Life Sciences Pvt. Ltd., Bilakhia House, Survey No. 135/139, Muktanand Marg, Chala, Vapi – 396191, Gujarat, India
Meril Life Sciences Pvt. Ltd., Bilakhia House, Survey No. 135/139, Muktanand Marg, Chala, Vapi – 396191, Gujarat, India
Valsad
GUJARAT
396191
India 
Phone  912603052100  
Fax    
Email  ashok.thakkar@merillife.com  
 
Source of Monetary or Material Support  
Meril Endo-Surgery Pvt. Ltd. E1‐E3, Meril Park, Survey No 135/2/B & 174/2, Muktanand Marg, Chala, Vapi - 396191, Gujarat, India 
 
Primary Sponsor  
Name  Meril EndoSurgery Pvt Ltd 
Address  E1‐E3, Meril Park, Survey No 135/2/B & 174/2, Muktanand Marg, Chala, Vapi - 396191, Gujarat, India 
Type of Sponsor  Other [Medical Device Company] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 23  
Contact Person  Name of Site  Site Address  Phone/Fax/Email 
Dr Paresh Shah  Ashadeep Multi Specialty Hospital and Research Centre  Room-Operation Theater & Doctor Consulting Room of Gynaecology Department, 5/C/28,Vivekanandnagar,Nr, Hathijan, Ahmedabad 382445
Ahmadabad
 
9824066916

ashadeepmhospital@gmail.com 
Dr Sonia R Chandnani  Bombay Maternity and surgical hospital  Room No.202, Gynaec OPD, 2nd floor, bhagawati ashish-2, above new janta ice-cream, prem prakash circle, city light main road, surat 395007 gujarat india
Surat
 
912612253954

yourgynehelpline@gmail.com 
Dr Indu Taneja  Fortis Escorts Hospital  Fortis Escorts Hospital Neelam Bata Road, Faridabad-121001 Haryana, India
Faridabad
 
9818590029

Indu.taneja@fortishealthcare.com 
Dr Urvashi Prasad Jha  Fortis Flt Lt Rajan Dhall Hospital   Fortis Flt.Lt Rajan Dhall Hospital Sector-B, Pocket-1, aruna Asaf Ali Marg, Vasant Kunj,New Delhi-110070
New Delhi
 
9811029310

urvashi.jha@fortishealthcare.com 
Dr Prof Suneeta Mittal  Fortis Memorial Research Institute  Obstetrics and Gynaecology Department, Upper ground floor, Room no.11, Sector 44, Gurgaon - 122002 (India)
Gurgaon
 
9818542111

suneeta.mittal@gmail.com 
Dr Dipti D Patel  Love n Care Hospital  OPD of Gynaecology Dept., 8, Shiv Shakti Society, Nr Welcome Tower, Merulaxmi Temple Road, Tarwadi, Surat-395009, Gujarat (India)
Surat
 
912612763535

lnchospital@gmail.com 
Dr Nila A Mehta  Maa n Baby Maternity and gynec hospital  Department of Gynaecology, Operation Theater room,p-1 shanti sadan apratment, opp.tekrawala school, palanpur pati, surat 395005 Gujarat India
Surat
 
912612774244

maanbaby98@gmail.com 
Dr Kajal Mangukiya  Mangukiya Hospital & Maternity Home  3rd Floor, Doctor House, Unapani Road, Surat Gujarat 395003
Surat
 
9624704545

drkajalmangukiya@yahoo.com 
Dr Sejal T Modi  Mothers maternity and nursing home  Gynaec Department, Operation Theater Room, 2,3,4,5,6, Sahjanand Avenue, Nr. A.E.C., Naranpura, Ahmedabad
Ahmadabad
 
9327073897

shiv_kaumil@yahoo.com 
Dr Jagruti Y Desai  Nirmal Hospital Pvt Ltd  Gynaecology OPD, 1st Floor, Research Department at 5th floor, Nirmal Hospital Pvt Ltd, Ring Road, Surat- 395002 Gujarat. (India)
Surat
 
912614089999

drjagrutiydesai@gmail.com 
Dr Bhavin G Prajapati  Palash Hospital  Operationg Theater Room, 14,C.P.Nagar, Section -1 Bhuyangdev Char Rasta, Ghatlodiya, Ahmedabad -61
Ahmadabad
 
9824539758

dr_bhavin2000@yahoo.co.in 
Dr Purvi Shah  PEGRL Women’s Clinic  Gynaec OPD & OT Room,114,115, Silver Square, Bagban Party Plot, Thaltej-Shilaj Road, Thaltej, Ahmedabad-380059
Ahmadabad
 
8238871669

dr_purvi1977@yahoo.com 
Dr Hasmukh Agarwal  Reshmbai Infertility Hospital  Gynaec Consulting & OT RoomSwastik Complex, Opp.Rajasthan Hospital, Shahibaug, Ahmedabd
Ahmadabad
 
9824045004

info@reshambaiivf.org 
Dr Gopal Vekariya  Ruta Womens Hospital  Gynae Consulting Department & OT Room, 1st floor, LP doctor House, Lal Darwaja Station Road, Lal Darwaja, Surat 395003, Gujarat India
Surat
 
9825563436

rutawomenshospital@gmail.com 
Dr B I Patel  Shachi Women’s Hospital  Department of Gynaec, OT room, 1st Floor, Kaveri Complex, Opp.RTO Office, Subhash Bridge Circle, Ahmedabad-380027
Ahmadabad
 
9825010718

bipatel11@hotmail.com 
Dr Mitali Vasavada  Shalby Hospitals  Shalby Hospitals, Opp.Karnavati Club, S.G. Highway, Ahmedabad-380015
Ahmadabad
 
9879009439

docmvasavada@gmail.com 
Dr Prakash M Patel  Sharda Hospital and research center  Research Department, 1st Floor,Beside Kailasnagar Jain Derasar, Majuragate Shankhwar Road, Surat Gujarat India
Surat
 
912612462525

pmp131@gmail.com 
Dr Dhaval Shah  Shreeji Maternity and Nursing Home  OT Room, Gynaec Department Siddhi sarjan apt. Kanak-Kala-2 Ananad Nagar, Satelite Ahmedabad-380015
Ahmadabad
 
9825295320

drdhaval@saavihospital.com 
Dr Oby Nagar  SMS Medical College & Attached Hospitals Mahila Chikitsalya  SMS Medical College & Attached Hospitals Mahila Chikitsalya, Opp. Sanganeri Gate, Adarsh Nagar, Jaipur-302004, Rajasthan, India
Jaipur
 
09829383880

Oby.nagar@yahoo.co.in 
Dr Asha Verma   SMS Medical College & Attached Hospitals Zanana Hospital  SMS Medical College & Attached Hospitals Zanana Hospital, Station Road Reserve Police Line, Sindhi Camp, Jaipur-302016, Rajasthan, India
Jaipur
 
09413350927

drcbhan@gmail.com 
Dr Rajesh Tuli  Tuli Hospital & Sonography Clinic  Plot No 1, Achman Society, Ram chowk, Opp. Shiv Sagar Restaurant, Ghod Dod Road, Surat 395001
Surat
 
9825143435

drrajeshtuli@yahoo.com 
Dr Nirav Babariya  Vardan Hospital  2nd Floor, Gynaecc OPD & OT Room, Rudra Business Park, In Front Of Gopi Dairy, Mahadev Nagar Tekra, Vastral Road ,Ahmedabad-382418
Ahmadabad
 
9409385363

babarianirav@yahoo.co.in 
Dr Chirag Patel  Vimal Hospital  Gynaec OT Room, 1st Floor Sahaj Arcade, Nr Satyam Comlex, Sola Gam Road and Science City Road, Sola Ahmedabad-380063
Ahmadabad
 
9426897096

drcdpatel55@yahoo.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 22  
Name of Committee  Approval Status 
Nirmal Hospital Pvt Ltd Ethics Committee Dr Kajal Mangukiya  Approved 
Nirmal Hospital Pvt Ltd Ethics Committee Dr Rajesh Tuli  Approved 
Ethics Committee For Research Fortis Flt.Lt Rajan Dhall Hospital   Approved 
Ethics Committee Fortis Escort hospital Faridabad  Approved 
Ethics Committee Shalby Limited  Approved 
Nirmal Hospital Pvt Ltd Ethics Committee Dr Dipti Patel  Approved 
Nirmal Hospital Pvt Ltd Ethics Committee Dr Gopal Vekaria  Approved 
Nirmal Hospital Pvt Ltd Ethics Committee Dr Jagruti Desai  Approved 
Nirmal Hospital Pvt Ltd Ethics Committee Dr Nila Mehta  Approved 
Nirmal Hospital Pvt Ltd Ethics Committee Dr Prakash Patel  Approved 
Nirmal Hospital Pvt Ltd Ethics Committee Dr Sonia Chandnani  Approved 
Office of the Ethics Committee, SMS Medical College & Attached Hospital Dr Oby Nagar  Approved 
Office of the Ethics Committee, SMS Medical College & Attached Hospitals Dr Asha Verma  Approved 
Sangini Hospital Ethics Committee Dr B I Patel  Approved 
Sangini Hospital Ethics Committee Dr Bhavin Prajapati  Approved 
Sangini Hospital Ethics Committee Dr Chirag Patel  Approved 
Sangini Hospital Ethics Committee Dr Dhaval Shah  Approved 
Sangini Hospital Ethics Committee Dr Hashmukh Agarwal  Approved 
Sangini Hospital Ethics Committee Dr Nirav Babaria  Approved 
Sangini Hospital Ethics Committee Dr Paresh Shah  Approved 
Sangini Hospital Ethics Committee Dr Purvi Shah  Approved 
Sangini Hospital Ethics Committee Dr Sejal Modi  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Notified 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Healthy Human Volunteers  Reversible long term contraception and willing to rely on the Intrauterine Contraceptive Device (IUCD) 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Fionaâ„¢ Levonorgestrel – Releasing Intrauterine System  FionaTM is an implantable Hormone Releasing Intrauterine Device 
Comparator Agent  Not Applicable  No Comparator Agent in this study 
 
Inclusion Criteria  
Age From  19.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Subjects willing to participate in the study by signing informed consent form.
2. Healthy females, between age of 19 and 40 years at the time of enrolment.
3. Regularly sexually active and in mutually monogamous relationship for at least 6 months at study entry.
4. Subjects who are willing to opt for reversible long term contraception and willing to rely on the Intrauterine Contraceptive Device (IUCD) as the method of contraception during study participation
5. History of regular menstrual cycle between 3-5/21 days to 3-5/35 days.
6. Willing to comply with study visit schedule and assessments 
 
ExclusionCriteria 
Details  1. Currently breastfeeding subjects.
2. Subjects with positive pregnancy test, whose pregnancy has not been terminated.
3. History of ectopic pregnancy or hydatidiform mole without a subsequent intrauterine pregnancy.
4. History of trophoblastic disease.
5. Acute pelvic inflammatory disease or a history of chronic pelvic inflammatory disease without subsequent intrauterine pregnancy.
6. Subjects with Migraine Grade III or Psychological disorders.
7. Positive HIV test, VDRL test or Gonorrhoea.
8. History of cervical or vaginal infection unless successfully treated and considered clinically cured for at least 14 days prior to study entry.
9. Postpartum or post – abortion endometritis unless symptoms are resolved at least 4 weeks prior to study entry.
10. History of repeated threatened abortion, retention of placenta or severe postpartum haemorrhage.
11. Abnormal PAP smear test.
12. History or suspicion of malignancy of genital track e.g. cervix, ovary or endometrium or of breast cancer unless proven otherwise.
13. Structural defects of the female reproductive organs including uterus, both ovaries, both fallopian tubes and vagina, any kind of ovarian cysts or hydrosalpinx or endometriosis, or any other abnormality of the uterus resulting in distortion of the uterine cavity or cervical canal incompatible with insertion
14. Body habitus or history of lower genital tract abnormalities or prior surgery that may limit proper visualization of cervix and / or use of operative instruments.
15. Known or suspected allergy to levonorgestrel or hypersensitivity to any component of IUCD.
16. Bleeding diathesis (inherited or acquired) or use of anticoagulants within 30 days prior to study entry.
17. Subject or her spouse considering the use of additional method of contraception in addition to the Study Device. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
Proportion of failure of contraception as indicated by events of pregnancies in presence of study device or due to auto-expulsion of study device.
a. Number of Intra-uterine pregnancies
b. Number of ectopic pregnancies 
30±10 days,
3 months (90 days ± 15 days)
6 months (180 days ± 30 days)
1 year (12 months ± 1 month)
2 year (24 months ± 1 month)j
3 year (36 months ± 1 month)
4 year (48 months ± 1 month)
5 year (60 months ± 1 month) 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
Tolerance:
Proportion of population reporting appearance of new symptoms anticipated or suspected to be related to the insertion of study device at 30 days, and 60 days after the implantation and retention of study device

PK Endpoints:
Demonstration of Levonorgestrel levels in blood up to 5 years. 
30±10 days,
3 months (90 days ± 15 days)
6 months (180 days ± 30 days)
1 year (12 months ± 1 month)
2 year (24 months ± 1 month)j
3 year (36 months ± 1 month)
4 year (48 months ± 1 month)
5 year (60 months ± 1 month) 
 
Target Sample Size   Total Sample Size="300"
Sample Size from India="300" 
Phase of Trial   Post Marketing Surveillance 
Date of First Enrollment (India)
Modification(s)  
02/04/2016 
Date of First Enrollment (Global)  No Date Specified 
Estimated Duration of Trial
Modification(s)  
Years="5"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   No publication presently 
Brief Summary   Meril Endo-Surgery Pvt. Ltd is sponsoring the MES/Fiona-1 study. This study is an open label, post marketing, single arm, clinical registry to evaluate safety, tolerance, and performance of Fionaâ„¢ Levonorgestrel – Releasing Intrauterine System. This is a research conducted as a post marketing clinical study, which aims to evaluate an existing and well established medical device to prevent pregnancy (provide contraception) in a long-term.It can be used in idiopathic menorrhagia and protection from endometrial hyperplasia during estrogen replacement therapy. 

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