FrancophonIA/ELRC3.0 huggingface dataset:
English: Germany considered that the granting of the marketing authorisation constitutes a potential serious risk to public health.
Croatian: Njemačka je smatrala da izdavanje odobrenja za stavljanje lijeka u promet predstavlja potencijalan ozbiljan rizik za javno zdravlje.
English: In spite of these limitations, this publication at least does not support a reduced contraceptive efficacy associated with the 84/7 regimen.
Croatian: Usprkos ovim ograničenjima, ova publikacija u najmanju ruku ne podržava smanjenu djelotvornost kontraceptiva povezanu s režimom 84/7.
English: The CHMP requested advice from the Biostatistics Working Party (BSWP) on the validity of this method in the present case.
Croatian: CHMP je zatražio savjet Biostatističke radne grupe (BSWP) o valjanosti ove metode u aktualnom slučaju.
English: Both active substances are already authorised in this combination, at this dosage and at a lower dosage (LGN 100 µg/ EE 20 µg).
Croatian: Obje djelatne tvari već su odobrene u ovoj kombinaciji i u manjem doziranju (LGN 100 µg/ EE 20 µg).
English: • The Committee considered the notification of the referral triggered by France under Article 29(4) of Directive 2001/83/EC.
Croatian: • je Odbor razmotrio obavijest o postupku upućivanja koji je pokrenula Francuska u skladu s člankom 29. stavkom 4. Direktive 2001/83/EZ.
English: The decentralised marketing authorisation application was submitted under Article 28(3) of Directive 2001/83/EC in accordance with Article 10b of Directive 2001/83/EC.
Croatian: Decentralizirani zahtjev za izdavanje odobrenja za stavljanje lijeka u promet dostavljen je u skladu s člankom 28. stavkom 3. Direktive 2001/83/EZ u skladu s člankom 10b Direktive 2001/83/EZ.
English: For the analysis, this period was split in two 28-day and a 35-day periods.
Croatian: Za potrebe analize, ovo je razdoblje podijeljeno u razdoblja od 28 dana i 35 dana.
English: The decentralised procedure was closed on day 210, with most of the Concerned Member States (CMS) agreeing with the conclusions of the RMS except Germany which raised a potential serious risk to public health.
Croatian: Decentralizirani postupak zaključen je 210. dana, nakon što se većina država članica sudionica u postupku (CMS) suglasila sa zaključcima RMS-a, osim Njemačke koja je istaknula potencijalan ozbiljan rizik za javno zdravlje.
English: Indeed the LNG 150 µg/ EE 30 µg hormonal combination has been approved as a contraceptive in the EU for over 35 years and its efficacy is well documented.
Croatian: Uistinu, hormonalna kombinacija LNG 150 µg/ EE 30 µg odobrena je kao kontraceptiv u EU-u tijekom više od 35 godina i djelotvornost je dobro dokumentirana.
English: Study PSE-302 included a limited number of cycles of exposure and was not designed for PI evaluation.
Croatian: Ispitivanje PSE-302 uključilo je ograničeni broj ciklusa izlaganja i nije bilo dizajnirano za evaluaciju PI-a.
English: A risk management plan was submitted and agreed upon during the preceding Decentralised Procedure on Seasonique.
Croatian: Plan upravljanja rizikom dostavljen je i usuglašen tijekom prethodnog decentraliziranog postupka provedenog za lijek Seasonique.
English: The overall treatment compliance for all treated patients was ≥ 97% in the pivotal study and ≥ 98% in the supportive study.
Croatian: Cjelokupna sukladnost liječenja za sve liječene bolesnice iznosila je ≥ 97 % u pivotalnom ispitivanju i ≥ 98 % u potpornom ispitivanju.
English: During the decentralised procedure, the Objecting Member State (OMS) was of the view that the contraceptive efficacy of Seasonique had not been sufficiently demonstrated.
Croatian: Tijekom decentraliziranog postupka, država članica podnositeljica primjedbe (OMS) bila je mišljenja da djelotvornost kontraceptiva Seasonique nije dokazana u dostatnoj mjeri.
English: It has also been shown in the literature that the elimination of the HFI is associated with a better inhibition of the ovarian activity.
Croatian: Također je dokazano u literaturi da je eliminacija HFI-a povezana s boljom inhibicijom aktivnosti jajnika.
English: Moreover the pregnancy rate observed in the phase III clinical trial was relatively low (PI<1), and no signal of a reduced efficacy was detected in the large experience obtained post-marketing.
Croatian: Nadalje, uočena stopa trudnoće u kliničkom ispitivanju faze III. bila je relativno mala (PI<1), te nije otkriven signal smanjene djelotvornosti u opsežnom iskustvu prikupljenom nakon stavljanja lijeka u promet.
English: From data outside the EU, since the first authorisation in 2006 until December 2013, while the estimated exposure is 385,901 women-years, only 10 pregnancies were reported resulting in a pregnancy reporting rate of 0.0026 %.
Croatian: Na temelju podataka izvan EU, od prvog odobrenja 2006. do prosinca 2013., dok je procijenjeno izlaganje iznosilo 385 901 žena-godina, prijavljeno je samo 10 trudnoća što je rezultiralo stopom prijavljivanja trudnoća od 0,0026 %.
English: Due to the low estrogen content, the preparation belongs to the so-called low-dose combined oral contraceptives (COCs).
Croatian: Uslijed niskog sadržaja estrogena, pripravak se ubraja u takozvane kombinirane oralne kontraceptive niske doze (COC).
English: A referral was thus triggered at the CMDh.
Croatian: Stoga je pri CMDh-u pokrenut postupak upućivanja.
English: The CHMP supported the position of the BSWP, which considered that the bootstrap method is generally inappropriate for calculating confidence intervals for a PI; even more so in this example where it was not pre-specified, and was employed only after negative results were seen for the more conventional analysis.
Croatian: CHMP je podržao stav BSWP-a, kojim je zaključeno da je metoda procjene pogreške modela načelno neprimjerena za izračunavanje intervala pouzdanosti za PI; tim više u ovom primjeru u kojem nije prethodno utvrđena, a primijenjena je tek nakon što su uočeni negativni rezultati za konvencionalniju analizu.
English: Some CHMP members considered that this publication is not acceptable as proof of contraceptive efficacy of extended cycle regimens as this type of study is prone to various kinds of confounders (duration of use of the different COCs, intention of pregnancy, use for other reasons than contraception).
Croatian: Pojedini članovi CHMP-a smatrali su da ova publikacija nije prihvatljiva kao dokaz kontraceptivne djelotvornosti režima produljenih ciklusa budući da je ovaj tip ispitivanja podložan različitim vrstama trećih varijabli (trajanje primjene različitih COC-ova, namjera trudnoće, primjena drugih razloga osim kontracepcije).
English: Hence the applicant was asked to conduct additional analyses of the bleeding pattern based on three extrapolation rules to include women who prematurely discontinued treatment and to extrapolate those data to the total planned study duration of PSE-302 of one year.
Croatian: Stoga je od podnositelja zahtjeva zatraženo da provede dodatnu analizu obrasca krvarenja na temelju tri pravila ekstrapolacije kako bi uključio žene koje su prijevremeno prekinule liječenje te da esktrapolira te podatke u trajanje potpuno isplaniranog ispitivanja PSE-302 u trajanju od godine dana.
English: This was further supported by the absence of anaemia or clinically important changes in the laboratory results compared to the 21/7-day COC.
Croatian: Ovo je nadalje potkrijepljeno izostankom anemije ili klinički važnih promjena u laboratorijskim rezultatima u usporedbi s 21/7-dnevnim COC-om.
English: The PI calculated with the Poisson method was therefore considered acceptable taking into account that the extended regimen in Seasonique is only a minor modification of an existing product.
Croatian: Zaključeno je stoga da je PI izračunan pomoću Poisson metode bio prihvatljiv ako se uzme u obzir da je produljeni režim samo manja modifikacija postojećeg proizvoda.
English: The proposed indication for Seasonique was “oral contraception”.
Croatian: Predložena indikacija lijeka Seasonique glasila je „oralni kontraceptiv”.
English: In line with these findings, the laboratory results demonstrated that the unscheduled bleeding/spotting profile with Seasonique did not lead to clinically significant changes.
Croatian: U skladu s ovim nalazima, laboratorijski su rezultati pokazali da profil neplaniranog krvarenja/pojave sukrvavog iscjetka iz rodnice s lijekom Seasonique nije uzrokovao klinički značajne promjene.
English: Levonorgestrel (LGN) is a progestogen known to inhibit ovulation, whilst the low dose ethinylestradiol (EE), an estrogen, ensures control over ovarian follicular suppression and provides stability to the endometrium in order to minimise breakthrough bleeding.
Croatian: Levonorgestrel (LGN) je progestrogen za koji je poznato da inhibira ovulaciju, dok mala doza etinilestradiola (EE), estrogena, osigurava zadovoljavajuću kontrolu supresije folikula jajnika i osigurava stabilnost endometrija kako bi se smanjilo probojno krvarenje.
English: Thus, the major concern raised by Germany could not be solved during the CMDh referral and the issue was therefore referred to the CHMP.
Croatian: Slijedom navedenog, većina razloga za zabrinutost koje je iznijela Njemačka nije mogla biti riješena tijekom postupka upućivanja pri CMDh-u, te je stoga problem upućen CHMP-u.
English: The results obtained in clinical trials with Seasonique are further supported by post-marketing data.
Croatian: Rezultati dobiveni kliničkim ispitivanjem provedenim s lijekom Seasonique nadalje su podržani podacima nakon stavljanja lijeka u promet.
English: Additionally several published pharmacodynamic studies demonstrated that the degree of ovulation inhibition is increased with a shorter HFI.
Croatian: Nadalje, nekoliko objavljenih farmakodinamičkih ispitivanja pokazalo je da je stupanj inhibicije ovulacije povećan kod kraćeg HFI.
English: Moreover, standard 21/7-day COCs containing LGN 150 µg/ EE 30 µg are widely used and, according to the respective product information in some Member States, the cycle can be extended to 2-months, without HFI.
Croatian: Nadalje, primjena standardnih 21/7-dnevnih COC-ova koji sadrže LGN 150 µg/ EE 30 µg široko je rasprostranjena te se, u skladu s odgovarajućim informacijama o lijeku u pojedinim državama članicama, ciklus može produljiti na 2 mjeseca, bez HFI-a.
English: Overall summary of the scientific evaluation of Seasonique and associated names (see Annex I)
Croatian: Cjelokupan sažetak znanstvene ocjene lijeka Seasonique i povezanih naziva (vidjeti Dodatak I.)
English: The clinical development program for Seasonique included two phase III randomised clinical trials, the pivotal study PSE-301 and a supportive study, PSE-302, specifically designed to assess endometrial biopsy results, which were performed in the United States.
Croatian: Program kliničkog razvoja za lijek Seasonique obuhvatio je dva randomizirana klinička ispitivanja faze III., pivotalno ispitivanje PSE-301 i potporno ispitivanje PSE-302, posebno osmišljena za procjenu rezultata endometrijalne biopsije koja je provedena u Sjedinjenim Američkim Državama.
English: In addition, a 1-year retrospective study in women 15 to 40 years of age, showed that reported pregnancy rates were lower with extended regimen OC (84/7) than with ‘standard' regimens (21/7 and 24/4).
Croatian: Nadalje, jednogodišnje retrospektivno ispitivanje u žena u dobi od 15 do 40 pokazalo je da su prijavljene stope trudnoće bile niže s produljenim režimom OC-a (84/7) u odnosu na „standardne” režime (21/7 i 24/4).
English: Based on the results from these published clinical studies Seasonique is expected to have a greater control over ovulation, leading in turn to a higher contraceptive efficacy compared to standard 21/7day LNG/EE COCs and therefore a comparative pharmacodynamic study against standard 21/7-day LNG/EE COCs is not considered mandatory.
Croatian: Na temelju rezultata ovih kliničkih objavljenih ispitivanja očekuje se da će Seasonique imati veću kontrolu nad ovulacijom, što će zatim rezultirati većom kontraceptivnom djelotvornošću u usporedbi sa standardnim 21/7-dnevnim LNG/EE COC-ovima, te se stoga komparativno farmakodinamičko ispitivanje za standardne 21/7-dnevne LNG/EE COC-ove ne smatra obaveznim.
English: Thus the absence of HFI is not considered to decrease the contraceptive efficacy and the CHMP considered that the well- documented contraceptive efficacy with 28-day LGN 150 µg/ EE 30 µg combination can be extrapolated to the Seasonique regimen.
Croatian: Stoga se izostanak HFI-a ne smatra smanjenjem kontraceptivne djelotvornosti, a CHMP je zaključio da se dobro dokumentirana kontraceptivna djelotvornost kombinacije 28-dnevnog LGN-a od 150 µg/ EE 30 µg može ekstrapolirati na režim lijekom Seasonique.
English: In addition, the OMS considered that the bleeding pattern is not favourable and could not rule out a potential impact on treatment compliance and contraceptive efficacy.
Croatian: Nadalje, OMS smatra da obrazac krvarenja nije povoljan i ne može se isključiti potencijalno djelovanje na sukladnost liječenja i djelotvornost kontraceptiva.
English: In conclusion, although the PD study did not include a comparative arm, based on extensive results from published clinical studies and considering that the extended regimen in Seasonique is a minor modification from existing products, Seasonique is expected to have a greater control over ovulation compared to the existing LNG/EE combination products for which the efficacy is well documented.
Croatian: Zaključno, iako farmakodinamičko ispitivanje nije obuhvatilo komparativnu skupinu, na temelju opsežnih rezultata iz objavljenih kliničkih ispitivanja i uzimajući u obzir činjenicu da je produljeni režim lijekom Seasonique manja modifikacija u odnosu na postojeće lijekove, od lijeka Seasonique očekuje se da ima veću kontrolu nad ovulacijom u usporedbi s postojećim kombiniranim lijekovima LNG/EE za koje je djelotvornost dobro dokumentirana.
English: For these reasons the CHMP did not consider this higher PI as relevant in the assessment of the efficacy of Seasonique.
Croatian: Iz istih razloga CHMP nije uzeo u obzir viši PI kao relevantan za ocjenu djelotvornosti lijeka Seasonique.
English: Levels of folliclestimulating hormone (FSH), luteinizing hormone (LH), estradiol, and inhibin B were suppressed more effectively when the duration of the HFI was shortened from 7 days to 3 or 4 days per 28-day treatment cycle (Willis, 2006).
Croatian: Razine hormona koji stimulira folikule (FSH), luteinizirajućeg hormona (LH), estradiola i inhibina B bile su potisnute učinkovitije u slučaju kada je djelovanje HFI-a bilo skraćeno sa 7 dana na 3 ili 4 dana po ciklusu liječenja od 28 dana (Willis, 2006).
English: However in the DP384/30 arm of study PSE-301, for 3 out of the 9 pregnancies included in the analysis as ‘on-treatment', drug accountability could not be performed; indeed, based on the available data, these pregnancies might be considered ‘off-treatment'.
Croatian: Međutim, u skupini DP3-84/30 ispitivanja PSE-301, u slučaju 3 od 9 trudnoća uključenih u analizi pod nazivom „primaju terapiju”, odgovornost lijeka nije se mogla utvrditi.
English: the CHMP has recommended the granting of the marketing authorisation(s) for which the summary of product characteristics, labelling and package leaflet remain as per the final versions achieved during the Coordination group procedure as mentioned in Annex III for Seasonique and associated names (see Annex I).
Croatian: CHMP je preporučio izdavanje odobrenja za stavljanje lijeka u promet za koji sažetak opisa svojstava lijeka, etiketa i uputa o lijeku ostaju isti završnim verzijama usuglašenima tijekom postupka Koordinacijske skupine kako je navedeno u Dodatku III. za lijek Seasonique i povezane nazive (vidjeti Dodatak I.).
English: Seasonique is a 91-day extended regimen oral contraceptive consisting of a fixed dose combination of levonorgestrel 150 µg/ ethinylestradiol 30 µg for 84 days followed by ethinylestradiol 10 µg film-coated tablets for 7 days.
Croatian: Seasonique je 91-dnevni produljeni režim oralnog kontraceptiva koji se sastoji od kombinacije fiksnih doza levonorgestrela 150 µg/ etinilestradiola 30 µg za razdoblje od 84 dana nakon čega slijede tablete etinilestradiola od 10 µg obložene filmom tijekom razdoblja od 7 dana.
English: Moreover the applicant conducted a non-comparative pharmacodynamic (PD) study DR-105-101 during one extended cycle of 91 days (84 days of LNG/EE, followed by 7 days of EE only).
Croatian: Nadalje, podnositelj zahtjeva proveo je nekomparativno farmakodinamičko (FD) ispitivanje DR-105101 tijekom jednog produljenog ciklusa od 91 dana (84 dana LNG/EE, nakon čeka je slijedilo samo 7 dana EE-a).
English: Having considered all the data submitted by the applicant, and the view of the BSWP, the CHMP considered that the contraceptive effectiveness of Seasonique was adequately demonstrated.
Croatian: Nakon razmatranja svih podataka koje je dostavio podnositelj zahtjeva kao i mišljenja BSWP-a, CHMP je zaključio da je kontracepcijsko djelovanje lijeka Seasonique primjereno dokazano.
English: Similar number of patients reported unscheduled bleeding of each severity: 64 (80.0%) and 69 (78.4%) for light bleeding, 42 (52.5%) and 42 (47.7%) for moderate bleeding and 14 (17.5%) and 13 (14.8%) for heavy bleeding, for Seasonique and for the comparator groups, respectively.
Croatian: Sličan broj bolesnica prijavio je nezakazano krvarenje svakog stupnja ozbiljnosti: 64 (80,0 %) i 69 (78,4 %) za blago krvarenje, 42 (52,5 %) i 42 (47,7 %) za umjereno krvarenje i 14 (17,5 %) te 13 (14,8 %) za teško krvarenje, za grupu koja je primala lijek Seasonique odnosno za grupu koja je primala komparator.
English: This study included 52,664 women (mean age, 27.3 years) in the 84/7 vs. 21/7 analysis (n=26,332 in both groups) and 50,694 (mean age, 27.8 years) in the 84/7 vs. 24/4 analysis (n=25,347 in both groups).
Croatian: Ovo je ispitivanje obuhvatilo 52 664 žena (srednje dobi od 27,3 godine) u 84/7 u odnosu na 21/7 analizu (n=26 332 u obje grupe) i 50 694 (srednje dobi od 27,8 godine) u 84/7 u odnosu na 24/4 analizu (n=25,347 u obje grupe).
English: A published study with 3 different combined oral contraceptives (COCs) arms, reported that women treated with a continuous 28-day regimen had more pronounced follicular suppression than women who were either supplemented with 5 days of 10 µg EE or had a 7-day HFI (Schlaff, 2004).
Croatian: U objavljenom ispitivanju s 3 različite skupine kombiniranih oralnih kontraceptiva (COC-ova), navedeno je da su žene liječenje kontinuiranim 28-dnevnim režimom imale izraženiju folikularnu supresiju u odnosu na one koje su 5 dana primale suplement od 10 µg EE ili koje su imale 7-dnevni HFI (Schlaff, 2004.).
English: Statistically significantly higher rates of pregnancy with 21/7 and 24/4 regimens compared to the 84/7 regimen (p<0.0001) were also seen in the 2- and 3-year cohorts (Howard, 2014).
Croatian: Statistički značajno više stope trudnoće s režimima 21/7 i 24/4 u odnosu na režime 84/7 (p<,0001) također su uočene u dvo- i trogodišnjim kohortama (Howard, 2014.).
English: As mentioned, the applicant presented during the DCP additional analysis with the bootstrap method reaching adequate precision for contraceptive methods as shown by the 95 % CI: 0.0 - 1.76, however concerns were raised regarding the coverage probability properties of this posthoc analysis.
Croatian: Kako je prethodno navedeno, podnositelj zahtjeva dostavio je tijekom DCP-a dodatnu analizu s metodom procjene pogreške modela kojom je ostvarena primjerena preciznost za metode kontracepcije kako pokazuju vrijednosti uz 95 % CI: 0.0 - 1.76, no iznesena je zabrinutost u vezi sa značajkama izglednosti pokrivanja ove post-hoc analize.
English: This more pronounced suppression was also demonstrated with 24/4 drospirenone 3 mg/EE 2 µg regimen compared to a standard 21/7 regimen (Klipping, 2008), for the 24/4 oral regimen with a nomegestrol acetate/17b-estradiol compared to the 21/7 regimen (ChristinMaitre, 2011), and for a 23-day regimen of 0.075 mg gestodene/20 µg EE compared with a 21-day regimen (Spona, 1996).
Croatian: Ova izraženija progresija dokazana je pri režimu drospirenona od 3 mg/EE 2 µg 24/4 u usporedbi sa standardnim režimom 21/7 (Klipping, 2008.), za oralni režim 24/4 s nomegestrol acetatom/17b-estradiolom u usporedbi s režimom 21/7 (Christin-Maitre, 2011.), i za 23dnevni režim gestodena od 0,075 mg/20 µg EE u usporedbi s 21-dnevnim režimom (Spona, 1996.).
English: The bleeding pattern of Seasonique was compared to the standard 21/7-day cycle regimen (Nordette, LGN 150 µg/ EE 30 µg and 7-day HFI) in the study PSE 302.
Croatian: Obrazac krvarenja pri primjeni lijeka Seasonique uspoređen je sa standardnim 21/7-dnevnim ciklusom režima (Nordette, LGN 150 µg/ EE 30 µg i 7-dnevni HFI) u ispitivanju PSE 302.
English: Although, based on women who completed one year of treatment discontinuation due to bleeding/spotting adverse events was more frequent in the Seasonique group (7.4%) than the comparator group (1.1%), the mean total number of days of bleeding/spotting (including scheduled and unscheduled) per patient month was similar, i.e. 4.4 days for both Seasonique and the comparator.
Croatian: Iako je, na temelju broja žena koje su završile jednogodišnju terapiju, prekid zbog nuspojava krvarenja/pojave sukrvavog iscjetka iz rodnice bio češći u slučaju grupe koja je primala lijek Seasonique (7,4 %) u odnosu na grupu koja je primala komparator (1,1 %), prosječni broj dana krvarenja/pojave sukrvavog iscjetka iz rodnice (uključujući pojavu istog prema rasporedu i izvan rasporeda) po bolesniku mjesecu bio je sličan, odnosno iznosilo je 4,4 dana kako za lijek Seasonique tako i za komparator.
English: Comparable withdrawal rates were observed in Study PSE-302 for the Seasonique group (51.6%) and for the comparator group (49.5%).
Croatian: Usporedive stope ustezanja uočene su u Ispitivanju PSE-302 za grupu koja je primala Seasonique (51,6 %) te za grupu koja je primala komparator (49,5 %).
English: Another published pharmacodynamic study reported a continuous COC regimen with Levonorgestrel/EE and norgestimate/EE to result in a more effective follicular suppression than the same COC dosing regimen with a monthly 7-day HFI (Birtch, 2006).
Croatian: Drugo objavljeno farmakodinamičko ispitivanje prijavilo je kontinuirani režim COC-a s lijekom Levonorgestrel/EE i norgestimatom/EE koji je rezultirao djelotvornijom supresijom folikula u odnosu na režim doziranja COC-a s mjesečnim 7-dnevnim HFI (Birtch, 2006.).
English: Comparable withdrawal rates, including discontinuation due to adverse events, were also observed in an open label, randomised phase II study comparing Seasonique (34.5%) to two 28-day OC (35.2% and 39.1%) in 265 women for 8 months.
Croatian: Usporedive stope ustezanja, uključujući i prekid zbog nuspojava također su uočene u otvorenom, randomiziranom ispitivanju faze II. u kojem je lijek Seasonique (34,5 %) uspoređen s dva 28-dnevna OC-a (35,2 % i 39,1 %) u 265 žena tijekom 8 mjeseci.
English: The absence of a comparator arm was considered justified given that the mechanism of action of this hormonal combination in this dose is well known, that the only differences between Seasonique and existing LNG/EE combination products are the treatment duration (84 days versus 21 days, respectively) and the administration of 10µg EE during the last 7 days of the cycle instead of an hormone free interval (HFI), respectively.
Croatian: Izostanak grupe koja je primala komparator smatrao se opravdanim uzimajući u obzir činjenicu da je mehanizam djelovanja ove kombinacije hormona u ovoj dozi dobro poznat, te da je jedina razlika između lijeka Seasonique i postojeće kombinacije lijekova LNG/EE trajanje liječenja (84 dana, odnosno 21 dan), odnosno primjena 10µg EE tijekom posljednjih 7 dana ciklusa umjesto intervala bez hormona (HFI).
English: PD data showed that the ovarian inhibiting efficacy of Seasonique is within the range of that observed for other approved combined hormonal contraceptives.
Croatian: Farmakodinamički podaci ukazuju na to da je djelotvornost lijeka Seasonique u pogledu inhibiranja jajnika unutar raspona koji je uočen za druge odobrene kombinirane hormonalne kontraceptive.