University Hospital Coventry & Warwickshire

About the FREEDOM trial

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Overview

The FREEDOM trial is a study comparing two methods of progesterone delivery.

Cyclogest® 400mg

Current standard

Cyclogest® 400mg is an established pessary and dosage used to deliver progesterone vaginally. It is commonly prescribed for women experiencing threatened miscarriage or undergoing fertility treatment.

INVESTIGATIONAL

Callavid® 400mg

New Device

400mg progesterone Callavid® is a tampon-based device designed to help hold the progesterone pessary in place within the vagina during use. It's designed to absorb leakage so users don't need to lie down.

Important note

400mg progesterone Callavid® is an investigational drug-device combination product and is not yet approved for routine clinical use. The data generated in this study will help inform future clinical development.

How the trial works

Participants will be randomly prescribed one product to start, then cross-over to the other.

Cyclogest® 400mg

Cyclogest® 400mg

Standard pessary

Crossover
Callavid® 400mg

Callavid® 400mg

Investigational device

Not for pregnant women

Although progesterone is commonly used during early pregnancy, the FREEDOM trial focuses on women who are trying to conceive. This helps researchers safely study the device before pregnancy.

Study timeline

If you take part, you will be randomly assigned to use either Cyclogest® or Callavid® first.

Round 1 (7 days)

First treatment

Cyclogest® or
Callavid® (2hr wear-time)

Round 2 (7 days)

Second treatment

Switch to other product

Round 3 (7 days)

Final treatment

Callavid® only (3hr wear-time)

What is luteal phase insufficiency?

The trial focuses on a condition where progesterone levels after ovulation may be too low to support early pregnancy.

The luteal phase

The second half of the menstrual cycle, occurring after ovulation. During this time, the body produces progesterone to prepare the uterine lining.

Common uses for progesterone

  • 1
    Luteal phase insufficiency
  • 2
    In-vitro fertilisation (IVF)
  • 3
    Preterm birth prevention
  • 4
    Threatened miscarriage