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A Study of the Efficacy and Safety of Highly Purified Menotrophin Versus Recombinant Follitropin Alfa

Primary Purpose

Infertility

Status
Completed
Phase
Phase 4
Locations
International
Study Type
Interventional
Intervention
Menotrophin
Follitropin alfa
Sponsored by
Ferring Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Infertility

Eligibility Criteria

20 Years - 35 Years (Adult)FemaleAccepts Healthy Volunteers

Female patients aged > or = 20 and < or = 35 years with a BMI of >18 and <32 kg/m2 who have received no more than two previous cycles of in vitro fertilisation (IVF) or other assisted reproductive technique (ART) and whose partners have normal sperm (according to WHO 1999 criteria). Inclusion criteria: Signed informed consent; Subfertile premenopausal female patients eligible for IVF treatment; Aged >=20 and <=35 years; Body mass index of >18 and <32 kg/m2 Normal endocrine assessment within the last 6 months; Normal pelvic ultrasound (showing two ovaries, no ovarian abnormalities and normal uterus) within the last 6 months; Receipt of no more than two previous cycles of IVF (or other ART); At least 3 consecutive ovulatory menstrual cycles of 24-35 days, and documented evidence of ovulatory cycles within the previous 12 months; No fertility-modifying treatment within the 3 months prior to this treatment cycle; Infertility attributable to or in association with either tubal factor, or unexplained causes; Sperm of partner classed as normal according to WHO 1999 criteria within the year prior to beginning therapy; Negative serum beta-HCG pregnancy test prior to beginning therapy; Clinically normal baseline haematology, clinical chemistry, and urinalysis parameter values, negative serum HBsAg and HIV antibody tests; Screening endocrine test results (estradiol, LH, FSH, progesterone, prolactin, TSH) in early follicular phase within the normal limits for the clinical laboratory. Exclusion criteria Presence of any clinically relevant systemic disease(e.g. insulin- dependent diabetes mellitus); A history of or current endocrine disease, including polycystic ovary- like syndrome and hyperprolactinaemia; A history of coagulation disorders; Persistent ovarian cysts; Contraindications for the use of gonadotrophins or GnRH antagonists; A history of hypersensitivity to any of the constituents of the study medication or related compounds; Three or more previous cycles of IVF (or other ART); A history of alcohol abuse (more than 30 units per week on a regular basis); History of chemo- or radiotherapy; Currently breast-feeding, pregnant or with a contraindication to pregnancy; Diagnosed poor responders in prior IVF treatment; History of severe ovarian hyperstimulation syndrome (OHSS) (4 or 5) in former IVF treatment; Investigational drug within the 30 days prior to treatment; Any other condition or history that the investigator considers might increase the risk to the individual.

Sites / Locations

  • Gemeinschaftspraxis und Tagesklinik, Olpe 19
  • Universitats-Frauenklinik Heidelberg Abt. Gynakologische Endokrinologie und Fertilitatsstorungen, Voßstr. 9
  • Gemeinschaftspraxis und Tagesklinik, Zingel 29
  • Royal Infirmary of Edinburgh, 51 Little France
  • Leeds General Infirmary, Great George Street
  • The Royal Hallamshire Hospital, University of Sheffield, Jessop Wing, Tree Root Walk

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Menotrophin

Follitropin alfa

Arm Description

Outcomes

Primary Outcome Measures

Number of Participants With an Ongoing Pregnancy
Number of participants who met human chorionic gonadotrophin (hCG) criterion, received an embryo transfer, tested positive with a serum pregnancy test 11-14 days after embryo transfer and had an ongoing pregnancy (defined as positive fetal heart action) at ≥ 9 weeks after the first positive pregnancy test.
Percentage of Participants With an Ongoing Pregnancy
Percentage of participants who had an ongoing pregnancy ≥ 9 weeks after the first positive pregnancy test, as indicated by positive fetal heart action.

Secondary Outcome Measures

Participants With Varying Numbers of Follicles That Were Greater Than or Equal to 17 Millimeters
The criterion for ovulation induction was three follicles ≥ 17 mm diameter as shown by pelvic ultrasound examination. Patients were assessed by pelvic ultrasound on the morning (prior to menotrophin or follitropin alfa administration) of Day 7 and, if appropriate, every 2 days thereafter (Days 9/11/13) until the criterion was met.
Participants With Varying Numbers of Oocytes Retrieved
Number of participants with grouped by the number of oocytes retrieved. Oocytes were retrieved following ovulation induction by subcutaneous administration of human chorionic gonadotrophin (hCG) in the form of choriogonadotropin alfa at a dose of 250 micrograms once participants reached the criteria of at least three follicles with >= 17mm in diameter.
Participants With Varying Numbers of Pronuclear Stage Oocytes
Number of participants with various groupings of pronuclear oocytes retrieved 16-20 hours after insemination.
Participants With Varying Numbers of Embryos Transferred
Number of participants with various categories of numbers of embryos transferred.
Participants With Varying Numbers of Embryos Frozen
Number of participants with different categories of number of embryos frozen.
Mean Number of Days Stimulated With Gonadotrophins
Number of days stimulated with study drug until participant met the criteria for ovulation induction. Ovulation induction criteria is three follicles greater than or equal to 17 mm diameter as shown by pelvic ultrasound examination.
Pregnancy Outcomes
Long term follow-up to determine the outcome of the pregnancy.
Mean Endometrial Thickness
Measurement performed on day of human chorionic gonadotrophin (hCG) administration/ovulation induction.
Mean Estradiol Level
Measurement on day of human chorionic gonadotrophin (hCG) administration / ovulation induction.

Full Information

First Posted
November 22, 2005
Last Updated
February 12, 2010
Sponsor
Ferring Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00257556
Brief Title
A Study of the Efficacy and Safety of Highly Purified Menotrophin Versus Recombinant Follitropin Alfa
Official Title
A Prospective, Open Label, Randomised, Parallel Group, Comparative Pilot Study to Study the Efficacy and Safety of Highly Purified Menotrophin Versus Recombinant FSH (Follitropin Alfa) Administered Subcutaneously to Subfertile Female Patients Undergoing IVF Using Antagonist Downregulation
Study Type
Interventional

2. Study Status

Record Verification Date
February 2010
Overall Recruitment Status
Completed
Study Start Date
October 2005 (undefined)
Primary Completion Date
July 2008 (Actual)
Study Completion Date
April 2009 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Ferring Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Prospective open label, randomised, parallel group, comparative pilot.
Detailed Description
Ongoing pregnancy rate, defined as positive fetal heart action 9 weeks after the first positive pregnancy test. Number/diameter of follicles, number of oocytes retrieved, number of pronuclear oocytes (referred to as zygotes or pre-embryos in the UK), quality of pronuclear stage oocytes, number of embryos transferred, quality of embryos, number of frozen embryos, endometrial thickness and morphology on day of HCG administration, estradiol levels at day of HCG administration, implantation rate, number of days stimulated with gonadotrophins and number of ampoules used, clinical pregnancy rate at 6 weeks after the first positive pregnancy test, pregnancy outcome.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Infertility

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
80 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Menotrophin
Arm Type
Experimental
Arm Title
Follitropin alfa
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Menotrophin
Other Intervention Name(s)
Menopur, hMG, highly purified menotrophin
Intervention Description
150 IU Menotrophin daily subcutaneous injection for a maximum of 13 days. In the event of hyperstimulation, the dose was reduced to 75 IU daily.
Intervention Type
Drug
Intervention Name(s)
Follitropin alfa
Other Intervention Name(s)
rFSH, recombinant FSH
Intervention Description
150 IU follitropin alfa daily by subcutaneous injection for a maximum of 13 days. In the event of hyperstimulation, the dose was reduced to 75 IU daily.
Primary Outcome Measure Information:
Title
Number of Participants With an Ongoing Pregnancy
Description
Number of participants who met human chorionic gonadotrophin (hCG) criterion, received an embryo transfer, tested positive with a serum pregnancy test 11-14 days after embryo transfer and had an ongoing pregnancy (defined as positive fetal heart action) at ≥ 9 weeks after the first positive pregnancy test.
Time Frame
Approx week 13; 9 weeks or more after the 1st positive pregnancy test
Title
Percentage of Participants With an Ongoing Pregnancy
Description
Percentage of participants who had an ongoing pregnancy ≥ 9 weeks after the first positive pregnancy test, as indicated by positive fetal heart action.
Time Frame
Approx week 13; 9 weeks or more after the first positive pregnancy test
Secondary Outcome Measure Information:
Title
Participants With Varying Numbers of Follicles That Were Greater Than or Equal to 17 Millimeters
Description
The criterion for ovulation induction was three follicles ≥ 17 mm diameter as shown by pelvic ultrasound examination. Patients were assessed by pelvic ultrasound on the morning (prior to menotrophin or follitropin alfa administration) of Day 7 and, if appropriate, every 2 days thereafter (Days 9/11/13) until the criterion was met.
Time Frame
Day 7 and, if appropriate, every 2 days thereafter (Days 9/11/13)
Title
Participants With Varying Numbers of Oocytes Retrieved
Description
Number of participants with grouped by the number of oocytes retrieved. Oocytes were retrieved following ovulation induction by subcutaneous administration of human chorionic gonadotrophin (hCG) in the form of choriogonadotropin alfa at a dose of 250 micrograms once participants reached the criteria of at least three follicles with >= 17mm in diameter.
Time Frame
Approximately study day 15
Title
Participants With Varying Numbers of Pronuclear Stage Oocytes
Description
Number of participants with various groupings of pronuclear oocytes retrieved 16-20 hours after insemination.
Time Frame
Approximately study day 15
Title
Participants With Varying Numbers of Embryos Transferred
Description
Number of participants with various categories of numbers of embryos transferred.
Time Frame
Approximately study day 17
Title
Participants With Varying Numbers of Embryos Frozen
Description
Number of participants with different categories of number of embryos frozen.
Time Frame
Approximately study day 17
Title
Mean Number of Days Stimulated With Gonadotrophins
Description
Number of days stimulated with study drug until participant met the criteria for ovulation induction. Ovulation induction criteria is three follicles greater than or equal to 17 mm diameter as shown by pelvic ultrasound examination.
Time Frame
study days 1 - 13
Title
Pregnancy Outcomes
Description
Long term follow-up to determine the outcome of the pregnancy.
Time Frame
Approximately 10 months
Title
Mean Endometrial Thickness
Description
Measurement performed on day of human chorionic gonadotrophin (hCG) administration/ovulation induction.
Time Frame
Day 7 or 9 or 11 or 13
Title
Mean Estradiol Level
Description
Measurement on day of human chorionic gonadotrophin (hCG) administration / ovulation induction.
Time Frame
Day 7 or 9 or 11 or 13

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Female patients aged > or = 20 and < or = 35 years with a BMI of >18 and <32 kg/m2 who have received no more than two previous cycles of in vitro fertilisation (IVF) or other assisted reproductive technique (ART) and whose partners have normal sperm (according to WHO 1999 criteria). Inclusion criteria: Signed informed consent; Subfertile premenopausal female patients eligible for IVF treatment; Aged >=20 and <=35 years; Body mass index of >18 and <32 kg/m2 Normal endocrine assessment within the last 6 months; Normal pelvic ultrasound (showing two ovaries, no ovarian abnormalities and normal uterus) within the last 6 months; Receipt of no more than two previous cycles of IVF (or other ART); At least 3 consecutive ovulatory menstrual cycles of 24-35 days, and documented evidence of ovulatory cycles within the previous 12 months; No fertility-modifying treatment within the 3 months prior to this treatment cycle; Infertility attributable to or in association with either tubal factor, or unexplained causes; Sperm of partner classed as normal according to WHO 1999 criteria within the year prior to beginning therapy; Negative serum beta-HCG pregnancy test prior to beginning therapy; Clinically normal baseline haematology, clinical chemistry, and urinalysis parameter values, negative serum HBsAg and HIV antibody tests; Screening endocrine test results (estradiol, LH, FSH, progesterone, prolactin, TSH) in early follicular phase within the normal limits for the clinical laboratory. Exclusion criteria Presence of any clinically relevant systemic disease(e.g. insulin- dependent diabetes mellitus); A history of or current endocrine disease, including polycystic ovary- like syndrome and hyperprolactinaemia; A history of coagulation disorders; Persistent ovarian cysts; Contraindications for the use of gonadotrophins or GnRH antagonists; A history of hypersensitivity to any of the constituents of the study medication or related compounds; Three or more previous cycles of IVF (or other ART); A history of alcohol abuse (more than 30 units per week on a regular basis); History of chemo- or radiotherapy; Currently breast-feeding, pregnant or with a contraindication to pregnancy; Diagnosed poor responders in prior IVF treatment; History of severe ovarian hyperstimulation syndrome (OHSS) (4 or 5) in former IVF treatment; Investigational drug within the 30 days prior to treatment; Any other condition or history that the investigator considers might increase the risk to the individual.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Development Support
Organizational Affiliation
Ferring Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Gemeinschaftspraxis und Tagesklinik, Olpe 19
City
Dortmund
ZIP/Postal Code
44135
Country
Germany
Facility Name
Universitats-Frauenklinik Heidelberg Abt. Gynakologische Endokrinologie und Fertilitatsstorungen, Voßstr. 9
City
Heidelberg
ZIP/Postal Code
69115
Country
Germany
Facility Name
Gemeinschaftspraxis und Tagesklinik, Zingel 29
City
Hildesheim
ZIP/Postal Code
1134
Country
Germany
Facility Name
Royal Infirmary of Edinburgh, 51 Little France
City
Edinburgh
ZIP/Postal Code
EH16 4SA
Country
United Kingdom
Facility Name
Leeds General Infirmary, Great George Street
City
Leeds
ZIP/Postal Code
LS1 3EX
Country
United Kingdom
Facility Name
The Royal Hallamshire Hospital, University of Sheffield, Jessop Wing, Tree Root Walk
City
Sheffield
ZIP/Postal Code
S10 2SF
Country
United Kingdom

12. IPD Sharing Statement

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A Study of the Efficacy and Safety of Highly Purified Menotrophin Versus Recombinant Follitropin Alfa

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