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Safety and Efficacy Study in in Vitro Fertilisation (IVF) Patients

Primary Purpose

Infertility

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Menotropins
Menotropins
Sponsored by
IBSA Institut Biochimique SA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Infertility

Eligibility Criteria

18 Years - 40 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Women undergoing ovarian stimulation for IVF with the following characteristics:

    • Able and willing to sign the Patient Consent Form and adhere to the study visitation schedule
    • >18 and <40 years old
    • BMI between 18 and 30 kg/m2
    • less than 3 previously completed IVF cycles (i.e. completed cycle = egg recovery)
    • basal FSH <10 IU/L and E2 <80 pg/ml (~290 pmol/l)
    • Within 12 months of the beginning of the study, uterine cavity consistent with expected normal function as assessed through transvaginal ultrasound, hysterosalpingogram, sonohysterogram or hysteroscopic examination
    • Successful down-regulation performed with a standard GnRH-Agonist long protocol (Criteria for successful down-regulation: endometrial thickness < 7mm or serum E2 level <50 pg/ml (~185 pmol/l).

Exclusion Criteria:

  • age <18 and >40 years
  • primary ovarian failure or women known as poor responders (i.e. requiring more than 225 IU of hMG as a starting dose in previous treatment cycles or having less than 3 oocytes retrieved, or with a pre-ovulatory E2 serum concentration <500pg/ml (~1800 pmol/l))
  • PCOS
  • one or both ovaries inaccessible for oocyte retrieval
  • ovarian cysts >10 mm
  • hydrosalpinx that have not been surgically removed or ligated;
  • stage 3 or 4 endometriosis
  • oocyte donation
  • implantation of previously frozen embryos
  • patients affected by pathologies associated with any contraindication of being pregnant
  • hypersensitivity to the study medication
  • abnormal bleeding of undetermined origin
  • uncontrolled thyroid or adrenal dysfunction
  • neoplasias
  • severe impairment of renal and/or hepatic function
  • use of concomitant medications that might interfere with study evaluations (e.g. non-study hormonal medications, prostaglandin inhibitors, psychotropic agents)

Sites / Locations

  • Fertility clinic at Hvidovre Hospital
  • Odense Universitetshospital
  • Groupe Hospitalier Cochin - Saint Vincent de Paul
  • First Dept. Obstetric and Gynaecology, Semmelweiss University
  • Universitätsspital Basel
  • Midland Fertility Services

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

hMG-IBSA

Menopur

Arm Description

New hMG preparation.

Outcomes

Primary Outcome Measures

Total Number of Oocytes Retrieved

Secondary Outcome Measures

Mean hMG Dose (Total);
Embryo Quality (Percentage of Patients With at Least One Top Quality Embryo)
Assessed by counting the total number of embryos obtained, the number of embryos transferred, frozen and discarded.
Positive b-hCG Test
Controlled Ovarian Stimulation Duration (Days)
17-β Estradiol (E2) Serum Concentration on the Monitoring Day Before hCG Injection;
Implantation Rate
defined as the mean of the total number of implanted embryos (presence of gestational sac assessed by ultrasound) divided by the total number of transferred embryos x 100;
Clinical Pregnancy Rate,
defined as a pregnancy showing ultrasound embryonic heart activity at 10 - 11 weeks after embryo transfer;
Number of Mature (Grade III Metaphase II) Oocytes Retrieved.
Ratio Mature/Total Number of Oocytes Retrieved.
Percentage of retrieved oocytes considered to be mature.
Total Number of Inseminated Oocytes (IVF and ICSI)
number of oocytes that were inseminated via IVF or injected via ICSI technique.
Number of Cleaved Embryos
Live Birth Rate

Full Information

First Posted
March 7, 2011
Last Updated
June 10, 2016
Sponsor
IBSA Institut Biochimique SA
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1. Study Identification

Unique Protocol Identification Number
NCT01312766
Brief Title
Safety and Efficacy Study in in Vitro Fertilisation (IVF) Patients
Official Title
Safety and Efficacy Study Comparing a New hMG Formulation (hMG-IBSA) to a Reference Product (Menopur®) in Patients Undergoing Ovarian Stimulation for in Vitro Fertilisation (IVF)
Study Type
Interventional

2. Study Status

Record Verification Date
June 2016
Overall Recruitment Status
Completed
Study Start Date
February 2011 (undefined)
Primary Completion Date
April 2013 (Actual)
Study Completion Date
December 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
IBSA Institut Biochimique SA

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the non-inferiority study is to evaluate the clinical efficacy and the safety of two different subcutaneous hMG preparations when administered to patients undergoing controlled ovarian stimulation for IVF.

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 3
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
270 (Actual)

8. Arms, Groups, and Interventions

Arm Title
hMG-IBSA
Arm Type
Experimental
Arm Description
New hMG preparation.
Arm Title
Menopur
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Menotropins
Intervention Description
Daily administration, SC, starting dose 150 IU or 225 IU depending on patient age.
Intervention Type
Drug
Intervention Name(s)
Menotropins
Intervention Description
Daily administration, SC, starting dose 150 IU or 225 IU depending on patient age.
Primary Outcome Measure Information:
Title
Total Number of Oocytes Retrieved
Time Frame
up to 24 days after treatment start
Secondary Outcome Measure Information:
Title
Mean hMG Dose (Total);
Time Frame
up to 22 days after treatment start
Title
Embryo Quality (Percentage of Patients With at Least One Top Quality Embryo)
Description
Assessed by counting the total number of embryos obtained, the number of embryos transferred, frozen and discarded.
Time Frame
up to 28 days after treatment start
Title
Positive b-hCG Test
Time Frame
up to 5 weeks after treatment start
Title
Controlled Ovarian Stimulation Duration (Days)
Time Frame
up to 23 days after treatment start
Title
17-β Estradiol (E2) Serum Concentration on the Monitoring Day Before hCG Injection;
Time Frame
up to 23 days after treatment start
Title
Implantation Rate
Description
defined as the mean of the total number of implanted embryos (presence of gestational sac assessed by ultrasound) divided by the total number of transferred embryos x 100;
Time Frame
10-11 weeks after embryo transfer
Title
Clinical Pregnancy Rate,
Description
defined as a pregnancy showing ultrasound embryonic heart activity at 10 - 11 weeks after embryo transfer;
Time Frame
10 - 11 weeks after embryo transfer
Title
Number of Mature (Grade III Metaphase II) Oocytes Retrieved.
Time Frame
at the end of the stimulation.
Title
Ratio Mature/Total Number of Oocytes Retrieved.
Description
Percentage of retrieved oocytes considered to be mature.
Time Frame
at the end of the stimulation.
Title
Total Number of Inseminated Oocytes (IVF and ICSI)
Description
number of oocytes that were inseminated via IVF or injected via ICSI technique.
Time Frame
on the day of oocyte retrieval
Title
Number of Cleaved Embryos
Time Frame
two days after insemination
Title
Live Birth Rate
Time Frame
9 months after treatment

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Women undergoing ovarian stimulation for IVF with the following characteristics: Able and willing to sign the Patient Consent Form and adhere to the study visitation schedule >18 and <40 years old BMI between 18 and 30 kg/m2 less than 3 previously completed IVF cycles (i.e. completed cycle = egg recovery) basal FSH <10 IU/L and E2 <80 pg/ml (~290 pmol/l) Within 12 months of the beginning of the study, uterine cavity consistent with expected normal function as assessed through transvaginal ultrasound, hysterosalpingogram, sonohysterogram or hysteroscopic examination Successful down-regulation performed with a standard GnRH-Agonist long protocol (Criteria for successful down-regulation: endometrial thickness < 7mm or serum E2 level <50 pg/ml (~185 pmol/l). Exclusion Criteria: age <18 and >40 years primary ovarian failure or women known as poor responders (i.e. requiring more than 225 IU of hMG as a starting dose in previous treatment cycles or having less than 3 oocytes retrieved, or with a pre-ovulatory E2 serum concentration <500pg/ml (~1800 pmol/l)) PCOS one or both ovaries inaccessible for oocyte retrieval ovarian cysts >10 mm hydrosalpinx that have not been surgically removed or ligated; stage 3 or 4 endometriosis oocyte donation implantation of previously frozen embryos patients affected by pathologies associated with any contraindication of being pregnant hypersensitivity to the study medication abnormal bleeding of undetermined origin uncontrolled thyroid or adrenal dysfunction neoplasias severe impairment of renal and/or hepatic function use of concomitant medications that might interfere with study evaluations (e.g. non-study hormonal medications, prostaglandin inhibitors, psychotropic agents)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dominique De Ziegler, MD, Prof
Organizational Affiliation
Hopital Cochin
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fertility clinic at Hvidovre Hospital
City
Hvidovre
State/Province
Copenhagen
ZIP/Postal Code
2650
Country
Denmark
Facility Name
Odense Universitetshospital
City
Odense
State/Province
Odensee C
ZIP/Postal Code
5000
Country
Denmark
Facility Name
Groupe Hospitalier Cochin - Saint Vincent de Paul
City
Paris
ZIP/Postal Code
75014
Country
France
Facility Name
First Dept. Obstetric and Gynaecology, Semmelweiss University
City
Budapest
ZIP/Postal Code
1088
Country
Hungary
Facility Name
Universitätsspital Basel
City
Basel
State/Province
BS
ZIP/Postal Code
4031
Country
Switzerland
Facility Name
Midland Fertility Services
City
Aldridge
State/Province
West Midlands
ZIP/Postal Code
WS9 8LT
Country
United Kingdom

12. IPD Sharing Statement

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Safety and Efficacy Study in in Vitro Fertilisation (IVF) Patients

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