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Single Dose FSH-GEX™ in Healthy Volunteers

Primary Purpose

Female Infertility

Status
Completed
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
FSH-GEX™
Gonal-f
Bravelle
Placebo
Sponsored by
Glycotope GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Female Infertility focused on measuring in-vitro fertilization, reproductive disorder

Eligibility Criteria

18 Years - 40 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Female subjects from 18-40 years of age.
  2. Subjects must be in good health.
  3. Subjects must be willing to use additional non-hormonal contraception
  4. Subjects must have used a combined oral contraceptive (COC) for at least one cycle.
  5. Vital signs which are within the following ranges at baseline measurements: systolic blood pressure of 90-140 mmHg, diastolic blood pressure of 50-90 mmHg and pulse rate of 40 - 100 bpm.
  6. Subjects must have a body weight of minimally 50.0 kg with a BMI between 18.0 and 29.0 kg/m^2 at baseline measurements.
  7. Able to provide written informed consent prior to study participation.
  8. Able to communicate well with the investigator and to understand and comply with the requirements of the study.

Exclusion Criteria:

  1. Smokers of more than 10 cigarettes per day.
  2. Average daily intake of more than 3 units of alcohol per day or an average weekly intake of more than 21 units alcohol.
  3. Use of any prescription drug or ove the counter medication from screening until the end-of-study visit, without prior approval of the investigator.
  4. Any drugs thay may reduce the effectiveness of COC from screening until the end-of-study visit.
  5. Any follicle-stimulating hormone (FSH) preparation within 90 days prior to screening.
  6. Administration of any investigational product or use of any investigational device within 30 days prior to screening.
  7. Donation or loss of 500 mL or more blood within 90 days prior to first FSH-GEX™ dosing.
  8. History of acute or chronic bronchospastic disease (including asthma and chronic obstructive pulmonary disease, treated or not treated).
  9. History of allergies for drugs, seafood, nuts, eggs, wasp-stings; history of atopic allergy (asthma, urticaria, eczematous dermatitis). A known hypersensitivity to any of the study drugs.
  10. Any surgical or medical condition which might alter the absorption, distribution, metabolism, or excretion of drugs or which may jeopardize the subject in case of participation in the study.
  11. History or presence of any malignancy.
  12. Determined or suspected pregnancy.
  13. Breast feeding women.
  14. History of (or current) endocrine abnormalities.
  15. Contraindication for the use of oral contraceptives.
  16. Contraindication for the use of follitropin alfa, FSH or any of the excipients (hypersensitivity to follitropin alfa, FSH or any of the excipients; tumors of the hypothalamus or the pituitary gland; ovarian enlargement or cyst not due to polycystic ovarian disease; gynecological bleeding of unknown origin; ovarian, uterine, or mammary carcinoma).
  17. Porphyria or family history of porphyria.
  18. History of ovarian surgery.
  19. Any ovarian or abdominal abnormality that would interfere with adequate ultrasound investigation.
  20. An abnormal cervical smear.
  21. History or presence of an immune-compromising disease, or a positive human immunodeficiency virus (HIV) test result in the past or at the screening visit.
  22. History of Hepatitis B or C, or a positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result at the screening visit.
  23. History of drug or alcohol abuse within the 12 months prior to the screening visit or evidence of such abuse.
  24. Planned surgery or hospitalization during the period of the study.
  25. Concurrent participation or participation within 30 days before screening in another clinical trial, or participation in more than 3 clinical studies within 12 months, prior to the expected date of enrolment into the study.
  26. Injection of one or more doses of any depot contraceptive drug /drug combination or hormonal implants <= 10 months prior to screening.

Sites / Locations

  • Glycotope Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

FSH-GEX 25 IU

FSH-GEX 75 IU

FSH-GEX 150 IU

FSH-GEX 300 IU

Gonal-f

Bravelle

Placebo

Arm Description

25 IU single dose

75 IU single dose

150 IU single dose

300 IU single dose

150 IU single dose

150 IU single dose

single dose

Outcomes

Primary Outcome Measures

to assess the safety and (local) tolerability of FSH-GEX™ following single rising dose administration by subcutaneous injection
frequency of dose related adverse events, measurement of vital signs, body measurements, transvaginal ultrasound, ECG and laboratory values in comparison to placebo and the two comparators with marketing authorization
to determine FSH pharmacokinetic parameters of FSH-GEX™ following single dose administration by subcutaneous injection (part 1)
Peak plasma concentration (Cmax)
to determine FSH pharmacokinetic parameters of FSH-GEX™ following single dose administration by subcutaneous injection (part 2)
Area under the plasma concentration versus time curve (AUC)

Secondary Outcome Measures

to assess the pharmacodynamic effect of FSH-GEX™ following single rising dose administration by subcutaneous injection (part 1)
determined by Estradiol (E2) and inhibin B concentrations depending on dose
to assess the pharmacodynamic effect of FSH-GEX™ following single rising dose administration by subcutaneous injection (part 2)
ovarian follicle number and size as determined by transvaginal ultrasonography depending on dose

Full Information

First Posted
May 11, 2011
Last Updated
May 10, 2021
Sponsor
Glycotope GmbH
Collaborators
Glycotope Biotechnology GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT01354886
Brief Title
Single Dose FSH-GEX™ in Healthy Volunteers
Official Title
A Phase I, Monocenter, Randomized, Placebo and Comparator Controlled, Single Blind, Rising Dose, Clinical Study to Determine Single Dose Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Four Doses of FSH-GEX™ According to Adaptive Design (25, 75, 150 and 300 IU) Administered Subcutaneously in Healthy Pituitary-suppressed Female Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
May 2021
Overall Recruitment Status
Completed
Study Start Date
April 2011 (undefined)
Primary Completion Date
October 2011 (Actual)
Study Completion Date
October 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Glycotope GmbH
Collaborators
Glycotope Biotechnology GmbH

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of the current study was the pharmacokinetic and pharmacodynamic characterization of a single dose administration of four doses of FSH-GEX™ in healthy pituitary-suppressed female volunteers, in comparison with two marketed comparator products.
Detailed Description
Healthy pituitary-suppressed female subjects received FSH-GEX™ (25, 75, 150 and 300 IU) in three of four possible ascending doses or one dose of two comparators (Bravelle® and Gonal-f®) and placebo in random order. The study consisted of three separate treatment periods. During each treatment period the subject received one single dose via a subcutaneous injection in the lower abdominal wall.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Female Infertility
Keywords
in-vitro fertilization, reproductive disorder

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
19 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FSH-GEX 25 IU
Arm Type
Experimental
Arm Description
25 IU single dose
Arm Title
FSH-GEX 75 IU
Arm Type
Experimental
Arm Description
75 IU single dose
Arm Title
FSH-GEX 150 IU
Arm Type
Experimental
Arm Description
150 IU single dose
Arm Title
FSH-GEX 300 IU
Arm Type
Experimental
Arm Description
300 IU single dose
Arm Title
Gonal-f
Arm Type
Active Comparator
Arm Description
150 IU single dose
Arm Title
Bravelle
Arm Type
Active Comparator
Arm Description
150 IU single dose
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
single dose
Intervention Type
Drug
Intervention Name(s)
FSH-GEX™
Other Intervention Name(s)
follitropin epsilon
Intervention Description
single dose
Intervention Type
Drug
Intervention Name(s)
Gonal-f
Other Intervention Name(s)
follitropin alfa
Intervention Description
150 IU single dose
Intervention Type
Drug
Intervention Name(s)
Bravelle
Other Intervention Name(s)
urinary FSH
Intervention Description
150 IU single dose
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
single dose
Primary Outcome Measure Information:
Title
to assess the safety and (local) tolerability of FSH-GEX™ following single rising dose administration by subcutaneous injection
Description
frequency of dose related adverse events, measurement of vital signs, body measurements, transvaginal ultrasound, ECG and laboratory values in comparison to placebo and the two comparators with marketing authorization
Time Frame
up to 87 days
Title
to determine FSH pharmacokinetic parameters of FSH-GEX™ following single dose administration by subcutaneous injection (part 1)
Description
Peak plasma concentration (Cmax)
Time Frame
before FSH/Placebo administration until 240 hours thereafter
Title
to determine FSH pharmacokinetic parameters of FSH-GEX™ following single dose administration by subcutaneous injection (part 2)
Description
Area under the plasma concentration versus time curve (AUC)
Time Frame
before FSH/Placebo administration until 240 hours thereafter
Secondary Outcome Measure Information:
Title
to assess the pharmacodynamic effect of FSH-GEX™ following single rising dose administration by subcutaneous injection (part 1)
Description
determined by Estradiol (E2) and inhibin B concentrations depending on dose
Time Frame
before FSH/Placebo administration until 240 hours thereafter
Title
to assess the pharmacodynamic effect of FSH-GEX™ following single rising dose administration by subcutaneous injection (part 2)
Description
ovarian follicle number and size as determined by transvaginal ultrasonography depending on dose
Time Frame
up to a maximum of 87 days

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Female subjects from 18-40 years of age. Subjects must be in good health. Subjects must be willing to use additional non-hormonal contraception Subjects must have used a combined oral contraceptive (COC) for at least one cycle. Vital signs which are within the following ranges at baseline measurements: systolic blood pressure of 90-140 mmHg, diastolic blood pressure of 50-90 mmHg and pulse rate of 40 - 100 bpm. Subjects must have a body weight of minimally 50.0 kg with a BMI between 18.0 and 29.0 kg/m^2 at baseline measurements. Able to provide written informed consent prior to study participation. Able to communicate well with the investigator and to understand and comply with the requirements of the study. Exclusion Criteria: Smokers of more than 10 cigarettes per day. Average daily intake of more than 3 units of alcohol per day or an average weekly intake of more than 21 units alcohol. Use of any prescription drug or ove the counter medication from screening until the end-of-study visit, without prior approval of the investigator. Any drugs thay may reduce the effectiveness of COC from screening until the end-of-study visit. Any follicle-stimulating hormone (FSH) preparation within 90 days prior to screening. Administration of any investigational product or use of any investigational device within 30 days prior to screening. Donation or loss of 500 mL or more blood within 90 days prior to first FSH-GEX™ dosing. History of acute or chronic bronchospastic disease (including asthma and chronic obstructive pulmonary disease, treated or not treated). History of allergies for drugs, seafood, nuts, eggs, wasp-stings; history of atopic allergy (asthma, urticaria, eczematous dermatitis). A known hypersensitivity to any of the study drugs. Any surgical or medical condition which might alter the absorption, distribution, metabolism, or excretion of drugs or which may jeopardize the subject in case of participation in the study. History or presence of any malignancy. Determined or suspected pregnancy. Breast feeding women. History of (or current) endocrine abnormalities. Contraindication for the use of oral contraceptives. Contraindication for the use of follitropin alfa, FSH or any of the excipients (hypersensitivity to follitropin alfa, FSH or any of the excipients; tumors of the hypothalamus or the pituitary gland; ovarian enlargement or cyst not due to polycystic ovarian disease; gynecological bleeding of unknown origin; ovarian, uterine, or mammary carcinoma). Porphyria or family history of porphyria. History of ovarian surgery. Any ovarian or abdominal abnormality that would interfere with adequate ultrasound investigation. An abnormal cervical smear. History or presence of an immune-compromising disease, or a positive human immunodeficiency virus (HIV) test result in the past or at the screening visit. History of Hepatitis B or C, or a positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result at the screening visit. History of drug or alcohol abuse within the 12 months prior to the screening visit or evidence of such abuse. Planned surgery or hospitalization during the period of the study. Concurrent participation or participation within 30 days before screening in another clinical trial, or participation in more than 3 clinical studies within 12 months, prior to the expected date of enrolment into the study. Injection of one or more doses of any depot contraceptive drug /drug combination or hormonal implants <= 10 months prior to screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Glycotope GmbH
Organizational Affiliation
Glycotope GmbH
Official's Role
Study Director
Facility Information:
Facility Name
Glycotope Investigational Site
City
Groningen
ZIP/Postal Code
9713 GZ
Country
Netherlands

12. IPD Sharing Statement

Citations:
PubMed Identifier
28591833
Citation
Abd-Elaziz K, Duijkers I, Stockl L, Dietrich B, Klipping C, Eckert K, Goletz S. A new fully human recombinant FSH (follitropin epsilon): two phase I randomized placebo and comparator-controlled pharmacokinetic and pharmacodynamic trials. Hum Reprod. 2017 Aug 1;32(8):1639-1647. doi: 10.1093/humrep/dex220.
Results Reference
result

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Single Dose FSH-GEX™ in Healthy Volunteers

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