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Multiple Dose FSH-GEX(TM) in Healthy Volunteers

Primary Purpose

Female Infertility

Status
Completed
Phase
Phase 1
Locations
Netherlands
Study Type
Interventional
Intervention
FSH-GEX™
recombinant FSH
urinary FSH
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 at screening.
  2. Subjects must be in good health as determined by medical and gynecological history, physical and gynecological examination, vital signs, body measurements, electrocardiogram, and laboratory tests
  3. Subjects must be willing to use additional non-hormonal contraception
  4. Subjects must have used a combined oral contraceptive, combined contraceptive vaginal ring or combined contraceptive patch
  5. Vital signs which are within the following ranges: systolic blood pressure between 90-140 mmHg, diastolic blood pressure between 50-90 mmHg, pulse rate between 40 - 100 bpm
  6. Subjects must have a body weight of minimally 50.0 kg with a BMI between 18.0 and 29.9 kg/m2
  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 5 cigarettes per day.
  2. Average daily intake of more than 3 units of alcohol per day (where 1 unit equals 250 mL of beer, 125 mL of wine or 25 mL of spirits) or an average weekly intake of more than 21 units alcohol.
  3. Use of any prescription drug or over-the-counter medication from screening until the end-of-study visit, without prior approval of the investigator. Paracetamol® is acceptable without prior approval.
  4. Any drugs that may reduce the effectiveness of combination oral contraceptive (COC) from screening until the end-of-study visit
  5. Administration of any investigational product or use of any investigational device within 30 days prior to Screening.
  6. Donation or loss of 500 mL or more of blood within 90 days prior to first dosing of FSH-GEX(TM).
  7. History of acute or chronic bronchospastic disease
  8. History of allergies for drugs, seafood, nuts, eggs, wasp-stings; history of atopic allergy. A known hypersensitivity to any of the study drugs.
  9. 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.
  10. History or presence of any malignancy.
  11. Determined or suspected pregnancy.
  12. Breast feeding women.
  13. History of (or current) endocrine abnormalities
  14. Contraindication for the use of oral contraceptives
  15. Contraindication for the use of follitropin alfa, follicle-stimulating hormone (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).
  16. Porphyria or family history of porphyria.
  17. History of ovarian surgery.
  18. Any ovarian or abdominal abnormality that would interfere with adequate ultrasound investigation.
  19. An abnormal cervical smear
  20. 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.
  21. History of Hepatitis B or C, or a positive Hepatitis B surface antigen (HBsAg) or Hepatitis C test result at the screening visit.
  22. History of drug or alcohol abuse within the 12 months prior to the screening visit or evidence of such abuse
  23. Planned surgery or hospitalization during the period of the study.
  24. 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 or previous participation in the 104676-CS0160 (FSH-GEXTM) study.
  25. Injection of one or more doses of any depot contraceptive drug /drug combination ≤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 Type

Experimental

Experimental

Experimental

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

FSH-GEX 75 IU

FSH-GEX 150 IU

FSH-GEX 150 IU QAD

recombinant FSH

urinary FSH

Placebo

Arm Description

follitropin epsilon 75 IU QD

follitropin epsilon 150 IU QD

follitropin epsilon 150 IU QAD

Gonal-f 150 IU QD

Bravelle 150 IU QD

Placebo QD

Outcomes

Primary Outcome Measures

safety and tolerability of FSH-GEX™ following multiple 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

Secondary Outcome Measures

pharmacokinetic profile of FSH-GEX™ following multiple dose administration by subcutaneous injection (part 1)
Peak Plasma Concentration (Cmax)
pharmacokinetic profile of FSH-GEX™ following multiple dose administration by subcutaneous injection (part 2)
Area under the plasma concentration versus time curve (AUC)
pharmacodynamic parameters of FSH-GEX™ following multiple dose administration by subcutaneous injection
Estradiol (E2), Luteinizing Hormone (LH) and inhibin B serum levels
pharmacodynamic parameters of FSH-GEX™ following multiple dose administration by subcutaneous injection
follicular response and endometrial thickness as determined by transvaginal ultrasonography

Full Information

First Posted
November 9, 2011
Last Updated
May 4, 2021
Sponsor
Glycotope GmbH
Collaborators
Glycotope Biotechnology GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT01477073
Brief Title
Multiple Dose FSH-GEX(TM) in Healthy Volunteers
Official Title
A Phase I, Mono-center, Placebo and Comparator Controlled, Single-blind, Randomized, Parallel Group, Clinical Study to Determine Multiple Dose Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of FSH-GEX(TM) 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
October 2011 (undefined)
Primary Completion Date
April 2012 (Actual)
Study Completion Date
May 2012 (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 is the pharmacokinetic and pharmacodynamic characterization of a multiple dose administration of FSH-GEX™ in healthy pituitary-suppressed female volunteers, in comparison with two marketed comparator products or placebo.
Detailed Description
Healthy pituitary-suppressed female subjects received multiple doses of FSH-GEX at one of 2 different dose levels (75 IU and 150 IU dosing once daily (QD), or 150 IU (dosing once every other day (QAD)) for maximal 7 Days. They were compared with subjects who received a urinary FSH or a recombinant FSH or placebo.

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
57 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FSH-GEX 75 IU
Arm Type
Experimental
Arm Description
follitropin epsilon 75 IU QD
Arm Title
FSH-GEX 150 IU
Arm Type
Experimental
Arm Description
follitropin epsilon 150 IU QD
Arm Title
FSH-GEX 150 IU QAD
Arm Type
Experimental
Arm Description
follitropin epsilon 150 IU QAD
Arm Title
recombinant FSH
Arm Type
Active Comparator
Arm Description
Gonal-f 150 IU QD
Arm Title
urinary FSH
Arm Type
Active Comparator
Arm Description
Bravelle 150 IU QD
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo QD
Intervention Type
Drug
Intervention Name(s)
FSH-GEX™
Other Intervention Name(s)
follitropin epsilon
Intervention Type
Drug
Intervention Name(s)
recombinant FSH
Other Intervention Name(s)
Gonal-f
Intervention Type
Drug
Intervention Name(s)
urinary FSH
Other Intervention Name(s)
Bravelle
Intervention Type
Drug
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
safety and tolerability of FSH-GEX™ following multiple 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
43 days
Secondary Outcome Measure Information:
Title
pharmacokinetic profile of FSH-GEX™ following multiple dose administration by subcutaneous injection (part 1)
Description
Peak Plasma Concentration (Cmax)
Time Frame
28 time points up to 14 days post-dose
Title
pharmacokinetic profile of FSH-GEX™ following multiple dose administration by subcutaneous injection (part 2)
Description
Area under the plasma concentration versus time curve (AUC)
Time Frame
28 time points up to 14 days post-dose
Title
pharmacodynamic parameters of FSH-GEX™ following multiple dose administration by subcutaneous injection
Description
Estradiol (E2), Luteinizing Hormone (LH) and inhibin B serum levels
Time Frame
17 time points up to 14 days post-dose
Title
pharmacodynamic parameters of FSH-GEX™ following multiple dose administration by subcutaneous injection
Description
follicular response and endometrial thickness as determined by transvaginal ultrasonography
Time Frame
9 time points up to14 days post-dose

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 at screening. Subjects must be in good health as determined by medical and gynecological history, physical and gynecological examination, vital signs, body measurements, electrocardiogram, and laboratory tests Subjects must be willing to use additional non-hormonal contraception Subjects must have used a combined oral contraceptive, combined contraceptive vaginal ring or combined contraceptive patch Vital signs which are within the following ranges: systolic blood pressure between 90-140 mmHg, diastolic blood pressure between 50-90 mmHg, pulse rate between 40 - 100 bpm Subjects must have a body weight of minimally 50.0 kg with a BMI between 18.0 and 29.9 kg/m2 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 5 cigarettes per day. Average daily intake of more than 3 units of alcohol per day (where 1 unit equals 250 mL of beer, 125 mL of wine or 25 mL of spirits) or an average weekly intake of more than 21 units alcohol. Use of any prescription drug or over-the-counter medication from screening until the end-of-study visit, without prior approval of the investigator. Paracetamol® is acceptable without prior approval. Any drugs that may reduce the effectiveness of combination oral contraceptive (COC) from screening until the end-of-study visit 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 of blood within 90 days prior to first dosing of FSH-GEX(TM). History of acute or chronic bronchospastic disease History of allergies for drugs, seafood, nuts, eggs, wasp-stings; history of atopic allergy. 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, follicle-stimulating hormone (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 or previous participation in the 104676-CS0160 (FSH-GEXTM) study. Injection of one or more doses of any depot contraceptive drug /drug combination ≤10 months prior to screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Glycotope GmbH Director
Organizational Affiliation
Glycotope GmbH
Official's Role
Study Director
Facility Information:
Facility Name
Glycotope Investigational Site
City
Groningen
ZIP/Postal Code
9713
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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Multiple Dose FSH-GEX(TM) in Healthy Volunteers

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