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Evaluation of Efficacy and Safety of Highly Purified Urofollitropin for Ovulation Induction in Chinese Females (Compass)

Primary Purpose

Anovulation

Status
Completed
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
Highly Purified Urofollitropin
Recombinant Human Follitropin Alfa
Sponsored by
Ferring Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Anovulation

Eligibility Criteria

20 Years - 39 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Signed informed consent form prior to screening evaluations
  • Chinese females between the ages of 20-39 years
  • Infertility for at least 1 year before screening
  • Women WHO type II anovulatory infertility with chronic anovulation (defined as amenorrhoea (i.e., no menstrual bleeding for 6 months or more) or oligoamenorrhoea (i.e., cycles of more than 35 days) ) with progestogen induced withdrawal bleeding or spontaneous menstrual bleeding
  • Failure to conceive after at least one cycle of ovulation induction with clomiphene citrate
  • Bilateral tubal patency documented by a hysterosalpingography or sonohysterography or laparoscopy within 2 years prior to screening
  • Normal pelvis documented by a transvaginal ultrasound with respect to uterus, Fallopian tubes and ovaries within 3 months prior to screening
  • Early follicular phase serum levels of FSH within normal limits (1-12 IU/L,) (results obtained within 2 months prior to randomization)
  • LH (Luteinizing hormone), prolactin , E2 (estradiol), progesteron, total testosterone, and TSH (thyrotropin) levels within normal limits for the clinical laboratory
  • Male partner with a semen analysis obtained within 12 months prior to randomisation and showing acceptable values for semen according to the local laboratory, or showing more than 2.000.000 progressive motile sperm per mL after capacitation (in case of IUI (intrauterine insemination))
  • BMI (Body mass index) is ≥ 18.5 and < 30 kg/m2

Exclusion Criteria:

  • Any known clinically significant systemic disease
  • Known past or current thrombophlebitis or thromboembolism including venous thrombosis disease and active or recent arterial thrombosis disease
  • Any known endocrine or metabolic abnormalities which can compromise participation in the trial with the exception of controlled thyroid function disease
  • Any known concomitant medications that would interfere with evaluation of study medications. Specifically, any non-study hormonal therapy (except for thyroid medication), anti-psychotics, anxiolytics, hypnotics and sedatives, and need for continuous use of prostaglandin inhibitors (non-steroid anti- inflammatory drugs (NSAIDs), including aspirin) at the time of study entry.
  • Known history of 12 or more unsuccessful (no pregnancy achieved) ovulation induction cycles
  • Any known treatment with clomiphene citrate, metformin, gonadotropins or GnRH analogues within one month prior to randomisation
  • Ovarian cysts with a mean diameter ≥ 15 mm that have persisted for more than one cycle or ovarian endometrioma on ultrasound
  • Known at least one previous cycle experienced luteinized unruptured follicle syndrome
  • Known abnormal results of cervical examination of clinical significance obtained within 1 years prior to screening
  • Abnormal vaginal bleeding of undetermined origin
  • Known tumors of the ovary, breast, uterus, adrenal gland, pituitary or hypothalamus
  • Known malformations of the sexual organs incompatible with pregnancy
  • Known current or past (last 12 months) abuse of alcohol or drugs
  • Known history of chemotherapy (except for gestational conditions) or radiotherapy
  • Finding of any clinically relevant abnormal laboratory value
  • Use of any non registered investigational drugs during 3 months before screening or previous participation in the study
  • Pregnancy, lactation or contraindication to pregnancy

Sites / Locations

  • Chinese PLA General Hospital
  • Navy General Hospital
  • Peking Union Medical College Hospital
  • Peking University First Hospital
  • Peking University People's Hospital
  • Sun Yat-sen Memorial Hospital Sun Yat-sen University
  • The Third Affiliated Hospital of Guangzhou Medical University
  • Tongji Hospital Tongji Medical College of HUST Tongji Medical College Huazhong University of Science & Technology
  • The First Affiliated Hospital with Nanjing Medical University
  • ShengJing Hospital of China Medical University
  • Sichuan Provincial People's Hospital
  • Tianjin Medical University General Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Test Group

Comparator Group

Arm Description

Outcomes

Primary Outcome Measures

The ovulation rate defined as the percentage of subjects who present ovulation

Secondary Outcome Measures

The positive serum progesterone rate
The positive serum β-hCG/hCG rate
The clinical pregnancy rate
Regardless of fetal heart beat
The clinical pregnancy rate
With fetal heart beat
The ongoing pregnancy rate
The follicular development
Endometrial thickness
Total FSH (Follicle-stimulating hormone) dose administered
Number of FSH treatment days
Frequency and severity of adverse events
Frequency and severity of injection site reactions
Serum estradiol (E2) levels

Full Information

First Posted
August 12, 2013
Last Updated
August 20, 2015
Sponsor
Ferring Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01923194
Brief Title
Evaluation of Efficacy and Safety of Highly Purified Urofollitropin for Ovulation Induction in Chinese Females
Acronym
Compass
Official Title
A Randomized, Assessor-blinded, Parallel Group, Multi-center, Non-inferiority Study Investigating the Efficacy and Safety of Highly Purified Urofollitropin for Injection Compared to Recombinant Human Follitropin Alfa for Injection for Ovulation Induction Using a Low-dose, Step-up Protocol in Chinese Females With WHO Group II Anovulatory Infertility Failing to Conceive on Clomiphene Citrate
Study Type
Interventional

2. Study Status

Record Verification Date
August 2015
Overall Recruitment Status
Completed
Study Start Date
October 2013 (undefined)
Primary Completion Date
July 2015 (Actual)
Study Completion Date
August 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ferring Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Evaluate the Efficacy and Safety of Highly Purified Urofollitropin for Injection Compared to Recombinant Human Follitropin Alfa for Injection for Ovulation Induction in Chinese females

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
215 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Test Group
Arm Type
Experimental
Arm Title
Comparator Group
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Highly Purified Urofollitropin
Other Intervention Name(s)
Bravelle®
Intervention Description
for Injection
Intervention Type
Drug
Intervention Name(s)
Recombinant Human Follitropin Alfa
Other Intervention Name(s)
Gonal-F®
Intervention Description
for Injection
Primary Outcome Measure Information:
Title
The ovulation rate defined as the percentage of subjects who present ovulation
Time Frame
From 6 days up to 7 weeks post hCG (human chorionic gonadotropin) administration
Secondary Outcome Measure Information:
Title
The positive serum progesterone rate
Time Frame
6~9 days post hCG administration
Title
The positive serum β-hCG/hCG rate
Time Frame
18~22 days post hCG administration
Title
The clinical pregnancy rate
Description
Regardless of fetal heart beat
Time Frame
6~7 weeks post hCG administration
Title
The clinical pregnancy rate
Description
With fetal heart beat
Time Frame
6~7 weeks post hCG administration
Title
The ongoing pregnancy rate
Time Frame
11~12 weeks post hCG administration
Title
The follicular development
Time Frame
On the day of hCG administration
Title
Endometrial thickness
Time Frame
On the day of hCG administration
Title
Total FSH (Follicle-stimulating hormone) dose administered
Time Frame
On the day of hCG administration
Title
Number of FSH treatment days
Time Frame
On the day of hCG administration
Title
Frequency and severity of adverse events
Time Frame
Expected maximum of 6 months
Title
Frequency and severity of injection site reactions
Time Frame
Day 1 up to Day 28 of the ovarian stimulation period
Title
Serum estradiol (E2) levels
Time Frame
On the day of hCG administration

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
39 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed informed consent form prior to screening evaluations Chinese females between the ages of 20-39 years Infertility for at least 1 year before screening Women WHO type II anovulatory infertility with chronic anovulation (defined as amenorrhoea (i.e., no menstrual bleeding for 6 months or more) or oligoamenorrhoea (i.e., cycles of more than 35 days) ) with progestogen induced withdrawal bleeding or spontaneous menstrual bleeding Failure to conceive after at least one cycle of ovulation induction with clomiphene citrate Bilateral tubal patency documented by a hysterosalpingography or sonohysterography or laparoscopy within 2 years prior to screening Normal pelvis documented by a transvaginal ultrasound with respect to uterus, Fallopian tubes and ovaries within 3 months prior to screening Early follicular phase serum levels of FSH within normal limits (1-12 IU/L,) (results obtained within 2 months prior to randomization) LH (Luteinizing hormone), prolactin , E2 (estradiol), progesteron, total testosterone, and TSH (thyrotropin) levels within normal limits for the clinical laboratory Male partner with a semen analysis obtained within 12 months prior to randomisation and showing acceptable values for semen according to the local laboratory, or showing more than 2.000.000 progressive motile sperm per mL after capacitation (in case of IUI (intrauterine insemination)) BMI (Body mass index) is ≥ 18.5 and < 30 kg/m2 Exclusion Criteria: Any known clinically significant systemic disease Known past or current thrombophlebitis or thromboembolism including venous thrombosis disease and active or recent arterial thrombosis disease Any known endocrine or metabolic abnormalities which can compromise participation in the trial with the exception of controlled thyroid function disease Any known concomitant medications that would interfere with evaluation of study medications. Specifically, any non-study hormonal therapy (except for thyroid medication), anti-psychotics, anxiolytics, hypnotics and sedatives, and need for continuous use of prostaglandin inhibitors (non-steroid anti- inflammatory drugs (NSAIDs), including aspirin) at the time of study entry. Known history of 12 or more unsuccessful (no pregnancy achieved) ovulation induction cycles Any known treatment with clomiphene citrate, metformin, gonadotropins or GnRH analogues within one month prior to randomisation Ovarian cysts with a mean diameter ≥ 15 mm that have persisted for more than one cycle or ovarian endometrioma on ultrasound Known at least one previous cycle experienced luteinized unruptured follicle syndrome Known abnormal results of cervical examination of clinical significance obtained within 1 years prior to screening Abnormal vaginal bleeding of undetermined origin Known tumors of the ovary, breast, uterus, adrenal gland, pituitary or hypothalamus Known malformations of the sexual organs incompatible with pregnancy Known current or past (last 12 months) abuse of alcohol or drugs Known history of chemotherapy (except for gestational conditions) or radiotherapy Finding of any clinically relevant abnormal laboratory value Use of any non registered investigational drugs during 3 months before screening or previous participation in the study Pregnancy, lactation or contraindication to pregnancy
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
Chinese PLA General Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Navy General Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Peking Union Medical College Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Peking University First Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Peking University People's Hospital
City
Beijing
State/Province
Beijing
Country
China
Facility Name
Sun Yat-sen Memorial Hospital Sun Yat-sen University
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
The Third Affiliated Hospital of Guangzhou Medical University
City
Guangzhou
State/Province
Guangdong
Country
China
Facility Name
Tongji Hospital Tongji Medical College of HUST Tongji Medical College Huazhong University of Science & Technology
City
Wuhan
State/Province
Hubei
Country
China
Facility Name
The First Affiliated Hospital with Nanjing Medical University
City
Nanjing
State/Province
Jiangsu
Country
China
Facility Name
ShengJing Hospital of China Medical University
City
Shenyang
State/Province
Liaoning
Country
China
Facility Name
Sichuan Provincial People's Hospital
City
Chengdu
State/Province
Sichuan
Country
China
Facility Name
Tianjin Medical University General Hospital
City
Tianjin
State/Province
Tianjin
Country
China

12. IPD Sharing Statement

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Evaluation of Efficacy and Safety of Highly Purified Urofollitropin for Ovulation Induction in Chinese Females

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