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To Investigate Efficacy and Safety of a Single Injection of GenSci094 for Ovarian Stimulation Using Daily Recombinant FSH as Reference (ANGAS)

Primary Purpose

Infertility

Status
Recruiting
Phase
Phase 3
Locations
China
Study Type
Interventional
Intervention
GenSci094
Placebo RecFSH / follitropin alfa
Biological: RecFSH / Follitropin alfa (Days 1 to 7)
Placebo GenSci094
RecFSH / Follitropin alfa (Days 8 to hCG)
Ganirelix
hCG
Progesterone
Sponsored by
Changchun GeneScience Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Infertility

Eligibility Criteria

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

Inclusion Criteria: Females of couples with an indication for Controlled Ovarian Stimulation (COS) and in-vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI); >=20 and <40 years of age at the time of signing informed consent; Body weight >=50 kg and body mass index (BMI) >=18 and <=28 kg/m^2; AMH<4.0 and>=1.1μg/L FSH<10 IU/L Willing and able to sign informed consent. Exclusion Criteria: History of ovarian hyper-response or ovarian hyperstimulation syndrome (OHSS); History of/or current polycystic ovary syndrome (PCOS); More than 20 basal antral follicles <11 mm (both ovaries combined) as measured on ultrasound scan (USS) in the early follicular phase (menstrual cycle day 2-4); Presence of unilateral or bilateral hydrosalphinx (visible on USS); Presence of any clinically relevant pathology affecting the uterine cavity or fibroids >4 cm; More than three unsuccessful IVF cycles since the last established ongoing pregnancy (if applicable); History of non- or low ovarian response to FSH/ human menopausal gonadotropin (hMG) treatment; History of recurrent miscarriage (3 or more, even when unexplained); Any clinically relevant abnormal laboratory value based on a sample taken during the screening phase; Contraindications for the use of gonadotropins (e.g. tumors, pregnancy/lactation, undiagnosed vaginal bleeding, hypersensitivity, ovarian cysts); Recent history of/or current epilepsy, human immunodeficiency virus (HIV) infection, diabetes, cardiovascular, gastro-intestinal, hepatic, renal or pulmonary disease; Use of hormonal preparations within 1 month prior to randomization; Hypersensitivity to any of the concomitant medication prescribed as part of the treatment regimen in this protocol; Administration of investigational drugs within three months prior to signing informed consent.

Sites / Locations

  • The Sixth Affiliated Hospital, Sun Yat-sen University Guangdong Gastrointestinal HospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

GenSci094

recFSH

Arm Description

Participants received a single subcutaneous (SC) injection of 150 µg or 100µg GenSci094 on day 2 or 3 of the menstrual cycle (Stimulation Day 1); 7 daily SC injections from Stimulation Days 1 to 7 with placebo-recFSH; followed by daily SC injections with 150 IU or225IU recFSH up to the day of hCG. Daily SC injections of Ganirelix were administered from Stimulation Day 5 to the day of hCG; at which time a single dose of hCG was given when 3 follicles >= 17 mm. On the day of oocyte pick up (OPU) daily doses of progesterone were started and continued for up to 6 weeks or menses.

Participants received a single SC injection of placebo GenSci094 on day 2 or 3 of the menstrual cycle (Stimulation Day 1); 7 daily SC injections with 150 IU or 225IU recFSH from Stimulation Days 1 to 7; followed by daily SC injections with 200 IU recFSH up to the day of hCG. Daily SC injections of Ganirelix were given from Stimulation Day 5 to the day of hCG; at which time a single dose of hCG was administered when 3 follicles >= 17 mm. On the day of OPU daily doses of progesterone were started and continued for up to 6 weeks or menses.

Outcomes

Primary Outcome Measures

Mean Number of Oocytes Retrieved

Secondary Outcome Measures

Percentage of Participants With an Ongoing Pregnancy (Ongoing Pregnancy Rate)
Percentage of Fertilized Oocytes (Fertilization Rate)
Number of Embryos Obtained on Day 3 Categorized by Quality
Percentage of Gestational Sacs (Implantation Rate)
Percentage of Participants With a Biochemical Pregnancy Per Embryo Transfer
Percentage of Participants With a early miscarriage(early miscarriage rate)Per Clinical Pregnancy

Full Information

First Posted
August 8, 2023
Last Updated
October 17, 2023
Sponsor
Changchun GeneScience Pharmaceutical Co., Ltd.
Collaborators
Sixth Affiliated Hospital, Sun Yat-sen University
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1. Study Identification

Unique Protocol Identification Number
NCT06091436
Brief Title
To Investigate Efficacy and Safety of a Single Injection of GenSci094 for Ovarian Stimulation Using Daily Recombinant FSH as Reference
Acronym
ANGAS
Official Title
A Multicenter, Double-blind, Non-inferiority, Phase 3 RCT Comparing GenSci094 and Recombinant FSH During the First Seven Days of Ovarian Stimulation in Chinese ART Patients
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 24, 2023 (Actual)
Primary Completion Date
February 29, 2024 (Anticipated)
Study Completion Date
August 31, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Changchun GeneScience Pharmaceutical Co., Ltd.
Collaborators
Sixth Affiliated Hospital, Sun Yat-sen University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To investigate the efficacy and safety of a single injection of GenSci094 to induce multi-follicular development for controlled ovarian stimulation using daily recombinant FSH (recFSH) as a reference. The primary hypothesis is that a single injection of GenSci094 is non-inferior to daily treatment with recFSH in initiating multi-follicular growth.

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
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
176 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
GenSci094
Arm Type
Experimental
Arm Description
Participants received a single subcutaneous (SC) injection of 150 µg or 100µg GenSci094 on day 2 or 3 of the menstrual cycle (Stimulation Day 1); 7 daily SC injections from Stimulation Days 1 to 7 with placebo-recFSH; followed by daily SC injections with 150 IU or225IU recFSH up to the day of hCG. Daily SC injections of Ganirelix were administered from Stimulation Day 5 to the day of hCG; at which time a single dose of hCG was given when 3 follicles >= 17 mm. On the day of oocyte pick up (OPU) daily doses of progesterone were started and continued for up to 6 weeks or menses.
Arm Title
recFSH
Arm Type
Active Comparator
Arm Description
Participants received a single SC injection of placebo GenSci094 on day 2 or 3 of the menstrual cycle (Stimulation Day 1); 7 daily SC injections with 150 IU or 225IU recFSH from Stimulation Days 1 to 7; followed by daily SC injections with 200 IU recFSH up to the day of hCG. Daily SC injections of Ganirelix were given from Stimulation Day 5 to the day of hCG; at which time a single dose of hCG was administered when 3 follicles >= 17 mm. On the day of OPU daily doses of progesterone were started and continued for up to 6 weeks or menses.
Intervention Type
Drug
Intervention Name(s)
GenSci094
Intervention Description
On the morning of day 2 or 3 of the menstrual cycle (Stimulation Day 1), a single SC injection of 150 μg or 100μg (0.5 mL) GenSci094 was administered in the abdominal wall.
Intervention Type
Drug
Intervention Name(s)
Placebo RecFSH / follitropin alfa
Intervention Description
powder-injection, but without the active ingedient, SC injection . Daily SC injections were started on Stimulation Day 1 and continued up to and including Stimulation Day 7.
Intervention Type
Biological
Intervention Name(s)
Biological: RecFSH / Follitropin alfa (Days 1 to 7)
Intervention Description
Daily SC injections with 150IU or 225IU recFSH were started on Stimulation Day 1 and continued up to and including Stimulation Day 7.
Intervention Type
Drug
Intervention Name(s)
Placebo GenSci094
Intervention Description
Pre-filled syringe containing an identical solution when compared to GenSci094. On the morning of day 2 or 3 of the menstrual cycle (Stimulation Day 1), a single SC injection was administered in the abdominal wall.
Intervention Type
Biological
Intervention Name(s)
RecFSH / Follitropin alfa (Days 8 to hCG)
Intervention Description
From Stimulation Day 8 onwards a daily SC dose 75IU~300 IU recFSH was administered up to and including the Day of hCG.
Intervention Type
Drug
Intervention Name(s)
Ganirelix
Intervention Description
On Stimulation Day 5 a daily SC injection of 0.25 mg was started, which continued up to and including the day of hCG
Intervention Type
Biological
Intervention Name(s)
hCG
Intervention Description
When 3 follicles >= 17 mm were observed by USS, a single dose of 10,000 IU/USP hCG was administered; or, for those at risk for Ovarian Hyperstimulation Syndrome (OHSS), a lower dose of 5,000 IU/USP
Intervention Type
Drug
Intervention Name(s)
Progesterone
Intervention Description
On the day of OPU, luteal phase support was started by administering micronized progesterone of at least 400 mg/day vaginally, and 40mg/d oral, which continued for at least 6 weeks, or up to menses.
Primary Outcome Measure Information:
Title
Mean Number of Oocytes Retrieved
Time Frame
Approximately Day 10-14
Secondary Outcome Measure Information:
Title
Percentage of Participants With an Ongoing Pregnancy (Ongoing Pregnancy Rate)
Time Frame
Assessed at least 10 weeks after embryo transfer
Title
Percentage of Fertilized Oocytes (Fertilization Rate)
Time Frame
Up to 18 hours after start of fertilization
Title
Number of Embryos Obtained on Day 3 Categorized by Quality
Time Frame
Post fertilization Day 3
Title
Percentage of Gestational Sacs (Implantation Rate)
Time Frame
Up to 6 weeks after embryo transfer
Title
Percentage of Participants With a Biochemical Pregnancy Per Embryo Transfer
Time Frame
Two weeks after embryo transfe
Title
Percentage of Participants With a early miscarriage(early miscarriage rate)Per Clinical Pregnancy
Time Frame
Up to 12 weeks after embryo transfer

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: Females of couples with an indication for Controlled Ovarian Stimulation (COS) and in-vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI); >=20 and <40 years of age at the time of signing informed consent; Body weight >=50 kg and body mass index (BMI) >=18 and <=28 kg/m^2; AMH<4.0 and>=1.1μg/L FSH<10 IU/L Willing and able to sign informed consent. Exclusion Criteria: History of ovarian hyper-response or ovarian hyperstimulation syndrome (OHSS); History of/or current polycystic ovary syndrome (PCOS); More than 20 basal antral follicles <11 mm (both ovaries combined) as measured on ultrasound scan (USS) in the early follicular phase (menstrual cycle day 2-4); Presence of unilateral or bilateral hydrosalphinx (visible on USS); Presence of any clinically relevant pathology affecting the uterine cavity or fibroids >4 cm; More than three unsuccessful IVF cycles since the last established ongoing pregnancy (if applicable); History of non- or low ovarian response to FSH/ human menopausal gonadotropin (hMG) treatment; History of recurrent miscarriage (3 or more, even when unexplained); Any clinically relevant abnormal laboratory value based on a sample taken during the screening phase; Contraindications for the use of gonadotropins (e.g. tumors, pregnancy/lactation, undiagnosed vaginal bleeding, hypersensitivity, ovarian cysts); Recent history of/or current epilepsy, human immunodeficiency virus (HIV) infection, diabetes, cardiovascular, gastro-intestinal, hepatic, renal or pulmonary disease; Use of hormonal preparations within 1 month prior to randomization; Hypersensitivity to any of the concomitant medication prescribed as part of the treatment regimen in this protocol; Administration of investigational drugs within three months prior to signing informed consent.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
shuqin jiang
Phone
18036617122
Email
jiangshuqin@gensci-china.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
xiaoyan liang, doctor
Organizational Affiliation
The Sixth Affiliated Hospital, Sun Yat-sen University Guangdong Gastrointestinal Hospital
Official's Role
Study Chair
Facility Information:
Facility Name
The Sixth Affiliated Hospital, Sun Yat-sen University Guangdong Gastrointestinal Hospital
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510610
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xiaoyan liang, Doctor
Phone
13500015058
Email
lxyzy@263.net

12. IPD Sharing Statement

Learn more about this trial

To Investigate Efficacy and Safety of a Single Injection of GenSci094 for Ovarian Stimulation Using Daily Recombinant FSH as Reference

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