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Clinical Efficacy and Tolerability of Two FSH Preparations (Human FSH Versus rFSH - Follitropin Alpha) in Women Undergoing IVF

Primary Purpose

Infertility

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
FSH-IBSA
GONAL-F
Sponsored by
IBSA Institut Biochimique SA
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Infertility focused on measuring Infertility, FSH, IVF, Ovarian stimulation

Eligibility Criteria

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

Inclusion Criteria:

  • >/=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;
    • Within 12 months of the beginning of the study, uterine cavity consistent with expected normal function as assessed through a hysterosalpingogram, sonohysterogram, or hysteroscopic examination;
    • >10 antral follicles 2-10 mm in size;
    • Normal or clinically insignificant hematology and blood chemistry values. TSH levels must be within the normal limits for the testing laboratory, or the patient should be euthyroid as determined by the investigator (e.g. normal free thyroxine). TSH can be low secondary to exogenous thyroid medication where patient is euthyroid;
    • Able and willing to sign the Patient Consent Form and adhere to the study visitation schedule.

Exclusion Criteria:

  • · age <18 and >/=40 years;

    • primary ovarian failure or women known as poor responders (i.e. requiring more than 300 IU of FSH as a starting dose in previous treatment cycles or having less than 3 oocytes retrieved, or with an E2 serum concentration <1800 pmol/L/500pg/mL);
    • prior ovarian hyperstimulation syndrome (OHSS), polycystic ovarian syndrome that would normally be started at a lower FSH dose than is initially required by the study (i.e. 300 IU), or likely intolerance to even two days of 300 IU FSH.
    • one or both ovaries inaccessible for oocyte retrieval;
    • ovarian cysts >20 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. nonstudy hormonal medications, prostaglandin inhibitors, psychotropic agents).

Sites / Locations

  • Fertility Physicians of Northern California
  • San Diego Fertility Center
  • UCSF In Vitro Fertilization
  • Seattle Reproductive Medicine

Outcomes

Primary Outcome Measures

The primary endpoint is the total number of oocytes retrieved.

Secondary Outcome Measures

Total FSH dose (IUs);number of days of FSH stimulation and stimulation duration;number of follicles >14 mm on the day of hCG injection;
17-β estradiol (E2) serum concentration on the day of hCG injection;cancellation rate with reasons;
Fertilization rate: number of 2PN (or already cleaved) embryos;
Total number of embryos,number transferred, frozen and discarded;implantation rate;number of transferred embryos; clinical pregnancy rate, per stimulated cycle, per oocyte retrieval and per embryo transfer.

Full Information

First Posted
September 15, 2006
Last Updated
February 12, 2015
Sponsor
IBSA Institut Biochimique SA
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1. Study Identification

Unique Protocol Identification Number
NCT00378001
Brief Title
Clinical Efficacy and Tolerability of Two FSH Preparations (Human FSH Versus rFSH - Follitropin Alpha) in Women Undergoing IVF
Official Title
A Prospective, Multicenter, Investigator Blinded, Randomized, Concurrent Control Study of Efficacy and Tolerability of Two FSH Preparations (Fostimon® Versus Gonal-F®) in Women Undergoing IVF
Study Type
Interventional

2. Study Status

Record Verification Date
February 2015
Overall Recruitment Status
Completed
Study Start Date
March 2005 (undefined)
Primary Completion Date
May 2006 (Actual)
Study Completion Date
May 2006 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
IBSA Institut Biochimique SA

4. Oversight

5. Study Description

Brief Summary
The purpose of the study is to evaluate the clinical efficacy and general tolerability of two different subcutaneous FSH preparations (Fostimon®, IBSA vs Gonal-F®, Serono Inc.) when administered to patients undergoing controlled ovarian stimulation for IVF.
Detailed Description
This is a prospective, multicenter, investigator blinded, randomized, concurrent control, phase III clinical trial. Patients meeting the eligibility requirements of the study will be randomly assigned to receive either the test drug (Fostimon®, IBSA) or the reference drug (Gonal-F®, Serono Inc.). Investigators will be blinded by not allowing them to have any contact with the study medications (supplied in boxes labeled in a manner that does not reveal the content of the boxes), and requesting that patients do not make any statements to the investigator that might indicate the treatment to which they were assigned. Equivalence testing with regard to the primary outcome variable will establish whether the two treatments are indeed similarly effective.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Infertility
Keywords
Infertility, FSH, IVF, Ovarian stimulation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
152 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
FSH-IBSA
Intervention Type
Drug
Intervention Name(s)
GONAL-F
Primary Outcome Measure Information:
Title
The primary endpoint is the total number of oocytes retrieved.
Secondary Outcome Measure Information:
Title
Total FSH dose (IUs);number of days of FSH stimulation and stimulation duration;number of follicles >14 mm on the day of hCG injection;
Title
17-β estradiol (E2) serum concentration on the day of hCG injection;cancellation rate with reasons;
Title
Fertilization rate: number of 2PN (or already cleaved) embryos;
Title
Total number of embryos,number transferred, frozen and discarded;implantation rate;number of transferred embryos; clinical pregnancy rate, per stimulated cycle, per oocyte retrieval and per embryo transfer.

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: >/=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; Within 12 months of the beginning of the study, uterine cavity consistent with expected normal function as assessed through a hysterosalpingogram, sonohysterogram, or hysteroscopic examination; >10 antral follicles 2-10 mm in size; Normal or clinically insignificant hematology and blood chemistry values. TSH levels must be within the normal limits for the testing laboratory, or the patient should be euthyroid as determined by the investigator (e.g. normal free thyroxine). TSH can be low secondary to exogenous thyroid medication where patient is euthyroid; Able and willing to sign the Patient Consent Form and adhere to the study visitation schedule. Exclusion Criteria: · age <18 and >/=40 years; primary ovarian failure or women known as poor responders (i.e. requiring more than 300 IU of FSH as a starting dose in previous treatment cycles or having less than 3 oocytes retrieved, or with an E2 serum concentration <1800 pmol/L/500pg/mL); prior ovarian hyperstimulation syndrome (OHSS), polycystic ovarian syndrome that would normally be started at a lower FSH dose than is initially required by the study (i.e. 300 IU), or likely intolerance to even two days of 300 IU FSH. one or both ovaries inaccessible for oocyte retrieval; ovarian cysts >20 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. nonstudy hormonal medications, prostaglandin inhibitors, psychotropic agents).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Valerie Baker, MD
Organizational Affiliation
Fertility Physicians of Northern California
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Victor Y Fujimoto, MD
Organizational Affiliation
UCSF In Vitro Fertilization
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
L. Michael Kettel, MD
Organizational Affiliation
San Diego Fertility Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Michael R Soules, MD
Organizational Affiliation
Seattle Reproductive Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Fertility Physicians of Northern California
City
Palo Alto
State/Province
California
ZIP/Postal Code
94301
Country
United States
Facility Name
San Diego Fertility Center
City
San Diego
State/Province
California
ZIP/Postal Code
92130
Country
United States
Facility Name
UCSF In Vitro Fertilization
City
San Francisco
State/Province
California
ZIP/Postal Code
94115-0916
Country
United States
Facility Name
Seattle Reproductive Medicine
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
9718375
Citation
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Results Reference
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Citation
Porter RN, Smith W, Craft IL, Abdulwahid NA, Jacobs HS. Induction of ovulation for in-vitro fertilisation using buserelin and gonadotropins. Lancet. 1984 Dec 1;2(8414):1284-5. doi: 10.1016/s0140-6736(84)92840-x. No abstract available.
Results Reference
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PubMed Identifier
2193939
Citation
Loumaye E. The control of endogenous secretion of LH by gonadotrophin-releasing hormone agonists during ovarian hyperstimulation for in-vitro fertilization and embryo transfer. Hum Reprod. 1990 May;5(4):357-76. doi: 10.1093/oxfordjournals.humrep.a137105. No abstract available.
Results Reference
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PubMed Identifier
1426372
Citation
Hughes EG, Fedorkow DM, Daya S, Sagle MA, Van de Koppel P, Collins JA. The routine use of gonadotropin-releasing hormone agonists prior to in vitro fertilization and gamete intrafallopian transfer: a meta-analysis of randomized controlled trials. Fertil Steril. 1992 Nov;58(5):888-96. doi: 10.1016/s0015-0282(16)55430-2.
Results Reference
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PubMed Identifier
3114314
Citation
Smitz J, Devroey P, Braeckmans P, Camus M, Khan I, Staessen C, Van Waesberghe L, Wisanto A, Van Steirteghem AC. Management of failed cycles in an IVF/GIFT programme with the combination of a GnRH analogue and HMG. Hum Reprod. 1987 May;2(4):309-14. doi: 10.1093/oxfordjournals.humrep.a136540.
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PubMed Identifier
7714147
Citation
Giudice E, Crisci C, Eshkol A, Papoian R. Composition of commercial gonadotrophin preparations extracted from human post-menopausal urine: characterization of non-gonadotrophin proteins. Hum Reprod. 1994 Dec;9(12):2291-9. doi: 10.1093/oxfordjournals.humrep.a138440.
Results Reference
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PubMed Identifier
8006130
Citation
Howles CM, Loumaye E, Giroud D, Luyet G. Multiple follicular development and ovarian steroidogenesis following subcutaneous administration of a highly purified urinary FSH preparation in pituitary desensitized women undergoing IVF: a multicentre European phase III study. Hum Reprod. 1994 Mar;9(3):424-30. doi: 10.1093/oxfordjournals.humrep.a138522.
Results Reference
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PubMed Identifier
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Citation
Wikland M, Borg J, Hamberger L, Svalander P. Simplification of IVF: minimal monitoring and the use of subcutaneous highly purified FSH administration for ovulation induction. Hum Reprod. 1994 Aug;9(8):1430-6. doi: 10.1093/oxfordjournals.humrep.a138724.
Results Reference
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PubMed Identifier
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Citation
Daya S, Gunby J, Hughes EG, Collins JA, Sagle MA. Follicle-stimulating hormone versus human menopausal gonadotropin for in vitro fertilization cycles: a meta-analysis. Fertil Steril. 1995 Aug;64(2):347-54.
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Citation
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Results Reference
background

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Clinical Efficacy and Tolerability of Two FSH Preparations (Human FSH Versus rFSH - Follitropin Alpha) in Women Undergoing IVF

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