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Efficacy and Safety of BG2109 During Controlled Ovarian Hyperstimulation in Female Subjects Undergoing ART Procedures

Primary Purpose

Assisted Reproductive Technology, Controlled Ovarian Hyperstimulation

Status
Not yet recruiting
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
BG2109
Cetrorelix
Sponsored by
Bio Genuine (Shanghai) Biotech Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Assisted Reproductive Technology

Eligibility Criteria

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

Inclusion Criteria: Married infertile women aged 20 to 39 years (both inclusive), who are diagnosed with tubal infertility, unexplained infertility, grade I-II endometriosis, or spouses diagnosed with male factor infertility, who meet the criteria for IVF and/or ICSI) using fresh or frozen semen from the male spouse or sperm donor BMI 18-25 kg/m2 (both inclusive), body weight range 45-80kg (both inclusive) Subjects must have regular menstrual cycles, specifically defined as ≥25 days, ≤35 days. The serum sex hormone levels during the screening period must be performed in the early follicular phase, and the basal serum follicle-stimulating hormone (FSH) <10 IU/L, LH, estradiol(E2), prolactin(PRL),testosterone(T) levels are within the laboratory normal range, or the investigator considers them as abnormal but not clinically significant The subject is clinically assessed and agree to undergo fresh cycle embryo transfer in the first IVF-ET/ ICSI-Embryo Transfer(ET) cycle, with a maximum of two embryos transferred. Within 1 year before randomization, the presence of bilateral ovaries is clearly visible on transvaginal ultrasonography with no significant abnormalities, and appendages are normal. Both ovaries must be available for oocyte retrieval Subjects must sign the Informed Consent Form (ICF) and be willing and able to abide by the protocol-specified study procedures Exclusion Criteria: Those who have undergone 2 or more COH of IVF/ICSI-ET before screening, but have not achieved clinical pregnancy. Those with previous IVF or ART failure due to sperm/fertilization problems whose related medical condition has not been improved. Either subjects or their spouses or both of them are known to carry abnormal chromosomal structures, or patients known to have single-gene genetic diseases or serious diseases with genetic susceptibility requiring Preimplantation Genetic Diagnosis(PGD) before embryo transfer. Those with high risk of ovarian hyperstimulation syndrome(OHSS) Those with low ovarian function at screening, with at least one of the following: poor ovarian response in the past; less than 6 antral follicles (AFC) with a diameter of < 10 mm seen on bilateral ovary transvaginal ultrasonography at Day2-3 of menstrual cycle; anti-mullerian hormone(AMH) < 1.1 ng/ml. Subjects who used gonadotropins for ovarian stimulation or drugs that affect ovarian function within 30 days prior to screening. Subjects with abnormal thinprep cytology test(TCT) results that are judged by the investigator as clinically significant and require treatment within 6 months before screening. As judged by the investigator, subjects with clinically significant gynecological diseases at screening Those previously or prior randomization suffering from the cancer of uterine, ovarian, breast or hypothalamus or pituitary gland. Those with a positive serum β-hCG test result at the screening visit or the visit on Day 1 of ovarian stimulation. During COH, LH ≥10 U/L, and the LH level was 2.5 times higher than the baseline value before D0 (inclusive).

Sites / Locations

  • Site No5
  • Site No7
  • Site No9
  • Site No4
  • Site No8
  • Site No6
  • Site No10
  • Site No11
  • Site No3
  • Site No2

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Active Comparator

Arm Label

BG2109 75mg

BG2109 150mg

BG2109 200mg

Cetrorelix

Arm Description

oral, once a day

oral, once a day

oral, once a day

0.25mg, Subcutaneous injection, once a day

Outcomes

Primary Outcome Measures

Suppression rate of premature LH surge from the treatment of investigational medicinal products(IMP) until the day of human chorionic gonadotropin(hCG) injection
LH ≥ 10 IU/L

Secondary Outcome Measures

Ongoing pregnancy rate
ongoing pregnancy is defined as at least embryo with heartbeat at 10 weeks post-embryo transfer
The number of oocytes obtained on the day of oocyte retrieval
Clinical pregnancy rate
clinical pregnancy is defined as the presence of at least one gestational sac in or outside the uterus during 30-37 days after embryo transfer
Adverse drug events
Pharmacokinetics(PK) endpoints
Plasma concentration of BG2109
Pharmacodynamics(PD) endpoints
estradiol(E2), luteinizing hormone (LH) and progesterone (P) concentrations at each time point

Full Information

First Posted
January 28, 2023
Last Updated
July 25, 2023
Sponsor
Bio Genuine (Shanghai) Biotech Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05738382
Brief Title
Efficacy and Safety of BG2109 During Controlled Ovarian Hyperstimulation in Female Subjects Undergoing ART Procedures
Official Title
A Randomized, Double-blind, Open for Active Comparator, Parallel, Multi-center Phase II Study to Explore the Efficacy, Safety and Tolerability of BG2109 Compared With Cetrorelix During COH in Female Subjects Undergoing ART Procedures
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
August 2023 (Anticipated)
Primary Completion Date
June 2024 (Anticipated)
Study Completion Date
December 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Bio Genuine (Shanghai) Biotech Co., Ltd.

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 explore the optimal effective daily dose of BG2109 to suppress premature luteinizing hormone (LH) surge during COH in female subjects undergoing ART procedures.
Detailed Description
This study is a randomized, double-blind, open for active comparator, parallel, multi-center phase II dose-finding clinical study to explore the efficacy, safety and tolerability of different doses of BG2109 compared with Cetrorelix during Controlled Ovarian Hyperstimulation (COH) in Chinese female subjects undergoing Assisted Reproductive Technology (ART) procedures.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Assisted Reproductive Technology, Controlled Ovarian Hyperstimulation

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Masked for BG2109 dose groups and open for the active controlled group.
Allocation
Randomized
Enrollment
240 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
BG2109 75mg
Arm Type
Experimental
Arm Description
oral, once a day
Arm Title
BG2109 150mg
Arm Type
Experimental
Arm Description
oral, once a day
Arm Title
BG2109 200mg
Arm Type
Experimental
Arm Description
oral, once a day
Arm Title
Cetrorelix
Arm Type
Active Comparator
Arm Description
0.25mg, Subcutaneous injection, once a day
Intervention Type
Drug
Intervention Name(s)
BG2109
Intervention Description
oral administration once daily
Intervention Type
Drug
Intervention Name(s)
Cetrorelix
Other Intervention Name(s)
Cetrorelix Acetate
Intervention Description
0.25 mg, Subcutaneous injection once daily.
Primary Outcome Measure Information:
Title
Suppression rate of premature LH surge from the treatment of investigational medicinal products(IMP) until the day of human chorionic gonadotropin(hCG) injection
Description
LH ≥ 10 IU/L
Time Frame
Through the whole period of administration of IMP,about 5-10 days
Secondary Outcome Measure Information:
Title
Ongoing pregnancy rate
Description
ongoing pregnancy is defined as at least embryo with heartbeat at 10 weeks post-embryo transfer
Time Frame
At 10 weeks post-embryo transfer
Title
The number of oocytes obtained on the day of oocyte retrieval
Time Frame
During the surgery of the oocyte retrieval
Title
Clinical pregnancy rate
Description
clinical pregnancy is defined as the presence of at least one gestational sac in or outside the uterus during 30-37 days after embryo transfer
Time Frame
On 30-37 days after embryo transfer
Title
Adverse drug events
Time Frame
Through study completion, around 45 weeks.
Title
Pharmacokinetics(PK) endpoints
Description
Plasma concentration of BG2109
Time Frame
On the morning of the Second and Third day of BG2109 administration, and the day of hCG injection(about 5-10days after BG2109 administration)
Title
Pharmacodynamics(PD) endpoints
Description
estradiol(E2), luteinizing hormone (LH) and progesterone (P) concentrations at each time point
Time Frame
30 minutes before the administration of BG2109 every morning through the whole period of IMP administration,about 5-10 days

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: Married infertile women aged 20 to 39 years (both inclusive), who are diagnosed with tubal infertility, unexplained infertility, grade I-II endometriosis, or spouses diagnosed with male factor infertility, who meet the criteria for IVF and/or ICSI) using fresh or frozen semen from the male spouse or sperm donor BMI 18-25 kg/m2 (both inclusive), body weight range 45-80kg (both inclusive) Subjects must have regular menstrual cycles, specifically defined as ≥25 days, ≤35 days. The serum sex hormone levels during the screening period must be performed in the early follicular phase, and the basal serum follicle-stimulating hormone (FSH) <10 IU/L, LH, estradiol(E2), prolactin(PRL),testosterone(T) levels are within the laboratory normal range, or the investigator considers them as abnormal but not clinically significant The subject is clinically assessed and agree to undergo fresh cycle embryo transfer in the first IVF-ET/ ICSI-Embryo Transfer(ET) cycle, with a maximum of two embryos transferred. Within 1 year before randomization, the presence of bilateral ovaries is clearly visible on transvaginal ultrasonography with no significant abnormalities, and appendages are normal. Both ovaries must be available for oocyte retrieval Subjects must sign the Informed Consent Form (ICF) and be willing and able to abide by the protocol-specified study procedures Exclusion Criteria: Those who have undergone 2 or more COH of IVF/ICSI-ET before screening, but have not achieved clinical pregnancy. Those with previous IVF or ART failure due to sperm/fertilization problems whose related medical condition has not been improved. Either subjects or their spouses or both of them are known to carry abnormal chromosomal structures, or patients known to have single-gene genetic diseases or serious diseases with genetic susceptibility requiring Preimplantation Genetic Diagnosis(PGD) before embryo transfer. Those with high risk of ovarian hyperstimulation syndrome(OHSS) Those with low ovarian function at screening, with at least one of the following: poor ovarian response in the past; less than 6 antral follicles (AFC) with a diameter of < 10 mm seen on bilateral ovary transvaginal ultrasonography at Day2-3 of menstrual cycle; anti-mullerian hormone(AMH) < 1.1 ng/ml. Subjects who used gonadotropins for ovarian stimulation or drugs that affect ovarian function within 30 days prior to screening. Subjects with abnormal thinprep cytology test(TCT) results that are judged by the investigator as clinically significant and require treatment within 6 months before screening. As judged by the investigator, subjects with clinically significant gynecological diseases at screening Those previously or prior randomization suffering from the cancer of uterine, ovarian, breast or hypothalamus or pituitary gland. Those with a positive serum β-hCG test result at the screening visit or the visit on Day 1 of ovarian stimulation. During COH, LH ≥10 U/L, and the LH level was 2.5 times higher than the baseline value before D0 (inclusive).
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jing Zhao
Phone
021-58590032
Email
Jing.zhao@Biogenuine.con
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Xiaoyan Liang
Organizational Affiliation
Sixth Affiliated Hospital, Sun Yat-sen University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Site No5
City
Changsha
Country
China
Facility Name
Site No7
City
Guangzhou
Country
China
Facility Name
Site No9
City
Haikou
Country
China
Facility Name
Site No4
City
Hangzhou
Country
China
Facility Name
Site No8
City
Hohhot
Country
China
Facility Name
Site No6
City
Linyi
Country
China
Facility Name
Site No10
City
Shenyang
Country
China
Facility Name
Site No11
City
Tianjin
Country
China
Facility Name
Site No3
City
Wuhan
Country
China
Facility Name
Site No2
City
Zhengzhou
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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Efficacy and Safety of BG2109 During Controlled Ovarian Hyperstimulation in Female Subjects Undergoing ART Procedures

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