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Rekovelle PK Trial in Chinese Women

Primary Purpose

Infertility

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Follitropin Delta
Sponsored by
Ferring Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Infertility focused on measuring In vitro fertilisation, Controlled ovarian stimulation

Eligibility Criteria

21 Years - 40 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Female of Chinese origin, with two ethnic Chinese parents and four ethnic Chinese grandparents 21-40 years of age (both inclusive)
  • Willing to stop using combined oral contraceptives (COC) in relation to the first DECAPEPTYL Depot administration on Day -28
  • Agrees to use a double barrier method of contraception between Day -63 and Day 28, if not abstinent. A double barrier method of contraception should also be used after Day 28 until menses resumes or until another contraceptive method has been established
  • Normal menstrual cycles with a range of 24-35 days in the absence of oral contraceptives
  • Serum FSH less than equal to (≤)5 IU/L on Day -3 and Day -1
  • Body mass index (BMI) of 18.5 -25 kg/m^2 (both inclusive)
  • Negative serology for human immunodeficiency virus (HIV) antibody, hepatitis B (surface antigen), hepatitis C antibody, and syphilis bacteria
  • Healthy according to medical history, physical examination, gynaecological examination, ECG, blood pressure, and laboratory profile of blood and urine
  • Negative urine drug screen and alcohol breath test at screening and on Day -1
  • Non-smoker or light smoker (≤ 5 cigarettes/day) for at least 6 months prior to trial

Exclusion Criteria:

  • Presence or a history of clinically significant diseases of the renal, hepatic, gastrointestinal, cardiovascular, or musculoskeletal systems, or presence or history of clinically significant reproductive, psychiatric, immunological, endocrine or metabolic diseases
  • Cancer within the last 5 years except for adequately managed basal cell carcinoma and squamous cell carcinoma of the skin
  • Pregnancy or breastfeeding
  • Current or a history of endocrine abnormalities such as hyperprolactinaemia, polycystic ovary syndrome or other ovarian dysfunction, tumours of the pituitary gland or hypothalamus, thyroid or adrenal disease
  • Clinically significant findings on the trans-vaginal ultrasound, cytology, gynaecological or breast examination at screening or on Day -1 including ovarian cysts or tumours of the ovaries or uterus
  • Contraindications for the use of gonadotropins and gonadotropin-releasing hormone (GnRH) agonists
  • Previously treated with gonadotropins within the last 6 months prior to screening
  • History within the last two years or current abuse of alcohol or drugs
  • Presence or history of severe allergy or anaphylactic reactions
  • Intake of prescribed medication, over-the-counter (OTC) medication, or herbal medicines, with the exceptions of COC, cromoglycate, and paracetamol according to the labelling, within 2 weeks or 5 half-lives of the drug, whichever is longer, prior to first dose of DECAPEPTYL Depot. Topical treatments of bacterial or fungal infection are allowed if stopped before first dose of IMP
  • Intake of any non-registered investigational drug within the last 12 weeks preceding screening, or longer if judged by the investigator to possibly influence the outcome of the current trial
  • High daily consumption of caffeine-containing beverages (e.g. more than five cups of coffee or equivalent) with a risk of withdrawal symptoms arising during the trial that may confound the safety evaluation
  • Blood donation or major blood loss (greater than equal to [≥]500 mL) within the last 8 weeks, or plasma donation with the last 4 weeks preceding the first day of IMP dosing
  • Current non-smokers or light smoker with a history of long-term, heavy smoking (>10 pack-years)
  • Previously dosed in this trial
  • Mental incapacity or language barrier precluding adequate understanding or co-operation
  • Considered by the investigator to be unsuitable to participate in the trial for any other reason

Sites / Locations

  • First Hospital Affiliated to Nanjing Medical University Jiangsu Province Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Follitropin delta 12 μg

Follitropin delta 18 μg

Follitropin delta 24 μg

Arm Description

Participants received single subcutaneous abdominal injection of Follitropin delta 12 μg on Day 1.

Participants received single subcutaneous abdominal injection of Follitropin delta 18 μg on Day 1.

Participants received single subcutaneous abdominal injection of Follitropin delta 24 μg on Day 1.

Outcomes

Primary Outcome Measures

Area Under the Serum Concentration-time Curve From Dosing to Infinity (AUC)
Area under the concentration-time curve from dosing to infinity.
Area Under the Serum Concentration-time Curve From Dosing up to Time t (AUCt)
AUCt is defined as the area under the serum concentration-time curve from dosing up to time t, where t is the last time point at which the concentration is above the lower limit of quantification.
Maximum Serum Concentration Observed (Cmax)
Maximum concentration observed in serum.
Time of Maximum Observed Serum Concentration (Tmax)
Time of maximum observed concentration in serum.
Apparent Total Systemic Clearance (CL/F)
Apparent Volume of Distribution Associated With the Terminal Phase (VZ/F)
Terminal Elimination Half-life (t½)

Secondary Outcome Measures

Number of Participants With Clinically Significant Abnormal Changes in Electrocardiogram (ECG)
Number of participants with clinically significant abnormal changes in ECG are presented.
Number of Participants With Clinically Significant Abnormal Changes in Vital Signs
Number of participants with clinically significant abnormal changes in vital signs (systemic blood pressures, heart rate and body temperature) are presented.
Number of Participants With Clinically Significant Abnormal Findings in Laboratory Parameters
Number of participants with clinically significant abnormal findings in laboratory parameters (clinical chemistry, haematology, urinalysis) are presented.
Number of Participants With Adverse Events (AEs) and Type of AEs
An AE is any untoward medical occurrence in a participant participating in a clinical trial. Number of participants with any AE (serious or non-serious) and type of AEs ( mild, moderate, severe) are presented.
Frequency of Injection Site Reactions
The injection site reactions (redness, pain, itching, swelling, and bruising) will be assessed by the investigator after injection, 30 minutes, and 24 hours after administration of the IMP. Each injection site reaction will be assessed as none, mild, moderate, or severe.
Number of Participants With Treatment-induced Anti-follicle-stimulating Hormone (Anti-FSH) Antibodies

Full Information

First Posted
November 1, 2019
Last Updated
February 13, 2023
Sponsor
Ferring Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT04150861
Brief Title
Rekovelle PK Trial in Chinese Women
Official Title
An Open-label Trial Investigating the Pharmacokinetics of FE 999049 Given as a Single Subcutaneous Dose in Gonadotropin Down-regulated Healthy Chinese Women
Study Type
Interventional

2. Study Status

Record Verification Date
January 2020
Overall Recruitment Status
Completed
Study Start Date
June 23, 2019 (Actual)
Primary Completion Date
November 28, 2019 (Actual)
Study Completion Date
December 16, 2019 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
FE 999049 is a gonadotropin preparation containing recombinant human follicle stimulating hormone (rhFSH) under development by Ferring Pharmaceuticals. It is intended for controlled ovarian stimulation for the development of multiple follicles in women undergoing assisted reproductive technologies (ART) such as in vitro fertilisation (IVF) or intracytoplasmic sperm injection (ICSI) cycle. In previous trials the exposure to and dose proportionality of FE 999049 in a clinically relevant dose range in Caucasian and Japanese healthy women have been shown to be very similar. This is a trial in healthy Chinese women investigating the pharmacokinetics, safety, and tolerability of a single subcutaneous dose of FE 999049.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Infertility
Keywords
In vitro fertilisation, Controlled ovarian stimulation

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Follitropin delta 12 μg
Arm Type
Experimental
Arm Description
Participants received single subcutaneous abdominal injection of Follitropin delta 12 μg on Day 1.
Arm Title
Follitropin delta 18 μg
Arm Type
Experimental
Arm Description
Participants received single subcutaneous abdominal injection of Follitropin delta 18 μg on Day 1.
Arm Title
Follitropin delta 24 μg
Arm Type
Experimental
Arm Description
Participants received single subcutaneous abdominal injection of Follitropin delta 24 μg on Day 1.
Intervention Type
Drug
Intervention Name(s)
Follitropin Delta
Other Intervention Name(s)
REKOVELLE, FE 999049
Intervention Description
Solution for Injection, subcutaneous administration
Primary Outcome Measure Information:
Title
Area Under the Serum Concentration-time Curve From Dosing to Infinity (AUC)
Description
Area under the concentration-time curve from dosing to infinity.
Time Frame
At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose
Title
Area Under the Serum Concentration-time Curve From Dosing up to Time t (AUCt)
Description
AUCt is defined as the area under the serum concentration-time curve from dosing up to time t, where t is the last time point at which the concentration is above the lower limit of quantification.
Time Frame
At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose
Title
Maximum Serum Concentration Observed (Cmax)
Description
Maximum concentration observed in serum.
Time Frame
At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose
Title
Time of Maximum Observed Serum Concentration (Tmax)
Description
Time of maximum observed concentration in serum.
Time Frame
At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose
Title
Apparent Total Systemic Clearance (CL/F)
Time Frame
At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose
Title
Apparent Volume of Distribution Associated With the Terminal Phase (VZ/F)
Time Frame
At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose
Title
Terminal Elimination Half-life (t½)
Time Frame
At -1, -0.5 and 0 hour predose, and at 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 48 hours, and 3, 4, 5, 6, 7, 8, and 9 days postdose
Secondary Outcome Measure Information:
Title
Number of Participants With Clinically Significant Abnormal Changes in Electrocardiogram (ECG)
Description
Number of participants with clinically significant abnormal changes in ECG are presented.
Time Frame
At screening, on Day -1, at 12, 24, 48 hours postdose, and at the follow-up visit (Day 11)
Title
Number of Participants With Clinically Significant Abnormal Changes in Vital Signs
Description
Number of participants with clinically significant abnormal changes in vital signs (systemic blood pressures, heart rate and body temperature) are presented.
Time Frame
At screening, on Day -1, at 12, 24, 48 hours postdose, and at the follow-up visit (Day 11)
Title
Number of Participants With Clinically Significant Abnormal Findings in Laboratory Parameters
Description
Number of participants with clinically significant abnormal findings in laboratory parameters (clinical chemistry, haematology, urinalysis) are presented.
Time Frame
At screening, on Day -1 and Day 3, and at the follow-up visit (Day 11)
Title
Number of Participants With Adverse Events (AEs) and Type of AEs
Description
An AE is any untoward medical occurrence in a participant participating in a clinical trial. Number of participants with any AE (serious or non-serious) and type of AEs ( mild, moderate, severe) are presented.
Time Frame
From signed informed consent until the end-of-trial visit (Day 28)
Title
Frequency of Injection Site Reactions
Description
The injection site reactions (redness, pain, itching, swelling, and bruising) will be assessed by the investigator after injection, 30 minutes, and 24 hours after administration of the IMP. Each injection site reaction will be assessed as none, mild, moderate, or severe.
Time Frame
Immediately, 30 minutes, and 24 hours after administration
Title
Number of Participants With Treatment-induced Anti-follicle-stimulating Hormone (Anti-FSH) Antibodies
Time Frame
On Day 1 predose, Day 7, and Day 28

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
21 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Female of Chinese origin, with two ethnic Chinese parents and four ethnic Chinese grandparents 21-40 years of age (both inclusive) Willing to stop using combined oral contraceptives (COC) in relation to the first DECAPEPTYL Depot administration on Day -28 Agrees to use a double barrier method of contraception between Day -63 and Day 28, if not abstinent. A double barrier method of contraception should also be used after Day 28 until menses resumes or until another contraceptive method has been established Normal menstrual cycles with a range of 24-35 days in the absence of oral contraceptives Serum FSH less than equal to (≤)5 IU/L on Day -3 and Day -1 Body mass index (BMI) of 18.5 -25 kg/m^2 (both inclusive) Negative serology for human immunodeficiency virus (HIV) antibody, hepatitis B (surface antigen), hepatitis C antibody, and syphilis bacteria Healthy according to medical history, physical examination, gynaecological examination, ECG, blood pressure, and laboratory profile of blood and urine Negative urine drug screen and alcohol breath test at screening and on Day -1 Non-smoker or light smoker (≤ 5 cigarettes/day) for at least 6 months prior to trial Exclusion Criteria: Presence or a history of clinically significant diseases of the renal, hepatic, gastrointestinal, cardiovascular, or musculoskeletal systems, or presence or history of clinically significant reproductive, psychiatric, immunological, endocrine or metabolic diseases Cancer within the last 5 years except for adequately managed basal cell carcinoma and squamous cell carcinoma of the skin Pregnancy or breastfeeding Current or a history of endocrine abnormalities such as hyperprolactinaemia, polycystic ovary syndrome or other ovarian dysfunction, tumours of the pituitary gland or hypothalamus, thyroid or adrenal disease Clinically significant findings on the trans-vaginal ultrasound, cytology, gynaecological or breast examination at screening or on Day -1 including ovarian cysts or tumours of the ovaries or uterus Contraindications for the use of gonadotropins and gonadotropin-releasing hormone (GnRH) agonists Previously treated with gonadotropins within the last 6 months prior to screening History within the last two years or current abuse of alcohol or drugs Presence or history of severe allergy or anaphylactic reactions Intake of prescribed medication, over-the-counter (OTC) medication, or herbal medicines, with the exceptions of COC, cromoglycate, and paracetamol according to the labelling, within 2 weeks or 5 half-lives of the drug, whichever is longer, prior to first dose of DECAPEPTYL Depot. Topical treatments of bacterial or fungal infection are allowed if stopped before first dose of IMP Intake of any non-registered investigational drug within the last 12 weeks preceding screening, or longer if judged by the investigator to possibly influence the outcome of the current trial High daily consumption of caffeine-containing beverages (e.g. more than five cups of coffee or equivalent) with a risk of withdrawal symptoms arising during the trial that may confound the safety evaluation Blood donation or major blood loss (greater than equal to [≥]500 mL) within the last 8 weeks, or plasma donation with the last 4 weeks preceding the first day of IMP dosing Current non-smokers or light smoker with a history of long-term, heavy smoking (>10 pack-years) Previously dosed in this trial Mental incapacity or language barrier precluding adequate understanding or co-operation Considered by the investigator to be unsuitable to participate in the trial for any other reason
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Global Clinical Compliance
Organizational Affiliation
Ferring Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
First Hospital Affiliated to Nanjing Medical University Jiangsu Province Hospital
City
Nanjing
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
36478528
Citation
Shao F, Jiang Y, Ding S, Larsson P, Pinton P, Jonker DM. Pharmacokinetics and Safety of Follitropin Delta in Gonadotropin Down-Regulated Healthy Chinese Women. Clin Drug Investig. 2023 Jan;43(1):37-44. doi: 10.1007/s40261-022-01232-9. Epub 2022 Dec 7.
Results Reference
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Rekovelle PK Trial in Chinese Women

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