Clinical trial • Not applicable • Other

FOLLITROPIN BETA for Female subfertility | Subfertility requiring ICSI

Not applicable trial of FOLLITROPIN BETA for Female subfertility | Subfertility requiring ICSI. Randomised. 261 participants.

Overview

Trial Therapeutic Area
Other
Trial Disease
Female subfertility | Subfertility requiring ICSI
Trial Stage
Not applicable
Drug Modality
Peptide/protein/enzyme

Key dates

Initial CTIS Submission Date
25-09-2024
First CTIS Authorization Date
04-10-2024

Trial design

Randomised Not applicable trial in Belgium.

Randomised
Yes
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
261

Eligibility

Recruits 261 No vulnerable populations selected. Participants are adults (>18 years). Signed informed consent is required. Subject information and informed consent forms are available in Dutch (NL), French (FR) and English (EN) and partner versions..

Vulnerable Population
No vulnerable populations selected. Participants are adults (>18 years). Signed informed consent is required. Subject information and informed consent forms are available in Dutch (NL), French (FR) and English (EN) and partner versions.

Inclusion criteria

  • {"criterion_text":"- Female age: > 18 to < 40 years\n- No hormonal pre-treatment within the month before the start of the treating cycle\n- Signed informed consent\n- The patient must have undergone not more than three consecutive unsuccessful IVF/ICSI cycles since the last ongoing pregnancy (whether fresh and/or several frozen ET resulted from these at-tempts)\n- BMI ≤29 Kg /m2\n- Patients of ≤ 36 years old, body weight should be >60kg\n- Patients of >36 years old, body weight should be > 50 kg\n- Regular normo-ovulatory menstrual cycles (26–35 days)\n- Basal FSH <10 IU/l, basal E2 <60 pg/ml and basal Progesteone (< 1.5 ng/mL) (normal cycle day-3 basal serum hormone levels), to be measured on cycle day 2 or 3 of the treatment cycle\n- Normal ultrasound scan (presence of both ovaries without evidence of abnormality within 6 months)\n- AFC >7 and < 20"}

Exclusion criteria

  • {"criterion_text":"- Polycystic ovarian syndrome (PCOS) according to the Rotterdam classification(2018)\n- Oocyte donors\n- Poor responder patients (defined by the Bologna criteria (Ferraretti et al., 2011): eligible women had to fulfil at least two of the three following criteria: (i) advanced maternal age (≥40 years) or any other risk factor for poor ovarian response (patients with genetic or ac-quired conditions); (ii) poor ovarian response (≤3 oocytes with a conventional stimulation protocol); (iii) abnormal ovarian reserve test (antral follicle count [AFC] <7 or anti-Müllerian hormone [AMH] <1.1 ng/ml). follow up)\n- Endometriosis ≥ grade 3\n- Contraindications to the use of gonadotropins\n- Abnormal vaginal bleeding of unknown cause\n- History of ovarian hyperstimulation syndrome (OHSS) or a previous ovarian stimulation cycle with more than 30 follicles of 11 mm or higher (as recommended by the Elonva® Summary of Product Characteristics)\n- A history of recurrent miscarriage (three or more consecutive miscarriages)\n- Surgical obtained sperm (TESE and FNA)"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Mean serum P level on trigger day","definition_or_measurement_approach":"Mean serum progesterone (P) level measured on day of hCG (trigger day), reported in ng/mL. Main objective: Compare the mean serum progesterone level (ng/mL) on day of hCG between the study groups."}

Secondary endpoints

  • {"endpoint_text":"- Number of COCs retrieved\n- Number of patients who underwent FA\n- Clinical pregnancy rate\n- Ongoing pregnancy rate\n- Miscarriage rate\n- Live birth rate","definition_or_measurement_approach":"Clinical pregnancy rate: number of viable pregnancies at 6 weeks of gestation per ITT and PP. Ongoing pregnancy rate: number of viable pregnancies at 12 weeks of gestation per ITT and PP. Other endpoints: no further definition/measurement details provided in the record."}

Other endpoints

  • {"endpoint_text":"- Number of mature oocytes\n- Number of top quality embryos on Day 3\n- Percentage of patients with a P value above 1.5 ng/mL on the day of hCG","definition_or_measurement_approach":"Number of mature oocytes and number of top quality embryos on Day 3: reported counts as described in secondary objectives. Percentage of patients with a P value above 1.5 ng/mL on day of hCG: proportion of patients with serum progesterone >1.5 ng/mL on trigger day as described in secondary objectives."}

Recruitment

Planned Sample Size
261
Recruitment Window Months
84
Consent Approach
Signed informed consent required from participant. No assent procedures specified (adults only). Subject information and informed consent forms available in Dutch, French and English; partner versions of the SIS/ICF are available.

Geography

Total Number Of Sites
3
Total Number Of Participants
261

Belgium

Earliest CTIS Part Ii Submission Date
03-10-2024
Latest Decision Or Authorization Date
04-10-2024
Processing Time Days
1
Number Of Sites
3
Number Of Participants
261

Sites

Site Name
Algemeen Ziekenhuis Jan Palfijn Gent
Department Name
Fertiliteitscentrum Jan Palfijn AZ Gent
Contact Person Name
Wim Decleer
Contact Person Email
wim.decleer@janpalfijngent.be
Site Name
UZ Brussel
Department Name
Brussels IVF
Contact Person Name
Christophe Blockeel
Contact Person Email
info@brusselsivf.be
Site Name
Hopital Erasme
Department Name
Clinique de fertilité
Contact Person Name
Anne Delbaere
Contact Person Email
anne.delbaere@erasme.ulb.ac.be

Sponsor

Primary sponsor

Full Name
UZ Brussel
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Belgium

Investigational products

Investigational Product Name
Puregon 900 IU/1.08 mL solution for injection
Active Substance
FOLLITROPIN BETA
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
Subcutaneous injection
Authorisation Status
Marketing authorisation EU/1/96/008/041 (authorised)
Dose Levels
900 IU/1.08 mL
Maximum Dose
250 IU (max daily), 1250 IU (max total)
Investigational Product Name
Puregon 300 IU/0.36 mL solution for injection
Active Substance
FOLLITROPIN BETA
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
Subcutaneous injection
Authorisation Status
Marketing authorisation EU/1/96/008/038 (authorised)
Dose Levels
300 IU/0.36 mL
Maximum Dose
250 IU (max daily), 1250 IU (max total)
Investigational Product Name
Puregon 600 IU/0.72 mL solution for injection
Active Substance
FOLLITROPIN BETA
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
Subcutaneous injection
Authorisation Status
Marketing authorisation EU/1/96/008/039 (authorised)
Dose Levels
600 IU/0.72 mL
Maximum Dose
250 IU (max daily), 1250 IU (max total)
Investigational Product Name
Elonva 150 micrograms solution for injection
Active Substance
CORIFOLLITROPIN ALFA
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS INJECTION
Route
Subcutaneous injection
Authorisation Status
Marketing authorisation EU/1/09/609/002 (authorised)
Dose Levels
150 micrograms
Maximum Dose
150 µg (max daily and total)
Combination Treatment
Yes

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