InfertilityPhase 2NCT01794208
Efficacy and Safety of FSH-GEX™ in Comparison With 150 IU Gonal-f®
A Phase 2 study testing Follitropin Epsilon and Follitropin Alfa in people with Infertility, run by Glycotope GmbH at 8 sites in 2 countries.
Trial summary
The aim of the current study was the determination of the recommended standard treatment dose of FSH-GEX(TM) in women undergoing intracytoplasmic sperm injection (ICSI) treatment as assessed by follicle growth. Read more about this study
- Who is it for?
- Ages 18 to 37 years, women only
- Conditions the study is for
- Infertility
- What is being tested?
- Follitropin Epsilon and Follitropin Alfa
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 267 participants
- Where
- 8 sitesin 2 countries
- Study dates
- 8 Jan 2013to 30 Jul 2013
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 37 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Female patient for whom ICSI treatment is justified
- Serum follicle-stimulating hormone concentration
- Anti-mullerian hormone concentration
- Antral follicle count
- Body mass index and body weight
- Presence of both ovaries
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- Regular spontaneous cycles between 21 and 35 days in length
- Normal uterine cavity as assessed by transvaginal sonography at Screening
- Willing and able to comply with the protocol
- Willing and able to provide written informed consent
Who cannot join
- Patients who had more than two unsuccessful previous assisted reproduction technology cycles before inclusion into the study
- Previous poor responders
- Patients with previous hyperstimulation syndrome or cycle cancellation because of imminent hyperstimulation syndrome
- Patients with a history of or current polycystic ovarian morphology syndrome
- Patients with a history of or current endometriosis III or IV
- Presence of ovarian cyst at Screening
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- Any contraindication to becoming pregnant
- History of ≥ 3 clinical or preclinical miscarriages
- Abnormal cervical smear, Papanicolaou [PAP] score ≥ 3
- Any history of malignant cancer other than in situ breast or skin cancer requiring local excision
- Any endocrine abnormalities requiring treatment
- Any clinically significant systematic disease
- Any known infection with human immunodeficiency virus, hepatitis B or C
- History of thrombosis or other risk factors including any coagulation abnormality leading to an increased risk of clotting
- Family history of genetic risk factors concerning pregnancy or birth
- Use of concomitant medication, which in the opinion of the investigator might interfere with ICSI preparation procedures
- Active smoking
- Any active substance abuse of drugs, medications or alcohol within the last five years
- Patients in an institution by official or court order
- Patients who are unable or unwilling to provide informed consent
- Any participation in another clinical trial within the last 60 days before randomisation
- Previous FSH-GEX™ administration.
- Known hypersensitivity to any component of the investigational and non investigational products used in this study
Trial locations and contacts
8 sites in 2 countries.
8 sites in 2 countries
Germany6 sites
Glycotope Investigational Site
Berlin, 10117
Glycotope Investigational Site
Berlin, 14050
Glycotope Investigational Medical Director
Bielefeld, 33619
Glycotope Investigational Site
Düsseldorf, 40219
Glycotope Investigational Site
Heidelberg, 69115
Glycotope Investigational Site
Lübeck, 23538
Hungary2 sites
Glycotope Investigational Site
Budapest, 1125
Glycotope Investigational Site
Tapolca, 8300
About this study
Official title: A Phase II, Multicentre, Multinational, Randomised, Assessor-Blind Trial to Investigate the Efficacy and Safety of Various Dosages of FSH-GEX™ in Comparison With 150 IU Gonal-f® in Women Undergoing ICSI Treatment
The aim of the current study was the determination of the recommended standard treatment dose of FSH-GEX(TM) in women undergoing intracytoplasmic sperm injection (ICSI) treatment as assessed by follicle growth.
Read the detailed description
This was a phase II, randomized, assessor-blind, comparator-controlled, multiple dose study in women undergoing ICSI treatment.
The primary objective of the study was the determination of the recommended standard treatment dose of FSH-GEX™ as assessed by follicle growth dynamics in women between 18 and 37 years of age who were undergoing intracytoplasmic sperm injection treatment.
- Conditions
- Infertility
- Being tested
- Follitropin Epsilon, Follitropin Alfa
- Keywords
- in-vitro fertilization, reproductive disorder
- Medical subject headings
- Infertility
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Follitropin EpsilonDrug
Also called FSH-GEX(TM)
Follitropin AlfaDrug
Also called Gonal-f(R)
| Study group | Role | What they receive |
|---|---|---|
| treatment 1 | Experimental | Follitropin Epsilon 52.5 IU quaque die (QD) s.c. Receives: Drug: Follitropin Epsilon |
| treatment 2 | Experimental | Follitropin Epsilon 75 IU QD s.c. Receives: Drug: Follitropin Epsilon |
| treatment 3 | Experimental | Follitropin Epsilon 112.5 IU QD s.c. Receives: Drug: Follitropin Epsilon |
| treatment 4 | Experimental | Follitropin Epsilon 150 IU QD s.c. Receives: Drug: Follitropin Epsilon |
| treatment 5 | Experimental | Follitropin Epsilon 150 IU quaque altera die (QAD) s.c. Receives: Drug: Follitropin Epsilon |
| treatment 6 | Active comparator | Follitropin alfa 150 IU QD s.c. Receives: Drug: Follitropin Alfa |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of follicles
The number of follicles with a diameter of ≥ 12 mm on the day of human chorionic gonadotropin (hCG) injection after stimulation with follicle stimulating hormone (FSH)
Measured: day of hCG injection; variable timeframe; up to 18 days for maximum
Secondary outcomes (10)
Follicular response
For each ovary the number of follicles were classified and summarised as follows: mean diameter 8.0 - 9.9 mm, 10.0 - 11.9 mm, 12.0 - 13.9 mm, 14.0 - 15.9 mm, 16.0 - 17.9 mm, 18.0 - 19.9 mm, and >19.9 mm as determined by transvaginal ultrasonography
Measured: every second day up to hCG injection; variable timeframe; up to 18 days for maximum
Cumulus-oocyte-complexes
Number of retrieved cumulus-oocyte-complexes
Measured: at oocyte retrieval; 32 - 36 hours after hCG injection
Oocytes retrieved
Number of oocytes retrieved (metaphase II)
Measured: at oocyte retrieval; 32 - 36 hours after hCG injection
Two pronuclei oocytes
Number of two pronuclei (2PN) oocytes one day after follicle puncture
Measured: one day after oocyte retrieval
Biochemical pregnancy rate
Based on positive β-hCG pregnancy test
Measured: 14 to 20 days after oocyte retrieval
Clinical pregnancy rate
Based on clinical or ultrasound parameters (gestational sac, foetal heart beat
Measured: approx. 4 to 6 weeks after last FSH dose
Implantation rate
Number of foetal sacs on sonography divided by number of embryos transferred per embryo transfer
Measured: approx. 4 to 6 weeks after last FSH dose
Estradiol and inhibin B serum levels
Concentration of Estradiol and Inhibin B in Serum after FSH stimulation
Measured: every second day up to hCG injection; variable timeframe; up to 18 days maximum
Adverse events, ovarian hyperstimulation syndrome, anti-drug-antibodies, overall tolerability
Incidence of adverse events, ovarian hyperstimulation syndrome, anti-drug-antibodies, overall tolerability
Measured: up to 4 to 6 weeks after last FSH dose
Number of doses and total dose of FSH
The total dose is the amount of FSH-GEX(TM) or Gonal-f® administered to each patient during the stimulation period
Measured: variable timeframe; up to 18 days for maximum
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Feb 2013 (estimated)
- Study start8 Jan 2013
- Primary completionJul 2013
- Study completion30 Jul 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for InfertilityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 267 participants (actual)
Sponsor and investigators
- Lead sponsor
- Glycotope GmbH
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Study Director, Study director, Glycotope GmbH
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01794208
- Sponsor's protocol ID
- GEXGP24201
- Status last verified
- May 2021
- First submitted
- 23 Jan 2013
- Last updated
- 7 May 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- Individual data sharing
- No
Publications
Griesinger G, Dietrich B, Stockl L, Eckert K, Goletz S, Tandler-Schneider A. Fully human glyco-optimized recombinant FSH (follitropin epsilon) - a randomized, comparator-controlled phase II clinical trial. Reprod Biomed Online. 2020 Feb;40(2):331-341. doi: 10.1016/j.rbmo.2019.09.003. Epub 2019 Sep 16.
PubMed 31982355
Study at a glance
From the registry record, last updated by the sponsor on 7 May 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II, Multicentre, Multinational, Randomised, Assessor-Blind Trial to Investigate the Efficacy and Safety of Various Dosages of FSH-GEX™ in Comparison With 150 IU Gonal-f® in Women Undergoing ICSI Treatment
- ClinicalTrials.gov ID
- NCT01794208
- Acronym / sponsor ID
- GEXGP24201
- Conditions
- Infertility
- Keywords
- in-vitro fertilization, reproductive disorder
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 267 participants (actual)
- Lead sponsor
- Glycotope GmbHIndustry (pharma, biotech, devices)
- Study start
- 8 Jan 2013 (actual)
- Primary completion
- Jul 2013 (actual)
- Study completion
- 30 Jul 2013 (actual)
- First posted
- 18 Feb 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of the current study was the determination of the recommended standard treatment dose of FSH-GEX(TM) in women undergoing intracytoplasmic sperm injection (ICSI) treatment as assessed by follicle growth.
Detailed description
This was a phase II, randomized, assessor-blind, comparator-controlled, multiple dose study in women undergoing ICSI treatment.
The primary objective of the study was the determination of the recommended standard treatment dose of FSH-GEX™ as assessed by follicle growth dynamics in women between 18 and 37 years of age who were undergoing intracytoplasmic sperm injection treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| treatment 1 | Experimental | Drug: Follitropin EpsilonFollitropin Epsilon 52.5 IU quaque die (QD) s.c. |
| treatment 2 | Experimental | Drug: Follitropin EpsilonFollitropin Epsilon 75 IU QD s.c. |
| treatment 3 | Experimental | Drug: Follitropin EpsilonFollitropin Epsilon 112.5 IU QD s.c. |
| treatment 4 | Experimental | Drug: Follitropin EpsilonFollitropin Epsilon 150 IU QD s.c. |
| treatment 5 | Experimental | Drug: Follitropin EpsilonFollitropin Epsilon 150 IU quaque altera die (QAD) s.c. |
| treatment 6 | Active comparator | Drug: Follitropin AlfaFollitropin alfa 150 IU QD s.c. |
Who may qualify
- Ages
- 18 to 37 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (10 listed)
- Female patient for whom ICSI treatment is justified
- Serum follicle-stimulating hormone concentration
- Anti-mullerian hormone concentration
- Antral follicle count
- Body mass index and body weight
Key exclusion criteria (23 listed)
- Patients who had more than two unsuccessful previous assisted reproduction technology cycles before inclusion into the study
- Previous poor responders
- Patients with previous hyperstimulation syndrome or cycle cancellation because of imminent hyperstimulation syndrome
- Patients with a history of or current polycystic ovarian morphology syndrome
- Patients with a history of or current endometriosis III or IV
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Follitropin EpsilonAlso: FSH-GEX(TM) | Drug | treatment 1, treatment 2, treatment 3, treatment 4, treatment 5 |
| Follitropin AlfaAlso: Gonal-f(R) | Drug | treatment 6 |
Primary outcome
Number of follicles
Time frame: day of hCG injection; variable timeframe; up to 18 days for maximum
The number of follicles with a diameter of ≥ 12 mm on the day of human chorionic gonadotropin (hCG) injection after stimulation with follicle stimulating hormone (FSH)
10 secondary outcomes
Follicular response
Time frame: every second day up to hCG injection; variable timeframe; up to 18 days for maximum
Cumulus-oocyte-complexes
Time frame: at oocyte retrieval; 32 - 36 hours after hCG injection
Oocytes retrieved
Time frame: at oocyte retrieval; 32 - 36 hours after hCG injection
Two pronuclei oocytes
Time frame: one day after oocyte retrieval
Biochemical pregnancy rate
Time frame: 14 to 20 days after oocyte retrieval
Clinical pregnancy rate
Time frame: approx. 4 to 6 weeks after last FSH dose
Implantation rate
Time frame: approx. 4 to 6 weeks after last FSH dose
Estradiol and inhibin B serum levels
Time frame: every second day up to hCG injection; variable timeframe; up to 18 days maximum
Adverse events, ovarian hyperstimulation syndrome, anti-drug-antibodies, overall tolerability
Time frame: up to 4 to 6 weeks after last FSH dose
Number of doses and total dose of FSH
Time frame: variable timeframe; up to 18 days for maximum
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 May 2021.
- Results publication: PubMed 31982355Griesinger G, Dietrich B, Stockl L, Eckert K, Goletz S, Tandler-Schneider A. Fully human glyco-optimized recombinant FSH (follitropin epsilon) - a randomized, comparator-controlled phase II clinical trial. Reprod Biomed Online. 2020 Feb;40(2):331-341. doi: 10.1016/j.rbmo.2019.09.003. Epub 2019 Sep 16.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Study Director study director
Glycotope GmbH
8 sites in 2 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Follitropin Epsilon and Follitropin Alfa in people with Infertility, run by Glycotope GmbH at 8 sites in 2 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 23 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 7 May 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 sites in Germany, Hungary. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of follicles (time frame: day of hCG injection; variable timeframe; up to 18 days for maximum). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01794208, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 May 2021.