Controlled Ovarian SimulationPhase 3NCT03296527
Efficacy and Safety of FE 999049 in Controlled Ovarian Stimulation in Pan-Asian Women
A Phase 3 study testing Follitropin alfa and Follitropin delta in people with Controlled Ovarian Simulation, run by Ferring Pharmaceuticals at 26 sites in 4 countries.
Trial summary
To demonstrate non-inferiority of FE 999049 compared with GONAL-F with respect to ongoing pregnancy rate in women undergoing controlled ovarian stimulation. Read more about this study
- Who is it for?
- Ages 20 to 40 years, women only
- Conditions the study is for
- Controlled Ovarian Simulation
- What is being tested?
- Follitropin alfa and Follitropin delta
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,011 participants
- Where
- 26 sitesin 4 countries
- Study dates
- 1 Dec 2017to 26 Jul 2020
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 20 to 40 years
- Women only
- No healthy volunteers
- Adult
Who may be able to join
- Informed Consent Documents signed prior to screening evaluations.
- In good physical and mental health in the judgement of the investigator.
- Asian pre-menopausal females between the ages of 20 and 40 years. The participants must be at least 20 years (including the 20th birthday) when they sign the informed consent and no more than 40 years (up to the day before the 41st birthday) at the time of randomization.
- Infertile women diagnosed with tubal infertility, unexplained infertility, endometriosis stage I/II (defined by the revised American Society for Reproductive Medicine [ASRM] classification, 1996) or with partners diagnosed with male factor infertility, eligible for in vitro fertilisation (IVF) and/or intracytoplasmic sperm injection (ICSI) using fresh or frozen ejaculated sperm from male partner or sperm donor.
- Infertility for at least one year before randomization for participants <35 years or for at least 6 months for participants ≥35 years (not applicable in case of tubal or severe male factor infertility).
- The trial cycle will be the participant's first controlled ovarian stimulation cycle for IVF/ICSI.
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- Regular menstrual cycles of 24-35 days (both inclusive), presumed to be ovulatory.
- Hysterosalpingography, hysteroscopy, saline infusion sonography, or transvaginal ultrasound documenting a uterus consistent with expected normal function (e.g. no evidence of clinically interfering uterine fibroids defined as submucous or intramural fibroids larger than 3 cm in diameter, no polyps and no congenital structural abnormalities which are associated with a reduced chance of pregnancy) within 1 year prior to randomization.
- Transvaginal ultrasound documenting presence and adequate visualisation of both ovaries, without evidence of significant abnormality (e.g. enlarged ovaries which would contraindicate the use of gonadotropins) and normal adnexa (e.g. no hydrosalpinx) within 1 year prior to randomization. Both ovaries must be accessible for oocyte retrieval.
- Early follicular phase (cycle day 2-4) serum levels of FSH between 1 and 15 IU/L (results obtained within 3 months prior to randomization).
- Negative serum Hepatitis B Surface Antigen (HBsAg), Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) antibody tests within 2 years prior to randomization.
- Body mass index (BMI) between 17.5 and 32.0 kg/m2 (both inclusive) at screening.
- Willing to accept transfer of 1-2 embryos.
Who cannot join
- Known endometriosis stage III-IV (defined by the revised ASRM classification, 1996).
- One or more follicles ≥10 mm (including cysts) observed on the transvaginal ultrasound prior to randomization on stimulation day 1 (puncture of cysts is allowed prior to randomization).
- Known history of recurrent miscarriage (defined as three consecutive losses after ultrasound confirmation of pregnancy (excl. ectopic pregnancy) and before week 24 of pregnancy).
- Known abnormal karyotype of participant or of her partner / sperm donor, as applicable, depending on source of sperm used for insemination in this trial.
- Any known clinically significant systemic disease (e.g. insulin-dependent diabetes).
- Known inherited or acquired thrombophilia disease.
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- Active arterial or venous thromboembolism or severe thrombophlebitis, or a history of these events.
- Known porphyria.
- Any known endocrine or metabolic abnormalities (pituitary, adrenal, pancreas, liver or kidney) with the exception of controlled thyroid function disease.
- Known presence of anti-FSH antibodies (based on the information available in the participant's medical records; i.e. not based on the anti-FSH antibody analyses conducted in the trial).
- Known tumours of the ovary, breast, uterus, adrenal gland, pituitary or hypothalamus which would contraindicate the use of gonadotropins.
- Known moderate or severe impairment of renal or hepatic function.
- Any abnormal finding of clinical chemistry, haematology or vital signs at screening which is clinically significant as judged by the investigator.
- Currently breast-feeding.
- Undiagnosed vaginal bleeding.
- Known abnormal cervical cytology of clinical significance observed within three years prior to randomization (unless the clinical significance has been resolved).
- Findings at the gynaecological examination at screening which preclude gonadotropin stimulation or are associated with a reduced chance of pregnancy, e.g. congenital uterine abnormalities or retained intrauterine device.
- Pregnancy (negative urinary pregnancy tests must be documented at screening and prior to randomization) or contraindication to pregnancy.
- Known current active pelvic inflammatory disease.
- Use of fertility modifiers during the last menstrual cycle before randomization, including dehydroepiandrosterone (DHEA), metformin or cycle programming with oral contraceptives, progestogen or estrogen preparations.
- Use of hormonal preparations (except for thyroid medication) during the last menstrual cycle before randomization.
- Known history of chemotherapy (except for gestational conditions) or radiotherapy.
- Current or past (1 year prior to randomization) abuse of alcohol or drugs.
- Current (last month) intake of more than 14 units of alcohol per week.
- Current or past (3 months prior to randomization) smoking habit of more than 10 cigarettes per day.
- Hypersensitivity to any active ingredient or excipients in the medicinal products used in the trial.
- Previous participation in the trial.
- Use of any non-registered investigational drugs during the last 3 months prior to randomization.
Trial locations and contacts
26 sites in 4 countries.
26 sites in 4 countries
China16 sites
Beijing Obstetrics and Gynecology Hospital,Capital Medical University
Beijing
Medical Center for Human Reproduction, Peking University Third Hospital
Beijing
Peking University First Hospital
Beijing
West China Second University Hospital of Sichuan University
Chengdu
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou
The Sixth Affiliated Hospital of Sun Yat-sen University
Guangzhou
The Third Affiliated Hospital of Guangzhou Medical University
Guangzhou
The First Affiliated Hospital of An'hui Medical University
Hefei
Jiangsu Province Hospital
Nanjing
ShengJing Hospital of China Medical University
Shenyang
Peking University Shenzhen Hospital
Shenzhen
Tianjin Central Hospital of Gynaecology and Obstetrics
Tianjin
Tianjin Medical University General Hospital
Tianjin
Renmin Hospital of Wuhan University
Wuhan
Tongji Hospital,Tongji Medical College, Huazhong University of Science & Technology
Wuhan
The First Affiliated Hospital of Zhengzhou University
Zhengzhou
South Korea4 sites
Seoul National University Bundang Hospital
Seongnam-si
Asan Medical Center
Seoul
Samsung Medical Center
Seoul
Seoul National University Hospital
Seoul
Taiwan4 sites
Taichung Veterans General Hospital
Taichung
National Taiwan University Hospital
Taipei
Taipei Medical University Hospital
Taipei
Chang Gung Memorial Hospital
Taoyuan
Vietnam2 sites
National Center for Assisted Reproductive Technology
Hanoi
My Duc Hospital
Ho Chi Minh City
About this study
Official title: A Randomised, Controlled, Assessor-blind, Parallel Groups, Multicentre, Pan-Asian Trial Comparing the Efficacy and Safety of FE 999049 With Follitropin Alfa (GONAL-F) in Controlled Ovarian Stimulation in Women Undergoing Assisted Reproductive Technology Programme
To demonstrate non-inferiority of FE 999049 compared with GONAL-F with respect to ongoing pregnancy rate in women undergoing controlled ovarian stimulation.
- Conditions
- Controlled Ovarian Simulation
- Being tested
- Follitropin alfa, Follitropin delta
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Follitropin alfaDrug
Also called GONAL-F
GONAL-F dose was fixed for the first 5 stimulation days.
Follitropin deltaDrug
Also called FE 999049, REKOVELLE
REKOVELLE (FE 999049) was fixed throughout the stimulation period.
| Study group | Role | What they receive |
|---|---|---|
| Follitropin delta | Experimental | Recombinant follicle-stimulating hormone (rFSH). Follitropin delta for subcutaneous injection Receives: Drug: Follitropin delta |
| Gonal-F | Active comparator | rFSH. Follitropin alfa for subcutaneous injection Receives: Drug: Follitropin alfa |
What is being measured
The primary outcome is the main question the study is designed to answer.
Ongoing Pregnancy Rate
Defined as at least one intrauterine viable fetus 10-11 weeks after transfer.
Measured: 10-11 weeks after transfer
Secondary outcomes (60)
Positive Beta Unit of Human Chorionic Gonadotropin (βhCG) Rate
Defined as positive βhCG test 13-15 days after transfer.
Measured: 13-15 days after transfer
Clinical Pregnancy Rate
Defined as at least one gestational sac 5-6 weeks after transfer.
Measured: 5-6 weeks after transfer
Vital Pregnancy Rate
Defined as at least one intrauterine gestational sac with fetal heart beat 5-6 weeks after transfer.
Measured: 5-6 weeks after transfer
Implantation Rate
Defined as number of gestational sacs 5-6 weeks after transfer divided by number of embryos transferred.
Measured: 5-6 weeks after transfer
Ongoing Implantation Rate
Defined as number of intrauterine viable fetuses 10-11 weeks after transfer divided by number of embryos transferred.
Measured: 10-11 weeks after transfer
Proportion of Subjects With Extreme Ovarian Responses
Extreme ovarian response defined as <4, ≥15 or ≥ 20 oocytes retrieved. Participants with cycle cancellation due to poor ovarian response are included as <4 oocytes retrieved.
Measured: Oocyte retrieval visit
Proportion of Subjects With Early OHSS (Including OHSS of Moderate/Severe Grade) and/or Preventive Interventions for Early OHSS
Early OHSS was defined as OHSS with onset ≤9 days after triggering of final follicular maturation. Classification of grade was according to Golan's classification system, and all OHSS cases were graded as mild, moderate or severe.
Measured: Up to 9 days after triggering of final follicular maturation
Proportion of Subjects With Cycle Cancellation Due to Poor or Excessive Ovarian Response or Embryo Transfer Cancellation Due to Excessive Ovarian Response / OHSS Risk
For each participant the reason for each cycle cancellation was recorded. Embryo transfer cancellation due to adverse events, such as ovarian hyperfunction, OHSS and progesterone increased in participants with embryos available for transfer, were considered as transfer cancellations due to excessive response / OHSS risk.
Measured: End-of-stimulation visit (up to 20 days) or transfer visit
Number of Follicles on Stimulation Day 6
Counted by ultrasound for the right and left ovary for each participant.
Measured: On stimulation Day 6
Number of Follicles At End-of-stimulation (up to 20 Stimulation Days)
Counted by ultrasound for the right and left ovary for each participant.
Measured: At end-of-stimulation (up to 20 stimulation days)
Size of Follicles on Stimulation Day 6
Counted by ultrasound for the right and left ovary for each participant.
Measured: On stimulation Day 6
Size of Follicles At End-of-stimulation (up to 20 Stimulation Days)
Counted by ultrasound for the right and left ovary for each participant.
Measured: At end-of-stimulation (up to 20 stimulation days)
Number of Oocytes Retrieved
The number of oocytes retrieved was recorded at the oocyte retrieval visit.
Measured: On the day of oocyte retrieval (36 h [±2h] after triggering of final follicular maturation)
Proportion of Subjects With <4, 4-7, 8-14, 15-19 and ≥20 Oocytes Retrieved
Grouped according to the number of oocytes retrieved. Participants with cycle cancellation due to poor ovarian response are included in the <4 oocytes group.
Measured: On the day of oocyte retrieval
Percentage of Metaphase II (MII) Oocytes
The percentage of MII oocytes to oocytes retrieved for participants where all oocytes were inseminated using intracytoplasmic sperm injection (ICSI) are presented.
Measured: Prior to insemination
Fertilization Rate
The fertilization rate was defined as the number of oocytes with 2 pronuclei divided by the number of oocytes retrieved.
Measured: On Day 1 after oocyte retrieval
Number and Quality of Embryos
Number of embryos (total and good-quality) on Day 3 are presented. A good-quality embryo was defined as an embryo with ≥6 blastomeres and ≤20% fragmentation, without signs of multinucleation.
Measured: On Day 3 after oocyte retrieval
Circulating Concentrations of Luteinizing Hormone (LH)
Blood samples for analysis of circulating concentrations of LH were drawn. The median and inter-quartile range (IQR) of LH levels on stimulation Day 6 are presented.
Measured: On stimulation Day 6
Circulating Concentrations of LH
Blood samples for analysis of circulating concentrations of LH were drawn. The median and IQR of LH levels at end-of-stimulation are presented.
Measured: End-of-stimulation (up to 20 stimulation days)
Circulating Concentrations of Estradiol
Blood samples for analysis of circulating concentrations of estradiol were drawn. The median and IQR of estradiol levels on stimulation Day 6 are presented.
Measured: On stimulation Day 6
Circulating Concentrations of Estradiol
Blood samples for analysis of circulating concentrations of estradiol were drawn. The median and IQR of estradiol levels at end-of-stimulation are presented.
Measured: End-of-stimulation (up to 20 stimulation days)
Circulating Concentrations of Progesterone
Blood samples for analysis of circulating concentrations of progesterone were drawn. The median and IQR of progesterone levels on stimulation Day 6 are presented.
Measured: On stimulation Day 6
Circulating Concentrations of Progesterone
Blood samples for analysis of circulating concentrations of progesterone were drawn. The median and IQR of progesterone levels at end-of-stimulation are presented.
Measured: End-of-stimulation (up to 20 stimulation days)
Circulating Concentrations of Inhibin A
Blood samples for analysis of circulating concentrations of inhibin A. The median and IQR of inhibin A levels on stimulation Day 6 are presented.
Measured: On stimulation Day 6
Circulating Concentrations of Inhibin A
Blood samples for analysis of circulating concentrations of inhibin A were drawn. The median and IQR of inhibin A levels at end-of-stimulation are presented.
Measured: End-of-stimulation (up to 20 stimulation days)
Circulating Concentrations of Inhibin B
Blood samples for analysis of circulating concentrations of Inhibin B were drawn. The median and IQR of inhibin B levels on stimulation Day 6 are presented.
Measured: On stimulation Day 6
Circulating Concentrations of Inhibin B
Blood samples for analysis of circulating concentrations of Inhibin B were drawn. The median and IQR of inhibin B levels at end-of-stimulation are presented.
Measured: End-of-stimulation (up to 20 stimulation days)
Circulating Concentrations of Follicle-stimulating Hormone (FSH)
Blood samples for analysis of circulating concentrations of FSH were drawn. The median and IQR of FSH levels on stimulation Day 6 are presented.
Measured: On stimulation Day 6
Circulating Concentrations of FSH
Blood samples for analysis of circulating concentrations of FSH were drawn. The median and IQR of FSH levels at end-of-stimulation are presented.
Measured: End-of-stimulation (up to 20 stimulation days)
Circulating Concentrations of FSH
Blood samples for analysis of circulating concentrations of FSH were drawn. The median and IQR of FSH levels at oocyte retrieval are presented.
Measured: At oocyte retrieval
Total Gonadotropin Dose
Calculated by start dates, end dates and daily dose of IMP.
Measured: Up to 20 stimulation days
Proportion of Subjects With Investigator-requested Gonadotropin Dose Adjustments
Investigator-requested decreases and increases of the gonadotropin dose were captured during the stimulation period.
Measured: Up to 20 stimulation days
Number of Stimulation Days
Calculated by start dates and end dates.
Measured: Up to 20 stimulation days
Number of Participants With Adverse Events
Any adverse event occurring after start of IMP and before the end-of-trial visit, or a pre-treatment adverse event or pre-existing medical condition that worsens in intensity after start of IMP and before the end-of-trial visit was considered treatment-emergent, and is presented for this endpoint.
Measured: From screening up to end-of-trial (up to approximately 5.5 months)
Intensity of Adverse Events
The intensity of adverse event was classified using the following 3-point scale: mild = awareness of signs or symptoms, but no disruption of usual activity; moderate = event sufficient to affect usual activity (disturbing); or severe = inability to work or perform usual activities (unacceptable).
Measured: From screening up to end-of-trial (up to approximately 5.5 months)
Changes From Baseline in Clinical Chemistry Parameters: Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase and Gamma Glutamyl Transferase
Blood samples were collected for the analysis of clinical chemistry parameters including: Alanine aminotransferase, Alkaline phosphatase, Aspartate aminotransferase and Gamma glutamyl transferase.
Measured: From screening up to end-of-trial (up to approximately 5.5 months)
Change From Baseline in Clinical Chemistry Parameters: Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Phosphate, Potassium and Sodium
Blood samples were collected for the analysis of clinical chemistry parameters including: Bicarbonate, Blood urea nitrogen, Calcium, Chloride, Cholesterol, Glucose, Phosphate, Potassium and Sodium.
Measured: From screening up to end-of-trial (approximately 5.5 months)
Change From Baseline in Clinical Chemistry Parameters: Albumin and Protein
Blood samples were collected for the analysis of clinical chemistry parameters including: Albumin and Protein.
Measured: From screening up to end-of-trial (approximately 5.5 months)
Change From Baseline in Clinical Chemistry Parameter: Lactate Dehydrogenase
Blood samples were collected for the analysis of clinical chemistry parameter including: Lactate dehydrogenase.
Measured: From screening up to end-of-trial (approximately 5.5 months)
Change From Baseline in Clinical Chemistry Parameter: Direct Bilirubin, Bilirubin, Creatinine, Urate
Blood samples were collected for the analysis of clinical chemistry parameter including: Direct bilirubin, Bilirubin, Creatinine, Urate.
Measured: From screening up to end-of-trial (approximately 5.5 months)
Proportion of Subjects With Markedly Abnormal Changes of Clinical Chemistry: Alanine Aminotransferase, Aspartate Aminotransferase, Bicarbonate, Calcium, Phosphate
The table represents the percentage of participants in each group with normal baseline values and markedly abnormal end-of-stimulation or end-of-trial values for alanine aminotransferase, aspartate aminotransferase, bicarbonate, calcium, phosphate.
Measured: End-of-stimulation visit and end-of-trial visit
Change From Baseline in Haematology Parameter: Erythrocytes
Blood samples were collected for the analysis of haematology parameter including: Erythrocytes.
Measured: From screening up to end-of-trial (approximately 5.5 months)
Change From Baseline in Haematology Parameters: Leukocytes and Platelets
Blood samples were collected for the analysis of haematology parameters including: Leukocytes and Platelets.
Measured: From screening up to end-of-trial (approximately 5.5 months)
Change From Baseline in Haematology Parameter: Haemoglobin
Blood samples were collected for the analysis of haematology parameter including: Haemoglobin.
Measured: From screening up to end-of-trial (approximately 5.5 months)
Change From Baseline in Haematology Parameter: Haematocrit
Blood samples were collected for the analysis of haematology parameter including: Haematocrit.
Measured: From screening up to end-of-trial (approximately 5.5 months)
Change From Baseline in Haematology Parameter: Erythrocyte Mean Corpuscular Volume
Blood samples were collected for the analysis of haematology parameter including: Erythrocyte mean corpuscular volume.
Measured: From screening up to end-of-trial (approximately 5.5 months)
Change From Baseline in Haematology Parameter: Erythrocyte Mean Corpuscular Haemoglobin
Blood samples were collected for the analysis of haematology parameter including: Erythrocyte mean corpuscular haemoglobin.
Measured: From screening up to end-of-trial (approximately 5.5 months)
Change From Baseline in Haematology Parameter: Erythrocyte Mean Corpuscular Haemoglobin Concentration
Blood samples were collected for the analysis of haematology parameter including: Erythrocyte mean corpuscular haemoglobin concentration.
Measured: From screening up to end-of-trial (approximately 5.5 months)
Change From Baseline in Haematology Parameters: Basophils/Leukocytes, Eosinophils/Leukocytes, Lymphocytes/Leukocytes, Monocytes/Leukocytes and Neutrophils/Leukocytes
Blood samples were collected for the analysis of haematology parameters including: Basophils/leukocytes, Eosinophils/leukocytes, Lymphocytes/leukocytes, Monocytes/leukocytes and Neutrophils/leukocytes.
Measured: From screening up to end-of-trial (approximately 5.5 months)
Proportion of Subjects With Markedly Abnormal Changes of Haematology Parameters: Leukocytes, Lymphocytes/Leukocytes
The table represents the percentage of participants in each group with normal baseline values and markedly abnormal end-of-stimulation and end-of-trial values for leukocytes and lymphocytes/leukocytes.
Measured: End-of-stimulation visit and end-of-trial visit
Number of Immune-related Adverse Events
Standardised Medical Dictionary for Regulatory Activities (MedDRA) Queries (SMQs).
Measured: From screening up to end-of-trial (approximately 5.5 months)
Frequency of Injection Site Reactions
Assessed by the participant during the stimulation period. Participants assessed the injection site reactions (redness, pain, itching, swelling and bruising) three times daily: immediately after the injection, 30 minutes after the injection and 24 hours after the injection.
Measured: End-of-stimulation (up to 20 stimulation days)
Intensity of Injection Site Reactions
Assessed by the participant during the stimulation period as mild, moderate or severe. Participants are tabulated according to the highest severity of their reported injection site reactions.
Measured: End-of-stimulation (up to 20 stimulation days)
Proportion of Subjects With Treatment-induced Anti-FSH Antibodies, Overall as Well as With Neutralizing Capacity
Measured by presence of anti-FSH antibodies.
Measured: Up to 28 days after end of the stimulation period
Intensity of Immune-related Adverse Events
The intensity of immune-related adverse event was classified using the following 3-point scale: mild = awareness of signs or symptoms, but no disruption of usual activity; moderate = event sufficient to affect usual activity (disturbing); or severe = inability to work or perform usual activities (unacceptable).
Measured: From screening up to end-of-trial (approximately 5.5 months)
Proportion of Subjects With Cycle Cancellations Due to an Adverse Event, Including Immune-related Adverse Events, or Due to Technical Malfunctions of the Administration Pen
For each participant the reason for cycle cancellation will be recorded.
Measured: Up to 20 stimulation days
Proportion of Subjects With Late OHSS
Late OHSS was defined as OHSS with onset >9 days after triggering of final follicular maturation. The proportion of participants with late OHSS, and late OHSS of moderate or severe grade are presented. All OHSS cases were graded as mild, moderate, or severe.
Measured: After 9 days post triggering of final follicular maturation
Proportion of Participants With Multi-fetal Gestation
Defined as pregnancy with more than one fetus. Among participants with ongoing pregnancy, percentage of participants with twin pregnancies are presented.
Measured: End-of-trial
Proportion of Participants With Early Pregnancy Losses
Grouped according to occurrence of biochemical pregnancy, spontaneous abortion, vanishing twin or ectopic pregnancy (with and without medical/surgical intervention).
Frequency of early pregnancy losses are presented.
Measured: End-of-trial
Proportion of Participants With Technical Malfunctions of the Administration Pen
Incidences of technical malfunctions of the administration pen were recorded.
Measured: End-of-stimulation (up to 20 stimulation days)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Sep 2017
- Study start1 Dec 2017
- Primary completion3 Jan 2020
- Study completion26 Jul 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Controlled Ovarian SimulationStudies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Investigator, Outcomes assessor
- Enrolment
- 1,011 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ferring Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Global Clinical Compliance, Study director, Ferring Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03296527
- Sponsor's protocol ID
- 000145
- Status last verified
- Apr 2021
- First submitted
- 14 Sep 2017
- Last updated
- 24 Aug 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Qiao J, Zhang Y, Liang X, Ho T, Huang HY, Kim SH, Goethberg M, Mannaerts B, Arce JC. A randomised controlled trial to clinically validate follitropin delta in its individualised dosing regimen for ovarian stimulation in Asian IVF/ICSI patients. Hum Reprod. 2021 Aug 18;36(9):2452-2462. doi: 10.1093/humrep/deab155.
PubMed 34179971Yang R, Zhang Y, Liang X, Song X, Wei Z, Liu J, Yang Y, Tan J, Zhang Q, Sun Y, Wang W, Qian W, Jin L, Wang S, Xu Y, Yang J, Goethberg M, Mannaerts B, Wu W, Zheng Z, Qiao J. Comparative clinical outcome following individualized follitropin delta dosing in Chinese women undergoing ovarian stimulation for in vitro fertilization /intracytoplasmic sperm injection. Reprod Biol Endocrinol. 2022 Oct 4;20(1):147. doi: 10.1186/s12958-022-01016-y.
PubMed 36195924Fernandez-Sanchez M, Fatemi H, Garcia-Velasco JA, Heiser PW, Daftary GS, Mannaerts B. Incidence and severity of ovarian hyperstimulation syndrome (OHSS) in high responders after gonadotropin-releasing hormone (GnRH) agonist trigger in "freeze-all" approach. Gynecol Endocrinol. 2023 Dec;39(1):2205952. doi: 10.1080/09513590.2023.2205952.
PubMed 37156263
Study at a glance
From the registry record, last updated by the sponsor on 24 Aug 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised, Controlled, Assessor-blind, Parallel Groups, Multicentre, Pan-Asian Trial Comparing the Efficacy and Safety of FE 999049 With Follitropin Alfa (GONAL-F) in Controlled Ovarian Stimulation in Women Undergoing Assisted Reproductive Technology Programme
- ClinicalTrials.gov ID
- NCT03296527
- Acronym / sponsor ID
- 000145
- Conditions
- Controlled Ovarian Simulation
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,011 participants (actual)
- Lead sponsor
- Ferring PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 1 Dec 2017 (actual)
- Primary completion
- 3 Jan 2020 (actual)
- Study completion
- 26 Jul 2020 (actual)
- First posted
- 28 Sep 2017 (actual)
- Results
- Posted 1 Jun 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To demonstrate non-inferiority of FE 999049 compared with GONAL-F with respect to ongoing pregnancy rate in women undergoing controlled ovarian stimulation.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Follitropin delta | Experimental | Drug: Follitropin deltaRecombinant follicle-stimulating hormone (rFSH). Follitropin delta for subcutaneous injection |
| Gonal-F | Active comparator | Drug: Follitropin alfarFSH. Follitropin alfa for subcutaneous injection |
Who may qualify
- Ages
- 20 to 40 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (13 listed)
- Informed Consent Documents signed prior to screening evaluations.
- In good physical and mental health in the judgement of the investigator.
- Asian pre-menopausal females between the ages of 20 and 40 years. The participants must be at least 20 years (including the 20th birthday) when they sign the informed consent and no more than 40 years (up to the day before the 41st birthday) at the time of randomization.
- Infertile women diagnosed with tubal infertility, unexplained infertility, endometriosis stage I/II (defined by the revised American Society for Reproductive Medicine [ASRM] classification, 1996) or with partners diagnosed with male factor infertility, eligible for in vitro fertilisation (IVF) and/or intracytoplasmic sperm injection (ICSI) using fresh or frozen ejaculated sperm from male partner or sperm donor.
- Infertility for at least one year before randomization for participants <35 years or for at least 6 months for participants ≥35 years (not applicable in case of tubal or severe male factor infertility).
Key exclusion criteria (28 listed)
- Known endometriosis stage III-IV (defined by the revised ASRM classification, 1996).
- One or more follicles ≥10 mm (including cysts) observed on the transvaginal ultrasound prior to randomization on stimulation day 1 (puncture of cysts is allowed prior to randomization).
- Known history of recurrent miscarriage (defined as three consecutive losses after ultrasound confirmation of pregnancy (excl. ectopic pregnancy) and before week 24 of pregnancy).
- Known abnormal karyotype of participant or of her partner / sperm donor, as applicable, depending on source of sperm used for insemination in this trial.
- Any known clinically significant systemic disease (e.g. insulin-dependent diabetes).
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 alfaAlso: GONAL-FGONAL-F dose was fixed for the first 5 stimulation days. | Drug | Gonal-F |
| Follitropin deltaAlso: FE 999049, REKOVELLEREKOVELLE (FE 999049) was fixed throughout the stimulation period. | Drug | Follitropin delta |
Primary outcome
Ongoing Pregnancy Rate
Time frame: 10-11 weeks after transfer
Defined as at least one intrauterine viable fetus 10-11 weeks after transfer.
60 secondary outcomes
Positive Beta Unit of Human Chorionic Gonadotropin (βhCG) Rate
Time frame: 13-15 days after transfer
Clinical Pregnancy Rate
Time frame: 5-6 weeks after transfer
Vital Pregnancy Rate
Time frame: 5-6 weeks after transfer
Implantation Rate
Time frame: 5-6 weeks after transfer
Ongoing Implantation Rate
Time frame: 10-11 weeks after transfer
Proportion of Subjects With Extreme Ovarian Responses
Time frame: Oocyte retrieval visit
Proportion of Subjects With Early OHSS (Including OHSS of Moderate/Severe Grade) and/or Preventive Interventions for Early OHSS
Time frame: Up to 9 days after triggering of final follicular maturation
Proportion of Subjects With Cycle Cancellation Due to Poor or Excessive Ovarian Response or Embryo Transfer Cancellation Due to Excessive Ovarian Response / OHSS Risk
Time frame: End-of-stimulation visit (up to 20 days) or transfer visit
Number of Follicles on Stimulation Day 6
Time frame: On stimulation Day 6
Number of Follicles At End-of-stimulation (up to 20 Stimulation Days)
Time frame: At end-of-stimulation (up to 20 stimulation days)
Size of Follicles on Stimulation Day 6
Time frame: On stimulation Day 6
Size of Follicles At End-of-stimulation (up to 20 Stimulation Days)
Time frame: At end-of-stimulation (up to 20 stimulation days)
Number of Oocytes Retrieved
Time frame: On the day of oocyte retrieval (36 h [±2h] after triggering of final follicular maturation)
Proportion of Subjects With <4, 4-7, 8-14, 15-19 and ≥20 Oocytes Retrieved
Time frame: On the day of oocyte retrieval
Percentage of Metaphase II (MII) Oocytes
Time frame: Prior to insemination
Fertilization Rate
Time frame: On Day 1 after oocyte retrieval
Number and Quality of Embryos
Time frame: On Day 3 after oocyte retrieval
Circulating Concentrations of Luteinizing Hormone (LH)
Time frame: On stimulation Day 6
Circulating Concentrations of LH
Time frame: End-of-stimulation (up to 20 stimulation days)
Circulating Concentrations of Estradiol
Time frame: On stimulation Day 6
Circulating Concentrations of Estradiol
Time frame: End-of-stimulation (up to 20 stimulation days)
Circulating Concentrations of Progesterone
Time frame: On stimulation Day 6
Circulating Concentrations of Progesterone
Time frame: End-of-stimulation (up to 20 stimulation days)
Circulating Concentrations of Inhibin A
Time frame: On stimulation Day 6
Circulating Concentrations of Inhibin A
Time frame: End-of-stimulation (up to 20 stimulation days)
Circulating Concentrations of Inhibin B
Time frame: On stimulation Day 6
Circulating Concentrations of Inhibin B
Time frame: End-of-stimulation (up to 20 stimulation days)
Circulating Concentrations of Follicle-stimulating Hormone (FSH)
Time frame: On stimulation Day 6
Circulating Concentrations of FSH
Time frame: End-of-stimulation (up to 20 stimulation days)
Circulating Concentrations of FSH
Time frame: At oocyte retrieval
Total Gonadotropin Dose
Time frame: Up to 20 stimulation days
Proportion of Subjects With Investigator-requested Gonadotropin Dose Adjustments
Time frame: Up to 20 stimulation days
Number of Stimulation Days
Time frame: Up to 20 stimulation days
Number of Participants With Adverse Events
Time frame: From screening up to end-of-trial (up to approximately 5.5 months)
Intensity of Adverse Events
Time frame: From screening up to end-of-trial (up to approximately 5.5 months)
Changes From Baseline in Clinical Chemistry Parameters: Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase and Gamma Glutamyl Transferase
Time frame: From screening up to end-of-trial (up to approximately 5.5 months)
Change From Baseline in Clinical Chemistry Parameters: Bicarbonate, Blood Urea Nitrogen, Calcium, Chloride, Cholesterol, Glucose, Phosphate, Potassium and Sodium
Time frame: From screening up to end-of-trial (approximately 5.5 months)
Change From Baseline in Clinical Chemistry Parameters: Albumin and Protein
Time frame: From screening up to end-of-trial (approximately 5.5 months)
Change From Baseline in Clinical Chemistry Parameter: Lactate Dehydrogenase
Time frame: From screening up to end-of-trial (approximately 5.5 months)
Change From Baseline in Clinical Chemistry Parameter: Direct Bilirubin, Bilirubin, Creatinine, Urate
Time frame: From screening up to end-of-trial (approximately 5.5 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Aug 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Results publication: PubMed 34179971Qiao J, Zhang Y, Liang X, Ho T, Huang HY, Kim SH, Goethberg M, Mannaerts B, Arce JC. A randomised controlled trial to clinically validate follitropin delta in its individualised dosing regimen for ovarian stimulation in Asian IVF/ICSI patients. Hum Reprod. 2021 Aug 18;36(9):2452-2462. doi: 10.1093/humrep/deab155.
- Results publication: PubMed 36195924Yang R, Zhang Y, Liang X, Song X, Wei Z, Liu J, Yang Y, Tan J, Zhang Q, Sun Y, Wang W, Qian W, Jin L, Wang S, Xu Y, Yang J, Goethberg M, Mannaerts B, Wu W, Zheng Z, Qiao J. Comparative clinical outcome following individualized follitropin delta dosing in Chinese women undergoing ovarian stimulation for in vitro fertilization /intracytoplasmic sperm injection. Reprod Biol Endocrinol. 2022 Oct 4;20(1):147. doi: 10.1186/s12958-022-01016-y.
- Results publication: PubMed 37156263Fernandez-Sanchez M, Fatemi H, Garcia-Velasco JA, Heiser PW, Daftary GS, Mannaerts B. Incidence and severity of ovarian hyperstimulation syndrome (OHSS) in high responders after gonadotropin-releasing hormone (GnRH) agonist trigger in "freeze-all" approach. Gynecol Endocrinol. 2023 Dec;39(1):2205952. doi: 10.1080/09513590.2023.2205952.
Related trials for Controlled Ovarian Simulation
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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.
Global Clinical Compliance study director
Ferring Pharmaceuticals
26 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Follitropin alfa and Follitropin delta in people with Controlled Ovarian Simulation, run by Ferring Pharmaceuticals at 26 sites in 4 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 13 inclusion and 28 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 24 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 26 sites in China, South Korea, Taiwan, Vietnam. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 1 Jun 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Ongoing Pregnancy Rate (time frame: 10-11 weeks after transfer). 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 NCT03296527, which also lists 3 linked publications.
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 24 Aug 2023.