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Controlled Ovarian StimulationPhase 2RAINBOWNCT03564509

A Trial to Investigate the Efficacy and Safety of FE 999302 as add-on Treatment to Follitropin Delta (REKOVELLE) in Women Undergoing Controlled Ovarian Stimulation.

A Phase 2 study testing FE 999302 (1 μg) and follitropin delta, FE 999302 (2 μg) and follitropin delta and FE 999302 (4 μg) and follitropin delta in people with Controlled Ovarian Stimulation, run by Ferring Pharmaceuticals at 20 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this phase 2 dose-ranging trial is to investigate the effects of FE 999302 on parameters influencing pregnancy rates in women undergoing Controlled Ovarian Stimulation (COS) with follitropin delta in a long gonadotropin releasing hormone (GnRH) agonist protocol. Read more about this study

Who is it for?
Ages 30 to 42 years, women only
Conditions the study is for
Controlled Ovarian Stimulation
What is being tested?
FE 999302 (1 μg) and follitropin delta, FE 999302 (2 μg) and follitropin delta and FE 999302 (4 μg) and follitropin delta
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
620 participants
Where
20 sitesin 5 countries
Study dates
14 May 2018to 8 Jan 2020
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 30 to 42 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 as judged by the investigator.
  • Anti-Müllerian hormone (AMH) levels at screening of 5.0-35.0 pmol/L (as measured by Elecsys® AMH Plus Immunoassay [Roche Diagnostics] at central laboratory).
  • Pre-menopausal women between the ages of 30 and 42 years. The subjects must be at least 30 years (including the 30th birthday) and no more than 42 years (up to the day before the 43rd birthday) when they sign the informed consent.
  • Infertile women diagnosed with tubal infertility, unexplained infertility, endometriosis stage I/II or with partners diagnosed with male factor infertility, eligible for in vitro fertilisation and/or intracytoplasmic sperm injection using fresh or frozen ejaculated sperm from male partner or sperm donor.
  • Infertility for at least 1 year before screening for subjects less than 35 years or for at least 6 months for subjects greater than equal to (≥)35 years (not applicable in case of tubal or severe male factor infertility).

Who cannot join

  • Known polycystic ovary syndrome (PCOS) associated with anovulation or known endometriosis stage III-IV (defined by the revised American Society for Reproductive Medicine [ASRM] classification, 1996).
  • One or more follicles ≥10 mm (including cysts) observed on the transvaginal ultrasound after down-regulation prior to randomisation on stimulation day 1 (puncture of cysts is allowed prior to randomisation).
  • Pregnancy (negative pregnancy tests must be documented at screening and prior to start of down-regulation) or contraindication to pregnancy.

Trial locations and contacts

20 sites in 5 countries.

20 sites in 5 countries

Spain6 sites
  • Dexeus Woman's Health

    Barcelona

  • Instituto Valenciano de Infertilidad (IVI) - Bilbao

    Leioa

  • GINEFIV - Clinica Belen Location

    Madrid

  • Instituto Valenciano de Infertilidad (IVI) - Madrid

    Madrid

  • Instituto Valenciano de Infertilidad (IVI) - Sevilla

    Seville

  • Instituto Valenciano de Infertilidad (IVI) - Valencia

    Valencia

Other trials in Spain

Czechia4 sites
  • Institut fur Reproduktionsmedizin und Genetik

    Karlovy Vary

  • Fertimed

    Olomouc

  • GYNEM

    Prague

  • IVF CUBE

    Prague

Other trials in Czechia

Denmark4 sites
  • Aalborg University Hospital

    Aalborg

  • Rigshospitalet

    Copenhagen

  • Dansk Fertilitetsklinik

    Frederiksberg

  • Hvidovre Hospital

    Hvidovre

Other trials in Denmark

United Kingdom4 sites
  • Glasgow Royal Infirmary

    Glasgow

  • Liverpool Women's Hospital

    Liverpool

  • Guy's and St Thomas' NHS Trust

    London

  • Kings College (Assisted Conception Unit)

    London

Other trials in United Kingdom

Belgium2 sites
  • Universitair Ziekenhuis Gent (UZ Gent)

    Ghent

  • Universitair Ziekenhuis Brussel

    Jette

Other trials in Belgium

About this study

Official title: A Randomised, Double-blind, Placebo-controlled, Parallel-group, Dose-range Trial to Investigate the Efficacy and Safety of FE 999302 as add-on Treatment to Follitropin Delta (REKOVELLE) in Women Undergoing Controlled Ovarian Stimulation in a Long GnRH Agonist Protocol

The purpose of this phase 2 dose-ranging trial is to investigate the effects of FE 999302 on parameters influencing pregnancy rates in women undergoing Controlled Ovarian Stimulation (COS) with follitropin delta in a long gonadotropin releasing hormone (GnRH) agonist protocol.

Furthermore, the study intends:

  • To investigate the safety of FE 999302 in women undergoing COS with follitropin delta in a long GnRH agonist protocol.
  • To investigate the potential immunogenicity of FE 999302 in subjects undergoing COS with follitropin delta in a long GnRH agonist protocol.
  • To estimate the impact of body weight on FE 999302 exposure in subjects undergoing COS with follitropin delta in a long GnRH agonist protocol.
Being tested
FE 999302 (1 μg) and follitropin delta, FE 999302 (2 μg) and follitropin delta, FE 999302 (4 μg) and follitropin delta, FE 999302 (8 μg) and follitropin delta, FE 999302 (12 μg) and follitropin delta
Keywords
Human Chorionic Gonadotropin (hCG), Recombinant Human Chorionic Gonadotropin (rhCG), Controlled Ovarian Stimulation (COS), Assisted Reproductive Technologies (ART)

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FE 999302 (1 μg) and follitropin deltaDrug

    Also called Choriogonadotropin beta

    Daily dose of 1 μg of FE 999302, a recombinant human chorionic gonadotropin (rhCG) solution for subcutaneous injection; individualized follitropin delta dose.

  • FE 999302 (2 μg) and follitropin deltaDrug

    Also called Choriogonadotropin beta

    Daily dose of 2 μg of FE 999302, a rhCG solution for subcutaneous injection; individualized follitropin delta dose.

  • FE 999302 (4 μg) and follitropin deltaDrug

    Also called Choriogonadotropin beta

    Daily dose of 4 μg of FE 999302, a rhCG solution for subcutaneous injection; individualized follitropin delta dose.

  • FE 999302 (8 μg) and follitropin deltaDrug

    Also called Choriogonadotropin beta

    Daily dose of 8 μg of FE 999302, a rhCG solution for subcutaneous injection; individualized follitropin delta dose.

  • FE 999302 (12 μg) and follitropin deltaDrug

    Also called Choriogonadotropin beta

    Daily dose of 12 μg of FE 999302, a rhCG solution for subcutaneous injection; individualized follitropin delta dose.

  • Placebo and follitropin deltaOther

    Daily dose of placebo; individualized follitropin delta dose.

Study groups in NCT03564509
Study groupRoleWhat they receive
FE 999302 (1 μg) and follitropin deltaExperimentalNot described
Receives: Drug: FE 999302 (1 μg) and follitropin delta
FE 999302 (2 μg) and follitropin deltaExperimentalNot described
Receives: Drug: FE 999302 (2 μg) and follitropin delta
FE 999302 (4 μg) and follitropin deltaExperimentalNot described
Receives: Drug: FE 999302 (4 μg) and follitropin delta
FE 999302 (8 μg) and follitropin deltaExperimentalNot described
Receives: Drug: FE 999302 (8 μg) and follitropin delta
FE 999302 (12 μg) and follitropin deltaExperimentalNot described
Receives: Drug: FE 999302 (12 μg) and follitropin delta
Placebo and follitropin deltaPlacebo comparatorNot described
Receives: Other: Placebo and follitropin delta

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of good-quality blastocysts on Day 5 after oocyte retrieval

    Quality of blastocysts was assessed by blastocyst expansion and hatching status, blastocyst inner cell mass grading, and trophectoderm grading. The scoring was based on the classification system by Gardner and Schoolcraft, with additional categories for inner cell mass (degenerative or no inner cell mass) and trophectoderm (degenerative or very large cell).

    Measured: On Day 5 after oocyte retrieval

Secondary outcomes (28)
  1. Number of subjects with at least one good-quality blastocyst on Day 5 after oocyte retrieval

    Quality of blastocysts was assessed by blastocyst expansion and hatching status, blastocyst inner cell mass grading, and trophectoderm grading. The scoring was based on the classification system by Gardner and Schoolcraft, with additional categories for inner cell mass (degenerative or no inner cell mass) and trophectoderm (degenerative or very large cell).

    Measured: On Day 5 after oocyte retrieval

  2. Number of subjects with at least two good-quality blastocysts on Day 5 after oocyte retrieval

    Quality of blastocysts was assessed by blastocyst expansion and hatching status, blastocyst inner cell mass grading, and trophectoderm grading. The scoring was based on the classification system by Gardner and Schoolcraft, with additional categories for inner cell mass (degenerative or no inner cell mass) and trophectoderm (degenerative or very large cell).

    Measured: On Day 5 after oocyte retrieval

  3. Number and quality of embryos on Day 3 after oocyte retrieval

    Embryo quality was assessed by cleavage stage and embryo morphology parameters. The total number of embryos and the number of embryos per quality category were reported.

    Measured: On Day 3 after oocyte retrieval

  4. Number and quality of blastocysts on Day 5 after oocyte retrieval

    Blastocyst quality was assessed by blastocyst expansion and hatching status, blastocyst inner cell mass grading, and trophectoderm grading. The scoring was based on the classification system by Gardner and Schoolcraft, with additional categories for inner cell mass (degenerative or no inner cell mass) and trophectoderm (degenerative or very large cells).

    The total number of blastocysts and the number of blastocysts per quality category will be reported.

    Measured: On Day 5 after oocyte retrieval

  5. Changes in serum hormone levels

    Blood samples for analysis of hormone concentrations were drawn at stimulation Day 1, stimulation Day 6, stimulation Day 8, last day of stimulation, and at oocyte retrieval.

    Measured: Stimulation Day 1 (baseline), stimulation Day 6, stimulation Day 8, end-of-stimulation (up to 20 stimulation days), and oocyte retrieval

  6. Number and size of follicles on stimulation Day 6

    Number and size of follicles assessed using transvaginal ultrasound. The total number of follicles and the number of follicles per size category were reported.

    Measured: On stimulation Day 6

  7. Number and size of follicles at end-of-stimulation

    Number and size of follicles assessed using transvaginal ultrasound. The total number of follicles and the number of follicles per size category were reported.

    Measured: At end-of-stimulation (up to 20 stimulation days)

  8. Positive beta human chorionic gonadotropin (βhCG) rate

    Proportion of patients with positive blood βhCG confirmed by a blood test.

    Measured: 13-15 days after blastocyst transfer

  9. Clinical pregnancy rate

    Clinical pregnancy was defined as at least one gestational sac, either intrauterine or ectopic.

    Measured: 5-6 weeks after blastocyst transfer

  10. Vital pregnancy rate

    Vital pregnancy was defined as at least one intrauterine gestational sac with fetal heart beat, as assessed by transvaginal ultrasound.

    Measured: 5-6 weeks after blastocyst transfer

  11. Ongoing pregnancy rate

    Ongoing pregnancy was defined as at least one intrauterine viable fetus, assessed using transvaginal or abdominal ultrasound.

    Measured: 10-11 weeks after blastocyst transfer

  12. Number of oocytes retrieved

    Measured: On the day of oocyte retrieval

  13. Number of metaphase II oocytes

    Measured: On the day of oocyte retrieval

  14. Number of fertilised 2 pronuclei (2PN) oocytes

    Measured: On day 1 after insemination

  15. Total gonadotropin dose

    The daily dose of FE 999302 or placebo, and follitropin delta were recorded.

    Measured: At end-of-stimulation (up to 20 stimulation days)

  16. Total number of stimulation days

    The start and end dates of administration of FE 999302 or placebo, and follitropin delta were recorded.

    Measured: At end-of-stimulation (up to 20 stimulation days)

  17. Incidence of cycle cancellation

    Cycle cancellation due to poor ovarian response or excessive ovarian response.

    Measured: At end-of-stimulation (up to 20 stimulation days)

  18. Serum concentrations of FE 999302

    Measured: On stimulation Day 1 (prior to first dose of FE 999302 or placebo), stimulation Day 6, stimulation Day 8, end-of-stimulation (up to 20 stimulation days)

  19. Incidence of ovarian hyperstimulation syndrome (OHSS) (early or late, any grade)

    Early OHSS was defined as OHSS with onset less than equal to 9 days after triggering of final follicular maturation.

    Late OHSS was defined as OHSS with onset greater than 9 days after triggering of final follicular maturation.

    All OHSS cases were graded as mild, moderate or severe.

    Measured: From stimulation Day 1 to end-of-trial (estimated maximum of 4 months from start of stimulation)

  20. Incidence and intensity of adverse events (AEs)

    Measured: From screening to end-of-trial (estimated maximum of 4 months from start of stimulation)

  21. Changes in circulating levels of clinical chemistry and haematology parameters

    Measured: At screening, on stimulation Day 1, end-of-stimulation (up to 20 stimulation days), end-of-trial (estimated maximum of 4 months from start of stimulation)

  22. Incidence and intensity of injection site reactions after FE 999302 administration (redness, pain, itching, swelling and bruising) assessed by the subject during the stimulation period

    Measured: Immediately after injection of FE 999302 or placebo, 30 minutes after injection, and 24 hours after injection

  23. Incidence of treatment-induced anti-FE 999302 antibodies, overall as well as with neutralising capacity

    The proportion of subjects with treatment-induced anti-FE999302 antibodies as well as the proportion of subjects with treatment-induced anti-FE999302 antibodies with neutralizing capacity were reported.

    Measured: On stimulation Day 1, end-of-stimulation (up to 20 stimulation days), 19-28 days after the last FE999302 or placebo dose

  24. Incidence of multi-fetal gestation

    Measured: 5 to 6 weeks after transfer

  25. Incidence of biochemical pregnancy

    Biochemical pregnancy was defined as positive βhCG test but no gestational sac was observed on transvaginal ultrasound conducted later, or menstruation is

    was reported.

    Measured: Up to 5 to 6 weeks after transfer

  26. Incidence of spontaneous abortion (with and without medical/surgical intervention)

    Spontaneous abortion was defined as positive βhCG test but all intrauterine gestational sacs without fetal heart beat as documented by ultrasound, or there were no viable fetuses observed by ultrasound.

    Measured: Up to 10 to 11 weeks after transfer

  27. Incidence of ectopic pregnancy (with and without medical/surgical intervention)

    Ectopic pregnancy was defined as extrauterine gestational sac with or without fetal heart beat as documented by ultrasound or surgery.

    Measured: Up to 5 to 6 weeks after transfer

  28. Incidence of vanishing twins

    Vanishing twin was defined as spontaneous disappearance of an intrauterine gestational sac with or without heart beat in a pregnancy where one viable fetus remained as documented by ultrasound.

    Measured: Up to 10 to 11 weeks after transfer

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jun 2018
  2. Study start14 May 2018
  3. Primary completion21 Oct 2019
  4. Study completion8 Jan 2020

Resources

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
Double blind
Who is masked
Participant, Investigator
Enrolment
620 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03564509
Sponsor's protocol ID
000289
Other IDs
2017-003810-13, 2017
Acronym
RAINBOW
Status last verified
Jan 2020
First submitted
16 May 2018
Last updated
31 Aug 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Sanchez MF, Larsson P, Serrano MF, Bosch E, Velasco JAG, Lopez ES, Mannaerts B. Live birth rates following individualized dosing algorithm of follitropin delta in a long GnRH agonist protocol. Reprod Biol Endocrinol. 2023 May 16;21(1):45. doi: 10.1186/s12958-023-01090-w.

    PubMed 37194068

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing FE 999302 (1 μg) and follitropin delta, FE 999302 (2 μg) and follitropin delta and FE 999302 (4 μg) and follitropin delta in people with Controlled Ovarian Stimulation, run by Ferring Pharmaceuticals at 20 sites in 5 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 6 inclusion and 3 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 31 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 20 sites in Spain, Czechia, Denmark, United Kingdom, Belgium. 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. Some participants in this study may receive a placebo. 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 good-quality blastocysts on Day 5 after oocyte retrieval (time frame: On Day 5 after oocyte retrieval). 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 NCT03564509, 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 31 Aug 2023.

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