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Infertile Patient Undergoing ICSI Proceduretwo injectionNCT07891793

Late-Start Corifollitropin Alfa in Mild Ovarian Stimulation

A study testing Corifollitropin Alfa 150 μg, GnRH antagonist and Progesterone in people with Infertile Patient Undergoing ICSI Procedure, run by Assisting Nature at 1 site in Greece.

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

This prospective randomized clinical study evaluates a novel physiology-oriented mild ovarian stimulation protocol based on the delayed initiation of corifollitropin alfa. Unlike conventional ovarian stimulation, which begins during the early follicular phase, the proposed protocol postpones exogenous gonadotropin… Read more about this study

Who is it for?
Ages 28 to 43 years, women only
What is being tested?
Corifollitropin Alfa 150 μg, GnRH antagonist and Progesterone
Could I receive a placebo?
No, everyone receives an active treatment
How many people
180 participants
Where
1 siteGreece
Study dates
1 Jan 2024to 30 Jun 2026
Phase
Interventional
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 28 to 43 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Female participants aged 28 to 43 years at the time of enrollment.
  • Clinical diagnosis of infertility requiring IVF or ICSI treatment.
  • Planned controlled ovarian stimulation according to the study protocol.
  • Anti-Müllerian hormone concentration of 0.2 ng/mL or greater.
  • Presence of both ovaries.
  • Ability to provide written informed consent.
  • Willingness to comply with all study procedures and follow-up assessments.

Who cannot join

  • Age younger than 28 years or older than 43 years.
  • Anti-Müllerian hormone concentration below 0.2 ng/mL.
  • Untreated endocrine disorders that may interfere with ovarian stimulation, including uncontrolled thyroid disease or hyperprolactinemia.
  • Contraindication to ovarian stimulation, pregnancy, or transvaginal oocyte retrieval.
  • Severe systemic disease considered by the investigator to make participation unsafe.
  • Concurrent participation in another interventional clinical study that could interfere with the study outcomes.
  • Refusal or inability to provide written informed consent.
  • Previous enrollment in this study.

Trial locations and contacts

1 site in 1 country.

Greece1 site
  • Assisting Nature Fertility Clinic

    Thessaloniki

Other trials in Greece

About this study

Official title: Physiology-Oriented Mild Ovarian Stimulation: A Randomized Prospective Comparison of Two Strategies for LH Suppression Using a Novel Late-Start Two-Injection Protocol Based on Delayed Initiation of Corifollitropin Alfa

This prospective randomized clinical study evaluates a novel physiology-oriented mild ovarian stimulation protocol based on the delayed initiation of corifollitropin alfa. Unlike conventional ovarian stimulation, which begins during the early follicular phase, the proposed protocol postpones exogenous gonadotropin administration until cycle day 4, allowing physiological follicular recruitment to occur before ovarian stimulation.

Participants are randomly assigned to one of two strategies for prevention of premature luteinizing hormone (LH) surge:

Read more

daily GnRH antagonist administration, or progesterone-primed ovarian stimulation (PPOS). The primary objective is to evaluate ovarian response and the feasibility of this simplified stimulation strategy. Secondary objectives include embryological outcomes, pregnancy outcomes, gonadotropin consumption, treatment burden, and the proportion of patients completing stimulation without supplementary gonadotropin administration.

The study aims to determine whether a physiology-oriented late-start stimulation protocol can simplify IVF treatment while maintaining satisfactory embryological and clinical outcomes.

Read the detailed description

Conventional ovarian stimulation protocols initiate exogenous follicle-stimulating hormone (FSH) administration during the early follicular phase to maximize follicular recruitment. Although effective, this approach may expose follicles to supraphysiological gonadotropin concentrations during the earliest stages of follicular development.

The present study evaluates a novel concept of ovarian stimulation based on delayed administration of 150 μg corifollitropin alfa on cycle day 4. The underlying hypothesis is that endogenous follicular recruitment and early follicular selection should occur under physiological endocrine regulation before exogenous ovarian stimulation is introduced.

Corifollitropin alfa was selected because its prolonged biological activity provides continuous FSH support for approximately seven days following a single administration, making it particularly suitable for this physiology-oriented stimulation concept.

Participants are prospectively randomized to receive either daily GnRH antagonist administration or progesterone-based pituitary suppression (PPOS). Apart from the method of LH suppression, all stimulation procedures, monitoring, ovulation triggering, laboratory procedures, and embryo transfer policies are identical between study groups.The study evaluates ovarian response, embryological outcomes, reproductive outcomes, gonadotropin requirements, and treatment feasibility. A predefined feasibility endpoint, the Single-Injection Completion Rate (SICR), is defined as the proportion of ovarian stimulation cycles successfully completed following a single administration of corifollitropin alfa without supplementary gonadotropin administration.

The study is designed as a proof-of-concept investigation evaluating whether delayed ovarian stimulation based on physiological follicular recruitment can simplify IVF treatment without compromising embryological competence or reproductive outcomes.

Being tested
Corifollitropin Alfa 150 μg, GnRH antagonist, Progesterone, Human Menopausal Gonadotropin (hMG)

What participants receive

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

  • Corifollitropin Alfa 150 μgDrug

    Also called Elonva 150μg

    A single subcutaneous injection of 150 μg corifollitropin alfa administered on the evening of cycle day 4 as part of a late-start mild ovarian stimulation protocol.

  • GnRH antagonistDrug

    Daily GnRH antagonist administration for prevention of premature LH surge according to the study protocol.

  • ProgesteroneDrug

    Oral micronized progesterone is administered daily as part of progesterone-primed ovarian stimulation for the prevention of a premature LH surge. Treatment is continued until ovulation triggering according to the predefined study protocol.

  • Human Menopausal Gonadotropin (hMG)Drug

    Additional hMG (150 IU/day) administered only when predefined clinical criteria are met according to the study protocol.

Study groups in NCT07891793
Study groupRoleWhat they receive
Late-Start Corifollitropin Alfa + GnRH AntagonistActive comparatorParticipants receive oral placebo-free treatment according to the study protocol. On the evening of cycle day 4, a single subcutaneous injection of 150 μg corifollitropin alfa (Elonva®) is administered as part of a late-start mild ovarian stimulation protocol. Premature luteinizing hormone (LH) surge is prevented using daily administration of a GnRH antagonist. Hormonal monitoring and transvaginal ultrasound are performed on cycle day 7.Patients with serum estradiol concentrations ≤1000 pg/mL and/or fewer than two follicles measuring ≥14 mm on cycle day 7 receive supplementary 150 IU/day hMG beginning on cycle day 8 according to the predefined study protocol.Ovulation is triggered with 250 μg recombinant hCG (Ovitrelle®) when at least three follicles reach a mean diameter of 19-20 mm.
Receives: Drug: Corifollitropin Alfa 150 μg; Drug: GnRH antagonist; Drug: Human Menopausal Gonadotropin (hMG)
Late-Start Corifollitropin Alfa + ProgesteroneExperimentalParticipants receive a single subcutaneous injection of corifollitropin alfa 150 μg on the evening of cycle day 4. Premature LH surge is prevented using daily oral progesterone as part of a progesterone-primed ovarian stimulation protocol. Patients with serum estradiol concentrations ≤1000 pg/mL and/or fewer than two follicles measuring ≥14 mm on cycle day 7 receive supplementary 150 IU/day hMG beginning on cycle day 8 according to the predefined study protocol.
Receives: Drug: Corifollitropin Alfa 150 μg; Drug: Progesterone; Drug: Human Menopausal Gonadotropin (hMG)

What is being measured

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

  1. Number of Mature (MII) Oocytes Retrieved per Initiated Stimulation Cycle

    The number of mature metaphase II (MII) oocytes obtained following ovarian stimulation, assessed at the time of oocyte retrieval.

    The outcome will be expressed as the number of MII oocytes per initiated stimulation cycle. Participants whose cycles are cancelled before oocyte retrieval or who have no mature oocytes retrieved will be assigned a value of zero.

    Measured: From initiation of ovarian stimulation through oocyte retrieval, up to 14 days.

Secondary outcomes (12)
  1. Total Number of Oocytes Retrieved per Initiated Stimulation Cycle

    The total number of oocytes obtained during transvaginal oocyte retrieval. The outcome will be expressed as the number of retrieved oocytes per initiated stimulation cycle. Participants whose cycles are cancelled before oocyte retrieval or who have no oocytes retrieved will be assigned a value of zero.

    Measured: From initiation of ovarian stimulation through oocyte retrieval, up to 14 days.

  2. Oocyte maturation rate

    The percentage of retrieved oocytes classified as mature metaphase II (MII) oocytes.

    The maturation rate will be calculated as the number of MII oocytes divided by the total number of retrieved oocytes, multiplied by 100.

    The analysis will include participants with at least one retrieved oocyte.

    Measured: At oocyte retrieval, up to 14 days after initiation of ovarian stimulation.

  3. Normal fertilization rate (2PN)

    The percentage of injected mature oocytes demonstrating normal fertilization, defined by the presence of two pronuclei (2PN) following intracytoplasmic sperm injection (ICSI).

    The fertilization rate will be calculated as the number of normally fertilized (2PN) oocytes divided by the total number of injected MII oocytes, multiplied by 100.

    Measured: At fertilization assessment, 1 day after ICSI.

  4. Blastocyst formation rate

    The percentage of normally fertilized (2PN) embryos developing into blastocysts by day 6 of embryo culture.

    The blastocyst formation rate will be calculated as the total number of blastocysts formed by day 6 divided by the number of normally fertilized (2PN) oocytes, multiplied by 100.

    Measured: From fertilization through day 6 of embryo culture.

  5. Number of Usable Blastocysts per Oocyte Retrieval

    The total number of blastocysts considered suitable for embryo transfer or cryopreservation according to predefined laboratory morphological assessment criteria.

    Blastocysts will be assessed on days 5 and 6 of embryo culture.

    Measured: From fertilization through day 6 of embryo culture.

  6. Total Supplementary Gonadotropin Consumption

    The cumulative dose of supplementary human menopausal gonadotropin (hMG) administered during ovarian stimulation, expressed in International Units (IU).

    Supplementary hMG may be administered at a dose of 150 IU daily from cycle day 8 according to predefined hormonal and ultrasonographic response criteria.

    Participants who do not require supplementary hMG will be assigned a value of zero.

    The initial administration of 150 μg corifollitropin alfa will not be included in the calculation of supplementary hMG consumption.

    Measured: From initiation of ovarian stimulation through ovulation triggering or cycle cancellation, up to 14 days.

  7. Clinical Pregnancy Rate per Embryo Transfer

    The percentage of embryo transfer procedures resulting in clinical pregnancy. Clinical pregnancy is defined as ultrasonographic confirmation of at least one intrauterine gestational sac with fetal cardiac activity.

    All fresh and frozen embryo transfers involving embryos derived from the study stimulation cycle and performed within 6 months after oocyte retrieval will be included.

    The clinical pregnancy rate will be calculated as the number of embryo transfer procedures resulting in clinical pregnancy divided by the total number of embryo transfer procedures performed within the specified follow-up period, multiplied by 100.

    Measured: From oocyte retrieval through clinical pregnancy assessment, up to 9 months.

  8. Ongoing Pregnancy Rate per Embryo Transfer

    The percentage of embryo transfer procedures resulting in an ongoing pregnancy. Ongoing pregnancy is defined as the presence of a viable intrauterine pregnancy with fetal cardiac activity at 12 completed weeks of gestation.

    All fresh and frozen embryo transfers involving embryos derived from the study stimulation cycle and performed within 6 months after oocyte retrieval will be included.

    The ongoing pregnancy rate will be calculated as the number of embryo transfer procedures resulting in ongoing pregnancy divided by the total number of embryo transfer procedures performed within the specified follow-up period, multiplied by 100.

    Measured: From oocyte retrieval through ongoing pregnancy assessment, up to 10 months.

  9. Live Birth Rate per Embryo Transfer

    The percentage of embryo transfer procedures resulting in the delivery of at least one live-born infant.

    Live birth is defined as the complete expulsion or extraction of a fetus from the mother, irrespective of gestational age, showing evidence of life after birth.

    All fresh and frozen embryo transfers involving embryos derived from the study stimulation cycle and performed within 6 months after oocyte retrieval will be included.

    Multiple live-born infants resulting from a single embryo transfer procedure will be counted as one live birth event.

    The live birth rate will be calculated as the number of embryo transfer procedures resulting in at least one live birth divided by the total number of embryo transfer procedures performed within the specified follow-up period, multiplied by 100.

    Measured: From oocyte retrieval through delivery, up to 18 months.

  10. Single-Injection Completion Rate (SICR)

    The percentage of participants completing ovarian stimulation using a single subcutaneous injection of 150 μg corifollitropin alfa without requiring supplementary gonadotropin administration.

    Successful single-injection completion is defined as reaching ovulation triggering without supplementary hMG or other gonadotropin administration.

    The rate will be calculated as the number of participants achieving single-injection completion divided by the total number of participants who initiated ovarian stimulation, multiplied by 100.

    Measured: From initiation of ovarian stimulation through ovulation triggering or cycle cancellation, up to 14 days.

  11. Requirement for Supplementary hMG Administration

    The percentage of participants requiring supplementary human menopausal gonadotropin (hMG) following the initial administration of 150 μg corifollitropin alfa.

    Supplementary hMG is administered from cycle day 8 when predefined hormonal and ultrasonographic criteria for continuation without additional gonadotropins are not fulfilled.

    The rate will be calculated as the number of participants receiving at least one supplementary hMG injection divided by the total number of participants who initiated ovarian stimulation, multiplied by 100.

    Measured: From initiation of ovarian stimulation through ovulation triggering or cycle cancellation, up to 14 days.

  12. Cumulative Live Birth Rate per Initiated Stimulation Cycle

    The percentage of initiated ovarian stimulation cycles resulting in at least one live birth following the transfer of embryos derived from the corresponding stimulation cycle.

    All fresh and frozen embryo transfers performed within 6 months after oocyte retrieval will be included.

    Each initiated stimulation cycle will be counted only once, regardless of the number of embryo transfers performed or the number of live-born infants.

    The cumulative live birth rate will be calculated as the number of initiated stimulation cycles resulting in at least one live birth divided by the total number of initiated stimulation cycles, multiplied by 100.

    Measured: From initiation of ovarian stimulation through delivery, up to 18 months.

Timeline

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

  1. First posted23 Oct 2026
  2. Study start1 Jan 2024
  3. Primary completion1 May 2026
  4. Study completion30 Jun 2026

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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Parallel Assignment
Masking
None (open label)
Enrolment
180 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07891793
Sponsor's protocol ID
0101241811
Acronym
two injection
Status last verified
Oct 2026
First submitted
27 Jul 2026
Last updated
23 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: we not decided yet

Questions about this trial

What is this clinical trial studying?

A study testing Corifollitropin Alfa 150 μg, GnRH antagonist and Progesterone in people with Infertile Patient Undergoing ICSI Procedure, run by Assisting Nature at 1 site in Greece.

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 7 inclusion and 8 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 23 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Greece. 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.

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 Mature (MII) Oocytes Retrieved per Initiated Stimulation Cycle (time frame: From initiation of ovarian stimulation through oocyte retrieval, up to 14 days.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 23 Oct 2026.

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