Clinical trial NCT01922193: Evaluation of Efficacy and Safety of Highly Purified Urofollitropin in Chinese Females Undergoing an Assisted Reproductive Technology (ART) Program
Official title: A Randomized, Assessor-blinded, Parallel Group, Multi-center, Non-inferiority Study Investigating the Efficacy and Safety of Highly Purified Urofollitropin for Injection Compared to Recombinant Human Follitropin Alfa for Injection in Controlled Ovarian Stimulation in Chinese Females Undergoing an Assisted Reproductive Technology (ART) Program
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE3
Conditions: Infertility
Lead sponsor: Ferring Pharmaceuticals
Sponsor class: INDUSTRY
First posted: 2013-08-14
Enrollment: 263
Sex: FEMALE
Minimum age (years): 20
Maximum age (years): 39
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Evaluate the efficacy and safety of of Highly Purified Urofollitropin for Injection Compared to Recombinant Human Follitropin Alfa for Injection in Chinese Females Undergoing an Assisted Reproductive Technology (ART) Program.


Eligibility criteria: Inclusion Criteria:

* Signed informed consent form, prior to screening evaluations
* In good physical and mental health
* Chinese Females between the ages of 20-39 years.
* Body mass index (BMI) is ≥ 18.5 and \< 28 kg/m2
* Female diagnosed for at least one year (i.e., before screening) with tubal infertility, unexplained infertility, male factor infertility
* Regular menstrual cycles of 24-35 days (both inclusive), presumed to be ovulatory
* Documented evidence of at least one of the following within ninety (90) days prior to down regulation treatment:

  * mid-luteal phase serum progesterone level \> 5ng/mL, or
  * late luteal phase endometrial biopsy with \< 3 days lag, or
  * biphasic basal body temperature chart, or
  * mid-cycle urinary LH (Luteinizing hormone)surge
* Early follicular phase (day 2-3), serum levels of FSH within limits (1-12IU/L)(results obtained within 90 days prior to down regulation treatment)
* LH, PRL (prolactin), E2 (Estradiol), P (progesterone), total testosterone levels within normal range for the clinical laboratory or considered not clinically significant by the investigator (results obtained within 90 days prior to down regulation treatment)
* TSH (thyrotropin) levels within normal limits for the clinical laboratory or considered not clinically significant by the investigator, or secondary to exogenous thyroid medication (results obtained within 90 days prior to down regulation treatment)
* Negative serum Human Immunodeficiency Virus (HIV) antibody, and TPPA (Treponema Pallidum antibodies)/ RPR (Rapid Plasma Reagin) tests (results obtained within 90 days prior to down regulation treatment)
* Early follicular phase total antral follicle (diameter 2-10 mm) count ≥ 6 and ≤ 25 for both ovaries combined (results obtained within 3 months prior to down regulation treatment)
* Transvaginal ultrasound documenting presence and adequate visualisation of both ovaries, uterus and adnexa without evidence of significant abnormality (e.g.no endometrioma greater than 3 cm, no ovarian cysts \> 35 mm or enlarged ovaries which would contraindicate the use of down regulation treatment, no hydrosalpinx) within ninety (90) days prior to down regulation treatment
* 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 incompatible with pregnancy) within 1 year prior to down regulation treatment. This also includes women who have been diagnosed with any of the above medical conditions but have had them surgically corrected.
* A minimum of one cycle without treatment with fertility modifiers (e.g., oral contraceptives) during the last menstrual cycle before down regulation treatment
* Willing to accept a maximum of two embryos transferred in the fresh cycle
* Willing to use an adequate barrier method of contraception or refrain from intercourse from 2 weeks before start of down regulation and throughout the down regulation period

Exclusion Criteria:

* Any pregnancy within last three (3) months prior to screening
* Known past or current thrombophlebitis or thromboembolism including venous thrombosis disease and active or recent arterial thrombosis disease
* Three or more controlled ovarian stimulation cycles for IVF/ICSI (In vitro fertilization/Intracytoplasmic sperm injection) prior to screening
* Previous IVF or ART failure related to a sperm/fertilization problem which resulted in unsuccessful fertilization and no related medical conditions improved
* Known history of poor ovarian response in a previous controlled ovarian stimulation cycle for IVF/ICSI
* Known history of excessive ovarian response in a previous controlled ovarian stimulation cycle for IVF/ICSI
* Known severe OHSS (Ovarian hyperstimulating syndrome) in a previous controlled ovarian stimulation cycle.
* Known history of polycystic ovary disease (PCOD) associated with anovulation
* Known endometriosis
* Known abnormal results of cervical examination of clinical significance obtained within 1 year prior to screening
* Abnormal vaginal bleeding of undetermined origin
* Known tumors of the ovary, breast, uterus, adrenal gland, pituitary or hypothalamus
* Known current active pelvic inflammatory disease
* Known history of recurrent miscarriage
* Known malformations of the sexual organs incompatible with pregnancy
* According to the judgment of the investigator, abnormal laboratory value of renal or hepatic function is clinically significant
* Known current (3 months prior to screening) or past (1 year prior to screening) abuse of alcohol or drugs, and/or current or past smoking habit of more than 10 cigarettes per day
* Any known endocrine or metabolic abnormalities (pituitary, adrenal, pancreas, liver or kidney) which can compromise participation in the trial with the exception of controlled thyroid function disease
* Known history of chemotherapy (except for gestational conditions) or radiotherapy
* According to the judgment of the investigator, abnormal laboratory value is clinically relevant
* Use of any non-registered investigational drugs during 3 months before screening or previous participation in the study

Primary outcomes:
measure: The number of retrieved oocytes per cycle
timeFrame: About 36 hours post hCG (human chorionic gonadotrophin)
Secondary outcomes:
measure: The follicles development
timeFrame: At day 5 of FSH preparation stimulation and the day of hCG administration
measure: The fertilization rate
timeFrame: 20h (± 1h) after insemination
measure: Implantation rate
timeFrame: 5-6 weeks post embryo transfer
measure: Cycle cancellation rate
timeFrame: 36 hours post hCG
measure: The positive serum β-hCG/hCG rate
timeFrame: 13-15 days after embryo transfer
measure: The clinical pregnancy rate
timeFrame: 5-6 weeks after embryo transfer
measure: The clinical pregnancy rate
timeFrame: 5-6 weeks after embryo transfer
measure: The ongoing pregnancy rate
timeFrame: 10-11 weeks after embryo transfer
measure: Total gonadotropin dose administered and the duration of gonadotropin treatment
timeFrame: Up to day 16 (in the stimulation period)
measure: Serum E2 (Estradiol) concentrations
timeFrame: On the day of hCG administration
measure: Frequency and severity of adverse events
timeFrame: Expected maximum of 7 months
measure: Frequency and severity of injection site reactions
timeFrame: Day 1 up to day 16 of the controlled ovarian stimulation period
Other outcomes:
Locations:
city: Beijing
country: China
facility: Chinese PLA General Hospital
state: Beijing
city: Beijing
country: China
facility: Peking Union Medical College Hospital
state: Beijing
city: Beijing
country: China
facility: Peking University First Hospital
state: Beijing
city: Beijing
country: China
facility: Peking University People's Hospital
state: Beijing
city: Guangzhou
country: China
facility: Sun Yat-sen Memorial Hospital Sun Yat-sen University
state: Guangdong
city: Guangzhou
country: China
facility: The third Affiliated Hospital of Guangzhou Medical University
state: Guangdong
city: Wuhan
country: China
facility: Tongji Hospital Tongji Medical College of HUST Tongji Medical College Huazhong University of Science & Technology
state: Hubei
city: Nanjing
country: China
facility: The First Affiliated Hospital with Nanjing Medical University
state: Jiangsu
city: Shenyang
country: China
facility: ShengJing Hospital of China Medical University
state: Liaoning
city: Chengdu
country: China
facility: Sichuan Provincial People's Hospital
state: Sichuan
city: Tianjin
country: China
facility: Tianjin Medical University General Hospital
state: Tianjin
Study officials:
affiliation: Ferring Pharmaceuticals
name: Clinical Development Support
role: STUDY_DIRECTOR
References: