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InfertilityPhase 2NCT00505752

Investigation of a Long-Acting Follicle Stimulating Hormone in Infertile Women Undergoing Assisted Reproductive Technology (ART)

A Phase 2 study testing AS900672-Enriched 50 microgram (mcg), AS900672-Enriched 100 mcg and AS900672-Enriched 150 mcg in people with Infertility, run by Merck KGaA, Darmstadt, Germany at 1 site in United States.

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 is a Phase 2, interventional, prospective, multi-center, randomized, assessor-blind, active-comparator, dose-finding study to evaluate a new investigational long-acting follicle stimulating hormone (FSH) in infertile women who are undergoing an assisted reproductive technology (ART) procedure (In vitro… Read more about this study

Who is it for?
Ages 18 to 36 years, women only
Conditions the study is for
Infertility
What is being tested?
AS900672-Enriched 50 microgram (mcg), AS900672-Enriched 100 mcg and AS900672-Enriched 150 mcg
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
520 participants
Where
1 siteUnited States
Study dates
Jan 2007to Sep 2008
Phase
Phase 2
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 18 to 36 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Infertility and desire to conceive, justifying ART treatment
  • Age between 18 and 36 years, inclusive, at time of informed consent
  • Body mass index (BMI) 18 to 30 kilogram per square meter (kg/m^2), inclusive
  • Regular spontaneous menstrual cycles of 21 to 35 days
  • Presence of both ovaries
  • Transvaginal ultrasound within 6 weeks and hysterosalpingogram, hysterosonogram or hysteroscopy within 2 years prior to beginning OCP treatment, showing no clinically significant uterine abnormality, which, in the Investigator's opinion, could impair embryo implantation or pregnancy continuation
Show all 15Show fewer
  • Normal early follicular phase (Day 2-4) serum FSH level, according to the local laboratory
  • Normal serum thyroid stimulating hormone (TSH) level, according to the local laboratory
  • Papanicolaou (PAP) smear test without clinically significant abnormalities within the last 6 months prior to beginning oral contraceptive therapy,
  • Negative pregnancy test prior to beginning GnRH-agonist therapy
  • Male partner with semen analysis which is at least adequate for ICSI within last 6 months prior to beginning GnRH agonist therapy, according to local laboratory
  • Willing and able to comply with the protocol
  • Voluntary provision of written informed consent, prior to any study-related procedure that was not part of normal medical care, with the understanding that the subject could withdraw consent at any time without prejudice to her future medical care, and
  • Willingness to provide follow-up information on babies born as part of this study
  • For subjects recruited at PK sub-study centers, voluntary provision of written informed consent to participate in the PK sub-study

Who cannot join

  • Subject who require a starting dose of FSH greater than (>) 150 international unit per day (IU/day), in the opinion of the Investigator
  • Screening ultrasound demonstrating more than 12 follicles less than (<) 11 mm mean diameter in either ovary
  • Two or more previous ART cycles (consecutive or not) with poor response to gonadotrophin, defined as less than or equal to (=<)3 oocytes retrieved
  • Three or more previous consecutive ART cycles without a biochemical or clinical pregnancy
  • Previous failure of fertilization with ICSI
  • A previous ART attempt in which there were no adequate or motile sperm before or after the processing of ejaculated sperm
Show all 27Show fewer
  • Previous severe OHSS
  • History or presence of tumors of the hypothalamus or pituitary gland
  • History or presence of ovarian, uterine or mammary cancer
  • History or presence of ovarian enlargement or cyst of unknown etiology, or presence of ovarian cyst >25 mm on the day of randomization
  • Presence of endometriosis Grade III - IV
  • Presence of uni- or bilateral hydrosalpinx
  • Abnormal gynecological bleeding of undetermined origin
  • Contraindication to being pregnant and/or carrying a pregnancy to term
  • History of >= 3 clinical or preclinical (absence of gestational sac) miscarriages due to any cause
  • Extra-uterine pregnancy within the 3 months prior to randomization
  • Clinically significant concurrent disease that would have compromised subject safety or interfered with the study assessments
  • Known infection with human immunodeficiency virus (HIV), hepatitis B or C virus in the female or male partner
  • Known allergy or hypersensitivity to human gonadotrophin preparations or to compounds that are structurally similar to any of the other medications administered during the study
  • Any medical condition, which in the judgment of the Investigator may have interfere with the absorption, distribution, metabolism or excretion of r-hFSH
  • Any active substance abuse or history of drug, medication or alcohol abuse within 5 years before screening
  • ART cycle and/or ovarian stimulation within 30 days prior to informed consent
  • Entered previously into this study or simultaneous participation in another clinical trial
  • Subject is a smoker consuming more than 5 cigarettes per day
  • In the opinion of the Investigator, either assisted hatching or pre-implantation genetic diagnosis is indicated for the subject
  • Planning to undergo experimental procedures such as blastomere biopsy, or
  • Any known autoimmune disease

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Local US Medical Information Office

    Rockland, Massachusetts, 02370

Other trials in United States

About this study

Official title: A Phase II, Multicenter, Randomized, Assessor-blinded, Active-comparator, Dose-finding Study to Evaluate AS900672 Enriched Versus Follitropin Alfa (Gonal-f®) in Stimulating Multiple Follicular Development in Infertile Women Undergoing Assisted Reproductive Technology (ART)

This is a Phase 2, interventional, prospective, multi-center, randomized, assessor-blind, active-comparator, dose-finding study to evaluate a new investigational long-acting follicle stimulating hormone (FSH) in infertile women who are undergoing an assisted reproductive technology (ART) procedure (In vitro fertilization/Intra cytoplasmic sperm injection [IVF/ICSI]). This study will compare 3 doses of the investigational drug versus a currently marketed drug follitropin alfa (Gonal-f® revised formulation female [RFF] Pen) in regards to the number of fertilized oocytes.

Read the detailed description

Infertile women who are candidates for ART will be prospectively screened for enrollment at 24 clinical trial sites in the United States and Argentina. Enrolled subjects will start treatment using oral contraceptives (OCP) and will then receive a Gonadotropin releasing hormone (GnRH)-agonist (leuprolide acetate) for pituitary desensitization. Once down-regulation is achieved, the subjects will be randomized in a 1:1:1:1 ratio to begin ovarian stimulation with one of 3 doses of AS900672-Enriched or with follitropin alfa (Gonal-f®) daily injections. Subjects will be recruited to the four study arms in parallel. Beginning on S1, the subjects will receive either a single injection of AS900672-Enriched or start daily injections of follitropin alfa. The subjects' response to treatment will be monitored by ovarian ultrasound and E2 levels. On S6, subjects randomized to AS900672-Enriched may begin receiving supplemental follitropin alfa 150 IU, according to the each subject's ovarian response, and subjects randomized to follitropin alfa 150 IU daily injections will continue treatment at the same dose. Recombinant human chorionic gonadotropin (r-hCG, Ovidrel®) will be administered to subjects meeting response criteria and who are not at risk for ovarian hyperstimulation syndrome (OHSS). Oocyte retrieval will occur within 34-38 hours after r-hCG administration and subjects will begin luteal phase support using vaginal progesterone (Crinone® 8 percent or Prochieve® 8 percent) the following day. Fertilization will be done by conventional IVF or ICSI. Embryo transfer will occur in accordance with the specific requirements of each subject and the clinical trial site's standard practice, with the exception that a maximum of two embryos at the cleavage or blastocyst stage may be transferred. Subjects who undergo embryo transfer will be assessed for pregnancy and a follow-up visit will be performed 15-20 days post r-hCG administration. Subjects with a positive pregnancy test will undergo a confirmatory ultrasound evaluation at Day 35 - 42 post r-hCG. Additionally, all subjects recruited at certain trial centers will participate in a pharmacokinetic (PK) sub-study.

Conditions
Infertility
Being tested
AS900672-Enriched 50 microgram (mcg), AS900672-Enriched 100 mcg, AS900672-Enriched 150 mcg, Follitropin alfa 150 international unit (IU), Recombinant human chorionic gonadotropin (r-hCG)
Keywords
Assisted reproductive technology, follicle stimulating hormone
Medical subject headings
Infertility

What participants receive

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

  • AS900672-Enriched 50 microgram (mcg)Drug

    Also called Hyperglycosylated r-hFSH

    Single injection of AS900672-Enriched (hyperglycosylated recombinant human follicle stimulating hormone [r-hFSH]), 50 mcg will be administered subcutaneously on Stimulation Day 1 (S1). Duration of treatment cycle will be up to adequate follicular response or maximum of 21 days.

  • AS900672-Enriched 100 mcgDrug

    Also called Hyperglycosylated r-hFSH

    Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 100 mcg will be administered subcutaneously on S1. Duration of treatment cycle will up to adequate follicular response or maximum of 21 days.

  • AS900672-Enriched 150 mcgDrug

    Also called Hyperglycosylated r-hFSH

    Single injection of AS900672-Enriched (hyperglycosylated r-hFSH), 150 mcg will be administered subcutaneously on S1. Duration of treatment cycle will up to adequate follicular response or maximum of 21 days.

  • Follitropin alfa 150 international unit (IU)Drug

    Also called Gonal-f®, Follicle stimulating hormone (FSH)

    Follitropin alfa (Gonal-f®) 150 IU will be administered subcutaneously once daily from S1 up to Stimulation Day 21 (S21) based upon ovarian response, until recombinant human chorionic gonadotropin (r-hCG) administration day. Subjects who will be receiving AS900672-Enriched 50, 100 and 150 mcg will also receive daily dose of follitropin alfa 150 IU subcutaneously from Stimulation Day 6 (S6) up to S21. Duration of treatment cycle will be up to adequate follicular response or maximum of 21 days.

  • Recombinant human chorionic gonadotropin (r-hCG)Drug

    Also called Ovidrel®, Choriogonadotropin alfa

    Recombinant human chorionic gonadotropin (r-hCG) will be administered as a single dose of 250 mcg subcutaneously, when follicular response is adequate (that is, at least 1 follicle with a diameter of greater than or equal to [>=] 18 millimeter [mm], two or more additional follicles with a diameter of >= 16 mm, and Estradiol [E2] levels will approximately 150 picogram per milliliter [pg/mL] per mature follicle).

Study groups in NCT00505752
Study groupRoleWhat they receive
AS900672-Enriched 50 mcgExperimentalNot described
Receives: Drug: AS900672-Enriched 50 microgram (mcg); Drug: Follitropin alfa 150 international unit (IU); Drug: Recombinant human chorionic gonadotropin (r-hCG)
AS900672-Enriched 100 mcgExperimentalNot described
Receives: Drug: AS900672-Enriched 100 mcg; Drug: Follitropin alfa 150 international unit (IU); Drug: Recombinant human chorionic gonadotropin (r-hCG)
AS900672-Enriched 150 mcgExperimentalNot described
Receives: Drug: AS900672-Enriched 150 mcg; Drug: Follitropin alfa 150 international unit (IU); Drug: Recombinant human chorionic gonadotropin (r-hCG)
Follitropin alfa 150 IUActive comparatorNot described
Receives: Drug: Follitropin alfa 150 international unit (IU); Drug: Recombinant human chorionic gonadotropin (r-hCG)

What is being measured

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

  1. Number of Fertilized Oocytes (2 Pronuclei [PN])

    Oocytes were fertilized using Intra-cytoplasmic Sperm Injection (ICSI) technique which is an in-vitro fertilization procedure in which a single sperm is injected directly into an egg under a microscope. The appearance of 2PN is the first sign of successful fertilization as observed during in vitro fertilization, and is usually observed after ICSI. The zygote is then termed 2PN.

    Measured: Ovum pick-up (OPU) day (34-38 hours post r-hCG administration day [end of stimulation cycle {approximately 21 days}])

Secondary outcomes (1)
  1. Percentage of Participants With Clinical Pregnancy

    Clinical pregnancy was defined as the presence of one or more fetal sacs with fetal heart activity on the Day 35-42 post r-hCG ultrasound examination.

    Measured: Day 35-42 post r-hCG administration day (end of stimulation cycle [approximately 21 days])

Timeline

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

  1. First posted23 Jul 2007 (estimated)
  2. Study startJan 2007
  3. Primary completionSep 2008
  4. Study completionSep 2008

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
Single blind
Who is masked
Outcomes assessor
Enrolment
520 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00505752
Sponsor's protocol ID
27591
Status last verified
Jan 2014
First submitted
20 Jul 2007
Last updated
13 Feb 2014

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AS900672-Enriched 50 microgram (mcg), AS900672-Enriched 100 mcg and AS900672-Enriched 150 mcg in people with Infertility, run by Merck KGaA, Darmstadt, Germany at 1 site in United States.

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 15 inclusion and 27 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 13 Feb 2014. 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 United States. 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?

Yes. Results are posted in the registry (first posted 24 Jul 2013). 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?

Number of Fertilized Oocytes (2 Pronuclei [PN]) (time frame: Ovum pick-up (OPU) day (34-38 hours post r-hCG administration day [end of stimulation cycle {approximately 21 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 13 Feb 2014.

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