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Polycystic Ovarian SyndromePhase 4NCT00805935

Menopur® Versus Follistim® in Polycystic Ovarian Syndrome (PCOS)

A Phase 4 study testing Menotropin, Progesterone vaginal insert and Follitropin beta in people with Polycystic Ovarian Syndrome and Infertility, run by Ferring Pharmaceuticals at 6 sites 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 multicenter, randomized, open-label exploratory study will be performed in approximately 200 polycystic ovary syndrome (PCOS) but otherwise healthy females undergoing in vitro fertilization (IVF). Read more about this study

Who is it for?
Ages 18 to 42 years, women only
Conditions the study is for
Polycystic Ovarian Syndrome, Infertility
What is being tested?
Menotropin, Progesterone vaginal insert and Follitropin beta
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
110 participants
Where
6 sitesUnited States
Study dates
Jan 2009to Sep 2010
Phase
Phase 4
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 42 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Pre-menopausal females between the ages of 18 and 42 years
  • Diagnosed with polycystic ovary syndrome (PCOS), using criteria adopted as the 2003 Rotterdam PCOS Consensus (2 out of 3, excluding other etiologies [congenital adrenal hyperplasia, androgen-secreting tumors, Cushing's syndrome])
  • Oligo- or anovulation
  • Clinical and/or biochemical signs of hyperandrogenism
  • Polycystic ovaries
  • Body mass index (BMI) of 18-39
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  • Early follicular phase (Day 3) follicle stimulating hormone (FSH) < 15 IU/L and estradiol (E2) within normal limits
  • Documented history of infertility (e.g., unable to conceive for at least one year, or for 6 months for women > 38 years of age, or bilateral tubal occlusion or absence, or male factor but excluding severe male factor requiring invasive or surgical sperm retrieval. Donor sperm may be used.)
  • Transvaginal ultrasound at screening consistent with findings adequate for assisted reproductive technology (ART) with respect to uterus and adnexa
  • Signed informed consent

Who cannot join

  • Gestational or surrogate carrier, donor oocyte
  • Presence of any clinically relevant systemic disease (e.g., uncontrolled thyroid or adrenal dysfunction, an organic intracranial lesion such as a pituitary tumor, insulin-dependent diabetes mellitus, uterine cancer)
  • Surgical or medical condition which, in the judgment of the Investigator or Sponsor, may interfere with absorption, distribution, metabolism, or excretion of the drugs to be used
  • Two or more previous failed in vitro fertilization (IVF) cycles or in vitro fertilization (IVF)/assisted reproductive technology (ART) failure due to a poor response to gonadotropins, defined as development of 2 mature follicles
  • History of recurrent pregnancy loss, defined as more than two clinical losses
  • Presence of abnormal uterine bleeding of undetermined origin
Show all 11Show fewer
  • Current or recent substance abuse, including alcohol or smoking > 10 cigarettes per day
  • Refusal or inability to comply with the requirements of the Protocol for any reason, including scheduled clinic visits and laboratory tests
  • Participation in any experimental drug study within 30 days prior to Screening
  • Severe male factor requiring invasive or surgical sperm retrieval (e.g., microsurgical epididymal sperm aspiration [MESA], testicular sperm extraction [TESE])
  • Prior hypersensitivity to any of the protocol drugs

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

United States6 sites
  • Center for Assisted Reproduction

    Bedford, Texas, 76022

  • Fertility Center of Illinois

    Chicago, Illinois, 60610

  • Women's Medical Research Group LLC, Florida

    Clearwater, Florida, 33759

  • Conceptions Reproductive Associates of Colorado

    Littleton, Colorado, 80129

  • Weill Cornell Medical College

    New York, New York, 10021

  • Women & Infants' Hospital of RI

    Providence, Rhode Island, 02905

Other trials in United States

About this study

Official title: A Multi-Center, Randomized, Open-Label Evaluation of MENOPUR® Versus FOLLISTIM® in Polycystic Ovarian Syndrome (PCOS) Patients

This multicenter, randomized, open-label exploratory study will be performed in approximately 200 polycystic ovary syndrome (PCOS) but otherwise healthy females undergoing in vitro fertilization (IVF). Each study center will follow its standard practice for in vitro fertilization (IVF) within the study parameters as noted in this protocol. The study centers will use marketed products purchased from Schraft's Pharmacy for all phases of the study (down-regulation, stimulation, ovulation induction, and luteal support). Subjects will be randomly assigned to highly purified menotropin (Menopur®) or follitropin beta (Follistim Pen®) for stimulation and progesterone vaginal insert (Endometrin®) or progesterone in oil for luteal support. Subjects will return to the study center for regular scheduled clinic visits as required per in vitro fertilization (IVF) protocol at the site and at specified times during the cycle (Stimulation Day 6, Day of human chorionic gonadotropin (hCG), and first serum pregnancy test) for estradiol (E2), progesterone (P4) and human chorionic gonadotropin (hCG) labs. All subjects will be required to complete a final study visit at completion of luteal support or negative serum pregnancy test following embryo transfer.

Being tested
Menotropin, Progesterone vaginal insert, Follitropin beta, Progesterone in oil, leuprolide acetate
Keywords
pre-menopausal women, PCOS, polycystic ovarian syndrome, infertility, IVF, in vitro fertilization
Medical subject headings
Polycystic Ovary Syndrome, Infertility

What participants receive

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

  • MenotropinDrug

    Also called Menopur®

    225 IU (up to 450 IU) by subcutaneous injection once per day for up to about 15 days.

  • Progesterone vaginal insertDrug

    Also called Endometrin®

    100 mg inserted vaginally 2 or 3 times daily (BID or TID) (start on the day after oocyte retrieval) until 10 weeks gestation or confirmation of negative pregnancy test.

  • Follitropin betaDrug

    Also called Follistim Pen®

    225 IU (up to 450 IU) by subcutaneous injection once per day for up to about 15 days.

  • Progesterone in oilDrug

    50 mg by intramuscular injection once per day, starting on the day after oocyte retrieval until 10 weeks gestation or confirmation of negative pregnancy test.

  • leuprolide acetateDrug

    Also called Lupron

    Daily administration of 0.5mg of leuprolide acetate (depot formulations were not permitted) began on Day 21 following onset of menses, and then decreased to 0.25 mg when gonadotropin therapy was initiated.

Study groups in NCT00805935
Study groupRoleWhat they receive
Menotropin/Progesterone vaginal insertExperimentalHighly purified menotropin (Menopur®) 225 IU from day 1-6 of menstrual cycle. May be adjusted up to 450 IU daily for more days until human chorionic gonadotropin (hCG) criteria are met. Progesterone vaginal insert (Endometrin®) 100 mg starts on the day following oocyte retrieval and continues for a total duration of 10 weeks or until a negative pregnancy test is obtained.
Receives: Drug: Menotropin; Drug: Progesterone vaginal insert; Drug: leuprolide acetate
Menotropin/Progesterone in oilExperimentalMenotropin (Menopur®) 225 IU from day 1-6 of menstrual cycle. May be adjusted up to 450 IU daily for more days until human chorionic gonadotropin (hCG) criteria are met. Progesterone in oil 50 mg injections start on the day following oocyte retrieval and continue for a total duration of 10 weeks or until a negative pregnancy test is obtained.
Receives: Drug: Menotropin; Drug: Progesterone in oil; Drug: leuprolide acetate
Follitropin beta/Progesterone vaginal insertActive comparatorFollitropin beta (Follistim Pen®) 225 IU from day 1-6 of menstrual cycle. May be adjusted up to 450 IU daily for more days until human chorionic gonadotropin (hCG) criteria are met. Progesterone vaginal insert (Endometrin®) 50 mg injections start on the day following oocyte retrieval and continue for a total duration of 10 weeks or until a negative pregnancy test is obtained.
Receives: Drug: Progesterone vaginal insert; Drug: Follitropin beta; Drug: leuprolide acetate
Follitropin beta/Progesterone in oilActive comparatorFollitropin beta (Follistim Pen®) 225 IU from day 1-6 of menstrual cycle. May be adjusted up to 450 IU daily for more days until human chorionic gonadotropin (hCG) criteria are met. Progesterone in oil 50 mg injections start on the day following oocyte retrieval and continue for a total duration of 10 weeks or until a negative pregnancy test is obtained.
Receives: Drug: Follitropin beta; Drug: Progesterone in oil; Drug: leuprolide acetate

What is being measured

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

  1. Participants With Cycle Cancellation Due to Risk of Ovarian Hyperstimulation Syndrome (OHSS) Between Weeks 1 - 3

    A count of participants whose discontinuation was clearly documented on the study completion/termination form as cycle cancellation for risk of ovarian hyperstimulation syndrome (OHSS).

    Measured: weeks 1-3

Secondary outcomes (13)
  1. Number of Follicles Observed at Day 15

    The mean number of follicles observed in both ovaries at the last transvaginal ultrasound in the stimulation phase.

    Measured: approximately day 15

  2. Number of Oocytes Retrieved at Day 18

    The mean number of oocytes retrieved approximately 36 hours after hCG (Novarel®) administration and fertilized (by insemination or intra cytoplasmic sperm injection (ICSI)) according to site-specific procedures.

    Measured: approximately day 18

  3. Percentage of Oocytes Fertilized of the Total Number of Oocytes Retrieved

    The fertilization rate for each participant was the percentage of the number of oocytes inseminated of the total number of oocytes retrieved.

    Measured: approximately day 19

  4. Number of Embryos Transferred at Three Stages of Development Before Implantation

    The number of embryos, morulas and blastocysts transferred to the study participant on either day 3 or day 5 following fertilization. Embryos represent the earliest development stage and contain 2-8 cells.

    Morulas, the next stage, continued cellular cleavage results in a 16-30 cell solid sphere. Morula further develop into blastocyst, which contains 70-100 cells in a hollow spherical shape.

    Measured: approximately day 24

  5. Number of Embryos Frozen

    The number of embryos that were not transferred but instead were frozen for future use.

    Measured: approximately day 24

  6. Percentage of Participants With Biochemical Pregnancy at Approximately Day 38

    Biochemical pregnancy is a positive β-hCG pregnancy test 12-14 days post embryo transfer.

    Measured: approximately day 38 (Day 14 post embryo transfer)

  7. Percentage of Participants With Clinical Pregnancy at Week 7

    Clinical pregnancy is the confirmation of the presence of intrauterine gestational sacs on pregnancy ultrasound examination.

    Measured: approximately Day 52

  8. Percentage of Participants With Ongoing Pregnancy at Week 9

    Clinical pregnancy is the confirmation of the presence of intrauterine gestational sacs on pregnancy ultrasound examination.

    Measured: approximately Day 65

  9. Estradiol Levels at Day 6

    Estradiol monitoring during fertility therapy assesses follicular growth and is useful in monitoring the treatment. Blood tests sent to a central laboratory to obtain estradiol levels.

    Measured: Day 6

  10. Human Chorionic Gonadotropin (hCG) Levels at Day 6

    Blood tests were sent to a central laboratory to obtain hCG levels.

    Measured: Day 6

  11. Progesterone Levels at Human Chorionic Gonadotropin (hCG) Administration

    Blood tests were sent to a central laboratory to obtain progesterone levels.

    Measured: approximately day 16

  12. Number of Live Births Resulting From the In Vitro Fertilization Process

    Number of live births resulting from the IVF process

    Measured: Approximately 10 months

  13. Participants With Treatment Emergent Adverse Events

    Number of participants with adverse events (AEs) that started after first treatment. Severity used a three point scale:

    mild=awareness of signs/symptoms, but no disruption of usual activity moderate=event sufficient to affect usual activity (disturbing) severe=event causes inability to work or perform usual activities (unacceptable) Relatedness to study treatment used a four point scale: unrelated, unlikely, possible, probable.

    Seriousness refers to death, hospitalization, a life-threatening experience, persistent or significant disability/incapacity, or congenital anomaly.

    Measured: Week 1 to week12

Timeline

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

  1. First posted10 Dec 2008 (estimated)
  2. Study startJan 2009
  3. Primary completionJul 2010
  4. Study completionSep 2010

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
110 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00805935
Sponsor's protocol ID
2008-05
Status last verified
Jan 2012
First submitted
9 Dec 2008
Last updated
27 Jan 2012
Data monitoring committee
No

Publications

  • Beltsos AN, Sanchez MD, Doody KJ, Bush MR, Domar AD, Collins MG. Patients' administration preferences: progesterone vaginal insert (Endometrin(R)) compared to intramuscular progesterone for Luteal phase support. Reprod Health. 2014 Nov 11;11:78. doi: 10.1186/1742-4755-11-78.

    PubMed 25385669

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Menotropin, Progesterone vaginal insert and Follitropin beta in people with Polycystic Ovarian Syndrome and Infertility, run by Ferring Pharmaceuticals at 6 sites 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 10 inclusion and 11 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 27 Jan 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 25 Jan 2012). 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?

Participants With Cycle Cancellation Due to Risk of Ovarian Hyperstimulation Syndrome (OHSS) Between Weeks 1 - 3 (time frame: weeks 1-3). 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 NCT00805935, 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 27 Jan 2012.

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