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AzTrials

FertilityPhase 4INOVEENCT06154083

INtensity of OVarian Stimualtion and Euploid Embryos

A Phase 4 study testing Follitropin-delta (Rekovelle) 20 mcg/day from D1 and Follitropin-delta (Rekovelle) 15 mcg/day from D1 in people with Fertility, run by Fundación Santiago Dexeus Font at 1 site in Spain.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This randomized trial was designed as a no-inferiority trial aiming to evaluate if the intensity of stimulation (a milder vs a more intense approach) may have an impact on the number of euploid embryos and the morpho kinetic parameters in advanced age women undergoing PGT-A with a PPOS protocol. Read more about this study

Who is it for?
Ages 38 to 42 years, women only
Conditions the study is for
Fertility
What is being tested?
Follitropin-delta (Rekovelle) 20 mcg/day from D1 and Follitropin-delta (Rekovelle) 15 mcg/day from D1
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
110 participants
Where
1 siteSpain
Study dates
12 Dec 2023to 15 Dec 2026
Phase
Phase 4
Are there results?
Not yet: the study is under way

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 38 to 42 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Infertile patients with indication for IVF
  • Undergoing preimplantation genetic screening cycles
  • AMH >= 1.5 ng/ml and < 3.5 ng/ml (AMH result of up to one year will be valid)
  • BMI 18.5 - 30 Kg/m2

Who cannot join

  • Severe male factor requiring TESE (testicular sperm extraction)
  • AMH < 1.5 ng/ml or >= 3.5 ng/ml
  • Administration of any other drug potentially interfering with the treatment
  • Contraindication for hormonal treatment
  • Recent history of severe disease requiring regular treatment (clinically significant concurrent medical condition that could compromise subject safety or interfered with the trial assessment).
  • Monogenic disease to be detected with PGT-M

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Nikolaos P Polyzos, MD, PhD contact

0034932274700

nikpol@dexeus.com

Ignacio Rodríguez, MSc contact

0034932274700 ext. 22029

nacrod@dexeus.com

Spain1 site, 1 recruiting
  • Hospital Universitario Quiron Dexeus

    Barcelona, 08028

    Nikolaos P Polyzos, MD PhD, 0034932274700, nikpol@dexeus.com

    Ignacio Rodriguez, MSc, 0034932274700, nacrod@dexeus.com

    Recruiting

Other trials in Spain

About this study

Official title: The Impact of Ovarian Stimulation Intensity on Embryo Euploidy in Advanced Age Women

This randomized trial was designed as a no-inferiority trial aiming to evaluate if the intensity of stimulation (a milder vs a more intense approach) may have an impact on the number of euploid embryos and the morpho kinetic parameters in advanced age women undergoing PGT-A with a PPOS protocol.

Conditions
Fertility
Being tested
Follitropin-delta (Rekovelle) 20 mcg/day from D1, Follitropin-delta (Rekovelle) 15 mcg/day from D1

What participants receive

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

  • Follitropin-delta (Rekovelle) 20 mcg/day from D1Drug

    On day 2 or 3 of the menstrual cycle, daily injections of 20 mcg of Rekovelle (Stimulation Day 1) will be administered. Scan controls blood exams are performed on stimulation days 6, 8, 10 and, according to clinical needs, until trigger day. The dose will be the same during the whole course of stimulation and no dose adjustments will be performed.

  • Follitropin-delta (Rekovelle) 15 mcg/day from D1Drug

    On day 2 or 3 of the menstrual cycle, daily injections of 15 mcg of Rekovelle (Stimulation Day 1) will be administered. Scan controls and blood exams are performed on stimulation days 6, 8, 10 and, according to clinical needs, until trigger day. The dose will be the same during the whole course of stimulation and no dose adjustments will be performed.

Study groups in NCT06154083
Study groupRoleWhat they receive
Follitropin-delta 20 mcg/day from D1ExperimentalNot described
Receives: Drug: Follitropin-delta (Rekovelle) 20 mcg/day from D1
Follitropin-delta 15 mcg/day from D1Active comparatorNot described
Receives: Drug: Follitropin-delta (Rekovelle) 15 mcg/day from D1

What is being measured

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

  1. Number of euploid embryos

    Number of euploid embryos

    Measured: Trough study completion, an average of 20-30 days.

Secondary outcomes (23)
  1. Gonadotropin dose

    Total gonadotropin dose used

    Measured: Up to oocyte pickup, an average of 10-20 days

  2. Length of stimulation

    Days of stimulation

    Measured: Up to oocyte pickup, an average of 10-20 days

  3. Estradiol

    Estradiol level

    Measured: Up to oocyte pickup, an average of 10-20 days

  4. Progesterone

    Progesterone level

    Measured: Up to oocyte pickup, an average of 10-20 days

  5. LH

    LH level

    Measured: Up to oocyte pickup, an average of 10-20 days

  6. Follicular Output RaTe (FORT)

    ratio of the number of preovulatory follicles and the number of antral follicles available at the start of stimulation

    Measured: Day one of stimulation. 1 Day

  7. Cycle cancelation rate

    Cycle cancelation rate

    Measured: Up to oocyte pickup, an average of 10-20 days

  8. Fertilization rate

    Fertilization rate

    Measured: Up to one day after oocyte pickup, an average of 10-20 days

  9. Time of appearance of the 2nd polar body (tPB2)

    Time of appearance of the 2nd polar body (tPB2)

    Measured: Up to one day after oocyte pickup, an average of 10-20 days

  10. Time of pronuclei disappearance (tPNf)

    Measured: Up to one day after oocyte pickup, an average of 10-20 days

  11. Time of division from 2 to 8 cells

    Measured: Until 1, or 4 days after insemination

  12. Time of compactation (tSC)

    Measured: Until 3, or 4 days after insemination

  13. Time of morula (tM)

    Measured: Until 4 or 7 days after insemination

  14. Time of cavitation (tSB)

    Measured: Until 4 or 7 days after insemination

  15. Time of full blastulation (tB)

    Measured: Until 4 or 7 days after insemination

  16. Total number of day 5 blastocysts

    Measured: Until 5, 6 or 7 days after insemination

  17. Total number of good quality blastocysts

    Measured: Until 5, 6 or 7 days after insemination

  18. Total number of embryos

    Measured: Until 5, 6 or 7 days after insemination

  19. Blastocyst formation rate

    proportion of 2PN zygotes that reach the blastocyst stage

    Measured: Until 5, 6 or 7 days after insemination

  20. Number of embryos cryopreserved

    Measured: Until 5, 6 or 7 days after insemination

  21. Embryo stage

    Measured: Until 5, 6 or 7 days after insemination

  22. Clinical pregnancy rate

    defined as the visualization of one or more gestational sacs

    Measured: 5-6 weeks after transfer

  23. Ongoing pregnancy rate

    defined as a viable intrauterine pregnancy

    Measured: 8-10 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 posted1 Dec 2023
  2. Study start12 Dec 2023
  3. Primary completion15 Dec 2026 (estimated)
  4. Study completion15 Dec 2026 (estimated)

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 (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06154083
Sponsor's protocol ID
FSD-INO-2023-14
Other IDs
2023-507028-22, 2023
Acronym
INOVEE
Status last verified
Sep 2026
First submitted
13 Nov 2023
Last updated
8 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Alper MM, Fauser BC. Ovarian stimulation protocols for IVF: is more better than less? Reprod Biomed Online. 2017 Apr;34(4):345-353. doi: 10.1016/j.rbmo.2017.01.010. Epub 2017 Jan 24.

    PubMed 28169189
  • Arce JC, Larsson P, Garcia-Velasco JA. Establishing the follitropin delta dose that provides a comparable ovarian response to 150 IU/day follitropin alfa. Reprod Biomed Online. 2020 Oct;41(4):616-622. doi: 10.1016/j.rbmo.2020.07.006. Epub 2020 Jul 15.

    PubMed 32819842
  • Baart EB, Martini E, Eijkemans MJ, Van Opstal D, Beckers NG, Verhoeff A, Macklon NS, Fauser BC. Milder ovarian stimulation for in-vitro fertilization reduces aneuploidy in the human preimplantation embryo: a randomized controlled trial. Hum Reprod. 2007 Apr;22(4):980-8. doi: 10.1093/humrep/del484. Epub 2007 Jan 4.

    PubMed 17204525
  • Briggs R, Kovacs G, MacLachlan V, Motteram C, Baker HW. Can you ever collect too many oocytes? Hum Reprod. 2015 Jan;30(1):81-7. doi: 10.1093/humrep/deu272. Epub 2014 Oct 31.

    PubMed 25362088
  • Devesa M, Tur R, Rodriguez I, Coroleu B, Martinez F, Polyzos NP. Cumulative live birth rates and number of oocytes retrieved in women of advanced age. A single centre analysis including 4500 women >/=38 years old. Hum Reprod. 2018 Nov 1;33(11):2010-2017. doi: 10.1093/humrep/dey295.

    PubMed 30272168
  • Franasiak JM, Forman EJ, Hong KH, Werner MD, Upham KM, Treff NR, Scott RT Jr. The nature of aneuploidy with increasing age of the female partner: a review of 15,169 consecutive trophectoderm biopsies evaluated with comprehensive chromosomal screening. Fertil Steril. 2014 Mar;101(3):656-663.e1. doi: 10.1016/j.fertnstert.2013.11.004. Epub 2013 Dec 17.

    PubMed 24355045
  • Irani M, Canon C, Robles A, Maddy B, Gunnala V, Qin X, Zhang C, Xu K, Rosenwaks Z. No effect of ovarian stimulation and oocyte yield on euploidy and live birth rates: an analysis of 12 298 trophectoderm biopsies. Hum Reprod. 2020 May 1;35(5):1082-1089. doi: 10.1093/humrep/deaa028.

    PubMed 32348476
  • Kok JD, Looman CW, Weima SM, te Velde ER. A high number of oocytes obtained after ovarian hyperstimulation for in vitro fertilization or intracytoplasmic sperm injection is not associated with decreased pregnancy outcome. Fertil Steril. 2006 Apr;85(4):918-24. doi: 10.1016/j.fertnstert.2005.09.035.

    PubMed 16580375
  • La Marca A, Minasi MG, Sighinolfi G, Greco P, Argento C, Grisendi V, Fiorentino F, Greco E. Female age, serum antimullerian hormone level, and number of oocytes affect the rate and number of euploid blastocysts in in vitro fertilization/intracytoplasmic sperm injection cycles. Fertil Steril. 2017 Nov;108(5):777-783.e2. doi: 10.1016/j.fertnstert.2017.08.029. Epub 2017 Oct 4.

    PubMed 28987789
  • Neves AR, Montoya-Botero P, Sachs-Guedj N, Polyzos NP. Association between the number of oocytes and cumulative live birth rate: A systematic review. Best Pract Res Clin Obstet Gynaecol. 2023 Mar;87:102307. doi: 10.1016/j.bpobgyn.2022.102307. Epub 2022 Dec 27.

    PubMed 36707342
  • Polyzos NP, Drakopoulos P, Parra J, Pellicer A, Santos-Ribeiro S, Tournaye H, Bosch E, Garcia-Velasco J. Cumulative live birth rates according to the number of oocytes retrieved after the first ovarian stimulation for in vitro fertilization/intracytoplasmic sperm injection: a multicenter multinational analysis including approximately 15,000 women. Fertil Steril. 2018 Sep;110(4):661-670.e1. doi: 10.1016/j.fertnstert.2018.04.039.

    PubMed 30196963
  • Ubaldi FM, Cimadomo D, Vaiarelli A, Fabozzi G, Venturella R, Maggiulli R, Mazzilli R, Ferrero S, Palagiano A, Rienzi L. Advanced Maternal Age in IVF: Still a Challenge? The Present and the Future of Its Treatment. Front Endocrinol (Lausanne). 2019 Feb 20;10:94. doi: 10.3389/fendo.2019.00094. eCollection 2019.

    PubMed 30842755
  • Venetis CA, Tilia L, Panlilio E, Kan A. Is more better? A higher oocyte yield is independently associated with more day-3 euploid embryos after ICSI. Hum Reprod. 2019 Jan 1;34(1):79-83. doi: 10.1093/humrep/dey342.

    PubMed 30476100
  • Wu Q, Li H, Zhu Y, Jiang W, Lu J, Wei D, Yan J, Chen ZJ. Dosage of exogenous gonadotropins is not associated with blastocyst aneuploidy or live-birth rates in PGS cycles in Chinese women. Hum Reprod. 2018 Oct 1;33(10):1875-1882. doi: 10.1093/humrep/dey270.

    PubMed 30137360

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Follitropin-delta (Rekovelle) 20 mcg/day from D1 and Follitropin-delta (Rekovelle) 15 mcg/day from D1 in people with Fertility, run by Fundación Santiago Dexeus Font at 1 site in Spain.

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 4 inclusion and 6 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: looking for participants now, as of the sponsor's last update on 8 Sep 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 Spain. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Nikolaos P Polyzos, MD, PhD (0034932274700, nikpol@dexeus.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of euploid embryos (time frame: Trough study completion, an average of 20-30 days.). 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 NCT06154083, which also lists 14 linked publications.

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 8 Sep 2026.

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