Efficacy and Tolerability of Human FSH Versus Recombinant FSH (Follitropin Alpha) in ICSI.

NCT ID: NCT00335725

Last Updated: 2015-03-27

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

151 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-03-31

Study Completion Date

2005-12-31

Brief Summary

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Purpose of the study is the comparative evaluation of the clinical efficacy and of the general tolerability of two different subcutaneous FSH preparations (Fostimon® IBSA Vs Gonal-F® Serono) when administered in patients undergoing ICSI

Detailed Description

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This is a multicentric, prospective, randomised, investigator blind, controlled clinical trial (phase III) of two parallel groups, one receiving the test drug FSH (Fostimon® , IBSA) and the other the reference drug FSH (Gonal-F®, Serono). The groups will be paired on the major prognostic criteria.

In effect, a double blind trial is not really feasible since the drugs presentations are very different. However, in IVF, drugs are usually dispensed and/or injected by a nurse and therefor the Investigator can be blind. Moreover, the used preparations will contain the same amount of gonadotrophin units (75 IU), will be repackaged in anonymous boxes and the following sentence will be written in the Patient Information Sheet: "You are required not to inform the Investigator about the product's name".

The randomisation is necessary to get groups as comparable as possible for all the other aspects. The multicentric design has the double interest of facilitating the patients' recruitment and of decreasing the biases related to attitudes in a specific centre.

Conditions

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Infertility

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Study Groups

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Fostimon

Fostimon is an highly purified FSH preparation.

Group Type EXPERIMENTAL

Follicle Stimulating Hormone

Intervention Type DRUG

subcutaneous injection of FSH. Starting dose: 225 IU.

Gonal-F

Gonal-F is a recombinant FSH preparation.

Group Type ACTIVE_COMPARATOR

Follicle Stimulating Hormone

Intervention Type DRUG

subcutaneous injection of FSH. Starting dose: 225 IU.

Interventions

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Follicle Stimulating Hormone

subcutaneous injection of FSH. Starting dose: 225 IU.

Intervention Type DRUG

Follicle Stimulating Hormone

subcutaneous injection of FSH. Starting dose: 225 IU.

Intervention Type DRUG

Other Intervention Names

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highly purified human derived FSH; Fostimon rec FSH; Gonal F

Eligibility Criteria

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Inclusion Criteria

Women undergoing ovarian stimulation for IntraCytoplasmic Sperm Injection (ICSI) with the following characteristics:

\>/= 18 and \< 40 years old BMI between 19 and 30 kg/m2 less than 3 previous completed cycles basal FSH level less than 10 IU/l within the 6 months prior to the study

Exclusion Criteria

age \< 18 and \>/= 40 years primary ovarian failure or women known as poor responders, i.e. requiring more than 225 IU of FSH as starting dose in previous treatment cycles or having less than 3 oocytes retrieved or with an oestradiol serum concentration \< 900 pmol/l (250 pg/ml) ovarian cysts \> 20 mm oocyte donation thawed embryos replacement patients affected by pathologies associated with any contraindication of being pregnant ascertained or presumptive hypersensitivity to the active principle and/or their ingredients abnormal bleeding of undetermined origin uncontrolled thyroid or adrenal dysfunction neoplasias severe impairment of the renal and/or hepatic functions women deprived of their freedom by administrative or legal decision
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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IBSA Institut Biochimique SA

INDUSTRY

Sponsor Role lead

Principal Investigators

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J G Grudzinskas, Prof

Role: PRINCIPAL_INVESTIGATOR

The Bridge Centre One St Thomas Street London Bridge London SE1 9RY, UK2.

Locations

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Private Consulting

Bron, , France

Site Status

Hôpital Jeanne de Flandre

Lille, , France

Site Status

Hôpital Edouard Herriot

Lyon, , France

Site Status

Institut de Médecine de la Reproduction

Marseille, , France

Site Status

Hôpital Américain

Neuilly-sur-Seine, , France

Site Status

Hôpital Tenon

Paris, , France

Site Status

Semmelweis Medical School

Budapest, , Hungary

Site Status

Countries

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France Hungary

References

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GEMZELL CA, DICZFALUSY E, TILLINGER G. Clinical effect of human pituitary follicle-stimulating hormone (FSH). J Clin Endocrinol Metab. 1958 Dec;18(12):1333-48. doi: 10.1210/jcem-18-12-1333. No abstract available.

Reference Type BACKGROUND
PMID: 13611018 (View on PubMed)

Thompson CR, Hansen LM. Pergonal (menotropins): a summary of clinical experience in the induction of ovulation and pregnancy. Fertil Steril. 1970 Dec;21(12):844-53. doi: 10.1016/s0015-0282(16)37925-0. No abstract available.

Reference Type BACKGROUND
PMID: 5481991 (View on PubMed)

Oelsner G, Serr DM, Mashiach S, Blankstein J, Snyder M, Lunenfeld B. The study of induction of ovulation with menotropins: analysis of results of 1897 treatment cycles. Fertil Steril. 1978 Nov;30(5):538-44. doi: 10.1016/s0015-0282(16)43634-4. No abstract available.

Reference Type BACKGROUND
PMID: 720642 (View on PubMed)

Schwartz M, Jewelewicz R, Dyrenfurth I, Tropper P, Vande Wiele RL. The use of human menopausal and chorionic gonadotropins for induction of ovulation. Sixteen years' experience at the Sloane Hospital for Women. Am J Obstet Gynecol. 1980 Dec 1;138(7 Pt 1):801-7. doi: 10.1016/s0002-9378(16)32740-5.

Reference Type BACKGROUND
PMID: 6778212 (View on PubMed)

Notation AD, Tagatz GE, Steffes MW. Serum 17beta-estradiol. Index of follicular maturation during gonadotropin therapy. Obstet Gynecol. 1978 Feb;51(2):204-9.

Reference Type BACKGROUND
PMID: 622235 (View on PubMed)

Dore PC, Rice C, Killick S. Human gonadotrophin preparations. May cause allergic reaction. BMJ. 1994 Jun 4;308(6942):1509. doi: 10.1136/bmj.308.6942.1509b. No abstract available.

Reference Type BACKGROUND
PMID: 8019294 (View on PubMed)

Howles CM, Loumaye E, Giroud D, Luyet G. Multiple follicular development and ovarian steroidogenesis following subcutaneous administration of a highly purified urinary FSH preparation in pituitary desensitized women undergoing IVF: a multicentre European phase III study. Hum Reprod. 1994 Mar;9(3):424-30. doi: 10.1093/oxfordjournals.humrep.a138522.

Reference Type BACKGROUND
PMID: 8006130 (View on PubMed)

Wikland M, Borg J, Hamberger L, Svalander P. Simplification of IVF: minimal monitoring and the use of subcutaneous highly purified FSH administration for ovulation induction. Hum Reprod. 1994 Aug;9(8):1430-6. doi: 10.1093/oxfordjournals.humrep.a138724.

Reference Type BACKGROUND
PMID: 7989500 (View on PubMed)

Daya S, Gunby J. Recombinant versus urinary follicle stimulating hormone for ovarian stimulation in assisted reproduction. Hum Reprod. 1999 Sep;14(9):2207-15. doi: 10.1093/humrep/14.9.2207.

Reference Type BACKGROUND
PMID: 10469682 (View on PubMed)

Remorgida V, Venturini PL, Anserini P, Lanera P, De Cecco L. Administration of pure follicle-stimulating hormone during gonadotropin-releasing hormone agonist therapy in patients with clomiphene-resistant polycystic ovarian disease: hormonal evaluations and clinical perspectives. Am J Obstet Gynecol. 1989 Jan;160(1):108-13. doi: 10.1016/0002-9378(89)90099-9.

Reference Type BACKGROUND
PMID: 2492145 (View on PubMed)

Hackeloer BJ, Fleming R, Robinson HP, Adam AH, Coutts JR. Correlation of ultrasonic and endocrinologic assessment of human follicular development. Am J Obstet Gynecol. 1979 Sep 1;135(1):122-8.

Reference Type BACKGROUND
PMID: 474642 (View on PubMed)

Venturoli S, Paradisi R, Fabbri R, Magrini O, Porcu E, Flamigni C. Comparison between human urinary follicle-stimulating hormone and human menopausal gonadotropin treatment in polycystic ovary. Obstet Gynecol. 1984 Jan;63(1):6-11.

Reference Type BACKGROUND
PMID: 6419189 (View on PubMed)

Mendelson EB, Bohm-Velez M, Joseph N, Neiman HL. Gynecologic imaging: comparison of transabdominal and transvaginal sonography. Radiology. 1988 Feb;166(2):321-4. doi: 10.1148/radiology.166.2.3275976.

Reference Type BACKGROUND
PMID: 3275976 (View on PubMed)

Fleischer AC. Transabdominal and transvaginal sonography of ovarian masses. Clin Obstet Gynecol. 1991 Jun;34(2):433-42. doi: 10.1097/00003081-199106000-00027.

Reference Type BACKGROUND
PMID: 1868645 (View on PubMed)

Wang CF, Gemzell C. The use of human gonadotropins for the induction of ovulation in women with polycystic ovarian disease. Fertil Steril. 1980 May;33(5):479-86. doi: 10.1016/s0015-0282(16)44711-4.

Reference Type BACKGROUND
PMID: 6768596 (View on PubMed)

Other Identifiers

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01GBF/FSH08

Identifier Type: -

Identifier Source: org_study_id

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