Study to Assess the Efficacy and Safety of Three Dosage Strengths of Pulsatile GnRH Delivered From a Iontophoretic Patch Compared to Oral Treatment With Clomiphene or Placebo in Infertile Females

NCT ID: NCT00796289

Last Updated: 2015-09-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

350 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-02-28

Study Completion Date

2010-01-31

Brief Summary

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The primary objective of this study is to determine the safety and efficacy of pulsatile GnRH delivered from a iontophoretic patch (Lutrepatch) for induction of ovulation in women with anovulatory/ oligoovulatory infertility, compared to placebo and to a reference treatment with clomiphene citrate.

Detailed Description

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Conditions

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Infertility

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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GnRH High Target Delivery

10 mg GnRH iontophoretic transdermal Lutrepatch with a high target delivery of pulsatile GnRH (every 90 minutes) for 21 days and oral placebo clomiphene citrate for 5 days

Group Type EXPERIMENTAL

GnRH iontophoretic transdermal Lutrepatch

Intervention Type DRUG

10 mg GnRH iontopheretic transdermal patch. A new patch is applied two times each day (every 12 hours). Delivery current and membrane thickness adjusted to deliver the 'high target' study dose, which is estimated to be 800 picograms/ml

placebo clomiphene citrate

Intervention Type DRUG

oral, taken for 5 days

GnRH Medium Target Delivery

10 mg GnRH iontophoretic transdermal Lutrepatch with a medium target delivery of pulsatile GnRH (every 90 minutes) for 21 days and oral placebo clomiphene citrate for 5 days

Group Type EXPERIMENTAL

GnRH iontophoretic transdermal Lutrepatch

Intervention Type DRUG

10 mg GnRH iontopheretic transdermal patch. A new patch is applied two times each day(every 12 hours). Delivery current and membrane thickness adjusted to deliver the 'medium target' study dose, which is estimated to be 400-600 picograms/ml

placebo clomiphene citrate

Intervention Type DRUG

oral, taken for 5 days

GnRH Low Target Delivery

10 mg GnRH iontophoretic transdermal Lutrepatch with a low target delivery of pulsatile GnRH (every 90 minutes) for 21 days and oral placebo clomiphene citrate for 5 days

Group Type EXPERIMENTAL

GnRH iontophoretic transdermal Lutrepatch

Intervention Type DRUG

10 mg GnRH iontopheretic transdermal patch. A new patch is applied two times each day (every 12 hours). Delivery current and membrane thickness adjusted to deliver the 'low target' study dose, which is estimated to be 200 picograms/ml

placebo clomiphene citrate

Intervention Type DRUG

oral, taken for 5 days

Clomiphene Citrate

Placebo GnRH iontophoretic transdermal Lutrepatch with a high target delivery of pulsatile current (every 90 minutes) for 21 days and oral 50 mg clomiphene citrate for 5 days

Group Type ACTIVE_COMPARATOR

clomiphene citrate

Intervention Type DRUG

Oral, 50 mg daily for 5 days

placebo GnRH patch

Intervention Type DRUG

Placebo transdermal patch with a high target delivery of placebo(every 90 minutes). New patch to be applied every 12 hours.

Placebo

Placebo GnRH iontophoretic transdermal Lutrepatch with a high target delivery of pulsatile current (every 90 minutes) for 21 days and oral placebo clomiphene citrate for 5 days

Group Type PLACEBO_COMPARATOR

placebo clomiphene citrate

Intervention Type DRUG

oral, taken for 5 days

placebo GnRH patch

Intervention Type DRUG

Placebo transdermal patch with a high target delivery of placebo(every 90 minutes). New patch to be applied every 12 hours.

Interventions

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GnRH iontophoretic transdermal Lutrepatch

10 mg GnRH iontopheretic transdermal patch. A new patch is applied two times each day (every 12 hours). Delivery current and membrane thickness adjusted to deliver the 'high target' study dose, which is estimated to be 800 picograms/ml

Intervention Type DRUG

GnRH iontophoretic transdermal Lutrepatch

10 mg GnRH iontopheretic transdermal patch. A new patch is applied two times each day(every 12 hours). Delivery current and membrane thickness adjusted to deliver the 'medium target' study dose, which is estimated to be 400-600 picograms/ml

Intervention Type DRUG

GnRH iontophoretic transdermal Lutrepatch

10 mg GnRH iontopheretic transdermal patch. A new patch is applied two times each day (every 12 hours). Delivery current and membrane thickness adjusted to deliver the 'low target' study dose, which is estimated to be 200 picograms/ml

Intervention Type DRUG

clomiphene citrate

Oral, 50 mg daily for 5 days

Intervention Type DRUG

placebo clomiphene citrate

oral, taken for 5 days

Intervention Type DRUG

placebo GnRH patch

Placebo transdermal patch with a high target delivery of placebo(every 90 minutes). New patch to be applied every 12 hours.

Intervention Type DRUG

Other Intervention Names

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Lutrepatch Gonadotropin-releasing hormone (GnRH) Gonadotropin-releasing hormone (GnRH) Lutrepatch Gonadotropin-releasing hormone (GnRH) Lutrepatch various tradenames

Eligibility Criteria

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Inclusion Criteria

1. Females between the ages of 18 and 38 years
2. Desire to become pregnant
3. Infertile due to ovulatory dysfunction as described below:

* Unable to conceive for at least 1 year and
* Anovulatory (defined as 4 or fewer menstrual cycles per year) or Oligo-ovulatory (defined as menstrual cycle frequency \> 45 days)

Exclusion Criteria

1. Requires donor oocytes or sperm
2. Two or more failed (defined as no biochemical pregnancy achieved) gonadotropin fertility treatment cycles - if previous gonadotropin success, no more than two failed subsequent cycles
3. Use of insulin-sensitizing drugs (e.g., Metformin) within 1 month prior to progesterone challenge
Minimum Eligible Age

18 Years

Maximum Eligible Age

38 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Ferring Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Development Support

Role: STUDY_DIRECTOR

Ferring Pharmaceuticals

Locations

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Watching Over Mothers and Babies Foundation

Tucson, Arizona, United States

Site Status

NEA Women's Clinic

Jonesboro, Arkansas, United States

Site Status

San Diego Fertility Center

San Diego, California, United States

Site Status

Compass Clinical Research

San Ramon, California, United States

Site Status

North Coast Women's Care Medical Group

Vista, California, United States

Site Status

Huntington Reproductive Center

Westlake Village, California, United States

Site Status

Florida Fertility Institute

Clearwater, Florida, United States

Site Status

All Women's Healthcare of Wesy Broward, Inc.

Plantation, Florida, United States

Site Status

Atlanta Center for Reproductive Medicine

Atlanta, Georgia, United States

Site Status

Georgia Reproductive Specialists

Atlanta, Georgia, United States

Site Status

Women's Health Practice

Champaign, Illinois, United States

Site Status

University of Kentucky

Lexington, Kentucky, United States

Site Status

A Woman's Center for Reproductive Medicine

Baton Rouge, Louisiana, United States

Site Status

Maine Medical Center

Portland, Maine, United States

Site Status

Shady Grove Fertility Center

Rockville, Maryland, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Hutzel Women's Health Specialists

Detroit, Michigan, United States

Site Status

CAREM Canadian American Reproductive Medicine

Hamtramck, Michigan, United States

Site Status

Women's Clinic of Lincoln, P.C.

Lincoln, Nebraska, United States

Site Status

Fertility Center of Las Vegas

Las Vegas, Nevada, United States

Site Status

The Medical Group of Northern Nevada

Reno, Nevada, United States

Site Status

Women's Health Research Center LLC

Lawrenceville, New Jersey, United States

Site Status

Columbia University

New York, New York, United States

Site Status

Albert Einstein College of Medicine

The Bronx, New York, United States

Site Status

Lyndhurst Gynecologic Associates

Winston-Salem, North Carolina, United States

Site Status

Institute for Reproductive Health

Cincinnati, Ohio, United States

Site Status

Greater Cincinnati OB/GYN, Inc./Reproductive Medicine Research

Cincinnati, Ohio, United States

Site Status

University Hospitals of Cleveland

Cleveland, Ohio, United States

Site Status

Clinical Trials of America Inc

Eugene, Oregon, United States

Site Status

Center for Health and Healing

Portland, Oregon, United States

Site Status

Greenville Hospital System

Greenville, South Carolina, United States

Site Status

Research Memphis Associates, LLC

Memphis, Tennessee, United States

Site Status

Center for Assisted Reproduction

Bedford, Texas, United States

Site Status

The Methodist Hospital

Houston, Texas, United States

Site Status

Center of Reproductive Medicine

Webster, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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2008-03

Identifier Type: -

Identifier Source: org_study_id

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