Lutropin Alfa in Women at Risk of Poor Response

NCT ID: NCT01112358

Last Updated: 2018-08-28

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-12-07

Study Completion Date

2007-01-30

Brief Summary

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Evaluate the effectiveness of adding lutropin alfa (recombinant human luteinizing hormone \[r-hLH\]) in the middle of the follicular phase compared to no addition, in infertile women at risk of poor response stimulated with follitropin alfa (recombinant Follicle-Stimulating Hormone \[r-FSH\]) under Gonadotropin Releasing Hormone (GnRH) antagonist in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI), in the number and quality of oocytes, follicular development, fertilization oocyte, embryo quality, and pregnancy rate.

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Detailed Description

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Conditions

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Ovarian Stimulation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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r-FSH + r-hLH

Lutropin alfa (r-hLH) will be administered at a daily dose of 150 International Units (IU) from the presence of at least one follicle greater than (\>) 14 millimeter (mm) to complete ovarian stimulation. Follitropin alfa (r-FSH) will be administered at an initial dose of 225-450 IU per day (according to standard center practice); the dose will then be adjusted to ovarian response as assessed by ovarian ultrasound and/or serum estradiol. Participants will also receive analogous GnRH antagonist and natural progesterone, as per standard center practice. To complete follicular maturation and trigger ovulation, a single dose of 250 milligrams (mg) of recombinant Human Chorionic Gonadotropin (r-hCG) will be administered subcutaneously at 12 hours after the last injection of lutropin alfa and/or follitropin alfa and analogous GnRH antagonist.

Group Type EXPERIMENTAL

r-FSH

Intervention Type DRUG

r-FSH will be administered as specified in the arm description.

r-hLH

Intervention Type DRUG

r-hLH will be administered as specified in the arm description.

Analogous GnRH antagonist

Intervention Type DRUG

Analogous GnRH antagonist will be administered as specified in the arm description.

r-hCG

Intervention Type DRUG

r-hCG will be administered as specified in the arm description.

Progesterone

Intervention Type DRUG

Progesterone will be administered as specified in the arm description.

r-FSH

Follitropin alfa (r-FSH) will be administered at an initial dose of 225-450 IU per day (according to standard center practice); the dose will then be adjusted to ovarian response as assessed by ovarian ultrasound and/or serum estradiol. Participants will also receive analogous GnRH antagonist and natural progesterone, as per standard center practice. To complete follicular maturation and trigger ovulation, a single dose of 250 mg of r-hCG will be administered subcutaneously at 12 hours after the last injection of follitropin alfa and analogous GnRH antagonist.

Group Type ACTIVE_COMPARATOR

r-FSH

Intervention Type DRUG

r-FSH will be administered as specified in the arm description.

Analogous GnRH antagonist

Intervention Type DRUG

Analogous GnRH antagonist will be administered as specified in the arm description.

r-hCG

Intervention Type DRUG

r-hCG will be administered as specified in the arm description.

Progesterone

Intervention Type DRUG

Progesterone will be administered as specified in the arm description.

Interventions

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r-FSH

r-FSH will be administered as specified in the arm description.

Intervention Type DRUG

r-hLH

r-hLH will be administered as specified in the arm description.

Intervention Type DRUG

Analogous GnRH antagonist

Analogous GnRH antagonist will be administered as specified in the arm description.

Intervention Type DRUG

r-hCG

r-hCG will be administered as specified in the arm description.

Intervention Type DRUG

Progesterone

Progesterone will be administered as specified in the arm description.

Intervention Type DRUG

Other Intervention Names

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Follitropin alfa; Gonal-F® Lutropin alfa; Luveris® Cetrotide®

Eligibility Criteria

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Inclusion Criteria

* Participants who were at risk of poor response by at least one of the following criteria: a) \<3 follicles in last cycle, or less than or equal to (\</=) 2 metaphase II oocytes, or estradiol (E2) \<600 pg/mL; b) Cancellation of previous cycle; c) Early follicular serum Follicle-Stimulating Hormone (FSH) \>8.5 milli IU/L
* Participants with normal baseline luteinizing hormone and E2 levels
* Regular menstrual cycles of 25-35 days
* Presence of both ovaries and uterus able to withstand pregnancy

Exclusion Criteria

* Participants who had any clinically significant disease including known human immunodeficiency virus (HIV), hepatitis-B virus (HBV)/hepatitis-C virus (HCV) positivity
* Participants with more than 3 previous assisted reproductive techniques (ART) cycles
* Participants with polycystic ovaries or cyst of unknown etiology; unexplained gynecological bleeding
* Participants who had any contraindication to being pregnant
* Active substance abuse
* Participants who had simultaneously participated in another clinical drug trial
Maximum Eligible Age

38 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Merck KGaA, Darmstadt, Germany

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Responsible

Role: STUDY_DIRECTOR

Merck KGaA, Darmstadt, Germany

Locations

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Hospital Universitario de La Fe

Valencia, , Spain

Site Status

Countries

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Spain

References

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M.J. Fernández Ramírez, A. Monzó, T. García-Gimeno, J.M. Rubio, V. Montañana, C. Duque, G. Herrero, A. Romeu. Role of LH administration during the follicullar phase in women with risk of low response in ovarian stimulation with FSH and cetrorelix for IVF, REVISTA IBEROAMERICANA DE FERTILIDAD, Vol. 23- nº 5 - Septiembre-Octubre 2006

Reference Type RESULT

Related Links

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Other Identifiers

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2005-002229-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

IMP26170 (INI25954)

Identifier Type: -

Identifier Source: org_study_id

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