Trial Outcomes & Findings for A Dose-response Trial Using rFSH FE 999049 in Women Undergoing IVF/ICSI Treatment (NCT NCT01426386)

NCT ID: NCT01426386

Last Updated: 2020-11-17

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

265 participants

Primary outcome timeframe

Day of oocyte retrieval (up to Day 18 after start of stimulation)

Results posted on

2020-11-17

Participant Flow

A total of 7 sites randomised subjects to the trial: 1 in Belgium, 1 in Czech Republic, 1 in Denmark and 4 in Spain.

In total 334 subjects were screened. Of these, 69 were screening failures and 265 were randomised. All randomised subjects were exposed to investigational medicinal product (IMP).

Participant milestones

Participant milestones
Measure
FE 999049 5.2 µg
Subjects received single daily subcutaneous injections of 5.2 µg FE 999049, for a maximum of 16 days
FE 999049 6.9 µg
Subjects received single daily subcutaneous injections of 6.9 µg FE 999049, for a maximum of 16 days
FE 999049 8.6 µg
Subjects received single daily subcutaneous injections of 8.6 µg FE 999049, for a maximum of 16 days
FE 999049 10.3 µg
Subjects received single daily subcutaneous injections of 10.3 µg FE 999049, for a maximum of 16 days
FE 999049 12.1 µg
Subjects received single daily subcutaneous injections of 12.1 µg FE 999049, for a maximum of 16 days
GONAL-F 11 µg
Subjects received single daily subcutaneous injections of 11 µg GONAL-F, for a maximum of 16 days
Overall Study
STARTED
42
45
44
44
47
43
Overall Study
COMPLETED
39
39
42
44
43
42
Overall Study
NOT COMPLETED
3
6
2
0
4
1

Reasons for withdrawal

Reasons for withdrawal
Measure
FE 999049 5.2 µg
Subjects received single daily subcutaneous injections of 5.2 µg FE 999049, for a maximum of 16 days
FE 999049 6.9 µg
Subjects received single daily subcutaneous injections of 6.9 µg FE 999049, for a maximum of 16 days
FE 999049 8.6 µg
Subjects received single daily subcutaneous injections of 8.6 µg FE 999049, for a maximum of 16 days
FE 999049 10.3 µg
Subjects received single daily subcutaneous injections of 10.3 µg FE 999049, for a maximum of 16 days
FE 999049 12.1 µg
Subjects received single daily subcutaneous injections of 12.1 µg FE 999049, for a maximum of 16 days
GONAL-F 11 µg
Subjects received single daily subcutaneous injections of 11 µg GONAL-F, for a maximum of 16 days
Overall Study
Adverse Event
0
1
0
0
0
0
Overall Study
Did not attend scheduled visit
1
4
0
0
2
1
Overall Study
Poor response
2
1
2
0
1
0
Overall Study
Personal reasons
0
0
0
0
1
0

Baseline Characteristics

A Dose-response Trial Using rFSH FE 999049 in Women Undergoing IVF/ICSI Treatment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
FE 999049 5.2 µg
n=42 Participants
Subjects received single daily subcutaneous injections of 5.2 µg FE 999049, for a maximum of 16 days
FE 999049 6.9 µg
n=45 Participants
Subjects received single daily subcutaneous injections of 6.9 µg FE 999049, for a maximum of 16 days
FE 999049 8.6 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 8.6 µg FE 999049, for a maximum of 16 days
FE 999049 10.3 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 10.3 µg FE 999049, for a maximum of 16 days
FE 999049 12.1 µg
n=47 Participants
Subjects received single daily subcutaneous injections of 12.1 µg FE 999049, for a maximum of 16 days
GONAL-F 11 µg
n=43 Participants
Subjects received single daily subcutaneous injections of 11 µg GONAL-F, for a maximum of 16 days
Total
n=265 Participants
Total of all reporting groups
Age, Continuous
33.6 years
STANDARD_DEVIATION 2.24 • n=93 Participants
32.3 years
STANDARD_DEVIATION 3.51 • n=4 Participants
32.8 years
STANDARD_DEVIATION 2.44 • n=27 Participants
32.3 years
STANDARD_DEVIATION 3.21 • n=483 Participants
32.6 years
STANDARD_DEVIATION 2.97 • n=36 Participants
32.4 years
STANDARD_DEVIATION 3.04 • n=10 Participants
32.7 years
STANDARD_DEVIATION 2.95 • n=115 Participants
Sex: Female, Male
Female
42 Participants
n=93 Participants
45 Participants
n=4 Participants
44 Participants
n=27 Participants
44 Participants
n=483 Participants
47 Participants
n=36 Participants
43 Participants
n=10 Participants
265 Participants
n=115 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
0 Participants
n=483 Participants
0 Participants
n=36 Participants
0 Participants
n=10 Participants
0 Participants
n=115 Participants

PRIMARY outcome

Timeframe: Day of oocyte retrieval (up to Day 18 after start of stimulation)

Population: Modified Intention-to-treat (mITT) population (all randomised and exposed subjects). This is equivalent to the Full Analysis Set (FAS)

Outcome measures

Outcome measures
Measure
FE 999049 5.2 µg
n=42 Participants
Subjects received single daily subcutaneous injections of 5.2 µg FE 999049, for a maximum of 16 days
FE 999049 6.9 µg
n=45 Participants
Subjects received single daily subcutaneous injections of 6.9 µg FE 999049, for a maximum of 16 days
FE 999049 8.6 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 8.6 µg FE 999049, for a maximum of 16 days
FE 999049 10.3 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 10.3 µg FE 999049, for a maximum of 16 days
FE 999049 12.1 µg
n=47 Participants
Subjects received single daily subcutaneous injections of 12.1 µg FE 999049, for a maximum of 16 days
GONAL-F 11 µg
n=43 Participants
Subjects received single daily subcutaneous injections of 11 µg GONAL-F, for a maximum of 16 days
Number of Oocytes Retrieved
5.2 Oocytes
Standard Deviation 3.3
7.9 Oocytes
Standard Deviation 5.9
9.2 Oocytes
Standard Deviation 4.6
10.5 Oocytes
Standard Deviation 7.0
12.2 Oocytes
Standard Deviation 5.9
10.4 Oocytes
Standard Deviation 5.2

SECONDARY outcome

Timeframe: End of stimulation (up to 16 stimulation days)

Population: mITT population (all randomised and exposed subjects). This is equivalent to the FAS

Follicular volume at end of stimulation

Outcome measures

Outcome measures
Measure
FE 999049 5.2 µg
n=42 Participants
Subjects received single daily subcutaneous injections of 5.2 µg FE 999049, for a maximum of 16 days
FE 999049 6.9 µg
n=45 Participants
Subjects received single daily subcutaneous injections of 6.9 µg FE 999049, for a maximum of 16 days
FE 999049 8.6 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 8.6 µg FE 999049, for a maximum of 16 days
FE 999049 10.3 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 10.3 µg FE 999049, for a maximum of 16 days
FE 999049 12.1 µg
n=47 Participants
Subjects received single daily subcutaneous injections of 12.1 µg FE 999049, for a maximum of 16 days
GONAL-F 11 µg
n=43 Participants
Subjects received single daily subcutaneous injections of 11 µg GONAL-F, for a maximum of 16 days
Number and Size of Follicles During Stimulation
19.2 cm^3
Standard Deviation 7.0
23.0 cm^3
Standard Deviation 10.5
25.0 cm^3
Standard Deviation 9.2
27.9 cm^3
Standard Deviation 15.6
28.2 cm^3
Standard Deviation 9.5
26.7 cm^3
Standard Deviation 9.2

SECONDARY outcome

Timeframe: End of stimulation (up to 16 stimulation days)

Population: mITT population (all randomised and exposed subjects). This is equivalent to the FAS

Estradiol at end of stimulation

Outcome measures

Outcome measures
Measure
FE 999049 5.2 µg
n=42 Participants
Subjects received single daily subcutaneous injections of 5.2 µg FE 999049, for a maximum of 16 days
FE 999049 6.9 µg
n=45 Participants
Subjects received single daily subcutaneous injections of 6.9 µg FE 999049, for a maximum of 16 days
FE 999049 8.6 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 8.6 µg FE 999049, for a maximum of 16 days
FE 999049 10.3 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 10.3 µg FE 999049, for a maximum of 16 days
FE 999049 12.1 µg
n=47 Participants
Subjects received single daily subcutaneous injections of 12.1 µg FE 999049, for a maximum of 16 days
GONAL-F 11 µg
n=43 Participants
Subjects received single daily subcutaneous injections of 11 µg GONAL-F, for a maximum of 16 days
Endocrine Profile
3641.9 pmol/L
Standard Deviation 2954.6
5221.1 pmol/L
Standard Deviation 3378.8
5689.5 pmol/L
Standard Deviation 3995.7
6171.8 pmol/L
Standard Deviation 3855.9
6442.0 pmol/L
Standard Deviation 3195.2
5750.7 pmol/L
Standard Deviation 3709.7

SECONDARY outcome

Timeframe: End of stimulation (up to 16 stimulation days)

Population: mITT population (all randomised and exposed subjects). This is equivalent to the FAS

Outcome measures

Outcome measures
Measure
FE 999049 5.2 µg
n=42 Participants
Subjects received single daily subcutaneous injections of 5.2 µg FE 999049, for a maximum of 16 days
FE 999049 6.9 µg
n=45 Participants
Subjects received single daily subcutaneous injections of 6.9 µg FE 999049, for a maximum of 16 days
FE 999049 8.6 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 8.6 µg FE 999049, for a maximum of 16 days
FE 999049 10.3 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 10.3 µg FE 999049, for a maximum of 16 days
FE 999049 12.1 µg
n=47 Participants
Subjects received single daily subcutaneous injections of 12.1 µg FE 999049, for a maximum of 16 days
GONAL-F 11 µg
n=43 Participants
Subjects received single daily subcutaneous injections of 11 µg GONAL-F, for a maximum of 16 days
Total IMP Dose
50.0 µg
Standard Deviation 11.6
61.9 µg
Standard Deviation 13.7
71.9 µg
Standard Deviation 14.1
81.0 µg
Standard Deviation 14.2
97.8 µg
Standard Deviation 22.0
94.7 µg
Standard Deviation 18.1

SECONDARY outcome

Timeframe: Day 1 after insemination

Population: Subjects with oocytes retrieved

An oocyte with 2 pronuclei was regarded as correctly fertilised

Outcome measures

Outcome measures
Measure
FE 999049 5.2 µg
n=42 Participants
Subjects received single daily subcutaneous injections of 5.2 µg FE 999049, for a maximum of 16 days
FE 999049 6.9 µg
n=45 Participants
Subjects received single daily subcutaneous injections of 6.9 µg FE 999049, for a maximum of 16 days
FE 999049 8.6 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 8.6 µg FE 999049, for a maximum of 16 days
FE 999049 10.3 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 10.3 µg FE 999049, for a maximum of 16 days
FE 999049 12.1 µg
n=47 Participants
Subjects received single daily subcutaneous injections of 12.1 µg FE 999049, for a maximum of 16 days
GONAL-F 11 µg
n=43 Participants
Subjects received single daily subcutaneous injections of 11 µg GONAL-F, for a maximum of 16 days
Number of Fertilised Oocytes
3.7 Fertilised oocytes
Standard Deviation 2.5
5.4 Fertilised oocytes
Standard Deviation 3.8
4.9 Fertilised oocytes
Standard Deviation 2.7
6.1 Fertilised oocytes
Standard Deviation 5.1
6.7 Fertilised oocytes
Standard Deviation 3.5
6.4 Fertilised oocytes
Standard Deviation 3.5

SECONDARY outcome

Timeframe: Day 5 after oocyte retrieval

Population: Subjects with oocytes retrieved

Number of blastocysts (total and good-quality) on Day 5 are presented. A good-quality blastocyst was defined as a blastocyst of grade 3BB or higher

Outcome measures

Outcome measures
Measure
FE 999049 5.2 µg
n=42 Participants
Subjects received single daily subcutaneous injections of 5.2 µg FE 999049, for a maximum of 16 days
FE 999049 6.9 µg
n=45 Participants
Subjects received single daily subcutaneous injections of 6.9 µg FE 999049, for a maximum of 16 days
FE 999049 8.6 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 8.6 µg FE 999049, for a maximum of 16 days
FE 999049 10.3 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 10.3 µg FE 999049, for a maximum of 16 days
FE 999049 12.1 µg
n=47 Participants
Subjects received single daily subcutaneous injections of 12.1 µg FE 999049, for a maximum of 16 days
GONAL-F 11 µg
n=43 Participants
Subjects received single daily subcutaneous injections of 11 µg GONAL-F, for a maximum of 16 days
Number and Quality of Blastocysts on Day 5
Total blastocysts
2.3 Blastocysts
Standard Deviation 1.7
3.1 Blastocysts
Standard Deviation 2.7
2.7 Blastocysts
Standard Deviation 2.0
2.8 Blastocysts
Standard Deviation 2.8
3.2 Blastocysts
Standard Deviation 2.2
3.5 Blastocysts
Standard Deviation 2.5
Number and Quality of Blastocysts on Day 5
Good quality blastocysts
0.9 Blastocysts
Standard Deviation 1.2
1.4 Blastocysts
Standard Deviation 1.7
1.2 Blastocysts
Standard Deviation 1.2
1.4 Blastocysts
Standard Deviation 1.5
1.3 Blastocysts
Standard Deviation 1.3
1.6 Blastocysts
Standard Deviation 1.6

SECONDARY outcome

Timeframe: 5-6 weeks after transfer

Population: mITT population (all randomised and exposed subjects). This is equivalent to the FAS

Clinical pregnancy with fetal heart beat was defined as at least one intrauterine gestational sac with fetal heart beat

Outcome measures

Outcome measures
Measure
FE 999049 5.2 µg
n=42 Participants
Subjects received single daily subcutaneous injections of 5.2 µg FE 999049, for a maximum of 16 days
FE 999049 6.9 µg
n=45 Participants
Subjects received single daily subcutaneous injections of 6.9 µg FE 999049, for a maximum of 16 days
FE 999049 8.6 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 8.6 µg FE 999049, for a maximum of 16 days
FE 999049 10.3 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 10.3 µg FE 999049, for a maximum of 16 days
FE 999049 12.1 µg
n=47 Participants
Subjects received single daily subcutaneous injections of 12.1 µg FE 999049, for a maximum of 16 days
GONAL-F 11 µg
n=43 Participants
Subjects received single daily subcutaneous injections of 11 µg GONAL-F, for a maximum of 16 days
Clinical Pregnancy With Fetal Heart Beat Rate
36 percentage
Interval 21.6 to 52.0
40 percentage
Interval 25.7 to 55.7
36 percentage
Interval 22.4 to 52.2
25 percentage
Interval 13.2 to 40.3
40 percentage
Interval 26.4 to 55.7
51 percentage
Interval 35.5 to 66.7

SECONDARY outcome

Timeframe: From signing informed consent form until end of trial visit (up to 5 months)

Population: Safety population (all randomised and exposed subjects). This is equivalent to the mITT

Outcome measures

Outcome measures
Measure
FE 999049 5.2 µg
n=42 Participants
Subjects received single daily subcutaneous injections of 5.2 µg FE 999049, for a maximum of 16 days
FE 999049 6.9 µg
n=45 Participants
Subjects received single daily subcutaneous injections of 6.9 µg FE 999049, for a maximum of 16 days
FE 999049 8.6 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 8.6 µg FE 999049, for a maximum of 16 days
FE 999049 10.3 µg
n=44 Participants
Subjects received single daily subcutaneous injections of 10.3 µg FE 999049, for a maximum of 16 days
FE 999049 12.1 µg
n=47 Participants
Subjects received single daily subcutaneous injections of 12.1 µg FE 999049, for a maximum of 16 days
GONAL-F 11 µg
n=43 Participants
Subjects received single daily subcutaneous injections of 11 µg GONAL-F, for a maximum of 16 days
Frequency and Intensity of Adverse Events
Any mild adverse events
15 participants
17 participants
17 participants
18 participants
15 participants
11 participants
Frequency and Intensity of Adverse Events
Any moderate adverse events
2 participants
6 participants
5 participants
9 participants
8 participants
2 participants
Frequency and Intensity of Adverse Events
Any severe adverse events
0 participants
0 participants
0 participants
1 participants
0 participants
0 participants

Adverse Events

FE 999049 5.2 µg

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

FE 999049 6.9 µg

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

FE 999049 8.6 µg

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

FE 999049 10.3 µg

Serious events: 1 serious events
Other events: 12 other events
Deaths: 0 deaths

FE 999049 12.1 µg

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

GONAL-F 11 µg

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
FE 999049 5.2 µg
n=42 participants at risk
Subjects received single daily subcutaneous injections of 5.2 µg FE 999049, for a maximum of 16 days
FE 999049 6.9 µg
n=45 participants at risk
Subjects received single daily subcutaneous injections of 6.9 µg FE 999049, for a maximum of 16 days
FE 999049 8.6 µg
n=44 participants at risk
Subjects received single daily subcutaneous injections of 8.6 µg FE 999049, for a maximum of 16 days
FE 999049 10.3 µg
n=44 participants at risk
Subjects received single daily subcutaneous injections of 10.3 µg FE 999049, for a maximum of 16 days
FE 999049 12.1 µg
n=47 participants at risk
Subjects received single daily subcutaneous injections of 12.1 µg FE 999049, for a maximum of 16 days
GONAL-F 11 µg
n=43 participants at risk
Subjects received single daily subcutaneous injections of 11 µg GONAL-F, for a maximum of 16 days
Pregnancy, puerperium and perinatal conditions
Ectopic pregnancy
0.00%
0/42 • From signing informed consent form until the end of trial visit (up to 5 months)
0.00%
0/45 • From signing informed consent form until the end of trial visit (up to 5 months)
0.00%
0/44 • From signing informed consent form until the end of trial visit (up to 5 months)
2.3%
1/44 • Number of events 1 • From signing informed consent form until the end of trial visit (up to 5 months)
0.00%
0/47 • From signing informed consent form until the end of trial visit (up to 5 months)
0.00%
0/43 • From signing informed consent form until the end of trial visit (up to 5 months)

Other adverse events

Other adverse events
Measure
FE 999049 5.2 µg
n=42 participants at risk
Subjects received single daily subcutaneous injections of 5.2 µg FE 999049, for a maximum of 16 days
FE 999049 6.9 µg
n=45 participants at risk
Subjects received single daily subcutaneous injections of 6.9 µg FE 999049, for a maximum of 16 days
FE 999049 8.6 µg
n=44 participants at risk
Subjects received single daily subcutaneous injections of 8.6 µg FE 999049, for a maximum of 16 days
FE 999049 10.3 µg
n=44 participants at risk
Subjects received single daily subcutaneous injections of 10.3 µg FE 999049, for a maximum of 16 days
FE 999049 12.1 µg
n=47 participants at risk
Subjects received single daily subcutaneous injections of 12.1 µg FE 999049, for a maximum of 16 days
GONAL-F 11 µg
n=43 participants at risk
Subjects received single daily subcutaneous injections of 11 µg GONAL-F, for a maximum of 16 days
Gastrointestinal disorders
Nausea
4.8%
2/42 • Number of events 2 • From signing informed consent form until the end of trial visit (up to 5 months)
0.00%
0/45 • From signing informed consent form until the end of trial visit (up to 5 months)
0.00%
0/44 • From signing informed consent form until the end of trial visit (up to 5 months)
2.3%
1/44 • Number of events 1 • From signing informed consent form until the end of trial visit (up to 5 months)
8.5%
4/47 • Number of events 4 • From signing informed consent form until the end of trial visit (up to 5 months)
0.00%
0/43 • From signing informed consent form until the end of trial visit (up to 5 months)
Nervous system disorders
Headache
9.5%
4/42 • Number of events 4 • From signing informed consent form until the end of trial visit (up to 5 months)
8.9%
4/45 • Number of events 4 • From signing informed consent form until the end of trial visit (up to 5 months)
11.4%
5/44 • Number of events 5 • From signing informed consent form until the end of trial visit (up to 5 months)
6.8%
3/44 • Number of events 4 • From signing informed consent form until the end of trial visit (up to 5 months)
2.1%
1/47 • Number of events 1 • From signing informed consent form until the end of trial visit (up to 5 months)
2.3%
1/43 • Number of events 1 • From signing informed consent form until the end of trial visit (up to 5 months)
Pregnancy, puerperium and perinatal conditions
Abortion spontaneous
7.1%
3/42 • Number of events 3 • From signing informed consent form until the end of trial visit (up to 5 months)
11.1%
5/45 • Number of events 5 • From signing informed consent form until the end of trial visit (up to 5 months)
4.5%
2/44 • Number of events 2 • From signing informed consent form until the end of trial visit (up to 5 months)
11.4%
5/44 • Number of events 5 • From signing informed consent form until the end of trial visit (up to 5 months)
10.6%
5/47 • Number of events 5 • From signing informed consent form until the end of trial visit (up to 5 months)
2.3%
1/43 • Number of events 1 • From signing informed consent form until the end of trial visit (up to 5 months)
Reproductive system and breast disorders
Vaginal haemorrhage
4.8%
2/42 • Number of events 2 • From signing informed consent form until the end of trial visit (up to 5 months)
2.2%
1/45 • Number of events 1 • From signing informed consent form until the end of trial visit (up to 5 months)
9.1%
4/44 • Number of events 4 • From signing informed consent form until the end of trial visit (up to 5 months)
6.8%
3/44 • Number of events 4 • From signing informed consent form until the end of trial visit (up to 5 months)
4.3%
2/47 • Number of events 2 • From signing informed consent form until the end of trial visit (up to 5 months)
2.3%
1/43 • Number of events 1 • From signing informed consent form until the end of trial visit (up to 5 months)
Reproductive system and breast disorders
Pelvic pain
4.8%
2/42 • Number of events 2 • From signing informed consent form until the end of trial visit (up to 5 months)
0.00%
0/45 • From signing informed consent form until the end of trial visit (up to 5 months)
2.3%
1/44 • Number of events 1 • From signing informed consent form until the end of trial visit (up to 5 months)
6.8%
3/44 • Number of events 3 • From signing informed consent form until the end of trial visit (up to 5 months)
4.3%
2/47 • Number of events 2 • From signing informed consent form until the end of trial visit (up to 5 months)
4.7%
2/43 • Number of events 2 • From signing informed consent form until the end of trial visit (up to 5 months)

Additional Information

Global Clinical Compliance

Ferring Pharmaceuticals

Results disclosure agreements

  • Principal investigator is a sponsor employee The only disclosure restriction on the PI is that the sponsor can review the draft manuscript prior to publication and can request delay of publication where any contents are deemed patentable by the sponsor or confidential to the sponsor. Comments will be given within four weeks from receipt of the draft manuscript. Additional time may be required to allow Ferring to seek patent protection of the invention.
  • Publication restrictions are in place

Restriction type: OTHER