Phase III Study Comparing Efficacy and Safety of AFOLIA vs Gonal-f® RFF in Women (35 to 42) Undergoing IVF

NCT ID: NCT01687712

Last Updated: 2017-12-05

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

PHASE3

Total Enrollment

1100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-25

Study Completion Date

2016-11-14

Brief Summary

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The purpose of this study is to show that AFOLIA, a recombinant manufactured human follicle stimulating hormone (r-hFSH) has a similar efficacy and safety profile compared to Gonal-f® RFF.

Detailed Description

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Comparison of the clinical pregnancy rate in the AFOLIA group compared to the US approved Gonal-f® RFF Redi-ject group as the primary endpoint. Comparison of the number and size of follicles, the number of cycle cancellation, the hormone parameters and adverse events in the AFOLIA group compared to the Gonal-f® RFF group as secondary endpoints.

Conditions

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Infertility

Keywords

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IVF In vitro fertilization Controlled ovarian stimulation Follitropin AFOLIA Finox

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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AFOLIA

One subcutaneous injection of 225IU AFOLIA (follitropin alfa) per day (initial dose) for the first 5 days. From day 6 dose could be adjusted up (to a max of 450IU per day) or down (to a min of 75IU per day) in multiple increments of 37.5IU.

Group Type EXPERIMENTAL

AFOLIA

Intervention Type DRUG

225IU subcutaneously, starting at the day of successful down-regulation for the first 5 days, followed by a treatment period with an increased dose until the point of ovulation induction has been reached

Gonal-f® RFF

One subcutaneous injection of 225IU Gonal-f® RFF (follitropin alfa) per day (initial dose) for the first 5 days. From day 6 dose could be adjusted up (to a max of 450IU per day) or down (to a min of 75IU per day) in multiple increments of 37.5IU.

Group Type ACTIVE_COMPARATOR

Gonal-f® RFF

Intervention Type DRUG

225IU subcutaneously, starting at the day of successful down-regulation for the first 5 days, followed by a treatment period with an increased dose until the point of ovulation induction has been reached

Interventions

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AFOLIA

225IU subcutaneously, starting at the day of successful down-regulation for the first 5 days, followed by a treatment period with an increased dose until the point of ovulation induction has been reached

Intervention Type DRUG

Gonal-f® RFF

225IU subcutaneously, starting at the day of successful down-regulation for the first 5 days, followed by a treatment period with an increased dose until the point of ovulation induction has been reached

Intervention Type DRUG

Other Intervention Names

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Follitropin-alfa Follitropin-alfa

Eligibility Criteria

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Inclusion Criteria

* 35 to 42 years of age
* Indication for controlled ovarian stimulation and IVF or intracytoplasmic sperm injection (ICSI)
* Regular menstrual cycles (25-35 days)
* History of a maximum of two fresh cycle treatments in the present series of assisted reproductive technologies (ART) at the day of first screening (thawed cycles are not subject to that criteria)
* Body mass index (BMI) ≥18 and ≤38 kg/m2
* Basal FSH \<12 IU/L (cycle day 2-5)
* Antral follicle count (AFC) ≥ 10 to ≤20 follicles with a diameter of \<11mm (sum of both ovaries) as measured on ultrasound (US) in the early follicular phase (menstrual cycle day 2-5)
* Documented history of infertility due to any of the following factors: tubal factor, mild endometriosis (American Society for Reproductive Medicine \[ASRM\] stage 1-2), male factor, unexplained infertility
* Presence of both ovaries by ultrasonography and normal uterine cavity (confirmed by hysterosalpingography, saline infusion sonography or hysteroscopy within 6 months before randomization)
* Male partner with semen analysis that is at least adequate for ICSI within 6 months prior to patient beginning down-regulation (invasive or surgical sperm retrieval, donor and/or cryopreserved sperm may be used)
* Willingness to participate in the study and to comply with the study protocol
* Signed informed consent prior to screening

Exclusion Criteria

* Presence of pregnancy
* History of or active polycystic ovary syndrome (PCOS)
* AFC \>20 follicles with a diameter of \<11 mm (both ovaries combined) as measured on US in the early follicular phase (menstrual cycle day 2-5)
* History of \>2 unsuccessful fresh ART retrieval cycles
* Presence of uncontrolled endocrine disorder
* Previous history or presence of severe OHSS
* Intrauterine fibroids ≥5 cm or otherwise clinically relevant pathology that could impair embryo implantation or pregnancy continuation
* History of recurrent spontaneous abortion (3 or more, even when unexplained)
* Presence of severe endometriosis (ASRM stage 3 or stage 4) or hydrosalpinx
* Neoplasia, including tumors of the hypothalamus and pituitary gland
* Abnormal bleeding of undetermined origin
* History of extrauterine pregnancy in the previous 3 months
* Known allergy or hypersensitivity to progesterone or to any of the excipients (including peanut oil) of the additional study medications (GnRH agonist, Ovidrel®, and Crinone 8%®)
* History of poor response to gonadotropin treatment (defined as fewer than 5 oocytes retrieved in a previous attempt)
* Any hormonal treatment within 1 month before the start of the FSH treatment, with the exception of levothyroxine)
* Egg donor
* Administration of other investigational products within the previous month
* Clinically abnormal findings at Visit 1
* Concomitant participation in another study protocol
Minimum Eligible Age

35 Years

Maximum Eligible Age

42 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fertility Biotech AG

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Julian Jenkins, DM FRCOG

Role: STUDY_DIRECTOR

Fertility Biotech AG

Locations

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Physicians Research Group

Tempe, Arizona, United States

Site Status

HRC Fertility

Encino, California, United States

Site Status

Reproductive Associates of Delaware

Newark, Delaware, United States

Site Status

FL Fertility Institution

Tampa, Florida, United States

Site Status

Georgia Reproductive Specialists

Atlanta, Georgia, United States

Site Status

Fertility Centers of Illinois

Chicago, Illinois, United States

Site Status

In Via Fertility Specialists

Hoffman Estate, Illinois, United States

Site Status

Shady Grove Fertility RSC

Rockville, Maryland, United States

Site Status

Nevada Center for Reproductive Medicine

Reno, Nevada, United States

Site Status

Cooper Institute of Reproductive Hormonal Disorders, P.C.

Marlton, New Jersey, United States

Site Status

Institute for Reproductive Health

Cincinnati, Ohio, United States

Site Status

Abington Reproductive Medicine

Abington, Pennsylvania, United States

Site Status

Main Line Fertility Center

Bryn Mawr, Pennsylvania, United States

Site Status

Shady Grove Fertility RSC, Chesterbrook, PA

Chesterbrook, Pennsylvania, United States

Site Status

University of Penn

Philadelphia, Pennsylvania, United States

Site Status

Fertility Associates of Memphis

Memphis, Tennessee, United States

Site Status

Texas Fertility Center

Austin, Texas, United States

Site Status

Center for Assisted Reproduction

Bedford, Texas, United States

Site Status

Fertility Specialists of Houston

Houston, Texas, United States

Site Status

Houston Fertility Institute

Houston, Texas, United States

Site Status

Center of Reproducitve Medicine

Webster, Texas, United States

Site Status

Jones Institute for Reproductive Medicine

Norfolk, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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FIN3002

Identifier Type: -

Identifier Source: org_study_id