Optimisation of Follicular Recruitment in IVM Cycles

NCT ID: NCT03197077

Last Updated: 2023-04-07

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

PHASE3

Total Enrollment

145 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-01

Study Completion Date

2022-12-31

Brief Summary

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The study will focus on important aspects related to follicle recruitment using exogenous gonadotropins in patients with polycystic ovaries:

1. Early follicle recruitment in patients with polycystic ovaries using corifollitropin alfa: does administration of this drug result in earlier and higher FSH (follicle stimulating hormone) concentrations above the threshold for follicle recruitment in an IVM (in vitro maturation) cycle preceded by oral contraceptive suppression, in comparison to normal daily administration of rFSH (recombinant follicle stimulating hormone, Puregon)?;
2. The maturation rate of the obtained oocyte-cumulus complexes in standard IVM media registered for clinical use: does stimulation with corifollitropin alfa versus recombinant FSH have an impact on the maturation rate and developmental capacity of the oocytes ?

Detailed Description

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Conditions

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Infertility, Female Polycystic Ovary Syndrome

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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Elonva

A single injection of 100 microgram corifollitropin alfa. Oocyte retrieval on day five after corifollitropin alfa injection.

Group Type EXPERIMENTAL

blood sampling

Intervention Type PROCEDURE

comparison between corifollitropin alfa and follitropin beta in IVM cycles

transvaginal ultrasound scanning

Intervention Type PROCEDURE

comparison between corifollitropin alfa and follitropin beta in IVM cycles

oocyte retrieval for IVM

Intervention Type PROCEDURE

comparison between corifollitropin alfa and follitropin beta in IVM cycles

Corifollitropin Alfa

Intervention Type DRUG

Single injection of 100 micrograms of corifollitropin alfa

oral contraceptive pill pretreatment (Marvelon)

Intervention Type DRUG

Daily administration of the oral contraceptive pill (Marvelon) for 21 days. Administration of the combined oral contraceptive pill will start after a blood test that demonstrates basal E2 levels and a negative serum hCG level.

Puregon

Three daily injections of 150 IU follitropin beta. Oocyte retrieval on day five after the first follitropin beta injection.

Group Type ACTIVE_COMPARATOR

blood sampling

Intervention Type PROCEDURE

comparison between corifollitropin alfa and follitropin beta in IVM cycles

transvaginal ultrasound scanning

Intervention Type PROCEDURE

comparison between corifollitropin alfa and follitropin beta in IVM cycles

oocyte retrieval for IVM

Intervention Type PROCEDURE

comparison between corifollitropin alfa and follitropin beta in IVM cycles

Follitropin beta

Intervention Type DRUG

Daily injection (three days) of follitropin beta

oral contraceptive pill pretreatment (Marvelon)

Intervention Type DRUG

Daily administration of the oral contraceptive pill (Marvelon) for 21 days. Administration of the combined oral contraceptive pill will start after a blood test that demonstrates basal E2 levels and a negative serum hCG level.

Interventions

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blood sampling

comparison between corifollitropin alfa and follitropin beta in IVM cycles

Intervention Type PROCEDURE

transvaginal ultrasound scanning

comparison between corifollitropin alfa and follitropin beta in IVM cycles

Intervention Type PROCEDURE

oocyte retrieval for IVM

comparison between corifollitropin alfa and follitropin beta in IVM cycles

Intervention Type PROCEDURE

Corifollitropin Alfa

Single injection of 100 micrograms of corifollitropin alfa

Intervention Type DRUG

Follitropin beta

Daily injection (three days) of follitropin beta

Intervention Type DRUG

oral contraceptive pill pretreatment (Marvelon)

Daily administration of the oral contraceptive pill (Marvelon) for 21 days. Administration of the combined oral contraceptive pill will start after a blood test that demonstrates basal E2 levels and a negative serum hCG level.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Subfertile patients between 18-36 years old eligible for ART treatment
2. BMI 18-30
3. Polycystic ovaries (PCO) according to the Rotterdam criteria (at least 12 antral follicles per ovary as observed on a baseline ultrasound scan), with or without hyperandrogenism, with or without oligoamenorrhoea. In other words, patients are eligible if they have PCO morphology. A diagnosis of PCOS (polycystic ovary syndrome) based on Rotterdam criteria is not compulsory.

Exclusion Criteria

1. Antral follicle count (AFC) \<24
2. Anti-müllerian hormone (AMH) \<3,25 in non-OCP (oral contraceptive pill) users and \<4,00 in current OCP users (using Elecsys platform (Roche Diagnostics))
3. Couples requesting PGD (preimplantation genetic diagnosis)
4. Non-obstructive azoospermia in the male partner
Minimum Eligible Age

18 Years

Maximum Eligible Age

36 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role collaborator

Universitair Ziekenhuis Brussel

OTHER

Sponsor Role lead

Responsible Party

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Michel De Vos

Medical director

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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UZ Brussel

Brussels, , Belgium

Site Status

Countries

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Belgium

Other Identifiers

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2017.corifollitropinalfa_IVM

Identifier Type: -

Identifier Source: org_study_id

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