Comparison of MENOPUR Liquid and Powder in Women Undergoing Assisted Reproductive Technology (ART)

NCT ID: NCT04163458

Last Updated: 2023-11-07

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

405 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-25

Study Completion Date

2021-07-16

Brief Summary

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Development of multiple follicles and pregnancy in ovulatory women undergoing controlled ovarian stimulation as part of an assisted reproductive technology (ART) cycle.

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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MENOPUR liquid

MENOPUR liquid (including placebo to MENOPUR powder) initiated at a fixed dose of 225 international units (IU) for first five stimulation days. From stimulation Day 6, dosing could be adjusted as needed every second day by 75 IU per adjustment based on the participant's follicular response. The maximum dose was 450 IU/day and the minimum dose was 75 IU/day. The dosing could continue for a maximum of 20 days.

Group Type EXPERIMENTAL

MENOPUR solution for injection in pre-filled pen, 1200 IU/1.92 mL

Intervention Type DRUG

Solution for injection in pre-filled pen, subcutaneous administration

Placebo (for MENOPUR powder and solvent for solution for injection)

Intervention Type OTHER

Solution for injection in vials (powder and diluent); subcutaneous administration

MENOPUR powder

MENOPUR powder (including placebo to MENOPUR liquid) initiated at a fixed dose of 225 IU for first five stimulation days. From stimulation Day 6, dosing could be adjusted as needed every second day by 75 IU per adjustment based on the participant's follicular response. The maximum dose was 450 IU/day and the minimum dose was 75 IU/day. The dosing could continue for a maximum of 20 days.

Group Type ACTIVE_COMPARATOR

MENOPUR powder and solvent for solution for injection, 75 IU

Intervention Type DRUG

Solution for injection in vials (powder and diluent), subcutaneous administration

Placebo (for MENOPUR solution for injection in pre-filled pen)

Intervention Type OTHER

Solution for injection in pre-filled pen, subcutaneous administration

Interventions

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MENOPUR solution for injection in pre-filled pen, 1200 IU/1.92 mL

Solution for injection in pre-filled pen, subcutaneous administration

Intervention Type DRUG

MENOPUR powder and solvent for solution for injection, 75 IU

Solution for injection in vials (powder and diluent), subcutaneous administration

Intervention Type DRUG

Placebo (for MENOPUR solution for injection in pre-filled pen)

Solution for injection in pre-filled pen, subcutaneous administration

Intervention Type OTHER

Placebo (for MENOPUR powder and solvent for solution for injection)

Solution for injection in vials (powder and diluent); subcutaneous administration

Intervention Type OTHER

Other Intervention Names

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Highly purified menotropin Highly purified menotropin

Eligibility Criteria

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Inclusion Criteria

* Signed informed consents, prior to any trial-related procedure.
* Females between the ages of 18 and 42 years. The participants must be at least 18 years (including the 18th birthday) when they sign the informed consent and no more than 42 years (up to the day before the 43rd birthday) at the time of randomization who desire pregnancy.
* Body mass index (BMI) between 17.5 and 38.0 kg/m\^2 (both inclusive) at screening.
* Regular menstrual cycles of 24 to 35 days, presumed to be ovulatory.
* Documented history of infertility for at least 12 months before randomization for women ≤35 years or for at least 6 months for women ≥36 years. Women with documented bilateral tubal occlusion or male factor infertility requiring the use of donor sperm established as a cause of infertility are eligible at diagnosis.
* Early follicular phase (cycle day 2-4) serum FSH level between 1 and 12 IU/L (results obtained within 3 months prior to randomization).
* Male partner with semen analysis that is at least adequate for intracytoplasmic sperm injection (ICSI) at screening or within 6 months prior to the screening date. Partners with severe male factors requiring invasive or surgical sperm retrieval may not be used. Use of donor sperm is allowed.
* At least 1 cycle with no fertility medication immediately prior to screening.
* Hysterosalpingography, hysteroscopy, or saline hysterosonogram documenting uterine anatomy appropriate for ART at screening or within 12 months prior to screening.
* Transvaginal ultrasound documenting presence and adequate visualization of both ovaries, without evidence of clinically significant abnormality (e.g., endometrioma ≥3 cm, no dermoid cysts) and normal adnexa (e.g., no hydrosalpinx) at screening. Both ovaries must be accessible for oocyte retrieval.

Exclusion Criteria

* More than two previous controlled ovarian stimulation cycles for in vitro fertilization (IVF)/ICSI
* Known stage III-IV endometriosis (American Society for Reproductive Medicine, 2012).
* Oocyte donor or embryo recipient; gestational or surrogate carrier.
* Known history of recurrent miscarriage (defined as three consecutive losses after ultrasound confirmation of pregnancy \[excluding ectopic pregnancy\] and before week 24 of pregnancy).
* Participant's male partner, with obvious leukospermia (\>2 million white blood cells/mL) or signs of infection in semen sample within 6 months of the participant's screening. If either of these conditions exists, the male should be treated with antibiotics and retested prior to the participant's randomization.
* Active arterial or venous thromboembolism or severe thrombophlebitis, or a history of these events.
* Any known endocrine (total testosterone, prolactin and TSH) or metabolic abnormalities (pituitary, adrenal, pancreas, liver or kidney) with the exception of controlled thyroid function disease.
* Known tumors of the ovary, breast, uterus, adrenal gland, pituitary or hypothalamus which would contraindicate the use of gonadotrophins.
* Any abnormal finding of clinical chemistry, hematology and vital signs at screening, which is judged clinically significant by the investigator.
* Pregnancy (negative urine pregnancy test must be documented at screening and prior to the first investigational medicinal product \[IMP\] administration), or contraindication to pregnancy.
* Hypersensitivity to any active ingredient or excipients in the medicinal products used in this trial.
Minimum Eligible Age

18 Years

Maximum Eligible Age

42 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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Global Clinical Compliance

Role: STUDY_DIRECTOR

Ferring Pharmaceuticals

Locations

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Fertility Treatment Center

Tempe, Arizona, United States

Site Status

Fertility Specialists Medical Group - San Diego Center for Reproductive Surgery

San Diego, California, United States

Site Status

Center for Advanced Reproductive Services PC

Farmington, Connecticut, United States

Site Status

Yale Fertility Center

New Haven, Connecticut, United States

Site Status

Fertility and IVF Center of Miami

Miami, Florida, United States

Site Status

Center for Reproductive Medicine

Winter Park, Florida, United States

Site Status

Idaho Center for Reproductive Medicine

Boise, Idaho, United States

Site Status

Fertility Centers of Illinois

Chicago, Illinois, United States

Site Status

InVia Fertility Specialists, SC

Hoffman Estates, Illinois, United States

Site Status

Fertility Answers, LLC

Baton Rouge, Louisiana, United States

Site Status

SIRM Fertility Center

Las Vegas, Nevada, United States

Site Status

Reproductive Endocrinology Associates of Charlotte

Charlotte, North Carolina, United States

Site Status

Carolina Conceptions

Raleigh, North Carolina, United States

Site Status

Institute for Reproductive Health

Cincinnati, Ohio, United States

Site Status

OU Physicians Reproductive Medicine

Oklahoma City, Oklahoma, United States

Site Status

Abington Reproductive Medicine

Abington, Pennsylvania, United States

Site Status

Fertility Associates of Memphis, PLLC

Memphis, Tennessee, United States

Site Status

Center for Assisted Reproduction

Bedford, Texas, United States

Site Status

Houston Fertility Institute

Houston, Texas, United States

Site Status

Center of Reproductive Medicine

Webster, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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000303

Identifier Type: -

Identifier Source: org_study_id

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