Biosimilarity Study of IM Injection of Human Chorionic Gonadotrophin After Parenteral Administration of Treatment A TEST Product Epifasi 5000 I.U. Ampoules (EIPICO PHARMA, EGYPT) and Treatment B REFERENCE Product Pregnyl 5000 I.U. Ampoules (Baxter Pharmaceutical Solutions for Organon, USA).

NCT ID: NCT04605107

Last Updated: 2020-10-27

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

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-30

Study Completion Date

2015-03-08

Brief Summary

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Comparative randomized, single dose, parallel, triple-blinded study in infertile females to evaluate biosimilarity of IM Injection of Human Chorionic Gonadotrophin (HCG) after Parenteral administration of Treatment A TEST Product Epifasi 5000 I.U. Ampoules (EIPICO PHARMA, EGYPT) and Treatment B REFERENCE Product Pregnyl 5000 I.U. Ampoules (Baxter Pharmaceutical Solutions for Organon, USA)

Detailed Description

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In this study, the biosimilarity of Human chorionic gonadotropin (HCG) from Epifasi IM Injection (EIPICO Pharma Egypt) and Pregnyl IM Injection (Baxter Pharmaceutical Solutions for Organon, USA) after a single IM dose administration of each to healthy adult will be investigated to determining the study variables: Ovarian Ultrasonic counting mature grafian follicles, Number of retrieved oocytes and their grades.

Conditions

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Infertility, Female

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

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A test

Epifasi 5000 I.U. Ampoules

Group Type EXPERIMENTAL

Epifasi: Human chorionic gonadotrophin

Intervention Type DRUG

IM Injection of 1 ampoule contains 5000 I.U. of Human chorionic gonadotrophin

B reference

Pregnyl 5000 I.U. Ampoules

Group Type ACTIVE_COMPARATOR

Pregnyl: Human chorionic gonadotrophin

Intervention Type DRUG

IM Injection of 1 ampoule contains 5000 I.U. of Human chorionic gonadotrophin

Interventions

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Epifasi: Human chorionic gonadotrophin

IM Injection of 1 ampoule contains 5000 I.U. of Human chorionic gonadotrophin

Intervention Type DRUG

Pregnyl: Human chorionic gonadotrophin

IM Injection of 1 ampoule contains 5000 I.U. of Human chorionic gonadotrophin

Intervention Type DRUG

Other Intervention Names

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Epifasi Pregnyl

Eligibility Criteria

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Inclusion Criteria

1. Premenopausal woman between 18 - 40 years of age.
2. Body mass index (BMI) of 32 or less.
3. A menstrual cycle lasting between 21 and 35 days.
4. Serum hormone levels of FSH 12 IU/L or less, PRL 1040 mIU/L or less, and TSH within the normal range of 0.3- 4.9 mIU/L
5. Patient having both ovaries and a normal uterine cavity confirmed by hysteroscopy, or hysterosalpingography.
6. All patients had to be infertile due to at least one of the following causes and must have justified ART (Assisted Reproductive Technology) treatment: tubal factor, mild endometriosis (American Fertility Society classification stage I orII), unexplained infertility, or male factor
7. Patients achieving good ovarian response and considered to receive hCG for final follicular maturation prior to OPU.
8. Written and signed informed consent by the patient.
9. Subject does not have allergy to the drugs under investigation.
10. Medical demographics without evidence of clinically significant deviation from rather normal medical condition.

Exclusion Criteria

1. Patients with low ovarian reserve, as proved by hormonal assays and basal antral follicular count.
2. More than three previous assisted reproductive technology cycle or treatment with clomiphene citrate or gonadotropins for at least 1 month before screening,
3. Patients with pelvic abnormality that would interfere with ovarian accessibility for OPU, e.g. ovarian endometriotic cysts or high and retro-uterine ovary.
4. Patients not achieving a satisfactory ovarian response on ovulation induction, whether poor response (3 or less mature ovarian follicles) or over-response with high likelihood of developing ovarian hyperstimulation syndrome (OHSS) on triggering with HCG.
5. History of hypersensitivity to the study medications or to drugs with similar chemical structure.
6. Patients unlikely to comply with the protocol, e.g. uncooperative attitude, inability to return for follow-up visits, and likelihood of not completing the study.
7. Mental condition rendering the patients unable to understand the nature, scope and possible consequences of the study.
8. Results of laboratory tests which are clinically significant.
9. Acute infection within one week preceding first study drug administration.
10. History of drug or alcohol abuse.
11. Subject does not agree not to take any prescription or non-prescription drugs within two weeks before first study drug administration and until the end of the study.
12. Subject is on a special diet (for example subject is vegetarian).
13. Subject does not agree not to consume any beverages or foods containing methyl-xanthenes e.g. caffeine (coffee, tea, cola, chocolate etc.) 48 hours prior to the study administration of either study period until donating the last sample in each respective period.
14. Subject does not agree not to consume any beverages or foods containing grapefruit 7 days prior to first study drug administration until the end of the study.
15. Subject has a history of severe diseases which have direct impact on the study.
16. Participation in a biosimilarity study or in a clinical study within the last 6 weeks before first study drug administration.
17. Subject intends to be hospitalized within 3 months after first study drug administration.
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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EIPICO PHARMA, EGYPT

UNKNOWN

Sponsor Role collaborator

Genuine Research Center, Egypt

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ahmed Elshafeey, Ph.D. Pharma

Role: STUDY_DIRECTOR

Genuine Research Center

Locations

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Genuine Research Center GRC

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Steinijans VW, Diletti E. Statistical analysis of bioavailability studies: parametric and nonparametric confidence intervals. Eur J Clin Pharmacol. 1983;24(1):127-36. doi: 10.1007/BF00613939.

Reference Type BACKGROUND
PMID: 6832195 (View on PubMed)

Schuirmann DJ. A comparison of the two one-sided tests procedure and the power approach for assessing the equivalence of average bioavailability. J Pharmacokinet Biopharm. 1987 Dec;15(6):657-80. doi: 10.1007/BF01068419.

Reference Type BACKGROUND
PMID: 3450848 (View on PubMed)

Driscoll GL, Tyler JP, Hangan JT, Fisher PR, Birdsall MA, Knight DC. A prospective, randomized, controlled, double-blind, double-dummy comparison of recombinant and urinary HCG for inducing oocyte maturation and follicular luteinization in ovarian stimulation. Hum Reprod. 2000 Jun;15(6):1305-10. doi: 10.1093/humrep/15.6.1305.

Reference Type BACKGROUND
PMID: 10831560 (View on PubMed)

Related Links

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http://www.pharmaweb.net/pwmirror/pw9/ifpma/ich1.html

International conference of harmonization of technical requirements for registration of pharmaceuticals for human use. ICH harmonized tripartite guideline. Guidelines for good clinical practice. May 1996.

https://www.ema.europa.eu

The European Agency for the Evaluation of Medicinal products (EMEA). Note for guidance on good clinical practice (CPMP/ICH/135/95), May 1997.

https://www.fda.gov/drugs/guidance-compliance-regulatory-information

Guidance for Industry: Bioavailability and Bioequivalence studies for orally administered drug products-general considerations. US Dept. of Health and Human Services, food and drug administration (FDA), center for drug evaluation and research (CDER), M

Other Identifiers

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GRC/1/13/433

Identifier Type: -

Identifier Source: org_study_id