An Exploratory Study to Investigate the Effect of FE 999302 When Given Together With Follitropin Delta at Different Time Intervals During Controlled Ovarian Stimulation.

Last updated: January 23, 2025
Sponsor: Ferring Pharmaceuticals
Overall Status: Active - Recruiting

Phase

1

Condition

Infertility

Treatment

Follitropin delta

FE 999302

Placebo FE 999302

Clinical Study ID

NCT06511791
000427
  • Ages 18-40
  • Female

Study Summary

This is a phase 1b clinical trial with Choriogonadotropin beta (FE999302) and Follitropin delta (Rekovelle). The trial is a randomised, double blind, placebo controlled, parallel group, exploratory trial, investigating the effect of FE 999302 when administered during different time intervals in women undergoing controlled ovarian stimulation with a fixed dose of follitropin delta in a antagonist protocol.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Subject informed consent form signed before any trial-related activities.

  2. In good physical and mental health as judged by the investigator.

  3. Serum anti-Müllerian hormone (AMH) levels of >35.0 pmol/L at screening (measured atcentral laboratory).

  4. Pre-menopausal women between the ages of 18 and 40 years. The subjects must be atleast 18 years (including the 18th birthday) and no more than 40 years (up to theday before the 41st birthday) when they sign the informed consent(s).

  5. Infertile women diagnosed with tubal infertility, unexplained infertility,endometriosis stage I/II or with partners diagnosed with male factor infertility,eligible for in vitro fertilisation (IVF) and/or intracytoplasmic sperm injection (ICSI) using fresh or frozen ejaculated sperm from male partner or sperm donor.

  6. Infertility for at least 1 year before screening for subjects <35 years or for atleast 6 months for subjects ≥35 years (not applicable in case of tubal or severemale factor infertility).

  7. No more than two controlled ovarian stimulation cycles initiated, regardless ofoutcome (taking exclusion criteria 2 and 3 into account) and the subject must besuitable for treatment with 10 or 15 µg/day follitropin delta (corresponding to 150or 225 IU).

  8. Regular menstrual cycles of 24-35 days (both inclusive), presumed to be ovulatory.

  9. Early follicular phase (cycle day 2-5) serum levels of follicle-stimulating hormone (FSH) between 1 and 15 IU/L (measured at central laboratory).

  10. Body mass index (BMI) between 18.0 and 32.0 kg/m2 (both inclusive) at screening.

Exclusion

Exclusion Criteria:

  1. Known polycystic ovary syndrome (PCOS) or known endometriosis stage III-IV (AmericanSociety for Reproductive Medicine, 2012).

  2. Poor response in a previous controlled ovarian stimulation cycle using agonadotropin starting dose of 150 IU/day (corresponding to 10 µg follitropin delta)or higher. Poor response is defined as <4 oocytes retrieved, or cycle cancellationbefore oocyte retrieval due to inadequate follicular development.

  3. Severe ovarian hyperstimulation syndrome (OHSS; grade 4 or 5) in a previouscontrolled ovarian stimulation cycle, as judged by the investigator.

  4. One or more follicles ≥10 mm (including cysts) observed on the transvaginalultrasound before randomisation on stimulation day 1 (puncture of cysts is allowedbefore randomisation).

  5. Any known clinically significant systemic disease (e.g. insulin-dependent diabetes).

  6. Any known endocrine or metabolic abnormalities (pituitary, adrenal, pancreas, liver,or kidney) with the exception of controlled thyroid function disease.

  7. Known tumours of the ovary, breast, uterus, adrenal gland, pituitary, orhypothalamus which would contraindicate the use of gonadotropins.

  8. Any abnormal finding of clinical chemistry and haematology at screening or vitalsigns at randomisation, which is judged clinically relevant by the investigatorand/or requires intervention.

  9. Currently breast-feeding.

  10. Undiagnosed vaginal bleeding.

  11. Findings at the gynaecological examination at screening which preclude gonadotropinstimulation or are associated with a reduced chance of pregnancy, e.g. congenitaluterine abnormalities or retained intrauterine device.

  12. Pregnancy (negative urinary pregnancy tests must be documented at screening andbefore randomisation) or contraindication to pregnancy.

  13. Use of fertility modifiers during the last menstrual cycle before screening,including dehydroepiandrosterone (DHEA) and metformin or cycle programming with oralcontraceptives, progestogen, or estrogen preparations.

Study Design

Total Participants: 200
Treatment Group(s): 3
Primary Treatment: Follitropin delta
Phase: 1
Study Start date:
July 15, 2024
Estimated Completion Date:
July 13, 2026

Study Description

The trial is multicentre, randomized, partially double-blind, placebo-controlled, parallel-group investigating the effect of FE999302 on parameters influencing pregnancy rates in women undergoing controlled ovarian stimulation with a fixed dose of follitropin.

The primary endpoint is the number of good-quality blastocysts on day 5 after oocyte retrieval. Secondary endpoints are number of follicles by size category and serum concentration of different hormones on stimulation day 6 and end-of stimulation, the number of stimulation days and oocytes retrieved, the number of metaphase II oocytes and fertilised oocytes, number of blastocysts on day 5, number of cryopreserved blastocysts, endometrial thickness at eos, positive bhcg rate, clinical pregnancy, vital pregnancy and ongoing pregnancy.

Connect with a study center

  • Ferring Investigational Site

    Brussel, 1090
    Belgium

    Active - Recruiting

  • Ferring Investigational Site

    Edegem, 2650
    Belgium

    Active - Recruiting

  • Ferring Investigational Site

    Prague, 184 00
    Czechia

    Active - Recruiting

  • Ferring Investigational Site

    Copenhagen, 2100
    Denmark

    Active - Recruiting

  • Ferring Investigational Site

    Hvidovre, 2650
    Denmark

    Active - Recruiting

  • Ferring Investigational Site

    Bergen, 5006
    Norway

    Active - Recruiting

  • Ferring Investigational Site

    Porsgrunn, 3913
    Norway

    Active - Recruiting

  • Ferring Investigational Site

    Trondheim, 7042
    Norway

    Active - Recruiting

  • Ferring Investigational Site

    Barcelona, 08028
    Spain

    Active - Recruiting

  • Ferring Investigational Site

    Madrid, 28010
    Spain

    Active - Recruiting

  • Ferring Investigational Site

    Sevilla, 41092
    Spain

    Active - Recruiting

  • Ferring Investigational Site

    Valencia, 46015
    Spain

    Active - Recruiting

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