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Phase 3 N=397 Randomized Double-blind Treatment

To Investigate Efficacy and Safety of a Single Injection of Org 36286 for Ovarian Stimulation Using Daily Recombinant FSH as Reference (Ensure)(P05690/MK-8962-001)

Infertility

Enrolled (actual)
397
Serious AEs
7.3%
Results posted
Apr 2015
Primary outcome: Primary: Number of Cumulus-oocyte-complexes Retrieved, Per Attempt — 13.3; 10.6 Number of cumulus-oocyte-complexes — p=<0.001

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
corifollitropin alfa (Org 36286) (Drug); recFSH (follitropin beta) (Drug); gonadatropin releasing hormone (GnRH) antagonist (ganirelix) (Drug); human chorion gonadatropin (hCG) (Drug); progesterone (Biological); placebo-recFSH (follitropin alfa) (Drug); placebo-corifollitropin alfa (Drug); open-label recFSH (Biological)
Age
Adult · 18+ yrs
Sex
Female
Sponsor
Organon and Co
Primary completion
Jul 2007

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Cumulus-oocyte-complexes Retrieved, Per Attempt
13.3; 10.6 <0.001 sig
SECONDARY
Total Dose of recFSH Administered
300.0; 1350.0
SECONDARY
Total Dose of recFSH Administered From Day 8 Onwards
300.0; 275.0
SECONDARY
Number of Days Treated With recFSH
2.0; 9.0
SECONDARY
Total Duration of Stimulation (Days)
9.0; 9.0
SECONDARY
Serum Follicle Stimulating Hormone (FSH) Levels (Restricted to Participants With hCG Injection)
6.46; 6.51; 26.30; 9.18; 19.50; 10.20
SECONDARY
Serum Lutenizing Hormone (LH) Levels (Restricted to Participants With hCG Injection)
4.46; 4.12; 1.18; 1.46; 1.91; 1.49
SECONDARY
Serum Estradiol (E2) Levels (Restricted to Participants With hCG Injection)
118.17; 120.38; 803.73; 506.46; 1901.06; 1295.51
SECONDARY
Serum Progesterone (P) Levels (Restricted to Participants With hCG Injection)
1.36; 1.40; 1.23; NA; 1.65; 1.28
SECONDARY
Serum Inhibin-B Levels (Restricted to Participants With hCG Injection)
54.20; 57.80; 351.00; 259.00; 598.00; 489.00
SECONDARY
Number and Size Distribution of Follicles During Stimulation and on the Day of hCG Administration
0.0; 0.0; 0.0; 0.0; 0.0; 0.0
SECONDARY
Number and Quality of Oocytes Assessed Prior to ICSI (Restricted to Participants With ICSI Only)
12.7; 9.9; 0.8; 0.7; 10.7; 7.8
SECONDARY
Fertilization Rate
67.6; 67.7
SECONDARY
Number and Quality of Embryos Obtained at Day 3 (Restricted to Participants With IVF and/or ICSI)
7.2; 6.2; 3.4; 3.0; 1.7; 1.4
SECONDARY
Implantation Rate for Participants With ET
23.6; 28.5
SECONDARY
Number of Participants With Miscarriages
10; 4; 1; 1
SECONDARY
Number of Participants With Pregnancies
101; 58; 101; 58; 78; 48

Summary

Clinical trial objectives are to investigate the efficacy and safety of a single injection of 100 μg Org 36286 in women weighing 60 kg or less to induce multifollicular development for controlled ovarian stimulation (COS), using daily recFSH as a reference.

Eligibility Criteria

Inclusion Criteria

  • Females of couples with an indication for COS and IVF or ICSI;
  • >=18 and = 18 and 10 mm; visible on USS);
  • Presence of unilateral or bilateral hydrosalphinx (visible on USS);
  • Presence of any clinically relevant pathology affecting the uterine cavity or fibroids >= 5 cm;
  • More than three unsuccessful IVF cycles since the last established ongoing

pregnancy (if applicable);

  • History of non- or low ovarian response to FSH/hMG treatment;
  • History of recurrent miscarriage (3 or more, even when unexplained);
  • FSH > 12 IU/L or LH > 12 IU/L as measured by the local laboratory (sample taken during the early follicular phase: menstrual cycle day 2-5);
  • Any clinically relevant abnormal laboratory value based on a sample taken during the screening phase;
  • Contraindications for the use of gonadotropins (e.g. tumors, pregnancy/lactation, undiagnosed vaginal bleeding, hypersensitivity, ovarian cysts);
  • Recent history of/or current epilepsy, HIV infection, diabetes, cardiovascular,

gastro-intestinal, hepatic, renal or pulmonary disease;

  • Abnormal karyotyping of the patient or her partner (if karyotyping is performed);
  • Smoking more than 5 cigarettes per day;
  • History or presence of alcohol or drug abuse within 12 months prior to signing informed consent;
  • Previous use of Org 36286;
  • Use of hormonal preparations within 1 month prior to randomization;
  • Hypersensitivity to any of the concomitant medication prescribed as part of the treatment regimen in this protocol;
  • Administration of investigational drugs within three months prior to signing informed consent.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00702845). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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