Pro_Nat

2023-504188-18-00 Protocol IBMR43 Therapeutic use (Phase IV) Ongoing, recruiting

Start 8 Nov 2023 · Status Ongoing, recruiting · 1 EU/EEA countries · 3 sites · Protocol IBMR43

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 150
Countries 1
Sites 3

Women undergoing ovarian stimulation for oocyte donation.

To compare the efficacy (non-inferiority) of the Utrogestan protocol compared to an antagonist protocol.

Key facts

Sponsor
Instituto Bernabeu S.L.
Participant type
Healthy volunteers
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Trial duration
8 Nov 2023 → ongoing
Decision date (initial)
2023-05-09
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
Instituto Bernabeu

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To compare the efficacy (non-inferiority) of the Utrogestan protocol compared to an antagonist protocol.

Secondary objectives 10

  1. To compare the duration of treatment of both protocols (oral progesterone vs. injectable antagonist).
  2. To check if there are differences in the baseline characteristics of the two groups.
  3. To analyze the total cost of each treatment.
  4. To compare the economic cost per number of mature oocyte (MII) obtained between both groups.
  5. To investigate whether there are differences in terms of the yield of fresh MII and their potential to reach blastocyst after ICSI.
  6. To collect and analyze the information about the fresh embryo transfers.
  7. To collect and compare the information about the type of endometrial preparation of each fresh transfer and the characteristics of the embryo transfer.
  8. To evaluate the gestation rate of the blastocysts obtained in the study.
  9. To collect information on on-going pregnancies, miscarriages and deliveries during the 9 months following each embryo transfer.
  10. To analyze possible differences in obstetric terms between the two protocols.

Conditions and MedDRA coding

Women undergoing ovarian stimulation for oocyte donation.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 8

  1. Be eligible to enter the Instituto Bernabeu's oocyte donation program.
  2. Age between 18 and 33 years
  3. BMI >18 and <30
  4. Antral follicle count >8 (adding both ovaries).
  5. Presence of both ovaries
  6. Ability to participate and comply with the study protocol.
  7. Understand Spanish orally and in writing.
  8. Have given written consent

Exclusion criteria 8

  1. Diagnosis of endometriosis at any stage.
  2. Diagnosis of any ovarian tumor whether benign or malignant
  3. Concurrent participation in another study
  4. Malabsorptive syndromes that may alter the efficacy of Utrogestan ® such as bariatric surgery, ulcerative colitis or Crohn's disease.
  5. Irregular periods.
  6. Hypogonadotropic hypogonadism.
  7. Having received in the previous two months treatment with ovulation stimulators.
  8. Having previously participated in the present study.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Number of oocytes obtained at metaphase II (MII) stage.

Secondary endpoints 4

  1. Number of cumulus-oocyte complexes (CCO) obtained.
  2. Number of germinal vesicles (VG).
  3. Number of metaphase I (MI).
  4. Number of oocytes suitable for insemination or microinjection.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Seidigestan 200 mg cápsulas blandas

PRD308331 · Product

Active substance
Progesterone
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL
Max daily dose
200 mg milligram(s)
Max total dose
2800 mg milligram(s)
Max treatment duration
14 Day(s)
Authorisation status
Authorised
ATC code
G03DA04 — PROGESTERONE
Marketing authorisation
64.899
MA holder
SEID, S.A.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 1

Astarté 0,25 mg/0,5 ml solución inyectable en jeringa precargada EFG

PRD9301930 · Product

Active substance
Ganirelix
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0.25 mg/ml milligram(s)/millilitre
Max total dose
2.5 mg/ml milligram(s)/millilitre
Max treatment duration
10 Day(s)
Authorisation status
Authorised
ATC code
H01CC01 — GANIRELIX
Marketing authorisation
86368
MA holder
GP-PHARM S.A.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 4

Ovaleap 300 IU/0.5 mL solution for injection

PRD6962008 · Product

Active substance
Follitropin Alfa (Genetical Recombination)
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
300 IU international unit(s)
Max total dose
4200 IU international unit(s)
Max treatment duration
14 Day(s)
Authorisation status
Authorised
ATC code
G03GA05 — FOLLITROPIN ALFA
Marketing authorisation
EU/1/13/871/001
MA holder
THERAMEX IRELAND LIMITED
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Bemfola 225 IU/0.375 mL solution for injection in pre-filled pen

PRD4646898 · Product

Active substance
Follitropin Alfa
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
225 IU international unit(s)
Max total dose
3150 IU international unit(s)
Max treatment duration
14 Day(s)
Authorisation status
Authorised
ATC code
G03GA05 — FOLLITROPIN ALFA
Marketing authorisation
EU/1/13/909/011
MA holder
GEDEON RICHTER PLC.
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Bemfola 150 IU/0.25 mL solution for injection in pre-filled pen

PRD4646811 · Product

Active substance
Follitropin Alfa
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
150 IU international unit(s)
Max total dose
2100 IU international unit(s)
Max treatment duration
14 Day(s)
Authorisation status
Authorised
ATC code
G03GA05 — FOLLITROPIN ALFA
Marketing authorisation
EU/1/13/909/009
MA holder
GEDEON RICHTER PLC.
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Decapeptyl diario 0,1 mg polvo y disolvente para solución inyectable

PRD390680 · Product

Active substance
Triptorelin
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS
Max daily dose
0.4 mg milligram(s)
Max total dose
0.4 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
L02AE04 — TRIPTORELIN
Marketing authorisation
62.431
MA holder
IPSEN PHARMA SA
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Instituto Bernabeu S.L.

3 Total trials 1 Recruiting
Academic / Non-commercial
Sponsor organisation
Instituto Bernabeu S.L.
Address
Avinguda Albufereta 31
City
Alicante
Postcode
03016
Country
Spain

Scientific contact point

Organisation
Instituto Bernabeu S.L.
Contact name
María Martínez Moya (Principal Investigator)

Public contact point

Organisation
Instituto Bernabeu S.L.
Contact name
Anna Pitas (Study Coordinator)

Locations

1 EU/EEA country · 3 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruiting 150 3
Rest of world 0

Investigational sites

Spain

3 sites · Ongoing, recruiting
Namsomara S.L.
Accuna, Avinguda Del Pintor Xavier Soler 18, 03015, Alicante
Instituto Bernabeu S.L.
Elche, Avinguda Albufereta 31, 03016, Alicante
Instituto Bernabeu S.L.
Alicante, Avinguda Albufereta 31, 03016, Alicante

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2023-11-08 2023-11-16

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-02-28 Spain Acceptable
2023-05-09
2023-05-09