PPOS (Progestin primed ovarian stimulation) and Corifollitropin alfa (CFA) cross-over study

2023-506694-35-00 Protocol P-CCROSS Therapeutic use (Phase IV) Ongoing, recruiting

Start 24 Jan 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 1 sites · Protocol P-CCROSS

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 60
Countries 1
Sites 1

Subfertility

To compare CFA / PPOS stimulation versus conventional rFSH / GnRH antagonist ovarian stimulation cycles with respect to mean treatment-related quality of life and patient satisfaction in both subjects undergoing elective fertility preservation and subjects undergoing PGT.

Key facts

Sponsor
Universitair Ziekenhuis Gent
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Phenomena and Processes [G] - Reproductive and Urinary Physiological Phenomena [G08]
Trial duration
24 Jan 2025 → ongoing
Decision date (initial)
2023-10-27
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Ghent University Hospital · Organon

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

To compare CFA / PPOS stimulation versus conventional rFSH / GnRH antagonist ovarian
stimulation cycles with respect to mean treatment-related quality of life and patient satisfaction
in both subjects undergoing elective fertility preservation and subjects undergoing PGT.

Secondary objectives 1

  1. To evaluate if the effect of treatment regimen on mean treatment-related quality of life and patient satisfaction is different between subjects undergoing elective fertility preservation and subjects undergoing PGT treatment. Thus testing for effect modification of the treatment by indication for the treatment (preventive against therapeutic).

Conditions and MedDRA coding

Subfertility

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 PPOS and CFA for elective freeze-all ovarian stimulation cycles
The aim of this study is to compare CFA/PPOS stimulation (study arm 1) versus conventional rFSH/GnRH antagonist ovarian stimulation (study arm 2)
Randomised Controlled None study arm 1: CFA/PPOS stimulation
study arm 2: conventional rFSH/GnRH antagonist
ovarian stimulation

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Group 1: indication for oocyte cryopreservation
  2. Group 2: indication for IVF/ICSI and PGT-A
  3. for both groups: First ovarian stimulation cycle
  4. for both groups: Aged ≥ 18 and < 41 years old at the time of first OPU
  5. for both groups: Body Mass Index (BMI) ≥ 18 kg/m² and < 32 kg/m²

Exclusion criteria 7

  1. Contra-indication for ovarian stimulation
  2. Expected poor ovarian response (Bologna Criteria)
  3. PCOS patients
  4. Refusal to fill out questionnaires before, during and after treatment
  5. Simultaneous participation in another clinical study
  6. Untreated and uncontrolled thyroid dysfunction
  7. Current use of oral contraceptives, anti-psychotics, anti-epileptics or chemotherapy

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Treatment-related quality of life and patient satisfaction retrieved from the second questionnaire (Q2), which is completed at the end of each stimulation cycle; after the agonist trigger and before the oocyte retrieval.

Secondary endpoints 1

  1. Patient feedback derived from the third questionnaire (Q3), which is completed within 3 weeks after completing the second stimulation cycle.

Investigational products

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

Test 10

Puregon 300 IU/0.36 mL solution for injection

PRD9022782 · Product

Active substance
Follitropin Beta
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
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
G03GA06 — FOLLITROPIN BETA
Marketing authorisation
EU/1/96/008/038
MA holder
N.V. ORGANON
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Puregon 900 IU/1.08 mL solution for injection

PRD9022794 · Product

Active substance
Follitropin Beta
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
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
G03GA06 — FOLLITROPIN BETA
Marketing authorisation
EU/1/96/008/041
MA holder
N.V. ORGANON
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Puregon 600 IU/0.72 mL solution for injection

PRD9022786 · Product

Active substance
Follitropin Beta
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
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
G03GA06 — FOLLITROPIN BETA
Marketing authorisation
EU/1/96/008/039
MA holder
N.V. ORGANON
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Cerazette 75 microgram film-coated tablets

PRD9189910 · Product

Active substance
Desogestrel
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
75 µg microgram(s)
Max total dose
1050 µg microgram(s)
Max treatment duration
14 Day(s)
Authorisation status
Authorised
ATC code
G03AC09 — DESOGESTREL
Marketing authorisation
PA23198/016/001
MA holder
ORGANON PHARMA (IRELAND) LIMITED
MA country
Ireland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Gonapeptyl Daily 0,1 mg/1 ml, oplossing voor injectie

PRD434759 · Product

Active substance
Triptorelin Acetate
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
0.2 µg microgram(s)
Max total dose
0.2 µg microgram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
L02AE04 — TRIPTORELIN
Marketing authorisation
BE 339902
MA holder
FERRING N.V.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Gonapeptyl Daily 0,1 mg/1 ml, solution injectable

PRD433987 · Product

Active substance
Triptorelin Acetate
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
0.2 µg microgram(s)
Max total dose
0.2 µg microgram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
L02AE04 — TRIPTORELIN
Marketing authorisation
BE 339902
MA holder
FERRING N.V.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Gonapeptyl Daily 0,1 mg/ml, Injektionslösung

PRD6816053 · Product

Active substance
Triptorelin Acetate
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
0.2 µg microgram(s)
Max total dose
0.2 µg microgram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
L02AE04 — TRIPTORELIN
Marketing authorisation
BE 339902
MA holder
FERRING N.V.
MA country
Belgium
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Elonva 150 micrograms solution for injection

PRD9049683 · Product

Active substance
Corifollitropin Alfa
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
150 µg microgram(s)
Max total dose
150 µg microgram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
G03GA09 — -
Marketing authorisation
EU/1/09/609/002
MA holder
N.V. ORGANON
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Orgalutran 0.25 mg/0.5 mL solution for injection

PRD8889183 · Product

Active substance
Ganirelix
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
0.25 µg microgram(s)
Max total dose
2.25 µg microgram(s)
Max treatment duration
9 Day(s)
Authorisation status
Authorised
ATC code
H01CC01 — GANIRELIX
Marketing authorisation
EU/1/00/130/001
MA holder
N.V. ORGANON
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Orgalutran 0.25 mg/0.5 mL solution for injection

PRD8889187 · Product

Active substance
Ganirelix
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
0.25 µg microgram(s)
Max total dose
2.25 µg microgram(s)
Max treatment duration
9 Day(s)
Authorisation status
Authorised
ATC code
H01CC01 — GANIRELIX
Marketing authorisation
EU/1/00/130/002
MA holder
N.V. ORGANON
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Universitair Ziekenhuis Gent

Sponsor organisation
Universitair Ziekenhuis Gent
Address
Corneel Heymanslaan 10
City
Gent
Postcode
9000
Country
Belgium

Scientific contact point

Organisation
Universitair Ziekenhuis Gent
Contact name
Sara Somers

Public contact point

Organisation
Universitair Ziekenhuis Gent
Contact name
Sara Somers

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Ongoing, recruiting 60 1
Rest of world 0

Investigational sites

Belgium

1 site · Ongoing, recruiting
Universitair Ziekenhuis Gent
Reproductive Medicine, Corneel Heymanslaan 10, 9000, Gent

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Belgium 2025-01-24 2025-01-27

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 6 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Recruitment arrangements (for publication) K1_ Recruitment arrangements public 1.0
Subject information and informed consent form (for publication) L1_ SIS and ICF adults public 2.1
Subject information and informed consent form (for publication) L1_ SIS and ICF adults track changes 2.1
Subject information and informed consent form (for publication) L1_SIS and ICF sponsor statement public 2.0
Subject information and informed consent form (for publication) L1_SIS and ICF sponsor statement track changes 2.0
Subject information and informed consent form (for publication) L2_ Other subject information material study emergency card public 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-08-11 Belgium Acceptable
2023-10-27
2023-10-27
2 NON SUBSTANTIAL MODIFICATION NSM-1 2025-04-09 Belgium Acceptable
2023-10-27
2025-04-09