The impact of the intensity of ovarian stimulation on embryo quality in predicted suboptimal responders. A randomized controlled trial.

2024-514322-23-00 Protocol FSD-IEQ-2021-03 Therapeutic use (Phase IV) Ended

Start 9 Sep 2024 · End 11 Mar 2026 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol FSD-IEQ-2021-03

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 110
Countries 1
Sites 1

infertility

To compare the two stimulation groups of CC plus rFSH 150IU vs. 300IU regarding the number of GQB according to the Istanbul Consensus criteria

Key facts

Sponsor
Santiago Dexeus Font Fundacio Privada
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Trial duration
9 Sep 2024 → 11 Mar 2026
Decision date (initial)
2024-09-09
Transition trial
Yes
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-514322-23-00
EudraCT number
2021-000941-42
ClinicalTrials.gov
NCT04983173

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To compare the two stimulation groups of CC plus rFSH 150IU vs. 300IU regarding the number of GQB according to the Istanbul Consensus criteria

Conditions and MedDRA coding

infertility

VersionLevelCodeTermSystem organ class
21.0 PT 10021926 Infertility 100000004872

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. infertile patients undergoing ovarian stimulation for IVF
  2. AFC ≥ 5 and ≤ 10
  3. AMH ≤1.5 ng/ml (AMH result of up to one year will be valid)
  4. Age ≥ 35 years and ≤40 years
  5. BMI >18.5 and <25 kg/m2
  6. Willing to participate in the study

Exclusion criteria 6

  1. AFC >10
  2. History of untreated autoimmune, endocrine or metabolic disorders
  3. Contraindication for hormonal treatment
  4. Preimplantation genetic diagnosis
  5. Severe male factor (sperm concentration <5M/mL)
  6. Recent history of severe disease requiring regular treatment (clinically significant concurrent medical condition that could compromise subject safety or interfered with the trial assessment and patients with any contraindication of being pregnant).

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary efficacy endpoint is the number of good-quality blastocysts (GQB), according to the Istanbul Consensus Criteria. The primary efficacy endpoint is related to the primary trial objective.

Secondary endpoints 12

  1. Time of pronuclei appearance
  2. Time of pronuclei disappearance
  3. The total number of embryos
  4. Time of division from 2 to 8 cells
  5. Time of compactation
  6. Time of morula
  7. Time of cavitation
  8. Time of full blastulation
  9. Time of expanded blastocyst
  10. Time of hatched blastocyst
  11. Blastocyst formation rate
  12. Cycle cancelation rate

Investigational products

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

Test 3

Ovaleap 900 IU/1.5 mL solution for injection

PRD6962945 · Product

Active substance
Follitropin Alfa (Genetical Recombination)
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
150 IU international unit(s)
Max total dose
2250 IU international unit(s)
Max treatment duration
15 Day(s)
Authorisation status
Authorised
ATC code
G03GA05 — FOLLITROPIN ALFA
Marketing authorisation
EU/1/13/871/003
MA holder
THERAMEX IRELAND LIMITED
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ovaleap 450 IU/0.75 mL solution for injection

PRD6962944 · Product

Active substance
Follitropin Alfa (Genetical Recombination)
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
150 IU international unit(s)
Max total dose
2250 IU international unit(s)
Max treatment duration
15 Day(s)
Authorisation status
Authorised
ATC code
G03GA05 — FOLLITROPIN ALFA
Marketing authorisation
EU/1/13/871/002
MA holder
THERAMEX IRELAND LIMITED
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ovaleap 300 IU/0.5 mL solution for injection

PRD6962943 · Product

Active substance
Follitropin Alfa (Genetical Recombination)
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS USE
Max daily dose
150 IU international unit(s)
Max total dose
2250 IU international unit(s)
Max treatment duration
15 Day(s)
Authorisation status
Authorised
ATC code
G03GA05 — FOLLITROPIN ALFA
Marketing authorisation
EU/1/13/871/001
MA holder
THERAMEX IRELAND LIMITED
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 1

Omifin 50 mg comprimidos

PRD509571 · Product

Active substance
Clomifene Citrate
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
50 mg milligram(s)
Max total dose
250 mg milligram(s)
Max treatment duration
5 Day(s)
Authorisation status
Authorised
ATC code
G03GB02 — CLOMIFENE
Marketing authorisation
43.880
MA holder
LABORATORIOS EFFIK S.A.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 4

Orgalutran 0.25 mg/0.5 mL solution for injection

PRD8889190 · Product

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

Ovitrelle 250 micrograms/0.5 mL solution for injection in pre-filled syringe

PRD3530802 · Product

Active substance
Choriogonadotropin Alfa
Pharmaceutical form
SOLUTION FOR INJECTION IN PRE-FILLED SYRINGE
Route of administration
SUBCUTANEOUS USE
Max daily dose
6500 IU international unit(s)
Max total dose
6500 IU international unit(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
G03GA08 — CHORIOGONADOTROPIN ALFA
Marketing authorisation
EU/1/00/165/007
MA holder
MERCK EUROPE B.V.
MA country
Liechtenstein
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 USE
Max daily dose
0.2 mg milligram(s)
Max total dose
0.2 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

Utrogestan 200 mg cápsulas vaginales blandas

PRD10354307 · Product

Active substance
Progesterone, Micronised
Pharmaceutical form
VAGINAL CAPSULE, SOFT
Route of administration
VAGINAL USE
Max daily dose
200 mg milligram(s)
Max total dose
200 mg milligram(s)
Max treatment duration
42 Day(s)
Authorisation status
Authorised
ATC code
G03DA04 — PROGESTERONE
Marketing authorisation
88298
MA holder
BESINS HEALTHCARE IRELAND LIMITED
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Santiago Dexeus Font Fundacio Privada

Sponsor organisation
Santiago Dexeus Font Fundacio Privada
Address
Gran Via De Carles III 71-75
City
Barcelona
Postcode
08028
Country
Spain

Scientific contact point

Organisation
Santiago Dexeus Font Fundacio Privada
Contact name
Ignacio Rodriguez

Public contact point

Organisation
Santiago Dexeus Font Fundacio Privada
Contact name
Ignacio Rodriguez

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ended 110 1
Rest of world 0

Investigational sites

Spain

1 site · Ended
Hospital Universitari Dexeus Grupo Quironsalud
Department of Reproductive Medicine, Calle De Sabino Arana 5-19, 08028, Barcelona

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 2024-09-09 2026-03-11 2024-09-09 2025-12-16

Results and documents

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

Documents 9 files

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

TypeTitleVersion
Protocol (for publication) D1_PROTOCOLO INTENS-EQ_Trial_V2_02062021 1
Recruitment arrangements (for publication) K1_recruitment arrangements 1
Subject information and informed consent form (for publication) L1_HIPCI INTENS-EQ EN V2_02062021 1
Subject information and informed consent form (for publication) L1_HIPCI INTENS-EQ ESP V2_02062021 1
Summary of Product Characteristics (SmPC) (for publication) G2_FT_OMIFIN 1
Summary of Product Characteristics (SmPC) (for publication) G2_ovaleap-epar-product-information_es 1
Summary of Product Characteristics (SmPC) (for publication) G2_ovaleap-epar-product-information_es 1
Summary of Product Characteristics (SmPC) (for publication) G2_ovaleap-epar-product-information_es 1
Synopsis of the protocol (for publication) D1_RESUMEN INTENS-EQ V2 02062021 limpia 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-02 Spain Acceptable with conditions
2024-09-09
2024-09-09