Benefit of GnRH Agonist Before Frozen Embryo Transfer in Patients With Endometriosis and/or Adenomyosis: Randomised Prospective Study.

2024-519126-20-00 Protocol 2019_0012 Phase III and Phase IV (Integrated) Authorised, recruiting

Start 15 Nov 2024 · Status Authorised, recruiting · 1 EU/EEA countries · 1 sites · Protocol 2019_0012

Overview

Sponsor-declared trial summary

Phase Phase III and Phase IV (Integrated)
Status Authorised, recruiting
Participants planned 180
Countries 1
Sites 1

Endometriosis

To assess the impact of the administration of a long-acting GnRH agonist prior to frozen embryo transfer (FET) on clinical pregnancy rates within an assisted reproductive technology (ART) protocol, in patients with endometriosis and/or adenomyosis.

Key facts

Sponsor
Hospital Foch
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Trial duration
15 Nov 2024 → ongoing
Decision date (initial)
2024-11-15
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Hôpital foch

External identifiers

EU CT number
2024-519126-20-00
EudraCT number
2019-003645-16
ClinicalTrials.gov
NCT04356664

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To assess the impact of the administration of a long-acting GnRH agonist prior to frozen embryo transfer (FET) on clinical pregnancy rates within an assisted reproductive technology (ART) protocol, in patients with endometriosis and/or adenomyosis.

Secondary objectives 2

  1. Evaluate the impact of the administration of a long-acting GnRH agonist on : o Implantation rate o Miscarriage rate
  2. Assess the safety and tolerability of the long-acting GnRH agonist

Conditions and MedDRA coding

Endometriosis

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Women aged 18 to 36 with endometriosis and/or adenomyosis
  2. Having undergone IVF/ICSI with freeze-all, and for whom a blastocyst FET is planned
  3. A normal uterine cavity
  4. An MRI with contrast injection confirming endometriosis and/or adenomyosis during the inclusion visit (MRI performed after patient selection if no results from the past 6 months are available or interpretable)
  5. Having signed a consent form
  6. Affiliated with a health insurance plan

Exclusion criteria 10

  1. BMI > 35
  2. History of implantation failures (≥2)
  3. Endometrial abnormalities
  4. Known uni or bilateral hydrosalpinx
  5. Known hypersensitivity to GnRH, GnRH analogues, or any excipients in DECAPEPTYL® LP, 11.25 mg
  6. Known hypersensitivity to estradiol/progesterone/acetylsalicylic acid/folic acid/cefixime/levofloxacin
  7. Known or suspected breast cancer, or history of breast cancer
  8. Known or suspected cancer of the reproductive system, or history of reproductive system cancer
  9. Known or suspected estrogen-dependent malignant tumors
  10. Pregnancy and breast

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary evaluation criterion is the clinical pregnancy rate (confirmed by the presence of a fetal heartbeat), which will be assessed in both groups during the ultrasound conducted at the final visit

Secondary endpoints 3

  1. Number of successful implantations per number of embryos transferred;
  2. Miscarriage defined as a spontaneous pregnancy loss after a successful implantation;
  3. Incidence and severity of side effects related to hypoestrogenism (e.g., hot flashes, night sweats, decreased libido, mood swings, etc.)

Investigational products

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

Test 1

DECAPEPTYL L.P. 11,25 mg, poudre et solvant pour suspension injectable (IM ou SC) forme à libération prolongée sur 3 mois

PRD390677 · Product

Active substance
Triptorelin
Substance synonyms
TRIPTORELINE
Pharmaceutical form
PROLONGED-RELEASE SUSPENSION FOR INJECTION
Route of administration
INJECTION
Max daily dose
11.25 mg milligram(s)
Max total dose
11.25 mg milligram(s)
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
L02AE04 — TRIPTORELIN
Marketing authorisation
34009 341 256 5 2
MA holder
IPSEN PHARMA
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Hospital Foch

Sponsor organisation
Hospital Foch
Address
40 Rue Worth
City
Suresnes
Postcode
92150
Country
France

Scientific contact point

Organisation
Hospital Foch
Contact name
PIRTEA Paul

Public contact point

Organisation
Hospital Foch
Contact name
PIRTEA Paul

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Authorised, recruiting 180 1
Rest of world 0

Investigational sites

France

1 site · Authorised, recruiting
Hospital Foch
PMA, 40 Rue Worth, 92150, Suresnes

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2024-11-15

Results and documents

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

Documents 14 files

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

TypeTitleVersion
Protocol (for publication) D1_Page de signature_protocol_2024-519126-20-00 11
Protocol (for publication) D1_Protocol_2024-519126-20-00_SOC 1
Protocol (for publication) D1_Protocol_2024-519126-20-00_TC 11
Protocol (for publication) D1_Protocol_FR_2024-519126-20-00_for pub 11
Protocol (for publication) D1_Protocol_FR_2024-519126-20-00_not for pub 11
Recruitment arrangements (for publication) K1_ 2024-519126-20-00_Recruit arrang 1
Recruitment arrangements (for publication) Note au dossier_Recruitment Arrangements 1
Subject information and informed consent form (for publication) L1_2024-519126-20-00_SIS and ICF_adults__TC 9
Subject information and informed consent form (for publication) L1_SIS and ICF_adults 8
Summary of Product Characteristics (SmPC) (for publication) RCP_DECATEC 1
Summary of Product Characteristics (SmPC) (for publication) RCP-Decapeptyl_11-25 1
Synopsis of the Protocol - Extract (for publication) D1_Protocol synopsis_FR_2024-519126-20-00_not for pub 11
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR_2024-519126-20-00_for pub 11
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR_2024-519126-20-00_TC 11

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-17 France Acceptable
2024-11-07
2024-11-15
2 SUBSTANTIAL MODIFICATION SM-1 2025-06-23 France Acceptable
2025-07-31
2025-07-31