Using a fixed dosage of follitropin delta for ovarian stimulation for intrauterine insemination.

2025-520681-22-00 Protocol RISE Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 17 Dec 2025 · Status Ongoing, recruiting · 1 EU/EEA countries · 5 sites · Protocol RISE

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 80
Countries 1
Sites 5

Infertility

To observe the effect of a fixed dose of follitropin delta (3.66mcg) on the ovarian response during ovarian stimulation for IUI.

Key facts

Sponsor
Centre Hospitalier Intercommunal Creteil
Participant type
Patients
Age range
18-64 years
Gender
Female
Therapeutic area
Diseases [C] - Female Urogenital Diseases and Pregnancy Complications [C13]
Trial duration
17 Dec 2025 → ongoing
Decision date (initial)
2025-07-31
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Ferring SAS

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

To observe the effect of a fixed dose of follitropin delta (3.66mcg) on the ovarian response during ovarian stimulation for IUI.

Secondary objectives 1

  1. Description of the clinical efficacy, efficiency and safety of follitropin delta for women undergoing IUI cycles.

Conditions and MedDRA coding

Infertility

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 treatment and follow up
Each patient will start the ovarian stimulation with a fixed dose of 3,66 mcg of Rekovelle ® on day 4 of the natural cycle . The duration of the treatment will depend on every patient’s response (maximum of 13 days per cycle) Each patient will undergo up to maximum 3 intrauterin insemination cycles.
2 None

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 8

  1. Normo-ovulatory patients
  2. 18 – 38 included years old
  3. BMI between 18 and 29 included kg/m²
  4. Regular menstrual cycles
  5. At least one healthy Fallopian tube
  6. Normal uterus cavity
  7. First treatment for IUI
  8. Affiliation to the social security

Exclusion criteria 32

  1. Endometriosis Stage III
  2. Gynecological bleeding of unknown etiology
  3. Ovarian, uterine or breast carcinoma
  4. Primary ovarian failure
  5. Genital malformations incompatible with pregnancy
  6. Uterine fibroids incompatible with pregnancy
  7. Protected persons (pregnant women, nursing mothers, person under guardianship, minors, persons deprived of liberty, and persons unable to give consent)
  8. Participation in other interventional research
  9. Total mobile sperm count <1 million
  10. Tumors (including meningioma) whose development is known or suspected to be progesterone-dependent
  11. History of hepatic dysfunction
  12. Severe spermatogenesis disorders
  13. Have been receiving progestogen therapy for more than 6 months
  14. Known contraindication to hormonal treatments (progestogens or oestrogens), or with a history of adverse events related to their use.
  15. Previous thromboembolism events during or following the use of gonadotrophins or with high risk factors for thromboembolic events (venous or arterial)
  16. Hypersensitivity to the active substance or to any of the excipients
  17. High risk of OHSS such as women with AMH ≥ 35 pmol/L
  18. History of severe uterine malformation (unicornuate or bicornuate uterus)
  19. Past history of ovarian torsion
  20. Uncontrolled thyroid dysfunction
  21. Uncontrolled adrenal dysfunction
  22. Hydrosalpynx
  23. Women with Poly Cystic Ovary Syndrom
  24. Breast pathologies not compatible with gonadotrophin stimulation
  25. Use of infertility medications that could affect follicle stimulation and maturation such as GH
  26. History of OHSS or excessive response to gonadotrophins
  27. Chronic disease with contraindication to ovarian stimulation with gonadotrophins
  28. Known genetic disease
  29. Hypothalamus or pituitary tumors
  30. Ovarian hypertrophy or ovarian cyst not due to polycystic ovary syndrome
  31. Not able to understand and sign the written informed consent form
  32. Previous or current treatment with gonadotrophins

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Percentage of cycles with two mature follicles (total of two ovaries) at the stage of triggering ovulation (follicles diameter ≥14 mm) and no follicles between 10 et 13 mm.

Secondary endpoints 25

  1. Number of follicles ≥14 mm on the day of trigger ( by cycle)
  2. Number of follicles between 10 et 13 mm on the day of trigger (by cycle)
  3. Percentage of cycles with two mature follicles (total of two ovaries) at the stage of triggering ovulation (follicles diameter ≥14 mm) and no follicles between 10 et 13 mm for each cycle and according to dose adjustment
  4. Presence or absence of dose adjustment in subsequent cycles
  5. Dose adjustment on subsequent cycle(s) : number and percentage of cycles and quantity of mcg
  6. E2, PG, LH levels on the day of trigger
  7. Frequency of spontaneous LH surge by cycle , at the end of stimulation (last day of stimulation)
  8. Cycle cancellation rate (by cycle) . The Cycle is cancelled when more than 2 follicles ≥ 14mm or 4 follicles ≥ 10mm, or if there is no response to treatment
  9. Pregnancy loss rate
  10. Rate of Biochemical pregnancy (βhCG test), Clinical pregnancy, Ongoing pregnancy (by initiated cycle, by insemination and cumulative rates) by patient
  11. Pregnancy rate with one follicle or two follicles diameter ≥14 mm
  12. Multiple pregnancy rate
  13. Time to pregnancy (time between 1st stimulation and date of pregnancy)
  14. The number of stimulation days
  15. Unexpected and related Events
  16. Duration in days between each cycle
  17. The duration of stimulation for each cycle
  18. Endometrial thickness
  19. Pregnancy outcome according to the cycle rank
  20. Cumulative pregnancy outcome up to 3 cycles
  21. Number of OHSS
  22. Number of ectopic pregnancy
  23. Number of ovarian torsion
  24. Number of thromboembolic events
  25. Causes of cycle cancellation

Investigational products

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

Test 2

REKOVELLE 36 micrograms/1.08 mL solution for injection in a pre-filled pen

PRD5098734 · Product

Active substance
Follitropin Delta
Substance synonyms
RFSH
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
4.32 µg microgram(s)
Max total dose
56.16 µg microgram(s)
Max treatment duration
13 Day(s)
Authorisation status
Authorised
ATC code
G03GA10 — -
Marketing authorisation
EU/1/16/1150/005
MA holder
FERRING PHARMACEUTICALS A/S
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
off-label use for Indication

REKOVELLE 12 micrograms/0.36 mL solution for injection in a pre-filled pen

PRD5098647 · Product

Active substance
Follitropin Delta
Substance synonyms
RFSH
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
4.32 µg microgram(s)
Max total dose
56.16 µg microgram(s)
Max treatment duration
13 Day(s)
Authorisation status
Authorised
ATC code
G03GA10 — -
Marketing authorisation
EU/1/16/1150/004
MA holder
FERRING PHARMACEUTICALS A/S
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
Yes
Modification description
off-label use for Indication

Auxiliary 3

UTROGESTAN 200 mg, capsule molle orale ou vaginale

PRD548870 · Product

Active substance
Progesterone
Pharmaceutical form
CAPSULE, SOFT
Route of administration
VAGINAL USE
Max daily dose
400 mg milligram(s)
Max total dose
16.8 g gram(s)
Max treatment duration
6 Week(s)
Authorisation status
Authorised
ATC code
G03DA04 — PROGESTERONE
Marketing authorisation
34009 348 400 4 3
MA holder
BESINS HEALTHCARE FRANCE
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Ovitrelle 250 micrograms solution for injection in pre-filled pen

PRD3312176 · Product

Active substance
Choriogonadotropin Alfa
Substance synonyms
FE 999302, CHORIOGONADOTROPHIN ALPHA
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INJECTION
Max daily dose
250 mg milligram(s)
Max total dose
250 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
G03GA08 — CHORIOGONADOTROPIN ALFA
Marketing authorisation
EU/1/00/165/008
MA holder
MERCK EUROPE B.V.
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

DUPHASTON 10 mg, comprimé pelliculé

PRD11741769 · Product

Active substance
Dydrogesterone
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
30 mg milligram(s)
Max total dose
1.2 g gram(s)
Max treatment duration
6 Week(s)
Authorisation status
Authorised
ATC code
G03DB01 — DYDROGESTERONE
Marketing authorisation
34009 321 931 9 6
MA holder
THERAMEX IRELAND LIMITED
MA country
France
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Centre Hospitalier Intercommunal Creteil

Sponsor organisation
Centre Hospitalier Intercommunal Creteil
Address
40 Avenue De Verdun
City
Creteil
Postcode
94000
Country
France

Scientific contact point

Organisation
Centre Hospitalier Intercommunal Creteil
Contact name
Nicolas CHEVALIER

Public contact point

Organisation
Centre Hospitalier Intercommunal Creteil
Contact name
DRSI CHIC

Locations

1 EU/EEA country · 5 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 80 5
Rest of world 0

Investigational sites

France

5 sites · Ongoing, recruiting
Cabinet Dr Géraldine PORCU-BUISSON_Institut de Médecine de la Reproduction
PMA, 345 Avenue du Prado, 13008, Marseille
Cabinet Dr Elodie Descat_Polyclinique Jean Villar
PMA, 50 avenue Maryse Bastié, 33520, Bruges
Cabinet Dr Nathalie Massin_Hôpital Américain De Paris
PMA, 63 boulevard Château, 92200, Neuilly sur Seine
Centre Hospitalier Intercommunal Creteil
PMA, 40 Avenue De Verdun, 94000, Creteil
Cabinet Dr Nicolas Chevalier_Centre AMP Saint Roch
PMA, 550 Avenue du Colonel André Pavelet, 34070, Montpellier

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 2025-12-17 2025-12-17

Results and documents

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

Documents 10 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol _TC_2025-520681-22-00 unsigned 2
Protocol (for publication) D1_Protocol unsigned 2025-520681-22-00 2
Recruitment arrangements (for publication) K1_ Recruitment arrangements 2025-520681-22-00 1-1
Subject information and informed consent form (for publication) L1_SIS and ICF adult _2025-520681-22-00_TC 2
Subject information and informed consent form (for publication) L1_SIS and ICF adult 2025-520681-22-00 2
Summary of Product Characteristics (SmPC) (for publication) G2_SmPC REKOVELLE 1
Synopsis of the protocol (for publication) D1_Protocol synopsis _TC_FR 2025-520681-22-00 2
Synopsis of the protocol (for publication) D1_Protocol synopsis EN 2025-520681-22-00 2
Synopsis of the protocol (for publication) D1_Protocol synopsis EN_TC_ 2025-520681-22-00 2
Synopsis of the protocol (for publication) D1_Protocol synopsis FR 2025-520681-22-00 2

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-05-16 France Acceptable
2025-07-30
2025-07-31
2 SUBSTANTIAL MODIFICATION SM-1 2026-02-12 France Acceptable
2026-03-27
2026-03-31