Overview
Sponsor-declared trial summary
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
- 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
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 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
- Normo-ovulatory patients
- 18 – 38 included years old
- BMI between 18 and 29 included kg/m²
- Regular menstrual cycles
- At least one healthy Fallopian tube
- Normal uterus cavity
- First treatment for IUI
- Affiliation to the social security
Exclusion criteria 32
- Endometriosis Stage III
- Gynecological bleeding of unknown etiology
- Ovarian, uterine or breast carcinoma
- Primary ovarian failure
- Genital malformations incompatible with pregnancy
- Uterine fibroids incompatible with pregnancy
- Protected persons (pregnant women, nursing mothers, person under guardianship, minors, persons deprived of liberty, and persons unable to give consent)
- Participation in other interventional research
- Total mobile sperm count <1 million
- Tumors (including meningioma) whose development is known or suspected to be progesterone-dependent
- History of hepatic dysfunction
- Severe spermatogenesis disorders
- Have been receiving progestogen therapy for more than 6 months
- Known contraindication to hormonal treatments (progestogens or oestrogens), or with a history of adverse events related to their use.
- Previous thromboembolism events during or following the use of gonadotrophins or with high risk factors for thromboembolic events (venous or arterial)
- Hypersensitivity to the active substance or to any of the excipients
- High risk of OHSS such as women with AMH ≥ 35 pmol/L
- History of severe uterine malformation (unicornuate or bicornuate uterus)
- Past history of ovarian torsion
- Uncontrolled thyroid dysfunction
- Uncontrolled adrenal dysfunction
- Hydrosalpynx
- Women with Poly Cystic Ovary Syndrom
- Breast pathologies not compatible with gonadotrophin stimulation
- Use of infertility medications that could affect follicle stimulation and maturation such as GH
- History of OHSS or excessive response to gonadotrophins
- Chronic disease with contraindication to ovarian stimulation with gonadotrophins
- Known genetic disease
- Hypothalamus or pituitary tumors
- Ovarian hypertrophy or ovarian cyst not due to polycystic ovary syndrome
- Not able to understand and sign the written informed consent form
- Previous or current treatment with gonadotrophins
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 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
- Number of follicles ≥14 mm on the day of trigger ( by cycle)
- Number of follicles between 10 et 13 mm on the day of trigger (by cycle)
- 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
- Presence or absence of dose adjustment in subsequent cycles
- Dose adjustment on subsequent cycle(s) : number and percentage of cycles and quantity of mcg
- E2, PG, LH levels on the day of trigger
- Frequency of spontaneous LH surge by cycle , at the end of stimulation (last day of stimulation)
- 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
- Pregnancy loss rate
- Rate of Biochemical pregnancy (βhCG test), Clinical pregnancy, Ongoing pregnancy (by initiated cycle, by insemination and cumulative rates) by patient
- Pregnancy rate with one follicle or two follicles diameter ≥14 mm
- Multiple pregnancy rate
- Time to pregnancy (time between 1st stimulation and date of pregnancy)
- The number of stimulation days
- Unexpected and related Events
- Duration in days between each cycle
- The duration of stimulation for each cycle
- Endometrial thickness
- Pregnancy outcome according to the cycle rank
- Cumulative pregnancy outcome up to 3 cycles
- Number of OHSS
- Number of ectopic pregnancy
- Number of ovarian torsion
- Number of thromboembolic events
- 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
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| France | Ongoing, recruiting | 80 | 5 |
| Rest of world | — | 0 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment 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.
| Type | Title | Version |
|---|---|---|
| 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
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision 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 |