Evaluation of Efficacy and Safety of Highly Purified Urofollitropin for Ovulation Induction in Chinese Females (Compass)
A Randomized, Assessor-blinded, Parallel Group, Multi-center, Non-inferiority Study Investigating the Efficacy and Safety of Highly Purified Urofollitropin for Injection Compared to Recombinant Human Follitropin Alfa for Injection for Ovulation Induction Using a Low-dose, Step-up Protocol in Chinese Females With WHO Group II Anovulatory Infertility Failing to Conceive on Clomiphene Citrate
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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Beijing
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Beijing, Beijing, China
- Peking Union Medical College Hospital
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Beijing, Beijing, China
- Peking University First Hospital
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Beijing, Beijing, China
- Chinese PLA General Hospital
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Beijing, Beijing, China
- Navy General Hospital
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Beijing, Beijing, China
- Peking University People's Hospital
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Guangdong
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Guangzhou, Guangdong, China
- Sun Yat-sen Memorial Hospital Sun Yat-sen University
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Guangzhou, Guangdong, China
- The Third Affiliated Hospital of Guangzhou Medical University
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Hubei
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Wuhan, Hubei, China
- Tongji Hospital Tongji Medical College of HUST Tongji Medical College Huazhong University of Science & Technology
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Jiangsu
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Nanjing, Jiangsu, China
- The First Affiliated Hospital with Nanjing Medical University
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Liaoning
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Shenyang, Liaoning, China
- Shengjing Hospital of China Medical University
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Sichuan
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Chengdu, Sichuan, China
- Sichuan Provincial People's Hospital
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Tianjin
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Tianjin, Tianjin, China
- Tianjin Medical University General Hospital
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Signed informed consent form prior to screening evaluations
- Chinese females between the ages of 20-39 years
- Infertility for at least 1 year before screening
- Women WHO type II anovulatory infertility with chronic anovulation (defined as amenorrhoea (i.e., no menstrual bleeding for 6 months or more) or oligoamenorrhoea (i.e., cycles of more than 35 days) ) with progestogen induced withdrawal bleeding or spontaneous menstrual bleeding
- Failure to conceive after at least one cycle of ovulation induction with clomiphene citrate
- Bilateral tubal patency documented by a hysterosalpingography or sonohysterography or laparoscopy within 2 years prior to screening
- Normal pelvis documented by a transvaginal ultrasound with respect to uterus, Fallopian tubes and ovaries within 3 months prior to screening
- Early follicular phase serum levels of FSH within normal limits (1-12 IU/L,) (results obtained within 2 months prior to randomization)
- LH (Luteinizing hormone), prolactin , E2 (estradiol), progesteron, total testosterone, and TSH (thyrotropin) levels within normal limits for the clinical laboratory
- Male partner with a semen analysis obtained within 12 months prior to randomisation and showing acceptable values for semen according to the local laboratory, or showing more than 2.000.000 progressive motile sperm per mL after capacitation (in case of IUI (intrauterine insemination))
- BMI (Body mass index) is ≥ 18.5 and < 30 kg/m2
Exclusion Criteria:
- Any known clinically significant systemic disease
- Known past or current thrombophlebitis or thromboembolism including venous thrombosis disease and active or recent arterial thrombosis disease
- Any known endocrine or metabolic abnormalities which can compromise participation in the trial with the exception of controlled thyroid function disease
- Any known concomitant medications that would interfere with evaluation of study medications. Specifically, any non-study hormonal therapy (except for thyroid medication), anti-psychotics, anxiolytics, hypnotics and sedatives, and need for continuous use of prostaglandin inhibitors (non-steroid anti- inflammatory drugs (NSAIDs), including aspirin) at the time of study entry.
- Known history of 12 or more unsuccessful (no pregnancy achieved) ovulation induction cycles
- Any known treatment with clomiphene citrate, metformin, gonadotropins or GnRH analogues within one month prior to randomisation
- Ovarian cysts with a mean diameter ≥ 15 mm that have persisted for more than one cycle or ovarian endometrioma on ultrasound
- Known at least one previous cycle experienced luteinized unruptured follicle syndrome
- Known abnormal results of cervical examination of clinical significance obtained within 1 years prior to screening
- Abnormal vaginal bleeding of undetermined origin
- Known tumors of the ovary, breast, uterus, adrenal gland, pituitary or hypothalamus
- Known malformations of the sexual organs incompatible with pregnancy
- Known current or past (last 12 months) abuse of alcohol or drugs
- Known history of chemotherapy (except for gestational conditions) or radiotherapy
- Finding of any clinically relevant abnormal laboratory value
- Use of any non registered investigational drugs during 3 months before screening or previous participation in the study
- Pregnancy, lactation or contraindication to pregnancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Test Group
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for Injection
Other Names:
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Active Comparator: Comparator Group
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for Injection
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
The ovulation rate defined as the percentage of subjects who present ovulation
Time Frame: From 6 days up to 7 weeks post hCG (human chorionic gonadotropin) administration
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From 6 days up to 7 weeks post hCG (human chorionic gonadotropin) administration
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The positive serum progesterone rate
Time Frame: 6~9 days post hCG administration
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6~9 days post hCG administration
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|
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The positive serum β-hCG/hCG rate
Time Frame: 18~22 days post hCG administration
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18~22 days post hCG administration
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The clinical pregnancy rate
Time Frame: 6~7 weeks post hCG administration
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Regardless of fetal heart beat
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6~7 weeks post hCG administration
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The clinical pregnancy rate
Time Frame: 6~7 weeks post hCG administration
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With fetal heart beat
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6~7 weeks post hCG administration
|
|
The ongoing pregnancy rate
Time Frame: 11~12 weeks post hCG administration
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11~12 weeks post hCG administration
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|
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The follicular development
Time Frame: On the day of hCG administration
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On the day of hCG administration
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Endometrial thickness
Time Frame: On the day of hCG administration
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On the day of hCG administration
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Total FSH (Follicle-stimulating hormone) dose administered
Time Frame: On the day of hCG administration
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On the day of hCG administration
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Number of FSH treatment days
Time Frame: On the day of hCG administration
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On the day of hCG administration
|
|
|
Frequency and severity of adverse events
Time Frame: Expected maximum of 6 months
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Expected maximum of 6 months
|
|
|
Frequency and severity of injection site reactions
Time Frame: Day 1 up to Day 28 of the ovarian stimulation period
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Day 1 up to Day 28 of the ovarian stimulation period
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Serum estradiol (E2) levels
Time Frame: On the day of hCG administration
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On the day of hCG administration
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 000055
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