- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03088137
Study to Compare Efficacy and Safety of Primapur and Gonal-f in Women for Assisted Reproductive Treatment
March 22, 2022 updated by: IVFarma LLC
Multicentre Study to Compare Efficacy and Safety of Primapur and Gonal-f in Women for Assisted Reproductive Treatment
The purpose of this study is to show equivalence with regard to the number of oocytes retrieved between follitropin alfa (pen-injectors) Primapur® and Gonal-f® in woman undergoing IVF/ICSI
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
118
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Moscow, Russian Federation
- AltraVita IVF clinic
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Moscow, Russian Federation
- Perinatal Medical Center
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Moscow Oblast, Russian Federation
- Clinical Hospital Lapino
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 33 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Infertility due to tubal factor and/or male factor
- Age between 20 and 35 years with regular menstrual cycles of 21-35 days
- First or second cycle in the present series of ART
- BMI (body mass index) ≥ 18 ≤ 30 kg/m2
- Basal FSH (follicle stimulating hormone) < 10 IU/L (cycle day 2-5)
- E2 (estradiol) levels < 50pg/mL (cycle day 2)
- AMH (anti-mullerian hormone) ≥ 1.0 ng/ml
- Antral follicle ≥ 4 to ≤ 15 follicles (both ovaries)
- Presence of both ovaries and normal uterine cavity
- Informed consent
Exclusion Criteria:
- Presence of pregnancy
- Hypersensitivity to follitropin alfa
- Ovarian cysts
- History of ≥2 succeeding ART (assisted reproductive technology) cycles IVF (in vitro fertilization) and/or ICSI (Intracytoplasmic sperm injection) before the study cycle
- Previous history of severe ovarian hyperstimulation syndrome
- Presence of polycystic ovaries (PCO)
- Presence of endometriosis and hydrosalpinx
- Presence of uterine disorders
- History of poor (< 4 oocytes) or hyper (> 25 oocytes) responses to FSH treatment at dose 150 IU and GnRH-antagonist (gonadotropin-releasing hormone) protocol
- Premature ovarian failure
- Ectopic pregnancy (3 month before the study cycle)
- Presence of clinically significant systemic disease
- Presence of chronic cardiovascular, hepatic, renal or pulmonary disease
- Presence of endocrine disorder
- Neoplasia
- Male infertility without mobile spermatozoa in the ejaculate, that need MESA (Microsurgical epididymal sperm aspiration)/TESE (testicular sperm extraction)/TESA (testicular sperm aspiration)
- Smoking > 10 cigarettes/day
- Narcomania, alcoholism
- Planned PGS (preimplantation genetic screeneing) /PGD (preimplantation genetic diagnosis)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Primapur (Follitropin alfa)
|
Subcutaneous injection, fixed starting dose 150 IU for 5 days, maximum of 16 days of ovarian hyperstimulation
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Active Comparator: Gonal-f (Follitropin alfa)
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Subcutaneous injection, fixed starting dose 150 IU for 5 days, maximum of 16 days of ovarian hyperstimulation
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Oocytes (Intention-to-Treat, ITT)
Time Frame: From date of randomization up to 18 days
|
The total number of retrieved oocytes at the day of ovum pick-up.
No more than 37 hours from the introduction of the trigger of ovulation (hCG or GnRH-agonist).
The equivalence in the number of retrieved oocytes was tested using a predetermined equivalence margin of +/- 3.4 oocytes.
|
From date of randomization up to 18 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Follicles With Size ≥ 16 mm
Time Frame: From date of randomization up to 16 days
|
The number of follicles 16 mm or over in diameter at the day of hCG (or GnRH-agonist) administration
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From date of randomization up to 16 days
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Mature Oocytes
Time Frame: From date of randomization up to 18 days
|
The number of mature oocytes (MII stage of development)
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From date of randomization up to 18 days
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Fertilised Oocytes
Time Frame: From date of randomization up to 19 days
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The number of fertilised oocytes with the presence of two pronuclei: 2PN
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From date of randomization up to 19 days
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Percentage of Patients With Embryo Transfer
Time Frame: From date of randomization up to 25 days
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The number of patients (and percentage) with embryo transfers on days 3 and 5 after ovum pick-up
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From date of randomization up to 25 days
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Total Dose of Follitropin Alfa
Time Frame: From date of randomization up to 16 days
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The total dose of the follitropin alfa administrated during the ovarian hyperstimulation protocol (measured in International Units - IU)
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From date of randomization up to 16 days
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Number of Days of Follitropin Alfa Treatment
Time Frame: From date of randomization up to 16 days
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The duration of ovarian hyperstimulation protocol (at the day of trigger of ovulation)
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From date of randomization up to 16 days
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Number of Patients With Follitropin Alfa Dose Correction
Time Frame: From date of randomization up to 16 days
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The number of dose adjustments during the ovarian hyperstimulation protocol (increment 25-50 IU)
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From date of randomization up to 16 days
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Number of Patients With Cycle Cancellation
Time Frame: From date of randomization up to 16 days
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The number of the ovarian hyperstimulation protocol cancellation (at the day of trigger of ovulation)
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From date of randomization up to 16 days
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Number of No-responders
Time Frame: From date of randomization up to 8 days
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The number of patients with no response to follitropin alfa treatment (absence of growing follicles, no any oocytes obtained at the day of ovum pick-up)
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From date of randomization up to 8 days
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Percentage of Patients With Serum hCG More Than 25 IU/l
Time Frame: From date of randomization up to 42 days
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Biochemical pregnancy test: serum hCG more than 25 IU/l (days 12-17 after embryo transfer)
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From date of randomization up to 42 days
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Percentage of Patients With the Evidence for Clinical Pregnancy
Time Frame: The 10th week after embryo transfer
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Confirmation of clinical pregnancy: ultrasound detection of intrauterine gestational sac and heart activity
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The 10th week after embryo transfer
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- M. Polzikov, Z. Barakhoeva, S. Yakovenko, M. Ovchinnikova, L.Vovk, Y. Fetisova. A multicenter, randomized study comparing the efficacy of follitropin alpha biosimilar and the original follitropin alpha. Abstracts of the 35th Annual Meeting of the ESHRE, Vienna, Austria 24 to 26 June 2019 (abstract P-649), Human Reproduction, 2019; Vol. 34, Suppl. 1, p. i439.
- Barakhoeva Z, Vovk L, Fetisova Y, Marilova N, Ovchinnikova M, Tischenko M, Scherbatyuk Y, Kolotovkina A, Miskun A, Kasyanova G, Teterina T, Zorina I, Belousova N, Morozova E, Yakovenko S, Apryshko V, Sichinava L, Shalinsmall a, Cyrillic R, Polzikov M. A multicenter, randomized, phase III study comparing the efficacy and safety of follitropin alpha biosimilar and the original follitropin alpha. Eur J Obstet Gynecol Reprod Biol. 2019 Oct;241:6-12. doi: 10.1016/j.ejogrb.2019.07.032. Epub 2019 Jul 26.
- Barakhoeva Z.B., Vovk L.A., Zorina I.V., Belousova N.Y., Teterina T.A., Yakovenko S.A., Apryshko V.P., Fetisova Y.A., Marilova N.A., Morozova E.G., Ovchinnikova M.M., Tishenko M.A., Sherbatyuk Y.V., Kolotovkina A.V., Miskun A.A., Kasyanova G.V., Sichinava L.G., Shalinа R.I., Polzikov M.A. Major results of a phase III comparative multicenter study on the follitropin alfa biosimilar (Primapur®) and the original follitropin alfa (Gonal-f®). Akusherstvo, ginekologiya i reprodukciya. 2018;12(3):5-16. (In Russ.) https://doi.org/10.17749/2313-7347.2018.12.3.005-016
- Polzikov M, Blinov D, Barakhoeva Z, Vovk L, Fetisova Y, Ovchinnikova M, Tischenko M, Zorina I, Yurasov V, Ushakova T, Sergeyev O. Association of the Serum Folate and Total Calcium and Magnesium Levels Before Ovarian Stimulation With Outcomes of Fresh In Vitro Fertilization Cycles in Normogonadotropic Women. Front Endocrinol (Lausanne). 2022 Feb 11;13:732731. doi: 10.3389/fendo.2022.732731. eCollection 2022.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
February 8, 2017
Primary Completion (Actual)
August 17, 2018
Study Completion (Actual)
August 17, 2018
Study Registration Dates
First Submitted
March 2, 2017
First Submitted That Met QC Criteria
March 22, 2017
First Posted (Actual)
March 23, 2017
Study Record Updates
Last Update Posted (Actual)
April 1, 2022
Last Update Submitted That Met QC Criteria
March 22, 2022
Last Verified
March 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- FSG-03-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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