Clinical Outcomes in WHO Type I Anovulatory Women Using r-hFSH+r-hLH in a 2:1 Ratio or hMG-HP
Prospective Randomized Open Label Study to Compare the Efficacy and Safety of Ovarian Stimulation With Pergoveris® and Menopur® in Women With Severe Luteinizing Hormone (LH) and Follicular Stimulating Hormone (FSH) Deficiency.
1 other identifier
interventional
40
1 country
1
Brief Summary
The aim of the study is to compare the efficacy and safety of r-hFSH+r-hLH in a 2:1 ratio with human Menopausal Gonadotropin Highly Purified (hMG-HP), in WHO type I anovulation, HH women. This open-label monocentric, randomized comparative trial, to receive the two different standard clinical practice treatments:
- 1 vial of Pergoveris: (vial/powder 150 International unit (IU) r-hFSH+ 75IU r-hLH)
- 2 vials of Menopur: (vials/powder hMG 75IU). Follicular development were monitored until the protocol hCG requirement is met and a single injection of hCG was administered. Main Outcome Measures were follicular development i.e. follicle ≥ 17 millimeters (mm), pre-ovulatory E2 ≥ 400 picomole/Liter (pmol/L) and mid-luteal phase Progesterone (P4) ≥ 25 nanomole/Liter (nmol/L).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Mar 2011
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2012
CompletedFirst Submitted
Initial submission to the registry
June 17, 2012
CompletedFirst Posted
Study publicly available on registry
June 20, 2012
CompletedJune 20, 2012
June 1, 2012
1.2 years
June 17, 2012
June 17, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
E2 in pmol/L
Evaluate the patients steroidogenesis
Day after the protocol hCG requirement is met (at least one follicle of 17mm is monitored by ultrasound)
Number of Follicles > 17mm
To evaluate the efficacy of the stimulation and maturity of follicles
last US day before hCG administration
P4 in nmol/L
Progesteron level to evaluate the endometrial receptivity
Day after the protocol hCG requirement is met (at least one follicle of 17mm by US)
Secondary Outcomes (4)
Endometrial thickness
Day 5 and Day 10 of stimulation treatment
Total number of Follicles
Last US day before hCG administration
Clinical Pregnancy rate
days 35-42 post hCG
Occurence of any adverse events (early or late ovarian hyperstimulation syndrome)
Days 15-20 post hCG
Study Arms (2)
Pergoveris: 150IU r-hFSH+ 75IU r-hLH
EXPERIMENTALThis is a prospective randomized study using two in-label treatments for the patient disease: Pergoveris and Menopur. Pergoveris arms can be considered as experimental for the aim of the study, anyway it is standard routine practice for HH women.
Menopur: hMG-HP (150IU)
EXPERIMENTALThis is a prospective randomized study using two in-label treatments for the patient disease: Pergoveris and Menopur. Menopur can be considered as experimental for the aim of the study, anyway it is standard routine practice for HH women
Interventions
Fixed formulation of two recombinant gonadotropins
Human Menopausal Gonadotropin is an urinary estract from menopausal women containing 150IU of FSH and 150 IU of LH-like activity (HCG)
Eligibility Criteria
You may qualify if:
- WHO Type I HH Women
- Serum LH \<1.2 IU/L
- Serum FSH \<5 IU/L
- Age 25-36 years
- No ovarian tumor
- No cyst
- ≤ 13 small follicles (mean diameter ≤ 10mm)
- BMI between 18 - 32 Kg/m2
- no systemic diseases
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Centro Riproduzione e Andrologia
Taranto, Italy, 74100, Italy
Related Publications (1)
Carone D, Caropreso C, Vitti A, Chiappetta R. Efficacy of different gonadotropin combinations to support ovulation induction in WHO type I anovulation infertility: clinical evidences of human recombinant FSH/human recombinant LH in a 2:1 ratio and highly purified human menopausal gonadotropin stimulation protocols. J Endocrinol Invest. 2012 Dec;35(11):996-1002. doi: 10.3275/8657. Epub 2012 Oct 22.
PMID: 23095369DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
June 17, 2012
First Posted
June 20, 2012
Study Start
March 1, 2011
Primary Completion
May 1, 2012
Study Completion
June 1, 2012
Last Updated
June 20, 2012
Record last verified: 2012-06