Human Menopausal Gonadotropin Research in Infertility Assessing Cumulative Live Birth With Frozen Embryo Transfer.
GRACE
A Multicenter, Randomized, Placebo-controlled, Double-blind Study to Evaluate the Efficacy and Safety of a Human Menopausal Gonadotropin in the Development of Multiple Follicles, Pregnancy, and Cumulative Live Birth as Part of an Assisted Reproductive Technology (ART) Cycle.
1 other identifier
interventional
659
1 country
16
Brief Summary
The goal of this multicenter, randomized, placebo-controlled, double-blind clinical trial is toto evaluate the efficacy and safety of a human menopausal gonadotropin (hMG) in the development of multiple follicles, pregnancy, and cumulative live birth as part of an Assisted Reproductive Technology (ART) cycle in in women with a diagnosis of infertility.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
Started Nov 2025
Typical duration for phase_3
16 active sites
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
First Submitted
Initial submission to the registry
October 2, 2025
CompletedFirst Posted
Study publicly available on registry
October 15, 2025
CompletedStudy Start
First participant enrolled
November 1, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
November 1, 2028
April 27, 2026
April 1, 2026
3 years
October 2, 2025
April 24, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
cumulative live birth rate
cumulative live birth rate following vitrified-thawed, single-euploid blastocyst transfer(s)
12 months
Secondary Outcomes (26)
Positive pregnancy (serum β-human chorionic gonadotropin [hCG])
10 +/-2 days after Embryo transfer
Clinical pregnancy (intrauterine gestational sac with fetal heartbeat)
5 weeks ± 6 days post-embryo transfer
Ongoing pregnancy (intrauterine pregnancy with fetal heartbeat)
10 weeks ± 6 days post-embryo transfer (ET)
Live birth rate
9 months after ET
Number of oocytes retrieved per stimulation cycle
12-22 days after controlled ovarian stimulation start
- +21 more secondary outcomes
Other Outcomes (14)
Incidence, severity, timing, and duration of treatment-emergent adverse events (TEAEs), including action taken and outcome
up to 10 weeks post embryo transfer
Injection sites reactions (e.g., pain, erythema, swelling)
20 days after Controlled ovarian stimulation start
Incidence of early and late ovarian hyperstimulation syndrome (OHSS)
up to 10 weeks post Embryo transfer
- +11 more other outcomes
Study Arms (2)
hMG
EXPERIMENTALHuman Menopausal Gonadotropin, daily subcutaneous injection
Placebo
PLACEBO COMPARATORPlacebo, daily subcutaneous injection
Interventions
Eligibility Criteria
You may qualify if:
- Pre-menopausal women aged 18-42 years old at the time of consent.
- BMI ≥18 and \<38 kg/m² at the time of consent.
- Menstrual cycles between 21-35 days.
- Normal mammogram or breast ultrasound if patient is \>40 or if participant is younger as indicated by physician recommendation, within 2 years of screening.
- Anti-Müllerian hormone (AMH) \>1.2 ng/ml within 6 months of screening.
- If donor sperm is used, donor must be 18-40 years of age at the time of collection and compliant with 21 Code of Regulations (CFR) section 1271 Subpart C.
- Transvaginal ultrasound (TVUS) documenting presence and adequate visualization of both ovaries without ovarian enlargement, normal adnexa, and both ovaries accessible for oocyte retrieval at screening or within 6 months of screening.
- Valid medical indication for in vitro fertilization (IVF) treatment and subsequent embryo transfer (i.e. history of infertility according to current American Society of Reproductive Medicine (ASRM) definition, single women or same-sex couples) with the intention to achieve pregnancy within 12 months of the first stimulation cycle.
- Hysterosalpingography, hysteroscopy or saline infusion sonography, documenting a normal uterine cavity (i.e. no müllerian duct anomaly, uterine fibroids, endometrial polyps, intrauterine adhesions, adenomyosis) at screening or within 1 year prior to screening.
- Normal cervical cytology/high risk human papillomavirus (HPV) testing per American College of Obstetrician/Obstetrician Gynecologist (OB/GYN) (ACOG) guidelines.
- Negative serum hepatitis B surface antigen, hepatitis C antibody, human immunodeficiency virus (HIV) antibody tests at screening.
- Absence of hydrosalpinx confirmed by hysterosalpingogram (HSG), sonohysterogram, laparoscopy, or other appropriate imaging within the past 12 months.
- Willing to undergo up to two ovarian stimulation cycles prior to frozen embryo transfer.
- Willing to self-administer study medications.
- Willing to have trophectoderm biopsy of all blastocyst stage embryos.
- +3 more criteria
You may not qualify if:
- Persistent (for \>1 cycle), clinically relevant (per PI discretion) ovarian cystic lesion (≥20 mm), including ovarian endometrioma or dermoid cyst.
- Participants with hepatic impairment (liver function tests \> 2x upper limit of normal). Participants with renal impairment (estimated creatinine clearance \<60 mL/min/1.73 m2).
- Uncontrolled adrenal, thyroid dysfunction or uncontrolled diabetes (HbA1C \>7% within 3 months from screening).
- Greater than one IVF cycle canceled due to inability to meet ovulation trigger criteria (i.e. at least 2-3 follicles reach ≥18 mm.).
- History of recurrent implantation failure (RIF), defined according to the Lugano Consensus as the absence of implantation after transfer of ≥4 good-quality embryos in ≥3 embryo transfer (ET) cycles in women under the age of 40, using autologous oocytes.
- Recurrent pregnancy loss (RPL) is defined by two or more miscarriages; that is clinical pregnancies with the same partner and documented by ultrasonography or histopathological examination.
- Known history of anovulation.
- Antral Follicle Count (AFC) \<5 at screening.
- One or more dominant follicles (≥11 mm) observed on TVUS prior to randomization on stimulation day 1 with evidence of functional activity defined as serum Estradiol level \>100 pg/ml.
- Past or current history of an estrogen dependent malignancy
- Untreated atypical endometrial hyperplasia
- Any contraindication to the use of oral contraceptives
- History of OHSS.
- Morphological sperm evidence of globozoospermia or prior failed oocyte fertilization in previous IVF cycle.
- The use of donor sperm back up or rescue for fertilization of oocytes.
- +23 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (16)
HRC Fertility
Encino, California, 91436, United States
Illume Fertility
Norwalk, Connecticut, 06851, United States
Reproductive Associates of Delaware CCRM
Newark, Delaware, 19713, United States
IVF Florida Reproductive Associates
Margate, Florida, 33036, United States
Center for Reproductive Medicine
Winter Park, Florida, 32789, United States
Reproductive Biology Associates (RBA)
Atlanta, Georgia, 30342, United States
Fertility Institute of Hawaii
Honolulu, Hawaii, 96814, United States
Fertility Centers of Illinois
Chicago, Illinois, 60610, United States
Shady Grove Fertility - Rockville
Rockville, Maryland, 20850, United States
Boston IVF
Waltham, Massachusetts, 02451, United States
Reach Fertility
Charlotte, North Carolina, 28207, United States
Carolina Conceptions
Raleigh, North Carolina, 27607, United States
Pinnacle Fertility - Oregon
Portland, Oregon, 97205, United States
Main Line Fertility
Bryn Mawr, Pennsylvania, 19010, United States
CARE Fertility
Bedford, Texas, 76022, United States
Shady Grove Houston
Webster, Texas, 77598, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 2, 2025
First Posted
October 15, 2025
Study Start
November 1, 2025
Primary Completion (Estimated)
November 1, 2028
Study Completion (Estimated)
November 1, 2028
Last Updated
April 27, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share