Clinical trial
A Multicenter, Double-blind, Non-inferiority, Phase 3 RCT Comparing GenSci094 and Recombinant FSH During the First Seven Days of Ovarian Stimulation in Chinese ART Patients
Name
GenSci094-301
Description
To investigate the efficacy and safety of a single injection of GenSci094 to induce multi-follicular development for controlled ovarian stimulation using daily recombinant FSH (recFSH) as a reference. The primary hypothesis is that a single injection of GenSci094 is non-inferior to daily treatment with recFSH in initiating multi-follicular growth.
Trial arms
Trial start
2023-03-24
Estimated PCD
2024-02-29
Trial end
2024-08-31
Status
Recruiting
Phase
Early phase I
Treatment
GenSci094
On the morning of day 2 or 3 of the menstrual cycle (Stimulation Day 1), a single SC injection of 150 μg or 100μg (0.5 mL) GenSci094 was administered in the abdominal wall.
Arms:
GenSci094
Placebo RecFSH / follitropin alfa
powder-injection, but without the active ingedient, SC injection . Daily SC injections were started on Stimulation Day 1 and continued up to and including Stimulation Day 7.
Arms:
GenSci094
Biological: RecFSH / Follitropin alfa (Days 1 to 7)
Daily SC injections with 150IU or 225IU recFSH were started on Stimulation Day 1 and continued up to and including Stimulation Day 7.
Arms:
recFSH
Placebo GenSci094
Pre-filled syringe containing an identical solution when compared to GenSci094. On the morning of day 2 or 3 of the menstrual cycle (Stimulation Day 1), a single SC injection was administered in the abdominal wall.
Arms:
recFSH
RecFSH / Follitropin alfa (Days 8 to hCG)
From Stimulation Day 8 onwards a daily SC dose 75IU~300 IU recFSH was administered up to and including the Day of hCG.
Arms:
GenSci094, recFSH
Ganirelix
On Stimulation Day 5 a daily SC injection of 0.25 mg was started, which continued up to and including the day of hCG
Arms:
GenSci094, recFSH
hCG
When 3 follicles \>= 17 mm were observed by USS, a single dose of 10,000 IU/USP hCG was administered; or, for those at risk for Ovarian Hyperstimulation Syndrome (OHSS), a lower dose of 5,000 IU/USP
Arms:
GenSci094, recFSH
Progesterone
On the day of OPU, luteal phase support was started by administering micronized progesterone of at least 400 mg/day vaginally, and 40mg/d oral, which continued for at least 6 weeks, or up to menses.
Arms:
GenSci094, recFSH
Size
176
Primary endpoint
Mean Number of Oocytes Retrieved
Approximately Day 10-14
Eligibility criteria
Inclusion Criteria:
* Females of couples with an indication for Controlled Ovarian Stimulation (COS) and in-vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI);
* \>=20 and \<40 years of age at the time of signing informed consent;
* Body weight \>=50 kg and body mass index (BMI) \>=18 and \<=28 kg/m\^2;
* AMH\<4.0 and\>=1.1μg/L FSH\<10 IU/L
* Willing and able to sign informed consent.
Exclusion Criteria:
* History of ovarian hyper-response or ovarian hyperstimulation syndrome (OHSS);
* History of/or current polycystic ovary syndrome (PCOS);
* More than 20 basal antral follicles \<11 mm (both ovaries combined) as measured on ultrasound scan (USS) in the early follicular phase (menstrual cycle day 2-4);
* Presence of unilateral or bilateral hydrosalphinx (visible on USS);
* Presence of any clinically relevant pathology affecting the uterine cavity or fibroids \>4 cm;
* More than three unsuccessful IVF cycles since the last established ongoing pregnancy (if applicable);
* History of non- or low ovarian response to FSH/ human menopausal gonadotropin (hMG) treatment;
* History of recurrent miscarriage (3 or more, even when unexplained);
* Any clinically relevant abnormal laboratory value based on a sample taken during the screening phase;
* Contraindications for the use of gonadotropins (e.g. tumors, pregnancy/lactation, undiagnosed vaginal bleeding, hypersensitivity, ovarian cysts);
* Recent history of/or current epilepsy, human immunodeficiency virus (HIV) infection, diabetes, cardiovascular, gastro-intestinal, hepatic, renal or pulmonary disease;
* Use of hormonal preparations within 1 month prior to randomization;
* Hypersensitivity to any of the concomitant medication prescribed as part of the treatment regimen in this protocol;
* Administration of investigational drugs within three months prior to signing informed consent.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'QUADRUPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 176, 'type': 'ESTIMATED'}}
Updated at
2023-10-19
1 organization
8 products
1 indication
Product
GenSci094Indication
infertilityProduct
RecFSHOrganization
Changchun GeneScience PharmaceuticalProduct
ProgesteroneProduct
Follitropin alfaProduct
Placebo GenSci094Product
RecFSH / Follitropin alfaProduct
GanirelixProduct
hCG