A Phase 3 interventional study of Follitropin alfa in Infertility, sponsored by Finox AG. Completed at 16 sites in 6 countries. Open to female participants aged 20 Years to 38 Years. Per ClinicalTrials.gov, last updated 2016-04-15.
Sponsored by Finox AG · Phase 3, Interventional, and Treatment
Ther purpose of this study is to show equivalence between AFOLIA and Gonal-f® with regard to the number of oocytes retrieved in women for assisted reproductive treatment.
2,506 studies on the registry are indexed under Infertility; 407 are open to participants now.
This study's enrollment of 460 is above the median of 120 across 1,698 interventional studies indexed under Infertility.
Browse Infertility studies →Finox AG is the lead sponsor of 3 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Drug: Follitropin alfa
Drug: Follitropin alfa
150IU per day subcutaneously for a maximum of 16 days
Number of Oocytes Retrieved (Per Protocol Population)
As soon as ovulation criteria were reached, HCG was given to trigger ovulation and 34-36 hours later, oocytes were retrieved. If criteria for ovulation triggering could not be reached by FSH stimulation on day 16, treatment was to be stopped. The equivalence in the number of retrieved oocytes was tested using a pre-determined clinical equivalence margin of +/- 2.9 oocytes
Time frame: 34-36 hours after hCG administration and after maximum 16 days of r-hFSH treatment
Number of Oocytes Retrieved (Intention-to-treat Population)
As soon as ovulation criteria were reached, HCG was given to trigger ovulation and 34-36 hours later, oocytes were retrieved. If criteria for ovulation triggering could not be reached by FSH stimulation on day 16, treatment was to be stopped. The equivalence in the number of retrieved oocytes was tested using a pre-determined clinical equivalence margin of +/- 2.9 oocytes
Time frame: 34-36 hours after hCG administration and after maximum 16 days of r-hFSH treatment
Number and Size of Follicles ≥ 12 mm at Day 8 of Stimulation
The number and size of follicles 12 mm or over in diameter at day 8 of stimulation were evaluated as secondary end-point.
Time frame: Day 8 of stimulation
E2 Concentration at Day 8 and at Day of hCG Administration
The serum concentration of oestradiol was assessed at day 8 and the day of hCG administration.
Time frame: Day 8 of stimulation and at the day of hCG administration (after max. 16 days of r-FSH treatment)
Total Dose of r-hFSH Administered
Total dose of r-hFSH required was assessed.
Time frame: Day of hCG administration (after maximum 16 days of r-hFSH treatment)
Quality of Oocytes Retrieved
Number of patients with ovum pick-up
Time frame: 34-36 hours after hCG administration
Fertilisation Rate of Oocytes
Fertilisation rate was assessed
Time frame: 1 day after ovum pick-up
Embryo Quality: Mean Number of Blastomeres
Main embryo quality parameter "mean number of blastomeres"
Time frame: Day 2 of OPU/fertilisation
Number of Participants With Cryopreserved 2PNs, Embryos/Blastocysts
Time frame: Day 1, 2, 3 and 5 of OPU/fertilisation
Number of Days of r-hFSH Stimulation
Mean duration of stimulation was assessed.
Time frame: At the day of hCG administration, up to 16 days
Number of Patients With Cycle Cancellation
Number of patients with cycle cancellation was assessed.
Time frame: Until child birth/miscarriage, up to the end of the study
Number of Patients With Good Response
Good response was defined as "patients with an oocyte retrieval of four or more oocytes"
Time frame: Until child birth/miscarriage, up to the end of the study
Implantation Rate
Defined as fetal sac per embryo transferred.
Time frame: Five to six weeks after oocyte retrieval
Clinical Pregnancy Rate
Presence of at least one intrauterine gestational sac.
Time frame: Five to six weeks after oocyte retrieval
Ongoing Pregnancy
Ongoing pregnancy per embryo transfer. Presence of at least one viable fetus 10 weeks after embryo transfer.
Time frame: Ten weeks after embryo transfer
Live Birth Rate
Patients with liveborn children
Time frame: After childbirth with questionnaire
Embryo Quality: Absence of Multinucleation
Main embryo quality parameter "absence of multinucleation" observed.
Time frame: Day 3
Quality of Oocytes Retrieved
Number of patients with transferred blastocysts
Time frame: At day 4 and 5
Quality of Oocytes Retrieved
Number of embryos per blastocysts transferred
Time frame: Day of embryo transfer, either 2, 3 or 5 days after oocyte retrieval
Clinical Pregnancy Rate (Second Treatment Cycle)
Presence of at least one intrauterine gestational sac.
Time frame: Five to six weeks after oocyte retrieval
Ongoing Pregnancy (Second Treatment Cycle)
Ongoing pregnancy per embryo transfer. Presence of at least one viable fetus 10 weeks after embryo transfer.
Time frame: 10 weeks after embryo transfer
Quality of Oocytes Retrieved
The maturity of the cumulus oophorus was assessed.
Time frame: After oocyte retrieval, 34 to 36 hours after hCG administration
Quality of Oocytes Retrieved
The nuclear maturity was assessed (Germinal vesicle, Metaphase I, Metaphase II).
Time frame: After oocyte retrieval, 34 to 36 hours after hCG administration
Subjects were screened and enrolled at 15 centers in six European countries from July 2010 until April 2012.
| Milestone | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Started | 249 | 123 |
| Completed | 220 | 113 |
| Not completed | 29 | 10 |
| Withdrew: Protocol violation | 29 | 10 |
As soon as ovulation criteria were reached, HCG was given to trigger ovulation and 34-36 hours later, oocytes were retrieved. If criteria for ovulation triggering could not be reached by FSH stimulation on day 16, treatment was to be stopped. The equivalence in the number of retrieved oocytes was tested using a pre-determined clinical equivalence margin of +/- 2.9 oocytes
| Number of retrieved oocytes | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Number of Oocytes Retrieved (Per Protocol Population) | 10.8 ± 5.11 | 10.6 ± 6.06 |
The number and size of follicles 12 mm or over in diameter at day 8 of stimulation were evaluated as secondary end-point.
| Number of follicles | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| ≥ 12 mm | 11.8 ± 4.73 | 11.1 ± 4.23 |
| ≥ 15 mm | 8.3 ± 3.81 | 7.7 ± 3.60 |
| ≥ 17 mm | 4.9 ± 3.29 | 4.5 ± 2.71 |
The serum concentration of oestradiol was assessed at day 8 and the day of hCG administration.
| pmol/ L | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Day of hCG administration | 8982.3 ± 6535.3 | 7704.2 ± 5345.8 |
| Day 8 | 3958.9 ± 3699.4 | 3234.0 ± 2428.1 |
Total dose of r-hFSH required was assessed.
| IU | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Total Dose of r-hFSH Administered | 1555.7 ± 293.00 | 1569.2 ± 259.20 |
Number of patients with ovum pick-up
| Participants | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| day 2 | 82 | 36 |
| day 3 | 53 | 28 |
Fertilisation rate was assessed
| percentage of oocytes | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Fertilisation Rate of Oocytes | 66.1 ± 24.84 | 64.0 ± 24.76 |
Main embryo quality parameter "mean number of blastomeres"
| Number of blastomeres at day 3 | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Embryo Quality: Mean Number of Blastomeres | 6.6 ± 2.41 | 6.4 ± 2.49 |
| Patients with cryopreservation | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Number of Participants With Cryopreserved 2PNs, Embryos/Blastocysts | 103 | 55 |
Mean duration of stimulation was assessed.
| days | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Number of Days of r-hFSH Stimulation | 10.6 ± 1.91 | 10.7 ± 1.72 |
Number of patients with cycle cancellation was assessed.
| Number of patients | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Number of Patients With Cycle Cancellation | 13 | 5 |
Good response was defined as "patients with an oocyte retrieval of four or more oocytes"
| Participants | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Number of Patients With Good Response | 217 | 107 |
Defined as fetal sac per embryo transferred.
| Percentage of implantations | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Implantation Rate | 31.8 | 36.7 |
Presence of at least one intrauterine gestational sac.
| Clinical pregnancies | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Clinical Pregnancy Rate | 90 | 55 |
Ongoing pregnancy per embryo transfer. Presence of at least one viable fetus 10 weeks after embryo transfer.
| Ongoing pregnancies | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Ongoing Pregnancy | 84 | 51 |
Patients with liveborn children
| Patients with liveborn children | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Live Birth Rate | 80 | 51 |
As soon as ovulation criteria were reached, HCG was given to trigger ovulation and 34-36 hours later, oocytes were retrieved. If criteria for ovulation triggering could not be reached by FSH stimulation on day 16, treatment was to be stopped. The equivalence in the number of retrieved oocytes was tested using a pre-determined clinical equivalence margin of +/- 2.9 oocytes
| Number of retrieved oocytes | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Number of Oocytes Retrieved (Intention-to-treat Population) | 10.7 ± 5.62 | 10.4 ± 6.14 |
Main embryo quality parameter "absence of multinucleation" observed.
| Percentage of absent multinucleation | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Embryo Quality: Absence of Multinucleation | 93.6 | 93.9 |
Number of patients with transferred blastocysts
| Participants | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| day 4 | 10 | 2 |
| day 5 | 76 | 46 |
Number of embryos per blastocysts transferred
| embryos per blastocysts transferred | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Quality of Oocytes Retrieved | 1.5 ± 0.52 | 1.6 ± 0.53 |
Presence of at least one intrauterine gestational sac.
| Clinical pregnancies | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Clinical Pregnancy Rate (Second Treatment Cycle) | 25 | 10 |
Ongoing pregnancy per embryo transfer. Presence of at least one viable fetus 10 weeks after embryo transfer.
| Ongoing pregnancies | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Ongoing Pregnancy (Second Treatment Cycle) | 22 | 9 |
The maturity of the cumulus oophorus was assessed.
| Percentage of cumulus oophori | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| very mature | 9.1 | 9.4 |
| mature | 75.7 | 75.3 |
| immature | 14.5 | 14.2 |
The nuclear maturity was assessed (Germinal vesicle, Metaphase I, Metaphase II).
| Percentage of cells | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Germinal vesicle | 9.5 | 9.1 |
| Metaphase I | 7.2 | 7.7 |
| Metaphase II | 83.4 | 83.3 |
Collected over Study period + 30 days. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| AFOLIA-150 (Follitropin Alfa) | — | 12/249 (4.8%) | 182/249 (73.1%) |
| Gonal-f® (Follitropin Alfa) | — | 3/123 (2.4%) | 83/123 (67.5%) |
| Event | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Ovarian hyperstimulation syndromeReproductive system and breast disorders | 7/249 | 2/123 |
| SyncopeNervous system disorders | 0/249 | 1/123 |
| Abdominal painGastrointestinal disorders | 2/249 | 0/123 |
| Biliary colicHepatobiliary disorders | 1/249 | 0/123 |
| Ovarian haemorrhageReproductive system and breast disorders | 1/249 | 0/123 |
| Body temparature increasedInvestigations | 1/249 | 0/123 |
| Event | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) |
|---|---|---|
| Injection site erythemaGeneral disorders | 68/249 | 44/123 |
| Injection site haematomaGeneral disorders | 60/249 | 19/123 |
| HeadacheNervous system disorders | 55/249 | 25/123 |
| Ovarian hyperstimulation syndromeReproductive system and breast disorders | 55/249 | 16/123 |
| Injection site painGeneral disorders | 39/249 | 21/123 |
| NauseaGastrointestinal disorders | 23/249 | 6/123 |
| Injection site swellingGeneral disorders | 15/249 | 10/123 |
| Abdominal pain upperGastrointestinal disorders | 7/249 | 7/123 |
| Abdominal distensionGastrointestinal disorders | 14/249 | 6/123 |
| FatigueGeneral disorders | 13/249 | 4/123 |
| Age, Continuous(years) | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) | Total |
|---|---|---|---|
| Mean | 31.8 ± 4.02 | 32.1 ± 3.76 | 31.95 ± 3.90 |
| Sex: Female, Male(Participants) | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) | Total |
|---|---|---|---|
| Female | 249 | 123 | 372 |
| Male | 0 | 0 | 0 |
| Race (NIH/OMB)(Participants) | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) | Total |
|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 0 |
| Asian | 12 | 3 | 15 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 2 | 1 | 3 |
| White | 229 | 117 | 346 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 6 | 2 | 8 |
| Region of Enrollment(participants) | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) | Total |
|---|---|---|---|
| Austria | 88 | 43 | 131 |
| Denmark | 75 | 37 | 112 |
| Spain | 33 | 19 | 52 |
| Germany | 24 | 11 | 35 |
| United Kingdom | 21 | 10 | 31 |
| Switzerland | 8 | 3 | 11 |
| FSH baseline concentration((IU/L)) | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) | Total |
|---|---|---|---|
| Mean | 6.9 (2.5 to 17.1) | 6.9 (2.8 to 10) | 6.9 (2.5 to 17.1) |
| Antral follicle count(Antral follicle count) | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) | Total |
|---|---|---|---|
| Mean | 15.1 (10 to 24) | 15.3 (10 to 24) | 15.2 (10 to 24) |
| Body Mass Index(kilogramm/ square meter) | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) | Total |
|---|---|---|---|
| Mean | 22.7 (18.0 to 30.3) | 22.4 (18.2 to 28.7) | 22.6 (18.0 to 30.3) |
| GnRH-agonist duration(days) | AFOLIA-150 (Follitropin Alfa) | Gonal-f® (Follitropin Alfa) | Total |
|---|---|---|---|
| Mean | 23.5 (11.0 to 44.0) | 22.7 (12.0 to 46.0) | 23.1 (11.0 to 46.0) |
1 further baseline measures are reported on the registry.
This study is completed, as verified in Mar 2016. You cannot join it, but the record below documents what was studied.
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