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CompletedNCT02607293ARTISTUpdated Jun 28, 2018

A Study to Explore Correlation Between Symptoms and Signs of Polycystic Ovarian Syndrome (PCOS) and Risk of Over-response to Ovarian Stimulation

An observational study in Polycystic Ovary Syndrome, sponsored by Merck KGaA, Darmstadt, Germany. Completed at 1 site in Germany. Open to female participants aged 20 Years to 35 Years. Per ClinicalTrials.gov, last updated 2018-06-28.

Sponsored by Merck KGaA, Darmstadt, Germany · Observational

Study type
Observational
Model
Cohort
Time perspective
Cross-sectional
Enrollment
1,064
Ages
20 Years to 35 Years
Sex
Female
01

Study summary

This is a Phase IV, prospective, observational, single arm, multicenter trial to identify the population at high risk of overstimulation associated with signs and symptoms of PCOS and examines the utility of 12.5 international units (IU) increment of Gonal-f® new pen for individualized controlled ovarian stimulation (iCOS).

02

Conditions studied

  • Polycystic Ovary Syndrome

Keywords

  • Polycystic Ovary Syndrome
  • Gonadotropin releasing hormone agonist (GnRH-a)
  • Gonal-f
  • Assisted Reproductive Technology
03

In context

Polycystic Ovary Syndrome

944 studies on the registry are indexed under Polycystic Ovary Syndrome; 174 are open to participants now.

This study's enrollment of 1,064 is above the median of 118 across 223 observational studies indexed under Polycystic Ovary Syndrome.

Browse Polycystic Ovary Syndrome studies →

Lead sponsor

Merck KGaA, Darmstadt, Germany is the lead sponsor of 269 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
20 Years to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Infertile women undergoing ART treatment with long GnRH-a protocol or GnRH-ant protocol using Gonal-f® new pen who are expected to be normal or high responders.

Inclusion criteria

  • Female subjects aged 20 to 35 years (including both)
  • Subjects undergoing ART treatment with long GnRH-a protocol or GnRH-ant protocol + Gn + human chorionic gonadotropin (hCG)
  • Subject from whom a written informed consent has been obtained with the understanding that the subject may withdraw consent at any time without prejudice to future medical care

Exclusion criteria

Exclusion Criteria:

  • Subjects undergoing ART treatment with mild stimulation protocol
  • Concomitant use of Gonal-f® with clomiphene citrate
  • With an In vitro fertilisation (IVF)/ Intracytoplasmic sperm injection (ICSI) history of greater than or equal to (>=) 3 times
  • Known history of poor ovarian response in a previous COS cycle for IVF/ICSI, defined as less than 4 oocytes retrieved or history of previous cycle cancellation prior to oocyte retrieval due to poor response or poor ovarian reserve, such as Antral follicle count (AFC) less than (\<) 5 to 7
  • Presence of confirmed or suspected endometriosis Grade III - IV
  • Presence of unilateral or bilateral hydrosalpinx
  • Using other Gn during stimulation period (such as urinary FSH/human menopausal Gn, except for recombinant luteinizing hormone (r-LH))
  • Known history of recurrent miscarriage
  • Any contradiction to Gn/GnRH analogues
  • Any major systemic disease that as per Investigator's discretion precludes subject for participation in the study
  • According to the judgment of the Investigator, any medical condition or any concomitant
  • surgery/ medications that would interfere with evaluation of study medications
  • Simultaneous participation in another clinical study
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Study design

Observational model
Cohort
Time perspective
Cross-sectional
Enrollment
1,064 participants (actual)
Patient registry
No

Groups and cohorts

  • Subjects undergoing ART treatment with long GnRH-a or GnRH-ant

    Subjects undergoing ART treatment with long GnRH-a protocol or GnRH-ant protocol + Gn + human chorionic gonadotropin (hCG) as per routine clinical practice. No visits or intervention(s) additional to the routine practice of the Investigators will be performed during this observational study.

    Drug: Gonal-f® · Drug: Long GnRH agonist · Drug: GnRH antagonist

Interventions

  • DrugGonal-f®

    Recombinant human follicle stimulating hormone (r-FSH) will be administered subcutaneously (SC) for about 10 to 20 days along with the ART regimen as routinely practiced by Investigators and according to licensed summary of product characteristics (SmPC label) for the ovarian stimulation.

    Also known as: Recombinant human follicle stimulating hormone

  • DrugLong GnRH agonist

    As a part of the ART regimen GnRH-agonist will be administered for about 14 to 20 days until down regulation is satisfied as judged by investigator.

  • DrugGnRH antagonist

    As a part of ART regimen GnRH-antagonist will be initiated and regimen will be as routinely practiced by Investigators and according to licensed SmPC label.

06

What researchers measure

Primary outcomes

  1. Number of subjects with polycystic ovary

    Time frame: Baseline

  2. Serum Testosterone levels

    Time frame: Baseline

  3. Number of subjects with history of menstrual disorders

    Time frame: Baseline

  4. Number of subjects with hirsutism

    Time frame: Baseline

  5. Number of oocytes retrieved

    Time frame: Baseline up to 2-7 days until end of stimulation cycle (approximately 28 days)

Secondary outcomes

  1. Total Dose of Recombinant Follicle Stimulating Hormone (r-FSH)

    Time frame: Baseline up to 1 month

  2. Daily Dose of Recombinant Follicle Stimulating Hormone (r-FSH)

    Time frame: Baseline up to 1 month

  3. Number of Metaphase II (M II) oocyte retrieved

    Time frame: Baseline up to 2-7 days until end of stimulation cycle (approximately 28 days)

  4. Biochemical pregnancy rate

    Biochemical pregnancy was defined as a positive pregnancy test (serum beta-hCG test) of the post-treatment assessment period

    Time frame: 4 to 6 Weeks after Embryo transfer (Up to 4 months)

  5. Clinical pregnancy rate

    Clinical pregnancy was defined as existence of at least one ultrasonography confirmed gestational sac in the uterus, with or without heartbeat.

    Time frame: 4 to 6 Weeks after Embryo transfer (Up to 4 months)

  6. Implantation Rate

    Implantation rate was measured as the number of gestational sacs observed, divided by the number of embryos transferred multiplied by 100.

    Time frame: 4 to 6 Weeks after Embryo transfer (Up to 4 months)

  7. Number of Subjects With Ovarian Hyper Stimulation Syndrome (OHSS)

    OHSS is a syndrome which can manifest with enlarged ovaries, advanced ascites with increased vascular permeability, pleural fluid accumulation, haemoconcentration, and increased blood clotting.

    Time frame: Baseline up to 13 month

  8. Number of Cycles Cancelled Due to Risk of Ovarian Hyper Stimulation Syndrome (OHSS)

    OHSS is a syndrome which can manifest with enlarged ovaries, advanced ascites with increased vascular permeability, pleural fluid accumulation, haemoconcentration, and increased blood clotting.

    Time frame: Baseline up to 13 month

07

Study locations

1 site
  • Merck KGaA Communication Center
    Darmstadt, Germany
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 28, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02607293
Lead sponsor
Merck KGaA, Darmstadt, Germany
Collaborators
Merck Serono Co., Ltd., China
Responsible party
Sponsor
First posted
Nov 18, 2015
Start date
Dec 31, 2015
Primary completion
Mar 16, 2017
Completion
Jun 28, 2017
Last update
Jun 28, 2018

Study contacts

Medical Responsible
study director · Merck Serono Co., Ltd., China

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2018. You cannot join it, but the record below documents what was studied.

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